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025-190-081
025-190-081 PERMIT#95-0}88 RAMPENTHAL, John William 2158 Hwy 99, Oroville Repair weather head/SF 025-190-081 PERMIT # 98-0008 RAMPENTHAL, JOHN WILLIAM r-tue 2158 HIGHWAY 99, OROVILLE 41nJ& COMPLETION OF #95-0188 025-190-081 05-02S3 NEW WORLD FND, MkUCL 2158 FIWY 99 E,131G�,S \moo Cont: OWNER �� r\V DRYROT REPAIRS/ - OC �v\ NOTES RESIDENTIAL PERMIT NO. 025-190-0$1 — 05-0283 NEW WORLD i7ND; 2158 H\N'Y 99 F, 5;6GS cont: OW 14ER DRYROT REPAIRS/ R. MODEL H OFFICE COPY Address _L 15,06 /H✓„�y 9%e� 13, s iP tj AAs . _ �l'. •. i k Meter By ELECTRIC I Meter By Date p ate; I SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FiNALED (Date) 'I Signature CHECKED BY J=OK 0 = Not OK . NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Zoning Requirements -Setbacks -Easements 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 2. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG ( 7. Well Clearance & Disconnect 8. Utility Clearance Gas; MH Test -Demand -Valve 10. Roof; Shthg-Roofing 5. Electricity; MH Test Ext.; Steps -Doors -Landings Date 6. 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 9. 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Verify #'s with Office 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main Conduit 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Date Card B-1 Date Card B-1 - Date 3. Card B-1 Date Card B-1 2 Date PERMANENT END SYSTEM (ONLY) 5. 1. Zoning Requirements -Setbacks -Easements 6. Carports; Windows -Doors 2. Footings; Size -Spacing -Marriage Line Electric ( 3. Blocking 9. 4. Gas; MH Test -Demand -Valve 10. Roof; Shthg-Roofing 5. Electricity; MH Test Ext.; Steps -Doors -Landings 6. Water; MH Test 7. Water and Sewer Connected Card B-1 Date Card B-1 8. Gas and Electricity Tagged Card B-1 Date Card B-1 Date 9. Exits 1. Setbacks -Easements 10. License Decals Soils; Compaction -Structure Stability 11. Verify #'s with Office 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Date Card B-1 Date Card B-1 Date 7. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ( 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing r 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = NotOK Applicable = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date UNDER OOR (Plans) OK except #'s 1 ping -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. F g' orches & Decks; Soils -Steel-/ /" Ftg. Depth erpwalls, Main; Steel-Blockouts-Wrapped 6 emwalls, Garage; Steel-Blockouts-Wrapped awns and Special Anchors 7. Sjab, Steel -Wrapped 8. Piers -Fire lace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test tj;eUater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 1,3! Plenums & Ducts; Clearance -Material -Support -Ins. 1 Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 10"Zcess & Ventilation 16. Insulation Date Card B -1,/ ---Date Card B-1 Date Card B Date Card B-1 Date PLUMBING (Permit) OK exce t #'s W�)er Htr; Vent -Access ombusti it Baffle,-" ter Pi e• Test & Anchor -Nail Protection D.W.V.; a ittings & Anchor -Nail Protection 29. Shower Pan; Test, First Floor -Tub Access 21. T st Tub & Shower, Second Floor -Tub Access 2-21�Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date ,-UTCard B-1 Date Card B-1 Date 11, p _ cfCard B-1 Date Card B-1 Date ELECT CA (Permit) OK except #'s 2 Ix re &Transformer Clearance -Ins. Protection 25. ec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27 Installed Close to Edge of Studs & C.J. equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI -31" Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Si26/ /ga Cu or Al 31. Range Circle/ % /ga Wor AI -Oven Circ. / /ga Cu or Al Insulated Neutral es O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. CJpKes Closet Light -Shower Light -Spa Light W. --oke Detector Date )0-L j,OrCard B-1 CAI LAj Date Card B-1 Date f) -a/- V6 Card B-1 Date Card B-1 Date MECH NICAL (Permit) OK except #'s 3 A.P. Ducts Insulation & Support 37. e t Fan, Exhaust above insulation 3W -Condensate Drain & Overflow, Size & Grade . Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date 1 j/ 06 Card B 1 ( Date Card'B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 4,wfills Proper Materials & Anchors - ' 42 IIs Studs -Nailing Spacing & Braces -Plates -Sound 4 . Bearing Walls over Girders & Floor Nailing 4416 aft Stop in Walls (rat proof) 45- F1e Stops, Furred Ceilings -Stairs -Chasers -Tubs 49' Headers & Beams -Size & Bearing Date FRAMING (Continued) 4 n ers- Post Caps -Anchors -Connectors 4 . Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. .4 . FjFeplace Ties or Type A Flue -Fireplace Throat Clearance 5jr. Mc Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions fE ,Garage Fire Protection Framing -RC Channel Property Line Firewall & Openings ,54'Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -66--8Mirs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Ing -Nailing Veneer t. (y -Co •� Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic ar Walls, Nailing -Bolts LS 6 race Interior/Exterior Wall nels j,- z J it -14,O . Insulation -Walls -Ceilings LeA41�j 63. Infiltration -Walls -Windows Date j0 -LY-or- Card B-1 Cjha.J Date 11, Card B-1 CAS Date / j-01.of-Card B-1 Date Card B-1 Date FINAL ns) OK except #'s Steps -Door & Sidelight Protection -Landings oke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67 om Exiting ii ifq/9 ath Fixtures & Tub AccesskA - Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. EjRc. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter 75. Ga age Fire Door; Swing -Landing -Closure 7 C. Duct in Garage -Damper tr. Htr.; Vents-Clearattce- mb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection ; Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection 0. Insulation -Foam -Looked in Attic 81. G d Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainaqe & Wood -Earth Clearance Looked under Floor O Yes 83. FgUowing Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No Stupeo Brown_ Finish 85e<C..Unit Disconnect, Electrical -Plumbing 8 nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Waver Well, Disconnect, Electrical, Plumbing 8 rior Elec. Trim, G.F.I. Receptacle -Underground 89-'VeKtilation Throuqhout House 9 . las Protection 114 rrec ons from Previou Inspections 9 Gas est -Meters Tag d, Gas -Electric 9a1W er & Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates (90 Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date and B-1 r Date Card B-1 Date Card B 1 Date Card B-1 Comments at Final: r- 77-7= ` 025-190-081 �''= P8 RRIT 4. -98-0008 A , - _ RAMPENTHAL, JOHN WILLIAM�i,.! 2158 HIGHWAY 96, OROVILLE COMPLETION OF #95-0188 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)53 7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ` � , - O(Y)l ASSESSOPARCELNUMBER 025-196-6t' 1 ZONING BUfLDING PERMIT OWNER, JOJEE , 1,T'I11IA.h1 M-Tifi'I'ti.AI TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6010 I, FdYAt;DOTTL RD., OROVII I E CA 95966 CONTRACTOR'S NAME 01:NER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER IiOloY: Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER >; � LICENSL NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 215 "IlY 99, 01"OVIUE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Util'ItiesJU Installation ❑ Other ❑ Describe Work: WINK M-, ON OF #95-0188 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 500VR LE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00 NEW CONST. DWEwNC OR ADDNS. ( A ACG OCUP. C. S. so 3.50FT. NEW CNNSIDT MULTI-Ol Q UTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @' 00 SAL .00 Ex. Occup. ouTEEDTSA RESIOOEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23. 