Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
026-020-028
m nr_^ 26-02-28 26-02-28 O'.Vil i/If Permit#3514-84B,P,E,M(repair auto damage 26-02-28 647-91B POTTS, Dwayne 6565 Lincoln Blvd2 Oroville (new garage) - .0267020 -028..- PEkMfT#95-0488 026-020-028 ADDITION OF BR AND OFFIC� (504)' 6565 LINCOLN BLVD / R2 1 ``^ .� �ti �. � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6565 LINCOLN BLVD Owner: Permit No: B07-0780 APN: 026-020-028 SORIA, LUIS & LUZ YADIRA Issued Date: 05/15/2007 By KCG Permit type: MISCELLANEOUS 6565 LINCOLN BLVD Subtype: Room Addn-First Stry OROVILLE, CA 95966 Expiration Date: 05/14/2008 Description: ADDITION OF BR AND OFFICE (5( (530) 533-1108 Occupancy: Zoning: AR -1 Contractor Applicant: Square Footage: SORIA, LUIS & LUZ YADIRA SORIA, LUIS & LUZ YADIRA Building Garage Remdl/Addn 6565 LINCOLN BLVD 6565 LINCOLN BLVD 504 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)533-1108 (530)533-1108 32 536 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $428.92 DBMSC Room Addition -First Stor $643.39 DBSMIP Residential $3.33 Total Charged: $1,151.34 Fees Paid: $1,151.34 Balance Due: $0.00 Receipt No: B3093 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am'exempt from the Contractor's License j SORIA, LUIS & LUZ YADIRA OL:CRW_00359080 / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 05/15/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; PI se check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE 6COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section nee not be compFeted if the permit is oror one hundred ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 1/ UI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ' ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/15/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O is SignatuV Date t X 05/15/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signatur Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co my to enter the above mentioned property for inspection purposes. I hereby certify that I am the p erty owner r authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 052 L • SD 05/15/2007 Ae 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency formittee of [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Efowner 1:1 Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Lender's Address city State Zip �Ij BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name So r t'OL First Name �Se I Mailing Address 6_6(o_5 L. I l 3' t n 4Q City Q rO l// '1 i f State+„`t �—� / J�..7 ( Zip / 1 Y Phone _ //O R Fax E-mail APPLICANT INFORMATION CONTRACTO Name City lT (•lr� Address Zip Jr City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECTIENG/NE.ER Name City lT (•lr� Address Zip Jr City State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City lT (•lr� State Zip Jr PhoneS3a E-mail � 6AOV:►�� PERMIT bfj-6 BIN # PROJECT LOCATION API Property Address City ro �� r! 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 DESCRIPTION OR SG PE OF WORK: i 0 Scl FT- Livi arage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note prAvious use): all 4P r,j For office use Zoning Occ. Flood Zone °.RAR /els No .Type Consl _. _._._ Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION 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 you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 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 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPR OVEMENT. YES R NO) 2. I 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 CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ADDITION OF BR AND OFFICE (504) COV (32) Reference Number: B07-0780 Applicant Name: SORIA, LUIS & LUZ YADIRA Owner's Name: SORIA, L& LUZ=DIRA AP # : 026-020-02/8 Signature of Property Owner: Date: �' �[ 0 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0780 Job Address: 6565 LINCOLN BLVD Contractor: SORIA, LUIS & LUZ YADIRA 6565 LINCOLN BLVD OROVILLE, CA 95966 Printed: 04/11/2007 4:03 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 04/11/2007 $75.70 DBMSC Room Addition -First Stor 0010-440001-4210500-1010 $643.39 DBF Room Addition - First Stor 0010-440001-4210500-1010 $428.92 04/11/2007 $428.92 DBSMIP Residential 1001-0-280-1011298 $3.33 1,151.34 $504.62 Printed By: Karen Jones Balance Due: $646.72 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 04/11/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds . National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0780 Date: 04/11/2007 Location: 6565 LINCOLN BLVD By: KEJ Parcel Number: 026-020-028 Sub Type: Room Addn-First Str Owner Name: SORIA, LUIS & LUZ YADIRA Phone: (530) 533-1108 Description: ADDITION OF BR AND OFFICE (504) COV (32) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm WaterPermit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site liuildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil'will require a Construction Storm Water Permit from the state of California Regional Water Quality 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: f Title: C) t/,q Q, P FILE Date: 04/11/2007 . Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0780 Date: 04/11/2007 Location: 6565 LINCOLN BLVD By: KEJ Parcel Number: 026-020-028 Sub Type: Room Addn-First Str Owner Name: SORIA, LUIS & LUZ YADIRA Phone: (530) 533-1108 Description: ADDITION OF BR AND OFFICE (504) COV (32) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 E ❑ PARKS & RECREATION DISTRICTS ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 roville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ Other: ❑ Other: ❑ Other: 4Signature of Property Owner: '& V"" _ Date: 04/11/2007 FILE .. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0780 Location: 6565 LINCOLN BLVD Parcel Number: 026-020-028 Date: 04/11/2007 Owner Name: SORIA, LUIS & LUZ YADIRA Phone: (530) 533-1108 Description: ADDITION OF BR AND OFFICE (504) COV (32) Signature of Property Owner: Date: 04/11/2007 FILE o -o C Lj -f- N. R4; N. R41 - Ar N. R41 - ter..- .. .:....•--...�: w. _. �_.-�.,,.... ...N.. _. .. r'�.tifi .�� �"' i;T.'b�n y.i �. ri�'.y . � � _ `, i++: J- n.• "'V' • BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (Oneform'per Building) P.. School District �� .�/a✓ � ),. � Building Department No. Tax Rate Area No. A.P. Number /jam ^��/t.