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Home My WebLink About027-040-090 i i f.027-04-0=090_` 93-22 BPE . BOYLE, Patrick 75 Sam Lynn Way, Oroville contr: Executive Homes mh .on perm_. fndn 027 04-p- p BOYLE, PATRICK 93-686 BPE 75 SAM LYNN, OROV LE CONTR: STEVE ORSTLT, 027-04-0-090 _- `�-�- 3 004_ B,E BOYLE, ,PATRICK �--� 75 SAM LYNN WAY, OVILLE ` CONTR: STEVE 0 ILLO / GARAGE/SF 1 0z77-0-44 -oqa r 027-040-090 03-2377 PERMIT RENEI&AL CROSWELL, JACE L DATE: 75 SAM LYNN WAY OROVILLE R�' 3- Z3'�7 ' DETACHED SHOP � .. Exi>nirs: E t TV -010 NOTES RESIDENTIAL 027-040-090 03-2377 1 PERMIT NO.. CROSWELL, JACE - -- - - -- 75 SAM LYNN WAY, OROVILLE DETACHED SHOP PERMI RENEW L ---� DATE: -/3 -dsA BP# 03 _ 7_377 EXPIRES:_ `7 •-06 N , SPECIAL CONDITIONS { CHECKED BY SRA FLOOD CERTIFICATE REQ. I FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS I VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t I JOB FINALED (Date) 'Z^ -Q 4 Signatur J=OK 0 = Not OK . = Not Readyap1e COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements 6. 2. Soils; Special MH Support Sketch 7. 3. Sewer; Location -Test -Fall -C/O -Concrete 9. 4. Water; Location -Test -Easement Needed (Sketch) Roof; Shthg-Roofing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test -Wrap;-/ /" L'ft. . / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 h J MISCELLANEOUS Date DEQfiS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s III "r 3. Zopiftg Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec:; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 lam (- rL � J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Date 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped Date 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors _ 23. Fire Sprinkler; Test 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral Cl Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect Date 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No.Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.1B/.y6), APPLICATION AND PERMIT 49-3- a 3 ASSESSORPAR°�IvrJOSy) _040_0q0 =°�qG.'� BUILDINGPERMIT oW �(O� C� /� S FT OC BUILDING AL N o w cQ COM O 'S TELEPHONE CO TORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ -- ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL PLUMBING PERMIT Fling Fee 20.00 USEOFSTRX4F1 SF ❑ Duplex ❑ Mobilehome Other CAIFv Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 1� Addition ❑ Rem99 0 Ublifies ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service "..A oR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: CI, 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS.o SO NpµREs'iD ' MULT,.OUTLET 97,50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FD(TUREs BAL @':50 Ex. Occup. pUT1EETS R� °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation -1 of one hundred dollars ($100) or less.) l$ 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. //�� aac �osS�_ (Dgt� %-D-3 I re of Applicant - Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE tA HA=. p, IM D c p EL H ISS This I is hereby issued under the applicable provisions of th B tt unty Code and/or Resolutions to do work indi sled o e t r whi h fees have been paid.. Md By Dat PERMIT EXPIRES ON 7 ale ReceiptNo. o� �� 37- WHITE-D.D.S.-B.D. CANARY- SS SOR PINK -INSPECTOR GOLDENROD -APPLICANT f S C NTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 36-7541 E MST NC APPLICATION AND PERMIT ORPARCM MJ USER O ZO � � BUILDING PERMIT TELFP l lE Q SO. FT. OCC. BUILDING VALUATION owNERs ►w �+n�+ ^J Dyaes-�o— / , 1 CONTRACTOR'S NAME I ^ (�f TEIFPMONE CbQ�MRS MANND ADDRESS cONSTRLCnDN LENDER LENDERS mkm= ADDRErs Fireplace Total Valuation S ARCMM= OR E=NM ueEME No. Filing Fee $ 20.00 ARCMTECT 'OR ENOWEERS MMLND ADDRESS Permit Fee Plan Checkin Fee S LOT No. SUBDN61DN5 NAI. PARCEL MAP USE OF STRUCTUV 7 bA' SF ❑ Duplex ❑ Nioblehome ❑ Other SpEdury TYPE OF WORK New Addition ❑ Remodel ❑ UbTWs ❑ Installation ❑ Other'D. Describe Work- !FL, N� 5qztq Plan Checking Fee S S PERMIT FEE S PLUMBING PERMIT Firing Fee Trap — "-- 7:00 or heat pump water heater 23.00 20.00 Water piping 15.00 , Each gas water heater or vent 15.00 Gas piping system' 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S 1 (31 W I I I @20.00 PERMIT FEE S • UL ELECTRICAL PERMIT Firing Feel 2D.00 Main Service xow ORR LESS 23.00 Main Service ( 20" To +conA ) 46.00 Ex. Occup. OUTLET OR FIXTURED tvu ®.so Ex.. Occup. UTEET ID E& 5.001. Temporary Service 23.00 Mobile Horne Facilities 20.00 Misr. Wirina 23.00 PERMIT FEE --�e.L–u k MECHANICAL PERMIT Firing Fee 20.00 rC,H,ating DrLn Hood 6.50 Ventilation + PERMIT FEt S Moble Home Installation Fee S Energy Inspection Fee S , O" COWST',TLE TOT FEE $ w.Z• D. F'E6 P CDF HD i 6S:JE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work Indicated above for which fees have been paid. BY Date I _ PERMIT EXPIRES ON ' 1;)3 7 7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 `b PERMIT APPLICATION DATA SHEET OWNER: ell� A1U411 X_ 4 ASSESSOR PARCEL NUMBER a -7 - o yy -09 (J j 1 _�- O/ Proposed Building Use: �] r , �1� Counter Technician: Date: ol Ite s required in order to apply for a permit. All box sr MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8.. Flood Elevation Certificate, wet -stamped and signed, in duplicate..... ......................... O i9. Site plan and business license approval from the City of Biggs ........7.... `,ire :.?... ?`.. 10. Letter of intent for non residential buildings......... (!6f 6 ............... ��,............... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. /Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ Statement of Intent for Non -heated and A/C Buildings ............................................. 18. Sanitation and site plan approval from the Environmental Health Depart ent in 9 ❑ . City of Chico Plumbing permit ............................ ............ . EY 20. California Department of Forestry plan approval a paid. Sent by° ❑ 21. Planning aPProva.l,for A Use: O K(B)Parking: C Pa ❑ 22. Contact Land Dev,elopment rcel heck: �-22- � about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone S' '3� - S' �'"' and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. DiAM: C �'aSs 4. Dat.: l� permit application for the above items numb Plan Check Letter 2. Additional items requir Contractor, designer, was advise he a ve data by ��hone, ❑ mail, ❑ counter,AbyDate:Contractor, designer owner was advised of the above data by hone, ❑ mail, ❑ counter,Date:Plans reviewed by: Date: Plans approved by:ate: Structural reviewed by: Date: Structural approved by:Date: Note transfer by: ;�V_Date:_ , Yellow: Building Division ILL 1" E.H. 3E aatr Plot Plan Anechad R., Floor Plan Attache " V sena to B.D. ! I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Puis Private Well Clearance for dwelling. Other 3 b X L� S bl�� 1n) h Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 �--03 Date e N, ------------- EMARONMENTAL HEALTH k�UG 0 7 2003 I COUNTY CENTER DRNE APPROVED Bufte Couny Faulmnnumool faith /V U.3 P-3 -7 -2 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # c9 7 - Dia -i�YeJ PROPROSED BUILDING USE La'4 ��h(f� DATE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $_ . # Units Amt. Commercial (Sq. Ftg.).... X = $_ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) t yJ 7. SRA FIRE INSPECTION AND PLAN CHECK FEE T $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the Ian checking process. Ar LICANTQc,G L- !%Js'G�� D TE d 7 ?7 10p, ...ant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have een imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) j . O. -L- I I i I f OWNER BUILDER INFORMATION I Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. ' For your protection, you should be aware that as "owner -builder" you are the responsible 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. I - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware Iof the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ . If you are an employer; you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ . Theremay be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyouIwish, 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. i If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits arenot required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned rely. k Mic 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. 1, Yhis Owner -Builder Information is required by Section 19830 of the California Health mrd Safety Code. OVER O.B.-1 ' L OWNER-BUILLDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed Qproperty im rovement : YES M NO ❑ .2ro ❑I HAVE HAVE NOT signed an application for a building permit for the proposed osed work.I have contracted with the following person (firm) to provide the proposed construction: NAME: Alw1 r;bb: I/ I/' —CITY: PHO CONTRA CTOR'S LICENSE NO. 4. I plan to pro 'de p p portions of flus work, but I have hued the following person to coordinate, supervise, and provide the . 'or work: NAME: ADDRESS: CITY: PHONE: COI�iTRACTOR'S LICENSE NO. 5. I will provide ome of the work but I "yentracted (hired) the following persons to provide the work in rated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: Qoc �o fs��ilif DATE:7- 03 NOTE: Th Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan.revie'v will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner:° .� 14 G �' CYD SS W e// . • . , Phone: /_'5-3 0) 53 Z Mailing Address > s / ///,? �- Site Addre'ss:` % '�/�%% y%1�� l✓� /� Assessor's Parcel Number: Zone: X_ Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL 1. INFO%XATION: Is there a primary dwelling on the property? Yes No 2. Is the structure already built, under construction, or under notice of code violation? Yes No 3. Will items produced in this building be offered for sale? Yes ❑ No a. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the stricture foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 3. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No ER 11. Will this building be heated or cooled? Yes ® No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? - Yes ❑ No CM 15. What type of floor covering will the building have? A_6A1cr e, to /'-100-- 16. What type of «-all covering will the building have? I Xe, 7- ~`C -W- G✓��5 OVER 1 of 2 PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed - I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is reauired. 3. ❑ Residential Carport - A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. 0 Residential Occupancy - Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #W, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ® Workshop 1 ❑ Home Occupancy 2 ❑ Other - Use = 1. Describe type of WorVbop --a " �So<.ov� �Gt f�:LC�S Ye� ot/rat %/G�(iyC �1�GKl- %o,- i��r (,C/ :. Must be approved by the Butte Couray Planning Diviaiort. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. 7!,,2 ae(d cx s Grier and C o o Jro- fo 1,4e sAio e er<t z X .ti Additional Information: X W Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print J /t 65 C 1e0.5S wJC /_ L Owner's Signature: /Z z Date: 2 of 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.121, APPLICATION AND -PERMIT 0.3 ' a 3 -7 _ AOSWSEES1SORPARC/C�Q /J Z17V-5 BUILDINGPERMIT TELEPHONE /�G��/�C/ SO. FT. OC BUILDING ALUA iION � , � j`r� .G`W,`EFi'S.MAIUN AD,D'RE)lM/Vj� I'tinn,•G/. % .L.E_.�44:J"//1 JIM 1 � � CONT CTO 'S TELEPHONE CONTRACTOR'S MAIUNO ADDRESS CONSTRUCTION LENDER LENDER'S MaUNG ADDRESS Fireplace l ..� Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $/Alto BUILDING ADDRESS /� / ./ )� ,,.. Energy Plan Checking Fee $ ~� PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUC URE SF ❑ Duplex ❑ Mobilehome mOtherWater tt PECIFv S -15.00 Each Trap 1 7.00 Solar or heat um water heater 23.00 piping 15.00 r> — Each as water heater or vent 1 5.00 TYPE OF WORK New 'E]. Addition ❑ Rem el CEJ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home, ISIGIW1 @20.00 PERMIT FEE $ !' +� ELECTRICAL PERMIT Filing Fee ; 20.00 a00V OR LE Main Service Z00A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ,9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: CI, 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. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: rI have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My, workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 9(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. /� X, / f,,r J rosS�.r�p Dat 6"- 2- OJ _ SI ire of Applicant � Owner ❑Contractor Agent An OSHA permit is requir d for excavations over 60" deep and demolition or construction of structures over 3 stories in heightt./. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLns. 3.5,s, _✓ NEW CONST. NON-RE31D. MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Occup. OUTLET OR FIXTURES s20 p 1.00 Ex. Occup. ZED .ARa D °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 1J 0-1 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FES IMP ✓ V GO CDF / jI PARCEL V PU • / V HD ,/ Y ISSUE . V Thispf it is hereby issued under of the B ttg'County Code and/or indicated above f whi h fees have / By J PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / Dat ate ReceiptNo.�`�,.,� `7 /,SSI '7� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BALANCE OF FEES SB= DATE: PERMIT: ASSESSOR PARCEL #: Cf"P 'S NAME: FEES: (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK $ SHERIFF FEE: $ SRA $ COPIES $ URBAN AREA FEES CSA 87 (North Chico Spec.) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE $ OTHER $ OTHER $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL, FEES: TOTAL VALUATION: $ ADDITIONAL VAL. (Check one) (Check one) RECEIPT NUMBERS: COUNTY CITY OF BIGGS RESIDENTIAL COMMERCIAL ��nn67-7PS 4 Butte County Department of Development, The proposed shop I am wanting to build is to be used to work on my trucks and Equipment for my business and personal use. The building will have tools and equipment stored inside to be used for fining and repairing my personal vehicles and my business vehicles and equipment. Electricity will be needed in the shop to power lights and tools. Water will be needed in the shop for using in vehicles and equipment also for fire safety and to water any flowers or grass that may be around the shop. There will be no bathroom facility or any waste water. Any persons needing to use a bathroom facility will use the existing facility in the existing residence. Thank you, Jace Crosswell Owner builder 7-03 t,A,66.e-.iQgo .�' i� �d�ex�ti SAN oa �' g•�t. -(� � asses a �o-�c�l w � �G�. c•.e-c. 6� c l 9M Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR ww.w.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile August 3, 2004 Jace Crosswell, D.B.A. Crosswell Trucking 75 Sam Lynn Way Oroville, CA 95966 RE: Formal Warning Notice Butte County Code Violation 5 Sam Lynn Way, Oroville AP# 027-040-090 Dear Jace Crowell; Through our courtesy notice on April 29, 2004, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The keeping of inoperable vehicles in public view. 2. The repair of trucks and the operation of a business from your residence. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public, view. The cetermination that this violation exists on the property is based on the following definition in the Butte County Code: 1 Jace Crosswell AP#: 027-040-090 August 3 2004 Page 2 Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or, in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident .or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all inoperable/junk vehicles from the property. 2. Obtain a determination pursuant to Chapter 24, Section 24-65 that the (use has/uses have) been found by the Director of Development Services, Planning Commission or Board of Supervisors to be substantially similar to other permitted, conditional or accessory uses allowed in the AR -5 zoning district. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate tre violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing b comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violatian(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nicholas Hoekstra Code Enforcement Officer NH:lr cc: Department of Development Services, Code Enforcement 1 2 3 4 5 6 •7 8 9 10 11, 12 13 14 15 16. 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On August 3, 2004 , I served the foregoing 10 Day Notice on the person(s) named below by placing a tru- copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Jace Crosswell, D.B.A. Crosswell Trucking 75 Sam Lynn Way Oroville CA 95966 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on August 3, 2004 at Oroville, California. Gwyn Ben ict Office Assistant II PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte; I am, and was at the 2 time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within 3 action. My business address is Department of Development Services, Building Division, 7 County 4 Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for 5 collection and processing of correspondence/documents for mailing with the United States Postal 6 Service and that said correspondence/documents are deposited with the United States Postal Service 7 in the ordinary course of business on the same day. 8 On January 25, 2005, I served the foregoing Code Enforcement Citation # 0090 on the 9 person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage 10 thereon fully paid, addressed as indicated below, and by placing said envelope. 11 12 In the appropriate place within the Department of Development Services where 13 mail is collected for mailing with the United States Postal Services on the same 14 day. 15 X In the United States Postal Service Mail in Oroville, California. 16 Jace Aaron Crosswell 1.7 75 Sam Lynn Way Oroville CA 95966 18 19 I declare under penalty of perjury under the laws of the State of California that the foregoing 20 is true and correct and that this declaration was executed on January 25, 2005, at Oroville, 21 California.. 22 23 Gwyn Benedict Office Assistant II 24 25 26 2'7 28 PLAN REVISION Owner's Name: f,4 (o P_ BP#: Date: AP#: Received By: / Time: �� '/7? Contact Person &Phone Number: 3-2-5 ' 1 9 SS_ PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision t ❑ *Requested by Building Inspector's Correction Notice - Inspector's Name: 09 Requested by Plan's Examiner - Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: f ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum, revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: Minimum $54.99 Receipt #: Fee not required for revisions requested by plans examiner prior to issuance of permit. Additional Fee Amount: Receipt #: Revised 2/04 4 Scade yo. / I i FROM :.'MID—AMERICA PHONE NO. : 5308466997 Jan. 13 2000 11:03AM P1 I MUrrg7af7e Cure cn�c 1/131M1 , To: Milne vRutherford or Scott Rutherfo I I From: Mike Hill @ Crossland Mortgage 846-6979 Fax 846-6997 Re: AN 027-040-090 75 Samlyrm Way, OmMe, Ca We ate placing a FHA loan of this property_ Due to the higher voltage power poll located on the property, FHA is roquestittg a letter, from the local regulatory agency, that the poll conforms to local standards and is deemed safe_ if you have any gnesdous, please tail me at the number above. if at all possike, could you please respond at your est conveniettm We are trying to close this loan by tomorrow_ Tlta�: • I� I Cr *sLmid MornaLTr. Coq) t • 1 1103 Trutt,. Hause Road, Suite F. Yuba City, California 95993 7elephone.530-7.51-818I A financial geruices company of First Security Bank ?equal 11vusing Oppnrtunittl Lender CLAIMANT: ADDRESS: &UW* r F/ 'itwe `t � OROVILL.E, CALIFORNIA GENERAL CLAIM 134 S - CITY & STATE: 0-hio C) I qt '(sz IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR- SERVICES COUNTY OI' num BUILDING OF --PT' MAR DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) i AMOUNT �j , o� Owner has decided not to do work. Permit #93-22B,P,E, `'AP#027-040-090, Receipt #130397, dated -1/5/93. Total Permit Fees Paid ------------------------------ $416.75 Retain Plan Checking Fee -----------=--=--$108.75 Retain Building Permit Filing Fee--------. 15.00 Retain Plumbing Permit Filing Fee-------- 15.00 Retain Electrical Permit Filing Fee------- 15.00 Total Permit Fees Retained------------------------- 153:75 — TOTAL REFUND DUE ---------------------------- =------=$263.00 Total Sheriff's Fee Paid --------------------------- $360.00 TOTAL REFUND DUE ------------------------------------ $360.00 Total Combined Refund Due TOTAL $623100 I, the undersigned, leclare under penalty of perjury that the services or articles claimed have been performed or delivers and the, this claim is true and correct as stated. iDated this llX-1.�..l day of ............................. 19....... at A1l -C)..... Celit. ...............�....... ........................ .. . ...... Si atur of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specifi ov e , een performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval C:3 (Check one) for t e e. Dated this ........ 29th,,,,,,,,,,,,,,,, day of March 19 93 at Oroville caur. ............................ ................................. epattment Head or Authorized Deputy Dept,E Code 4!yQ-QQ�,, Code ...1011811=$360.00 PAYABLE FROM Sheriff Develomart Fees FUND ..........................................Pal..................................... DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I �eeS O�vl y aqutte OROVILLE, CA0FORNIA GENERAL CLAIM CLAIMANT: , \ p� l o r) P+ u ( �/ ✓ ` S- (,ol ADDRESS: .