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: f7' I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ff3' I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work o! a valuation of one hundred dollars ($100) or less.) EY' 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 pr visions. / X ._ l /. Date L, � Sign ture of pplicent - ❑ Owner' ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD HD 1 ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work which fees ve teen paid. ' indicated abovkAf / n1 r]�Uu By , t Date PERMIT EXPIRES ON OB/B Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD+APPLICANT A 025-190-081 PERMIT#95-0188 RAMPENTHAL, John William 2158 Hwy -99, Oroville Repair weather head/SF OFFICE COPY _ 7 i Address i GAS Meter By f Date ELECTRIC 00,1 Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 µ47 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE T No. APPLICATION AND PERMIT �S-D/cR ASSESSOR PARCEL NUMBER 025-190-081 ZONING BUILDING PERMIT OWNER JOHN WILLIAM RAMPENTHAL �� SQ. FT. OCC. BUILDING VALUATION OWNEROWNER'SIwARING ALxLREas 6010 LOWER WYANDOTTE RD OROVILLE, 95966 CONTRACTO WS NAME TELEPHONE CONTRACTO WS MAILING ADDRESS FireplaceNxLNSTRtx CONSTRUCTION LENDER UNKNOWNTotal Valuation $ LE NOEWS MARINO ADDRESS Fling Fee $ 20.00 Permit Fee g ARCHITECT OR ENGINEER � LICENSE NO. Plan Checking Fee g ARCHITECT OR ENGINEER'S MAILING AOOREBS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2158 HW Y 99 PERMIT FEE $ OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF)d Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W .00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities O Installation O Other Describe Work: REPAIR WEATHER HEAD E@20 PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service' ( =A OR LESS ) 2.3.00 Main Service ( 200A To TOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. SO CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a XCertificate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS POWER APPARATUS (8 SINGLE OUTLET CIR. i Ex. Occup. ( OUTLET OR FIXTURES ) SA20 L. @ 1.000 Ex. Occu FIXED APPLNSOR p (OUTLETSAIRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. Wiring 23.00 23.00 PERMIT FEE S 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that 1 have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to entei 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 n asequence of the granting oft is. rmit. ! i Date , Signa of App (cant wne Contract r O Agent JAnHApermit is required fo xcavations over 5"0" deep and demolition orindicated tion of structures over 3 Stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ c0 ST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES I IMP I FLOOD COF I PARCEL F71 ISSUE This permit is hereby issued unser the applicable provisions of the Butte County .ode and'or Resolutions to do work above for w rich fees I•ave been paid. BY 1:.�� Z.� `/! Date PERMITEXPIRESON 'Z/C: `/`•• Dere/ • ReceiptNo. 171254 WHITE-O.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR r.OLDENROD-APPLICAPIT COUNTY OF BUTTE BUILDING DIVISION 61. -*DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 5 Inspector REV 10/92 1 a Date 5 Inspector REV 10/92 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPOS0283 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. t. Duuunip rennn v!- I u- MN 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: 04/08/2005 APN: 025-190-081-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2158 HWY 99 BIG Date: Contractor: Map Index: Description: REMODEL SF/ADD 168 SF/COV.P 333 OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the SQ. FT./100 GARAGE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code. Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: ARTHUR A. JR. HAYDEN TRUSTEE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1149 DEWNSUP AVE she Is exempt therefrom and the basis for the alleged exemption. Any GRIDLEY CA violation of Section 7031.5 by any applicant for a. permit subjects the 95948 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 846-1008 .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 (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: ARTHUR A. JR. TRUSTEE provided that such Improvements are not Intended or offered for 1149 DEWNSUP AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of GRIDLEY.CA proving that he or she did not build or Improve for the purpose of 95948 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: ❑ I am Exem t under Article 3 of [Ile, Business an Proles Ions Code r D ,2 Owner: Q' Date: WORKERS' COMPENSATION DECLARATIO I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 268 S.F. AI certify that in the performance of the work for which this permit Is Valuation: $13,320.00 issued, I shall not employ any person in any manner so as to Census Code: c become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co�m{ply, with those provisions. 1 0 ! v Date: - Applicant: R— WARNING: Failure to secure workers' c ensen coverage Is an employer to criminal penalties and one p unlawful, and shall subject hundred thousand dollars ($100,000), in addition to the cost of damages as for in Section 3706 of the Labor compensation, provided code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit Is here b Issued under the applicable provisions of the Butte Count Code nd/or Resolutions to to vj&k Indicated above for vyhich fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) By. Dale: ' Name: PERMIT EXPIRE N: Address: jDatel ❑ 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 & Safely 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 lhe'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 represent Ives of Butte County to enter upon the above mentioned property for inspection purpo s. Print Name: Signature: 0 Date: AOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. t. Duuunip rennn v!- I u- MN 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 APPLICA TION Website: www.buttecounty.netldds /) - -8 74�S **PLEASE PRINT CLEARLY"* OWNER Last Name� [—_ first Name Address 1.19 u U� Cityf ID State Phone Fax OS_02g3 E-mail A J,l PhoneQ 1� State E-mail CONTRACTOR Name Address City State Zip Phone Fax OS_02g3 E-mail A J,l Name ' 2 58 'FR- SIT Address City ���� State Zip' Phone Fax E-mail State License Number APPLICANTSIGN4TURE X For office use only: APPLICANT NAME Name O L9 Address City I Yes State Zip Phone Type Const. U Fax E-mail Map Book APPLICANTSIGN4TURE X For office use only: AP# �� i-)�y ©— D8' Zoning A Flood Zone SRA I Yes o Occ. Type Const. U Subdivision Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO. Q<- C2 LOCATION AP# �� i-)�y ©— D8' Property Address 6 4�� Cit�p LZ�GCc5 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMSIBUILDING FORMS1BldgApplSubRgmts.doc I Page 1 of 2 Description or Scope of Work - 2Y .a��T62mt C. Sq, Footage / Z_o �-. _ L9 )4.W 1 _ u DUUGLUIV ouiitwiirioul t-ermiis ►/ ❑ Proposed Change of Occupancy lois (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 required. 