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028-180-056
�v."" 28-18-56 RAMON LeFEVRE -.18-18-56 307 #40heN% Lane, Bangor RAMON M & LEONAIEFEVRE APPLICATION FORzDETERMINATION Permit#1607-89P,E(�til, MH) LE Cv, - CERTIFICATE OF COMPLIANCE, GAS 4 JI!V 2/191 C SUPPORT STRUCTURE REQ. -\ COMPACTION TEST REQ. rc' 28- -56 Permit#1608-89MHI Issue 28-18-56, 986-90B,P,E,Mti LEFEVRE am, 303 Le e r Zan% i an 0 , s C( Bil ow s (new Ingle family) 28-18-56 3282-91B,P,E,M LEFEVRE, Ramon 303 Lefevre Ln, Bangor C(2 -- (new sf) 028-180-05 04-2080 LEFEVRE" RAMON & NON;k 028- 180-0 LEFEVRE:7 303 LEFEVRE, BANGOR Cont: Bl -COUNTY POOLS POOL OOL (IN-GRND) AGRICULTURAL AFFIDAVIT Ei IPLOYER/EMFLOYEE Please read the following carefully before signing: Section 24-21.2 Agriculture Employer/Employee (Applicable only in zones A-5, A-10, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of.his employer, that he is, or will be, employed at least thirty- two (32) hours per week for at least sixteen (16) weeks per year, or'that his primary source.of annual income is, or is anticipated to be, derived from, any of,*the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agricultural purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of, any agricultural or horticultural commodity;' (c) .The care of any agricultural`or. hotticultural.commodity. As used in this subdivision, `"care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning, or tieinP*,-,fumigating, spraying and dusting; (d) : The ha.rves`ng of any agricultural or horticultural commodity including, but not limited to, picking, cutting, thrashing, mowing, knocking off, field- chopping, bunching, baling, balling, field packing, and placing in field containers or in the ve- hicle in w1iich the commodity will be hauled on .the farm or to J the place of first processing; �. ~ (e) The assembly and storage of any agricultural or horticultural commodity including, but not limited to, loading, roadsidin"g, banking, stacking, binning and piling; (f) The raisir_g�f,eeding and management of livestock, fur -bearing animals-, fish; frogs and other aquatic animals, and bees in- cluding, but not limited to, herding, housing, hatching, milking,- -shearing, handling eggs and extracting honey; .(g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. F3 Buft Co. Plarming CoNvi AGRICULTURAL AFFIDAVIT Ei11PLOYEE Employee r zPhone - Employee's Address (Present) Q �eF✓,�� ,C���, e - Name of Owner alnD,pe- Ovrner's Address Fr/tc /pan e Owner's Assessor's Parcel No. �Z2 Building/Environmental Health (7.) Permit Description and Number 1666-89T (MH) Date Issued / - 7 0 90 By ,Q,,ti-eT�eA1" a� l_P�l� I�Jorlcs Planning Department Approval: Date Zone -J Dwelling on AP# g IM penalty of perjury, do.declare, subject to the that' -I am the employee oe•e. address (present) -I.; �,E�y� a„ e- on APS._ a�• /If• 161& and that I will be employed under Section 24-21.2 for at least a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on APS �2�• / � � .3"G - 11 Signed Dated I/-J�' y� AGRICULTURAL AFFIDAVIT EIPLOYER Emp 1 oy e r Aman Le/es/nn Phone Employer's Address (Present) Name of Owner fah e_ Owner's Address �wne Owner's Assessor's Parcel No. /ft!32 Building/Environmental Health Permit Description and Number /6 ep _19q Date Issued /-/0 -qo Bduif•e Planning Department Approval: Date zone A -5 Dwelling. on AP# dS-/&'- S� J �l �,�FEy�� , do declare, subject to the penalty of perjury, that I am the employer of_c��,� address (present) on APS ' and that I will -be employer under Section 24-21.2 for at least a Lo g thirty-two (32) hours per week for -at least sixteen (16) weeks per year on AP,y� �(� •S6 . Signed .. Dated Butte Co untyDepartment ofDe velopmen t Services PLANNING DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION* BUILDING * GIS * PLANNING July 15, 2005 Ramon M. and Leona M. LeFevre 303 LeFevre Lane Bangor, CA 95914 Re: Tentative Parcel Map, TPM 04N-30, APN: 028-180-056, -057 Dear Mr. LeFevre: At the regular meeting of the Butte County Planning Commission held a meeting on July 14, 2005, your request for a Tentative Parcel Map to subdivide two 20 -acre parcels into four parcels, with (2) at 5 acres, and (2) at 15 acres, all in the Critical Winter Deer Herd Area on property zoned A-5 (Agricultural, 5 -acre parcels) and located on the south side of LeFevre Lane at Century Court, approximately 4,000 feet west of Upham Road, at, was denied. Should you desire to appeal this decision you must do so, in writing, prior to 5:00 pan., Monday, July 25, 2005 to the: Clerk of the Board of Supervisors 25 County Center Drive Oroville, California 95965 The appeal fee of $50.00 must be paid at that time. If you do not appeal, and there are no other appeals within the 10 calendar -day appeal period, the action of the Planning Commission is final. Should you have any questions regarding this matter, please contact Carl Durling at 538-7150between 8:00 a.m. and 4:00 p.m., Monday through Friday. . Sincerely, 41o__ �31!e�GZ �-19--1 Lynn Richardson Commission Clerk /lr cc: Land Development Environmental Health CDF Building Division Oletters\merge f IettersM)EN1AL.dot r< BUST -TE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION All: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042080 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/19/2004 APN: 028-180-056-000 the Business and Professions Code, and m license is in f orc and effect. �O�/� e j 3 License Class : c License N e Site Address: 303 LE FEVRE LN BAN Date: l� o Contractor: p Index: Cription: NEW GUNITE POOL (489) OWNER$UILDER DELLA T I hereby affirm under penalty of perjury tha I am xempt from the Contractors' State License Law for the followi son (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LEFEVRE RAMON M 8r LEONA 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 303 LE FEVRE LN 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 BANGOR, CA she is exempt therefrom and the basis for the alleged exemption. Any 95914 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: BI -COUNTY POOL CONSTRUCTION INC 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 871 GARDEN HWY. proving that he or she did not build or improve for the purpose of YUBA CITY, CA 95991 sale.). 530-673-3786 ❑ 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 tractor(s) licensed pursuant to the Contractors' State Lice Contractor: BI -COUNTY POOL CONSTRUCTION INC ❑ 1 am Exempt under Article 3 o e usinr ssions Code gLaw. Date: owner: 871 GARDEN HWY. YUBA CITY, CA 95991 WORKERS'COMPENS ION TION I hereby affirm under penalty of perjuryone the fallowing declarations: 530-673-3786 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #• 720512 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 Architect: insurance carrier and policy number are: Engineer: Carrier: p� Policy #: ,4 0 0 -000 0 (o 6 6,4 ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho pons. Date: Applicant: WARNING: Failureto ure workers' compensation ve age is unlawful, and shall su ect n employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 7��¢/�¢ �� g compensation, damages as provided for in Section 3706 of the Labor 3,q 4-07-3 $ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda P,17/61 - I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) -• I q • 04 Name: By: Date: 18 I S Address: PERM( PIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construct* of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly a orized ag a wrier. 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 ici form or d ment utte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ` Print Name: d Signature: 1 - Date: d 13 Owner ^ontractor O Agent for Owne ❑ Agent for Contractor W 0 0 0 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 FULL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name C . me 30-3irst Address . City a r— State c'p Zp Phone6 '7 9 _ zySS Fax Email AHITECT/ENGINEER CONTRACTOR Name C a ry v.dj Address 9,71 State, � City r/ Phone � q_ 3G .7 3 7� tate Zip Phone ��- Fax E-mail Planner Lic. # WV, Z CG3-3 AHITECT/ENGINEER ��/RC Name er �J1 �4 C Address 90 Z / 1_ City �d r State, � Zip Phone � q_ 3G .7 3 7� Fax E-mail State License Number 7 q6 , APPLICANT NAME Name / s Address 7 ^ e� C� City kc//70' 91ateC + Zip Phone 6 7 �3 j86Fax I No E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address V/Z- Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: uvr-K 1 -UK JUtSMI I I AL REQUIREMENTS K:IFORMS\BUILDING FORMRXRItlnAnnlCuhRnmtc rinr I PERMIT NO. BPoq��j BIN # LOCATION AP# (92g r Property Address V/Z- Cip� 6,S or Cross Street WORKER'S COMPENSATION Policy Number 18.00wod -5— 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 Des i.ption or Spppe of Work: -- Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy l J (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: pz:!�l Amount &187-3'9 Bldg SRA Receipt # �� Sheriff SMIP Date: 7.14 .C) ¢ Other total if SUBMITTAL 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 WINK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. _ ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 '.. 6 - COUNTY 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: LF- FFV 12 C ASSESSOR PARCEL NUMBER lov 8 . I oo . Proposed Building Use: til ��u +�'� CL$-k)"rE �otsLCounter Technician: ` Date: 7' 14 ' q` Items required in order o apply for a permit. All boxes MUST be checked OR marked NA in order to apply. '56- 1. Site plan , or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. -:%1 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in 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 -In- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico eOroville, 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 ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... Cl 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. O 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 for pickup. I have been informopf the above items and requirements for obtaining a building permit. ' Applicant: �� Date: I-Andex permit application fort a above items numbered: PI Check Letter Qntractor, dditional items required eATi evc qS!w t (o �j1-Counll'f Poo ('s designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, s advised of the a ove data by ❑ phone, ❑ mail, ❑ count b Date: Plans reviewed by: Dale: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division r� TO: Building Department i FROM: Environmental Health SUBJECT: Sanitation Clearance E.M. USE ONLY Plot Plan olttachad ✓ Flow Plan dttzchad Sant to B.D. / /Po Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓ Clearance for dwelling. Other /w'q!k 0V,cJ.A�- Hold final for: Final clearance O.K. for: NOTE: 8/96 f. �TTo� -Department of Public Works C o u n t y o f B u t t e 0 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION 0 Storm Water Management Program 7 County Center Drive OVN�y Oroville, CA 95965 QL/C WOP�`' (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 rLESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: O a 8 I e S- - O S-Z'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 I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law."__� Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 Building Permit Number: 04- 20 g0 Owner Name: L-P_rLtlrG Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code. (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3.1 Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 4 Owner Name: �_a r—e ere - Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of , 5 feet from the side and 15 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. := = Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. -I ,--�G- countq LAND OF NATURAL WEALTH AND BEAUTY 4 R7 j=rte •ori*= BUILDING DIVISION ry� k 4' : ;;.