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HomeMy WebLinkAbout027-360-14327-22-�/ 4 Harry Bartle OP �! 3 I Off SIS Mel�J y ,L,n� . ap-/4r'm3, of Paler o Tion ut�'' `alex nf"�i�i _ Permi��97ggpEew si-t>gle 027-360-143 04-0845 ; fame) �' SAXE CHARLES o a� 148 BARTLE LN, OROVILLE 27-22-111 Cont: OWNER Permit #2193-79P, uti AG EXEMPT-STG ELEC. - ) 7 -- SUPP RE CO C E EDECK(OPEN) 06-1252 TEST REQ. �p 2 -22� SAXE E LN, OROVILLE Contr : iltpns 1 ' ER Perm' 4257 �" Z� Issue 27-22-143 148 Bartle Lane, oville ?ermit#3132-85B,P,E, ew singl ;fly) �. — 27-22-143 Permit#822:87B(lst rene 313'-85) Permit #1464-88 27-22-143 2nd renewal/3132-85) 27-22-143 - 3342-90B,E QUACKENBUSH, Oran & a 1 148 Bartle Ln, Orovillc (additio ,/_s.f)!_�_____ _ --- -- - Permity3137-91B27-22-143 � � q (lst regewal/3342-90) d' '2� 027-360-143 PERMIT#96-20 ROGERS, Scott 148 Bartle Ln, Oroville Conv Porch to Bedroom/SF 027-360-143 a �W SAXE, CHARLES j 04-113�4�77 4---- -- - _ 148 BARTLE LN, PALERM ��7ti. '`"'l` 027-360-143 03-2051 C011t:OWNER ROGERS, MELINDAr-0, b`/?,D/yp ADDITION BDRMjGARAG S 148 BARTEL LN., OROVILLE Cont: ALLADN ROOFING PERMIT RENEWAL -� - REROOF/SF -'- - BP IF -©� 13 7 Date: BP Expires: I— F""-/ 1151 �� r a �H r �� ��'„�9 a t p', � �G = _ 027-360-143• �:;; ., 06-1252 NOTES I AXE'. 14. BARTLE LN, OROVILLE Cont: OWNER DECK(OPEN) APN: Permit No. Owner. Site Address: Contractor. Type of Permit: c . 1 t j; r i i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLFARANCF t DATE JOB FINALED: Q i C SIGNATURE: a, o - OK 0 - Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE JPLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent Acc-Cmbstn Alr Baffle 2 Ftg Main; Soils-Elec Grnd Ftg DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; SoilsSteel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Fig Parches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalis Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs ' 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas.Piping 8 Piers-Frplc FtgSteei 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test � � 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums 8, Ducts; Cimc-MaterialSupportdnsultn 61 AC Ducts Insults & Support " 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & VnUtn 63 Condensate Drain & Ovrfiw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rbn/Vent 115 Outlet 65 Attic Acc & Pitfrm If Furnace in attic 40 e DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SldeLt Prtctn-Landings .19 Bearing Walls over Girders .& fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof)' 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fire Stops, Furred CeilingsStairs-Chasers-Tubs In Garage; abv-flr-Ducts-Mach Prtctn 22 Headers & BeamsSi & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rffr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handralis 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall .& Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct In Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters Q Yes ❑ No 15�87 0 41 °mss Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CiO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz [:ICU or DAL 98 Address Posted AC Wire Sz D CU or EIAL 99 Fire Sprinkler 48 Range Circ oa QCU or QAL Oven Circ w Q CU or EJAL Insulated Neutral 0Yes ❑No 100 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS-.. RHL_j Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-DIrncs-Grnd 'Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑p or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimt:s 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer. Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers -_DATE ID E C K S -C O V E R S -C A R P O R T S -G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-0cking-Brcing /Handrails Stairs-Guard-Rftr 4 Wood Awn; Posts-Beamss-CnnctmShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis d;1 DATE JPOOL.S 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec.Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Enclsrs-pnlboardsansultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alamos 13 Bonding, Diving board or. Slide ° � °� Pool Drawing ' t t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. 5P061252 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/10/2006 APN: 027-360-143-000 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. Site Address: 148 BARTLE LN PAL License Class : License. Number: Map Index: Date: Contractor: Description: OPEN DECK (360) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 SAXE, CHARLES C. &VIRGINIA M. Business and Professions Code: Any city or county which requires a Owner: permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 540 the Contractor's 6tate License Law (Chapter 9 commencing with Section PALERMO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95968-0540 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their \, sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SAXE, CHARLES C. & VIRGINIA M. owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 148 BARTEL LN sale. If however, the building or improvements are sold within one OROVILLE, CA year of completion, the owner -builder will have the burden of 95966 proving that he or she did not build or improve for the purpose of sale.). (530)533-7102 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: e Law.). pursuant to the Contractors' StJeu ❑ I am Exempt under Article 3 ofess and Professions Code 6 Date:7–/O-,d Owner: WORKERS' COMPENSATIO DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 360 S.F. Policy #: "Ey I certify that in the performance of the work for which this permit is Valuation: $3,600.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those /provisions. Date: Applicant: WARNING: Fa n e t secure workers' compensation coverage is WARNING: FaUunlawful, and shall sub ct an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.c 1 CONSTRUCTION LENDING AGENCY This permit is here ivs ed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Resolutions to do�v a icated abw for Bch fees have been paid. performance of work which permit (Sec Name: By: Date: V Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance f an fficial form or document of Butte County. I hereby authorize representa ' es of Butte County to eoler upon the above mentioned property for inspection purpo s. Print Name:19"� Signature: l —04/42 Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. I nj� PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/10/2006 APN: 027-360-143-000 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. Site Address: 148 BARTLE LN PAL License Class : License. Number: Map Index: Date: Contractor: Description: OPEN DECK (360) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SAXE, CHARLES C. &VIRGINIA M. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 540 the Contractor's 6tate License Law (Chapter 9 commencing with Section PALERMO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95968-0540. she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SAXE, CHARLES C. & VIRGINIA M. owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 148'BARTEL LN sale. If however, the building or improvements are sold within one OROVILLE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 95966 sale.). (530)533-7102 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' Stat i nse Law.). ❑ 1 am Exempt under Article 3 of t e usiness and Professions Code � / G Date: lid Owner: WORKERS' COMPENSATIO DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 360 S. F. Policy #: I certify that in the performance of the work for which this permit is � • Valuation: $3,600.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -7- & Date: 1-c4i­o Applicant: s t secure oers' compensation coverage is WARNING: shall unlawful, and shall sub ct an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is herel�y its ed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do A icated abo for ich fees have been paid. Name: BY• - `Date: a /\ / V V Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner op1hKduly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance f an' bfficial form or document of Butte County. I hereby authorize representa ' es of Butte Countyto e r upon the above mentioned property for inspection purpo s. Print Name:�� 9 Signature: \ Date: 411 1 -Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds � OS6 SM:rp **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Nameirst FNa e Address /�/ �, C 6 - City Fax State Zip Phone ✓✓ Fax E-mail Map Book 73 APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book 73 Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book 73 State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail For office use only: AP# OZ -/y3 Zoning Cit Flood Zone I I SRA I Yes I No Occ. Name Type Const. Subdivision'Name Map Book 73 Page 1 `7 Loy Planner�� Date AppOroved:` 4 O� PERMIT NO. BP BIN # PROJECT LOCATION AP# OZ -/y3 Property As AC9 Cit Cross 8treet WORK R'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMtNTS it K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: p / 2 -5 MgA-j Sq FT- Living GarageOpe Cov 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: Amount:0('0 Bldg SRA Receipt #::, SOVO Sheriff 1.1LQ0I` SMIP Date:Other 5-25.00 �Co(�,�° Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). IJ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a: new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO� r 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Zo xt - ASSESSOR PARCEL NUMBER l )1 q- acd)- ' II ?) Proposed Building Use: N QnDffk Permit Technician: Date: �'��1 '0QD Items required in orde odpply for a permit All boxes MUST be checked OR marked NA in or er to apply. 1. Site planVr 4 sets, signed by the preparer of the plans. 2. Complete plans 3br 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8.' Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ / 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other R7? s needed to issue the permit (May require additional plan review upon receipt of the following items. anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Solis Report and/or Engineered Foundation required ........................................... ❑/ Erosion Control Plan Required..................................................................... ees as shown on the attached Schedule of Fees Due Sheet ............................ G� ❑ City of Chico Plumbing permit........................................................................ ❑ 2 . Site plan and business license approval from the City of Biggs .............................. ❑ / 2 . Califomia Department of Forestry plan approval ❑ paid. Sent by: ............. �d Planning approval for (A) Use: (B) Parking: (C) Parcel Check:........... yJ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ V❑/ 25. Fire Marshall Review (commercial projects only). Sent by ...................... TM .26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑/ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone 5"3 5 — 7 /C 2 and hold for pickup. I have been requirements for obtaining a building permit. Applicant ( / Date: 1. Index permit app • at' et thea viteffs nur beredPlan Check Letter 2. Additional items requj %! Contractor, designekow P was advised of the above data by ❑ phone, -'o mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _J Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by Date: —J Plans approved by: Date: Structural reviewed b r ' Date. Structural approved by: Date: Note transfer by: Date: Yellow: Building Division ONL Plot Plan Attached Y Floor Plan Attached Sent to BD/DS TO: Building Division = Development Services _ CSN FROM: Environmental Health SUBJECT: Sanitation Clearance N\&Jl xr4� IIC�Ak Owner Location AP# Plan Approved for: Sewage Disposal: Watery Supply: Public Private Well Clearance for dwelling. Other la���-- Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 912005 - -/ ---DL Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY,CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds 4 PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner App Date SAXE srnsilnnrl APN No: 027-360-143 Permit Type: Bd fnA Subtype: Permit No: BP 061252 Permit Desc:I(} ne New 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $150.00 ' $60.00 $90.00 Balance of Building Permit Fee 0 0 _ $204.98 $60.00 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $60.00 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $90.43 $90.00 $0.43 C❑ 4 Balance of Building Permit Fees (from No. 1 above) 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling I Per Dwelling Per Dwellil Applications After 04/15/06 sc SMFD u MH 3238. RECEIPT DATE Tech/Asst L�Lo_() 5/25/06 Kourtni 8075.40 County 4249.111 3183.54 771 Comanche Creek $8,341 Chico Urban Area 6146.231 4538.82 774 Lindo Channel $8,267 EI Medio Fire District 3249.971 2385.76 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW North Chico Specific Plan SR -1, SR -3, SR-1/PD R-1 ° R-2 8801.091 8897.09 8390.091 7395.04 7491.04 6984.04 R-3 7604.091 6198.04 Processing Fee is automatically added to impact fee total 0 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 3238. RECEIPT DATE Tech/Asst L�Lo_() 5/25/06 Kourtni 8075.40 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 7289.40 771 Comanche Creek $8,341 RECEIPT DATE Tech/Asst $100.00 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 $200.00 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW � 10 10a 11 11a CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 RECEIPT DATE Tech/Asst 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* At the time of permit application, I w advi5ed the above fees ar equired to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date:y� JPi, Pursuant to Government code Section 6 0, yare by note (e those Items followed by an ""may have been imposed on your project. You have 90 days from the date of approval of the porject or from the ,mV s ion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Farms/Schedule of Receipt Fees Residential 041506 SITE PLAN REVIEW APPLICATION Date: �� (0 _ 0 (5,AP# 3 �0.-- IL/ Permit Number (if applicable) ��p _ �5 Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Parcel Size: Cja✓I-e_ 3 �ax CA Or Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date q bw 1 r SITE PLAN REVIEW APPLICATION Date: �� (0 _ 0 (5,AP# 3 �0.-- IL/ Permit Number (if applicable) ��p _ �5 Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Parcel Size: Cja✓I-e_ 3 �ax CA Or Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date q bw 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: . ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) Use Requires: ❑ Use Permit ❑ Variance 0 Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: — 5 General Plan Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2.6 Side 5 Side Street 5 Rear 5. Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 �j Parcel Created By Deeds: Date of Creation: ' „ , . Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with.County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel Q Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a.Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet.current Environmental Health Department requirements JK'Subdivision Map/Parcel Map: Map Date of Recording: 6105 Lot: � Book: 3 Page: 3 o�Q�-tnnENT o,� 6vTr� (1 IIA. 0 ° G; , p 1 p O A�Qtic Department C o u n t 1 J. Michael Crump, Director of -Public f. B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement , [LESS THAN 1 ACRE1 Project Description: ACK 56v Project Location and/or Parcel Number: ,19 7- J�C -/�/ By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that J, therefore, do 'not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed 'soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in re ocation of grading and/or other permits or other sanctions provided by law. U ` Signed: Title:�� - Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program R Pvsetl 9/741U OWNER -BUILDER VERIFICATION TION 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 m#r labor and material for construction of this proposed property impr ement. YES .[ ] NO[ ]. 2. I HAVE [ HAVE NOT [ ] signed an application for a building permit for the proposed work ' 3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS - PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and- provide the major work NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE: TYPE OF WORK SIGNED: PROPERTY OWNER DATE: r NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. Butte County Department of Development Services ADMINISTRATION `BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required'to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes,. workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building Permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector �......� ..... _ i1.____ T__..i�—T—t..—..�.,s:.................-s.i i... Ce.-s;n,. 1021n nF4ha anri CafP.1"v Candi-_ Butte County Department of'Development Sel-V ces `'TrFo O Ch.O 7 County Center Drive ° O Oroville, CA 95965 (530) 538-7601 Telephone cOU (530) 538-7785 Facsimile BUILDING ]PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES [ request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: ®. I need to submit applications for septic and/or well to Butte County Environmental Health immediately. o mental Health site plan and approved sanitation am required to bring the approved Environ clearance to the Building Division as soon as clearance is obtained. a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for' disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the buildigg permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other. -entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to, all riiitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: ogvAP Building site address: nIG Permit No.: Q6 — I have read, understood and accept a terms and condi-tions as expressed herein as indicated by my submission of the ove eferen b ' ing permit application and my signature below: 5 - ----- T%ATT7 3G" MIN. VAR/ES - cl ... JL , i a. •cam �•' 9 cn� a 6 �G w m rno ' o Am p En N � N m Ty.. IZ41 x Ch M r • C% • a 46 A m � O % CR 'ACP A-5 _ �N m Zell ITi _ r m • 4 � I a' r •v " I� ZZ, G moC-1 RAIL ( OUTCN � to MAX. O C),0 340 -MIN. STAfR• u, R' WIDT14 6• o x AZC Z ti 4 O 01-j= Z I C, r Nlay 1945 6S r"r � I ' R NOTES RESIDENTIAL r 1 vt PERMIT NG 027-360-143 04-1347 �� Grp/.els (� Z 6'� �✓ �Lj �, SAXE, CHARLES i. 7 148 BARTLE LN, PALERMO / Cont: OWNER J� J S joP 42r" Jo Inn �"1 ADDITION BDRM/GARAGE Rix ISI'Ilrj �[A�^,°�s�, t PERMIT RENEWAL_ BP # 04 — 3 471 ! Date: 1 -`Z_0 -0(o �. BP Expires: I —QZ - 0`7 t•6, I SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERM IT,CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY o FF PALC--12MO Hamcu� c5 FF PA67COAY LAXI( JOB FINALED (Date) Signature •�.Lol a Y t•6, I SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERM IT,CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY o FF PALC--12MO Hamcu� c5 FF PA67COAY LAXI( JOB FINALED (Date) Signature •�.Lol J=OK 0 = Not OK . = Not Ready old 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv 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 DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. Carports; Windows -Doors 3. Blocking Electric 4. Gas; MH Test -Demand -Valve 9. 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Ext.; Steps -Doors -Landings 7. Water and Sewer Connected 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Exits Card B-1 Date Card B-1 Date 10. License Decals 1. Setbacks -Easements 11. Verify #'s with Office 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, 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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date VNDERY1_0OR (Plans) OK except #'s t ain; Soils-Elec. Grnd.-%y V" Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-/71\1 Ftg. Depth 4. Ftd., Porches & Decks: Soils -Steel-/ /" Ftp. Depth / 60,/Hold Downs and Special Anchors / 7. Slab, Steel -Wrapped V Pi -Fire lace Ftg.-Steel VOoD.