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: � � q, qQg . SRA Receipt #:..oqD ` ' 1 ol/� � �p Sheriff `- SMIP Date: G� Other �- `Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans,.3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) - ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ - 2. Impact Fees: :-:..:. :,...,...:.. ❑ 3, .California-De-artment of. Forestry plan approval (if required). rt ❑ 4. NPDES Form. ❑ '5.Encroa hl rh6ht-Perrhit for driveway from the Public Works Dept. (construction approval prior to occupancy).. ❑ 6. Contractor's -license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)533.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of'2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILD1I G DIVISION��� 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1/10a) O&C/'F 0U/1144i10JI11 ASSESSOR PARCEL NUMBER Proposed Building Use: oV11 /�' �C,ounter Technician: . Date: - Items required in order to apply for a/permit. All boxes MUST(p the ke OR marked NA in order to apply. :K 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. jp, 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in du licate. ❑ 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 n� ❑ 11. Site plan and business license approval from the City of Biggs ' ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form �p 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico peroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required....................................................................... ........ 41 21. Fees as shown on the attached Schedule of Fees Due Sheet ......................... 4. Z (o./ 4' 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: 0 QB)Parking: (C) Parcel Check: f t o ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (-Xtven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone /r !�3 / --//1%1R = 0 r and hold for pickup. 1 have been informed of the above items and requirements for obtaining a building permit. . Applicant: r CX Date: 1. Index permlapplication for the above items n m.ered: Plan Check Letter 2. Additional items required Contractor, designe own LAvas advised of the above data by Vp one, ❑ mail, ❑ counter, by Date: - Q -6 Contractor, designer, owner, was advised of the abov da a by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: /�/1?G Date: ! D. Plans approved by: Date Structural review d b : Date: 05` Structural approved / Date: Note transfer by: Date: Yellow: BuildingLn TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposa Water uppiy: u Clearance for dwelling. Other ' Hold final for: Final clearance O.K. for: EnvironmentalHealth Specialist 8/96 Floc Plan Anachod, Floor Plan Atmchad �— Sam to B.O. ! AP. blic riv to Well Date F COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER/lawA.P. #"' PROPROSED BUILDING USE I ` DATE' �QS ' RECEIPT # DATE REC. —JIV1. BUILDING PERMIT FEES --- Balance Due ..................... $ —v–T� --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form availab after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.)...: X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) A- 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER [. `v , (3� t At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed dur' t en checkiyocess -7 APPLICANT DATE / Pursuant to Government Code Section 66020, you are hereby notifMi 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. 2/2003) School District A.P. Number Property Owner .... ..f. :t:. `;K . .. ,s': _. � _�._. .. ........,n-,ren✓...-.-`vY V;�'•�rr"f--"i'� w.•'eiv..,-:y=i,.•+�+`..•$'l ^ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Ivor, r �— Building Department No. Jurisdiction:, . - City ®County Property Location/Au 4 cis Subdivision Lot No. ......... _ .......... ......................_................. ......................: Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition) 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) .......................................................... _... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Indusf4 Q Q x New Addition Sq. Footage (Including Exterior Roofed Areas) Date District Identification, No. School District certifies that ` `P,tv W A c_� c� n u n A is t �-- (Applicant) (Street Address) — �0 (City) has complied with the requirements of Resolution No. representing square feet. (Phone Number) (Zip Code) by payment of $ ' HAm 2926 9: FULL MITIGATION Paid by Check # Remarks: n e � Date Notice: You may protest the Imposition of the fess Mentifled above by submitting a written protest to the Dlstrld, In compliance with Government Code Section 66020(a), within 90 days from the date tees are.paid. Failure to submit a timely written protest wlil'prohlbit you from challenging the imposition of the fees In any court aetlon. \t . It, subsequent to the School District Representative signing this Butte CountyySchools Impact Fee CerdSatlon Form, the School District Is ��OR by the applicable Local Planning Agency that this project Is being rsvlowed under the California Environ mental Quality Act (CEQA) " tfrls project may be subject to additional school tees to fully midgets. Re Impact on the school dlstridb schools. .,,White (applicant), Yellow (building department), Pink (school district) feefonn.xfe 110/031dmm PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re-submittal. I this form is not complete, as to all correction items, we will not be able to accept your re-submittal for review. There must be a valic response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate you, response to each item and the location where the information can be found on the plans/calcs. , ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME AJEV V W,0DATE: 3 0 ` ASSESSORS PARC r0u� �� / a( EL NUMBER PERMIT NUMBER RESPONSE FO Fit' F!, N CHECK LETTER DATED: PLAN CHECK ITEM # RESPONSE BY: AlvA(- $TRUCZ'utW LOCATION ON PLAN 'CAL COMMENTS: �B�c157Ru.ca e-�rrfFJIXg) IAJD A SILL, 1 A11 s 6 yfAJ cad StILA, W t� 1. ° w March 18, 2005 New World Foundation 1149 Dewsnup Ave. Gridley, CA 95948 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 025-190-081-000 Building Permit Number: 05-0283 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response including references to page numbers will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: Show the openable area of the bedroom windows to verify compliance with emergency egress. The acronym is S.H. (single hung) which doesn't comply. The master bedroom window must be a � maximum 44" from the floor at sill height. 'l. The windows adjacent to tubs must be safety glazed. Please show compliance on plans. /3. Provide smoke detectors in each bedroom and each hallway serving a bedroom. The detectors must be hard wired together with battery back-up. STRUCTURAL COMMENTS: ;/ . The 4 x 12 d.f. headers in center of house that exceed 10' spans must be select structural members, as the #2's are overspanned. L,Z Provide a footing under the end of the post carrying the center header at the east end of the hallway. The point load falls in the center of the girder below. Or you can provide calculations to justify the size of the girder with the uniform and point loads for that section. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. IYvnneChris opher, BO Building Offi ial 1 of 1 Multi Loaded Beam[ 2000 International Buildinq Code (97 NDS)1 Ver: 6.00.5 By:'Yvonne Christopher , Development Services on: 03-18-2005: 6:16:57 PM Proiect: -Location: Summary: 5.5 IN x 11.5 IN x 4.0 FT / #1 - Douglas Fir -Larch Section Adequate By: 61.3% Controlling Factor: Center Span Deflections: Dead Load: Live Load: Total Load: Center Span Left End Reactions (Support A): Live Load: Dead Load: Total Load: (North) - Dry Use Area / Depth Required 7.13 In Bearing Lenqth Required (Beam only, support capacity not checked): Center Span Riqht End Reactions (Support B): Live Load: Dead Load: Total Load: Bearing Length Required (Beam only, support capacity not checked): Beam Data: Center Span Lenqth: Center Span Unbraced Lenqth-Top of Beam: Center Span Unbraced Length -Bottom of Beam: Live Load Duration Factor: Live Load Deflect. Criteria: Total Load Deflect. Criteria: Center Span Loading: Uniform Load: Live Load: Dead Load: Beam Self Weight: Total Load: Point Load 1 Live Load: Dead Load: Location (From left end of span): Point Load 2 Live Load: Dead Load: Location (From left end of span): Properties For: #1- Douqlas Fir -Larch (North) Bendinq Stress: Shear Stress: Modulus of Elasticity: Stress Perpendicular to Grain: Adjusted Properties Fb' (Tension): Adjustment Factors: Cd=1.00 Cf=1.00 Fv': Adiustment Factors: Cd=1.00 Design Requirements: Controllinq Moment: 2.0 Ft from left support of span 2 (Center Span) DLD-Center- LLD-Center= TLD-Center- LL-Rxn-A= DL-Rxn-A= TL-Rxn-A= BL -A= LL-Rxn-B= DL-Rxn-B= TL-Rxn-B= BL -B= L2= Lug -Top= Lu2-Bottom= Cd= U U wL-2= wD-2= BSW= wT-2= PI -1-2= PD1 -2= X1-2= PL2-2= PD2-2= X2-2= Fb= Fv= E= Fc -perp= Fb'= Fv'= 0.00 IN 0.01 IN = U5582 0.01 IN = U5531 2205 LB 31 LB 2236 LB 0.65 IN 1995 LB 31 LB 2026 LB 0.59 IN 4.0 FT 0.0 FT 4.0 FT 1.00 360 240 0 PLF 0 PLF 15 PLF 15 PLF 1680 LB 0 LB 1.75 FT 2520 .' LB 0- LB 2.0 FT 1300 PSI 85 PSI 1600000 PSI 625 PSI 1300 PSI 85 PSI 4021 FT -LB Critical moment created by combining all dead loads and live loads on span(s) 2 Controllinq Shear: V= 2222 LB At a distance d from left support of span 2 (Center Span) Critical shear created by combining all dead loads and live loads on span(s) 2 Comparisons With Required Sections: Section Modulus (Moment): Sreq= 37.11 IN3 S= 121.23 IN3 Area (Shear): Areq= 39.20 IN2 A= 63.25 IN2 Moment of Inertia (Deflection): Ireq= 44.96 IN4 1= 697.07 IN4 TABLE OF CONTENTS TOC -------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address........ 2158 HIGHWAY 99E ******* --------------------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-HAYDEN 'Wth-CTZ11S92 Program -TOC -------------- -- IUser#-MP2246 User-Barry.Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- TABLE OF CONTENTS ----------------- Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -IR --------------------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address........ 2158 HIGHWAY 99E ******* --------------------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Component Frame Type ------------ Type ------- Wall Wood Roof Wood Roof Wood Floor Wood Door n/a 1512 sf Single Family Detached New Front Facing 180 deg (S) 1 1 Raised Floor 12.5 0 of floor area 0.5 Btu/hr-sf-F 0.61 8 ft BUILDING SHELL INSULATION ------------------------- Cavity Sheathing Total Assembly R -value R -value R -value U -factor Location/Comments -- - - - - - R-13 --- - - - - -- R-0 - - - - - -- R-13 - - - - - - - 0.088 ---------- R-11 R-19 R-.30 0.031 Attic R-11 R-19 R-30 0.031 Attic R-19 R-0 R-19 0.037 R-0 R-n/a R-0 0.330 ENTRY DOOR Location/Comments ---------------- Wind Front (S) TO UTILITY FENESTRATION ------------ Over- Area U- Exterior hang/ Orientation (sf) Factor SHGC Shading Fins Location/Comments ---------------- Wind Front (S) ----- 24.0 ------ ------ 0.500 0.610 -------- Standard ----- Yes -------------------------- Vinyl/Slider/SC=0.88 Wind Front (S) 24.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Front (S) 24.0 0.500 .0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 12.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 21.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 15.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 24.0 0.500 0:610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 3.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 i CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R -------------------------------------------------------- - Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM CF -1R I User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- FENESTRATION ------------ Equipment Minimum Type Over- Furnace Area U- Exterior hang/ Orientation (sf) Factor SHGC Shading Fins Location/Comments ---------------- ----- Wind Right (E) 21.0 ------ 0.500 -------------- 0.610 Standard ----- None -------------------------- Vinyl/Slider/SC=0.88 Wind Right (E) 21.0 0.500 0.610 Standard None Vinyl/Slider/SC=0.88 Equipment Minimum Type Efficiency Furnace 0.800 AFUE ACSplit 11.00 SEER Tank Type ------------ Storage HVAC SYSTEMS ------------ Refrigerant Tested Charge and Duct Duct Duct Airflow Location R -value Leakage -------------------------------- n/a Attic R-4.2 No No Attic R-4.2 No WATER HEATING SYSTEMS --------------------- Number in Heater Type Distribution Type System Gas Standard 1 REMARKS Energy Factor 0.62 ACCA Manual Thermostat D Type No Setback No Setback Tank External Size Insulation (gal) R -value 40 R- n/a CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF-1R ------------------------------------------------------------- - Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 -------------- - MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM CF -1R I User#-MP2246 User -Barry Rubanoff Run-HAYDEN -------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... ARTHUR HAYDEN Company. OWNER/BUILDER Address. Phone... License. Signed.. date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone,... Signed.. (date) DOCUMENTATION AUTHOR Name.... Barry Rubanoff Company. Barry Rubanoff Address. P.O. Box 1123 Berry Creek, CA 95916 Phone... 530-589-4102 Signed. . (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R ----------------------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address........ 2158 HIGHWAY 99E ******* --------------------- Documentation Author... Climate Zone........... Compliance Method...... BIGGS, CA. *v6.01* Barry Rubanoff ******* Barry Rubanoff P.O. Box 1123 Berry Creek, CA 95916 530-589-4102 11 Building Permit # Plan Check / Date Field Check/ Date MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-HAYDEN Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed.to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f) Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. �b 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R ---------------------=--------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed._ SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and =P� faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct_closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mes or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combinationwi h mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R ------------------------------------------------------------ Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 ------------------------------------- ----------------- ----- -------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). `f �Iz LIGHTING MEASURES ----------------- Design- Enforce- er ment 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k).2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved.i w - COMPUTER METHOD SUMMARY Page 7 C -2R ---------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address........ 