(� CITY & STATE: 1 �l hOQ t -�t ' Q -1� - IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM:— ON REVERSE SIDE SUBMIT' CLAIM, TO DEPARTMENT" RECEIVING GOODS OR SERVICES COUNTY OF SUTte BUILDING IN -PT MAR :.5 .. DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) ; AMOUNT �•I / t = nlv I/ 'A - b- Y a I I . TOTAL I '-]'�j(� +-j E I. the undersignec. ]eclare under penalty of perjury that the services or articles claimed have been performed or delivere and that this claim is true and correct as stated. -� Dated this �J(--q 1.J..1-5day of ............................. 19......, .t, k -0—C)..... Calif., ..............�/... .............an .. .. ....... Signatur o[ Claimant I. tf%e undersignec, hereby certify that, to the best of my knowledge• the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval,^) (Check one) for the same. Dated is ................................... day of ............................. 19....... at .............................. . Calif.............................................................._..................... Department Head or Authorized Deputy Dept. Exp. Code..................... _..................... Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califernia 95965 - Telephone: 916/538-7541 93-22 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-04-0-090 ZONING 'ARMH5 BUILDING PERMIT OWNER Patrick 310 IE TELEPHONE 942-2181 SQ. FT. OCC. BUILDING VALUATION MAILING ADDRESS 8721 UnsePico Rivera 1180 R 3.720 R'NSt CONTRACTOS Executive Homes TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 Esplanade, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 217.50 $ 108.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 75 Sam Lynn Jay, Oroville Permit fee $ 341.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 -7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: MH On permanent foundation Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professio Cg le t" my license is in full force and effect. License No. (JJ�� t" my 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 Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.d+\ OR ADDNS. ACC. BLDGS. // 3.6a sq.ft. NEW CONSTFL ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 @ 76 AL- ARI FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 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 accrueHAz against said Couny in conseq nce of the granting of this permit. X ate_ � :� /� of A plicant — 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE 416.75 DFEE$ IMP FLOOD CDF AR PD HD ISSUE This permit is hereby issued under tfte4pplicable sionssignature of the Butte County Code and/or work in ' ted a for which fees COR OF PUBLIC By PERMIT EX IRS Date provi- resolutions to do have been paid. WORKS Date Receipt No. F.� WHITE-D.P.W. TELLOW-ASSESSOR, PIN -INSPECTOR. GOLDENROD -APPLICANT ,�i7'Rr'.\Yl�nki ',.rr}�Rn. t� •may' .•W�rl�•r• ..7�T' Ka...,, ".,�y<r7'7 �j�'T rv�.r..,.+•� TYOFBUTTE - DEPARTMENTORDEVE PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO�ILLE, GAL`IFORNIA95965 - TELEPHONE (916) 538-7541 PERWAPPLICATION DATA SHEET 71 OWNER rlrl CKbloc/A. P. No. 027- Proposed 27-Proposed Building Use _ /yf / t otJnli. o, Building Inspector Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted. ........ t* ............................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ............ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and. layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. 11. Fees of $ . ............................... . Impact fees as shown on attached schedule. A ...coo ........... . .. . .. . ..... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ............ .. . 14. Sanitation and plot plan approval Ute, I If Health Department. ............ I t �i�360 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . N 19. A20. Driveway permit (construction approval required prior to occupancy). .. Pre inspection for,. , ' t. l: ,l required. .. oBuilding �speao�— (Date) 21. Contractor's license information. (No., Name Style, Classification). ............... - 22. Certificate of Workmans Compensation Insurance . .......................... 23 .24. Owner -Builder Verification (Given to owner Mail to owner _). ...... Recorded copy,of Agricultural TAckn........... owledgement Statement. ....... Letter 25. 27. of signature authorization;,,.../......... ..................... ..... _ opy of recorded deed of parcel creation a d. .....(-17- T 3 Letter of intent on building use . ......................................... 28. Mobilehome utility clearance........................................... 29. Documentation of legal access . ..................... :.............. ... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed 31. and (B) Parcel meets zoning area an a requir pts. ............... Existing violatio /expired permits. ... 1 �� .1 .. q........... . Where you issue the permit, process as follows: Mail to owner. Mail to contractor. V Telephone69 f- 699L and hold for pickup at .-Ozo office. Deliver with inspector. Other ,, Parcel Creation 'j�iL��,� Acreage- .-Applicant Date 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 1. Index permit for above items No. 2. Additional items required: item not checked above). Contractor, designer, owner, was advised of above required data by hone _ mail Counter by /1 Date 14 Contractor, designer, owner, was advised of above required data by _phone _mail Cou er by _Date Plans checked by Date Plans approved by' Date Oi 43 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F.M. USE ONLY Plot Han Auaclwd TO: Building Department - FROM: Environmental Health SUBJECT: Sanitation Clearance 7s 7- 0 q--9 Owner Location , APS Plan Approved for: Sewage Disposal Water Supply' Public°` � Private Well Clearance for 6';I� bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: / Environmental Health Specialist Date 8/92 COUNT'f OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNT CENTER DRIVE - OROVILLE,CaUFORNIA 95965 - TELEPHONE (916)5387541 YWNER ! Cly ' O e A. P. NO. .Z -7 - b Y D (D �Q 0 `f )ROPOSED BUILDING USE MAI RfA /-ovNP- DATE REC. DATE REC I. _Y2. School D_stric Fees (paid at District Office) ,.,, Sher= Fees (paid. at -Building Department) Residential ......... X _ 0 unit amt. Commercial(per sq.f t.) - R =$ sq. ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ units amt. Commerical(per sq.ft.) % =$ sq.ft. amt. 4. Rem eation District Fees (paid at :-District Office) .......................... 5. Drainage District Fees (Contact :and Development) 6. Other 7. Other 130397 J15193 t time of permit arplication, I was advised the above fees are required to be paid pr=-- :o issuance of the permit. =LPPLICANT DATE �� 2 Bank of America I P.O. BOX 2190 RANCHO CORDOVA, CA 95741 Northern California Cons9 mer Loan Center I BUTTE COUNTY BUILDING DEPT. 7 COUNTY CENTER DRIVE OROVILLE, CA 95966 JAN LARY 6, 1993 I ATTENTION BUILDING DEPT.: i THIS LETTER IS TO INFORM YOU THAT THE MOBILE HOME, LOCATED AT: SAM LYNN WAY, OROVILLE, CA'95966, APN:027-040-090, WILL BE ON A PERMANENT FOUNDATION. r i I SINCERELY i C. PALADINO ASSISTANT VICE PRESIDENT 1 i Bank of America National Trust and Savings Association 11090! White Rock Road Rancho Cordova, California 95670 h COUNTY OF BUTTE BUILDING DEPT JAN 1 1 1993 BMW ■■■�■■■■®■■■■■E■■■■■■■ate®■e■� _ _ ®®■®®®®®■■®®■■■ENEE■Mtn■®®®■■■ ■ ■E■■Es■■■■■■■■■■■■Ess■■■■■ ■ ■E■EMEME■MEMEEEM■■E ■■NEEM■■ ■■■■■■ ■■ ME■E O �, rME■■■ ■ ■■ ■■■s■nE■■■■�■■■�s■■■E■■E ■■M■■E■■ :■■■■s■■■■■■■■■■ i� 11EE■■■■ " MESSINESS HESSE■ ■■■� ■■■■■■■■ INEE■■ • ■� ON NINE RESIDENTIAL 027-04-0-090 _ 93-22 BPE BOYLE, Patrick 75 Sam Lynn Way, Oroville contr: Executive Homes mh on perm fndn ql �3 �Ij a y JOB FINALED (Date) Signature 0 J=OK O = Not OK Y = 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: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'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 Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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-Panelboards-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 Applicable Not Ready RESIDENTIAL (: = Date UNDERFLOOR (Plans) OK except it's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except H's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------------- - ----------------- 19. Shower Pan: Test, First Floor -Tub Access ------------------- ----------------------------- 20. Test Tub & Shower, --- Second Floor -Tub Access - ----- ----------------- 21. Gas Pipe: Size & Anchcrs Date Card B-1 Date Card B-1 ---------------------- --- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors _ 24. Size Boxes & No. of Conductors -Stapled - -------------------------- -------------- -- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water -------------------------------------------- ------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------- ----- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------------ - ------- - --------- - --- - ------ -- -------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes No - --------------------------------------- -- --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect --------- - ---------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- - - - --------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - ----------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except x's 34. A.C. Ducts Insulation & .Support ------- ------------------------ ------ --- ---- - --------- 35. Vent Fan: Exhaust above insulation --------------------------------------- -------------------------------------36. Condensate Drain & Overflow: Size & Grade --------------------------------------- --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------------•--------------------------------------------- - - 38. Attic Access & Platform f Furnance in Attic --------------------------------------- -- ---------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------- -- ---- ---------- --- Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - - - - --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing --- - - ------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub n- 44. Headers & Beam -Size & Bearing l i11 , jingle.& Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------54.-plywood on Roof Overhang -Attic Vents -Rafter Outriggers --- --- 55. Siding -Nailing Veneer ------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------- ---- ---------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------- -- 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------- 64. --------- 64. Bedroom Exiting -------------------------- - ----- 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------ ----------------- ---- -- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------------- 71. --Elec. Outlets & Receptacles at Kit. Counter ------------------------- ---- 72. Garage Fire _Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper -- ----- ---------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection - --- ------------- 75. Plb.. Elec. & M_ech._Equip. Listed for Location ------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection -------------- --------------------- 7-,. Insulation -Foam -Looked in Attic 0 Yes ---------------------- -------- ------------- --------- - 78. Guard Rails & Deck -Const ruct ion- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive C1 Yes 0 No; Walks 0 Yes 0 No; Planters Yes 13 No 81-.