�• = DEPARTMENT OF DEVELOPMENT SERVICES .E. ` '' .1; • 7 COUNTY CENTER DRIVE? OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 53S-7541 FAX: (530) 535-2140 October 6, 1999 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 19 1998 To Whom It May Concern, In December of 1997, just prior to the effective date of the Swimming Pool Safety Act, CDue to the e back page) we initiated a letter of explanation, of questions havend a mailing to l pool arisenconcerning compliancectors in Butte B�"n� �e Act and how wording of the Act itself, a number q and are to enforce it We have revised our lettecontractor ow enforcement will occur in Butte County, again conducting a mailing to notify pool This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including: 1. as provided In our review of legislative considerations, we discovered tthat h t was assu °ed thant a conforming to allow exit alarms on doors providing direct acc pool, perimeter fence was already in place. However, in many cases there is no pre-existing pool or parcel enclosure, and unless the residence is one side of an enclosure which entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. 2. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Building Code, Appendix Chapter 4, Division 1, specifically allow the use of chain e� 4 fencinch ing- as pool barrier material. In Butte County we will continue to allow the use of 11 gag mesh, chain link fencing as pool barrier material. Other types of fencing will be considered on a case by case basis, based upon the requirements of the Swimming Pool Safety Act. Please call for clarification prior to installation. ing Pool, and be 3. All access gates through the enclosure shall ow c �� 60the inchesabovle the ground. This ]f closing with a self -latching device placed no includes large gates for vehicle access. Should you have further question's concerning this matter, please contact this office at the address or phone number listed above. Sincerely, i ael C. ieira, C.B.O. �r, zRPT R„ildina Inspection CALIFORNIA HEALTH AND SAFETY CODE SECTION 115920-115927 115920. SWUtEWNG POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water over - 18 inches deep. "Swimming pool" includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool Iocated on the grounds of a private single-family homes. c) • "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTM), in compliance with standard F1346 -9L e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the electrical wising of the building . 115922. Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for construction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool. d) All doors providing direct access from the home to the swimming pool shall be equipped with a self-closing, self - latching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the building official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1, 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self latching device placed no lower than 60 inches above the ground. b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Gaps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outside. surface free of protrusions, cavities, or other physical characteristics that would serve. as handholds or footholds that could enable a child below the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following: a) , Public veimming pools. ' b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials Emergency Performance Specification (ASTM ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the stale, this modification or interpretation by any regulatory agency of the state, this authority being reserved clusrrely to local jw^.sdictiors, as pro ^.ded for in subdivision (e) of Section 114922 and subdivision (c) of Section 115924. 4 SITE PLAN REVIEW APPLICATION Date: Permit Number (if applicable) 0,-A- a-0 8O - I,,,, --1 l APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: (�'�? ' ri�c SS Situs Address: Proposed Use: Residential ❑ New Single Family Residential Single Family Addition —K'Q)ff I 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): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well 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 L L (' 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: K • Flood Panel No.: 0 (n 00TO 0 S oC- Index Date: (0 ❑ 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) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------=----------- ❑ Detached Building Use Form ElEncroachment-Permit — ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:_A —5 C Ae - - GP Applicable Building Setbacks: ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 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 2of5 '• Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to'verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: , Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: ✓Vtd fi+'� ❑ 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: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ 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.RC. 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 Paze4of5' Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 9 5 A�eLlc WOV- Department i. micnaei c -rump, Director Public 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 rLESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: 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 I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: / re_ �c� s��oei ��1•�c���r✓ 7L Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program T__..__J IF.I fni y. RESIDENTIAL ; 28-18-56 _i. 3282-91B p E - t Ramon 303 LefevreLn, Ba (new s f) ngor u ' G i s 1� {f{� OFFICE COPY s Address a GAS Daf/ Meter By r---- ELECTRIC �'--pate Meter By t OFFICE COPY Address / 1 Date { 1 G AS 1 Meter BY pate ELECTRIC I Meter By . JOB FINA LED (Date) {: Signature J=OK O=Not OK Applic NNototReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-2asements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) i 5. Electricity; Location -Clea rences-Grnd-/ /Amp -Concrete 6. Gas;' Location -Test -Wrap: / /" L" ft. y / /"Nat. or/ /" L" fL/ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card,B-1 ' Date Card B-1 Date Card B-1 i Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch ! 10. Cert. of Occupancy Date Card B-1 Date Card B-1 ) Date Card B-1 Date Card B-1 4 J r 4 1 '.l rj ti ' J ' �I a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exceptl�'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.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed f 7.,Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date ,1* UbIDERFLOOR (Plans) OK except ft's Zoning -Setbacks -Easements- I od-Slope 2. Ftg., Main; Soils-Elec. Grnd. / Ftg. Dgpth 3. Ftg., Garage; Soils-Steel-Elec.'Grnd.-/ tg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped L_,&. -Fireplace Ftg.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test a Ter Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground Pienums & Ducts; Clearance -Material -Support -Ins. 14,_,isdersSills-Anchor Bolts -Joists -Vents -Cripples ess & Ventilation 16. Insulation Date Card B- Date Card B-1 Date Card B-1 ate Card B-1 Date NG (Permit),OK except ti's 1 . Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water ..pe: Test & Anchor -Nail Protection -------- - -------------------------------- W.V.; Test -Fittings & Anchor -Nail Protection 1 Shower Pan; Test. First Floor -Tub Access-,:V,-� ---- t Tub & Shower, Second Floor -Tub Access S - - -- GV -------- --------- 21. Gas Pipe: Size & Anchors ---------- ------ --------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------= ------------------------------------------- -- Date Card B-1 Date Card B-1 Date EL GT-RICAL (Permit) OK except k's 22. Fixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at -Doors 24. Size Boxes & No. of Conductors -Stapled Rom ex Installed Close to Edge of Studs & C.J. - -- 2 _quip Ground made up w!Mech. Fastners-Bond Gas_& Water ------------- -0-2 --- ----------------------- -------------------------- -2 Appliance Circuts in Kitchen & Conductor SizerGFI --- ------------------------------------ ----- 22. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------- - ------------------------------------------------------ 2.9. ---------------------------- 2.9. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral E1Yes- 0 No --------------------------------------------------- i/30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- cEquip--Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light -- - -- ------------------------------- S ------------ ------------- ------------------------------------ Smoke Detector ----------------------------------------------------------------------------- --- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's L.--_34. A C. Ducts Insulation & Support - -1-WIT-Int Fan Exhaust above insulation ----------------------- Condensate Dram & Overflow Size & Grade ------ ------------------------- -- - - -. --a Furnance_VenL Access_Comb_Air_Return-Air Vent -115 -outlet 4/ Attic Access & Platform if Furnance in Attic ----�------------------------------- ------------------------------ -------------------------------------------------------------------------------- Date Card B_1 Date Card B-1 -------------- ------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. .Is, Proper Material & Anchors ------------------------ Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- --- - ------------------------------------ -------------------------- Bearing Walls over Girders & Floor Nailing ------------------------------------------------- ----------------�. Draft Stop in Walls (rat proof) -------- -- --- ----------------------------------------------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----- - ---------------------------------------------------------------- 44. Headers & Beam -Size & Bearing S ingle & Duplex) Date FRAMING (Continued) r x-45. Hangers -Post Caps -Anchors -Connectors t� 6. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat clearance 4--ic_Access; Size & Romexroteciinn-0-Draft Stop -Ins. Baffles 49. Berm. Windows or Exitirng' Doors -Sill Hgt. & Dimensions - -- -_ V-9-0. Garage Fire Protection Framing erty Line Firewall & Openings Ext. Doors -One T -Check Garage -3rd Story, 2 Exits +h -Headroom -Rise -Run -landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers-, 55. +ng -Nailing Veneer tucco M h -Dr creed -Fd. Vents-Underflr. Access _Area -Glass Protection -Skylights -Plastic 8. ear Walls: Nailing -Bolts r 9. Insulation -Walls -Ceilings Infiltration -Walls -Windows Datef-� rd B Da,te Card B-1 Date ` and B-1te Card 8-1 Date FI L (Plans) OlTexcept ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- �. Smoke Detector %e--1-3 Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection BedroQm_Exiting 65. F.L & Bath Fixtures'& Tub Access -Spa 66 Pec. Trim & Subpanel; Breaker Sizes & Labels ---------------- ---irs &Rails ------- eplace or Stove; Clearances -Hearth ---------------- 9. Elec. Outlets at Wood Panel: Int. & Ext. �Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. ec. Outlets & Receptacles at Kit. Counter - -- 722.. Garage Fire Door_Swing-Landing-Closer 73. A.C. Duct in Garage -Damper Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. __ Garage: Above Floor -Meth. Protection - - 75. Plb. Elec. & Mech. Equip. Listed for Location Fj�r-{Iec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic 0 Yes - �ic�Guard Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes lowing instld.;,Dri,.ve 0 No; Walks 0 Yes No; Planters -0 Yes YYf10 d Stucco: -Finish ---------- _ 7------ --5.7i. C Unit; Disconnect. Electrical, Plumb. g ----------------------- 83 ----------- ----83 encs Above Roof; Pfbg.