2158 HIGHWAY 99E ******* --------------------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) ------------------------ Design ---------- Design ---------- Margin = ---------- - = Space Heating.......... 14.60 13.89 0.71 = = Space Cooling.......... 12.37 15.32 -2.95 = = Water Heating.......... 15.68 13.11 2.57 = Total 42.65 42.32 0.33 *** Building complies with Computer Performance ----------------------------------------------------------------- ----------------------------------------------------------------- GENERAL INFORMATION ------------------- 'Conditioned Floor Area..... 1512 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Raised Floor 1 12096 cf 0 sf 12.5 °s of floor area 0.5 Btu/hr-sf-F 0.61 8 ft COMPUTER METHOD SUMMARY Page 8 C -2R ----------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- Zone Type -------------- HOUSE Residence Surface HOUSE 1 Wall 2 Wall 3 Wall 4 Wall 5 Roof 6 Roof 7 Floor 8 Door 9 Door Orientation BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit ------------ ----------------------- ----- -------- --------- 1512 12096 0.610 1.00 Yes Setback 2.0 Standard No (S) 2 Wind OPAQUE SURFACES 3 Wind Area U- Insul --------------- Act Back Solar Form 3 Location/ (sf) ------ factor ----- R-val ----- Azm --- Tilt ---- Gains ----- Reference ------------ Comments ---------------- 392 0.088 13 180 90 Yes W.13.2X4.16 Wind 192, 0.088 13 270 90 Yes W.13.2X4.16 0.610 429 0.088 13 0 90 Yes W.13.2X4.16 0 150 0.088 13 90 90 Yes W.13.2X4.16 90 1020 0.031 30 n/a 0 Yes R.30.2X4.24 Attic 492 0.031 30 n/a 0 Yes R.30.2X6.24 Attic 1512 0.037 19 n/a 0 No FC.19.2X6.16 20 0.330 0 180 90 Yes None ENTRY DOOR 20 0.330 0 180 90 Yes None TO UTILITY HOUSE 0.500 0.610 1 Wind Front (S) 2 Wind Front (S) 3 Wind Front (S) 4 Wind Back (N) 5 Wind Back (N) 6 Wind Back (N) 7 Wind Back (N) 8 Wind Back (N) 9 Wind Right (E) 10 Wind Right (E) FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade (sf) factor SHGC Azm Tilt Type Location/Comments ----- ----- ----- --- ---- -------- ------------------------ 24.0 0.500 0.610 180 90 Standard Vinyl/Slider/SC=0.88 24.0 0.500 0.610 180 90 Standard Vinyl%Slider/SC=0.88 24.0 0.500 0.610 180 90 Standard Vinyl/Slider/SC=0.88 12.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 21.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 15.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 24.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 3.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 21.0 0.500 0.610 90 90 Standard Vinyl/Slider/SC=0.88 21.0 0.500 0.610 90 90 Standard Vinyl/Slider/SC=0.88 COMPUTER METHOD SUMMARY Page 9 C -2R ---------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM C -2R I User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- HVAC SYSTEMS Refrigerant Area Tested ACCA System Left Rght Duct Manual Duct Type Efficiency Airflow Location R -value Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght ----------- HOUSE ----- ----- ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- 1 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 12.0 4.0 3.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 21.0 6.0 3.5 2:0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 15.0 5.0 3.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a .8 Window 3.0 3.0 1.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.62 40 R- n/a REMARKS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff ------------- HOUSE ------------------------------- ------- --------- -------- ---- Furnace 0.800 AFUE n/a Attic R-4.2 No No 0.737 ACSplit 11.00 SEER No Attic, R-4.2 No No 0.645 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.62 40 R- n/a REMARKS HVAC SIZING Page 10 HVAC ----------------------------------------- ------------------ ------------------------ --------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address........ 2158 HIGHWAY 99E ******* --------------------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method..,.... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. I MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -HVAC SIZING User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 1512 sf Volume .............:....... 12096 cf Front Orientation.......... Front Facing 180 deg (S) Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... No Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description (Btuh) ----------- (Btuh) ----------- --------------------------------- Opaque Conduction and Solar...... 8762 4947 Glazing Conduction ............... 3780 2457 Glazing Solar .................... n/a 3625 Infiltration ..................... 6880 2825 Internal Gain .................... n/a 2100 Ducts ............................ 1942 1595 Sensible Load .................... 21364 17549 Latent Load ...................... n/a 3510 ----------- Minimum Total Load ----------- 21364 21059 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. SITE PLAN REVIEW APPLICATION Date: t A AP# X02- 1 d— 0 r/ Permit Number (if applicable) Q 57—DSD 3 �Owners Name: Owners Address: ^- P cel Size. tdo-L/ -, //1-19 i Telephone No:,. Situs Address: / 54" ft" Proposed Use: Residential New Single Family Residential Single Family Addition ❑ 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 Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): 12 Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 0 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By YDate 101 /05--" Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) 7jq OhAA:& SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: 7 • Flood Panel No.: 06 %CO? 15C- Index Date: 1rh� ❑ Sacramento River Reclamation District (Approval must be obtained from the Califdraia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: �O Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side o2 s Side Street Rear a 1 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: ; Standard Fees Amount Formula Fire, School* Fire � ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance R. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 2 Subdivision Map/Parcel Map: Map Date of Recording: d- z 5-/7-2-. Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: ' 5�2 Page: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EJ Page 4 of 5 U x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 PLAN REVISION/RETURN Owner's Name: ,Q(.c ) BP#: Date: 3 dS Contact Person & Phone Number: AP#: Da _5__— / (0-- 00 / Received By: Time: PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision d *Requested by Building Inspector's Correction Notice — Inspector's Name: Requested by Plan's Examiner —Plan Examiner's Name: �Qh &k_ ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call o Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 1,2004 1,lmdemmers, 01105120054;41;11 PM_ !