- Stucco:- Brown -Finish ------------------------------------- ------ 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------------ - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House . .. - - -- ---------------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections - --- --------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------------------------- ---------- ------- 90. Water & Sewer Connected-C/_O to Grade -HD Approval _ 91. Energy Compliance Certificate -Other Certificates -------------------------------------------- -- Date Card B-1 Date Card B-1 --------------------- ------ ---------- - -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r- r RESIPENTIAL 027-04-0-090 BOYLE, PATRICK 93-686BPEM 75 SAM LYNN, OROVILLE CONTR: STEVE ORSILLO NEW SF n�_Go�. Dnt+na OFFICE COPY JOB FINALE Signature Address I� GAS Meter By Date ELECTRIC Meter By Date - OFFICE COPY Address GAS Meter By� '/- Date 1 ELECTRIC`" Meter By Dat j JOB FINALE Signature V = OK O=Not OK Not = Not Readyable MOBILE HOMES' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements-Setbacks-Easementa 2. Solis; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / P'Vft. / /"Net. or/ /' L" ft./ /"LPG 7. Well Clearance 6 Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Conne*ors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftre.-Connectors Shthg -Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements ` 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UND FLOOR Plans OK except #'s Zon n -Setbacks-Easements-Flood-Slope in; Soils-Elec. Grnd.- P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd -/ /" Ftg. Depth 4.'Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel I - /'t`-73 /y19. D.W.Y-W-a#-FlH1ng-Test-2 Way C/O -Sewer Test l Z) 1jQe17�Gas Pipe; Size -Anchors -yard gds size -teat Test 13.'Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16.josult tion Date/Initials PLU Permit OK except #'s il.1 ter Htr.; Vent -Access -Combustion Air -Baffle . Wa pe; Test & Anchor -Nail Protection .W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access es Pipe; Size & Anchors Date/initials TRICAL Permit OK except #'s g4effxture & Transformer Clearance -Ins. Protection 23. Pec. Receptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors -Stapled 25. "ex Installed Close to Edge of Studs 3 C.J. 6. ip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI l bfeed Wire Size / / ga. Cu or AI-A.C. VVire Size / / ga. r Al Range Circ. / / ga. Cu or AI -Oven Circ. IL. Cu or Al. _Ln.sulated Neutral Q^Yes ur No 0. SgpAce-Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels -Motors -Meth. Equip. ----32�es Closet Light -Shower Light -Spa Light 3. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. . Ducts Insulation & Support .X Vent Fan; Exhaust above insulation 36. _gon3lensste Drain & Overflow; Size & Grade 7. F nance-Verit; Access -Comb. Air -Return Air Vent -115 outlet ttic Acce Platform f Furnance in Attic Date/Initials AMINO Plans OK except #'s 39. §)s, Proper Material & Anchors 0'W s Studs -Nailing, Spacing & Bracing -Plates -Sound ng Walls over Girders & Floor Nailing 2. DA Stop in Wells (rat proof) Stops; Furred Ceilings -Stairs -Chases -Tub 4 aders & Beam -Size & Bearina Single & Duplex) Date/Initials FRAMING (Continued) Joist-Rftr. ties-Purlin-roof Brac- replace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions rage Fire Protection Framing roperty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -Ire Protection b_-&*.-Pywood on Roof Overhang -Attic Vents -Rafter Outriggers 1-,6a-%rdrg-Flailing Veneer ..T -66. StUCM- ash -Drip Screed -Fd. Vents-Underflr. Access Area -Glass - 59. Insul tion -Wells -Ceilings . nfiltration-Walls-Windows Date/Initials FINA lana) OK except #'s _ . E!!, Steps -Door & Sidelight Protection -Landings fry - Detector J3J.'Furnace; Vents -Clearance -Comb. Air -Connector - In (Drage; Above Floor -Ducts -Mach. Protection �e�coom Exiting .GG-G.F.I .& Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels Rove; Clearances -Hearth at Wood Panel; Int. & Ext. pliance; Grnd.-Air Gap -Cooking Clearance X. Elec-Outlets & Receptacles at Kit. Counter . Garege Fire Door. Swina-Landina-Closer .7C Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 1p.2arage; Above Floor -Mach. Protection alb., Elec. & Mach. Equip. Listed for Location El . Receptacles in Garage; (G.F.I.)-Romex Protection 7.7 -Insulation -Foam- Looked in Attic ❑ Yes 76.-�ifs• & Deck Construction -Post Caps 70"Fdn. Vents & Crawl Hole Door-Dreina e & Wood -Earth Cle rance Looked under Floor Yes llowing instld.; Drive es ❑ No; Walks Yea ❑ No; Planters ❑ Yes ❑ No 84....tuc�6,-BrOWn-Fln ish ytTnit; Disconnect, Electrical, Plumbing 63 -'Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to OppMhgs We*ajor-Well; Disconnect, Electrical, Plumbing A&-fjoAor Elec. Trim; G.F.I. Receptacle -Underground Ve tilation Throughout House GI rotection . Corre tions from Previous Inspections as jim"eters Tagged; Gas -Electric 9t7T4lat .& Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE BUILDING DIVISION 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 \90ILF 513 -a�: t31NYr�i � P'"RMIT NO. Aroutne'sspecdon indicates that the following violations of Butte County Or..ances exist at the above address and should be corrected. Please notify this Office, when correction of work D �� REV 10112 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .'a 1 1469 Humboldt Road, Chico, CA - (916) 891-2751 , "f 7 County Center Drive, Oroville, CA - (916). 538-7541 3; 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE _ M 14 L5 oylcS (7' -C 4c OWNER �,' PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Z"— - , '&�'® /c - t Date 471- / �/' f Inspector. REV 10192 It k: c. �3 1 t Date 471- / �/' f Inspector. REV 10192 COUNTY OF BUTTE BUILDING DIVISION 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 o ( 14C 9-.?- 4-�& OWN"I / PERMIT NO. Anmfareinpectkm ardicates that the following violations of Butte County Ordinances exist at the alb r aid 1 and should be corrected. Please notify this office when correction of work iscompleted.lfyouhave any questions pertaining to this matter, or need additional explanation, please t�lswoffice immediately. /) TA4ZAb I 'I'n / .,s r. "P r .S Date s 0 3-y3 Inspector RBf 10192 OWNER: f (i F �/C e U PEF:1.11 '1' ENERGY CERTIFICATION AP # DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME: CertainTeed TH1 CK NESS 1 HERMAL RES. _ -- EXTERIOR WALL Fiberglass .MATERIAL I H I C:KNESS y BRAND NAME CertainTeed THEFMAI. r:ES. / 377 CEILING . PATT OF: ULANIK TTYF`t:: Fiberglasst�f%ANl? NAMECerthinTeed Tt l) O'.NLSS I F:ERMAL. RES. _ LQO!.;1:. FILL Insulsafe III BRAND NAME CertainTeed T1i I c -I; NESS 1-2 XL THERMAL RE 3 O _ FLOOR -ELEVATED MATERIAL_ Fiberglass TH I C:KNESS FLOOR -SLAB INTERIOR WALL MATERIAL Fiberglass TH I CKNESS _ A BRAND NAME: CertainTeed THERMAL RES. BRAND NAMC CertainTeed. THERMAL RES. --I/ _ I HEREBY CFRTIF1( THAT THE ABOVE INSULATION WAS `INSTALL.ED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS ND. I /dba.SHASTA INSULATION LIC. #650722 . s S'.3 SIGNATURE , DATE I HEREBY r Ett T I FY. THE ABOVE INSULATION AND ALL kCQU I F.ED 1 T EM!, AS SHOWN ON THE: HU I L D I Nu DEPARTMENT Ar -PROVED F-LANS AND ATTACHMENTS HAVE BEEN INSTALLED AS PEDUIRED BY THE STATE nr CALIFORNIA ENEr,%Y REQUIREMENTS. . ALL E(2UIPMCNT,- DEVICES, AND MATERIALS ARE (IF QUALITY PRESCR I PED .OF, ARE SPI: C I F I CALLY APF'ROVF)) BY THE STATE. SIGNATURE OF GENERAL CONT/OWNER STATE CONT LICq� This terti ticatr must Lie on file with the Duilding fit -pt. prior to Final .and P-:•t:teid within building. RESIDENTIAL I 0��_93=1004 B,E~ 44 027=04-0=09 BOYLE, F ATRI WAY OROVILLE i 75 SAM STEVE ORSILLO q1 / CONTR • o l9 PG SF I i I JOB FINALED (Date) Signature t V=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 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 -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 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 -Fell -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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolla 4. Wood Awn.; Posta-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK = Not Applicable RESIDENTIAL = Not Ready - Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / i ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rl in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights-Plaatic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Flnal: J •.x COUNTY, OF BUTTE - DEP,11RTMENT OF PUBLIC WORKS 7 Cciunty Center Drive - Orovifle, California 95965 - Telephone: 916/538-7541 'APPLICATION AND PERMIT PERMIT NO. 9i-�®0, ASSESSOR PARCEL NUMBERZONING 027-040-090 ARM -H-5 BUILDING PERMIT OWNER , Patrick Bo le TELEPHONE 533-2845 SO. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 75 Sam L Way, Oroville 95966 TFT--. 95 7 CONTRACTORSM Steve Orsillo TELEPHONE 532-1131 - CONTRACTOR'S MAILING ADDRESS 3022 Olive Hwy., Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 9,50 4.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 97.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking. Fee $ 48.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $161.25 79 Sam T,3Znn Way, Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ U t i Iities ❑ Installation ❑ Other ❑ Describe work: Garage RE: B.P. #93-22 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW 1 dere 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 16 ElFIXED 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 Main service 200A TO 1000A). .37.50 NEW CONST. (DWELLING OCCUPM OR ACDNS. l ACC. BLDGS. p X 3.64sq.ft. 18.45 NEW CONSTR. MULTI.OUTLET@ NON.R ESID BRANCH CIRC UITS 5.00 (POWER APPARATUS 9) SINGLE OUTLET CIR. Ex. Occu p( OUTLETS OR FIXTURES 20 76 APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ .45 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 provisions or this permit shall be deemed revoked. to the W. C. provisions of the Labor Code, you must forthwith comply with suchkEnergy Contractor - MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation $ 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 Countyoiction Butte to enter upon the above-ment' ed property for inspection purposes. also agree @sa indemni d eep harmless the County of Butte against liabilitiee c sts a d expenses which may in any way accrueDFEES against saidn e e c of the granting of this permit. X Date Signature of Appli ant — 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. Installation Fee S Fee $ SIVPEI V TOTAL FEE $ 194.70all IMP r -- FLOOD PARCEL PD H Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. E IC WORKS � By D 4 PERMIT EXPIRES D Receipt No. 14G496 WNITE-D. P. W., 7ELLOW-ASBC930R, PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT'OF�f-VELOPMF--tITSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �` 7 . No. Q 7 - Proposed Proposed Building_Use /' Z f Building Inspector Date .: a , 0' 1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY Y All items have been submitted . .........................'