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test r�9:-�iF, C As Pipe; Size Anchors -Yard Gas Piping; Size Test 1;e -Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 18--PL-nems & Ducts; Clearance -Material -Support -Ins. 14-Gir rs-Sills-Anchor Bolts-Joists-Vents-Crippies 1 ccess & Ventilation 16. Insulation Date -)t 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 er Pipe; Taft & Anchor -Nail Protection 1 D.W.V.; Teaf Fittings & Anchor -Nail Protection S D 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 Date J Card B-1 Date ,,Card B-11- Date -1Date j 0 f Card B-1 Date Card B-1 Date - ELECT L (Permit) OK except #'s 2 . ' ure &Transformer Clearance -Ins. Protection I eceptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors Stapled e7 -Rom- 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 0 Yes 0 No A47 Draft Stop in Walls (rat proof) 45. F e Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMIN . (Continued) 32. Service -Riser Conductors & Ground Main Disconnect Ep#owing Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Fire lace Ties or Type A Flue -Fireplace Throat Clearance 34. C othes Closet Light -Shower Light -Spa Light K. 3, -,"Smoke Detector Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings Date Ext. oors-One 3' -Check Garage 3rd Story, 2 Exits Card B-1 Date Card B-1 Date 512r)?Iywoocl Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except #'s 30 . Lfi4C. Ducts Insulation & Support GYazinq Area-Glas,%,PLotection-Skylights-Plastic Fire Sprinkler Vent Fan, Exhaust above insulation Card B-1 Date Card B-1 38. Condensate Drain & Overflow, Size & Grade Comments at Final: 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 -1 Date Card B-1 Date FRA Permit) OK except #'s Is rper Materials & Anchors r IIs Studs -Nailing Spacing & Braces -Plates -Sound Dearing Walls over Girders & Floor Nailing A47 Draft Stop in Walls (rat proof) 45. F e Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMIN . (Continued) _ 47. H gers-Post Caps -Anchors -Connectors Ep#owing Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No ling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fire lace Ties or Type A Flue -Fireplace Throat Clearance 50. Affic Access; Size & Romex Protection -Draft Stop -Ins. Baffles K. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. oors-One 3' -Check Garage 3rd Story, 2 Exits 55. airs; Width -Headroom -Rise -Run -Landing -Fire Protection 512r)?Iywoocl on Roof Overhang -Attic Vents -Rafter Outriggers Ga Test -Meters Tagged, Gas -Electric Siding -Nailing Veneer 30 . Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. GYazinq Area-Glas,%,PLotection-Skylights-Plastic Wall Panels Insu Date Card B-1 /Lv ✓ Date Card B-1 Date Car B-1 Date Card B-1 Date FIN19LIPlansTO except #'s xt. eps-Door & Sidelight Protection -Landings moke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In C parRge; Above Floor-Ducts-Mech. Protection edroom Exiting 68. G2. & Bath Fixtures & Tub Access -Spa 69. Vec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Ki . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 lec. Outlets & Receptacles at Kit. Counter 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 ec. & Mech. Equip. Listed for Location ap-liec_Receptacies in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainaqe & Wood -Earth Clearance Looked under Floor O Yes _ 83. Ep#owing Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 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. Vent n Throughout House lass Protection 91. Corrections from Previous Inspections 92. Ga Test -Meters Tagged, Gas -Electric 9 9 ter & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date - (j- Card B-1 Date Card B-1 Dat <, Date Card B-1Date Card B-1 Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILf-1NG DIVISION i DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, plea a contact this office immediately. �� �s 0 �� t^ /2 c--'Z--7`l0 I COUNTY OF BUTTE BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 --J CORRECTION NOTICE --a OWNER PERMIT NO. Y A routine inspection4ndicales lhol.,the following violations ohbutle county Ordinances exist at the . above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ~ , please contact this office immediately. ' 't/c=�6tiT F. - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this offiqp-eii4 mediately. i.IaAMrurR F ...COUNTY OF BUTTE.- ... ...... ,• _ . ` BUILDING DIVISION " DEPARTMENT OF DEVELOPMENT SERVICES i 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE O NERREpMIT'NO. . A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. D!i 7-ti�a Date v Inspector/ 4(� �• REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 �' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE // X � f i%ck OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r:: < Date . _ V / Inspector. kl/ REV 4/05 Phone # '5-4 n_0�_ 3 5 { FOR RE -INSPECTION CALL: -`.538-7636 OR 891-2834 RESIDENTIAL 02 6 -143. PERMIT#96-2034- ROGERS,.Scott _ 148, Bantle �,C-onorch to Bedroom/S�" +C3 L® 3q r' 4^ b }1, V f.' �i 'J' 3 ' c z r JOB FINALED (Date) _ Signature J V=OK O = Not OK *=NottRealdyb� MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 11. Ext.; Steps -Doors -Landings 1. Zoning Requirements - Setbacks - Easements Card B-1 Date Card B-1 2. Soils.; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete MOBILE HOME INSTALLATION (Plans) OK except #'s 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 1. Zoning Requirements- Setbacks Easements 6. Gas; Location-Test0rap; / /"L'ft. / /Nat. or/ /°L"ft./ /LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-DecahEnclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert of Occupancy 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 Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date Card B-1 Date Card B-1 UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning-Setbacks-Easments-Flood-Slope FRAMING (Plans) OK except #'s 2. Ftg., Main; Soils-Elec. Gmd.-/ J' Ftg. Depth 41 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ J' Ftg. Depth Bearing Walls over Girders & Floor Nailing 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth 44. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Heoers & Beams -Size & Bearing 6. Stemwalls, Garage; Steel-Blockouts4Nrapped 51. 6a. Hold Downs and Special Anchors 52. 7. Slab, Steel -Wrapped 53. 8. Piers -Fireplace Ftg.-Steel 54. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 55. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 56. Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date y Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection '"r5. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date tairs & Rails Card B-1 Date Card B-1 Date place or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date c. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74` 25. Size Boxes & No. of Conductors Stapled 75. 26. 27. 28. 29. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size GFI Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 76. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 77. 31. Service -Riser Conductors & Ground -Main Disconect 78. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 79. 33. Clothes Closet Light -Shower Light -Spa Light 80. 34. Smoke Detector 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No Card B-1 Date Card B-1 Date Stucco Brown -Finish Card B-1 Date Card B-1 Date A.C. Unit Disconnect, Electrical -Plumbing MECHANICAL (Permit) OK except #'s 85. 35. A.C. Ducts Insulation & Support 86. 36. Vent Fan, Exhaust above insulation 87. 37. Condensate Drain & Overflow, Size & Grade 88. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 89. 39. Attic Access & Platform if Furnace in Attic 90. Corrections from Previous Inspections Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40,Zi(s Proper Materials & Anchors 41 alts Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing Fireplace Ties or Type A Flue -Fireplace Throat clearance raft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Heoers & Beams -Size & Bearing Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Date FRAMING (Continued) _ 46. _ Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58, Glazing Area -Glass Protection -Skylights -Plastic 59, Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63 Ext Steps -Door & Sidelight Protection -Landings 64. Onoke Detector '"r5. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels tairs & Rails place or Stove, Clearance -Hearth 7 . c. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74` Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric �S?`Water & Sewer Connected -C/O to Grade -HD Approval Q_QLergy 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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION - 7 County Center Drive - Oroville; California 95965 - Telephone (916) 538-7541 PERMIT NO. `------"W., 1 11 ' -. APPLICATION AND PERMIT - . ASSESSOR PARCEL NUMBER 027-360-143 ZONING AS BUILDING PERMIT OWNER SCOW ROGERS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 148 BA^TIXU 011ROVI , 95966 CONTRACTOR'S NAME MINFY TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIWOWN Total Valuation is 120 .00 Filing Fee $20.00 LENDER'S MAILING ADDRESS - Permit Fee $ 144.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 3• Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS_ 148 BARTU L?Y PERMITFEE S 280.0 PLUMBINGPERMIT Filing Fee 20.00 OROVILLE, 95966 Each Trap 7.00 LOT NO. SUBDN5roN5 NAME PARCEL MAP Solar Or heat pump Water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF❑u� Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel l7 Utilities ❑ Installation ❑ Other ❑ Describe Work: OCNVE.RT PORCH TO BEDROOM — Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 2o0A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. 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: kit I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SO. 7 (1 3.52 FT. • NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) ' @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Occup. ( OUTLET OR FIXTURES ) 20 Q 1'00 BAL .50 Ex. Occup. ( OUTLEEDTS (RESID.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 30.'JO Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation +^,of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. �(1,tt!!�. X _ Date l— Signature of Applicant - 'p Owner ❑Contractor ❑ Agent An OSHA permit is requiredffor excavations over 60" deep and demo itio or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 occ CONST. TYPE TOTAL FEE $ HAZ, �. D. FEES IMP FLOOD X CDF PARCEL PO HD ISSUE _ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. P / J � .. B 6� - \ Date/ PERMITEXPIRESON 4�2t'/f7 (Date) Receipt No. 2Q292 WHITE-D.D.S.-B.D. CANARY -ASSES" OR PINK -INS, ,- TOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 24 HOUR INSPECTION BUILDING PERMIT (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date•- 02/11/2004 APN- 027-360143-000 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. Site Address: 148 BARTLE LN PAL License Class : License Number: i Map Index: Date: Contractor: Description: RE -INSPECTION (1 HOUR) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CHARLES SAXE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 148 BARTLE LANE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 95966 7000) of Division 3 of the Business and Professions Code) or that he or 530-533-7102 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: CHARLES SAXE intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:,�0 3 `7 (� and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: V � License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy a. Zce�rtifythat -the in the performance of for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater Applicant: WARNING: Failure to secure workers' compensation coverage is� unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. '^� ' ,y�V71 CONSTRUCTION LENDING AGENCY This permit is hereby issued u 74 a applicable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resol tion o do work i'di d abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date:-CQ77 vv ^ , Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety.Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification fortes. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the dul ut brize agent of e o�y'ner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o ci I rm or ocumen of BQlte ounty. I hereby authorize representa ' s of Butte County to enter up above mentioned property for inspection purposes. ^a Print Nam4MLEe: `A_ 1C Signature: Date: O caner Contractor 0 Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING' PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: 'www.buttecounty.netldds PERMIT NO. BP041347 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/23/2004 APN: 027-360-143-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 148 BARTLE LN PAL L Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: ADD(650)GAR(768) I hereby affirm under penalty!of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SAXE, CHARLES C. & VIRGINIA M. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 540 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968-0540 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SAXE, CHARLES C. &VIRGINIA M. owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PO BOX 540 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of 95968-0540 sale.). lar—l'. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: O 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: } Policy #: Total Square Ft: 1418 S. F. I certify that in the performance of the work for which this permit is Valuation: $60,682.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' Icompensation provisions of Section 3700 of the Labor Code, I shall forthwith comp y with those provisions. Dale: Applicant: 1 WARNING: F ' to secure workers' compensation coverage is unlawful, and shall bject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING_AGENCY,_r This nf;,mit is hereby issued under the applicable provisions of the B+itte Cnunty Code anrvor I hereby affirm that there is a construction lending agency for the Resolulio o do work iodic d abov r w ' h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) j� Name: B Date: ci Address: P TEXPIRES ON: D to ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health &Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or a myLauthodzedgent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of ny !ticument of Butte County. I hereby authorize representa ' es of BuIle County to er►ter,,u eeabove mentioned property for inspection purposes. Print Name: \ �'�1! �X f ' Signature: Date:^ ,IXOwner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor 1. RQO� MAD" Tlftm (j T 1 f�T BMWNWM - Tt&Md Rmblipm (Ralalm & EiT'EWR WALT. TN*Ms I a 57 aftem Id _Ehm T ( haat — f • 5 S. NM FUM / PERIMETER :TiddWm Pohl hmdafton D"m FOUNDATION WALL Bund Name job= Mmft il�errnr (R-v�tuel �. • Z 1 Brand Nree JdW MMIIJ PAddMXO (I-Vakw� 8rnrrd NNW ThftMd R (WV,td m L f sJ 027-360-143 .03-2051 ROGERS, MELINDA 148 BARTEL LN., Qj.tOVILLE.' Cont: ALLADINlZOOFING, ;.ti REROOF/SF i 111 Ov�� • it.. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT n1q_9n51 ASSESSOR PARCEL NUMBER��"" + y3 ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 148 F OROVTT.TP, CA 14 0 8 CONTRACTOR'S NAME AN ROOFTNIS, TELEPHONE 553-2934 12 So cc= 720.00 CONTRACTORS MAILING ADDRESS 11549 MIU" WEAK RD. OROMI E CA 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS 14R BAUMPALUM CA Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF TORCM& CAi+1j.' Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 ao OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class L -3'Y Lic. No. S3 a P 3 �/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers. compensation insurance carrier and policy number are: Carrier Jiro 7e k, „ d Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.SQ FT. NOµREOS,pT MULTI.OUTLET 97,50 PowFA APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ 1.00 @ .50 Ex. Occup. GFuc�,E�OSA OR AEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number 2 1 3 - / r! / - 0 / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ `/�� _Date X � � ,7T / 8 _ O 2 — Signature of Applicant - ❑ Owner/ -O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. p. FEES IMP I FLOOD I COF PARCEL I PD I HD ISSUE This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have ; By PERMIT EXPIRES ON 7-10-04 I the applicable provisions Resolute to do work been aid. Date 7"10-03 Date Receipt No. ; 382443 $ 74.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041347 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/23/2004 APN: 027-360-143-000 the Business and Professions Code, and my license is in full force and effect.Site Address: 148 BARTLE LN PAL License Class: License Number: Date: Contractor. Map Index: OWNER43UILDER DECLARATION Description: ADD(650)GAR(768) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SAXE, CHARLES C. 8r VIRGINIA M. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 540 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968-0540 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SAXE, CHARLES C. &VIRGINIA M. owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PO BOX 540 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of PALERMO, CA proving that he or she did not build or improve for the purpose of 95968-0540 �sale.). '❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Cl I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 1418 S. F. I certify that in the performance of the work for which this permit is Valuation: $60,682.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' 7 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. U Date: i Applicant: V J/ 1 WARNING: F' to secure workers' compensation coverage is unlawful, and shall bject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pennit is'here by issued under the applicable provisions of the Butte County Cody ?n(VOr I hereby affirm that there is a construction lending agency for the Resolutioo do Work indic d abov r w ' h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BVA te: Address: P T EXPIRES ON: D to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or a my authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of ny icial form or document of Butte County. I hereby authorize representa . s of Butte County toeryter�uZZ ve mentioned property for inspection purposes. Print Name: )� Signature: Date: Owner Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name City Address P C> City PWeIrVYks Fax State CA Zip Q� Phone D Fax E-mail Planner APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name ®us��, Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use nly: Zoning S Flood Zone Cross Street & 1 e— V -WORKER'S SRA COMPENSATION No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\131dgApp1SubRgmts.doc PERMIT NO. Oq BP BIN #� LOCATION AP# oog r e f — j y jC' 3 (p / � Property Address uRi Lt-, Cross Street & 1 e— V -WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address IDescriptiotj or Scope of Work: C ( C-7 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received byc/w Amount: I l ace Bldg SRA Receipt#: ��cSSheriff SMIP Date:(a- 6� Other I a S If ' Total REV 4-30-04 ... SUBMITTAL REQUIREMENTS -,r The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete'sets of plans, signed by the preparers NO GRAPH PAPER!'. ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND. 2 sets of stamped and signed 5. calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to Commercial, New, Additions and Remodels: mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in ❑ triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si ng- ed by the engineer. ❑ 9.' Letter of intent. L ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 E.H. MAE ONLY Plot Plan Attachod Floor Plan Attactsod� sant to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispos � Water Sup ly: Public Priv teWell Clearance for dwelling. Other��)�a��a� Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 24' 4�- v D to S-Jt1=U COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �C�/�`� ASSESSOR PARCEL NUMBER Proposed Building Usead Counter Technician: Date: a- U Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order fo apply. Ej 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. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. -- 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form � 015. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico I315oville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ...... . 21.-, Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City.of Chico Plumbing permit ................... . a .. -p .................... 23. California Department of Fores � plan approval paid�r h�............. 24. Planning approval (A) Use: 6 (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ................................ ****...... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... s ❑ '35. Existing violations and/or expired permits .................................... . **................ .t ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone���<��and hold forpickup. I have been inforU've 'theAbove ite sand equirements for obtaining a building permit. Applicant:U ate: � 1. Index permit appl i . nu a ed: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the ove data by El phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: _ Date Structural reviewed by: Date: Structural approved by: Z Date: �\ Note transfer by: Date: Yellow: Building Division 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. # n;q_3 / 9o_I CJ3 PROPROSED BUILDING USE ��,J�y%�L(�±(1/ DATE RECEIPT # DATE REC. 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 Ch k) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. 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) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE .0Q aid at Building Division) "1 ` 8 .19T ATER TENDER FEES BATTALION # $260.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. Pd 10. OTHER 'C'j� 'F4 . 0-7 At time of permit appy ti , I s adv' edlth ve fees are required to be paid prior to issuance of the permit. These fees may be changed duri g e pl c ec ' g o ess. ^7 APPLICANT DATE_!`� Pursuant to Government Code Section 66020, youre her by notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projec m the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) School District A.P. Number Property Owner Property Location/A BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) (,(__� Building Department No. &R diction: City County p92 -()vv (1�7 Subdivision Lot No. ..........................................................:...................................... Residential Development Q Q € Sq. Footage No of Living Mobile Home dihon/ *Supplemental to (Group R) Units Installation Conversion Permit # , -(No foundation Inspection) ..............................................................................._...i Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial • New Addition f Sq.. Footage . (Including Exterior Roofed Areas) Date I District Identification No. 040259 n" Vr ( — School District certifies that 24�� (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. (State) /b S-90 (Zip Code) by payment of $ ��, 00 representing square feet. JAB 2926 $ FULL MITIGATION Ell 0 q— School District Representative Date Paid by Check # Remarks: n -(Pito Notlos: You may protest the Imposition of the fan Identified above by submitting a written protest to the District. In compliance with Government Code Section 66020(a), wMn 90 days from the data fees are paid. Fallure to submit a timely written protest will prohibit you from challenging the Imposition of the fen In any court action. If. subsequent to the School District Representative signing this Butte County Schools Impact Fn Certification Form, the School District Is not! by tit appikabN Local Planning Agency that this project isbeing rwlawed undar the California Environ awntal Quaft Act (CEQAh this project may be subject to addltional school fees to fully 0109ate its Impact on the school districts schools. White (applicant), Yellow (building department), Pink (school district) feeform.>ds 00/03)dmm I OWNER BUILDER INFORMATION -I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding,. federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed 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. V rely, _ 'NEc el C. Vi ira, C.B.O. `—_• 1 M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER OAnj OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the ajor labor and materials for construction of the proposed property improvement : YES NO ❑ 20 I HAVFP'HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. Cj J SITE PLAN REVIEW APPLICATION. r Date:. Oc" AP# Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: l 11i o Ll 0 0460 { `3--71Qa OCA'14 UL /1 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory—Cd41c49t66c00v►j �(_ y61IL�l ❑ Permanent Second Dwelling c/ t/ — ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ❑. Commercial Remodel ❑ Industrial Remodel Brief Explanation (if necessary): ex — dld o&4t,� DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards' and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval.must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) 0 Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r. r Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff < ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ .Other Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees R ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area . ❑ Other (per map) # Check with school district to verify actual fee if pre -application review.. A final determination will be made at the time of the building permit. Parcel Created By , ❑ Deeds: Date of Creation: - Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required EJ-NoElYes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: El No. El Yes, Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road ,to: El Meet Parcel size required by zone El Meet current Environmental Health Department requirements Page 3 of 5 n ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized' water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to'control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ■❑ Pave 4 of 5 Summary of Specific Requirements: r This information provided in this summary is based on the application information and on the best available data at the time of review. CMarrys\Building Permit Site Plan Reviewl.doc a Page 5 of 5 National Pollutant Discharge Elimination System (NPDES) Phase Il Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE1 Project Title: l ve) By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), .a Storm Water Pollution Prevention: Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware tha subm" false and/or inaccurate information may result in revocation of grading and`o;%th pe 'ts pother sanctions provided by law. Signed: Title: Date: -c) BUTTE BOUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP040426 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under ' provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/11/2004 APN: 027-360-143-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 148 BARTLE LN PAL Date: Contractor: Map Index: Description: RE -INSPECTION (1 ?HO) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CHARLES SAXE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 148 BA TL NE 148 BARTLE LANE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or95966 CA she is exempt therefrom and the basis for the alleged exemption. Any 530-533-7102 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions .Applicant: CHARLES SAXE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one } t year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of C sale.). ❑ I, as owner of the property, am exclusively contracting with 1 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). i ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: ` License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and number are: \ policy Carrier: Total Square Ft: 0 S. F. ` o Policy#: Valuation: $0.00 q�s Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' / y compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code,.interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Date Address: O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: _ Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 4 CORRECTION NOTICE G-ZO.? OWNER / — PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you h any questions pertaining to this matter, or need additional explanation, pi=ontactolfice immediately.�►/� rvP, 7;7- tz6vu f ri-e 1 J / Zxz� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER f PERMIT NO. A rouline inspectio ndicates that the following violations of butte county Ordinances exist at the above addres nd should be corrected. Please notice this office when correction of work is completeyou have any questions pertaining to this matter, or need additional explanation, ntact this office immediately. W/ C{ ice[ N.&c 8"u Insulation Certificate BUILDING OWNER: BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) Brand Narne CEILING I Batt or Blanket Type Brand Name _ IIJ J69 Thickness ('inches) Thermal Resistance. (R -value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIORMAL Material ��% 9 ���_ Thickness (inches) RAISED FLOOR Material 6 j — Thickness (inches) SLAB FLOOR j Material Thickness (inches) Width (inches) FOUNDATION WALL A1%LX Material Thickness (inches) Declaration Brand Name _ �l�(/ LJ�/� ) Thermal Resistance (R -Value) Brand NameC�//�/�{� Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) »w Brand Name 'jAermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) �r '�� _ Signanu and Title W 1 R Glomi /, l �, , n Sub -Contractor (Imulatiq:6llWtaller) _ / Signature and T' to i License Number Date 3—ox License Number Date THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 PRIOR TO FINAL INSPECTION wy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP040426 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: Carrier: Policy LIY 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 2 ( �D Applicant: d WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a constriction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address Issued Date: 02/11/2004 APN: 027-360-143-000 Site Address: 148 BARTLE LN PAL Map Index: Description: RE -INSPECTION (1 HOUR) Owner: CHARLES SAXE 148 BARTLE LANE OROVILLE, CA 95966 530-533-7102 Applicant: CHARLES SAXE Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S.F. $0.00 ?c&n r7� C K4r 103 � This permit is hereby issued ueM a applicable provisions of the Butte County Code and/or Resol tion�5 o do work indinat d abo a for which fees have been paid. By: i Date: 7 v PERMIT EXPIRES ON: r' + ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the dul ut firize agent of If( I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o ci I rm or ocumen of Byte ounty. I hereby authorize representa ' s of Butte County to enter up a above mentioned property for inspection purposes. �+ Print Name: L MAUEA E. Signature: Date CW�wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. G�~/I -%( P DATE: 2 _ / O �71 APN: O 2 7 / — ZONING: NEAREST � h-L/e� TRACT/LOT#: SITE ADDRESS- DDRE S -CITY, CITY,ZIP: OWNER NAME: � PHONE:3 STREET ADDRESS: FAX CITY, ZIP: E-MAIL: APPLICANT NAME: C c� / 1/V \ PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE 9FWORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by. -7p Date: Receipt number: q'14 ^ Amount Received: .0 �'j V B. C. Buildina Permit 01-23-04 no 2 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNERR � PHONE NO. 7/02 -- OWNER'S OWNER ESM& LOCATJO OF BUILD NG 5o iy,77, USE OF B IL I NG (Jv SIZE OF STRUCTURE / �Q2. x �t"�' _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE nrm SID NG ROOF QQ EKING FL E VYP ESTIMATED COPT OF CONSTRUCTION $ A-, Vic) AG Buildings shall comply with the minimum front, side, and rear and s6tback requirements of the applicable County Ordinances as follows: /, FRONT 7n1NIDES 0 �7/4REAR D ;�!'Ik AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the buil g is ade, I w' a t the Building Division and obtain any necessary permits, inspections, and approvals to comp/ wjt�the requir en ' 'effect at that time and before occupancy. �� z� am -d Date � Signature of Owner Permit Fee -$68-94 loq.gS The above described AG Building is exemp om a building per ' . FLOQD PARC I V I R O G I VI Receipt No. 7X Manager Buildin Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant •� `.'"Lai.,,+^., s:T.. .� y. COUNTY OF BUTTE -DEPARTMENT OF.DEV.ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWI)IbR 2�„.. SESSOR PARCEL NUMBER O _`)7-56, a• I A,3 Proposed Building Use: AG Ex C-n(� .IST Counter Technician: Date: � ItemA required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. El 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 03. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ , 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. - ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ❑ -20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 128. Pre -Inspection for required....... ❑ 29;. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of`Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37.�.Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. 0ther ❑ 39. Other: When issued Telephone Z5 . c74-7 . l - r -3n and hold for pickup. 7 o y I have been informed/of the j Jove items and requirements for obtaining a building permit. Applicant: I 1. Index permit applicalion46K,e above items numbered: 2. Additional items require Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Date: 3-29-0 Plan Check Letter Yellow: Building Division �:'"•Y^;x,• •�, Y'{4�jt�E.Y �; 1,49 Y i RECORDING REQUESTED BY , MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: CHARLES AND VIRGINIA SAXE P.o- � SqD {�,�s1XMOt � gsr'i b� ORO -C 24�rb4—�h�O�tEs31 4 ,Recorded Official Records' CoBBUy Of TE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09 -MAN 04 -Feb -2004 I REC FEE 10.00 I TAX - 187.00 I I t I Mark I Page 1 of 2 Space Above This Line for Recorder's Use Only A.P.N.: 027-360-143-000 Order No.: 217863CB - OY'U - G Escrow No.: 217863CB GRANT DEED �- THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $187.00! X ] computed on full value of property conveyed, or computed on- full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, A. MELINDA MAXWELL-ROGERS, a married woman, as her sole and separate property hereby GRANT(S) to CHARLES C. SAXE and VIRGINIA M. SAXE, Husband and Wife as Joint Tenants the following described property in the unincorporated area of the, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION A. LINDA MAXWELL-ROGERS Document Date: - January 29, 2004 STATE OF CALIFORNIA� )SS COUNTY OF' On LL before M personally appeared g / / personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whos6 name(s) is/are subscribed to the within instrument and acknowledged to me that he/site/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the �erson acted, executed the instrument. WITNESS my ha a d official seal. Signature �,/• CHARITY D. BERRY Fo Commission #1351358 — 0 V Notary Public -California W Butte County My Comm. Exp. APR. 14, 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ` 1 " Preliminary Report Order No. BU-217863-3 CB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows:' , PARCEL L• PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 5, 1979, IN BOOK 73 OF MAPS, AT PAGE(S) 7. APN 027-360-143-000 PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE ROAD SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 5, 1979, IN BOOK 73 OF MAPS, AT PAGE(S) 7. EXCEPTING THEREFROM ALL THAT PORTION LYING WMIIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL M. A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF.LAND 60 FEET IN WIDTH, LYING 30 FEET SOUTHERLY OF AND ADJACENT TO AND 30 FEET NORTHERLY OF AND ADJACENT TO THE SOUTHERLY BOUNDARY LINE OF THE NORTH HALF OF THE NORTH HALF OF THE NORTH HALF OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT q(� - ASSESSOR PARCEL NUMBER 027-360-143 A5 ZONING BUILDING PERMIT F77" OWNER SCOTT ROGERS TELEPHONE SO. FT. OCC. BUILDING VALUATION 300 12,300 -no OWNER'S MAILING ADDRESS 148 BARTLE LN OROVILLE, 9,5966 CONTRACTOR'S NAME OWNERTELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ , Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ TO ARCHITECT OR ENGINEER idT 011di LICENSE NO. Plan Checking Fee $ 93.6-0 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 143 BARTLE Lid PERMITFEE $ 280. O OROVILLE, 95966 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel til Utilities ❑ Installation ❑ Other ❑ Describe Work: OCNVERT PORCH TO BEDROOi1 — Mobile Home S I G W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR ONS. ( 8 ACC. BLOB. ) SO. 3.5Q FT. 10.50 NOR EW NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 SINGPOWER APPARATUS ) LE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 aAL 0 .50 Ex. Occup. ( OUTLETS (FESID.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 30.50 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. X Date Signature of Applicant wner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 5'0" deep and d ov t' or co sdtruc1lo of structures over 3 stories in h fight. - �u t�' � Receipt No. 202592 ". c� iXe O `.p"ec Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 OCC CONST. TYPE TOTAL FEE $ HA2. D. FEES ,� IMP FLOOD y CDF PARCEL PO H ISSUE iz This permit is hereby issued under the of the utte Count Code and/or indi at b e fo which fees have ' CPRMITEXPIRESON 1717-6A77, applicable provisions Resolutions to do work been paid. 9 // Date 9V 16/9 (Date) WHITE-D.D.S.-B.D. CANARY- SSES OR PINK -IN TOR LDEN OD -APPLICANT ±w' I`1`�,., rw., r..w .. ..-.Nyy ...`+..i... a; •r<-••—.. /y_'.r,try•.wy...... - COUNTYOF BUTTE - DEPARTMENTOF DENLOPMENTSERVICES -BUILDING DIVISION F , OWNER ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Proposed Building Use ©n i/1 r•4a ) Building Inspector � Date -, .-sfl"% I'd,11 N At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items been submitted . .................... ............... . Plot plans sts, signed by preparer of plans. . Complete plans, 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. _ ngineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome% nufacturer's installation instructions, 2 set . es of $ two .. c �.j� p . DI��.S..�...... . Impact fees as -s non a ace sc etc ule. .... /. /.c . 12. California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year flooby t1�Uf mia Engineer. . . �1 CI�Sanitation and plot plan approval r 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). .. .. . Preanspection requ� 20. Pre -inspection for required. .. to Building Inspector (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. ....... I f" . ........... 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 . .......................................... 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 check list. ...... ... . a A _S. F. CIC. R�ra2.��� Fat I S6' 34. W47you issue the per t, pr�q��¢s as follows: Map' ltq owner. Mail to contractor. Telephone' �i d' and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date ~`s 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 1. Index permit for above items No. �j4 2. Additional items required: �� `"' not checked above). Contractor, designer, owner,.was advised of above required data by - phone _mail Counter by Date Contractor, designer, owner, was advised of above reCXt�h41A tafij��`one _ mail Counter by _ Date ti Plans checked by >n _a �� Date Plans approved by ii (b% oils Date Sets of plans on hold, in File cabinet Copy - Department of Public Works 4: E.H. USE SE ONLY •'�•` Plot Plan Athchad Mor Plan Ameched Scotto B.D. 1,J TO: Building Department. FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Y Clearance for dile-home: Other -H �V1 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Q a1) i--/7-?,� Date m 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 atyour earliest opportunity' to avoid unnecessary delay in processing and issuing your•building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the- major labor and -materials for construction of the proposed property improvement: YES [XI NO[ 2. I HAVE[QJ HAVE NOT[ ] signed 'an application for a.building permit for the proposed work. 3. I have contracted with the following person (firm) to, provide the .proposed construction: . NAME: ADDRESS: CITY: . PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but° I have hired the following person to coordinate, supervise, and provide the, major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: . PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER .4 O.B.