�SOIOOMQ029.- Main Assessor I 7 p Name AMULEKFOUNDATION As mt # I i I Fee # 025-190.081-000 I �...�� _ ��� Addr1 C?0 HAYDEN ARTHUR A JR TRUSTEE Status ACTIVE j Status Date I -.�E X�0-0--0' Tax NORMAL OWhJERSHIP TRA 075 014 I--�-3 _ _--- J - —� f Addr2 1149 DEWNSUP AVE �I Situs 2158 HWY 99 BIGGS i Addr3 GRIDLEY CA 95948.9594' �` Base Dt 03!10!200.41 MERM.111M Addr4 - Land - 19,034 Timber Preserve Structure 39,656 AgPres - - - - ` - Comments 2_519008100 CONVERTED 09!08!88 x J Etal Fixtures _ _ 0 Growing 0 CreatingDoc# 198682910400 r Date--- �I I--`-- 1' Current Doc# 200480049898 Date 0$?16?2004 iTotal L&I 58,690 Bonds ---- - 0 Killin Doc# �� Dated g l— J Multi Situs Fix. RP i Flag1 MH PP O - Asmt Desc J2158 HWY 99 _ 1 SuplCMU _ A Flagg PP _ 0 00 Zoning A40 J] Dwell � 910 MH Exempt . _ 0 �— Acres/S Ft 0.4 025 4 NIC I Asmt PP Pen ' N et 58, -680' ���� Tax PP Pen RIC#=f 0j Appeal Pending T!R D t l� W if Split Pending RlC Stat J LC H OWN 7EXP TAX HON ATTSIT 11APR L 1 PC 1,2004 1,lmdemmers, 01105120054;41;11 PM_ Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property im rovement: YES J>( ] NO[ ]. 2. I HAVE N HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: r 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: i NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK - SIGNED: U_ CA' j ���-� a�� PROPERTY OWNER: /�� BRLb 1—occ�(�gTloeCj DATE: a/q%©S 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile y "�h ".e''i�i'" {2�`T. � � ib; �;X ri''Y."*t �'i�+r^'r."+.'^c"Yli'a7t; '+aY n� -�i ffi'�1Y .F"f.0 � z �✓' r * .. OWNER4aB_UIL`D�R�INFORIVIA�T,T�ONS Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 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 own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from 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. Vieirl, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 0A, Department of Public Works C o u n t y o f B u t t e - o1. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive A `s g Oroville, CA 95965 �C1c ;Y00: (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System Construction Storm Water Permit and Storm Water Plan (SWPPP) Acknowledqement Project Description: (NPDES) Phase II Pollution Prevention [LESS THAN 1 ACREF Project Location and/or Parcel Number: --- -_- By signing below, I, the project owner/owner's agent;=certify that -this' Troject-WILL=NOT DISTURB l acre or more of land and: t) at I, therefore, do: riot need to applyAbrrk�C ztst�lG.tieh S,tdr-m Water Permit Z.from the State of California, Regional Water'Quality Coritrol:"$aard chased <projeets=that .contain -- -- = -multiple site build -outs of-less-thanone acre -but•When::combined&with:.s Abse-quem=phases -total more than one acre of disturbed soil will requiren a -Construction Storm- = W_ ater_:Permit, from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: U Qi -g Date: a," �` 0 Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 TABLE OF CONTENTS TOC ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address......... 2158 HIGHWAY 99E ******* --------------------- BIGGS, CA.' *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -TOC User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- TABLE OF CONTENTS ----------------- Report Page 11 . FORM CF -1R ................ 1. FORM MF -1R ................ 4 r, FORM C -2R ................. 7 HVAC SIZING....,........... 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title......:... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address........ 2158 HIGHWAY 99E ******* ------------ ---------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field'Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. -------------------------=----------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM CF -1R I User#-MP2246 User -Barry Rubanoff Run-HAYDEN I ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... 1512 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 12.5 0 of floor area Average Glazing U -factor... 0.5 Btu/hr-sf-F Average Glazing SHGC....... 0.61 Average Ceiling Height..... 18 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments ------------ Wall ------- Wood -------- R-13 -------- R-0 ------- R-13 ------- ------------------------ 0.088 Roof Wood R-11 R-19 R730 0.031 Attic Roof Wood R-11 R-19 R-30 0.031 Attic Floor Wood R-19 R-0 R-19 0.037 Door n/a R-0 R-n/a R-0 0.330 ENTRY DOOR Yes Vinyl/Slider/SC=0.88 Wind Front (S) TO UTILITY FENESTRATION Over - Area U- Exterior hang/ Orientation (sf) Factor SHGC Shading Fins Location/Comments ---------------- Wind Front (S) ----- 24.0 ------ ------ 0.500 0.610 -------- Standard ----- Yes -------------------------- Vinyl/Slider/SC=0.88 Wind Front (S) 24.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Front (S) 24.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 12.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 21.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 15.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 24.0 0.500 0:610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 3.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 a CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R --------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 ---------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM CF -1R I User#=MP2246 User -Barry Rubanoff Run-HAYDEN I ------------------------------------------------------------------------------- FENESTRATION ------------ REMARKS Thermostat Type Setback: Setback External Insulation R -value R n/a HVAC SYSTEMS Over- Area U- Exterior hang/ Orientation (sf) Factor SHGC Shading FinsLocation/Comments Charge and Duct ---------------- ----- Wind Right (E) 21.0 ------ ------ 0.500 -------- 0.610 Standard ----- None -------------------------- Vinyl/Slider/SC=0.88 Wind Right (E) 21.0 0.500 0.610 Standard None Vinyl/Slider/SC=0.88 REMARKS Thermostat Type Setback: Setback External Insulation R -value R n/a HVAC SYSTEMS ------------ Refrigerant Tested ACCA Equipment Minimum. Charge and Duct Duct Duct Manual Type ------------ Efficiency Airflow Location R -value Leakage D Furnace ------------ 0.800 AFUE ------------------ n/a Attic ------- R-4.2 ------- No ------ No ACSplit 11.00 SEER No Attic R-4.2 No No WATER HEATING SYSTEMS --------------------- Number Tank in Energy Size Tank Type ------------ Heater Type Distribution Type System Factor (gal) Storage. ----------- Gas ------------------- Standard ------ 1 -------- 0.62 ------ 40 REMARKS Thermostat Type Setback: Setback External Insulation R -value R n/a CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R -------------- ------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 ---------------- User#-MP2246 User -Bar Rubanoff ,Run - I MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM CF -1R User -Barry HAYDEN I ---.---------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. Name.... Company. Address. Phone... License. Signed.. Name.... Title... Agency.. Phone... DESIGNER or OWNER ARTHUR HAYDEN OWNER/BUILDER L�� ENFORCEMENT AGENCY Signed.. (date) DOCUMENTATION AUTHOR Name.... Barry Rubanoff Company. Barry Rubanoff Address. P.O. Box 1123 Berry Creek, CA 95916 Phone... 