.............. . Plot plans, 0/4 sets, signed by preparer of plans. ........ j 3.. Complete p anso/4 sets, signed by preparer of plans. ......I ............... S3 .4. Engineered plans and calcs, 3/4 sets, with wet.signature on plans . ............ . 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... �3 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10:' -Fees of $ ........... .I ....................... 11. Impact fees as shown on attached schedule. ."' ........................... . 12. California Department of Forestry plan approval/fees. ....................... . 114--17100 levatioq letter (100 year flood by_ ifornia Engineer . ................ jn 4. Sanitation andlot plan approval .Health Department . ............ —' 15. City of Chico plumbing permit . ............ ' ........................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B).Parking: 18.` Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . gt 20. Pre -inspection for required. .. o Building �speaor (Date) ° 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate'of Workmans Compensation Insurance . ...................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24.. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance..............1. :�........................... . 29. Documentation of legal access . ..............; .....: 30. Documentation of 50% subdivision developed or (A) Road improvements completed , and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits : ................. . ................... . 32. Plan checklist ................................... . - -� 33. �flO5 le'S .34. .� When you issue the permit, process as follows: Mail to:owner. Mail to contractor. Telephon ' and hold for pickup at D office. Deliver with inspector. Other t Parcel Creation Acreage Applicant ` Date 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: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by 5°— Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1:.11 u, I'lul Plan AutlEherl — _✓��, 14hor 1'1110 Altudi ed TO: Building Departnicnt FROM: Environmental Health SUBJECT: Sanitation Clearance riC.k c:27-0 g� Own&r Location AP# Plan Approved for: Sewage Disposal Water Supply:////" Public Private Well � Clearance for bedroom mobile home. Other )'' Q `6cC:�le az5 � �aa—rCcG.C' , Hold final for: Final clearance O.K. for: NOTE Environmental Health Specialist 8/92 Date COUNTY OF BUTTE - DEP-ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -'Telephone: 916!538-7541 'APPLICATION AND PERMIT PERMIT NO. 3-/d0IV ASSES OR PARCEL NUM E vZ —' 0 ZO I r BUILDING PERMIT OWNER I TSE•^��Haj� SO. FT. OCC BUILDING V LUATION O RS ' M I ADDRESS A /N^ �/ CTRAC OR' AM //// GAUMi CONTRACTOR'S MAILI G AODRJESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADORES Permit fee $ i PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Additiong Remodel[] Utilities❑ Installation❑ Other[] Describe work: �/g r0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 Main service 200A TO 1000A1 37.50 NEW CONST. / DWELLING OCCUP.ad 3.6asq.ft. OR ADDNS. 1 ACC. SLOGS. II NEW CONSTR. '-'ULT'-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 6 SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLNS. EX. OCCUp. OUTLETS PRESID OR...) EA) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ �:c•ws•�:--- 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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. ainst I also agree to save, indemnify and keep harmless the County of BVay all liabilities, judgments, costs, and expenses which may in anyccrue against said County in consequence of the granting of this pery X Dat A 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ , 7a r,Az OFEES IMP FLOOD c0F PARCEL Po r+0 ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. G�(��9'�' WNITE-o.P.W., YELLOW-ASSE»OR. PINK -INSPECTOR. COLDENROO-APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone; 916/538-7541 APPLICATION AND PERMIT 6193-686 PERMIT NO. ASSESSOR PARCEL NUMBERZO 027-040-090 X15 . BUILDING PERMIT OWNER PATRICK BOYLE % TEL�3O� §45 SQ. FT. OCC. BUILDING VALUATION COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone; 916/538-7541 APPLICATION AND PERMIT 6193-686 PERMIT NO. ASSESSOR PARCEL NUMBERZO 027-040-090 X15 . BUILDING PERMIT OWNER PATRICK BOYLE % TEL�3O� §45 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 75 SAM LYNN WAY OROVILLE 95966 CONTRACTOR'S NAME - STEVE ORSILLO CONST. T3�"Yi31 1170 R 63,180 80 C 1,040 CONTRACTOR'S MAILING ADDRESS 3022 OLIVE HWY OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 64,220 LENDER'S MAILING ADDRESS Filing Fee $ _ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 220.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ NG ADDR B 75DSAM LYNNS WAY OROVILLE Permit fee $ 695.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME P.G. DRESHER TRACT SUB #1 PARCEL MAP 14-27 Water piping 7.00 7.00 Each pas water heater or vent 7.00 -00 Gas piping system 1 - 5 outlets 5.00-5.00 USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 15.00 -15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New aX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 BDRM Permit Fee $ 89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Id - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one : yam, ) 1yl J I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code anliny license is in full orce and effect. License No. Classification ❑FIXED 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) ElI, as -the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A). 37.50 NEW CONST. / DWELLING OCCUP.9 3.64sq.ft. OR ADDNS. \ ACC. BLDGS. // 40.95 NEW CONSTRULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 APPLNS. OR \ EX. QCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating OVERHEAD DUCTS 9.00 Cooling SWAMP 11.00 Hood 6.50 6.50 Ventilation Permit Fee $ 41.50 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, an ereby ho ' e representatives of the Countyot Butte to enter upon the v m i e o erty for inspection purposes. I also agree to save, ' de k h rmless the County of Butte against all liabilities, Jud en s, an exp nses which may in any way accrue against said C seque c f t granting of this permit. X Date 7 Signature of Applicant - Owner Contractor Agent ❑ An OSHA permit is required for excovations ver eep an e oo st,� ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 co T E TOTAL FEES 939.95 HAZ 1 0f MPFLooD cDF PARc�r ,/ PD r, )Ss This permit is hereby issued under the applicable provi- ions of the ou ode and/or resolutions to do ork ind' to 0 f which fees have been paid. E OF PUBLIC WORKS Dto /y ER IT EXPIRES Date Receipt No. 135863-300.00/ islo e169 Iq 08 WNITC-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GO a -APPLICANT �t:6"t'-='"�.r^�I --��'� � .- � - ^.1--f:.n+.�.�,5�'+l"5''"' •.. �"�".'�'�'.�„ �-v*.-�pP "� ' "'�!�'��w!"'�"�'"a.. COUNT OF BUTTE - DEPARTMENTOFDEVELOPMENTSERVICES - B ; L[� )GDIVISION N 7 COUNTY CENTER DRIVE - OROVILLE,KQALIF ORN�IA 959fi5 - TELEPHONE (916) 538-754.1 PERMIYAICATION DATA SHEET WWI Proposed Building Use Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECENED BY All items have been submitted........................................I 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . .................... ��.. . . ... .......... Energy Design Compliance 6. and supporting doc_ mer.. tali n . .................. 7. 8. Statement of Intent for Non -Heated a d - , , , . , Engineered truss details la 74 and r p cate (r ed prior to plan check). .. 10. Mobilehome an t rer' install tiq sets. Fees `5 11. Impact fees as shown on att ched sc ,S/` rt ... , , .e 12. California Department of Fores ry plan approv~� 13 1-14. Flood elevation letter (100 year flood) by6Californ•a Engineer .................. Sanitation and plot plan approval ealth Department — - - 15. . ...... :..... City of Chico plumbing permit. . f.." .......................... 16. 4 Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required -prior to occupancy). 20. Pn3a�speo�q�- Pre -inspection for est required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to°owner , Mail to owner �. ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................ ' ,Letter of signature authorization. ..... 7......................... . . r........ 26. Copy of recorded deed of parcel creation and 60 right of way to a public oad.�� 27"Letter intent building of on use. ......... 28. Mobilehome utility clearance . ............................................. 29. Documentation of legal access . ..................... :........... ...... - 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... - 31. Existing violations/expired permits . ............. :........................ 32. 33.X/ST/,t/� PI . check list. ...... 34. �t�-- When you issue the permit, process as follows: Mail to owner!!.--_S'Mail�t ontr ct tr. Telephone532- 1/ 3 / and hold for pickup at O V offs Deliver with inspector. Other Parcel Creation 61 4} Acreage Sg r..ai + Applicant ! Date 3 /7 9 3 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 submitti 1. Index permit for above items No. 2. Additional items required: ew itern-Wot-sh4ed above). t.N rJ d&I Contractor, designer, owner, was advised of above required data by _phone _ math Counter L Date 3 / S3 Contractor, designer, owner, was advised of above required data b phone _ mail Counter by _ Date Plans checked by Date. nspproved bye- Date Sets of plans on hold in File cabinet\der�- Copy - Department of Public Works , Phil Him AI)ncllul Flour Phut Alulchod _ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ?It—f-efc-& BO Owner Location Plan Approved f r: Sewage Disposal Water Supply: Public A P# f� Private Well Hold final for: hil c earance O.K. for: NOTF,; nvironmental Health S all II Ist BUILDING DEPT MAR 1 9 193 Date ASSESSOR PARCEL NUMB R - 02Z7-64-0 - it OWNE / 1 OWNER'S MAILING AODP.ESS/D�PESS CONT CNAME 5 � 04< COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Canter Orive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ZONING i5 IAEM H 13— 1 BUILDING PERMIT PERMIT NQ�� ` ' 1533 1 SO. FT. OCC. I BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS Q1A al-luE IIWILOA-10 1(v 61 DWELLING OCCUP.EI NEW CONST. 