� �L Jurisdiction: City ®County Property Owner Property Location/Address / v / c— / Subdivision Residential Development (P No f Living Mobile Home Units Installation Commercial/Industrial Q New Addition Lot No. .................................................................................................... Additio 'Supplemental to Conversion Permit # ' '(No foundation inspection) ............................................ _.................................................... �-36(7-(17B?C) O`i a - wil Sq. Footage (Group R) Cr. Demo - ( ) existing sq. ft. see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. _ n 7 0 1 7 3 Sq. Footage (Including Exterior Roofed Areas) — .5-- 4-y�/ Date School District certifies that �� Cnr (Payor) Code) (Phone Number) has complied with the requirements of Resolution No. (1C— q by payment of $ representing square feet. AB 2926 $ FULL MITIGATION $ 1+ School Paid by Check # Remarks: c1�C:�'1�1 Date T Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm TITLE 24 REPORT Title 24 Report for: 026-020-028 6565 LINCOLN BLVD OROVILLE, CA 95965 Project Designer: JOSE LUIS SORIA 6565 LINCOLN BLVD. OROVILLE, CA 95965 530 533 1108 Report Prepared By: Ian Gilmore Evergreen Development 2530 Zanella Way Ste B Chico, CA 95928-7152 (530) 894-5590 Job Number: SORIA BUTTE COUNTY Date: BUILDING DIVISION 5/10/2007 APPROVE( The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. I EnergyPro 4.3 by EnergySoft Job Number. SORIA User Number. 5712 I TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary HVAC System Heating and Cooling Loads Summary EnergyPro 4.3 by EnergySoft Job Number. SORIA User Number 5712 1 2 3 7 9 Certificate Of Compliance: Residential (Part 1 of 4) CF -1 R 026-020-02R 5I10J2007 Project Title Date 65651 INCOI N BLVD ORQV8_LE Project Address Building Permit # Pn Development (530) 894-5590 Plan Check/Date Docum ntatlon Author Telephone EneraPro Compl ce Method 11 Climate Zone Field Check/Date TDV Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 19.24 18.07 1.17 Space Cooling 25.31 25.45 -0.14 Fans 4.73 4.82 -0.09 Domestic Hot Water 14.12 13.35 0.77 Pumps 0.00 0.00 0.00 Totals 63.40 61.68 1.72 Percent better than Standard: 2.7% �- -- BUILDING COMPLIES - HERS VERIFICATION- REQUIRED Building Type: [ Single Family ❑ Addition Total Conditioned Floor Area: 1,827 ft2 ❑ Multi Family [XI Existing + Add/Alt Existing Floor Area: 1,323 ft2 Building Front Orientation: (W) 270 deg Raised Floor Area: 1,619 ft2 Fuel Type: Natural Gas Slab on Grade Area: 208 ft2 Fenestration: Average Ceiling Height: 8.0 ft Area: 238 ft2 Avg. U: 0.39 Number of Dwelling Units: 1.25 Ratio: 13.0% Avg. SHGC: 0.37 Number of Stories: 1 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area HVA( System 1R27 1d616R1R X95 ronditioned Setback '_2 n/a OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. CCay.j Cont. Azm. Tilt Wall Wood_ X58_ -0109 �R-13 R_0 0 _2Z09.0 Door None_ 18 _0 5.0.0_ -None_ _R-0..0_ 27.0 _9.0 Floor Wood_ 504 _0..032 R_19 R-0.0 _0]8.0 Wall !t]=d- 76 n ing R_n R-0.0 _pg0 Wall Wood 76 _0-102_ R-13 R-0.0 180 A Roof Wood 504 0"029 R-38 R-0 0 270 Q Flo.O>_ Wnod 1,115 _p p99_ Anne -0 0_ _0_ 80 Rod- Wood 1193 0 039 R-30 R-0 0 _n 0 Wall Wood_ 131 _01.02 R-13 X0_0 90 90 2-73 _R -0_o ---I80__9n 2-14 R_0 0 1A0 _9.0 2-13 R-0.0 _090 E-. Gains Condition Y / N Status JA IV Reference Location / Comments ® ❑New 09-A3 1st Finnr ® ❑New 28-A4 1st Floor ❑ ®New 20-A4 1st Floor ® E] New- 09-A3 1st Floor ® ❑New 09-A3 1st FIno ❑New 02-A11 1st Floor ❑ �QExisting 20-A1 1st Floor X ❑Existing 01-A17 1st Floor X ❑Existing- 09-A3 1st Floor X Existing-- 1st Floor ❑ 09-A3 Existing- - IstFinor ❑Existing 09-A3 1st Floor aFxisting 09-A3 1st Floor I ❑ I ❑ I ❑ I ❑ EnergyPro 4.3 by EnergySoft User Number 5712 Job Number. SORIA Page:3 of 9 Certificate Of Compliance: Residential (Part 2 of 4) CF -1 R 026-020-028 Project Title Date 5/10/2007 FENESTRATION SURFACES True Cond. Location/ # Type Area U-Factorl SHGC2 Azm. Tilt Stat. Glazing Type Comments • 4 Window Front (Wl _52 0 039 NFRC__0_3Z _NFRC _270_ _.0_ New Milgard Classic Low -F Vinyl 1stFJ_oor 2 Window Left (N) 20.0 0.390 NFRC 0_37 NFRC 0 90 New Milgard Classic Low -E Vinyl 1st Floor 3 Window Right (S) 20.0 0.390 NFRC 0_37 NFRC 180 90 New Milgard Classic Low -E Vinyl 1st Floor 4 Window Rear (E) 25.0 0.390 NFRC 0_37 NFRC 90 90 Existing Milgard Classic Low -E Vinyl 1st Floor 5 Window Rear (E) 48.0 0.390 NFRC 0_37 NFRC 90 90 Existing Milgard Classic Low -E Vinyl 1st Floor 6 Window Right (S) 22.5 0.390 NFRC 0_37 NFRC 180 90 Existing Milgard Classic Low -E Vinyl 1st Floor 7 Window Left (N) 50.20390 NFRC 0_37 _NFRC 0 90 Existing Milgard Classic Low -E Vinyl 1st Floor 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. REA. Dist. Len. Hgt. Dist. Len Hgt. 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (sf) (in.) Cap. Cond. R -Val. JA IV Reference Status Comments PERIMETER LOSSES Insulation Condition Location/ - Type Length R -Val. Location JA IV Reference Status Comments Run Initiation Time: 05/10/07 15.24.09 Run Code 1178839449 EnergyPro 4.3 by EnergySoft User Number: 5712 Job Number: SORIA Page 4 of 9 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R 026-020-028 Project Title Ducted Ducted Attic 5/10/2007 Date HVAC SYSTEMS Location Heating Type Minimum Eff Cooling Type Minimum Condition Eff Status Thermostat Type HVAC System Central Furnace 80% AFUE Packaged Air Conditioner 14.0 SEER New Setback System Name Length Diameter Thick. WATER HEATING SYSTEMS HVAC DISTRIBUTION Location Heating Cooling Duct Location Duct Condition R -Value Status Ducts Tested? HVAC System Ducted Ducted Attic 8.0 New Yes Hydronic Piping pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Rated Tank Energy Tank Insul. Water Heater # in Input Cap. Condition Factor Standby R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE Loss (%) Ext Standard Gas 50 gal or Less Small Gas No Pipe Insulation 1 40,000 50 New 0.57 n/a n/a Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft) Add 1/2" Control # HP Type In Plenum Outside Buried Insulation COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them.This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Name: Title/Firm: JOSE LUIS SORIA Address: 6565 LINCOLN BLVD. OROVILLE, CA 95965 Telephone: 530 533 1108 Lic. #: (signature) (date) Enforcement Agency Name: Title/Firm: Address: Telephone: (signature) (date) Documentation Author Name: Ian Gilmore Title/Firm: Evergreen Development Address: 2530 Zane"Vay Ste B F(53iO) ,CA 9 8-A 52 Telephon894-5 STAMP :1L' Certificate Of Compliance: Residential (Part 4 of 4) CF -1 R 026-020-028 5/10/2007 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the Items specified In this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the auumuaa,y v1 LIM 01Jnal41 Jusuhcauvh ahu uvcumentauvh suomJaea. Multiple Dwelling Units are served by a common water heater. Verify DHW details on Part 3 of the CF -1 R. HERS Required Verification Items In this section require field testing and/or verification by a certified home energy rater under the supervision of a CEC- an.