-1 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. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 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. 0 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. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuildet" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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. Sincerel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER FIN 17, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSQFLP C uMBEA3�O—� 1 �j / `7 ZON,"O� — BUILDINGPERMIT OWNER c� - TELEPHONE SO. FT. OCC. BUILDING VALUATION Z50 . OWNER MAID ADORE arf h Vr LS COMMORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRj♦♦CTt'�N LENDER - �/ri// ✓? UNIWOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS- _ _ Permit Fee $ C ARcHrrEC7 04 ENGINEER '• LICENSE NO. L/U011- Plan Checking Fee $ O Energy Plan Checking Fee $ 23. ARCHITECT OR ENGINEERS MAILING ADORES ' Penalty $ Bu ING oREss y /rt r / PERMITFEE $ 2 C� , PLUMBING PERMIT Filing Fee 20.00 Each -Trap 7.00 LOT NO. _ SUBDNISIONS NAME y, PARCEL MAP v Solar or heat pump water heater 23.00 Water piping 15 USEOF&AUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 o Gas piping system 1 - 5 is 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel UblrGes ❑ Installation ❑ Other ❑ LPERMITFEE Describe Work: P Mobile Home S I G I W 920.00 s Contractor ELECTRICAL PERMITFilin Fee 20.'0 0 Main Serviceeoov oR LEss ( zooA oR LEss ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 11 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLDS. ) 50. 3.5¢ IT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPAMTUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FUTURES ) zo @ 1.B BAL FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 P ERMITFEE $ _ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor , Mobile Home Installation Fee $ Energy Inspection Fee $ C OCC CONST. TYPE TO AL FEE"' Q HAZ. I o. FEES IMN FLOG This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B - • y PERMIT EXPIRES ON. +, CDF PARCEL PD HD ISS E �-' applicablg provisions Resolutions to do work been paia. ` Date. , `•' ' Receipt No. WHITE•D.D.S.-B. D. CANARY -ASSESSOR J -)&K -INSPECTOR GOLDENROD • APPLICANT MEMORANDUM TO: 'QV(i%_ v' "',.r - Qu1"d)aC FROM: COLLEEN BOTTINI, BUTTE COUNTY TREASURER SUBJECT: CREDIT DEPOSIT CHECK DATE: IL3 "�'9 6 A check deposited by your department has been returned by the bank and cannot be redeposited. A copy of the check is enclosed. It will be charged back to you on a credit deposit with the next week. Within the next three working days, please provide the informa- tion as to .which funds to charge. If we are not provided with the information from you, we will charge the check to the fund we feel is correct. You can then verify the credit deposit when received and if the fund is incorrect, process a transfer. The procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. If you have any questions, please call me at (538-7576) ---------------------------------------------------------------- TO: COLLEEN BOTTINI--TREASURER'S OFFICE AMOUNT: 15 & . O �' 1 0 MAKER • Scolt o C� �� r -S _ iJ CHECK NO. � �� FUND: -&-C9(F i REV CODE: NAME AND DEPARTMENT ��u i �; L, 5 ,y DATE: t, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM <` (One Form Per Building) School District • &C> (/(h © YI H',S Building Department No. A.Number (G(/ " M1 Jurisdiction: City County Property Owner Property Location/Address Or Ord Subdivison Lot No. Residential Development 0 0 [y Sq. Footage Commercial/Industrial No. of Living Units ti MHI Addition (roup R) ��n v C��C �! 4O '�J _ r©Dti't Sq. Footage in (Including Exterior Roofed ye as) Date rso 00/ L D' r t IdentificaY' n o. f970031_ f chool Dis 'ct certifies th ( plic nt) IL va �4, reet A dre s) (Prone Number) (i (State) (Zip Code) has cc ied with the requirements of Resolution No. by payment of $ / representing square feet. AB 29 6 .FULL MITIGATION $ istrict Representative Paid by Check # Bank Number Paid by Cash Remarks: e Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wki (11/94)dmm — -L' TCT a r .ADc-roved bv: '-v: UDI TOR -00-,NTP0ER T-11 - R ZA. SURER 3 -v 'R OR -DEPUTY OR DEPUTY n x COUN717Y 0-7 3UTTIE A D I TOR S' CEER T- I F T,-.,. - ANE 'r = E S PEF? z R ---7 CE G.-R-OVISLE , CA n T T E 110- 22 - 6 T T - ""'DE c L) 12 D E 0E C D i T DE S I T CO L E C T i 0 #248 BREIMER Sus p 1001 0 00:; N' C -MC - C H TC 0 1+ - - � s Cl H F, 0 E E.- F. C H C" J!JD S U S F, - 10 0.1 11 ;i1 '7 0 < I 4' 24 12 S T C"' SUS..` -1,;11_1 7-`_'U C i") H i U 11--1 s U 10 < 00, 'F) T CH- j Ul T--: S U S P 10C.._ 0C.- �v( 1Gi�� 7r" - j33 C'C': u -f -7-7 ppj-�� 'j .7 U S t T 1:!"• 01, 1170< 0 > PUEBL WK -7 - 0 10 C' Z C, C, 7 T CQ 0. 0 — -L' TCT a r .ADc-roved bv: '-v: UDI TOR -00-,NTP0ER T-11 - R ZA. SURER 3 -v 'R OR -DEPUTY OR DEPUTY n x MEMORANDUM 70,41 FROM: COLLEEN BOTTI\I?: BUTTE COUNTY TREASURER SUBJECT: CREDIT DEPOSITY.CHECK DATE. A check deposited by your department has been returned by the bank and cannot be redeposited. A copy of the check is enclosed. It will be charged back -.Co you on a credit deposit with the next week. Within the next three working days, please provide the informa- tion as to which funds to charge. If we are not provided with the information from you, -we will charge the check to the fund we feel is correct. You can then verify the credit deposit when received and if the fund"is incorrect, process a transfer. The procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. N.' C_ If'vou have any questions 14 call me at (538-7576) L. ---------------------------------------------------------------- TO: COLLEEN ; BOTTIN`I--TREJ-A�SURER' S OFFICE TR AMOUNT: � `.� v MAKER: 5 CHECK NO. � FUND : F- -1 G) REV CODE: NAME AND DEP IRTME:\?T :. 0 eA0P Sw v foo. seg /J l D ATE : 10/1(•E' � � 1 6-100 Svc_ N d, ss,, . V vCC••yy�� U -- - .-.--- ----- -- --- - - - �' , 3 Z, Q) Z A " 1�k i �_ <_r * �Qt 1� � ALL STRUCTURES AND EQUIPMENT- INCLUDW OVERKANGS SHALL BE CLEAR OFALL EASEMENM A SET BACK OF 5' FT. FROM THE SIDE AND 5 Ft. FROM THE REAR PROPERTY LINES AtO So. Fr. FROM THE ROAD CENTERLINE SHALL BE FLURR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. APPROVED Butte County Environmental 1-1T-1th t BUTTE COUNTY BUILMNG DEPARTMENT A P P R 0 ED FILE CORY, 6T- ((j `Faci'�t�rn2'-5=�a r G = SRA QED �1;,J�@�c�PAiVEI.s i APFNR,O� EU 6u#6 Cointy EnWj'nmental Heal � 5o NO 177- TT 2 x!o (LA F l r✓Rs PrT 2y " 0, C, 2 G CE-10,iG J -015f fig 2y"o-C, A= aaaess and ventilation rovide Yz" x 10" anchor fes' I/►'�£ i ER �G�"`f �� pan/ �EGtr�r�2 6' O.C. max., and witf 12" of ioints. ll PMV9* 1 b6droom�irdo ' y nrit�ji mirnmurr. I1J open dimensA6tis)of 24" _high, 20" wide, J� 5.7 sq. ft. area ani 441, maximum sill e ---8i �eit�ht. G C� z a Instem smoke det per cone I S L • rOrOR �'"�►o/l MOka clet �3 �tOr,Qer G � rn -010 ►`fid 2S��N►,c� tF1,1 PJD 14-r,�r m instbll smoke detector ver coaev-4 L/2 2!,2> C6 e Safety Glazing y l `4 3 r ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOMPL.Y WITH CURRENT EDITION OF NEC, UMC AND UPC. Z ,Vic Vi w LVI OCIOG.�„ S �►' 3d'3o a 3a,So C. 140 30 EV- ItrinGW1l16/0<1 '030,40 E Go qa F 3O'% G X01 o N ;L0 to W30 T This set of plans and specifications MU8T � All Idaterials & Workmanshi Shall Be In kept on the job at all times and it is unlawful to Aocordance with Recognized Good Practices and make any clianges or alteration on same without of a Quality Prescribed for the Specified use written permission from the Department of Public in the Uniform Building, Plumbing & Worka; County of Bette, Codes and the National Electrical Code. 9� z03r FILE COPY I .. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Addition for Rogers Date........ 09/25/96 Project Address........ 148 Bartle Lane ******* Oroville *v4.50* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. .. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM CF -1R User#-MP1320 User-Calctech Run -Existing + Addition GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -value.... 1281 sf Single Family Detached Existing Plus Addition. Front Facing 90 deg (E) 1 1 Raised Floor 8.3 % of floor area 0.8 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Type Type R -value R -value Wall Wood R-11 R-0 Wall Wood R-11 R-0 Floor Wood R-13 R-0 Roof-,) Wood ((R711 R-1� Wa 1 Wood lR7_1.3 R-0 Door n/a R-0 R-n/a Assembly U -Value Location/Comments 0.091 FRONT, RIGHT, BACK, LEFT 0.094 TO GARAGE 0.045 TO CRAWLSPACE 0.031 FLAT CEILING 0.083 RIGHT, BACK, LEFT 0.330 BACK DOOR FENESTRATION # of Interior Shading/ Exterior Description Area U- Pan - Orientation None (sf) Value es Window Front (E) 24.0 0.940 2 Door Front (E) 20.0 0.550 2 Window Front (E) 24.0 0.940 2 Window Left (S) 2.0 0.940 2 Window Right (N) 12.0 0.750 2 Window Back (W) 24.0 0.750 2 Interior Shading/ Exterior Description Shading Drapes.Std None Drapes.Std None Drapes.Std None Drapes.Std None Drapes.Std None Drapes.Std None HVAC SYSTEMS Minimum Duct Equipment Type Efficiency Location Furnace ACSplit 0.630 AFUE None 8.00 SEER Attic Over- hang/ Framing Fins Type Yes Metal Yes Wood Yes Metal None Metal None Metal Yes Metal M CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZllS92 Program -FORM CF -1R User#-MP1320 User-Calctech Run -Existing + Addition SPECIAL FEATURES/REMARKS R-2.1 Existing duct insulation R-4.2 Addition duct insulation R-13 Existing & Addition floor insulation per Form 3 R-11 Existing wall insulation per Form 3s R-13 Addition wall insulation per Form 3 R-30 Existing & Addition ceiling insulation per Form 3 Glazing U -values per CEC TABLE 7-2 for pre -1978 construction Retrofit existing Entry door with 2050 dual -pane 1/2 vented Existing alum. frame dual -pane clear glazing Addition Viking/Milgard alum. frame dual -pane glazing w/ U-0.75 WALL.FURN.63: Existing wall furnace w/ 35,000 Btu/hr. E.AC.8.0: CEC MIN. REQUIREMENT HWH: NOT ALTERED - NO CALCULATIONS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Scott Rogers Company. Owner Address. 148 Bartle Lane Oroville, CA 95966 Phone... (916) 532-1902 License. DOCUMENTATION AUTHOR Name.... Neal Kuopus Company. Calctech Address. 1835 South Villa Ave Palermo, CA 95968 Phone... 916-534-5066 Signed.. Signed.. �Vak:gAh,2 (date) '(die) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) M MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Project Title.......... Addition for Rogers Date........ 09/25/96 Project Address........ 148 Bartle Lane ******* Documentation Author... Climate Zone.... ...... Compliance Method...... Oroville *v4.50* Neal Kuopus ******* Calctech 1835 South Villa Ave Palermo, CA 95968 916-534-5066 11 Building Permit # Plan Check Date Field Check Date MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM MF -1R User#-MP1320 User-Calctech Run -Existing + Addition Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled 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; Design- Enforce- er ment 1?'30 R--13 minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC 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. Flue damper and control 2. No continuous burning gas pilots allowed. L13 IJA' X Ppr ��C_ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 1 MF -1R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM MF -1R User#-MP1320 User-Calctech Run -Existing + Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(1): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1.. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior 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 exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation n pump time switch. N 11 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). ndil(- LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling �� fixtures IC (insulation cover) approved. 1�tv� COMPUTER METHOD SUMMARY Page 5 C -2R Project Title.......... Addition for Rogers Date........ 09/25/96 ******* Project Address........ 148 Bartle Lane Oroville *v4.50* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone.. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEA Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing + Addition MICROPAS4 ENERGY USE SUMMARY Vent Area Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 12.21 16.11 -3.90 Space Cooling.......... 14.81 15.58 -0.77 Total 27.02 31.69 -4.67 ***,Water Heating not calculated *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value....' Average Ceiling Height..... 1281 sf Single Family Detached Existing Plus Addition Front Facing 90 deg (E) 1 1 ReducedYear Raised Floor 1 10248 cf 1281 sf 1281 sf 0 sf 8.3 % of floor area 0.8 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat Zone Type (sf) (cf) Units itioned Type HOUSE Residence 1281 10248 1.00 Yes NoSetback Vent Special Height Vent Area (ft) (sf) 2.0 n/a COMPUTER METHOD SUMMARY Page 6 C -2R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing + Addition OPAQUE SURFACES U Insul Act Solar Form 3 value R-val Azm Tilt Gains Reference Location/ Comments 0.091 11 Area Surface (sf) HOUSE - Existing FRONT 1 Wall 282 2 Wall 78 3 Wall 100 4 Wall 113 5 Wall 176 6 Floor 981 7 Roof 981 HOUSE - New 11 8 Wall 68 9 Wall 196 10 Door 20 11 Wall 80 12 Floor 300 13 Roof 300 OPAQUE SURFACES U Insul Act Solar Form 3 value R-val Azm Tilt Gains Reference Location/ Comments 0.091 11 90 90 Yes DW.11.2X4.16 FRONT 0.091 11 0 90 Yes DW.11.2X4.16 RIGHT 0.094 11 0 90 No GW.11.2X4.16 TO GARAGE 0.091 11 270 90 Yes DW.11.2X4.16 BACK 0.091 11 180 90 Yes DW.11.2X4.16 LEFT 0.045 13 n/a 0 No FC.13.2X6.16 TO CRAWLSPACE 0.031 30 n/a 0 Yes R.30.2X4.24 FLAT CEILING 0.083 13 0 90 Yes DW.13.2X4.16 RIGHT 0.083 13 270 90 Yes DW.13.2X4.16 BACK 0.330 0 270 90 Yes None BACK DOOR 0.083 13 180 90 Yes DW.13.2X4.16 LEFT 0.045 13 n/a 0 No FC.13.2X6.16 TO CRAWLSPACE 0.031 30 n/a 0 Yes R.30.2X4.24 FLAT CEILING FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE - Existing 1 Window •24.0 2 Metal Slider 0.940 90 90 0.88 0.78 Drapes.Std 2 Door 20.0 2 Wood Hinged 0.550 90 90 0.88 0.78 Drapes.Std 3 Window 24.0 2 Metal Slider 0.940 90 90 0.88 0.78 Drapes.Std 4 Window 2.0 2 Metal Slider 0.940 180 90 0.88 0.78 Drapes.Std HOUSE - New 5 Window 12.0 2 Metal Fixed 0.750 0 90 0.88 0.78 Drapes.Std 6 Window 24.0 2 Metal Fixed 0.750 270 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - Existing 1 Window 24.0 4 3 10 0.7 n/a- n/a n/a n/a n/a n/a n/a n/a 2 Door 20.0 6.7 3 10 0.7 n/a n/a n/a n/a n/a n/a n/a 'n/a 3 Window 24.0 4 6 10 0.7 n/a n/a n/a n/a n/a n/a n/a n/a HOUSE - New 6 Window 24.0 4 3 2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-Calctech. Run -Existing + Addition HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.630 AFUE None R-2.1 1.000 ACSplit 8.00 SEER Attic R-2.1 0.740 SPECIAL FEATURES/REMARKS R-2.1 Existing duct insulation R-4.2 Addition duct insulation R-13 Existing & Addition floor insulation per Form 3 R-11 Existing wall insulation per Form 3s R-13 Addition wall insulation per Form 3 R-30 Existing & Addition ceiling insulation per Form 3 Glazing U -values per CEC TABLE 7-2 for pre -1978 construction Retrofit existing Entry door with 2050 dual -.pane 1/2 vented Existing alum. frame dual -pane clear glazing Addition Viking/Milgard alum. frame dual -pane glazing w/ U-0.75 WALL.FURN.63: Existing wall furnace w/ 35,000 Btu/hr. E.AC.8.0: CEC MIN. REQUIREMENT HWH: NOT ALTERED - NO CALCULATIONS CONSTRUCTION ASSEMBLY Page 8 3R Project'Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing + Addition Parallel Path Method Reference Name . DW.11.2X4.16 Description .... Wall R-11 2x4 16oc Type ........... Wall R -Value ........ 11,Hr-sf-F/Btu Framing Material FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: Material 5.60 Cavity Frame Btu/hr-sf-F Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. PLY.0.63 0.625 in plywood 0.78 0.78 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.Rll R-11 batt insul (cavity = 3.5 in) 11.00 -- 3f. FIR.2X4 2x4 fir -- 3.46 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 13.14 5.60 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 13.14 x 0.85) + (1 / 5.60 x 0.15) = 0.091 Btu/hr-sf-F Total R -Value: 1 / 0.091 = 10.93 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 9 3R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing + Addition Parallel Path Method Reference Name . GW.11.2X4.16 Description .... Wall R -112x4 16oc Type ........... Wall R -Value ........ 11 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 16 inches on center 'Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description O. FILM.EX Exterior air film: winter value 1. GYP.0.63 0.625 in gypsum or plaster board 2. BLDG.PAPER Building paper (felt) 3c. BATT.R11 R -11 -batt insul (cavity = 3.5 in) 3f. FIR.2X4 2x4 fir 4. GYP.0.50 0.50 in gypsum or plaster board I. FILM.IN.WLL Inside air film: heat sideways Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION Cavity Framing Cavity Frame R -Value R -Value U.1/ 0.56 0.06 11.00 0.45 0.68 12.92 Total U.1/ 0.56 0.06 3.46 0.45 0.68 5.38 U -Value: (1 / 12.92 x 0.85) + (1 / 5.38 x 0.15) = 0.094 Btu/hr-sf-F Total R -Value : 1 / 0.094 = 10.68 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 10 3R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing + Addition Parallel Path Method Reference Name . FC. -13.2X6.16 Description .... Floor Crwl R-13 2x6 16oc Type ........... Floor R -Value ........ 13 Hr-sf-F/Btu Framing Material FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description " 0. FILM.EX Exterior air film: winter value 1. CRAWLSPACE Effective R -value of vented crawlspace 2c. BATT.R13 R-13 batt insul (cavity = 3.5 in) 2f. FIR.2X6 2x6 fir 3. PLY.0.75 0.75 in plywood 4. CARPET Carpet & pad I. FILM.IN.FLR Inside air film: heat flow down Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION Cavity Framing U -Value: (1 / 23.10 x 0.90) + (1 / 15.55 x0.10) _ Cavity Frame R -Value R -Value 0.17 0.17 6.00 6.00 13.00 -- -- 5.45 0.93 0.93 2.08 2.08 0.92 0.92 23.10 15.55 Total 0.045 Btu/hr-sf-F Total R -Value: 1 / 0.045 = 22.03 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 11 3R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing + Addition Parallel Path Method Reference Name . R.30.2X4.24 Description .... Roof R-30 2x4 24oc Type ........... Roof R -Value ........ 30 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 24 inches on center Framing Frac.. 0.07 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description 0. FILM.EX Exterior air film: winter value 1. SHNGL.ASPHLT Asphalt shingle roofing 0.62 2. BLDG.PAPER Building paper (felt) 19.00 3. PLY.0.50 0.50 in plywood 3.46 4. AIR.RF.3.50 3.5 in & greater air space: heat flow up 5. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 6c. BATT.RII.0 R-11 batt insul (cavity > 3.5 in) 6f: FIR.2X4 2x4 fir 7. GYP.0.50 0.50 in gypsum or plaster board I. FILM.IN.RF Inside air film: heat flow straight up Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION Cavity Framing Cavity Frame R -Value R -Value 0.17 0.17 0.44 0.44 0.06 0.06 0.62 0.62 0.80 0.80 19.00 19.00 11.00 -- -- 3.46 0.45 0.45 0.61 0.61 33.15 25.62 Total U -Value: (1 / 33.15 x 0.93) + (1 / 25.62 x 0.07) = 0.031 Btu/hr-sf-F Total R -Value: 1 / 0.031 = 32.48 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 12 3R Project Title.......... Addition for Rogers i Date........ 09/25/96. MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing + Addition Parallel Path Method Reference Name . DW.13.2X4.16 Description ... Wall R-13 2x4 16oc Type ........... Wall R -Value ........ 13 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type .. Wood Description .. 2x4 fir Spacing 16 inches on'center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description , 0. FILM.EX Exterior air film: winter value 1. PLY.0.63 0.625 in plywood 2. BLDG.PAPER Building paper (felt) 3c. BATT.R13 R -13 -batt insul (cavity = 3.5 in) 3f. FIR.2X4 2x4 fir 4. GYP.0.50 0.50 in gypsum or plaster board I. FILM.IN.WLL Inside air film: heat sideways Total Unadjusted R -Values Cavity Frame R -Value R -Value U.1"/ U. 1'/ 0.78 0.78 0.06 0.06 13.00 -- -- 3.46 0.45 0.45 0.68 0.68 15.14 5.6U FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 15.14 x 0.85) + (1 / 5.60 x 0.15) = 0.083 Btu/hr-sf-F Total R -Value: 1 / 0.083 = 12.06 hr-sf-F/Btu HVAC SIZING Page 13 HVAC Project Title.......... Addition for Rogers Date........ 09/25/96 Project Address........ 148 Bartle Lane ******* Oroville *v4.50* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone.... ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -HVAC SIZING User#-MP1320 User-Calctech Run -Existing + Addition GENERAL INFORMATION FloorArea ................. Volume.. ..... ............ Front Orientation.......... Sizing Location............ Latitude... ............. Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range........ ..... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 1281 sf 10248 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY 90 deg (E) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 8055 4248 Glazing Conduction ............... 3400 2210 Glazing Solar .................... n/a 5159 Infiltration ..................... 5829 2393 Internal Gain .................... n/a 2100 Ducts ............................ 0 1611 Sensible Load .................... 17285 17721 Latent Load ...................... n/a 3544 Minimum Total Load 17285 21265 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. TABLE OF CONTENTS TOC Project Title.......... Addition for Rogers Date........ 09/25/96 Project Address........ 148 Bartle Lane ******* Oroville *v4:50* Documentation Author... Neal Kuopus ******* Building Permit Calctecli 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check/ Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEX Wth-CTZ1lS92 Program -TOC. User#-MP132,0 User-Calctedh Run -Existing Residence TABLE OF CONTENTS Report Page FORM C -2R .................. 1 FORM C -3R ................... 4' ADDITIONS............ ... 8 COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... Addition for Rogers Date........ 09/25/96 ******* Project Address........ 148 Bartle Lane Oroville *v4.50* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check / Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. ........ 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by,Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEX Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing Residence MICROPAS4 ENERGY USE SUMMARY Special Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 12.25 19.56 -7.31 Space Cooling.......... 16.14 16.34 -0.20 Total 28.39 35.90 -7.51 *** Water Heating not calculated *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 981 sf Single Family Detached Existing Front Facing 90 deg (E) 1 1 ReducedYear Raised Floor 1 7848 cf 981 sf 981 sf 0 sf 11.8 a of floor area 0.96 Btu/hr-sf-F 8 ft BUILDING ZONE.INFORMATION Floor # of IVent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 981 7848 1.00 Yes NoSetback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEX Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing Residence Surface HOUSE - Existing OPAQUE SURFACES Area U- Insul Act Solar Form 3 (sf) value R-val Azm Tilt Gains Reference Location/ Comments 1 Wall 282 0.091 11 90 90 Yes DW.11.2X4.16 FRONT 2 Wall 78 0.091 11 0 90 Yes DW.11.2X4.16 RIGHT 3 Wall 100 0.094 11 0 90 No GW.11.2X4.16 TO GARAGE 4 Wall 113 0.091 11 270 90 Yes DW.11.2X4.16 BACK 5 Wall 194 0.091 11 270 90 No DW.11.2X4.16 BACK PORCH 6 Wall 176 0.091 11 180 90 Yes DW.11.2X4.16 LEFT 7 Floor 981 0.045 13 n/a 0 No. FC.13.2X6.16 TO CRAWLSPACE 8 Roof 981 0.031 30 n/a 0 Yes R.30.2X4.24 FLAT CEILING FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE - Existing 1 Window 24.0 2 Metal Slider 0.940 90 90 0.88 0.78 Drapes.Std 2 Door 20.0 1 Glz<50% Hinged 1.040 90 90 1.00 0.88 Drapes.Std 3 Window 24.0 2 Metal Slider 0.940 90 90 0.88 0.78 Drapes.Std 4 Door 40.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std 5 Window-. 6.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std 6 Window 2.0 2 Metal Slider 0.940 180 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth.Hght Ext Dpth Hght HOUSE - Existing 1 Window 24.0 4 3 10 0.7 n/a n/a n/a n/a n/a n/a n/a n/a 2 Door 20.0 6.7 3 10 0.7 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 24.0 4 6 10 0.7 n/a n/a n/a n/a n/a n/a n/a n/a 4 Door 40.0 6.7 6 12 0.7 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 6.0 3 2 12 0.7 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.630 AFUE None R-2.1 1.000 ACSplit 8.00 SEER Attic R-2.1 0.740 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEX Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-Calctech- Run -Existing Residence SPECIAL FEATURES/REMARKS R-2.1 Existing duct insulation R-13 Existing floor insulation per Form 3 R-11 Existing wall insulation per Form 3s R-30 Existing ceiling insulation per Form 3 Glazing U -values per CEC TABLE 7-2 for pre -1978 construction Existing alum. frame dual -pane clear glazing WALL.FURN.63: Existing wall furnace w/ 35,000 Btu/hr. E.AC.8.0: CEC MIN. REQUIREMENT HWH: NOT ALTERED - NO CALCULATIONS CONSTRUCTION ASSEMBLY Page 4 3R Project Title.......... Addition for. Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEX Wth-CTZ11S92 Program -FORM 3R User#-MP13'20 User-Calctech. Run -Existing Residence Parallel Path Method Reference Name DW.11.2X4.16 Description ... Wall R-11 2x4 16oc Type ..... Wall R -Value ........ 11 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type .. Wood Description 2x4 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. PLY.0.63' 0.625 in plywood 0.78 0.78 Z. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.R11 R-11 batt'insul (cavity = 3.5 in) 11.00 -- 3f: FIR.2X4 2x4 fir -- 3.46 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 13.14 5.60 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 13.14 x 0.85) + (1 / 5.60 x 0.15) = 0.091 Btu/hr-sf-F Total R -Value: 1 / 0.091 10.93 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 5 3R Project Ti.tle.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEX Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing Residence Parallel Path Method Reference Name . GW.11.2X4.16 Description .... Wall R-11 2x4 16oc Type ........... Wall R -Value ........ 11 Hr-sf-F/Btu Framing Sketch of.Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description 0. FILM.EX 1. GYP.0.63• 2. BLDG.PAPER 3c. BATT.Rll 3f. FIR.2X4 4. GYP.0.50 I. FILM.IN.WLL Material .. FIR.2X4 Type .. Wood Description .. 2x4 fir Spacing .... 16 inches on center Framing Frac.. 0.15 Exterior air film: winter value 0.625 in gypsum or plaster board Building paper (felt) R-11 batt insul (cavity = 3.5 in)' 2x4 fir 0.50 in gypsum or plaster board Inside air film: heat sideways Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION Cavity U -Value: (1 / 12.92 x 0.85) + (1 / Framing Cavity R -Value 0.17 0.56 0.06 11.00 0.45 0.68 12.92 Total Frame R -Value 5.38 x 0.15) = 0.094 Btu/hr-sf-F Total R -Value: 1 / 0.094' = 10.68 hr-sf-F/Btu 0.17 0.56 0.06 3.46 0.45 0.68 5.38 CONSTRUCTION ASSEMBLY Page 6 3R Project Title....... .. Addition for Rogers Date....... 09/25/96 MICROPAS4 v4.50 File-ROGERSEX Wth-CTZi1S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing Residence Parallel Path Method Reference Name FC.13'.2X6.16 Description Floor Crwl R-13 2x6 16oc Type Floor R -Value ........ 13 Hr-sf-F/Btu' Framing Material ..... FIR.2X6 Type .......... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing. Frac.. 0.10. Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description O. FILM.EX. Exterior air film: winter value 1. CRAWLSPACE Effective R -value of vented crawlspace 2c. BATT.R13 R-13 batt insul (cavity = 3.5 in) 2f. FIR.2X6 2x6 fir 3. PLY*.0.75 0.75 in plywood 4. CARPET Carpet & pad I. FILM.IN.FLR Inside air film: heat flow down FRAMING ADJUSTMENT CALCULATION Cavity Total Unadjusted R -Values Framing Cavity R -Value 0.17 6.00 13.00 0.93 2.08 0.92 23.10 Total Frame R -Value U -Value: (1 / 23.10 x 0.90) + (1 / 15.55 x 0.10) = 0.045 Btu/hr-sf-F Total R -Value: 1 / 0.045 = 22.03 hr-sf-F/Btu 0.17 6.00 5.45 0.93 2.08 0.92 15.55 CONSTRUCTION ASSEMBLY Page 7 3R Project Title.......... Addition for Rogers Date........ 09/25/96 MICROPAS4 v4.50 File-ROGERSEX Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing Residence Parallel Path Method Reference Name . R.30.2X4.24 Description .... Roof R-30 2x4 24oc Type ........... Roof R -Value ........ 30 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 24 inches on center Framing Frac.. 0.07 Sketch of Construction Assembly LIST OF.CONSTRUCTION COMPONENTS Material Cavity Name Description R -Value Frame R -Value 0. 0.17 Exterior air film: winter value FILM.EX 1. SHNGL.ASPHLT Asphalt shingle roofing 0.44 2. BLDG.PAPER Building paper (felt) 0.06 3. PLY.0.50 0.50 in plywood 0.62 4. AIR.RF.3.50 3.5 in & greater air space: heat flow up 0.80 5. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 19.00 6c. BATT.RII.0 R-11 batt insul (cavity > 3.5 in) 11.00 6f. FIR.2X4 2x4 fir -- 7. GYP.0.50 0.50 in gypsum or plaster board 0.45 I. FILM.IN.RF Inside air film: heat flow straight up 0.61 Total Unadjusted R -Values. 33.15 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 33.15 x 0.93) + (1 / 25.62 x 0.07) = 0.031 Btu/hr-sf-F Total R -Value: 1 / 0.031 = 32.48 hr-sf-F/Btu 0.17 0.44 0.06 0.62 0.80 19.00 3.46 0.45 0.61 25.62 ADDITION WORKSHEET Page 8 ADD Project Title.......... Addition for Rogers Date........ 09/25/96 ******* Project Address........ 148 Bartle Lane Oroville *v4.50* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. ......... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEX Program -ADDITIONS User#-MP1320 User-Calctech Run -Existing + Addition ADDITION WORKSHEET - COMPUTER PERFORMANCE EXISTING File Name .................. ROGERSEX Run Title. .............. Existing Residence Conditioned Floor Area..... 981 sf Standard Design Energy Use. 28.39 kBtu/sf-yr Proposed Design Energy Use. 35.90 kBtu/sf-yr NEW.(EXISTING PLUS ADDITION) File Name .................. ROGERSEA Run Title. .............. Existing + Addition Conditioned Floor Area..... 1281 sf Standard Design Energy Use. 27.02 kBtu/sf-yr Proposed Design Energy Use. 31.69 kBtu/sf-yr FLOOR AREA RATIO Floor Existing New Area Floor Area Floor Area Ratio 981 / 1281 = 0.766 ADDITION DESIGN ENERGY USE FOR NEW (EXISTING PLUS ADDITION) Floor New Area Existing Existing Addition Standard Ratio Proposed Standard Design 27.02 + 0.766 x ( 35.90 - 28.39) = 32.77 Note: If (Existing Proposed - Existing Standard) is negative, this difference is set to zero. ADDITION ENERGY USE SUMMARY Energy Use Addition Proposed Compliance .(kBtu/sf-yr) Design Design Margin New .................... 32.77 31.69 1.08 *** Addition complies with Computer Performance *** TABLE OF CONTENTS TOC Project Title.......... Addition for Rogers Date........ 09/25/96 Project Address........ 148 Bartle Lane ******* Oroville *v4.50* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-ROGERSEA Wth-CTZ11S92 Program -TOC User#-MP1320 User-Calctech Run -Existing + Addition TABLE OF CONTENTS Report Page FORM CF -1R..` ............. 1 FORM MF -1R.. 3 FORM C -2R ............. 5 :FORM C -3R ................. 8 HVAC SIZING ............. 13 0 1 y -3 PERMIT NO. PERMIT EXPIRES + OWNER DAVID BARTLE CONTR. owner ASSESSOR PARCEL 27-22-143 LOCATION 148 Bartle Lane, Oroyille off S/S Melody Ln, 3/4 mi E Palermo Honcut t. Hwy, Palermo � 1 60sY a',30-- �l(ecL Aetr5 Q�ccsiCtiN rm� ,��� � 'f V d �'l �l e.� N.rA '•�4�4 :�mwT� c overs J�•a�'�' ' r �' Temp. Power Pole u Called PG&E Temp. Elec. Service Called PG&E s Temp. Gas Service Called PG&E �3 ✓� JOB FINALED (Date) Signature J = OK _ O Not AY = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready _ Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements . - f 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK, =-NotRepiicable NRESIDENTIAL )Single and Duplex) = Not Date UND F OR Plans OK exce t#'s Date FRAMING Continued 40"4ing requirements -Setbacks -Easements P cderty Line Firewall & Openings 2 Ftg, ain; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits rage; Soils -Steel- / /" Ftg. Depth 50. om-Rise-Run-Landing-Fire Protection 4 g., Porches & Decks; Soils -Steel- / /" Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers Stem ails, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer mwalls, Garage; Steel-Blockouts-Wrapped-SlabScreed-Fdn. Vents-Underflr. Access 5-Ciers-jpireplace Ft .-Steel 4. Glazing Area -Glass Protection -Skylights -Plastic F it gs-Tett 2 way C/O eweres Ti bb.-&heariMMs; Nailing -Bolts ipe; Size -Anchors 10 -."Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric;Underground 12. P>rfurns & Ducts; Clearance -Material -Support -Ins. 1 Gjfers-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date i Card -BI Date pcY't Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date -X,G-"S�Card-BI Date Date FI (Plans) OK except q's Card -BI S Dated,a_,.Z-_ &S--Card-BI Date Date PLUMBING (Permit) OK except q's 1 -Combustion Air 6. teps-Door & Sidelight Protection -Landings 58, Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection . Water Pipe; Test & Anchors -Nail Protection y *f �f Z1U- D.W.V.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting 1 st, First Floor -Tub Access .I. & Bath Fixtures & Tub Access 18---TU9r1bb'&-'flower, 2nd Floor -Tub Access N --V- Elec. Trim & Subpanel; Breaker Sizes -Labels 19.-Gae-F4pe; Size & Anchors ! � 9P,S�aiss & Rails 63. Fireplace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Lf'Z5• Ki.t Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date E Date Card -BI Date CTRICAL Permit OK except q's Lfr Elec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer AS a C -4�oct in Gara a -Dam er Fixture & Transformer Clearance -Ins. Protection r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No, of Conductors -Stapled Plb. lec. &Mech. Equip. Listed for Location 3. Romex Installed Close to Edge of Studs & C.J. 2. ec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes 4. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 5. 2 Appliance Circuits in Kitchen & Conductor Size uard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 7 J>- oIlowing instld.: Drive ❑ Yes Eg.Wtr-Walks ❑ Yes 8idt� Planters ❑Yes �Aio-� 28. Service -Riser Conductors & Ground -Main Disconnect Via; grown -Finish 41_29. Equip. Clearances; Panels-Motors-Mech. Equip. riit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light 78, Yents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 0. rWell; Disconnect, Electrical, Plumbing Ex r-Elec. Trim; G.F.I. Receptacle -Underground Card B -I ��p Date Card -BI Date etilation throughout House Card B -I Date Card -BI Date _-94V Guiss Protection Date MECHANICAL (Permit) OK except H's 83. Corrections from Previous Inspections —.84--Gas-Test-Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support x-•85" ater & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 6. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card- Card -BI at . —I- and -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR MING Plans OK except q's Comments at Final: ills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound ._Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub "i, ­Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44 Cing. Joist-Rftr. Ties-Purlin-Roof Brac. Truss- thng,-Rfng. Fireplace Ties or Type A Flue -Fireplace Thr 45 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions rotection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. MAIN Inspector Date COUNTY OF BUTTE .c—:...,. i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 9,--, C--1- 3 (3,1 - kL )WNER PERMIT NI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. fXic'nu-eS -4,"LN14 V i b(- S L&I 0 Srtiw, �C(r EGGS ,Q•cy A \yLn 2 - Inspector's Date — S—?S _ • 11 12 ' ! G E N E R G Y C I? 814Aell-9 R T I F I C A T I 0 N . 4�? _6-o LOCATION , DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches') CEILING S Batt or Blanket Type Thickness(inches' Loose Fill Type Minimum Thicknesi(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A. P. No. ,/2/3 Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Val Brand Name Thermal Resistance(R Value Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Enera. Requirements. FIRM NAMEOWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF I LATION.APPLICATOR DATE I hereby certify_.the above -insulation and all required items -as shown on the Building Department approved plans and attachments have been -installed as required -by the State of,California Energy Requirements: -. All -equipment, devices and materials.are of the quality prescribed or are specifically approved by the State of California. =FNAM/OWNER (Please prAn v` IGNATURE OF Gtp= CONTRACTOR OWNER G� STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR.TO FINAL INSPECTION APPROVAL.AND A COPY SHALL BE POSTED WITHIN THE BUILDING. - January 1984. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT0. 1 — t ASSEr�r PA CEL—NUMBER , ZONING BUILDING PERMIT OW R TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE AI I G AD ST Ore CON CTO NAME TELEPHONE I e i(tl 4L$ CON A Oi^1NG ADDRESS 0-42 I Fireplace CONST CTION LENDER UNKNOWN LE R'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ 10,00 $ AR CHI CT OR ENGINEER LICENSE NO. 2& ARCHITECT ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty ,$ (16 00 $ $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 / VI LT Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater a 5.00 USE OF STRUCTURE SF r Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 s 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New X Addition ❑ Re d I ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _ YZ 2.� p Permit Fee $ 3 , p© Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce and effect. License No. .o��.�QA0 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING O OR ADONS. ACC. BLDGS. /20sq it NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET cIR. ) / Ex. Occup( 20050e p\OUTLETS OR FIXTURES eAL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F,--1,-or—shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating �- lin Cooling EV 0,00 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again ttt said County in conseq ence of the granting of this permit. X% Date L�q�� Signature of Applicant — OwnerControctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep d demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 'TOTAL PERMIT FEE $ r :)ccUP. a�3 CONST.TYTTEF FLoo PARC PD ND SSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PIE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate- � )?J I�/ f • sl/ Fceipt No. Q� .R.ITC-D.P.W.. YELLOW- S A R Lb P. -CANT . J r ..r '> • y -^- COUNTY OF BUTTE - DEPARTMENT Off: UALIC WORKS - BUILDING DIVISION / " 4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 r PERMITlAPPLICATION DATA SHEET Permit No. - OWNER f✓u Proposed Building Use ICi &_jY't7�j Permit Fee Based Upon: Complete Contract Price A. P. No. Op -aa -11,13 DPW Valuation Building Inspector uate, r��V Ii C1=a At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . ... 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . Statement of Inteqj fo Non -Heated and AC Buildings. Fees of $ . . . . . . . . 9. Letter of signature authoriza 'on. 0. Sanitation approval from C rOI/ i Health Dept.jWt — 11. Planning approval for (A) Use: (B) Parking: 40 1 r 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's 'License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector AV 18. Recorded copy of Agricultural Acknowledgment Statement. — _ 19. Other Wh.ou issue the a It rocess as.follows: Mail owner. Mail to contractor. Y Telephone and hold for pickup at)_V0 office. Deliver w/inspector. Other Applicant &-toz 3vt4A Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above aof application, circle^item.) 1. Index permit for above Items No. t 'm 2. Additional items required: (Contractor, Desig w as advised of above required data by Telephone Mail Other/ By Gl� -Date Plans checked by Date Plans approved by Date .. Other. OtyPAX3 PL4PV bov �iLatirL. I Copy -DPW S To: Building Department From: !snvironmental Health Subject: Sanitation Clearance 2 3) w,4e J--a=,I 27-:-;Z;2 Owner Location Plan Approved for: Sewage disposaljC mater supply Hold final for: water supply Final clearance.O.K. for: water supply Clearance for �Z bedroom home. Other 11 J ^IO Tree U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER 27-22-143 ZONING BUILDING PERMIT OWNER David Bartle TELEPHONE 534-9126 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 60 Bartle Ln., 0 oville CONTRACTOR'SNAME owner TELEPHONE 1st renewal of permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ 2- FEE $ 110.00 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 148 Bartle Ln. Permit fee $ 120,00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ 1st renewal of permit #3132-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declareh2sgft I under penal y f perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ 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 fors.