3.6Qaa.ft. OR ADONS.\ / . ACC. BLDGS. (?S ❑NON-REStO 1 am licensed under provisions of Chapt. 9. Div. 3 of the Business NEW CONSTR IVUL "OUTLET BRANCH CIRC ITS @ 5.00)j and Professions Code and my license is in full force and effect. Fireplace License No. Classification CONSTRUCTION LENDER UNKNOWN Total Valuation $ sation."will do tie work,and the structure is not intended or offered Temporary service 15.00 i LENDER'S MAILING ADDRESS ARCHITEC' OR ENGINEER LICENSE NO. Filing Fee ors. (Sec. 7044) Misc. Wiring '15.00 15.00 Permit Fee Plan Checking Fee S drQ� j ARCHITECT OR ENGINEER'S MAILING ADDRESS WORKMEN'S COMPENSATION INSURANCE Energy Plan Checking Fee I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee I 15.00 ❑ The permit is for S100.00 (valuation) or less. Penalty $ ❑ I have placed on file with the County of Butte Building Department BUILDING ADDRESS --- - -75 :,AM LYyXI / A Permit fee s - a PLUMBING PERMIT Filing Fee ism Notice to Applicant: If after making this statement, should you become subject Each Trap S 1 5.001 V0,0V 1 I certify that I have read this application ano state that the above information Mobile Home Installation Fee S Solar or heat pump water heater1 20.001 1 LOT NO. 54OlVISION NAMME�� PARC L MAP Water piping all liabilities, judgments, costs. and expenses which may in any way ccrue 7.00 r�Q Each qas water heater or vent 7.00 I USE -OF -STRUCTURE SFXDuplex❑ Mobilehome❑ Other I7III�� SPECT FY Gas piping system 1 - 5 outlets This permit is hereby issued under the applicable provl- 5.00 Q Building sewer indicated above for which fees have been paia. Mobile Home IS G W @ 15.001 DIRECTOR OF PUBLIC WORKS TYPE.OF•WORK New Addition❑ Remodel❑ Utilities[]Installation❑ Other(] Perini t Fee Describe work: //I/I Contractor ELECTRICAL. PERMIT' Filing Fee 15.00 I Main service 200AORLESS— 18.50 rr; Main service 200A TO I000At.37.5011 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): DWELLING OCCUP.EI NEW CONST. 3.6Qaa.ft. OR ADONS.\ / . ACC. BLDGS. (?S ❑NON-REStO 1 am licensed under provisions of Chapt. 9. Div. 3 of the Business NEW CONSTR IVUL "OUTLET BRANCH CIRC ITS @ 5.00)j and Professions Code and my license is in full force and effect. (POWER /POWER APPARATUS6) OUTLET CIR. License No. Classification EX. OCCUQ� OUTLETS OR FIXTURES 20 76d a 1, as the owner. or my employees with wages as their sole compen- IXED APNS Ex. Occup. OU LETS PRESID IKEA.) 1 3.001 sation."will do tie work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring '15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ --� WORKMEN'S COMPENSATION INSURANCE Contractor � I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee I 15.00 ❑ The permit is for S100.00 (valuation) or less. Heating QUGK NEAO G ❑ I have placed on file with the County of Butte Building Department t QZ041 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. , D Cooling ❑ 1 shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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=Contra provisions or this permit shall be deemed revoked. I certify that I have read this application ano state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ , Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless cos v E TOTAL FEE $ the County of Butte againstI all liabilities, judgments, costs. and expenses which may in any way ccrue MA OFEES IMP FLOOD COF PARCEL P h10 SSU against said County in consequence of the granting of this perm��? I �-- X Date 3 This permit is hereby issued under the applicable provl- Signature ai Aopiicant — O-rnerC Contractor Agent L � v cions of the Butte Count Code and/or resolutions to do An OSHA',work permit is reaulred far eseavatlons over 5'0" .Ieeo and damoitr,on or construct-" -stones indicated above for which fees have been paia. ion at structures over 3 .n ne,ynt. DIRECTOR OF PUBLIC WORKS Receipt By DateI No. ---- - PERMIT EXPIRES Date «' +�''i1'* :[`! "y+r' rt •ydiYw"` F v[ xy�-�i.+.5r• �s N^a ,,`,.;HiY'�1r� 1.:;{�.T' �°� a�10'q+'ryr !'int' '% �i'�'"bw^j`w "' r{:_t 4-114y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District_ _ _ {2 U /V_. 1 Building Department No. A.P: Number OZ z.. _ % ' OHIO - 0904Jutrisdiction 0 City County }_ Property Owner Pa +r I k 60V Property Location/Address Subdivison Residential Development Commercial/Industrial �o. of Living f Units MHI New Lot No. , S4,.,Footage i Addition (Group R) Sq. Footage Addition (Floor Plans reviewed by School District Personnel) District Identification No. 930690 (Including Exterior Rooted Areas) 311-7A3 Date N `J e ou L. N 1 u ,u 441 G N School District certifies that A T R. L C 1, D (Applicant) P - ,r m m L Y N N (Street Address) (Phone Number) (City) (State) (Zip Code) ti.. has complied with the requirements of Resolution No. by payment of $ i9 3 0. z U representing 7 () square feet. School District Representative Date Paid by Check Number Bank Number Paid by Cash Remarks: _ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee '"'••.,�_Certifucation Form, the School'District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) CAT. NO. NNO1501 (� TO 2931 (12-90) (Witness Acknowledgment) J TICOR TITLE INSURANCE STATE OF CALIFORNIA COLINTYDF Butte )SS. On - January before me, the undersigned, a Notary Public in and for said State, personally appeared Kathleen Levercini personally known to me to be the person whose name is subscribed to the within instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and says: That this Patres Ckd s In Ce1zC� personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that he/she/they executed the same in his/her/their authorized OFTr ASHLEY DA SII�A capacity(ies), and that by his/her/their signature(s) on the instrument �r E aE" • , the person(s), or the entity upon behalf of which the person(s) acted, Comm. # 979603 executed the Instrument, and that affiant subscribed his/her name to PAI WO the within Instrument as a Witness. WITNESS my hand and official seal. ` Signature !� U e� NOTARY PUBLIC - d Butte County C'1lIFOPNM}I Comm. Expires Nov. 29,1996 -+ (This area for official notarial seal) ' -ty -. .�.. � 9 30034-I �� curn to DPW " " AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County'Code requires this acknowledgement be recorded prior to issuance'of a•building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purpo§es, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides and fertilizers; and from -the pursuit of agricultural operations including, but not limited to 'cultivation, plowing, spraying,- pruning, and harvesting which occasionally generate dust, ::woke, noise, and odor. Butte County has established agricultural zones which have as.a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience 'or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: wee- 0-+�0-d N(2 l Date: January 5, 1993 State of ) SS. County of ) 93-000341 1 Rec . Fee 8.00 I Cash 8.00 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 1:00pm 5 -Jan -93 I PUBL XX 2 PROPERTY OWNERS: 0, TN2Sse On this the day of 19 , before me, the undersigned Notary Public, personally appeared Ll Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein cantained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No�: I-�Q-q Notary Public _ QU04/93` 11:09 $916 894 0713 BTEC.,CHICO, SCHEDULE C Order No, 2-159947. The land referred to herein is described as follows All -that certain.real property situate in the County of Butte, state of California, described as follows: All that real property 1. described as a portion of Parcel 3, according to i that certain Pa- el,'Map as filed for record in Book 70 of Maps, at Page.44, lying ire Section•3, T 18-N., R 4 E, and in Section 34, T'19 N; R 4 E, M.D.M_, Butte County,• California, and being more particularly described +as follows: Commencing at the southwest corner•of said Parcel 3, said point being the TRUE VOINT OF BEGINNING for the herein -described parcel of land; thence N 001, -90, 32" w,ralong'the,,weat line of said parcel, 518.13 feet; thence N 890 20' 11" E, parallel with the south"line of said parcel,.433.68 feet, to a point On the east line of said Parcel 3; thence s 000 20' 32" E, along said line, 518.13 feet, to the southeast corner of said parcel; thence S 890 20' 11" W, along the south line of said parcel, 433.68 feet, to the point of beginning. TOGETHER WITH a right-of-way 60 feet in width for road and public utility purposes as shown on the above described map. ALSO TOGETHER WITH.a right-of-way 60 feet in width for road and public, utility purposes as shown on that Parcel Map recorded in Book 62 of Parcel Maps, at Page 78- ALSO 8_ALSO TOGETHER WITH a• right-of-way for road and public utility purposec of 'the easterly 30.00 feet of the southerly 527.96 feet of Parcel Two, as shoran on that certain.Parcel Map being a portion of P. C. Drescher -Tract Subdivision Nos. 1 and 2 as filed for record in the Office of the'Butte County Recorder in Book 70 of parcel Maps, at Page 44. ALSO TOGETHER WITH a non, -exclusive easement 15 feet in width for pipelirA:_- and public utilities over Parcel 4 of that Parcel Map filed'in Book 70 of Parcel Maps, at Page 44, lying northerly of and contiguous to the existiing t1 Oroville Wyandotte Irrigation District .right-of-way as shown on said map. i A'; AP No. 027-040-040` .�® OF ®OCUMFoNT ( W, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School Districty.). % e70 / Building Department No. A.P. Number -0Z'7-6y10- 0 / 6 Jurisdiction City � County Property Owner T A-tf c (A E> c 1e. Property Location/Address f 5 nfi C N Subdivison Lot No. Residential DevelcftaOF�8U�11'Q / No. of Living AHI Addition JAN 0 5 IM. Units Commercial/Industrial 0 New Addition Building Diepartment R ODO Sq. Footage . I I g c) (Group R) Sq. Footage (Including Exterior Roofed Areas) /-.1/-�-s Dat District Identification No. 930636 ��kC VL [& L, bhi'!! chool District certifies that /% , A (Applicant) (State) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. by payment of $ 9 �% 00 representing, square feet.. School District Representative Date Paid by Check Number Remarks: Bank Number _ Paid by Cash If, subsequent to th chool District Repre0 ntative signing this �?