--A NFDC nr.. AA—.mi.... fPCP ..ww.w..wA .- I......--11�-.._-:n__•I-- __•�_.a_ --y-- " _ .._ ._ Plan I Field r"I- t -F ••-^ �•••y ��� "YP•�•o� —...y mnovl-41-OUVII IIIal11Vu-1 OIIY IIIY3l utl ctipurmu un the CF -4m Installation certi cate. Plan Field The HVAC System "HVAC System" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. The HVAC System "HVAC System" incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve. EnergyPro 4.3 by EnergySoft User Number 5712 Job Number SORIA Page:6 of 9 Mandatory Measures Summary: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (') below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Check or initial applicable boxes or check NA if not applicable and included with the ENFORCE DESCRIPTION application documentation. N/A DESIGNER MENT Building Envelope Measures § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ ❑X ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑X ❑ § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑ Q ❑ apply to exterior mass walls). § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. ❑ ❑X ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: ❑ ❑ ❑ a. closable metal or glass door covering the entire opening of the firebox ❑ ❑ ❑ b. outside air intake with damper and control, flue damper and control ❑ ❑ ❑ 2. No continuous burning gas pilot lights allowed. ❑ ❑ ❑ § 150(f): Air retarding wrap installed to comply with §151 meets requirements speed in the ACM Residential Manual. ❑ ❑ ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone without facings no greater than 0.3%, water vapor ❑ ❑ ❑ permeance rate no greater than 2.0 perm/inch. ❑ ❑ ❑ § 118: Insulation specked or installed meets insulation installation quality standards. Indicate type and include EJ ❑X ❑ CF -6R 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. ❑ ❑X ❑ 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ❑ ❑ ❑ Coefficient (SHGC), and infiltration certification. ❑ ❑K ❑ 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑X ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑ ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑ ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ a ❑ § 1500): Water system pipe and tank insulation and cooling systems line 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. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external ❑ ❑ ❑ insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire ❑ ❑ ❑ length of recirculating sections of hot water pipes shall be insulated to Table 1508. 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and ❑ ❑ ❑ indirect hot water tank shall be insulated to Table 150-6 and Equation 150-A. 4. Steam hydronic heating systems or hot water systems > 15 psi, meet requirements of Table 123-A. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, ❑ ❑ ❑ and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑ ❑ ❑ entirely in conditioned space. 7. Solar water -heating systemstcollectors are certified by the Solar Rating and Certification Corporation. ❑ ❑ ❑ EnergyPro 4.3 by EnergySoft User Number. 5712 Job Number: SORIA Page:7 of 9 Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supercede the items marked with an asterisk (•) below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. N/A DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, ❑ ❑ ❑ 605, and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minumum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than ❑ ❑ ❑ sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and ❑ ❑ ❑ support platforms may contain duds. Ducts installed in cavities and support platforms shall not be compressed to cause ❑ ❑ ❑ reductions in the cross-sectional area of the duds. ❑ ❑ ❑ 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ❑ ® ❑ dud tapes unless such tape is used in combination with mastic and draw bands. ❑ ❑ ❑ 4. Exhaust fan systems have back draft or automatic dampers. ❑ ® ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ ❑ ❑ dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ ❑ ❑ maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. ❑ ❑ ❑ 7. Flexible ducts cannot have porous inner cores. § 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: ❑ ❑ ❑ ❑ J a. At least 36" 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 fan -type 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) § 118 (i): Cool Roof material meets specified criteria ❑ ❑ ❑ Lighting Measures § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 150-C, and do not contain a medium screw base socket (E24/E26). Ballasts for lamps 13 Watts or greater are electric and have an output frequency no less than 20 kHz. § 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, El 0 ❑ luminaire has factory installed HID ballast. § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ ❑ ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires. § 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires. ❑ ❑ ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms,garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are controlled by an occupant sensor that complies with Section 1Z 9(d) that does not tum on automatically or have an ❑ Q ❑ always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑ X❑ ❑ certified to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals. § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the ❑ X❑ ❑ same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 130, 131, and 146. § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more ❑ ❑ ❑ dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Section 119(d). EnergyPro4.3 by EnergySoft User Number. 