(Sec. 7044) or sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.gd A NEW OUTLET CCONSTR� U TI NO N.R ESID BRANCHPC IRC ITS 2.50 ea POWER AARATUS e� SINGLE OUTLET CIR. EX, Occup 20@50* OUTLETS OR FIXTURES 9AL@30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor RKMEN'S COMPENSATION INSURANCE I declare and r penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue gst said County in consequence of the granting of this permit. Date�� — Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures o er 3 storie in height. Mobile Home Installation Fee $ Energy Inspection Fee $ - TOTAL PERMIT FEE $ 120.00 occu P. CONST.TYPE IT FLOOD PARCEL PD ND 59UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work i ted above for which have been paid. DIRE F PUB ORKS y ate 4M/K PER EXPIRES Date 11-18-87 Receipt No. WNITC-D.P.W., TELLOW-A98F990R, PINK -INSPECTOR. GOLDENROD -APPLICANT 7`i�,r:�1••s, r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature., , Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. \.1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Ga�Ii 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) persons to provide the work indicated: Name Address Phone ` Signed: Property Owner Cwt eXSL Social Security Number Date % the following Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. .r1 .r w, kj:`V- ,. COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 f I APPLICATION ANZ, PERMIT "1 ASSESSOR PARCEL NUMBER 27-22-143 ZONING BUILDING PERMIT OWNER DAVID BARTLE TELEPHONE 534-9126 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 60 Bartle Ln. Oroville CONTRACTOR'S N AM E OWNER TELEPHONE 2nd renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ - FEE $ 110.00 ARCHITECT OR ENGINEER NONE LICENSE NO. ! Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 148 BARTLE LN. Permit fee $ 120.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 OROVILLE Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF F3 Duplex❑ Mobilehorre❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 2nd renewal of permit #3132-85 (1st renewal permit #822-87) Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penal y of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an 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 NEW CONST. / DWELLING OCCUP.eI\/z¢sgft OR ADDNS. 1 ACC. B'LDGS. I NEW CONSTR. TI -OUTLET 2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES .200030 FIXED PR EX. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare unde 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 i 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 cbnstruction, and hereby authorize representatives of the County of Butte to enter upon the aboy:e-mentioned property for inspection purposes. 1 also agree to save; indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ainst sa4id County in consequence of the granting of this permit. rte_ � o[i X Date c7 Q —d f� ignoture of Applicant — Owner Contractor X Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov r 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 120.00 OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD NO 139 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi ed above fo which fees have been paid. IRE F PUB ORKS B Date ff v UU IT EXPIRES Date 11-18-88 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT or s COUNTY OF BUTTE ,- •Depar_tme,n: of Public Works 7 County Center` Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. -I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction - Name _-e— Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordina e, supervise, and provide the major work: Name f_ Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons.to provide the work indicated: Name Address Phone' Type of4'Work Signed: Property. Owner &&�2 &I. Social Security Number — Date Z&,-ri cl g -?- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. r RESIDENTIAL PLAN CHECKING'GUIDE x 7/85. ' • (S.F. ,,, DUPLEX &- MISC.' ONLY) Bldg.. Permit # 4 OWNER DOW 10 6"T%-&- A.P. # � i.i •/y3 GENERAL Zoning requirements: (sideyards and number.of ,permitted living units). ,%--'valuation. 3�<Plans signed by designer. 44-.�'uergy Design and Compliance. 5-! Existing violations on property. PLOT PLAN Complete parcel size 'and dimensions. , Zoo'Setbacks, sideyards, easements, etc. Z -'-Other buildings or structures._ 4/Grading, fills, drainage. lood hazard. Special conditions on creation map or compliance document. t . FLOOR PLAN Complete to scale plan with dimensions. , 2 -.""Required windows for light and ventilation (Sec. 1205). 3!�equired, windows for second -exit (Sec. 1204). 4/ Skyiights,(Chapter 34 & Sec. 5207). ,S.. -,>man impact glass (Sec. 5406). W,Required room sizes, ceiling heights'(Sec. 1207). G.F.C.I.'s in baths, garage and exterior.outlets (Article 210-8). �ight fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. , Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1Garage.firewall, door size, and closer,(Sec. 503(d)(3))... 1000' 1 - 3'0" exterior exit door (Sec. 3304(e)). ireplace and wood stove location. 1t:.::�F ! Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough:to'construct building. Floor construction details complete enough•:,to construct building. ;;"""Roof and wall construction details complete enough to construct building. 4 //Roof construction.details complete enough to construct building. 6! ireplace construction details and.calcsif necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO'LOOK OUT FOR I!SCExposure I plywood on exposed locations and overhangs. 2� tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3/ Guardrail details (Sec. 1711 & 3306(j))'., � ick or stone veneer (Chapter 30). 5� Exterior plaster - weep screeds.(Sec..4706). -6.e-`�Proper roof pitch for roof covering (Chapter 32). 7.w�Rafter ties or.bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) arage door or porch header sizes. ::.�-L.Adequate bracing. 1;: iving area over garage - complete 1 -hour separation required on garage side including.supporting walls and posts, etc. 1 >o exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1 /Attic access and ventilation (Sec. 3205). l Underfloor access and ventilation (Sec. 2516). 1 oll Wood stoves, clearances, alcoves & 1 -hour shafts. l Combustion air for fuel burning appliances. 1,Noise requirements on duplexes. 13/ dobe soils - special foundation design. 18Retaining walls requiring design. 19o*' Unusual shape, size or split level house requiring lateral design. t I FORM I RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY ,-DVner _ tel!%/ 904A 7_X Climate Zone Permit No.. a.iZ3� Floor Area 772 Compliance path: Package ❑ A ❑ B ❑ C 0 Point System ❑ Budget ® Other A.i3 J. MIN R -VALUE DESCRIPTION REQ ' D INSTALLED ITEMS (1) INSULATION: 0 Roof/Ceiling � Wall ❑ Slab Floor Perimeter Raised Floor_ (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. ❑ Tight - the above standard features plus: insulation: ❑ (D) Continuous infiltration barrier ' (E) Thermal (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger - Area (3) GLAZING: R= (A) Location Area Glazing %Floor Area Single Double Triple ❑ - Area Total Bldg 6,Z A ❑ MC= North -e- $ X ❑ East Type ❑ - Area South 3 R= ❑ MC= West ❑• Skylights Type (B) Shading R= MC= Shading Coefficient Description Type ® - Area East R= ® MC= South �� L is► West bUAAL &C AZ/Af &- ❑ - Area Skylights _119— -- ® (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft . ' HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.z HC= R= MC= Location 7/83 FORM ❑ : (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable' metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openab le, and tight fitting damper to draw.air from the outside of the building; and a tight fitting flue damper with a readily accessible control. ❑m n S *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A). ;Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at.47°F), Active Solar "type (liquid or air) model number solar fraction SE ACOP Collector brand and 'f t2 collector area collector orientation collector tilt'"rated y -intercept rated sl e Other ZO (describe) *1 (B) Cooling - ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER - Btu/hr (cooling capacity at 95°F) ® Other c1/: f (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. @j •(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or. mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC,'1976 Edition. 7/83 2 1 Z FV R t 1 (6) DOMESTIC WATER SYSTEM ❑ -(-A) Gas Only Gallons (brand and model number) (tank size) ❑- Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ * 2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ' ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ® Other _-0.F ti'rjkt P.- (Describe) ®; .(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The�five feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam ,and steam conditioned space shall be insulated with aminimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall' be certified to the Energy -Commission. ' (7) LIGHTING ® . (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following Heating: Winter design temperature 30 elevation ', heating load BTU elevation factor* x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature /O`! °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 -ja "-- 4-2& SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 -able 3-1. Slab Floor Table 3-7. South-Facin Glazin Pt a ?able 3-10. Shadin Coefficient Points I I Glazing Type I I Total I I I Z of I Sngl, I Dbl, Trpl, i Floor I (U - I (U - I (U- I I Area 1 1.10) 10.65) 1 0.41)1 I o I +! 1 +3 1+ 3 I 1 up Foo 1.5 1 +2 I 7- I +2 I 1 1.6- 3.6 1 -1 I 0 I 0 1 I 3.7•- 5.2 I -4 I -2 I -2 I I 5.3- 6.5 I -6 I -4 I -3 I I 6.6- 7.7 I -9 i -6 I -5 I i 7.8- 8.9 ( -11 i -8 1 -7 i I 9.0-10.0 I -13 I -10 .I -9 I 110.1-11.5 1 -17 I -13 I -11 111.6-13.0 I -21 I =16 I -14 I 113.1-14.5 I -25 I -19 I -16 I 114.6-16.0 I -28 ( -22' I -19 I Table 3-8. West -Facing Glazing Pts. I Glazing Type I I Total I I I Z of I Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (U - I I Area 11.10) 10.65) 1 0.41)1 I I oints I oints oin 0 I tsl 46 +6 +6 I u to 1.3 1 +5 I 1 'F z.2 1 +3 I 4 I +5 1 1 2.3- 2.8 1 0 1 +21 +3 1 1 2.9- 3.6 1 -3 I 0 1 +1 i 1 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 1 -8 I -4 1 -2 I 1 5.1- 5.6 1 -10 1 -6 1 -4 1 5.7- 6.2 I -13 I -8 I -6 I I 6.3- 6.9 1 -15 I -10 I -7 I 7.0- 7.6 I -18 I -12 I -9 I 7.7- 8.2 I -20 I -14 I -11 I 8.3- 8.8 1 -22 I -16 I -13 I 8.9- 9.5 1 -25 i -18 I -15 9.6-10.1 I -27 I -20 I -16 I 10.2-11.0 i -29 I -23 I -17 I 11.1-11.8 I -35 1 -26 1 -21 i 11.9-12.7 I -38 I -29 I -24• i 12.8-13.5 I -42 I -32 I -27 I 13.6-14.3 I -46 I -35 1 -29 I 14.4-15.2 -50 I -33 1 -32 1 S DX Table 3-9. Skylight Points TOTAL POINTS = Table 3-6. Tast-Faclng Glazing Pts. I I - Glazing Type Glazing Type I I Total I II "- I Sota.l I I I Z of Sngl, bl, Trpl, I Z of I Sng1, Dbl, Trpl, I Floor I U - U- I U- I 7n^ula- I R -Value of Ins .tion tiun 1 Depth, ZONE I Floor I T - inches OWNER DAU%0 /�POINTS A& IaDle 3-3a. Ceiling Insulation 1 0.66- PERMIT N0. 3/ _3.-A. .5ASSIGNED ACTUAL Points •1 -15 1 I Area i 1.10) T_ I R -Value of Insulation I Points 1. SLAB - INSULATION 12 f1 I I I 2. RAISED FLOOR - R-19 1 -5 j -2 ! -1 _ S� L 3. CEILING - R-30 �: ~' 22 II 0 ' o I a 7 + 4 I � I up t/4-11 4. WALL - R-19 �� ... I I 49 I +T +4 5. NORTH GLAZING - 2.4-3.6% +3 I +4 I +4 I I 1.4-3 I- 1 -4 I -8 I -16 I -2 I -1 I 6. EAST GLAZING - 2.5-3.6% v +1 I +2 1 7. q SOUTH GLAZING - 1.6-3.6% • 3 / _ Table 3-4a. Wall Insulation Point. B. WEST GLAZING - 2.9-3.6% 1•/G� I below 3 I i R -Value of Insulation i Points 9. SKYLIGHT - 0-1.3% 0 1 I 2.9-9 1 -6 I -5 I 1 3- 4 I -7 I 10. SHADING (Exclude Overhang) 1 -2 1 -1 1 I 3.7-11 EAST (0*%4 'I - .66 JA& �- I i i 30 i +2 I +3 -6 1 SOUTH •3 / - .19-.42 • l,�L -8 1 -4 1 -3 1 1 4.3-14 WEST ,.16 - .13-.36 • �� �_ Table 3-5.North-Facing Glazing pt. -86- .SKYLIGHT - .37-.57 19- T_ -' 11. HORIZONTAL SOUTH OVERHANG 2' -'A' I I Glazing Type 1 Total I I I I -12 i -101'! I Z of ISngl, I Dbl, I Trpl, 12. .LOVABLE INSULATION - NONE IN"T� I I I Floor I U - I U - I U - I I Axes 10.66 i 0.42- 10.41 I 13. INFILTRATION (Standard=0)(Tight=+12) I I 11.10 i 0.65 I down I -19+ I 0 1 1 7.8- 8.7 I +4 +4 I 0.1- 1.2 i +4 I ib +a I +4 I 14. THERMAL MASS SF I 1.3- 2.3 I +1 I +2 I +2 I 15. GAS FURNACE (SE) 71-767 1 I 2.4- 3.6 I -2 I 0 I 3.7- 4.8 I -4 I -2 1 +1 I I -1 I 16. MEAT PUi1P (EER) 7.5-7.9% 1 7.0- 14.9- 6.1 I -7 1 -4 I 6.1--z•3 1 -9 I 6 I -3 I -5 I 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% I � 1�1' - 12 I " I 8.3- 9.7 I -14 I -10 -7 I 1 -8 I WOOD STOVE I 9.8-10.8 I -17 I -12 1 -10 I WATER HEATER - y 112.1-13.2 I -22 I -16 ! 13.3-14.5 I -24 I -19 I -13 I I -15 I ATTIC i 14.6-15.3 i -27 i =z0 i -17 OTHER . -able 3-1. Slab Floor Table 3-7. South-Facin Glazin Pt a ?able 3-10. Shadin Coefficient Points I I Glazing Type I I Total I I I Z of I Sngl, I Dbl, Trpl, i Floor I (U - I (U - I (U- I I Area 1 1.10) 10.65) 1 0.41)1 I o I +! 1 +3 1+ 3 I 1 up Foo 1.5 1 +2 I 7- I +2 I 1 1.6- 3.6 1 -1 I 0 I 0 1 I 3.7•- 5.2 I -4 I -2 I -2 I I 5.3- 6.5 I -6 I -4 I -3 I I 6.6- 7.7 I -9 i -6 I -5 I i 7.8- 8.9 ( -11 i -8 1 -7 i I 9.0-10.0 I -13 I -10 .I -9 I 110.1-11.5 1 -17 I -13 I -11 111.6-13.0 I -21 I =16 I -14 I 113.1-14.5 I -25 I -19 I -16 I 114.6-16.0 I -28 ( -22' I -19 I Table 3-8. West -Facing Glazing Pts. I Glazing Type I I Total I I I Z of I Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (U - I I Area 11.10) 10.65) 1 0.41)1 I I oints I oints oin 0 I tsl 46 +6 +6 I u to 1.3 1 +5 I 1 'F z.2 1 +3 I 4 I +5 1 1 2.3- 2.8 1 0 1 +21 +3 1 1 2.9- 3.6 1 -3 I 0 1 +1 i 1 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 1 -8 I -4 1 -2 I 1 5.1- 5.6 1 -10 1 -6 1 -4 1 5.7- 6.2 I -13 I -8 I -6 I I 6.3- 6.9 1 -15 I -10 I -7 I 7.0- 7.6 I -18 I -12 I -9 I 7.7- 8.2 I -20 I -14 I -11 I 8.3- 8.8 1 -22 I -16 I -13 I 8.9- 9.5 1 -25 i -18 I -15 9.6-10.1 I -27 I -20 I -16 I 10.2-11.0 i -29 I -23 I -17 I 11.1-11.8 I -35 1 -26 1 -21 i 11.9-12.7 I -38 I -29 I -24• i 12.8-13.5 I -42 I -32 I -27 I 13.6-14.3 I -46 I -35 1 -29 I 14.4-15.2 -50 I -33 1 -32 1 S DX Table 3-9. Skylight Points TOTAL POINTS = Table 3-6. Tast-Faclng Glazing Pts. I I - Glazing Type Glazing Type I I Total I II "- I Sota.l I I I Z of Sngl, bl, Trpl, I Z of I Sng1, Dbl, Trpl, I Floor I U - U- I U- I 7n^ula- I R -Value of Ins .tion tiun 1 Depth, I I I Floor I T - inches 10-2 I 5-6 I 7+ 1 0.66- I I T •1 -15 1 I Area i 1.10) T_ 0 - 11 -S I -5 I -S I -S 12 f1 -S I -3 I -2 I -1 16 - 9 1 -5 j -2 ! -1 1 0 20 + I -S 1 -1 1 0 1 +1 Table 3-2. Raised Floor Points I Floor I (U - I (U - I (U - I I Area 1 0.66- 0.42- 10.41 1 T •1 -15 1 I Area i 1.10) 10.65),1 0.41)1 I -28 1 1.10 10.65 I down i I R -Value of I 1 II oints (points I ointsl -32 1 -24 1 -20 i 1 9.6-10.1 ( -33 I Insulation I Points I ' o I a 7 + 4 s< I up t/4-11 1 I 0 I 0 I I I I up to 1.3 1 +3 I +4 I +4 I I 1.4-3 I- 1 -4 I -8 I -16 I -2 I -1 I I to I to I t to I to I 1.4- 2.4 I +1 I +2 1 +2 1 I 2.3-6 37-.s7 I -4 I -3 1 I below 3 I -12 1 1 2.5- 3.6 1 -2 I 0 1 0 1 I 2.9-9 1 -6 I -5 I 1 3- 4 I -8 1 1 3.7- 4.6 i -5 1 -2 1 -1 1 I 3.7-11 ( -8 I -6 5- 7 I -6 1 1 4.7- 5.6 I -8 1 -4 1 -3 1 1 4.3-14 I -10 I -86- 12 I -4, 1 1 5.7- 6.7 1 -10 I -6 1 -5 1 I 5.1-16 I -12 i -101'! = 1a I I 1� 8- i.i i -13 I I -7 I I 5.7-19 I -14 1 -12 1 -19+ I 0 1 1 7.8- 8.7 I -15 1 -10 1 -8 I I 6.3-21 I -16 1 -13 I i I 1 1 8.8- 9.7 I -1.7 1 -12 1 -10 I 1 7.0- 7.6 1 -24 I -18 1 -15 I 1 9.8-11.2 1 -21 I.-15 1 -13 i I 7.7- 8.2 I -26 I -20 I -17 I 1 11.3-12.7 1 7/7/83 1 -25 I -18 •1 -15 1 I 8.3- 8.8 I -28 I -22 i -19 I 12.8-14.0 1 -28 I -21 1 -18 I I 8.9- 9.5 1 -31 I -24 I -21 I 14.1-15.3 1 -32 1 -24 1 -20 i 1 9.6-10.1 ( -33 1 -26 ( -22 I I West I .1 11.6 13.2 16.4 18.0 f 11.5 13.1 16.3 17.9 I I I I I 0-.12 T- SC by 1 1 Orten- I Z Floor Area cation +4• I I East I I 3.2T - I 1 0-3.1 1 to 16.4 up I 0 -.19 I 0 ( +1 I +2 I .20-.36 I 0 I 0 I it I 37-i66 1 0 1 0 ( 0 1.67-.82 I 0 ( 0 I T' I .83 up I I 0 I -1 I -2 I I I I South 1 0 1 3.2 16.4 19.0 19.e I I to I to I to I to I up I 3.1 16.3 I 7.9I 9_T_ I 0--18 1 0 1 +1 I +2 I +2 I +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 1 .43-.66 1 0 1 -1 I -2 I -2 -3 I .67 up ' .I I 0 I -2 I -4 I -4 I -6 West I .1 11.6 13.2 16.4 18.0 I to I to i to I to i up 11.5 13.1 16.3 17.9 I I I I I 0-.12 1 i 0 1 +1 I +3 I +6 1 +7 .13-.36 i 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 I -7 ..P2 I- 1 -4 I -8 I -16 Skylight I .1 I .8 11.6 I .2 14.0 I to I to I t to I to I .7 1 1.5 .1 1 3.9 15.2 0-.12 1 0 +1 I +3 I +6 I +7 .13-.36 I 1 0 1 0 1 0 1 0 37-.s7 0 1 -1 I '-3 I -6 I - .58- 1 -1 I -3 1 -6 i -12 I -. up i -2 1 -4 i -8 I -16 1 -2D I 1 I I I Table 3-11. Horizontal South Overhang. Points South Glazing I Length Out I Area, Z of Floor 1 I from Wall ( I I ft T I I 0-6.3 ( 6.4 up I 1 I I -6- 0.5 1 _2 _4 10.6 - 1.0 I -2 I -3 1 11.1 - 1.9 I -1 I -2 I 0 I o I Table 3-12. Movable ulation Points I Moveable Insulatlon'l I Area, Z of Floor I %lots 0 - 5.3 I 0 I 5.6 - 1 I +2 I 1.3 I +4• I ;1.6 - 23.3 I +6 I >23.6+ I +8 I Table 3-13- InVIttation Control Feat_+res Points T- -- -I'-- T I Control Features I Points I T- I I I Standard 1 0 1 I I 1 0.9 air changes per hr I 1 T- I I I Tight i +12 1 I I i 10.6 air changes per hr 1 I ! I I Table 3-15. Cas Furnace Without Refrigeration Ccol!ne Points t I Seasonal Efficiency1 Sots I I (SE), .t I 1 I 1 1 IIIl a71 76 jII 0 1 7782 2 83-8 +4 99 +6 III +8 I Ta)fle 3-16. Beat Puma Potnts I Energy Effic!ency I Points I I Ratio (EER) i I I 7.5 - 7.9 +3 I1I1I 8.0 - 8. +6 8.4 8 +9 8.8 .1 +12 III1I 9.2 9.6 +15 9.7 - 10.2 1 +18 I I '10 - 10.8 1 +21 I I .9 - 11.5 ( +24 I 1 11.5 - 12.3 l +27 I I 12.4 - 1 13.2 I +30 I I I Table 3-17. Cas Furnace With Refriveration Coolina Points ;Refeigeractanl Cas F ace. I 1 Cooling 1 Sr I 1 n 1- 77- 3- 89- 95 I 1 761 881 9.1 uo 1 1 8.0 - 8.3 1 +21 +61 +61 +8 1 1 8.4 - 8.7 I"/21' 2I +41 +61 +91+10 I 1 8.8 - 9.2 .Sj +61 +81+101+12 1 I 9.: - 9. I +6l +81+101+121+14 1 I 9.8 - 1 .3 I +31+01+121+141+16 1 110.4 - 0.9 1+1Gi+12i+1:1+:611+18 I 1 11.0 - 11.5 1+21+1:1+161+'1st+20 1 1 1 ! I I I 7/7/83 TAME 3-14 (ADAPTED) MASS ZONE I1 INTERIOR THERMAL MASS POINTS AREA 1.000 1,500 2,000 2,500I 3.000 3,500 4,000 I 4,500 _S_,000 1 SQ. FT. I A B C D A B C D A 6 C D� A B C D A B C 0 A B C D A 8 C D A 6 EO 2 2 2 2 2 2 2 0 1 2 2 2 0� 0 0 0 0 0 0 0 0 0 0 r 0 0 0 0 0 0 0 CIO. 0 0 :OG. 4 4 4 2 2 2 2 2 2 2 2 2 I 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0! 0. 0 0 a! ISO 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2'? 2 OI 2 1 2 D 200 8 B 6 { 6 6 / 2 ! 4 / 2 ♦ 1 2 2 2 2 2 2 2 2 2 2 2 2 2 t 2 2 2 i t 1 2 0 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2•- 2 2 2 2 2 2 7 2 2 2 2 2 2 2 2 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4. 2 4 4 2 2 2 2 2 7. 2 2 2 7 2. 2 2 t 350 14 14 12 8 10 IG 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7I 2 2 1 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 / 2 I 4 4 2 2( 4 4 2 2 500 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 4 { 2 4 a 4 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 I 6 6 4 2 1. 6 6 4 2 700 + 24 24 20 14 18 16 14 10 14 14 12 D 10 10 10 6 10 10 8 6 8 8 R 8 6 4 I 8 6. 6 4 ! 6 R 5 4 l 6 6 200 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 4 e 6 6 4 I 8 6 6 4I 6 5 G 900 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 a 6 I a 8 '8 4 8 8 6 41 8 8 6 r i 1,010 30 70 25 18 22 20 20 14 10 18 16 10 14 14 12 8 17. 10 6 12 10 10 6 10 10 8 6 8 8 0 41 8 6 .t1,;00 31 32 28 2O 24 24 22 14 20 20 18 10 16 16 14 8 4 14 12 8 12 12 10 6 IO 10 10 6 1:1 10 8 C,1J e C 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 1112 14 IO 12 8 1C 12 12 8 '11 12 10 E 10 10 8 6 i 10 In 8 6 i I III + 1,700 34 14 12 22 28 26 24 16 22 22 20 12 18 19 16 10 1,;14 14 9 la 12 12 '8 12 12 l0 6 112 10 IO CI 10 10 r. u I 1,400 34 •34 32 24 28 28 26 18 24 24 20 ld 20 20 18 12 18 16 14 10 14 14 li 8 14 14 12 8 11 12 ;G 6; 10 10 19 5 1,500 136 31 J4 21 30 JO T6 IS 24 24 22 14 122 20 18 12 18 18 16 10 16 16 14 8 14 14 11 a 117 11 10 (.1 :2 12 1- o i 2.000 I 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 IS 18 16 10 16 16 14 G 14 14 12 S I 2,500 34 34 30 22 170 30 26 18 26 26 24 16 24 24 22. 