�County Schools I act Fee Certification For , the School Districtis'notified by the applic a Local Planning �g�ncy that this p ject j is being rope wied under the Calif rifia Environmental Qua j Act (CEQA), this,Prbject may be su 'ect to additio at'school fees to fulivrdtioate its impact on th chool district's sols. Ile White (applicant), Yellow (building department), Pink (school district) feeform.Al (4/92) 92-12733 RECOROIriO REOUESTED BY I 1 �p € ORDER AND WMEN RECORDED MAIL TO Documentar-f transfer tax is 0 ( ) Computed on full value of property conveyed, or ( ) computed in full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of and IN CONSIDERATION of the love and affection which the grantor(s) bears) to the grantec(s), CHARLES T., HAWTHORNE and IRMA T. HAWTHORNE do (does) hereby give, grant and convey to PATRICK F. BOYLE 11.00 11.00 XX 3 all that real property in the City of County of Butte State of California, described as please see attached for legal description. Dated Anri 1 A . 1992 STATE OF CALIFORNIA ) ss. COUNTY OF R I t } On April �. 1992 1_ before me, the undersigned, a Notery Public in and for said State, personally appeared Ch a T - Hawthn—nn and Trma T- Hawthorne personally know -T to me (or proved to me on the basis of satisfactory evidcue) to be the person(s) whose name(s) is/are OFFICIAL. SEAL subscribed to the within instrument and acknowledged to Inc PATSY L CARTER that he/shchhey executed the same. s n0icr , r,n, :.: CAUr JRN:.1 01111E COUNTY WITNESS my hsnd d official seal. - MY ^rmm e;D11.-MAY 13. 1"2 / 1880 Woft OW" CA MDK I jSignature -- � r„:..:r:::i .-d, • MAIL TAX STATEMENTS AS DIRECTED A80VF I N.— Patrick F. Boyle sv«r AW,... 8?21 Unser St. Pico Rivera, CA I cM e 5.... L I 92-022733, Rec Fee J 1 — Recorded I MAIL TAX STATEMENTS TO Official Records I F County of t N.— Butte I sneer same as above Candace J. Grubbs I AW—s Recorder I caYa 10:09am 22—May-92 I PUBL Srne L_ J SPACE ABOVE THIS LINE FOR RECORDER'S USE Al. Oz i_ 0510- c�c Gift Deed THIS FORM FURNISHED BY BIDWELL TITLE 6 ESCROW COMPANY Documentar-f transfer tax is 0 ( ) Computed on full value of property conveyed, or ( ) computed in full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of and IN CONSIDERATION of the love and affection which the grantor(s) bears) to the grantec(s), CHARLES T., HAWTHORNE and IRMA T. HAWTHORNE do (does) hereby give, grant and convey to PATRICK F. BOYLE 11.00 11.00 XX 3 all that real property in the City of County of Butte State of California, described as please see attached for legal description. Dated Anri 1 A . 1992 STATE OF CALIFORNIA ) ss. COUNTY OF R I t } On April �. 1992 1_ before me, the undersigned, a Notery Public in and for said State, personally appeared Ch a T - Hawthn—nn and Trma T- Hawthorne personally know -T to me (or proved to me on the basis of satisfactory evidcue) to be the person(s) whose name(s) is/are OFFICIAL. SEAL subscribed to the within instrument and acknowledged to Inc PATSY L CARTER that he/shchhey executed the same. s n0icr , r,n, :.: CAUr JRN:.1 01111E COUNTY WITNESS my hsnd d official seal. - MY ^rmm e;D11.-MAY 13. 1"2 / 1880 Woft OW" CA MDK I jSignature -- � r„:..:r:::i .-d, • MAIL TAX STATEMENTS AS DIRECTED A80VF 92-22733 EXHIBIT "A " LEGAL DESCRIPTION FOR GIFT DEED HAWTHORNE TO BOYLE *,►*+t**,e**:**�*,r,►+r*,r,r*,►**x,r,r,r,r*********a***,r ,t********,r*****,++,r*,�,rt All that real property described as a portion of Parcel 3, according to that certain Parcel Map as filed for record in Book 70, Maps at Page 44, lying in Section 3, T 18 N, R 4 E, and in Section 34, T 19 N , R 4 E, M.D.M., Butte County, California and being more particularly described as follows: Commencing at the southwest corner.of said Parcel 3, said point being the TRUE POINT OF BEGINNING for the herein described parcel of land; thence N 00020132" W, along the west line of said parcel, 518.13 feet; thence N 89020111" E, parallel with the south line .of said parcel, 433.68 feet, to a point on the east line of said Parcel 3; thence S 00020132" E, along said line, 518.13 feet, to the southeast corner of said parcel; thence S 89020111" W, along the south line of said parcel, 433.68 feet, to the point of beginning and containing 5.16 acres, more or less. RESERVING THEREFROM a non-exclusive easement for ingress and egress, and for public utilities over the northerly 60.00 feet of the westerly 60.00 feet of the above described land. RESERVING THEREFROM a non-exclusive easement for ingress and egress,' and for public utilities over the westerly 30.00 feet of the above described land. TOGETHER WITH a right-of-way 60 feet in width for road and public utility purposes as shown on the.above described map. Said right- of-way is for the benefit of and appurtenant to Parcels 1, 2, 3, and 4, as shown on said map, and shall inure to the benefit of and be used by all persons who may hereafter become the owners of said appurtenant property or any parts or portions thereof. i ALSO TOGETHER WITH a right-of-way 60 feet in width for road and public utility purposes as shown on that Parcel Map recorded in Book 62, of Parcel Maps at Page 78. ALSO TCGETHER WITH a right-of-way for road and public utility purposes over the easterly 30.00 feet of the southerly 527.96 feet of Parcel Two, as shown on that certain Parcel Map being a portion of P. C. Drescher Tract Subdivision Nos,l and 2 as filed for record in the Office of the Butte County Recorder in Book 70, Parcel Maps at Page.44. Said right-of-way is for the benefit of and appurtenant to Parcels 2 and 31as shown on said map, and shall inure to the benefit of and may be used by all persons whc, may hereafter become the owners of said appurtenant property or any parts or portions thereof. (CONTINUED) SHEET 1 OF 2 92-22733 EXHIBIT "A " 1� L(CONTINUED) ALSO TOGETHER WITH :a noxi,7exclusive easement 15 feet in width for pitpeliney and public ~utilities over Parcel 4 of that Parcel Map u�w filed Tnl Book 70,,,of Parcel Maps, at Page 44, lying northerly of ander contiguous ter► tkf6"1-existing Oroville Wyandotte Irrigation District>right-of way,'*,d,t shown on said Map. Said easement is for the ben&fit of and appurtenant to Parcel 3 and shall inure to the benefit of and may �e'lused by all persons who may hereafter become the owners of said appurtenant property and any part's or portions thereof. END OF. DESCRIPTION Prepared by: ohn D. Christofferso P.L.S. G.D.A., Engineering Surveying 920221d1 TJ 5�\\ 0 `SRI s rpF�PFi0�� * No. 4208 \%-!0'y SlgrE OF C\E��\�� 'i SHEET 2 OF 2 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) f- Bldg. Permit Qb OWNER A. P. # r " lJ + Plan Checker_ L.S ' GENERAL L // Zoning requirements: '(sideyards and number of permitted living units). . aluation. Plans signed by designer. roper description of work on application. Existing violations on property. 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN mplete parcel size and dimensions. Setbacks, sideyards, easements, etc. ther buildings or structures. Grading,, fills, drainage. Flood hazard. Special'conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible,' and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN C ; Complete to''scale- plan with dimensions. equired windows for light'and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). 1 GFCIs iri baths, garage, kitchen , and'e.xt'erior-�outlets'(Article 210-8). Light fiztures,`switches, receptacles, and exterior, receptacles for main- enance of mechanical equipment. ' Location's of water heater, heating and cooling equipment, other electrical or gas equipment. arage firewall, door size, and closer (Sec. 503(d)(3)). . 1 - 3`0" exterior exit door (sec. 3304 (f). replace and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances and shower size. I STRUCTURAL DETAILS %Standard bracing or engineered design, (Table 25V) �inusual 'shape, size, or split level house requiring lateral design. resto'ry requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building oof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge beam. `Gg.rage door or porch header sizes. 2'—Stud heights. 3 -.'Adobe soils - special foundation design. �-,Retaining walls requiring design. Special Inspection required. N 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR ` Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). G ardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). 14 .00 Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. En.Attic ving area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). access and ventilation (Sec. 3205). !erfloor access and ventilation (Sec. 2516). Cbustion air for fuel burning appliances - L.P.G. requirements. Oise requirements on duplexes. Energy design. 4:.Z;as—Ring at all exterior openings. responsible area requirements. Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stnngent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this chgddist only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's Libeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). • §150(d): Minimum R.13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(l): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 20 perm inch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned soaves aesioned to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certificanon. c Exterior doors and windows weatherstripped; all joints and penetrations caulked and seated. §150(9): Vaparri or bathers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Rue damper and control 2 No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Inatrect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or comoined intenor/extertor insulation (R-16 or greater). 2 First 5 feet of pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater). 3. All buried or exposea piping insulated in recirculating sections of hot water system. 4. Cooling system piping pelow 55°F insulated. 5. Pining insulated between heating source and indirect hot water tank. - §150(m1: Ducts and Fans 1. Ducts constructed. instwled and sealed to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum Instatled value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave backdraft or automatic dampers 3. Gravity ventrfatino systems servrno conditioned space have either automatic or readily accessible. manually operates dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System Is certified with 78% thermal efficiency, on -oil switch, weatherproof operating instructions. no electric resistance heating and no pilot light. 