-Appliance-Fireplace.-Clearance to Openings _ - 8 ater Well: Disconnect, Electrical, Plumbing - V------------- ---------- `\/�. Exterior Elec. Trim; G.F.I. Receptacle -Underground -- `� a6 ntilation Throughout House ---- -- ass Protection -------------- --- -- d reckons from Previous Inspections - - - -- - - - --- - - -- ---- ---------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval - - - nergy-ComplianceCertificate-Other Certificates - ------ Date 1and B _ ate _ Card B-1 - Date B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ENERGY CERT MICATION NUMBER AND'STREET CITY --4g,' COUNTY SUBDIVISION t_ LOT NUMBER DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL. RES. EXTERIOR WALL MATERIAL TYPE t Fiberglass_ BRAND NAME CertainTeed THICKNESS (INCHES) THERMAL RES. CEILING BATT OR BLANKET TYPE Fiberglass BRAND NAME CertainTeed THICKNESS (INCHES) /,�' THERMAL.. RES. LOOSE FILL TYPE Fiberglass: BRAND NAME InsulSSa a III THICKNESS (INCHES) i THERMAL RES. FLOOR, ELEVATED MATERIAL. Fiber lass BRAND NAME CertainTeed THICKNESS ( INCHES) THERMAL RES. /c FLOOR, SLAB MATERIAL BRAND NAME 'mICKNESS (INCHES) THERMAL RES. WIDTH L FOUNDATION WALL MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RES. HEATING SYSTEM , :'ALt£ _ MODEL RATED BONNET CAPACITY DECLARATION I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE CURRENT REGULATIONS SETTING ENERGY CONSERVATION STANDARDS FOR NEW RESIDENTIAL BUILDINGS (LOCATED IN TITLE 24 OF THE CALIFORNIA -ADMINISTRATIVE CODE). GENERAL CONTRACTOR / OWNER STATE CONT'RACTOR'S LICENSE # SIGNATURE D TEATEp --- HAWKINS INDUSTRIES INC. 622184 FIRI1 NAME STATE CONTRACTOR'S LICENSE # SI AT'URE DA COUNTY OF BUTTE k DEPARTMENT OF PUBLIC WORKS 1°469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 °r 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. r FSI A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,] please this offic immediately. ti r REV 11/91r ` .... .. COUNTY OF BUTTE a DEPARTMENT OF PUBLIC WORKS 196 Memor,,al Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIid— Phone: 538-7541 747 Elliott Road, Paradise —,Phone: 872-6307 CORRECTION NOTICE OWNER' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance r 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 r, matter or need additional explanation, please contact this office immediately. I -) //'kYI(-� /�/n r,445 ' ,k//7-- zv,/J41/ 4-AS5 tali- IAI ,v1/� `.rte Q ,u ZOO �4 T-"/iJ»��. . r W_%A X�, A!—,A=Z _ K e i r.' ti Y t: Date CJ Inspector V COUNTY 'OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroy.hlle,.CeVfornla 95965 - Telephone: .APPLICATION AND PERMIT .a WORKS PERMIT NO. 916/538-7541 -ASSESSOR PARCEL NUMBER 28-18-56 ZONING A5 BUILDING PERMI OWNER RAMON LEFEVRE b TELEPHONE 679-2455 S0. FT. 0=1 BUILDING U ION` 3153 R 1 0,803 OWNER'S MAILING ADDRESS 33 LEFEVRE LN BANGOR 95914 784 M 14,112 CONTRACTOR'S NAME BILL DOWNS TELEPHONE 675-2152 627 COV 8,151 CONTRACTOR'S MAILING ADDRESS Fireplace I 2-A 3,000 CFOOTHILL COM BANK ONSTRUCTION LENDER UNKNOWN Total Valuation $ 186,76 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS BROWNSVILLE CA 95919 Permit Fee ; 650.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 303 LEFEVRE LN BANGOR Permit tee $ 675.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 14 2.00 28.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home Is G W 10.00 ea' TYPE OF WORK New ffk Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3BR Permit Fee $ 58.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 1000 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ADDNS. ACC. BLDGS. , /20sgft 98.40 NEW. CONSTR. ULT' -OUTLET NONRESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS Rl SINGLE OUTLET CIR. / / Ex. Occup\OUTLETS OR FIXTURES 20®805 e ALO 30 11 Ex. Occup. OUTLETS FIXED P(RESID )REAJ 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 130.90 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. No Ice 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 HEAT PUMP Cooling 4T Hood 3.00 3.00 Ventilation permit Fee ; vi. nn 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 Iia ' ' judgments, costs, and penses which may in any way accrue agai t sai Count in cons q e t e granting of this ppermit. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required forXcla tions ver 5'0" deep d demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ 27 40 4 HAi. _ CUA- CU PARK _ scH FL PA ) HD Issu This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. D R. OR F- ELIC WORKS 1 �-/ B Date//� '% PERMIT EXPIRES Date /�✓r/_�! // 9 Receipt No. 100852 C� ^�0 � WHITE-D.P.W.. YELLOW-ASSESSO PINK-INePECTOR, GOLDENROD -APPLICANT +...Y.r F„t,C.•'=-...,., ,; P.r�a,..,..�„ �.-;►r••-n.—�-wr7." 'H r "C..w-+1vw t V. COUNTY OF! BUTTE - DEPAR'iTM -, OF PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 .PERMIT APPLICATION DATA SHEET � .�• ""� Permit No. OWNER �iJ%� A. P. No. 26>-1e—,S6 Proposed Building Use �� ��gR Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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 ........................................ 12. Park fees paid /,............................................. 3• — /�A Schgof D)1'strict fees paid .............. / / 14. Sanitation approval from ©,�ov•'l(�— Health, Department In 191q 15. City of Chico plumbing permit ............. 4....................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvemerits`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, Classification) .. . 22. Certificate of Workmans Compensatioh Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... X35. Letter of signature authorization ........ Xclacrc,I........................ 26. 27. 't When yo issue the permit; proce as follows: Mai to er. Mail to contractor. issue and hold for pickup at office. Deliver w/inspector. Other- -iG Copy of Hdz-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: t " °$ Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter by Plans checked by Date Plans approved by, Sets of pl s,grhAllim!M__.le cabinet AP folder Copy—DPW t C :? date date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95985 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 2 7i- ASSE330R PARCEL. NUMBER 8 ZONIN /�-5 BUILDING PERMIT OWNER- TfiL6PHONE _ 2gss SO. FT. OCC. BUILDING VALUATION 3 rs 3 a3 OWNER'S M ILIN AO RES 39 &e° 'edr-e cf- gkuOIL ev 141 Z CONTRACTOR'S AMC r� 6 '67.5'FILEHONE 2/5� 7 L C. i CONTRACTOR'S MAILING ADDRESS Fireplace Z 3 0 d C5 CONSTRUC N L ER / �f�r r G'� A/Filin UNKNOWN Total Valuation g Fee $ 1 10.00 LENDER'S MAILING ADDRESS B/'OWA4.<U,tt!le 5 712 Permit Fee ;so,SO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee $ •!� $ '-- $ $. ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 p� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S -®O Each qas water heater or vent 5.00 5 C> USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 15. 00 Building sewer 5.00 pe Mobile Home S I G I W 0.00 ea TYPE OF WORK New 0�- Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ S8 l Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.E Main service EA. A00'L 100 AMP I 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 oa AOONST DDWELLIN GOCCUP.y) S. �!12=soft) q Cv NEW CONSTRUL71-OUTLET ON-PESID BRANCH C1RC"I NTO 12.50eaj (POWER APPARATUS e) SINGLE OUTLET CIR. i EX. OCCup(OUTLETS OR FIXTURES 2�+70e! :3 AL130o FIXEDAPPLNS. OR Ex. Occup. OUTLETS IREs10., EA.) 2.00 Temporary service 10.00 1 /aLpo Mobile Home Facilities 115.00 Misc. Wiring g 15.00 Permit Fee $ /30! WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificatei of Consent to Self -Insure. ❑ 1 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 suchPerrnit provisions or this permit shall be deemed revoked. Contractor J MECHANICAL PERMIT FilingFee 10.00 i Heating A/e%I _,I4- Cooling L FVnJ co - Hood 1 3.00 ao Ventilation 3 do Fee $ 33- c -p LContractor I certify that 1 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstTOTAL all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Oate Signature of Applicant — Owner Contractor ❑ Agent ❑ -An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories In height. Mobile Home Installation Fee S Energy Inspection Fee C, OCC CONST TYPE FEE MAL CUA I ;,AHK , "iCHL I FLD i I This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do fees have been paid. WORKS Date Receipt No- gig 2 — ?,7 1s— mNIrC-O.P.W.. TCLLOW-43e C330R. PINK-fNSPCCTOR. ;0L0CNR00-AP-LICANr ITO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Pian- Approved for: Sewage Disposal - Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply _Clearance for bedroom mob-ile home. Other OTS �* / Sanitarian Date ,Y..rT:-. r � .Y� ._ y .. rM-<. r* ., • Y vca ,. �'..�,-M✓�..s. �.... • w ,.s—r.-^'s•�tR.-.r. v'tr , r .� �}„_.-•,.-.....wr.., . ..-. ., �y,. ->'"'-- ..''<J' "'": � • .` . � f f i BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM �� (On�� per Building ) Q ��„�,r, 00 P A.P. Number 6 �'���� BuildingDepartment No. School District r City = County Jurisdiction Property Owner kA440IV AM` k V W, C Project Location/Address Subdivision' Lot Number Residential Development: Sq. Footage # of L wing MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) a y � 1 14 1112111 Building Department Representative Da e ******************************************************************* (Floor'Plans reviewed by School District Personnel) i District Id No. y f V (��kD vlt� yjw/j School District certifies that (Applicant Name) (Phone Number) �et-�aaress ) (City) (State) (Zip Code) has complied with the requirement of Resolution No. OQtT-- 96 b the a ment 77representing,,-?s uare feet. Y P $ 70 /� 3 q !rahool Dis rict Representative Date PAID BY CHEgX BANK NO PAID BY CASH white -applicant, yellow-building.department, pink -school district SCHOOL.FEE (8/88) RECORDING REOUESTED BY AND WHEN RECORDED MAIL TO I FNEIL A. LE FEVRE 267 Upham Road S00*1 Bangor, CA 95914 A**1n ory6 L 11 10 J z 86-45775 B�TTE�t1 R CORkt�lTY S OFFICE FLEANOR M. BEC!?.ER 1,988 OEC 23 FIN 4t 01 x"45'775 SrACE ABOVE THIS LINE FOR RECORDER'S USE Deed of Gift This Deed, made the .............. Tweat.y..$e.c.ond................................. day of P e c e.m.b a r ................ . one thousand nine hundred and. e.i.g h t y ... s i x ....................... Between.... Ra 14 P.P..Mr...snd.L.eons..M�... e..Fev.r.e.,—hu.s.band...and...w� fe................ , Grantor .......................................................... .......................................................................................................... ................. Grantee ......................................................................................... Witnesseth: That the Grantor, for and in consideration of the love and affection which ..... t. . hey ...... ha v. e... for the Grantee, do ....... by these presents gift, give, and grant unto the Grantee, and to ..b.i A ...... heirs and assigns forever, all ................................................. .................................................................................................................. . th ..a.t .. certain lot ........ piece ........ or parcel ...... of land situate in the .......................... ......................... County of ............$.u.t t e........... . ...... State of ...... Ca l.i f A r.n.ia........... and bounded and described as follows: . , The North half of the Northwest quarter of tli Southwest quarter of Section 12, Township 18 North,, Range 5 Fast M.D.B.&M. . A sixty (60) foot easement is hereby created along the entire length of the west boundry to allow ingress and egress for the parcel immediately to the South of this parcel. Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. To have and to hold the said premises, together with the appurtenances, ui.'.o i f the Grantee, and to .....his... heirs and assigns forever. I! flq dWAO 1.•oh. pmol ,., ft"~ b POW b w w W" e� V. n...Way Wh v•../�w. b.n.w.www..bdr .O.e.an.nan., The W+w+son ro11M. M ..I../.,. We- .wwn o wiO4.C. w 10 M 1.p/ .00M as .A Va'+o^ 0 M w..OMV a1 w.N OW" n .n, p.awa !./MK10. 0 0 — L C 7 7 C In Witn6ss-W-hereofthe Grantor, ha ve .......... hereunto set .... t he 1 r ................... hand the day and year first above written. Signed and Delivered in the Presence of 2,. V 00 IC% STATE OF CALIFORNIA On this ...............2.2•n d ... day of .....De c em.b a r ................ in the yea 81; . One thousAn nine hundred and 9 COUNTYOF ..... XUha ................ .......... : .................. I ........................ eightt. y ... six ..... before me, R c hax d.J.... A raol d ................... a Notary Public, State of California, duly commissioned and sworn, personally appeared.. R anion.. M ... a n d .......... -LR P RP. FV!.Y.r9.9 ... h.U.-Oa P.d.. A n d ... w�fe ......................... 11 - - - - - - personally known to me (or proved to me on the basis of satisfactory evidence) to be SEAL OFFICIAL SEAL the person. S ....... whose name - s ....ate ........................................ RN LD RICHARD J ARNOLD i4 ►P40TAW PUBLIC •- CALIFORNIA subscribed to this instrument, and acknowledged that ....... t he ....... executed it. '40 AL FOR NIA YUM COUNTY COUNTYIN WITNESS WHEREOF I have hereunto set my hand and affixed my official My cr.-=. expires WAY 19. 1987 :AY 19 1987 seal in the .................................................................. County of ................................................... on the date set forth above in this certificate. ;/Iary Public, State of Californi II My commission expires RECORDING REQUESTED BY 7 7.35 89-017735 ; R e c Fee 7.00 AND WHEN RECORDED MAIL TO ; Cash 7.00 Recorded Official Records ; Ramon M. & Leona M. LeFevre County of Name Butte ; N V'V—Z--vl I c� 1 Uve Street 275 Upham Road Candace J. Grubbs Address Recorder ; City Bangor, CA 95914 2:18pm 15 -May -89 ; 11 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE cry✓ Quitclaim Deed This Indenture the made ......... May ................................... one thousand nine hundred and ... ei.gh.ty..nine .................... Between.. Neil A. LeFevre, a married man .................................................................... .....................e�'.,,,tl& .................................................... the part .y..... of the first part, and.. , ar).....Lepnn, ,M... LeFevre., ,husband. and wife ................................................................................ the part ies. of the second part, Witnesseth: That the said part X ........ of the first part, in consideration of the sum Of .........Five • and. • No/ -100 --------------- dollars lawful money of the United States of America, to. Nei1. ,A.... LeFevre.......... in hand paid by the part . ie. s. of the second part, the receipt whereof is hereby acknowledged, do . eS...... hereby release and forever QUITCLAIM unto the part ...ies .. of the second part, and totheir .. heirs and assigns, all th at....... certain lot ........... piece .......:.. or parcel .......... of land situate in the................................................... County of.. Butte.........:..... . State of .Calif prna............... s................... ................... .and bounded and described as follows, to -wit: The North half of the Northwest quarter of the Southwest quarter of Section 12, Township 18 North, Range 5 East M.D.B. &M. aka Assessor's Parcel Number 28-18-56. Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues, and profits thereof. To have and to hold the said premises, together with the appurtenances, unto the part .ies...... of the second part, and to .. their....... heirs and assigns forever. In Witness Whereof the party......... of the first part has ........ executed this conveyance the day and year first above written. Signed and Delivered in the Presence of This document is only a general form which may be proper for use in simple transactions and in no way acts. or is intended to act, as a substitute for the advu:e of an attorney. The printer does not make any warranty. either express or implied. as to the legal validity of any provision or the suitability of these forms in any specific transaction. Jame Itreet address ;ity & tate L lame RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO Ramona M. Long 271 Upham Road Bangor, California 95914 MAIL TAX STATEMENTS TO r - trees ddress Same As Above ity & [ate L ASN 028 180 .CAT. NO..NNO0582 TO 1923 CA (2-83) 87 CORV JUN COUNTY OFFICIAL RECORDS BY BIDWELL TITLE CO. 1381 MAY 12 AM 11: 20 CANDACE J. GRUBBS CLERK -RECORDER FEE -Z, 8'7-1'716?, & 028 180 57 & 028 180 52 SPACE ABOVE THIS LINE FOR RECORDER'S USE— Individual SE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS The undersigned grantor(s) declare(s): z Documentary transfer tax is $ -0!-- X 0-X ) computed on full value of property conveyed, or ( X ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, RAMON M. and LEONA M. LeFEVRE, his wife; RAMONA M. (La Fevre) LONG, married woman, NEIL A. LeFEVRE and REGINA LeFEVRE, husband and wife hereby GRANT(S) to RAMONA M. (L8. Fevre) LONG, a married woman and NEIL A. LeFEVRE and REGINA LeFEVRE, husband and wife the following described real property in the County of Butte , State of California: LeFEVRE a. A non-exclusive easement for road and public utility purposes over the West 60 feet of the Northwest quarter of the Southwest quarter of Section 12, Township 18 North, Range 5 East, M.D.B. & M., and over the South 60 feet of the North half of the Southwest quarter of said Section 12, lying Westerly of the West line of Upham Road. This easement is appurtenant to and for the benefit of Assessor's Parcel No's 28-18-56 and 28-18-57. 4�saaswrA®�le��ee�laseas�w�lsamesr�e�e ra LINDA F. MO WILSON e NOTARY PUBLIC -CALIFORNIA Butte County e R `;;;?,.5' My Commission Expires Jan. 20, 1988 ■ wleeeeee®eeeeo®®eetoeeom®eek Dated: April -20, 1987 STATE OF CALIFORNIA - - 1 COUNTY OF -_ BL1t fte }SS. On April 20, 1987 before me, the undersigned, a Notary Public in and for said State, personally appeared Ramon M. LaFevre, a ona M. LeFev e k-ppg Ngll personal y known to a or proved to me on the basis of sat. nt:R'gi ay �LeFevre'_a isfactory evidence to be the person S whose name s are subscribed to the within instrument and acknowledged a that they executed the same. WITNESS my hand and offi . 1 seal. , Signature Z�. ` Clinton Ray L ng Linda F. Wilson Title Order No. (This area for official notarial seal) Escrow or Loan No. 13 g7 $3 MAIL TAX STATEMENTS AS DIRECTED ABOVE k^ . +_.....?;.:�..�.'.,; i:'•�a-::;.�..;, ;�;5�,' 2IT;ro ENGINEERING DATA C CHP15 SERIES HEAT PU PS PACKAG D SINGLE PACKAGE HEAT PUMPS '.® •*24,800 to 59,000 Btuh Total Cooling Capacity age i` *25,000 to 62,000 Btuh Total Heating Capacity Septfirnber:• 91 supereede9 May 19 ar 12,800 to 85,300 Btuh Optional Electric Heat " 100E and ARI Standard 240 Ratinan ME 1® ,o Unit with filter section Rooftop Installation Unit with RMF15 roof mounting frame and RDE15 duct enclosure NOTE — Specifications, Ratings and Dimensions subject to change without notice. Unit with EMDH15 horizontal economizer U \ Rooftop Installation Unit with RFMt5 roof mounting frame, REMD15 economizer and combination ceiling supply and return diffuser 11 r® - •SPECIFICATIONS 2' ' " ✓ Model No. CHP15-261 CHP15-311 CHP15-411 CHP15-461 CHP15-413 CHP15-463 CHP15-511 C P15-651 CHP15-513 HP15-653 *ARI Standard 270 SRN (bels), 7.8 7.8 7.8 7.8 8.0 'ARI Standard 240 Ratings Co6ling capacity (Btuh) 24,800 29,000 35,200 41,000 48,000 59,000 Total unit watts 2820 3450 4050 5130 5780 7280 SEER (Btuh/Watt) 9.15 9.10 10.30 9.00 ,-,9.55' 9.00 EER (Btuh/Watt) 8.80 8.40 8.70 8.00 8.30 8.10 'ARI Certified High Temperature Heating Ratings Heating Capacity (Btuh) 25,000 29,000 36,000 45,000 50,500 62,000 Total unit watts 2440 2830 3515 4400 C.O.P. (Coefficient of Performance) 3.00 3.00 3.00 3.00 4930 6060 3.00 3.00 HSPF 6.8 6.80 7.0 6.8 1c7:2T; 7.0 *ARI Certified Low Temperature Heating Ratings Heating Capacity (Btuh) 13,400 15,900 19,600 24,600 26,600 34,600 Total unit watts 1960 2330 2740 3450 3950 5330 C.O.P. (Coefficient of Performance) 2.00 2.00 2.10 2.10 2.00 2.00 Indoor Coil Blower wheel nom. diam. x width (in.) 9 x 9 9 x 9 10 x 9 10 x 9 11-1/2 x 9 11-1/2 x 9 Blower Motor horsepower 1/3 1/3 1/2 1/2 3/4 3/4 Indoor Net face area (sq. ft.) 3.2 3.2 4.5 4.5 6.4 6.4 Coil Tube diameter (in.) & No. of rows 3/8 - 4 3/8 - 4 3/8 - 3 3/8 - 3 3/8 - 4 3/8 - 4 Fins per inch 16 16 15 15 15 15 Outdoor Coil Net face area (sq. ft.) Inner Outer Coil 9.1 9.1 10.2 10.2 17.2 17.2 Coil 5.7 8.6 9.6 9.6 14.5 16.5 Tube diameter (in.) & No. of rows 3/8 - 1.7 3/8 - 2 3/8 - 2 3/8 -2 3/8 - 1.9 3/8 - 2 Fins per inch 20 20 20 20 15 18 Outdoor Coil Fan Diameter (in.) & No. of blades 18 - 4 18 - 4 20 - 4 20 - 4 24 - 4 24 - 4 Air volume (cfm) 2200 2200 2800 2800 4300 4300 Motor horsepower 1/6 1/6 1/6 1/6 1/4 1/4 Motor watts 220 220 255 280 380 380 Refrigerant 122) Charge 4 lbs. 11 oz. 5 lbs. 14 oz. 7 lbs. 3 oz. 7 lbs. 10 oz. 10 lbs. 0 oz. 10 lbs. 10 oz. Condensate drain size mpt (in.) 3/4 3/4 3/4 3/4 3/4 3/4 Net weight (lbs.) 1 package 270 300 404 404 529 540 Optional Electric Heat Ratings ECB18-5 Output Btuh 18,000 18,000 18,000 ---- tA.F.U.E. 99.0% 99.0% 99.0% ---- ECB18-7 Output Btuh 25,000 25,000 26,000 ---- tA.F.U.E. 99.0% 99.0% 99.0% ---- ECB18-10 Output Btuh 35,000 35,000 36,000 36,000 tA.F.U.E. 99.0% 99.0% 99.0% 99.0% ECB18-15 Out ut Btuh 52,000 52,000 53,000 54,000 tA.F.U.E. 99.3% 99.3% 99.1% 99.1% ECB18-20 Output Btuh 71,000 70,000 71,000 tA.F.U.E. 99.1% 99.1% 99.1% ECB18-25 Output Btuh ---- ---- 87,000 87,000 tA.F.U.E. ---- 99.2% 99.2% Optional Roof Mounting Frame (Net Weight) RMF15.65 (116 Optional Duct Enclosure (Net Weight) Number and size of filters (in.) RDE15-31 (74 lbs.) 1 (1) 20 x 20 x 1 RDE15-46 182 lbs.) (1) 20 x 25 x 1 RDE15-65 (92 lbs.) (2) 16 x 20 x 1 Optional Economizer Dampers Model No. 13 position REMD15-31 REMD15-46 REMD15-65 Modulatin REMDI5M-31 REMDI5M-46 REMDI5M-65 Net Weight (89 lbs.) (107 lbs.) (124 lbs.) Number and size (1) 20 x 20 x 1 (1) 20 x 25 x 1 of filters (in.) •11) 17 x 23-7/8 x 1 0(1) 17 x 23-7/8 x 1 (2) 16 x 20 x 1 6(1) 17 x 23-7/8 x 1 Optional Horizontal Economizer Dampers Model No.Modulating 13 position EMDH15-31 Ef 1DH15-46 EMDH15-65 EMDHI5M-31 EMDHI5M-46 EMDHI5M-65 Net Weight (92 lbs.) (99 lbs.) (116 lbs.) Number and size (1) 16 x 20 x 1 (1) 16 x 25 x 1 of filters (in.) •(1) 15-7/8 x 17-1/4 x 1 •(1) 15-7/8 x 17-1/4 x 1 (1) 20 x 25 x 1' •(1) 21-1/4 x 23 x 1 Optional Gravity Exhaust Dampers (Net Weight) GED10-65 (4 lbs.) (use with EMDH15) Optional Triangular Duct Enclosure (Net Weight) Number and size of filters (in.) RTDE15-31 (64 lbs.) (1) 20 x 20 x 1 RTDE15-46 (67 lbs.) 1 (1) 20 x 25 x 1 RTDE15-65 (71 lbs.) (2) 16 x 20 x 1 Optional Filter Section (Net Weight) Number and size of filters (in.) FS15-46 (24 lbs.) (1) 20 x 20 x 1 FS15-65 149 lbs.) (2) 16 x 20 x 1 Optional Over/Under Duct Transition (Net Weight) Number and size of filters (in.) DT15-46 (52 lbs.) (1) 20 x 20 x 1 DT5-65 (121 lbs.) (2) 16 x 20 x 1 Optional Ceiling Diffusers (Net Weight: I Step -Down RTD9-65 (67 lbs.) I RTD9-65 (67 lbs.) Flush FD9-65 (37 lbs.) I rna-rr ta,7 tr,. i rt Sound Rating Number In accordance with ARI Standard 270. r® Rated in accordance with ARI Standard 240; 450 cfm (maximum) Indoor air volume per ton of cooling capacity. Cooling Ratings - 95°F outdoor air temperature and 80°F db/67°F wb entering Indoor coil air. High Temperature Hating Ratings - 47°F db/43°F wb outdoor air temperature and 70°F db entering indoor coil air. Low Temperature Heating Ratings - 17°F db/15°F wb outdoor air temperature and 70°F db entering indoor coil air. "Heating Seasonal Performance Factory based on DOE test procedures. . tAnnual Fuel Utilization Efficiency based on DOE test procedures and FTC labeling regulations. *Outdoor air hood filter. -4c- RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO r � � Name��-\� Street 0\ddreu 1,31� city & Suer MAIL TAX STATEMENTS TO r � Name Stmt Adrfreu City a Sun L io CAI. NO. NN00580 TO 1922 CA (2-83) 86-45113 BUTTE COUNTY, CA. RECORDER'S OFFICE "l-FAN0R M. BF^ L94 DEC 23 PM 4: 01 _CORDED AT RE 0� 86-45'7'73 SPACE ABOVE THIS LINE FOR RECORDER'S USE F"I " Individual Quitclaim Deed THIS FORM FURNISH90 ■Y TICOR TITI-a IM/URGERS The undersigned grantors) declar (s): Documentary transfer taxis $ t ,p5_'4z. II�w 3"ClrCC ( ) computed on full value of property conveyed, or V ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of Ran-anr , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ramona M(LeFevre)Long and Neil A.LeFevre 1 hereby REMISES, RELEASES AND QUITCLAIMS to Radon M. -and Leona M. LeFevre the following described real property in the County of Butte , State of California: Described as follows; The Northwest quarter of the Southwest quarter of Section 12, Township 18 North, Range 5 East, MD BSM I i Dated: Nn'vPmhPr 17ch- M6 M —�! STATE OF CALIFORNIA COUNTY OF Butte On November 11th ,1986 before me, the unu-rsigned, a Notary Public in and for said State, personally appeared I -#T A Tete ..,+ t! swina— M Le Fevre T. Personally known to me or proved to me on the basis of sat- isfactory evidence to be the persons whose name are OFFICIAL7ARNZ-AD L subscribed to the within instrument and acknowledged RICFIAP.D J oµ.r:oTArY PUBLIC OIINIA 1 that a rA executed the sane. ' �s �;:+ - WITNESS my hand and official seal. �; ,;..;5-' ! YUe1 Cou m' 1987 f.: to -r•1. exp?re; 1:..1! l�. Jl Signature (Thu arca for offieW notarial Seal) Return,to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT +� ` ' :s QV FOR RESIDENTIAL DEVELOPMENT Section r.equir`es prior to 26-8.1 of the Butte County Code this acknowledgement be recorded issuance.of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, 89-019868 Rec Fee 5.00 . Total 5.00 Recorded Official Records County of Butte PARTY'SHOWN Candace J. Grubbs Recorder 8:01am 31 -May -89 RB 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The North half of the Northwest quarter of the Southwest quarter of Section 12, Township 18 North, Range S East M.D.B.&M. aka Assessor's Parcel Number 28-18-56. Date: 6 State of ) County of 14e2!� PROP OWNERS: On this the day of 19 1,, before me, SS. the undersigned Notary Public, personaay appeared Personally known to me. N Proved to me on the basis -OFFICIAL SEAL PATSY. L CARTER tgoo ,NOTARY PUBLIC - CALIFORNIAS . BUTTE COUNTY My comm! expires NMAY 13, 1992 168011@ * ( MvV:4 CA' y5 Present A.P. No. 5 - / S_ s Notary Public END OF DOCUMENT of satisfactory evidence. be the person(s) whose name(s) bscribed to the within instrument and acknowledged that ecuted the same for the purposes therein contained. IN WI't ESS EREOF, I hereunto set my hand and official seal. a - 8 R � - 9 8 TIN J'o T."I CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Residence for Le Fevre Date........ 05/14/92 Project Address........ Le Fevre Lane Bangor 3Z97-- 9l Documentation Author... Carol Kuopus Bui ing ?ermit Company ................ CALCTECH Telephone.............. (916) 589-4219 Plan Check Date Compliance Method...... MICROPAS3 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -FORM CF -1R User#-MP1320 User-CALCTECH Run -Proposed Residence GENERAL INFORMATION Conditioned Floor Area..... 3153 sf Building Type .............. Single Family Detached Building Front Orientation. Front Facing 45 deg (NE) Number of Dwelling Units... 1 Number of Stories..1 Floor Construction Type Raised Floor Infiltration Control....... Standard BUILDING SHELL INSULATION [a 9v Component Insul Type R -value Location/Comments Wall R-19 FRONT, FRONT ENTRY, RIGHT RIGHT AT ENTRY, BACK, TO GARAGE, LEFT LEFT AT ENTRY, TO ATTIC/CRAWL Door R-0 FRONT ENTRY, TO GARAGE Floor R-19 TO CRAWLSPACE Roof R-38 TILT CEILING, FLAT CEILING GLAZING Glazing Area # of Interior Exterior Framing Orientation (sf) Panes Shading Shading Overhang Type Window Front (NE) 84 2 NONE None Yes Metal Window Front (NE) 67 2 BLINDS 50% BUG SCREEN Yes Metal Window Front (NE) 18 2 BLINDS None Yes Metal Window Right (NW) 59 2 NONE 50% BUG SCREEN Yes Metal Window Right (NW) 47 2 NONE None Yes Metal Window Right (NW) 40 2 BLINDS 50% BUG SCREEN Yes Metal Window Right (NW) 120 2 BLINDS None Yes Metal Window Back (SW) 60 2 NONE 50% BUG SCREEN Yes Metal Window Left (SE) 40 2 BLINDS 50% BUG SCREEN Yes Metal Window Left (SE) 120 2 BLINDS None Yes Metal Window, Left (SE) 99 2 NONE 50% BUG SCREEN Yes Metal Window Left (SE) 88 2 NONE None Yes Metal Skylight Left (SE) 8 2 NONE None None Metal Skylight Right (NW) 8 2 NONE None None Metal [a 9v CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Residence for Le Fevre Date........ 05/14/92 MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -FORM CF -1R User#-MP1320 User-CALCTECH Run -Proposed Residence THERMAL MASS SPECIAL FEATURES/REMARKS R-5.7 duct insulation required R-19 floor insulation required R-19 wall insulation required R-38 insulation required in ceilings Dual pane glazing with metal frames required.per elevations Milgard Series 920 U -values used in this analysis White blinds required at all glazing facing Atrium No window coverings required at perimeter exterior glazing Two identical HVAC systems installed in residence Area Thickness Hard Surfaced/ Type (sf) (in) Exposed Location/Comments InteriorVert 103 1.0 Yes MASTER BATH InteriorHorz 199 1.0 Yes HEARTH/BATH3/MSTR BATH InteriorHorz 210 1.0 Yes KITCHEN ASSUMED HVAC SYSTEMS Assumed Duct Duct Assumed System Efficiency Location R -value Gas 0.755 SE Attic R-5.7 Air Conditioner 10.20 SEER Attic R-5.7 ACTUAL HVAC SYSTEMS Actual Output Manufacturer and Model # Actual System Efficiency (Btuh) (or approved equal) Heating 75.5%CSE 75000 BDP373L048075 Cooling 10.2SEER 45000 BDP593CJ048 Cooling Coil BDP519D/509A048X CEC Maximum Output for Gas Central Furnaces: 110404 Btuh WATER HEATING SYSTEMS Tank Capacity Manufacturer and Model # Energy System Type (gal) (or approved equal) Credits Storage, Gas 46.8 A.O. Smith FGR -50 None SPECIAL FEATURES/REMARKS R-5.7 duct insulation required R-19 floor insulation required R-19 wall insulation required R-38 insulation required in ceilings Dual pane glazing with metal frames required.per elevations Milgard Series 920 U -values used in this analysis White blinds required at all glazing facing Atrium No window coverings required at perimeter exterior glazing Two identical HVAC systems installed in residence CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... Residence for Le Fevre Date........ 05/14/92 MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -FORM CF -1R User#-MP1320 User-CALCTECH Run -Proposed Residence COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. DESIGNER OWNER Name.... Name.... ma & on pFevre Company. Company. sZ J_5 Address. Address. Le Fevre ane Bangor CA Phone... Phone... (916) 679-2455 License. Signed Signed (date) (date) DOCUMENTATION AUTHOR ENFORCEMENT AGENCY Name.... Carol Kuopus Name.... Company. CALCTECH Title... Address. Drawer G Agency.. Feather Falls, CA 95940 Phone... (916) 589-4219 Phone... Signed ��-Q �� ���/9z Signed --° (date)' (date) COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... Residence for Le Fevre Date........ 05/14/92 f Project Address........ a Fevre Lane Bangor Documentation Author... Carol Kuopus Company ............... CALCTECH Telephone .............. (916) 589-4219 Compliance Method...... MICROPAS3 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Proposed Residence Zone Type MICROPAS3 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 28.71 22.17 6.54 Space Cooling.......... 20.91 27.16 -6.25 Water Heating.......... 6.47 5.87 0.60 Total 56.09 55.20 0.89 *** Building complies *** GENERAL INFORMATION Conditioned Floor Area..... 3153 sf Building Type .............. Single Family Detached Building Front Orientation. Front Facing 45 deg (NE) Number of Dwelling Units... 1 Number of Building Stories. -1 Weather Data Type.......... ReducedYear Floor Construction Type.... Raised Floor Number of Building Zones... 1 Conditioned Volume......... 26502 cf Footprint Area ............. 3153 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 27.2 % of FA Average Ceiling Height..... 8.4 ft BUILDING ZONE INFORMATION Floor Cond Area itioned (sf) Vent Special Volume # of Thermostat Height Vent Area (cf) Units Type (ft) (sf) HOUSE Residence Yes 3153 26502 1.00 Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Residence for Le Fevre Date........ 05/14/92 MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Proposed Residence Form 3 Reference d sty.ya_e OPAQUE SURFACES SC Area U- Insul Act Area Solar Location/ Surface (sf) value R-val Azmth Tilt Gains Comments HOUSE Panes Type Type value Azmth Tilt Only 1 Wall 297 0.065 R-19 45 90 Yes FRONT 2 Wall 56 0.065 R-19 45 90 No FRONT ENTRY 3 Door 40 0.330 R-0 45 90 No FRONT ENTRY 4 Wall 552 0.065 R-19 315 90 Yes RIGHT 5 Wall 86 0.065 R=19 315 90 No RIGHT AT ENTRY 6 Wall 260 0.065 R-19 225 90 Yes BACK 7 Wall 187 0.065 R-19 225 90 No TO GARAGE 8 Door 37 0.330 R-0 225 90 No TO GARAGE 9 Wall 492 0.065 R-19 135 90 Yes LEFT 10 Wall 74 0.065 R-19 135 90 No LEFT AT ENTRY 11 Floor 3153 0.037 R-19 0 0 No TO CRAWLSPACE 12 Wall 173 0.065 R-19 45 90 No TO ATTIC/CRAWL 13 Roof 377 0.029 R-38 135 12 Yes TILT CEILING 14 Roof 502 0.029 R-38 315 12 Yes TILT CEILING 15 Roof 2258 0.029 R-38 0 0 Yes FLAT CEILING 18 2 Metal Fixed 0.52 GLAZING SURFACES 90 Form 3 Reference d sty.ya_e SC Interior SC Area # of Frame Open U- Act Glass Shade Gls+ Surface (sf) Panes Type Type value Azmth Tilt Only Type Shade HOUSE 1 Window 36 2 Metal Fixed 0.52 45 90 0.77 NONE 0.77 2 Window 67 2 Metal Slider 0.58 45 90 0.77 BLINDS 0.29 3 Window 18 2 Metal Fixed 0.52 45 90 0.77 BLINDS 0.29 4 Window 48 2 Metal Fixed 0.52 45 90 0.77 NONE 0.77 5 Window 44 2 Metal Slider 0.52 315 90 0.77 NONE 0.77 6 Window 14 2 Metal Fixed 0.52 315 90 0.77 NONE 0.77 7 Window 15 2 Metal Slider 0.52 315 90 0.77 NONE 0.77 8 Window 15 2 Metal Fixed 0.65 315 90 0.77 NONE 0.77 9 Window 40 2 Metal Slider 0.58 315 90 0.77 BLINDS 0.29 10 Window 120 2 Metal Fixed 0.52 315 90 0.77 BLINDS 0.29 11 Window 18 2 Metal Fixed 0.52 315 90 0.77 NONE 0.77 12 Window 60 2 Metal Slider 0.52 225 90 0.77 NONE 0.77 13 Window 40 2 Metal Slider 0.58 135 90 0.77 BLINDS 0.29 14 Window 120 2 Metal Fixed 0.52 135 90 0.77 BLINDS 0.29 15 Window 60 2 Metal Slider 0.58 135 90 0.77 NONE 0.77 16 Window 21 2 Metal Slider 0.52 135 90 0.77 NONE 0.77 17 Window 18 2 Metal Slider 0.52 135 90 0.77 NONE 0.77 18 Window 10 2 -Metal Fixed 0.52 135 90 0.77 NONE 0.77 19 Window 60 2 Metal Fixed 0.52 135 90 0.77 NONE 0.77 20 Window 18 2. Metal Fixed 0.52 135 90 0.77 NONE 0.77 21 Skylight 8 2 Metal Fixed 0.65 135 23 0.77 NONE 0.77 22 Skylight 8 2 Metal Fixed 0.65 315 23 0.77 NONE 0.77 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Residence for Le Fevre Date........ 05/14/92 MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -FORM C -2R User#-MP1320.