14 22 22 19 :2 20 20 18 J.000 34 32 30 22 30 30 26 18 28 26 24 16 124 21 22 14 22 27 20 14I :3 li i 3,500 _ 32 32 30 10 30 30 26 la 128 28 24 16 26 14 22 1411 74 .4 20 14 ` 4.000 32 32 3C 20 130 30 26 18 29 28 24 1 26 25 2: If _1,500 32 32 26 20 170 3-3 2F It j:t ; 5,003 72 t? 2F 23 113 76 1- A) 1. 3's` Concrete Slab: HC•8.93; R-.29; Factor -7.3 -•- _- -- 2. 3 3/4` Thick Comnon Brick: 11C-7 .125; R -.I3; Factor -7.3 8) 1. Sh' Concrete Slab: HC -14.106; rT-.458: Factor -7.1 wood StOVe 3 C 1. 8` solid Filled Block: HC -20.63; R-1.91; Fac[or-6.1 3 points'(no back up) 2. 8` solid Filled Btoci With Both sides Exposed To Conditioned Air. C�a ante fan + lfan + 1 point m NOTE: Use ail square footage directly exposed to conditioned air for Thermal',Mass Area: HC -10.164; R-.9611; Factor -6.1 D) 1` Thick Concrete/Tile: NC-2.SS; R-.083; Factor2-3.7 Table 3-19. Zonally Controlled Electric Reststance Space Ileatin¢ Points Points for t/foresistance will 1 , 1 be completeda CEC I I has approvednative I I Component PacktanceBeat.Table 3-18. ActaceHeas Points I Net Solar Fr tion I Points I (ISF), I I I 0/ 6 i 0 1 7 - 14 I +2 I 15 - 23 i +4 I 24 - 30 I +6 I 31 - 39 I +8 I 40 - 47 I : +10 I 48 - 55 I 1.12 56 - 63 I +I4 I 64 - 71 I +18 . I 72 up I 1 +20 I• Table 3-2n. Solar Water Hea ing With Cas Backup Paints Nult]faEL (perunit points) Floor Area Net Solar Fraction (NSF) per un}t. ftz 0.9 10-19 20-29 30-39 b09 50-59 60-69 70-79 , 600-799 0 +3 +7 [;/+6 +14 +17 +21 +24 800-999 0 +3 +5 +11 +14 +16 +19 1,000-1,499 0 +•2 +4 +8 +IO +12 +14 1,500-1.999 0 +1 +3 +4 +6 +7 +8 +10 2,(100- and u 0' +1 +1 +4 +5 +6 +7 +9 All others (per building paints _ 8UO-899 0 +5 +IU T14 +19 +2.4 + 34- 900-999 0 +4 +9 +13 +17 +Yl +26 +30, 1.000-•1,199 0 +4 +7 +11 +15 +-19 +22 +26 1,206-1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 1.5 +7 +9 +1; +14 +lc 2,000-:,999 0 +2 +3 +5 +7 +8 +110 +11 3,C,(i0 ar.d uo -0 +1 1 +3_ +4 +5 +7 +3 +10 I I Table 3-21. Othtr Water Beating Pts. T- � -i• I System Type i Points I Cas Only l I 0 ) I I Beat Pump ( I I 0 I Solar with Electric I I I I Re9lstance Backup j I Meeting the Require- I I 1 menti is Part 2 I I 0 I I I Electric Resistance I I I I Ot:ly -40 I ., ... _-....._......�...... , r r.L. - - suN>:m:...;1.�..c: .....a..s...or.:.�_ .s;.. .:.;: : ��sl.si.. �..:x'_.:.i. ..._�...:.:..�: .. ...... .. . ..a.... _.._ �...... , ........ . Returnito DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8534793 ' ORDS FOR RESIDENTIAL DEVELOPMENT iii Cry , iAi. fiE 11 ';i' nU ��i E C•JUI�TY.CALII7O,41A RWIA rT THE REQUEST OF Section 26-8.1 of the Butte County Code.requires,this acknowledgement be recorded prior 'to issuance of a building permit. PAM SROM The property described herein is adjacent to land or included 285 OCT 30 Phi 1: 56 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ELEANOR m.BECKER .�:L the use of agricultural chemicals including, but not limited to herbicj6ERK+RECORDER FEE g g, , pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 propertysituate in the County of Butte, State of California, described as follows: Parcel 3. as shown on Parcel Map of a portion of the Northeast quarter of Section 33, Township 18 North, Range 4 East, M. D. B. & M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, September 5, 1979 in Book 73 of Parcel Maps,,at page 7. TOGEDU WrM and RESERVIlQG TMMEE'ROM a right of way for road and public utility purposes over the road shown on said Parcel Map. ALSO TOMM WITH a right of way for road and public utility purposes over a strip of land'60 feet in width, lying 30 feet Southerly of and adjacent to and 30 feet Northerly of and adjacent to the Southerly line of the North half of the North half of the North half of Section 33, Township 18 North, Range 4 East, M.D.B. 6 M. Date: _ October 30, 1985 PROPERTY OWNERS: David Allan Bartle State of California ) On this the 30th day of October , 19JLrL,_, before SS. me, the undersigned Notary Public, personally appeared County of . Butte ) David Allan Bartle /xi Personally known to me. L_1 Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. SHELLEY SHELDON to be the NOTARY PUBLIC -CALIFORNIA person(s) whose name (s ) is subscribed to • Principal Office in BUTTE Count the within instrument and acknowledged that he My Commission Expires Sept, 80, �� executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL SHELLEY SHELDON • NOTARY PUBLIC -CALIFORNIA Principal oltice in BUTTE County C\ My Commission Expires Sept. 30, 1988 Notary Public Present A.P. No..% COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ()I -?()51 ASSESSOR PARCEL NUMBER 027-360-143 ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS 148 EARE13E IN , GROVILLE CA- CONTRACTOR'S NAME TELEPHONE 533-2934 14 13 torch 1,820.00 CONTRACTORS MAIDFA S 11595 MILLER PEAK RD, QRQVIUE CA 95965 2 So COMD 720.00 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 54-00 Plan Checking Fee $ BUILDING ADDRESS 148 BARTEL, PAI ERMO CA$ Energy Plan Checking Fee $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RF: ROOF 'T'()RrH R. COMP Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00LESS Main Service 200, 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 i�3n full force and effect.3 ' / License Class `_ �'{ 9 Lic. No. T `S3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier 5 hLIr . co Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR,oDNS. a,Cc. BLOB. SO 3.5¢FT: NpµROIDT MULTI.OUTLET @7,50 POWER APP,RATUS a SINGLE our> Er cIR. Ex. Occup. OUTLET OR FORURes BAL x';00 Ex. Occup. DFlxuriFrs AESs) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number -2 J 3-- 2-0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comply with those provisions. X Q� Date—/8 —6-2 Signat re of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction6wi�024 of structures over 3 stories in height.BDate Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for fees have PERMIT EXPIRES ON _ 7-10-04 the applicable provisions Resolutions to do work been paid. 7-10-03 Date Receipt No. 9 3�i41a3 74_"0 WHITE-D.D.S.-B. D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7541 FAX: (916) 538-2140 8/13/97 SCOTT ROGERS 148 BARTLE LN OROVILLE, CA 95966 RE: Building Permit # - 96-2034 Expiration- Date: 9/26/97 A. P. # 027-360-143 B E A U T Y With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be'renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration 'date, all work must cease until anew building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of.your permit, no work may be started until a.new permit has been issued. If our records are in error or should you'have any questions concerning this matter, please contact the n RnvibLg office. Thank you for your prompt attention concerning this matter. Yours very truly, Mic el C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1.469 Humboldt Rd/891-2751 ol PERMIT NO. 3�9P,E 4 PERMIT EXPIRES e1� OWNER Harry Bartle CONTR. owner 27-22-112 � LOCATION A.P. ) . Pri.dr, off S/S Melody Lane, app.3/4 mi.E., of Palermo Honcut Rd., Palermo Y ' r} +z f( Temp. Power Pole lied PG&E Tem lec. Serv. Called PG&E L21 Temp. Gas Serv. Called PG&E / 0B (/ FINALED 4 (Date). (Signature) i• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A PLUMBING b oacK FI wall SbJI Piping Fo s Par ets t Floor M in Bldg. Restr m Finish 2nN Floor otin s Window 3rd loor Stknwall Siding To out Sla Roof Shealbina Water Pikg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab :. Carport Footings Slab A Prov. for physica handicaped Conformance of ex. structure Final A Appliances Gas Piping &Test Temp. Gas Sanitation Patio RE LACE Final Footin s Footing ECTRI L Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanelif Mesh MECHANICAL Grd. Fa6lt Prot- ScratA Heatfirg Servi eronCoo k___ g T p. Pole FJfilsh D is oder round In rior Lath ntllation ennanent or Closer Inal Inal MOBILEHOME UTILITIES ------------------- Elec. Service _ Elec. Pe desta Water Piping — Sewer _1,0— Gas Piping MOBILEHOME INSTALLATION - - - - Support Elec. Continuity Water Piping Drainage Gas Piping oo,"7 _ --t 3 DATE �^ REMARKS OR CORRECTIONS D R4 - �-7 ___7M (NOTE: An entry must be made on this form each time you visdt the job site.) 9. Electrical y « A. Is service large enough to provide adequate'amperage-to mobilehome (must equal rating of mobilehome with a minimum of Damp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper 'clearances around panels? Yes— C. Is power supply -cord or feeder assembly properly,fused? YesNo D.. Is continuity test satisfactory as per the following procedure?. — Yes N .1. De -energize electrical wiring system of the mobilehome at the pedesta . 2. Make sure that the power supply cord of feeder assembly conductors, including neutral conductor, have been disconnected. 3. `Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor.`' 6., Upon completion of the above procedure, the'power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for+energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. . MOBILEHOME DATA f, , Manufacturer and/or Namestyle W VP --Q-- Ll Length__ Width_ Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1�-ylPthe mobilehome located with quired separation from lot lines and buildings and generally conform to plot plan? Yes o_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes ' No 3. Are footings and'supports properly sized, spaced, and,braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes vNo_ 5. If more a single unit, are crossover connections properly installed? (Sec. 5088) Yesljeo_ 1 .6. Water A. Is flex'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) '­ No B. Test - Does water piping withstand working pressure or 50 -lbs. air test? Yesi/No C. Backflow - If coach is not Sta ko ifornia approved, does station havebackflow device and pressure -relief valve? Ye 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes r No B. Does it have minimum 4" per foot slope and is it properly supported? YesjZ_5L C. Are any leaks detected in drainage system after running 3-ga ns of water through each fixture including washing machine standpipe.? Yes No D. If ot State of California approved, does station have required trap and vent? Yesco n 8. Gas Piping and Gas Vents A. Connector - Is mobil om co nected to the gas supply with an approved 3/4" minimum mobilehome connecto o -mo tha 6 ft.+long? Note: All piping is to be at least as large as the mobil m g e inlet without reductions other than the mobilehome connector. Yes N B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly install es_ No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under^permit number, 2 'C ;1- 7 for the following location: ► A 1- 1 7)A .�S AA A hA. � Owner �.q\'A Owner's Address ` (Ur � �� \ �`�* Q y, P Mobilehome Mfg. ModelRh�.�}. Year -71 Insignia No. Serial No., It is hereby certified for occupancy at the above described location and may be occupied. 1� q Director of Public Works Date ! _ �y_ % ` By Q THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELYOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS > l' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Receipt No. W!g!Ef White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai l ing Address %/ Tel efhone No. Contractor Mai ling Address Fireplace Total Valuation 14?7 Telephone No. — 70 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 2-22 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W •Ser»te"rnr FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel eclaration Parcel Map 6 R/W Improvements Each additional outlet .30 wilding sewer 5.00 Bldg. Plans Ved I Parcel A rovol Plans Ap royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER D- Permit Fee $ $ ,%A/% (Z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800°o AMP ORV OR SLE55 5.00 Single Family ❑ Duplex ❑ Mobil Home Er Others ❑ Main service EA. ADD•L 100 AMP 2.50 OVER Main service OVER 25,00 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. !� 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name sty�I f NEW CO ID ( BRANCH CIRCUITS 2.50ea NEW RESID, BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS.&J NON.RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTI1RES a ,� FIXED APPLNS Ex. Occup.(OUTLETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No._5/I q/ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �f certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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. X Date /—/-7� Sign ture of Permitee or Agent A�`rEi o /7-1 cam/ $30&C TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo which fees have been paid. of - � T R OF P BLIC WORKS 01 B Date " LLL Receipt No. W!g!Ef White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUTTE COUNTY DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-45.41' MOBILEHOME INSTALLATION SHEET 1. Owner's name: Z�. ZL A P J& -�6' o 2. Installer's name: / L Tn;i) '<� 191) 4 3. Is the site currently under permit? Yes /L_._/_�' No (I f yes, furnish permit number dZZT j ) OR Is the site an existing site? Yes / / No �i .(If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and ' clear of all setbacks and easements? Yes /y/ No (If no, clarify ) 5. What is the mobilehome electrical rating? --------------- 1 %. Amps 6. What is the mobilehome site service rating?---=-----------------%rT3 Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps r_ 8. Is there any other load to be served by the mobilehome �electric / site service.-----``--eL ------------------- Yes No (If yes, identify the load and size: /G_�,T4�n,42 (Load) (Amps) 9 ? ---------------------- What is the mobilehome site gas, pipe size? 10.- What is the type of gas service? --------------------- --------- Natural / / LPG 11: What is the gas pipe length from meter or tank to.the mobilehome? (ft.) 12. What is the mobilehome gas demand? -----------------------==----- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) „ 3 r MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr..,CA le -j "--54furnish Setup Model No. - ice. •Year,/ C Width_(ft.) Box Length_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured a?ter October 7, 1973, furnish manufacturer's installation manual and structural setup sheets I(if not on file with the County of Butte). All center supports measured froin•.front of mobilehome unless otherwise specified.' Footings (check one) Single ETk-4 —.Wood either A A pressure treated oY foundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) Centersupport-, Center support locations* footing sizes Supports (check one) (in..) r-71-". Concrete block. 0 2. Other (specify) (in.) (in.) 4. -Tagalong or Expando, show support details. -P 3 X -- Typical Support (in.) (in.) Footing Size 6x- (ft.)(in.) (in.) (in.) _ -- Max. Pier Spacing TO /Ux © -- Max. ,Overhang (ft.)I (in.) (in.) (in.) Dou (ft.)(in.) BUTTE COUN1 l� '^ L7 - BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, n/ draw in locations, spacing, and dimensions. O J BUILDING -n \ COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' BUILDING Owner01 /L2TLG SQ. FT. OCC. BUILDING VAL TION Mailing Address 1194 M oou .ofF t-A,AjC �i2OJ I L LS Telephone No. i - cl L Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 1A I Q�V A �� , pFF S S Y-I�,p'� Plan Checking Fee &/or Penalty Permit Fee qA�c 3` 41, .e ,I:-; PLUMBING No. @ FEE PERMIT FILING FEE $3.00,©e Each Trao 1.50 fin_ 0.1c�rr Repair drainage or vent piping 1.50 A. P. No. 2 Z Zoning & Planning Water piping 1.50 1(7, OO Each gas water heater or vent 1.50 Fes W. S 6) . Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 )®, O O Bldg. Plans Recd Parc rovaI tfllons Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ . &V $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,0e> Main service 600V OR LESSESS 5•00 ,5, OD 100 AMP OR L Single Family ❑ Duplex ❑ Mobil Home JE Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS,LING CCUP. 7i\ 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: T NEW CO ID � BRANCH CIRCUITS 2.50ea NEW RESID, BRANCH CIRCUIT NEW CONSTR. (POWER APPARATUS 6 NON•1 RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES 5 Lei FIXED APP LNS, OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15,OU License No. Classification Misc. Wiring 6.25 A. V w. &-L, '7..00® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Z 5-0 $ 3G WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ 4,:; TOTAL PERMIT FEE - $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�2z` 6i _/ r Date 1-1-17- 7 Signaturk of Permitee or Agent Receipt No. a�-7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. 7� .DlRECT3CA OF PUBLIC WORKS Building permit expires Date &Wd* 4 9) OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Harry Bartle Jr. '1ADDRESS: 1194 Middlehoff Lane CITY & STATE: Oroville, CA. 95965 IMPORTANT: DATE OF CLAIM: March 30, 1979 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE ,FULLY TO AVOID DELAY) AMOUNT I Decided not to build. (Permit #6921-78B,P,E,M - Receipt #184521 - AP - -- Building permit fee ----- $154.00 Retain 1/3 of fee ------- 51.33 Amount of refund due ---------------$102.67 Plumbing permit fee ----- $ 22.50 Retain filing fee ------- 3.00— ---_� Amount of refund due ---------------$ 19.50 Electrical permit fee ---.$ 49.40 I ee Retain filing fee- Amount Amount of refund due ---------------$ 46.40 Mechanical permit fee --- $ 13.00 Retain filing fee -----•- 3.00 ----1- - Amount of refund due --------------- 10.00") Total Permits Fees Refund a ------ 178..5 Land Development Fee Refund Due ---- 25.00 f I TOTAL REFUND DUE -------------------$203.57 $203.57 - TOTAL $201.57 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there its a Budget Appropriation❑ or Specific Board Approvals (Checkone) for the same. Datedthis ............ lath ............ day of .....) $r h......... 19..79.t ...Orovill®.... Calif ..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE 'DEPT. &SUB. PROD. SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. . a f t f• ' INSTRUCTIONS to. CLAIMANTS. All claims against the county must-. heritemized,"giving dates and character of service rendered •'or -work' petforimed,'••quantities,- de- scription and unit prices of articles furnished or delivered.,. Claims must be certified, b0and ,4aW to the De -ug •. partment head for approval. Upon approval the Department head will forward claim to County Auditor. for payment procedure. ;Dow t , + not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or. material or'deied.' Y _ _. Claims are paid every Tuesday; ,however, same must be approved.by officials and in Auditor,'s-office before preceeding Wednesday; noon. Compliance with above will:expedite• -payment .of- claim,. failure to do so may delay payment considerably. PERMIT NO. 6921T-7�,P,E,M /J PERMIT EXPIRES OWNER Harry Bartle CONTR. owner 27-22-112 LOCATION (A.P. ) Off S/S .,app.3/4 mi.E.of Palermo Honcut Rdelody L'.,. Palermo Area N ,r 1 k S Y i ii I. ti a t i Temp. Power Pole Called PG&E _ Temp. Elea Serv., Called PG&E . Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Date) a ,(Signature) ri Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Sol[ Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Routh Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service - Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLA'ION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 ' APPLICATION AND PERMIT / ��/ ---J authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ;* A16 10�, Date Signa? re of P��ermiitte-ee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOJO PUBLIC WORKS By Date %Z _//-7aP B ilding permit expires Date loll 7 BUILDING Owner �� R��`[ SQ. FT. OCC. BUILDING VALUATION • 01J Mailing Address 03 ;Z J- 2 kF.dd � f TeLepkorje No. / Contractor Mailing Address Fireplace Total Valuation , 00 Telephone No. Permit Fee • - Building Address Plan Checking Fee&/or Penalty Permit Fee l "90 15� 0 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,Q0 - Each Trap 1.50 ,(j� 0 ,Repair drainage or vent piping 1.50 -2Z-�� A. P. No. 7 � ,�^ Z In & PI Hing Water piping 1.50 Each gas water heater or vent 1.50 r ro F S tion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 0 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improve nts Each additional outlet .30 Building sewer 5.00 Bldg. Plans 4."