530-589-4102 (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R ------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 Project Address........ 2158 HIGHWAY 99E *******--------------------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Barry Rubanoff P.O. Box 1123 Berry Creek, CA 95916 530-589-4102 Climate Zone........... 11 Building Permit # Plan Check / Date Field Check/ Date Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ----------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more'stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door PRIM MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 - -------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-HAYDEN I ----------------------------------------------------=-------------------------- b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES ------------------------------- Design- Enforce- er Ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mes or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination wi h mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R ------------------------------------------------------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 MICROPAS6 x6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-HAYDEN I ------------------------------------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater . for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. VA_ 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)./ LIGHTING MEASURES Design- Enforce- • er ment 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 1�/ COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... ARTHUR HAYDEN Date..12/19/04 10.19.54 Project Address........ 2158 HIGHWAY 99E ******* --------------------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit ## Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone............ 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- I MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ---------------------------------------------------------=--------------------- ---------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design Margin = = Space Heating.......... 14.60 ---------- 13.89 ---------- - 0.71 = = Space Cooling.......... 12.37 15.32 -2.95 = = Water Heating.......... 15.68 13.11 2.57 = = Total 42.65 42.32 0.33 = *** Building complies with Computer Performance GENERAL INFORMATION ------------------- Conditioned Floor Area..... 1512 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Raised Floor 1 12096 cf 0 sf 12.5 % of floor area 0.5 Btu/hr-sf-F 0.61 8 ft COMPUTER METHOD SUMMARY Page 8 C -2R ------------------------------- Project Title.......... ARTHUR HAYDEN Date..12/19/04 10:19:54 - ----------------------------------- I MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM C -2R I User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- Zone Type -------------- HOUSE Residence Surface HOUSE 1 Wall 2 Wall 3 Wall .4 Wall 5 Roof 6 Roof 7 Floor 8 Door 9 Door Orientation BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit ----- ------- ----------------------- ----- -------- --------- 1512 12096 1.00 Yes Setback 2.0 Standard No Front (S) OPAQUE SURFACES Front (S) Area U- --------------- Insul Act 4 Solar Form 3 Location/ (sf) ------ factor ----- R-val ----- Azm --- Tilt Gains ---- ----- Reference ------------ Comments ---------------- 392 0.088 13 180 90 Yes W.13.2X4.16 Back 192 0.088 13 270 90 Yes W.13.2X4.16 Right 429 0.088 13 0 90 Yes W.13.2X4.16 3.0 150 0.088 13 90 90 Yes W.13.2X4.16 0.500 1020 0.031 30 n/a 0 Yes R.30.2X4.24 Attic 492 0.031 30 n/a 0 Yes R.30.2X6.24 Attic 1512 0.037 19 n/a 0 No FC.19.2X6.16 20 0.330 0 180 90 Yes None ENTRY DOOR 20 0.330 0 180 90 Yes None TO UTILITY HOUSE 0.500 0.610 1 Wind Front (S) 2 Wind Front (S) 3 Wind Front (S) 4 Wind Back (N) 5 Wind Back (N) 6 Wind Back (N) 7 Wind Back (N) 8 Wind Back (N) 9 Wind Right (E) 10 Wind Right (E) FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade (sf) factor SHGC Azm Tilt Type Location/Comments ----- ----- ----- --- ---- -------- ------------------------ 24.0 0.500 0.610 180 90 Standard Vinyl/Slider/SC=0.88 24.0 0.500 0.610 180 90 Standard Vinyl/Slider/SC=0.88 24.0 0.500 0.610 180 90 Standard Vinyl/Slider/SC=0.88 12.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 21.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 15.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 24.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 3.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 21.0 0.500 0.610 90 90 Standard Vinyl/Slider/SC=0.88 21.0 0.500 0.610 90 90 Standard Vinyl/Slider/SC=0.88 COMPUTER METHOD SUMMARY Page 9 C -2R Project Title.......... ARTHUR HAYDEN Date..12/19/04 10.19.54 ------------------------------------- MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- HVAC SYSTEMS Area Tested ACCA System Minimum Left Rght Manual Duct Type ------------- Efficiency ----------- Airflow Location R -value Leakage D Eff Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE WATER HEATING SYSTEMS --------------------- Number Tank External 1 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window* 12.0 4.0 3.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 21.0 6.0 3.5 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 15.0 5.0 3.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 24.0 6.0 4.0 2.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 8 Window 3.0 3.0 1.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS REMARKS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type ------------- Efficiency ----------- Airflow Location R -value Leakage D Eff HOUSE -------------------- ------------------------ ---- Furnace 0.800 AFUE n/a Attic R-4.2 No No 0.737 ACSplit 11.00 SEER No Attic R-4.2 No No 0.645 WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type ------------ Heater Type ----------- Distribution Type --------------- System Factor (gal) R -value 1 Storage Gas - --- Standard -------------- ------ 1 0.62 40 ---------- R- n/a REMARKS HVAC SIZING Page 10 HVAC Project Title.......... ARTHUR HAYDEN Date..12/19/04 10.19:54 Project Address........ 2158 HIGHWAY 99E ******* --------------------- BIGGS, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method:..... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- I MICROPAS6 v6.01 File-HAYDEN Wth-CTZ11S92 Program -HVAC SIZING User#-MP2246 User -Barry Rubanoff Run-HAYDEN ------------------------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 1512 sf Volume ..................... 12096 cf Front Orientation.......... Front Facing 180 deg (S) Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... No Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description --------------------------------- (Btuh) (Btuh) Opaque Conduction and Solar...... ----------- 8762 ----------- 4947 Glazing Conduction ............... 3780 2457 Glazing Solar .................... n/a 3625 Infiltration ..................... 6880 2825 Internal Gain .................... n/a 2100 Ducts ............................ 1942 1595 Sensible Load .................... 