•User-CALCTECH Run -Proposed Residence HOUSE 1 InteriorVert 103 1.0 24.0 0.67 R-0 2 InteriorHorz 199 1.0 24.0 0.67 R-0 3 InteriorHorz 210 1.0 24.0 0.67 R-0 MASTER BATH HEARTH/BATH3/MSTR BATH KITCHEN OVERHANGS Area Window Overhang Overhang Surface (sf) Height Length Height HOUSE 1 Window 36 6.0 2.0 0.4 2 Window 67 6.7 1.0 0.4 3 Window 1.8 6.0 1.0 0.4 4 Window 48 6.0 13.5 0.4 5 Window 44 4.0 2.0 0.4 6 Window 14 4.0 2.0 0.4 7 Window 15 5.0 5.0 0.4 8 Window 15 5.0 5.0 0.4 9 Window 40 6.7 1.0 0.4 10 Window 120 6.0 1.0 0.4 11 Window 18 6.0 18.0 0.0 12 Window 60 5.0 5.0 0.4 13 Window 40 6.7 1.0 0.4 14 Window 120 6.0 1.0 0.4 15 Window 60 6.7 2.0 0.4 16 Window 21 3.5 2.0 0.4 17 Window 18 3.5 2.0 2.9 18 Window 10 2.5 2.0 0.4 19 Window 60 6.0 2.0 0.4 20 Window 18 6.0 18.0 0.0 EXTERIOR SHADING Area Shading SC of Surface (sf) Type Ext Shade HOUSE 2 Window 67 50% BUG SCREEN 0.84 5 Window 44 50% BUG SCREEN 0.84 7 Window 15 50% BUG SCREEN 0.84 9 Window 40 50% BUG SCREEN 0.84 12 Window 60 50% BUG SCREEN 0.84 13 Window 40 50% BUG SCREEN 0.84 15 Window 60 50% BUG SCREEN 0.84 16 Window 21 50% BUG SCREEN 0.84 17 Window 18 50% BUG SCREEN 0.84 THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments HOUSE 1 InteriorVert 103 1.0 24.0 0.67 R-0 2 InteriorHorz 199 1.0 24.0 0.67 R-0 3 InteriorHorz 210 1.0 24.0 0.67 R-0 MASTER BATH HEARTH/BATH3/MSTR BATH KITCHEN COMPUTER METHOD SUMMARY Page 4 C -2R Project Title.......... Residence for Le Fevre Date........ 05/14/92 o System Type Storage Gas MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Proposed Residence System Type HOUSE Gas Air Conditioner Capa- # of city Heaters (gal) HVAC SYSTEMS Minimum Duct Duct Duct Efficiency Location R -value Efficiency 0.755 SE Attic R-5.7 0.834 10.20 SEER Attic R-5.7 0.824. WATER HEATING SYSTEMS Effic- Standby Input iency Loss Rating Pilot Size (Btuh) Credits 1 47 0.770 RE 2.35% 35000 Btuh n/a NONE SPECIAL FEATURES/REMARKS ,R-5.7 duct insulation required R-19 floor insulation required R-19 wall insulation required R-38 insulation required in ceilings Dual pane glazing with metal frames required per elevations Milgard Series 920 U -values used in this analysis White blinds required at all glazing facing Atrium No window coverings required at perimeter exterior glazing Two identical HVAC systems installed in residence HVAC SIZING Page 1 HVAC Project Title.......... Residence for Le Fevre Date........ 05/14/92 Project Address........ to Fevre Lane Bangor Documentation Author... Carol Kuopus Building Permit Company ................ CALCTECH Telephone.............. (916) 589-4219 Plan Check Date Compliance Method...... MICROPAS3 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS3 v3.01 File-LEFEVRCO Weather-CTZ11 Program -HVAC SIZING User#-MP1320 User-CALCTECH Run -Proposed Residence GENERAL INFORMATION Floor Area ................. 3153 sf Volume ...... .............. 26502 cf Sizing Location............ OROVILLE RS Latitude... .... ........ 39.5 degrees Winter Outside Design....... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Shading Used ............... Yes Latent Load Fraction....... 0.25 HEATING AND COOLING LOAD SUMMARY Sensible Load .................... 53396 64473 Latent Load ...................... n/a 16118 Total Load 53396 80591 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. CEC Maximum for gas central furnaces only: 1.3 x ( 53396 + (10 x 3153)) = 110404 Btuh Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 14976 7657 Glazing Conduction ............... 18491 12019 Glazing Solar .................... n/a 30871 Infiltration ..................... 15074 6189 Internal Gain .................... n/a 1875 Ducts ............................ 4854 5861 Sensible Load .................... 53396 64473 Latent Load ...................... n/a 16118 Total Load 53396 80591 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. CEC Maximum for gas central furnaces only: 1.3 x ( 53396 + (10 x 3153)) = 110404 Btuh TO Buildina Department FROM: Environmental,Health SUBJECT:' Sanitation Clearance owner Location AP# Plan Approved for: ?old final for: Sewaqe Disposal 'dater Supply "anal clearance O.K. for: Clearance for 3 bedroom mpb+=Ie home. other NOTE * * * Water Supply Water Supply �- Date Sanitarian .0- A -p c k W _z_ APPROVED Butte County Environmental Health Xate -------------- Signature L A N D O F N A T U R A L VAI. E A L T H A ID B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE,^CALIFORNIA 95965 Telephone: (916) 538-7681 February 12, 1991 RONALD D. McELROY Deputy Director Ramon M.-and Leona M. LeFevre RE: AR:-28-1'�8-56X. 33 LeFevre Lane CERTIFICATE OF COMPLIANCE Bangor, CA 95914- Dear Mr. and Mrs. LeFevre: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on January 29, 1991. The Recorder's Serial Number is: 91-03628. If you have any questions regarding this matter, please contact this, office. Very truly yours, William Cheff Director of Public Works J n Mendonsa Assistant Director JM/ds attachment cc: -Building Department Envi-ronmental Health.Department 9!--03618 91-003628 Total .00 ►� Recorded. Official Records County of B u,t;e RETURN TO: Candace J4.. Grubbs 1 Public Works Recorder Land Development Section 8:02am 29 -Jan -91 JJ 1 CERTIFICATE OF COMPLIANCE Issued to: Ramon M. and Leona M. LeFevre 33 LeFevre Lane Bangor, CA 95914 This'Certificate of Compliance is hereby issued by':the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on -La Fevre Lane approx. 0.7 miles ;west of Upham Road. Bangor area. 2. Assessor's Parcel Number: ,'AP 28-18-56 Description : All that certain property located in the County of Butte, State i of California, more particularly described as follows: The North half of the Northwest quarter of the Southwest quarter of Section 12, Township 18 North, Range 5 East, M.D.B. &-M. Issuance of this Certificate is conditional upon the following conditions which have been'imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect the public health and public safety: .l 1. Verify legal access to the parcel from aapublicly maintained road. I 2. Verify that traversable access can be placed within the legal access. .;, 3. Prove water and space for septic system to meet the requirements. i County of Butte Subdivision Violation Committee ~' /` i ` 4 END' OF PCUMENT END OF DO: UMENT county, _.� r/ 'st.. . W '-�� LAND OF NATURAL W E A L T H AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 January 3, 1991 RONALD D.McELROY Deputy Director Ramon M. and Leona M. LeFevre RE: AP 28-18-56 33 Le Fevre Lane App. for Determination Bangor, CA 95914 Dear Mr. and Mrs. Le Fevre: At the regular meeting of the Butte County Subdivision Violation Committee meeting held on January 3, 1991, -the committee granted a conditional Certificate of Compliance for the above -referenced property. The conditions are: ' 1. Verify legal access'to-the parcel from a publicly maintained road. 2. Verify that traversable access can be placed within the legal access. 3. Prove water and space for septic system to meet the requirements. There is a fifteen -day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works U,Y� JoMendonsa As istant Director JM/ds attachment cc: Planning Department Environmental Health Department Building Department ✓ _xol� e"tst 4 OROVILLE, CALIF6RNIA GENERAL CLAIM CLAIMANT: Ramon Lefevre ADDRESS: 33 Lefevre Ln. CITY & STATE: bargor, LA y5v14 IMPORTANT: SEE INSTRUCTIONS September 12, 1991 DATE OF CLAIM: P ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES 0i DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) i AMOUNT Refund due to expiration of permit. Permit #986-90B,P,E,M, AP#28-18-56, Receipt #63855, dated 4/4/90 & #70833, dated 8/22/90. I Notal Permit Fees Paid ------------------------------------ $1095.15 Retain Plan Checking Fees ---------------------- $272.75 Retain Energy Plan Checking Fee---------------- 15.00 iRetain Building Permit Filing Fee-------------- 10.00 ! Retain Plumbing Permit Filing Fee-------------- 10.00 Retain Electrical Permit Filing Fee------------ 10.00 i Retain Mechanical Permit Filing Fee------------ 10.00 Total Permit Fees Retained-------------------------------- 327.75 i TOTAL REFUND DUE------------------------------------------ I • i i I TOTAL $767440 1 I, the undersigned, declare under penalty of perjury that the services or articles claimed h e been per need orde live d d this claim is true and correct stated. n Dated this ......�.a................... day of . 191�.. et„Vy` Calif. .. .......g............. Si nature of Claim ant 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 is a Budget Appropriation ❑ or Specific Board Approval (Check one) ....................caur. se �.,.f e Dated this ,,,,12th ............... day or S.ept.em.ber..19 .%.... 1 .�,�._c............... ........Epartment Head or Authorized7eputy cdoe ......440-002 ................. EXP. ..........4 QonEk/Permits ,,...., I ,,,,,,,,_,,,,,_,AYABLE FROM ...................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I E i t 0 ✓ COUNTY OF BUTTE;- DEF)NRTMENT OF PUBLIC WORKS v 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPOCATI,ON AND PERMIT PERMIT NO. f` 4A — q o / ASSESSOR PARCEL NUMBER 28-18-56 ZONING A-5 BUILDING PERMIT OWNER Ramon Lefevre TELEPHONE 679-2455 SQ. FT. OCC. BUILDING VALUATION 3153 R 126120 OWNER'S MAILING ADDRESS 33 Lefevre Lane Bangor CONTRACTOR'S NAME Bill Downs TELEPHONE 1675-2152 627 ov 2 70 CONTRACTOR'S MAILING ADDRESS Fireplace2 A 2000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$945.90 $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD R SS 0 Lefevre Lane Ban or Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap Al 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 5-00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 00 Mobile Home I S G W . 10.00e TYPE OF WORK New[5j Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:_3 BR _ Permit Fee $ 58-00 J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (OR ADDNS. ACC. BLOGS. DWELLING OCCUP.5i) 2'/zQsgft 9$.40 NEW CONSTF ULT' -OUT NON.RESID BRANCH CIRCLET ITS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 20®50t SALO30 FIXED EX. Occup. OUTLETS PRESID ILNS REA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 130.90 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 FiIIng Fee 10.00 Heating Cooling 9 Hood 3,00 Ventilation Permit Fee $.