2 System is instaileo with: a. At least 36' ciDe oetween kilter and heater for future solar heating. b. Cover for outcoor pools or outdoor spa. 3. Pool system has arectiona) inlets ano a circulation pump time switch. §115: Gas -tired centra: turnace. pool heater, spa neater or household cooxina appliance have no continuously bunno piot light. (Exception: Non-eiecmcal cooking appliancewith pilot < 150 Btulhr.) Lighting Measures §150(k): 40 lumenswah or greater for general lighting in kitchens and rooms with water closets: and recessed ceiling oxtures rC;insulation coven approved. COMPUANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply -with Title 24, Pans 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This clirlificate has been signed by the irltfrftW with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple Orientations, arty shading feature that is varied is indicated in the Special Featums/Remarks section. Designer or Owner (par Bush." a Prot...lons cad.) Tide/Firm: Address: Telephone: Lia tr: (signature) (date) Enforcement Agency Name: Tide: Agency: Telephone: (signatureistamp) (oats) Documentation Author Name: Tide/Firm: Andress: Telephone: 1A3 Certificate of Compliance: Residential Climate Zone 11 A Building Pertait � Checked By/ Date Fnfotmnent Arwcv Use Only Fenestration BUILDING DATA Area % Nort27 0 C tinned Floor Area //?D Number of Stories Easth_ Slab 'sed Floor Number of Units _� South Ingle Family Detached (SFD) [ ] Addition Alone West O (] Single Family Attached (SFA) [ ] Existing Building Skylight [ J Multi -Family (MF) (] Existing -Plus -Addition Total B UrLDING SHELL INSULATION Component Insulation Locaflon/Commitnu Type R -Value (antic, to garage. _ jEAL am) Roof ............. 30 Roof ............. Wall .............. Floor............ —� Floor ............. Slab Edge.....; FENESTRATION Shading Devices Eenestration Area Type Interior Exterior Overhang Framing Type Orientation Sf) (single, double) otter blind etc.) (3hadV=e1 . etc.) ) (met &odd North ( ) & Al— North ( ) East ( ) East ( ) South South ( ) West ( ) 0 West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exclosed, tile, etc.) (SO (inches) L.ocation/DescriDtion (kitchen. bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Heat Pump conditioner. hentyutny) (AFDF.SEER.HSPF) (auric, etc.) R -Value Thermostat Type (split or pkg) IIOT NATER SYSTEMS Tank ��V > System T (storage as. etc.) Capacit Number Energy Factor t k Tns Th ctrl h,xr; nn I �V SPECIAL FEATURES/REMARKS Point System Summary: Climate Zone 11 1. Ceiling Insulation 30 or R- ue ( U -value [0.028) 2. Wall insulation or a R -_Mise If9l 1.1 -value [0.0651 Point Scores 3. Raised Floor insulation or R -value 1191 u -value 10.0371 ; 4. Slab Edge Insulation or R -value 101 F2 tactor [0.751 5. Infiltration Any Ducts in Unconditioned Space? (J N011 ) 6. Fenestration Heat Loss DIV- . &5"- 9-:2 Type U -value 10.651 Totalotal x Fenes. [161 Sum 1.6 1. Fenestration Heat Gain % Fenestration SCslhade open Eff. % Fenes. Shade Eft. Ratio North x East i%- x South �_ X West S. / x = -� Skylight 0_ x = �- Overhangs? ( Y / N ) 8. Interior Thermal Mass (7 or O X Exp. Slab 120j Int. MasVCFA 9. Exterior Wall Mass _3 ExL Wad Maw Sum 7-9 10. Heating System x = O AFUE or HSPF Duct Effie. (1 story: Effeeave AFUE Zonal Control [78% or 6.81 0.83: 2+ story: 0.ssl or HSPF Adjustment (01 11. Cooling System x = � SEER 110.01 Duct Effic. [1 story: Effecave SEER Zor" ontzd 0.81: 2+ story: 0.871 Adjustment 101 12. Water Heating System 1 S 6- 0- .510/ HeaterS�0 pe En cto Energy Far Ext. Ins. R -value Auxiliary Input Distribution( 1 [0.531. 1121 [None( (STDi System 2 Heater Type (None[ Entergy Factor Ext Ins. R -value Auxttiery Input Distribution Point Total: 1. Ceiling Insulation R-0 -14 -9 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 2 1 11 4. Slab Edge Insulation Numoer of Stones R-0 0 0 05. Infiltration (Duct Air Leakage) R-5 6 4 2 Ducts to Uncondiltoned Space 0 R-7 7 4 2 No Dues in Unconditioned Soave 3 6. Fenestration Heat Loss Total 1.31 Percent or Fenestration more Number of stones 1.11 to 1.20 R -value One Two three" R-0 .74 -48 -27 R-19 -5 -4 •2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation -02 -55 48 Single- Single - -38 -34 Family Family witti- R-value Detached Attached Famth R-0 -72 -57 43 R-11 -7 -6 -4 R-13 _ .5 -4 -3 R-15 -4 -3 .2 R-19. 0 0 0 R-21 1 1 1 3. Raised Floor Insulation -06 49 Inmtiatdon In Floor -39 -34 Numaw of stones -25 R-0 -14 -9 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 2 1 11 4. Slab Edge Insulation Numoer of Stones R-0 0 0 05. Infiltration (Duct Air Leakage) R-5 6 4 2 Ducts to Uncondiltoned Space 0 R-7 7 4 2 No Dues in Unconditioned Soave 3 6. Fenestration Heat Loss Total 1.31 Percent or Fenestration more 1.21 to 130 1.11 to 1.20 1.01 to 1.10 .91 to 1.00 .81 to .90 .76 to .80 U -value .71 .66 to to .75 70 .61 to 65 .56 to .60 .51 to 55 .46 to .50 .41 to 45 .36 to 40 .35 or less 500. -100 -76 469 -02 -55 48 -41 -38 -34 .31 .27 .24 .20 .17 -13 -10 401/ -77 -58 -52 -47 -41 -36 -30 -27 -25 -22 -19 -i6 .13 .11 -8 .5 35% -06 49 .14 -39 -34 -29 -25 -22 .20 .17 .15 .12 .10 -7 -5 -3 3011. -54 -40 -36 -31 -27 -23 -19 .17 .15 .13 -11 -8 -6 -4 .2 0 28% -50 -36 -32 -28 -25 -21 .17 -15 -13 -11 -9 .7 .5 .3 -1 1 26% 45 -33 -29 -25 -22 -18 -14 .13 .11 -9 -7 -5 -4 .2 0 2 24% -41 -29 .26 -22 -19 -i6 -12 -11 -9 -7 -6 -t -2 .1 1 3 220/6 -36 -25 -22 -19 -16 -13 -10 -0 -7 -5 -4 -2 -1 1 2 4 20% -31 -22 -19 -16 -13 -11 -8 -6 -5 -4 .2 .1 1 2 3 5 18% -27 -18 -i6 -13 -11 -8 -6 .4 -3 -2 -1 1 2 3 4 6 16% -22 -14 -12 -10 -8 3 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 -9 -7 -5 -3 .1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 .4 -2 -1 1 2 3 4 4 5 6 7 8 9 ICY. -8 -4 -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 BY. 4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (based on Shade Effectiveness Raoo) 0 .3 0 -2 3 Eff 10 Nonh .2 5 Eel. 0.60 -1 South 6 0 Wast 0 Skylight % .87 .67 .52 .51 .87 .67 .52 .51 .87 .67 .52 .51 .87 .67 .52 .51 .67 .66 Fen- or to to or or to to ; or or 10 to or or to to or or or am. more .86 .66 .lass more .86 .66 .less more .86 .66 less more .86 .66 less mom lass Ion 4 -4 +6 Method B HP HP Int to Slab Raw to Raised Floor Mass -29 Stones less ' -15 « 18% -5 -4 .3 -2 -21 -20 -15 -12 -26 -23 -16 -12 -36 -32 -23 -16 7T -so 16% -4 -4 .2 -1 -18 -16 -13 -10 -21 -19 -13 -9 .31 -27 -19 •-14 ' .65- ld 14% -4 .3 .2 .1 -14 .13 •it .8 -16 .14 .10 -7 -26 -23 -16 -11 .55 -38 129: -3 -2 .1 -1 -11 -10 -8 .6 -12 -10 -7 -4 -21 -18 -13 -8 .46 -31 it% -2 -2 -1 0 -10 -9 -7 .6 •10 -8 -5 -3 -19 .16 -11 -7 -41 •28 10% -2 -2 -1 0 -8 -8 -6 .5 -0 .7 .4 -2 -16 -14 -9 -6 -37 -25 9'. =2 -1 -1 0 -7 -7 .5 --4 -6 .5 .3 -1 •14 -12 -8 -5 -32 -22 80/. -1 -1 -1 0 -6 -5 -4 .4 .4 -4 .2 0 -11 -10 -6 -4 -28 -19 7% -1 -1 0 0 -5 -4 -4 •3 .3 .3 -1 0 -10 -0 -5 -3 -24 -17 6% -1 -1 0 0 -4 -4 -3 -2 -2 .2 -1 0 -8 .7 -4 -2 -20 -14 5% -1 0 0 0 -3 _-3 -2 -2 -2 -1 0 0 -6 -5 -3- -'1 -16 -12 4% 0 0 0 0 -2 -2 -1 -1 i -1 0 1 -4 -4 -2 0 -12 _-10 3%0000-1-1-100001-2-201-9.7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 2 -6 -5 i% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Method A (Slabon-grade Construction Only) Pereem One Two Three Excosed Ston Stones Stones 0 0 .3 0 -2 3 -1 10 0.40 .2 5 -1 0.60 -1 20 6 0 12 0 7 0 30 12 1 1.20 1 13 1 . 40 18 3 11 2 21 1 50 1.80 4 18 3 200 2 60 14 5 4 3 100% 2 70 13 6 9 4 4 2 80 -2D 8 Eft SEER 5 32 3 90 Effecave 9 Split 6 Sum of 1.6 3 100 Gas 10 Pkg 6 -24 4 -4 +6 Method B HP HP Int to Slab Raw to Raised Floor Mass -29 Stones less ' -15 Stones /CFA One Two Three One Two Three 0.0 -11 -8 -6 -1 -1 0 0.1 -10 -7 -6 0 0 0 0.3 -9 -6 -5 1 1 1 0.5 -8 -5 .4 2 2 2 1.0 .6 3 .1 4 4 5 1.5 -4 .1 1 6 6 6 20 -2 2 4 8 8 8 15 1 3 5 9 9 9 3.0 3 1 - 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 •17 9. Exterior Wall Thermal Mass Extenor Single- Single- Mufti Wan Family Family -Family Mass Demened Attached 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 200 24 19 14 0 10. Heating -System Houses With Ducts (114.2) Sum of 1-0 Gas Spin Pkg -25 -24 .14 .4 AFUE HP HP or to to to - HSPF HSPF less -15 -5 +5 +6 to +15 16 or more 781/. 6.8 6.6. 0 0 0 0 0 0 80% 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 (SEER z duct efficiency) -2D Effective AFUE or HSPF Eft SEER -41 32 (AFUE or HSPF z duct efficiency) Sum of 7.9 Effecave GM Split Pckg Sum of 1.6 -24 to -14 to d to Gas Sola Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or -29 HSPF IUPC less ' -15 -5 +5 +15 mora - One Story House -13 -9 -0 -2 0 7.0 33% 19 18 -62- -53 -4d -34 -25 -16 401/. 3.5 3.4 -40 -34 -28 _22 -16 -10 501/6 4.4 4.2 -19 -16 -13 -10 .7 -5 60% 52 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80Y6 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -12 5.0 4.9 -35 -27 33% 19 18 -69 -58 48 -37 -26 -15 400. 3.5 3.4 36 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 700/6 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 901/6 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 6 3 Zonal Control Adjustment 15.0 14.6 20 System Type 11 7 3 0 Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Houses With Ducts (R-4.2) SEER Sum of 7-9 Sain Peing -25 or -24 to -14 to .4 to +6 to AC AC less -15 -5 +5 .15 16 or more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 110 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 10 8 Effective SEER 3 7 SE N (SEER z duct efficiency) -2D -12 Eft SEER -41 32 -19 Sum of 7.9 GM Split Pckg -25 or -24 to -14 to d to +6 to 16 or AC AC less -15 -5 +5 .15 more One Story House N 093 -21 -12 5.0 4.9 -29 -23 -17 -11 -4 0 1310 5.8 -16 -13 -9 -0 -2 0 7.0 6.8 -7 -6 -4 -3 .1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 12.0 11.6 15 12 9 6 2 0 13.0 116 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 . 12 8 3 0 Two or Three Story House N 0.93 -21 -12 5.0 4.9 -35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 -3 0 7.0 6.8 -11 A -7 -4 .2 0 8.0 7.8 -4 -3 -2 -1 •1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 110 11.6 13 10 7 5 2 0 13.0 116 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjusunent for NoTaatt lnmtattm Number of Www Hum Water Heater Tvoe One Two SG50 .2 .5 SG75 .3 -6 SE .5 -0 j HP .2 -4 House Sin Adjustment Hoose Size (h2) Subtotal VOW Km g Poem Soars •iris aloes 1000 1000 to 1499 30 -17 .5 -25 -14 .4 -20 -ht .3 -15 -0 •3 -10 .6 .2 . .5 3 .1 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 House Stse AdJusttamt House we or) Subt" ism 2000 Water memo to or Pont Stare 1999 more 30 0 3 -25 0 2 •2D 0 2 -15 0 1 -10 0 1 5 0 0 p 0 0 5 0 0 10 0 .1 15 0 1 2D 0 .2 25 0 -2 Zon- Contrd Adjustment All 6 5 4 2 1 0 12 Water Heating Om Water Heater - No A=Uiary Credla Dismaemt systsm2 ReCSm"s waw camatas BMW STD MiVR FM No Tfmar Damd Heater Tvoel 7anes Factor POU tnw On SG50 All 0.53 0 3 1 -0 -5 0 0.63 5 8 6 -4 0 5 0.73 8 it 9 0 4 8 SG75 N 0.48 -2 1 -1 -12 -7 -2 am 3 6 5 -5 -1 4 am 7- 10 8 -1 3 7 SE N 027 -2D -12 -17 -41 32 -19 GM -17 -0 -13 38 -28 -16 tG N 0.20 2 3 3 IE N 093 -21 -12 MP 6.11.13.15 1.80 4 7 S -5 -1 4 Two Water Hesum - No Auxfflw y Cradles' SGSO N O.S3 .7 .4 -0 .17 -12 -7 0.63 1 5 3 -0 -4 1 0.73 6 10 8 -2 2 7 SG75 N 0.48 -12 -0 -11 -22 -17 -12 0.58 .1 3 0 -11 a -1 0.68 6 9 7 -4 1 8 SE N 0.87 .22 .14 •19 .46 •35 -22 0.93 -16 -7 -12 -39 .28 -15 1G N 0.80 .4 .1 .3 1E N 0.93 -21 -12 HP 6-11.13.15 1.90 .1 3 1 .10 -6 0 � 3f9Wlliia �X�.', _ ff •�oct�. .� oarrC _ __ G'ifs%ioaaC ,2y f: �o w!r dote I 7° 37 � o asci Shop 571 ti ILI �tlmt.9Ci� �� ii � 1y LF rs kyr ' ' t ! 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