21364 17549 Latent Load ...................... n/a 3510 Minimum Total Load ----------- 21364 ----------- 21059 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILD)53 15!41q ISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) PERM No. (Rev. 12/96) APPLICATION AND PERMIT GM gg sOf�PAR�EL6gBER ZONING BU LDING PERMIT 769N WILLIAM RAMPENTHAL TELEPHONE SO. FT. OCC. BUILDING VALUATION O NER'S MAILING ADDRESS 010 L. WYANDOTTE RD., OROVILLE CA 95966 CONTRACTOR'S NAME %NI ER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2158 HWY 99, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑Y Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: COMPLETION OF #95-0188 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service A 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.P 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCC OR ADDNS. ( a ACC. BLDUP. S. SO 3.5¢FT, NEW CONST. MULTI -OUTLET NON-RESID. ANC @7.50 OWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL @ 1,50 Ex. Occup. oELE°Ta" q�ooER, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ' 00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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'AIMP 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 farthwith comply with those pr visions. Date _��^ Siplican - ❑ a —Owner ❑ ontractor ❑ Agent XrHApermit Ans required for excavationover 5'0" deep and demolition or construction1/5/98 ofr 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CO�TYPEI TOTALFEE$ 43.00 FLOOD CDF PARCEL PO HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or R olutions to do work indic d bove for wh' h fees v een paid. Date _ PERMIT EXPIRES ON 1/5/99 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSO PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING AD KESS L Vt toz CONTRACTOR'S NAME O' TELEPHONE CONTRACTORS AWUNO ADDRESS CONSTAYCTPNLENDEA LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHIrE, T A ENGINEER LICENSE NO. Filing Fee a 20.00 ARCHITECT OR ENGWEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BuuDwGADDRESS / L� ¢ J Q Energy Plan Checking Fee S kJ $ PERMIT FEE S LOT NO. SUBDNISIONSNAME, PARCEL MAP&I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE � �^ SF ,6] Duplex ❑ Mobilehome ❑ Other / \ SPECIFY Each Tre 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition ❑ RemO Utilities Installation ❑ Other Describe Work:" / 1, 0 n ` — aq 9.�/" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W !0n E PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 0VOR LE Main Service ZDDA 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 vrkh 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 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An O$HA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height Main Service 200A TO 1000A 48.00 NEW CONST. DWELLwG OCCUP. $G OR AD DNS. ( s ,BIDS, 3.5QFT: Np RESID ' MULTI.OUTLET AMANCH @7,50 PSO APPARATUS a wGLE oLmET as 0 1.00 Ex. Occup. OUTLET OR FCTTUREs DAL 9 .50 Ex. Occup. MEOAPPLAIS. oR 0LmETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring' 23.00 41,110111) PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC TYPE CONS" TOTAL FEE $ HAz. 1 D FEES I IMP t FLOOD I COF PARCEL pD HD UuE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. C R -A S SOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES ;k NO D 2. 1 HAVE HAVE NOT 13 signed an application for a building permit for the proposed worlc.1 3. I have contracted with the following person (firm) to provide the proposed constructiow. NAME: v„ c' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. t 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK ~" SIGNED: Q PROPERTYOWNER: SOCIALSECURITY DATE: NOTE. This Owner -Builder Verification is required by ction IQ8-3 an gBUZ—of?h4— California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER J .. 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 -builder" you are the responsible parry 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: ..4r ♦ 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 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 own work personally. Information about licensed contrac!prs 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. +irely, Vi ira,C.B.O. uilding Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive -. Oroville, Uiifor&a 95965 - Telephone APPLICATION AND PERMIT - BUILD I G DIVISION (91638-7541PERMIT NO. X15 0 /W ASSESSOR PARCEL NUMBER 025-190-081 ZONING 4 JBUILDING PERMIT OWNER JOHN WILLIAM RAMPENTHAL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6010 LOWER WYANDOTTE RD OROVILLE, 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER- UNKNOWN Total Valuation Is LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2158 HW Y 99 PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap1 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation ❑ Other YJ Describe Work: REPAIR WEATHER HEAD PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 _ Main Service000V OR LESS ( 2WA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCCUP. OR ADONIS. ( 6 ACC. BLDS. ) SO 3.SC FT,- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.SO POWERAPPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) BA20 @ 1.`000 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESIO.) A. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 3 , 00 23.00 PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in onsequence of the grantin�tii mit. XDate ... gna re of App Icant wne Contrac r O Agent An HA permit is required fo xcavations over 5"0" deep and demolition or con truction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ ocC coNST. TrPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP FL000 COF PARCEL I PD HO 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. ey Date PERMIT EXPIRES ON are) Receipt No. 171254 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM opsE 20N1NG BUILDING PERMIT OWNER l ✓l, TELEPHONE. SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS <.77 C TOR's NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ LENDEWS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS e-N�� PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 L L Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New C]Addition O Remodel ❑ Utilities ❑ Installation O Other � Describe Work: .. PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service(—v OR LESS 2fMA OR LESS ) 23.00 Main Service ( 200A TO IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) so 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) E)I am exempt under Sec. Business and Professions Code for this reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit.will be revoked. NEW CONST. MULTI -OUTLET .NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET Clfl. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.000 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESIO.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consegl ence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor Cl Agent An OSHA permit i-, required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ• 1 D. FEES IMP I FLOOD I CDF I PARCEL PO HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON !De tel Receipt No. WHITE-D.D.S.-B.D. C N R -AS SS PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY. Gv BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (havelhave not signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name ' Address Phone Type of Work Signed Prop( Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. L