5712 Job Number: SORIA Page:8 of 9 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE 026-020-028 5/10/2007 SYSTEM NAME FLOOR AREA HVAC System 1,827 NGINEERING CHECKS ----II-QV-QTMM I nen Number of Systems 1 Heating System Output per System 39,400 Total Output (Btuh) 39,400 Output (Btuh/sgft) 21.6 Cooling System Output per System 24,900 Total Output (Btuh) 24,900 Total Output (Tons) 2.1 Total Output (Btuh/sgft) 13.6 Total Output (sgft/Ton) 880.5 Air System CFM per System 800 Airflow (cfm) 800 Airflow (cfm/sgft) 0.44 Airflow (cfmrron) 385.5 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions 25.0 of —*--0 Outside Air 0 drn 67.9 of 102.9/71.4OF 80.2/64.1OF Outside Air 0 cfm 80.2/64.1 of 4.3 Evap Cooler 0 cfm 67.9 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensible Latent I CFM I Sensible 1,209 23,705 1,047 531 24,275 0 1,915 1,780 0 0 0 0 0 0 0 744 -744 11915 1,780 28 278 1,04 E727770921 0 cfm Evaporative Cooler 0 342 Carder 48PGN-03-3 (1) 20,262 2,516 Heating Coil 39,400 Total Adjusted System Output 0,262 2,858 39,400 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am -(,@T Supply Fan 800 drn 114.7 of -),h Supply Air Ducts 112.6 of ROOMS 70.0 of Return Air Duct 80.2 / 63.9 of 56.6 / 55.2 of 57.5 / 55.5 of O Supply Air Ducts Cooling Coil Supply Fan 59.7 / 56.4 of 800 drn 44.6% R.H. ROOMS 78.0 / 63.3 of User Number. 5712 Return Air Ducts Job Number: SORIA of 9 l 026420-028 PERMIT#95=0488 POTTS, Dwayne 6565-Linc6ln-Blvd.,.`Oroville Replace'Furnace/SF 4 1 l 026420-028 PERMIT#95=0488 POTTS, Dwayne 6565-Linc6ln-Blvd.,.`Oroville Replace'Furnace/SF 4 11 a COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILD I NGjDIVISION 7 County Center Drive - Oroville, California{ 95965 - Telephone (916) 53 -7541 PERMIT NO. APPLICATION AND PERMIT 5` 0 ASSESSOR PARCEL NUMBER 026-020-028 ZD ^�'A RM J BUYDINGPERMIT OWNER DWAYNE POMTELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 6565 LINCOLN BLVD OROVILLE. 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6%5 IM LINCOLN BIND PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IT Describe Work: REPLACE FURNACE Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( zOOA OR LES200V ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 reasonMECHANICAL NEW CONST. DWELLING OCCUP. SD. OR ADONS. ( s ACC. BLDS. ) NEW CONST, MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 97. 0 ARATOUTLETUS ) ( POWER PA 8 SINGLE CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 Ex. Occup. ( OUTLETS FIXED ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT Filing Fee 20.00 9 Heating Cooling Hood E65 Ventilation PERMITFEE S 35,00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation t of one hundred dollars ($100) or less.) j 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 rovisions. ,{ `` XC Date ' ��� _ Signature of Apant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permi&required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP I FLOOD I COF PARCEL PD I HD I ISSU 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. Bye Date 3 S PERMITEXPIRESON (DZ) Receipt No. 1�S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILD IN 'VISION 7 County Center Drive - Oroville,`Califomia 95965 - Telephone (916) 53 -7541 PERMIT -NO. APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 026-020-028 ZONING ARMHl BUYDINGPERMIT OWNER DWAYPiE POTTS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6565 LINCOLN BLVD OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 6565 XW LINCOLN 8LVD PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SU8DNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other LF Describe Work: REPLACE FURNACE Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION% 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'll -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. ❑ 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 NEW CONST. DWELLING OCCUR OR ( a ACC. Blas. ) SO. 3.52 Fr. NEW CONST.MULTI.OUTLET CNS NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL 0 .SO Ex. Occup. I FIXEEDrs PLNS .OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 31500 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. AX4of X Date /5�� _ Si nature of Ap cant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permi - required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 35.00 HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD 'SSU This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (D e) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DJVJSION 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,th, office immediately. ri G-; - COUNTY OF BUTTE De2artment of Development Services Buildink'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 pl to provide the major labor and materials for construction of the proposed property improvement (yes or no) GI (have/have not) h,�� 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: Property Owner Social Security Number 5`5—NDate _5 —/S _5`5— NOTE: OTE: 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. Permit#3514-84B,P,i Duane Potts 6565 Lincoln Blvd, *&A t Q CAW �— 6, Permit#3514-84B,P,i Duane Potts 6565 Lincoln Blvd, *&A t Q CAW �— C"SUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C41ifornia 95965 - Telephone 916/534-4541 APPLICATION ANb PERMIT ASSESSOR PAR EL NUMBER ;�J n -o - a g ZONING , BUILDING PERMIT OWNER�� `+ t 1 r'li � D`t TELEPHONE S0. FT. OCC. BUILDING VALUATION � O W N E 5Z„ MAILING� ADDRESS IV\ f^ ` v� I U � 7� V (! (� ` CONTRACTOR'S NAME fb Y44 rif TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace / 4 A D O G CONSTRUCTION LENDER . " UNKNOWN Total Valuation $ if QUJ J Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .S[y 11)0 ARCHITECT OR ENGINEERLICENSE Ash NO. Plan Checking Fee $ . Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r77; 0 BUILDING, ADDRESS j (I t Nr ` h -� t � PLUMBING PERMIT Fee Filin Fee 10.00 Filing Each Trap 2.00 -?.60 Solar Water Heater 20.00 r D Water piping 5.00 LOT NO. "' SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE I - SF[El Duplex❑ Mobilehome❑ Othre ( SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 1 110-00 e 1 TYPE OF'WORK New Addition � Remodel ❑ ❑ ❑ Utilities Installatior Describework:Alir"i�Y J��iYY�a� ,f'— Rt0/t/TYNVCJ. I TJV\S I :t Permit Fee $ rpe),Do Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 + ' 04)"h L IW�C4 n,� Ue -r� QIC � tF"A av � Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Q 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ' ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) iI ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT' -OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea NEW CONST R. POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9A 50t 300 FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 16,j�t7 Permit Fee $ -1)-,5 0 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of -Consent to Self -Insure. i shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 7c�- //�� _ �.�� X l "%'�'-»z� Date Signature of Applicant — Owner [9 ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.�f Mobile Home Installation Fee $ TOTAL PERMIT FEE $ /.,a �' aButte OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees n DIRECTOR OF'PUBLIC BYC� PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 3� S3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _ .. � �"t/'� /�Ay.A��i'- ( �' .,, VCJ C— • .. C ,� 2 �y �. c-- �_.`. '- ,�j u .�cJ .�✓C .^_.. (�''i °/`� v f �'(• `�i .r T-' 1 ' •- 1. � ... --•-� 44 _ _ 1 l > `� :. �•I�✓ n:J J b- ....,✓ ff /.. �. .. Lam/ "1 '� 6 ��. .:. / l . / _. . (/ 6r.P J _ .�L-.s> %. / : E �? L :: -{ - � ��1't J,Ir-P �t !%,a- r �-- S.. " 1 w•: --'—C.. _ , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P RC L NUMBER ^ ,1 ZONING BUILDING PERMIT OWNER S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS v k D r - CONTRACTOR' SNAME r TELEPHONE CONTRACT AI R'S LING ADDRESS Fireplace 0 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ #E 'lm OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filin 9 Fee 10.00 Each Trap 2.00 rQ Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 , Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e �1 TYPE OF WORK New Additio Remodel El Utilities 1 stallation❑ Other Describe work: T S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610000` OR LESS 100 AMP OR LESS 10.00 t)e— 28 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sq It CONTRACTORS LICENSE LAW I declare under penalty Of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NO N•RESID BRANCH CIRC ITS NEW CONSTFL /POWER APPARATUS &) NON•RESID. ,SINGLE OUTLET CIR. Ex. Occu 20e50c P.OUTLDTs OR FIXTURES 9AL®30 Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.6Viring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate oLConsent to Self -Insure. 11rd1�shaII not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 •d County in consequence of the granting of this permit. XDate� Jam— e1::"// Signature of App (cant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD I SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT 0 OR PUBLIC r B PERMIT EXP S Date the applicable provi- resolutions to do fees have been paid. WORKS Date � A �� S Receipt No. L51 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s _ � .G►-v�� . c �'U J c � �j�- (/ -e. %z.,_ :� (� , �i v Vc./ ;nig ..�— � . _ ! , �C � .fly �! •v _ � d-� ✓ L�/O � C � / D V"�_ 94 1 , / L I ��F � M� SSI �C Tt/ fl L<L �E .�l/ -� 1 l i"r j � / .�-��--fZ�� � G. �c Le -� i vo �w 7- � /.J /�- Ile LC _ , s .. �✓ fid- F 73 9�1 . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS F SPECIAL INSPECTION REPORT Owner: R08,05.A _ �9z �`�- A. P. # 0Z, Address: �D5 �oj L((/V CoLQ(� �jL L/D Date of Inspection Tenant:i Inspector' b 4 - Building, Location: &-5—&-5— Type of Inspection requested: 1. Housing ".2. 2. Financing• / / 3. Change of Occupancy to 2K4. Other (specify) �l�Nlit4G¢� �� AC�'M • Present use of building: �. 3 A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities A -,.-..*_J -217 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: ..: -1 t C_4 �c�/ 1-e�-o --•�� .Fc.� B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: J-11— d-- LP�-,� !i o -=, — a E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: Y • - G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. -1-7 C. Write letter. / /'D. Other: J , RESIDENTIAL '-'-26L02--28 647-91B POTTS, Dwayne 6565 Lincoln Blvd, Oroville (new garage) 3 - /5_ 9oZ Y a y, JOB FINALI Signature v=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS "Bate DEC VERS, CARPORTS, GARAGES, (Plans)OK except #'s . Zoning Requirements -Setbacks -Easements j2. mgs; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric �Frmg; Sils-Anchors-Studs-Rftrs-Trusses ySWing; Nailing -Veneer -Stucco -Mesh to"10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Datev--n.29 rd -871 D e Card B-1 Dat rd B -i Date Card B-1 Date POOL4 (Plans) n --apt #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK - = Not yaole ' Not Ready RESIDENTIAL (Single = Read & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr, ties -Pu rlin -roof Brac-Truss-Shthng.-Ring. 3. 'Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth - 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a.. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9- D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12 Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13 Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15 Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B -i 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 1'. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 13. O.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 13. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 2). Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 2. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks 0 Yes O No; Planters 0 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B -i Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. r ASSMSSOR PARCEL NUMBER 26-02-28 ZONING aRMH1 BUILDING PERMIT OWNER Dwayne Potts TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS�'.�'�� 6565 Lincoln Blvd -s CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN KNOWN c Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR EV ;(NEER LICENSE NO. Plan Checking Fee $ 40.25 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty. $ BUILDING ADDRESS 6565 Lincoln Blvd Permit fee $ 130.