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil , judgments, costs, and expenses which may in any way accrue agai said oun i n u of the granting of this permit. XThis Date y - y -`j o Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 301- O C1`ONST TYPE V TOTAL FEE $ 10 .15. HL4 CUA FPARK SCHL FLD PAR PD Flo/ IssuE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT OF PUBLIC PERMLf4XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �eceipt No. -197 _ 7516 -AR S9 7o 8.s3 I 17 to -7,4o �AITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -A PLI CANT J4 , '+�► �AI'lou M. k 33 �- E F Evae.L -�4xJc OA0€rby2 (�A F371 /4 r 1 2 3 4 5 6 7 8' 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 2. The Building Official may authorize the refunding of permit fees and the plan checking fee when the application for a permit is withdrawn or cancelled before any plan.checking is done. 3. The Building Official may authorize the refunding of the permit fees paid within one year from the date of issuance of the permit providing no work has been done pursuant to the permit. 4. The Building Official may authorize the refunding of the permit fees paid if the permit requested is not issued, but not after one year from the date of fee payment. 5. The Building Official shall not authorize the refunding of any fee paid except upon written application filed by the original person paying the fee. 6. The Building Official shall not authorize the refunding of any filing fees, nor any plan checking fees for work plan --checked. He shall deduct all department costs prior to authorizing any refund. Section 2•. This ordinance shall be and is hereby declared to be in full force, and effect 91;—A%Susr. -51 and before the expiration of fifteen (15) days after its passage, this ordinance shall be published once with the names of the members of the Board of Supervisors voting for and against it in the a newspaper published in the County of Butte,` State of California. `PASSED AND ADOPTED by the Board of Supervisors of `the County of Butte, State of California, on the; day of 1991 by the vollowing vote: I .. ,v-12- WWWP,�+ ',k�' T COUNTY OF BUTTE DEPARTMERT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 i PERMIT APPLICATION DATA SHEET Permit No. OWNER AAA14AJ E!/R E A. P. -No.. - F- SlS, Proposed Building Used Building Inspector Date .N wo 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) qZ1 9e) 6-4w 9. Mobilehome installation data including manufacturer's installation instructions. --� .. ....................... 1 ees of $ 776! atx %O�J�J ........................ 0- 22-96 &J 11.' Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1 School District fees paid ........'r.. . 14 Sanitation approval from Orzdvu�E- HealthaDepartment-4 - /Z 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 ❑) ..... 2. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of sicinatwe authorization ... .............................. . When you issue the permit, process as follows: Mail to owner. Mail to contractor. T Telephone - and hold for pickup at ORO office. Deliver w. /inspector. Other - 1-9-00-441 -2h2r 1 Applicant Date .Date y'4',Ffl Copy of Haz-Mat form sent Health Dept. Fire Dept. —fir Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By—,,,, The following data must be submitted prior, to permi4jos,ance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ontract designer, owner, was advised of above required data by�hone—nail_counter- on ractw, designer, owner, was advised of above required data by {_ phone —mal l_counter Plans checked byDate 2-10 Plans approved by .Sets of plans on hold in Copy—DPW File cabinet AP folder date — date D Date a TO Suildfno rDepartment MIA.: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP## Plan ;.Approved for: Sewage Disposal � Water Supply Hold final for: Water Supply Final clearance O.K.'for: Water Supply Clearance. for -3 'bedroom mobi'e ome. Other Sanitarian D at a .. .. I� ... _ ...... RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) q. Bldg. Permit # OWNER RAV&ON LEf:vEypE- A.P. # 2S- I6- GENER L - Zoning requirements: (sideyards I&'*' Valuation. �Plans signed by designer. VL E ergy Design and Compliance. Existing violations on property. Items on data sheet. and number of permitted living units). PLOT PLAN X Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. 13!6ther buildings or structures.. U Grading, fills, drainage. /5!�Flood hazard. (,K --Special conditions on creation map or compliance document. LY. FAU.& FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). 5/89 Required room sizes, ceiling heights (Sec. 1207). , GFCIs in baths, garage, and exterior outlets (Article 210-8). Light 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. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and Smoke detectors (Sec. 1210). clearance. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). RESIDENTIAL'-PLA,N ,.CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. see Mezannines - 1716). Unusual shape, size, or split level house requiring lateral design.SRR Flashing at all exterior openings. eas (moo v s -c— r,4.c� 7 5/89 .3 � r PERMIT NO. 1607-89P, E(MH) /r �I PERMIT EXPIRES OWNER RAMON LeFEVRE CONTR. owner M ASSESSOR PARCEL 28-18-56 Y �w LOCATION 307 Amberlee Lane, Bangor rt ' y f r } r Temp. Power Pole Called PG&E Temp. Elec. Service t Called PG&E f1Temp. Gas Service Called PG&E JOB FINALED (Date) I �� Signature i, c-� = OK 0 = Not OK = Not Applicable MOBILE HOMES =Not Ready � z MISCELLANEOUS ht� _ Date MOW HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zon'ng Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements oils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Se r; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing J/ lectricity; Loc ion-Clearances-Grnd,=O Amp -Concrete 6. Gas; Lo on est rap: / P'U ft. / /"Nat. or L'ft./ A, -/"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors _j_j tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date/ 16—rd-B1 Date 10. Roof; Shthg-Roofing Card -B1 Date /)_J_,(_and-131 Date 11. Ext.; Steps -Doors -Landings Date BILEHOME INSTALLATION (Plans) OK except #'s Zoni g'Requirements-Setbacks-Easements Card -81 Date Card -B1 Date ' ootings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date was; MH Test -Demand -Valve -Connector 4: lectricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements tXa,-Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining p_ Q as and Electricity Tagged ts; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 010'Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -81 Date/•-qy Card -B1 Date Card -131 COD Date 0 Card -131 Date 9. Health Department Approval n -� I/ •/C`�,�—�X �' 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B? Date Card -B1 Date Card -61 Date l l — t X- --?J;7 = UK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready c Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing - 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -61 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs & Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth . Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -81 Date Card -61 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -131 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) "a�'�'i•^%yi"'Sy.t�r"'r.".+„y'���{:K`��'� ^��t.%'k•"�'s�+lf�r^ .. � 1, .s:-ta.ikv ` COUNTY OF BUTTE K DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 r CORRECTION NOTICE OWNER PERMIT NO. q. 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. I SY' ,al -AI k�-q— 6F- ,(glee- /z s %)IL-1, .,,-s.s._ /n - I InspectorDate <�1U i- c �\ -v i COUNTY OF BUTTE S -�• 1:2►DEPARTMENT OF PUBLIC WORKS 196,Memorial Way, Chico,— Phone: 891-2751 . 7 County Center Drive, Oroville —Rhone: 538-7541 747 ElIiottRoad, Paradise— Phone: 872-6307 CORRECTION NOTICE VNER 10 PERMIT 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 Inspector. ' Date 4 VJi Inspector. ' Date MOBILEHOME INSTALLATION, ACCEPTANCE CO6NTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 !�1 ti PERMIT NO. _440 g' R-1 Address or location of mobi lehome V 4 iia,fry' V r e. Owner's name R n�yY'1 I)IN ),v.. Fig— V 1 - Owner's address 33 )- e F�y t tF LBA-\ e a-vlz (ilr Insignia or hud number Manufacturer's name_ Serial nu.% ber of �:I-:N . S� b i Year of manufacture % q77 I (Official Approving Installation I V - (Date) �> IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. I.- 5138 White - Owner, Yellow - Installer, Pink - D.P.W MOBILEHOM'E.. INSTALLATION, ACCEPTANCE .r 4I ,I� , COUNTY OF BUTTE DEPARTMENTAOF PUBLIC,WORKS - 47TOUNTY-CENTER DRIVE �OROVILLE, CAL11170kNIA — 534-4541 PERMIT NO. A0 a ` kc Address or location of mobi lehome Jo ve, Fey Y r - Owner's name '}'Y1 r) -F V r P_ Owner's address 3.3 c— v C- L`l4l A P, a' *u-) i)r Insignia or hud number p 33 Manufacturer's name Serial number of Year of manufacture 07 (Official ApprovLng Installation) (Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE.USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Hold final for: Sewage Disposaly Final clearance O.R. for: clearance for a bedroom mobil home. other Water Supply Water Supply Water Supply NOTE -31 i Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville,.Califorr is 95965 - Telephone: 916/538-7541. 9 APPLICATION AND PERMIT ASS SOR P CEL BER ZO"'— BUILDING PERMIT / OW / /f �/ q/� ��L. TjEEP JO E /Y//1L SO. FT. OCC. BUILDING VALUATION ER S MA L NG A DRESS ONTRACTOR• NAME f TELEPHON -CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S <7o /y/ , Permit fee i $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 46ARCEL MAP Water piping 55.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Innsstallati4Q Other ❑ Describe work: i� 1f i oI-- a t 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 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 IYIEx. AGV I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.l1 ,h�sgft OR ACDNS. (ACC. BLDGS. NEW RES,CO N D.MULTI-OUTLETNCHCIRCUITS)2.50 ea NON.R ESID .BRA CH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t SAL@30 FIXED PR Occup. OUTLETS (RESID IEA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 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. otice to Applicant: If after making this statement,should you become subject ! o 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 againstoeeuP. all liabil' ' s, judgments, costs, and expenses which may in any way accrue g 'n sai County in n c of the granting of this permit. X-��a��9 Date Si nature of Applicant — Owner;, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE CONST.TYPC JSCHOOLoop PARCEL PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE OR F PUBLIC BY PE MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date D Receipt No. O WNITC-D.P.W.. TCLLOW-ASBCSSOR. PINK-INsPCCTOR. GOLDENROD -APPLICANT r�.., xT?"^7s+�{`�tikD7 ;�r. ,'ttaiY}`: u .. 4:;Jt i nAfc:vt«:s�.iti.",.. r i 10 COUNTY OF BUTTE - DE.PARTMENT OFaPUBLIC WORKS - BUILDING Dli VISI N 4 T 0 7 COUNTY CENTER DRIVE - OROVILL'E:FOALIFORNiA 95965 - TELEPHONE: 916/538-7541 o .. PERMIT APPLICFA Clk DATA SHEET �'� • '` Permit No. OWNER � LI�—/� ,-� t"�LI V- A.: P, No. — Proposed Building Use_`N—� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) ��. Mobilehome installation data including manufacturer's installation- 9&?-- instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... ` 2. School istrict fees paid ................. 13. Sanitation approval from Cm Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... F 19. Pre -Inspection for required .... Pre-Insrequest co •Building Innspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ i 24. Letter of signature authorization ...................................... I 25. 