-d— Parcel ravol Plans kpprovol Lawn sprinkler system 2.00 NEW n --ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ az;iL-Tv is zz ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 1.00 NEW CONS. DWELING pp100CC��A}}ppMPP OR ADD NST ( ACCLBLDGS9-e*!l 1 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y NEW RESID. BRANCH CIR T NON-RESID. � BRANCH CIRCUITS) 2.50ea 4 NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCuo(OUTLETS OR FIXTIIRES g L1@ l Ex. OCCU ( FIXED APPLNS. OR p•OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ElI am exempt from the Contractors License Laws of the State of California. Permit Fee $ q7. $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1Whave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. dl certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEE PERMIT FILING FEE $3.00 3.00 Heating/O00 6.7746 41to0 Cooling [.(•® a Ventilation Hood 2.00 Permit Fee $ t5. 00 CLQ 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 Land Development Fee $ 9-1-,06 TOTAL PERMIT FEE �` 3 G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ;* A16 10�, Date Signa? re of P��ermiitte-ee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOJO PUBLIC WORKS By Date %Z _//-7aP B ilding permit expires Date loll 7 1 To: Building Department From Envircr-ental Health Subject: San ita.1- ion Clearance Quin siccation A.P; Plans approved for: Sewage ihispasal `� Water :, ppay Hold final for: mater Supply Final clearance. O.X.-for: Water Supply Clearance for a __ bedroom a home_. Other Clearance for addition -of Sanitarian �� date r, PERMIT APPLICATION WORK S11§ET Permit No. OWNER /E'%z .l� /!'/C i 2- �- A.P. No. Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. -------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. -------------- ---------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- Other -- - - By _ Date Bldg. Inspector During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked byJ13F_Date 4. Plans approved by Date h i i permit is issued, process as follows: _Niall to owner. 2. Mail to contractor. 3. Deliver with ins ei ion. �G 4. Telephone S3 / �Z and hold for pickup @.�i_2K office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent" A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other RESIDENTIAL` PLAN CgCKING GUIDE nn +� (S.F., DUPLEX;, & MISC. ONLY),; `.� .--1 L Bldg. OWNER A.P. t A. GENERAL �. Zoning requirements,(sideyards and parking). S•aluation. ignature by R.C.E. or Architect (if required). B. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setback4, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. 91—#Permit .# 6921— # 27 -VE_- 1 L C. FLOOR PLAN J4 -'Complete to scale plan with dimensions. Z. --_-Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). 'VAllowable glazing for energy requirements (20% max. per.State law). ��Human.,impact glass (Sec. 5406). Jam• Required room sizes, ceiling heights (Sec. 1407). G.F:C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. 9: Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1G"", Garage firewall, door size, and closer (Sec. 503.(d)(4)). l/1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. 11T.'_ -Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS x. Foundation plan complete enough to construct building. ;2Floor construction details complete enough to construct building. >.-.---Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 5<0'� Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law): E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ;./CCX plywood on exposed locations and overhangs.' ; Stairway details (Sec. 3305). 310_�_Guardrail details (Sec. 1716). t crick or -stone veneer (Chapter 30). �Y/Exterior plaster - weep screeds (Sec. 4706 & 4708). . Proper roof pitch for roof covering (Chapter 32). 7� Rafter ties or bearing ridge beam. B. Garage -door or porch header sizes. Adequate bracing: Living area over garage - complete 1 -hour separation required including supporting alls and posts, etc. f. Two (2) exits on three-story dwellings (Sec. 3302). ICA RESIDENTIAL 27-22-143 3342-90BIE QUACKENBUSH" '-Oran & Hazel. 148 Bartle Ln, Oro'ville (addition/sf) (OFF Nezop� 4/ JOB Sig f J=OK, O = Not OK: Not ' ='Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 s 1. Zoning Requirements -Setbacks -Easements POOLS (Plans) OK except #'s 2. Soils; Special MH Support Sketch 1. Setbacks -Easements 3. Sewer; Location -Test -Fall -C/O Concrete 2. Soils; Compaction -Structure Stability 4. Water; Location -Test -Easement Needed (Sketch) 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 4. Elec.; Receptacles and Lighting, Distances-GFI 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Elec.; Pool Lighting; 15 volts-GFI 7. Utility Clearance 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. 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 Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 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 0 • �f 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-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmp; 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-Panelboa rds-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 V=OK O= Not OK - = Not Applicable RESIDENTIAL (; ' =Not Readyeady Date LW6ERFLOOR (Plans) OK except #'s oning-Setbacks- Ease men ts-Flood-Slope tg., Main; Soils Elec. Grnd.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. lab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 4. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Dat and B-1 Date Card B-1 Dat .� B-1 ate Card B-1 Date PLUM G (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 -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors +,_24-311ze Boxes & No. of Conductors -Stapled � IrRomex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. 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 Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 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 Dateand B- Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust abo ' sulation 36. Condensate & Overflow; Size & Grade 37. Furnao - ent; Access -Comb. Air -Return Air Vent -115 outlet 38-,Aft-ic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F MING (Plans) OK except #'s 39 s, Proper Material & Anchors 40. Studs -Nailing, Spacing & Bracing -Plates -Sound L 1. Bearing Was over Girders & Floor Nailing 42. Draft,Stop in Walls (rat proof) 4 ire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing I ingle & Duplex) Date FRAMING (Continued) tjy46. Hangers -Post Caps -Anchors -Connectors -r b5 J. 6;bIng. 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 51. Property Line Firewall & Openings L_---52. Ext. Doors -One T -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 •11 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings te-6-0. Infiltration -Walls -Windows Date and B- Date Card B-1 Date3 46 -(;,' Card B-1 % Date Card B-1 Date FINAL Plans OK except #'s . Ext. Steps -Door & Sidelight Protection -Landings moke Detector ents-Clearance-Comb. Air-Connector- arage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 5t� . . '-&-Bath Fixtures & Tub Access -Spa . Elec. Trim & Subpanel; Breaker Sizes & Labels e?. Simi 9 A8618 r Stove; Clearances -Hearth 6� utlets at Wood Panel; Int & Ext. s -- -lEit Fiiht & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter or; Swing -Landing -Closer in Garage -Damper nts-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection & Mech. Equip. Listed for Location E ptacles in Garage;)-Romex Protection 7. In n -Foam -Looked in Attic 0 Yes 8. G ails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth C ooked under Floor O Yes Following instld.; Drive es _ No; Walks 13 Yes o; Planters CI Yes No 81 Stucco: Brown -Finish isconnect, Electrical, Plumbing 3. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 4. Water Well; Disconnect, Electrical, Plumbing -B�r-ExteriarElec. Trim; G.F.I. Receptacle -Underground 6. Ventilation Throughout House Glass Protection rections from Previous Inspections 89. -Gas Test -Meters Tagged; Gas -Electric -�90.V�laleflSewer Connected -C/O to Grade -HD Approval L-91. Energy Compliance Certificate -Other Certificates Dat and B-�Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 .. 747 Elliott Road -Paradise — Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and' should be corrected. Please notify thls office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. GId4L ynd / ti z,::1- /62" Date Inspector 67 ENERGY INSTALLATION CERTIFICATE ' Building Owner (j Building Location DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL , Material Thickness (inches) CEILING Batt or Blanket Type - Thickness(inches) ,/, ` Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name The: -mal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above its consistent- with approved- -building- department -plans--and attachments fo,rnnswith requirements of Chapt'e, 2-53 of -State of California Energy (JRRA/ �. [ e_k,k Fll% 6i�sH FIRM NAME/0WNER� ) STATE CONTRACTOR'S LICENSE t, % � �� SIGNATURE OF ZXSTALLATiON APPLICATOR DATE building, and con - Requirement NO. I hereby certify the required features, devices, and equipment, ati shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. OR a Quae/%N 6U6R BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) GNATURE OF BIJMING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. - /k - g'7' DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Cellfornla 969EZ - Telephone; 916/536.7541 APPLICATION AND PERMIT PERMIT NO. 27-22-143 A•5 �1 BUILDING PERMIT N ORAN & HAZEL QUACKENBUSH 534-1834 OWN '3 MAILING ADORK33 " 148 BARTLE LN OROVILLE 95966 S0. FT. OCC. BUILDING VALUAT IST RENEWAL CONTRACYOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee Permit Fee NXIR @ 1 FEE $ 10,00 $ 67.25 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS BARTLE LN OROVILLE 148 Permit tee $ 7.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE r�IYy SF MX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other il Describe work: IST RENEWAL OF BP#3342—OO _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ACDNS. (ACC. BLDGS. I n qft h¢sea NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.SO POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®30Q SAL130 Ex. Occup. OUED P TLETS (RESID )LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue JainsAsaid County in consequence the rant, of this permit.� ate /—� % I Signature of Applicant —'I/ Owner Y&J Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ .3cc CONST TYPE TOTAL FEE $ 77.25 HALcuA PARK scHL FLD EDF PAR PD J HD. ISSU This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do have been paid. DIRE PUBRKS Work indicated above for whice-2 BY e PERMIT EXPIRES Date 10 Receipt No. 7 "" % , �-� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,•Oroville, CA 95965 Phone: 916-538-7541 '. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. b 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 person 'A - lly'plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) a,ue signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name / L Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have, hired the following person to coordinate, supervise, and provide the major work: Name ,;)'I0,%.— Address City Phone Contractors License No. 5.' I will provide.some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number _ - Date 9- /- 9/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �7�iy .t •• a=� _.. �.. -. .e. � ..Y - - --, ,.�^ -.� - ,r _ . •' rl :• SG r may: !yf `', -: � : � _ � ` Ai 27 is , , ,3A < I M -L i .. . • -- . � . _ , f : -�. '� �;e-r:: yi � ,;.: ,,vac . - ' - � - . J X4 morons of 24" high, 20" void T s4 R. arae, and 44" n*odmm 5 �606-0 i �7�iy .t •• a=� _.. �.. -. .e. � ..Y - - --, ,.�^ -.� - ,r _ . •' rl :• SG r may: !yf `', -: � : � _ � ` Ai 27 is , , ,3A < I M -L i .. . • -- . � . _ , f : -�. '� �;e-r:: yi � ,;.: ,,vac . - ' - � - . J X4 morons of 24" high, 20" void T s4 R. arae, and 44" n*odmm 5 �606-0 MD COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'- Oroville, California 959F5 - Telephone: 916/538-7541 APPLI,f,ATION AND PERMIT PERMIT NO, ASSESSOR PARCEL NUMBER . 27-22-143 ZONING A5 BUILDING PERMIT OWNERTELEPHONE Oran E. Hazel A. Quackenbush 534-1834 OWNER'S MAILING ADDRESS 148 Bartle Ln. Oroville 95966 SQ. FT. OCC. BUILDING VALUATION 28 996 cov 9960 CONTRACTOR'S NAME TELEPHONE owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 18,6 0 LENDER'S MAILING ADDRESS - Filing Fee $ 10.00 Permit Fee $ 1-34.90 ARCHITECT OR ENGINEER LICENSE NO. Plan,Checking Fee $ 67.29 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 148 Bartle Ln. Permit fee $ 226.79 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFX@ Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S G TWT __10.00e TYPE OF WORK New ❑ AdditionjQ Remodel ❑ Utilities ❑ Installation❑ Other ❑ 1 Permit Fee $ Describe work: addition—bedroom 12x24 ! Contractor _ ELECTRICAL PERMIT Filing Fee 10.00 1 OR L Main service 8000 AMP ORSLESS 10.00 Main 1 service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 1, as the owner, Or my employees with wages as their sole compen- NEW CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLDGS. ) , 2/4sgft7 00 CNEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea I (POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES 920®50c AL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (R ESID.) EA.) - 2.00 Temporary service 10.00 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) Mobile Home Facilities 15.00 Misc. �Virin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 17.20 Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g Hood 3.00 G.�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. Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 3.00 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in sequen of a granting of this permit. occ CONST TYPE TOTAL FEE $, 27- . HAz CUA PARK sc EL ISSUE X Date _ I (L7 Signature of Applican — Owner � Contractor ❑ Agent ❑ This permit is Hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab ve for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of. structures over 3 stories in height. 12VR TO .OF PUBLIC WORKS Receipt No. 73825 BY PE IT EXPIR Date . 6 ate 3 WHITE-O.P.W.. YELLOW-ASS[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ,.� . .r ., �:.� .arwn'.\"ti-jam•_ �c.-!`tt+.7'...,y •4 .s, 1�..-;�K..i.. .. ,,.�. �,:.aysr.,� �.r. '+'lit' :1..�..;.{'vti.,: ....r y''•...'-�-,�' ,.� ,..... •, , � s OWNER CJI I r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 _ PERMLT41'PPLICATION,DATA SHEET ` Permit No. A z7- Proposed Building Use Building Inspector/:J, *//7 Date 2` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................................... ...... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... ��Park fees pal ........................ O� y # School District fees paid .............. �� 3 ` 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) , 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... t' 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature author' ation . ............ ........... .. . 26. fA 27. c =When y u issue the permi proces as follows: Ma�toor. Mail to contractor. Telephone '3 34and hold for pickup at ffice. Deliver w/inspector. Other A p p I icant0/� O ' Date 2zi7 4� 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--Vphone---jnall—counter by lJw ..date Contractor, designer, owner, was/advised of above required data by—phone—mall—co bnter by date Plau checked of plans on hold in Copy—DPW Date10/-S� // Plans approved by File cabinet AP folder Date TO Building Department FROM: ' Environmental Health SUBJECT: Sanitation Clearance Cell^ « cut, - Owner Location 4V'A a 4. (,.e � L,—L APS Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. other AM d -c, r�- n n f _ I G-�) 1 da - /-J— NOTE * * * Sanitarian Date N COUNTY OF BUTTE;- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 7— ,-2-— 3 ZONING BUILDING PERMIT .: OWN i X 5 n d��llA.� TELEPHONES S *P" SO. FT. OCC. BUILDIN VA UATION OWNER'S MAILING A DRESS K, g arfi�e Irl, 0yovWe. Ca CONTRACTOR'S NAME F awA_IIZA EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plart Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE / SFL^� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W TYPE OF WORK New E] Addition® Remodel❑ Utilities[] Installation❑ Other E] Describe work: ad,";90 - iaeeilaam %2 x 2 4 �-00l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 NEW CONST. DWELLING OCCUP.&1� OR ADONS. ( ACC. BLDGS. v� /Z¢SgftNEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES20 9AL050 Ex. DCCUp. OUTLETS (RESID )FIXED APLNS.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Coun copse once 1 the g nting of this permit. X d Date Q9'" / Signature of App,cant _ OWner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fe occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SGML FLO AR PD HD ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable pro resolutions to do have been paid. WORKS Date Receipt No. b J &9 I WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY.OF BUTTE r Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754.1 OWNER. -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit . will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of / the proposed property improvement (yes or no) i / 2. I (have/have not) signed an application for a building permit / for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No.. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner J - SocialSSecurity Number Date 7-_2 NOTE: This This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. b FO R M 7 'ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit # 39�"�d Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. 0 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG BUTTE COUNTY or .36 Shading Coefficient BUILDING DEPARTMENT WEST - .36 Shading Coefficient A P D D r LOOSE FILL INSULATION (Density) ® INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL.CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 ZONE 11 ZONE 16 APPLIES TO NEW AREA a CEILING R-30 R-38 0 WALL R-11 R-19 0 FLOOR R-11 R-19. SLAB R-7 R-7 0 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG BUTTE COUNTY or .36 Shading Coefficient BUILDING DEPARTMENT WEST - .36 Shading Coefficient A P D D r LOOSE FILL INSULATION (Density) ® INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL.CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 - HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating , ❑ Central Gas Furnace % (brand and model number) SE Btu/hr ` (heating capacity) ' ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity"at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity.at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (6) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) v [3* Active Solar `j I(collector brand and model number) { t (ratedyy-intercept) (rated slope) (solar fraction)l�tij` v .1 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other —_� _-__-_,• , (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTL* elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form /)5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. XaSIGNATURZE O�B�INGNR_SIGNER OR APPLICANT `�C:a'-'�r4'.�».�`t^`�IY'`k'.i(���'"p'.'L r'1�.,-..�.�rry wr _.�.. �. .� , j`.''C�ilt:.�aA ��y��''tGt� - vq�r.m�.r'rw-rw�Y-arr+�*i�.rb.:�,�.-...r��-....,.t,•y..�,. < � -.� A. P. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One, Form per Building) Number " 2 Z� f* Building Department No. School District090 (,til/ H -S City County 1�z Jurisdiction Property Owner O PAAI & hA ZEi._., Project Location/Address 1 qY 6Al27- - e &A/ Q� Subdivision Lot Number Residential Development: a Q' Sq. Footage � (� # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Area Building�epartmdnt Representative Dat <�. (Floor Plans reviewed by School District Personnel) District Id No. .910082 QAtl`__A' 2 L 4"' LC%iA School District certifies that has complied with the requirements of es ion No. / by the payment of $ —6 --re ting _square feet. 901 District Repres tative Date PAID BY CHECK NO. BANK NO PAID BY CASH I : / �.►sem TIr mi: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) BALANCE Off`TEES SHEET DATE:' l - PERMIT #: ASSESSOR PARC OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK:. $ SHERIFF FEE (commercial only): $ ' SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban — El Medio North Chico Specific _ $ WATER TENDER FEES $ BATTALION # FEMA $ SMIP $ S -d o OTHER RECEIPT NUMBERS O .