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF [:J Duplex❑ Mobilehome❑ Other Det Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ffk Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOv OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCU1.add NE� A l , �z¢sgft W CONSTR.MULTI -OUTLET NON-RESID BRANCH CIRC ITS ea, POWERAPPARATUS 6 SINGLE OUTLET CIR. EO Occup(OUTLETS OR FIXTURES Ex. CCu i00Doe eAL030 D ALNS Ex. Occup. -OUTLETS P(RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -insure. I ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Ii bIIItIas, judgments costs, and expenses which may in any way accrue aga'�i(;,=in bo a nce of the granting of this -Permit. X �t. Date Signature of A '' rant - Owner LVJ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 130.75 HAz. — cuA — PARK _ SCHL _ rLD 1 coF P R PD I H ISSUE This permit is hereby issued uroer the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DI C R 0 P BLIC WORKS l By Date Lv MIT EXPIRES Date PE `` Receipt No.835of WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL'LE, CALIFORNIA 95955 - TELEPHONE: 916/539-7541 PERMIT APPL;ICAMON DATA SHEET / / Permit No. / OWNER L I�i%Ay Ziff //� -T S A. P. No. Proposed Building UseBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. ................ ......... lot plans in duplicate/triplicate, signed by preparer of plans ........ omplete plans in duplicate/triplicate, signed by preparer. of plans . . J4. Complete engineered plans and calcs, with wet signature on plans . . N5: Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details andlayoutt,in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions ........................ ............................ ees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. _,....Sanitation approval from 0 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ! `� 18. Improvements may be required. Contact Land Development Section _DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-lnspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... p ZX�2. Certificate of Workmans Compensation Insurance .......... Owner -Builder) Verification (Given to owner ❑, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowredgment Statement ......... t 25. Letter of signature authorization ..................................... 26. 27. .When you issue the perm "t pr cess as follows: Mai© o ner. Mail to contractor. Telephon (� an h d f pickup at office. Deliver w./inspectoi OtheroD r Applicant Date^ t �J ;:7Z Copy of Haz-Mat form sent Health -Dept. Fire Dept. Air Pollution Date Copy of plans sent ---Health,Dept. Fire Dept. Other Date By The following data must be submitted}'prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: AhI""" '� p#LA 0(c - Contractor, designei, owner, was advised of above required data by_phone---nail—counter bi ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date `\ Plans checked by Date 3_(7-CJ1 Plans approved by &) Dates -15'91 Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental -Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Hold final for: ^incl clearance O.K. for: Sewage Disposal Clearance for bedroom mobile home. Other NOTE * * * Sanitarian Water Supply Water Supply Water Supply Da RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit #. (req 7.- 9) OWNER bI,UQ,4u po A.P. # 2(„-62 -Z8 Plan Checker j,9f,) GENERAL Zoning requirements: (sideyards and number of permitted living units). 2. Valuation. Z F[pU C -S -1 AI -F F0n NFuJ P(~; D Plans signed by designer. Proper description of work on application. Existing violations on .property. --6: Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ,--7: Recorded notice of violation. PLOT PLAN -4! Complete parcel size and dimensions. --Z-- Setbacks, sideyards, easements, etc. —3- Other buildings or structures. 4: Grading, fills, drainage. -( 5.) Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FT,nnR PLAN 9 N Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Ut,3. Required windows for second exit (Sec. 1204). N h. Skylights (Chapter 34 & Sec. 5207). �IjL Human impact glass (Sec. 5406). �,h Required room sizes, ceiling heights (Sec. 1207). N J7. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).. N1�8. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. ltt9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. N r10. Garage firewall, door size, and closer (Sec. 503(d)(3)). LJ-- I - 3'0” exterior exit door (sec. 3304 (f). NP -12. Fireplace and wood stove location, alcoves, and clearance. %,)-13. Smoke detectors (Sec. 1210). loh 4. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1. Standard bracing or engineered design (Table 25V) V 2p Unusual shape, size, or split level house requiring lateral design. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 5. Elevations and wall construction details complete enough to construct building. iCRoof. construction details complete enough to construct building. NI10 Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. k2: Retaining walls requiring design. A-3'- Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails • (Sec. 3306). -27 Guardrail details (Sec. 1711 & 3306(j). �3- Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). ---7--Foam insulation - protection. .-8--36" halls and stairways. diving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ^—�6. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 Attic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). -.--T-.—Combustion air for fuel burning appliances - L.P.G. requirements. ,-r;�__Noise requirements on duplexes. 0Energy design. �1 Flashing at all exterior openings. CDF respons' 1e-a-rea req -x' ments. flo S%� 1 �ce l�►•�"�IJ r �s�5 2 S ' C2 x CP o (� WADS 6VC'YL l a y -1IJiU(j` �NeId. JC'f ECD �j ;�:Coo2 pLai s tw i NE 41 AT CUZ_QM_ C 6'Y1 SU�pb (11V �CO6 fNsk3 F(CIC1'ltF— ��= Lo Mo 6,N��— �-- s�p��LQ. t0 �uQmd - LUIS ►� �- - -------- � Sew►. . COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /1. I personally plan to provide the major labor and glaterials for construction of the proposed property improvement (yes or no) > 2. I (have/have not) h 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 Contractors 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date N NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _0.� — a 2—,y 16ki'h ZONING /-// BUILDING PERMIT O�FNER -IN P^ �� (%/� lT/) TELEPHONE SQ. FT. OCC. BUILDING VA UATION OWNER'S MAILING ADDRESS CON CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING oDORESS pe. --Ii! Fze $ ARCHITECT OR Lv ;1NEER _ LICE.' sE r1O- Plan Che-Liung Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bu1Lq+N��DpR Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other 6�`L SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 57G W 1 110.00 ea TYPE OF WORK New14 Addition❑ Remodel[] Uttilities❑ Installation[] ,Other ❑ Describe work: GAAA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI A u� New , :2sgft CCINiSTR.( I -O TLET NON.RESIO . BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eAL020030t FIXED APLNS30 Ex. Occup. OUTLETS (PRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you.become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor — I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ HAZ CUA PARK I scHL I FLp cpF I PAR Pp ; HD. IssuE This permit is hereby issued under sions or the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By 15C0.4IT C�nIn=L. Il.. ♦.. the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 3 d o 75 26-02-28 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT BUILDING PERMIT OCC. I BUILDING VALUATION SO. FT. PERMIT NO. Dwa ne Potts WNER'5 MAILING .DDR ESS 6565 Lincoln B1Vd TELEPHONE ONTRACTOR'S NAME Owner ONTRACTOR'S MAILING ADDRESS Fireplace UNKNOWN Total Valuation $ :ONSTRUCTION LENDER Filing Fee $ .0.� -ENDER'$ MAILING ADDRESS Permit Fee LICENSE NO. Plan Checking Fee $ aRCHITECT OR.cN.;iNEER Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ $ 130.75 Permit fee BUILDING ADDRESS 6565 Lincoln Blvd PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 5'00 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Det Garage SPECIFY Building sewer Mobile Home S G W 0.00 ea TYPE OF WORK $ Nd& Addition❑ Remodel[] Utilities❑ Installation❑ Other Permit Fee Contractor Describe work: garage ELECTRICAL PERMIT Fee Filin Fee Filing 10.00 service 100 VOR AMP OR5L _ 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' ❑ andmProfess ons Code my license ons of ptis9inDlfull force and Business licensed under a deffect )cense No. Classification. LJ ), as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I tify that I have read this application and state that the above information rrect. I agree to comply to all County Ordinances and State Laws relating ilding construction, and hereby authorize representatives of the Countyot 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 Ii bilities, judgment,s costs, and expenses which may in any way accrue agalf t said Cour]Wynr601 e of the granting of this eermit. X f�, Date 7� Signature of A icant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. NEW CONST. ( DWELLING OCCUR -5d) lftsq It OR ADDNS. 1 ACC. BLDGS. / NEW CONSTR.. TI -OUTLET ��� 2.50 ea Ex. OCcup(OUTLETS OR FIXTURES ewL230, FIXED APPLNS. OR 2 00 Ex. OCCUp. OUTLETS (RE51D.) EA. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ !!2=.CUA TYPE �M�L FEE �JPr, i PARK LD CDF PI This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date — K {a � � , � 1. J _ - � { _.t r— - •- - — _ q 41 �j --a '_r .r ..,...f....—L--.+----, I f- 4 � �'� -moi,• ���j l,'�+ ; ` _ .. ..._ _. .- ._ ..— f . I " r , - - • I 1 1 � i }_ � ' y - I { I { I 14 PT : � f � • I ri 1.. i':/ _� �t p _� _-. ��.: �1..� v, ' � T {�__t -(F .L_� 1 -..`i� ;• � I I • i s r� a. t JS S .NOTE:—A11 Materials & `d'l ~°r,,,-.n:.hin `.1�aii �s in • sci;ricafi chis h/I!- ``=- _kop?_ab.+he 196! crt at) times cm d itis unlctW u is Accordance wifh R :�o �rai� G:�'�' , s the - -. _ _—� 4i*ke gray;chc5ngos'or G4� a�atiiom on sane ,aithoiej --_of a quality prescri eci for tfie SpT r",'� in w i i +r tteri permissio rut e E , tm � cak�Ii Uniform Building, Flum�irnq &-iVtec'rranj _ E CoclQ- wdyic ; County, rat' Butte: - — -- _ - t s,r�d tFe Nationa-l-Elecfri.a t .At}°%_8msfl and ventilation pe _ _ ° I I _-Ilro-�fde approvad Bashing-,t-,aj eatorlor - 14, 0 Y►�I O c� 1 'v _ �-�� ��.��'-` � _I_X 6 Ties -•-- - - � ,S .�� � f.t�� 1`0 K��.�216� Cu/��lS v POT Lt KT6 t -------;Z" -- ---. -�— -- ---- X 6 -- - - —! 24 Rix peoul!�G o ! Lumni G vTV aUbla,1--- CXXfII�C�� �' r 1--)GT7\il_ ATT-�f0b, F,,C><j�s! T�� !� 13.E -Z Cc�_..� •-�--�-�'�--'�'Q.UN►��--t��T31�—�--i—i—� � I; � � W 17-1�'S9ti+�..a.N�_�-e_•c7>ar�cCbr �C6'hJ •— t �--� --• _ ___ — TY� FOUL/ fO.P oAl2�- ,Sro,PY /oC /O 4nC�io/- 6o/�s rJ`� /h TD �vHCr t 1�r i w; Whin �2"�iv� ends ✓Dik'�5 , /�E�il�eo� pr• P�essv� Tre6fed tX7�er/or �.•�,�P ,� �x�-�Z�o2 wa�tcwvopF'int�> �/Zkl•�—''i . F/ooN Sys Te," $ M N est ressUre rev le0/ _14'x 14L Preoos� /pier S�� WILDING DEPARn 4p IPI.O. V D,4 7,,!F- a OC/7 9 - foo r Sc� 57se� ,Qn y lr ira�r , J' �' �O O✓/C hOrclr r✓c L�n Rec%vood ore Pressure Trecfes to D „d 6w o'S T Extt.-io. lyA de L I ------ .; . cxf�i�/��e w cit C S/Rg F/oo.�� C � r c"S le,em or 4s 41: << j 41 _ Q r • s � k f � -6 •Yt •'. r -P i _ z Cha s N 'r Lrl t �.:- Z:.::a•- p••�-�....... _....... .. . • . • yip _�C 4r x.P VILDING ®EPAR.IMENI. A PROVED 0 uj �- lj'f Go 02 0 uj 1-11vr4"VV 2!7 aT1.06616 1 36 0 - 353.0 o O : _ 1.O9AC. J.35 AC .• -- - / I...1 2 a C .. 3 34a �z s rr Z -V Ac pit 4 AV4 32 1.72 Ac 648.0 0 3E it W J Q n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and construct o house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not I be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOD PARCEL NO. D � © 4:5pV 0 eG• ZO NG � I OWNER wA- A,} --'e_ N )4 yVC ioo PHONE NO. OWNER'sA DRESS `� S `i.' Alt -0 /iv L V LO� ouILD)N( COIN G,rt%C� CSD ?/ L USE OF ILDING a- hay Uz�qiln s, svtq I/) SIZE OF STRUCTUR ;� —1 L5 14V SQ. FT. X = TYPE OF CONSTRUCTION: WOOD FRAME �_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING Wood ROOF COVERING o - Tcrzzcrc,�� LOOR TYPE ESTIMATED COST OF CONSTRUCTION MCI $ AGB ildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: SS->�—• , 5 FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. QQ �� )Ju ��—�.9.c L Ste{-�e,� �--�..- , � Lf Receipt No. ��y��rn Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant SITE PLAN .......:...... �......:...:.:... i ...........:............. .. ; .. .. .. ... .................................i. .. ........i. .. ...;. .. ....}... .. .. ,.. f.. �. 4' .. ............. .. ....................... .. .. ................... .. .. ............. .. .. _ .. .. .. .............................. .. .. .. .. .. ... .. .. .. .. .. .. .. .. ... .. ................ .. i...r......• .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ....j. .. .. .. ....}..... ;...... i. ... .. ....}..... ;... ................. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. ......:................... r............ ....... r............. r..... ?...... ,...... }.....r...... f...... }.....�...y.s......}.....?...... f......}.....:...... {......}........ ..:.. ..i.. .: .f. ..f......}..... ;...... f......}..... � .. ..}.....r ..}..... ;...... f........ !� _........ ... .. .. .. .. .. ............ 1 .. .. .. .. .. .. .. .. .. .. .. .._ -_ .. .. .. .. .. . ' ... .. .. ..- .._.. ...... - - - - - i.. .. ............. .. .. ............. .. .......... el _.. y� . .. . �............. - - - .. _ .. .. .. .. .. .. .. .. G crt X... �f..� . .... .. - - "e ��. . . . . . . . . . 2 . j Z Y .. _. .. .. .. .... .- -- _ . ......... . ..... ............ . ..... t ..... �. _. .. -- . - - - - - . cY �� .. .. .. .. ........................ .. ........................ _.. _... _.. .. ;. ;. .1. T / ..}..... I� .i...... ............._....... _ � ,l � 'ii�-•'oi'`isi' •iii" `ING:�I:AM`l'A�{�t�IAL' '� Int � � �I�i'= � �R .. .. .. .. ........... ESI .. _. _. .. - .. D 7§e. GME STORY l` .. .. .. .. - SN ..:.. 1 �. �y ::.. . . . . . . . . . : : . . . . . .. . q�} . . . . S:v� Al . . . . . . . : . . 'R .. ............ .. .. .. ................... .. . .. .. .. .. .- -- -- - .. .: .. .. ....................... .. .. .. .. _ .. .. .- . . .. ............................ .. . . . . . . . . . : : a �. . . . . . . . . .: . . . . . . : .. . . OIL jj�� _ .. .. � .. .. .. .. .. .. .. - -' ..:....:...........:... .:....:... . ..:. . E I I l 6 .. .. .. .. .. .. .. .. .. .. .. .. .. 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G � I .. . . . . . . . . . . . . . . . . . . . . : . . .. .. ............ .. ............ .. ... . :.....:....._........... _................ .. .. .. ... - - .. .. .. .. .. .. .... .. ........ .. ...... . ...: tea. .. �....... _ ...... �. D. .. .......... .. .. . •Lincoln :$lid P .�` .I I�� ��:0. .......: ........... ..... __....._..........._....._..........._....._..........._....._...... ...... _..... ......_............ ...... _..... _........... -..... _..... ....... ....._..... ......_.................._....._..........._....._............_.... - -.........._.................._....._..........._....._..........._............ APIR- -OVEM .. . . Assessors Parcel Number: Scale: 1" Owner Name 7-05E ' LUIS 5QR[A Address/ Phone No. 6-56 -5 L_ I N C O I N BLVD Site Location ( K OV I L L L- L/`1 `1-!:2 1 b d Contact Name Z OS E L U 1 S 5 0 R IA Phone 530 - 53 3- 0CWk1WnM . FOR O�FICt USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: __ ZONING: Size, Acres GEN PLAN: - a.00r - USES: J • Braced wall lines O3/8" C.D.X. plywood or 5/8"T-111 with grooves. Nail with 8 ds 6" o.c. at edges 8" o.c. field. Cover 3 16" o.c. stud bays or 2-24" o.c. stud bays. 8 7/8 portland cement plaster on studs 1.6" o.c. nail wire lath with 1/2" long .7/16" head nails or 16 ga. staples with 7/8" leg. 4 ft. panel length covering 3 stud bays at 16" o.c. or 2 stud bays at 24" o.c. C Gypsum board. 1/2" min. thickness. nail 7" o.c. all stud plates and edges (must block all edges) nail with 5d coolers at 7" o.c:. 6d coolers an 5/8" gyp.bd. screws may be used. Panel lengthOft, iff gyp bd. applied both sides. h if applied one side. 8 ft. in l4 ( 3 stud bays at 16" o.c. 2 stud boys at 24" o.c.) pDHardboard sheathing (plywood or o.s.b.)4 ft. X 8 ft. or 4 ft. X 9 ft. 3/8" min. thickness on 16" oc or 24" o.c. stud bays. Nail with 8 ds 6" o.c. edges 8" o.c. field on 2X or greater framing. members. panel, length 4 ft. min. Alternat braced panel: 2'-8" min. length. 3/8" C.D.X. plywood nailed with 8ds at 6" o.c. edges 8" o.c. field. ( Block all edges.) 1/2" min. anchorbolts at panel 2quarter points and Simpson PAH42 'at panel ends(HP 2 or PHD22 at foundation end toad's/ 2500 p.s.i. concrete Braced wall plates shall be nailed to the floor framing and top plates shall be nailed to the framing above per table 23 -II -8-1. Sills shall be bolted to the foundation or slab with 1/2" min. anchor bolts at 6 ft. o.c. min. NOTES. - J., FOOTINGS TO BE EXCAVATED INTO UNDISTURBED SOIL TO DEPTH D ,"ANCHOR BOLTS SHALL BE PER UBC SEC. 2907 (f) STEL! HEIGHT OVER 32" REQUIRES REINFORCING (SEE STD 123)- 4. SEE UBC SEC 2404 (f) 2 FOR CONCRETE BLOCK STEM WALL (RED WOOD OR P. T. SILL 6" MIN D T FLOORS B D TW T ONE 12" 12" 6-6 TWO 15" is" 8 _7" FLOORS REFERS TO NUMBER OF FLOORS PER UBC TABLE 29-A, FOOTNOTE J. t4 A 'aim, �tlivcf/orl f3oLT5 G -O OC-, 7 EmaX-bAo,) .-.„/ i /N To Co ivc 2� TE ,. JOIST GIRDER 18" MIN 32" MAX (NOTE 3) 12" MIN GoN�� al2•, RAISED FLOOR FOO TING TYPICAL RESIDENTIAL FOUNDA TION DETAILS BUTTE COUNTY BUILDING DEPARTMENT I&v 1995 DA7E F/172—/W SCAM- J14 --l--0- DATE4/92 DWG: STDFTGI STD 12.1 9.12 n o'' zW I• Ig`�N16N e-PFyj L 5('o c� I PROPoc\ED FOUN DATION I f ri I , I TITLE 24 REQUIREMENTS REFER TO ATTACHED ENERGY CERTIFICATE OF COMPLIANCE FOR REQUIREMENTS FOR THIS BUILDING AND HERS VERIFICATION REQUIREMENTS i /NO CONSTRUCTION IN EASEMENT ALL PORTIONS OF STRUCTURE TO BE I OUT OF EASEMENT---- INCLUDING Q I�\' I] I� FOOTINGS, FOUNDATIONS, WALLS, V (� 1\VI ME EAVES& ROOF J --- - -- - - �05� CHIS soi�I A DO R 1- S 5 6565 ►_INC.OL/1 ASSESSOR'S {PARCEL NUMBER oz6-ozo-azg 'THE 2001 CBC, CMC, CPC, 2004 CEC, AND 2005 CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE JURISDICTION APPLY TO THIS `PROJECT. -PHONE-- 530-,53-,3-)loe 6I oc,k 7.T C oj ` d y App � �� V 10N r; out) „ % 7-¢,Z?,) 1:=5Ft �� c ek-.oG Iz BLVD F ,T - LW G I RDEt C(d c�F+rC fxY po5r ' P.T LON IID FI 999, O Jois7' Topa Bor 12E7 -.4 f/4— _ ,.p* vj 711 41 :fo4 T- � ri- 1611 �(9�fl E!5 l LAN4&4 9 -rjoN. SIDE ELEV,} 7 FROND FLEVA7PW ;,���duotm w- ro ar/;,I/c� , 4.� 5WA-s- r o le , 7--///* :::F /,P//- 4 (O- 0,�o ti Luis �)orl a. ' BUTTE COUNTY BUILDING DJVJ 810-N� APPROVED vl QQ Q) LLJ -j CNJ QU —) LU U) LLS, t LO R) LdL, mg �n vi CD O0to 0 Lu V—j (2L �Uj lil V) G3 IN IS H q h Lul LU U-1 cl LL- �',l LU 00 C)— � Of Ml ILI Q11) -D OF co Q� tij I -e, ff� Wu zz F CQ cy3mog(3 4, I'L(<K ���9 9z, * i �,t CQ "It A\ V'N Co I -LAID 0 �:l UJ �j 0 )Aj QL LLI Vi Lu V) i 4 t LU C� D-4 Qcf --i u kj IV >( CA / �� Z 1 CA LJ Q1, LJ