26. When you issue the permit, process as follows: Mair to owner. Mail to contractor. Telephone _2��=and hold for pickup at office. Deliver w/inspector. Other - �- } Applicant Date 5-/9 ;Z Jk 9' Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not c ecked above). 1. Index permit for above items No. 2. Additional items required: — /j Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by/ date Plans checked by Date Plans approved by �� / Date 11-11k Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE Department of.Public.Works 7 County Center Drive, Or.oville, 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) ye- 5 2. I (have/have not) A qV e- 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 /uo M e. Address City Phone Contractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name o,� �- 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 A4 Signed: \ Property Owner Social Securit Number - Date 5 �A z A? 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. G011) M alitiTAl.0 "D 1+ y.? a .,a.• a 5 \• l � .. i, � ... i I - �_ H cvT�RY Cov.Cl — ---- NOTE:—AN Mc terials & Workmanship Shall Be in Accordance wig` i Recognized Good Practices ane of a quu,.:; pre;crU;eJ1 for f' he Specified use in the Uniform BuLding Plumbing & Mechanical G:ode: wd ►he National El triad C4ck6 r*s4i,a d� 3Tb `e On the Imo:. tall times and it is unlawful "104-6 orty Chm'Ifl€ sor alterations on same without + h pQ o from the DelsartmeW of paWk 0 how BAf ,io X46. -+- 500 SQ. FT. MIN FOR MOBIL r� y r A setback of 5 ft. from the property lines and a setback •,f 50ft. from the road centerline shall be cleor of structures or equipment "GOP! for a 2 ft, 000 ®v6rhwW- F A P ag a BUTTE COUNTY DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: g M o V W- ff 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number /C, 7 — B5 ) OR Is the site an existing site? Yes No F1 (If yes, furnish two 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 a No F-1. (If no, clarify 5. What is the mobilehome electrical rating? --------------- /00 Amps 6. What is the mobilehome site service rating? ------------- oZ 0,0-;,_ Amps 7. What is the.mobilehome site circuit breaker rating? ----- / D U Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------- El - -------------------- Yes No (If yes, identify the load and size: (Load) D (Amps) 9. What is the mobilehome site gas pipe size? -------------- % (in.) 10. What is the type of gas service? ------------------- Natural ❑ LPG FV/1 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- Z— S "Y (ft.) * 12. What is the mobilehome gas demand? ---------------------- �, (BTU) *(This natural information not gas or less required if pipe length than 50 ft. on LPG.) lesan on ��'"'" . I MOBILEHOME SUPPORT DATA If other than single wide, d)� Mobilehome Mfr. C kAk P/ON furnish Setup Model No. -709 Year 91 i.4,,,,4.S0-1,CA 11 Width_ (ft.) Box Length_L(pO (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)F1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. 2. (Other (specify) F] Pier Footing Sizes and Locations . SINGLE -WIDE Line 1 Piers: Size-Min.------------ Spacing-Max - --------- From Ends -Max. ------- Line 2 Piers: Size -Min.------------ Spacing -Max. --------- From Ends -Max-------- Line 1 openings: Size -Min. ------------------ "x Each Side of Openings With Width Over --------- ine 3 Piers: (Under Bearing Wall Only) Size-Min------------------- ux u Spacing -Max ---------------- ,- „ From Ends -Max,------------- Line 3 Roof Loads: Size -Min ------------- F .,x x „x k N „x „ x „ „x o „x u Location (From Front) Line 4 Piers: Size -Min -------------- Spacing-Max ---------- From Ends -Max.------- Line S Roof Loads: Size -Min. ------------ location (From Front) e ,) Piers: (under nearing waaxa waayi Size -Min------------------- Spacing -Max .--------------- From Ends -Max.------------- '- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-,Orovllle,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMITN . 6 / ASSES OR PA CEL NUMBER ZONG BUILDING PERM OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION O NER'S MAIL INP A DRESS CONTR CTOR•S ME TELEPHONE ON ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS �o 7 1;7er-Ide_ a-17 4—:1$ Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 71 0G 0.00 Be TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities p, Installation❑ Other ❑ Describe work: ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS 1 100 AMP OR LESS 10.00 r 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 Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification may, 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) i ❑ 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.a , OR ADDNS. ACC. SLOGS. /20sgft NEW RES'DMULTI-OUTLETNCHCIRCUITS)'2.50 ea NON.RESID .BRA C CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200501 BAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 47 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I` eclare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fGf I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provi$ions 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 all liabi ' ' judgments, costs, and expenses which may in any way accrue again said o nt c n n f the granting of this permit. Date e2agIg S* nature of Applicant — Owner)& Contractor ❑ Agent 11 n 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 $ TOTAL PERMIT FEE $ �o OCc"P. CONST.TYPE scHooL P PARCEL PD Ho �uf✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which D RECT R PUBLIC BY PERMIT EXPIRES Data the applicable provi- resolutions to do fees have been paid. WORKS Date 6- [ q? Receipt No. WH,TE-D.P.W., YELLOW -Ase Ease R, PINK'INSPECTOR, GOLDENROD -APPLICANT E .: Y ` .. � t.'4�^�b4�-:.-. C}.� �.: �,•.�»*�;'�.,'�;-: .� `: ;.. )r...- � , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION b 7 COUNTY CENTERrDR VE - OI�OUILLE'6ALIFORWIA 95965 - TELEPHONE: 916/538-7541 0 Al PERMIT APPLICAT-l' DATA SHEET Permit No. OWNER GA. No - ;:W — Proposed Building Use Building Inspector -6__.r Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submit d. .. 'r Z. Plot plans in duplicat /triplicate, signed by preparer of plans........ 3. Complete plans in duplica a triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions..............................................:........ 9. Fees of $ ........................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................ . Sanitation approval from ; I Health Department ... to 14. City of Chico plumbing_ permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required . , , , Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... t 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 23. Recorded copy of Agricultural Acknowledgment Statement ............ 0 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone6 719 QqS5' and hold for pickup -at _e2Z . office. Deliver w/inspector. Others 7--? -,26O6 Applicant _ 6G Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit iss n (Circle new item not checked above). 1. Index permit for above items rr 2. Additional items ed: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by �-5 Date_,_4L2_2[41 � J Sets of plans on hold in File cabinet AP folder Copy—DPW .. TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Loc tion. AP# Plan - Approved for: Sewage Disposal Water Supply3Are-� Hold final for: Water Supply F . inal cleara nce O.K.. for: Water Supply Clearance for 3i-bedrooA::m:ob��i home. other . nE —&'-, 2 . . ............... Sanitarian COUNTY Of' BUTTE- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until"this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ye -:5- 2. e5 2. I (have/have not) ko V Q-- 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 XIOaP 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 Ap o -r 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 6L52n-= Social Security, Number Date 5 /on/99 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPART\11NT OF PUBLIC WORKS 7 County Center Drive, CToville, CA 95965 PHONE: 916-538-7.541., Ramon LeFevre DATE_Mry 25. 1989 275 Upham Rd Bangoro CA 95914 ` RE: Building Permit Application #1607-89 A.P. # .28-18-56 With reference to the above subject: " Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form 'W5 Mobilehome Utilities Installation Sheet M6bilehome Installation Information Sheet- •,, Typical Plan Sheet List of Codes Enforced We' need the following information:! Permit application signed and completed where indicated with -ail copies returned. a ;Fe"es of $ payable to Butte County Treasurer. Certificate of'Workmen's Compensation Insurance or check exemption statement. ` Contractor's License Law information or check exemption statement. Complete plans, in including plot plans. ' Plot. plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy -design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for. Completed Owner -Builder Verification form. �— Recorded copy of deed showing parcel legally created -Recorded copy of agricultural acknowledgement statement. OTHER It appears this parcel was created in 1986 at Chich time parcel maps were re uired Please submit the creation ee or a final determination: Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector Return,to DPW f AGRICULTURAf STATEMENT bF ACKNOWLEDGEMENT FOR..RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County 'Code. requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned ACCEPTED FOR RECORDING for agricultural purposes, and residents AT 8:01 A.M. of. this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but 'not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which :. occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on .adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real- property situate in the County of Butte, State of California, described as follows:, The.North half of the Northwest quarter of the Southwest quarter of Section 12, '-Township 18 North, Range 5 East M.D.B.&M. aka Assessor's Parcel Number 28-18-56. Date; 3D PROP OWNERS: State of ) On this the day of 19 before me, SS, the undersigned Notary Public, personally appeared County of �^ Personally known to me.VO Proved to me on the basis' PU8OFFICIAL SEAL of satisfactory evidence. PATSY L CARTER t be the person(s) whose names) JI NOTARY BUTTE'WUNTV NIA bscribed to the within instrument and acknowledged that MY comm. expires MAY 13, 1992 ecuted the same for the purposes therein contained. IN WT'1 1'SS isgpQavwk 4A es96i EREOF, I hereunto set my hand and official seal. Present A.P. No. Not Public i AP / OWNER V re PERMIT--# MH UT IL. CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Service Other Pipe Struc. Test-Req.- Size estRe .Size Load Type Size Length YESI NO YESI NO i 16. -14 t I `�0 nc�� issue J�Ii��"r vn�j a���v e -,a by f COUNTY OF BUTTE - DEPART2iEIV OF PUBLIC WORKS 7 County Center Drive, C(roville, CA 95965 PHONE: 916-538-71541. DATE 6/6/89 Ramon LeFevre RE: #1607-89 275 Upham Road Bangor, CA. 95914 A.P. # 28-18-56 With reference to the above subject: L1 Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced fes/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in _ Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: `. 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L� OTHER Certificate of ompliAhce from Land Develoii of Public Works. dlecPss Should you have any questions concerning the above, please contact this office. JFG/a j cc: Land Development Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector L.ANU Ur NA I URAL VVEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY April 22, 1991 Deputy Director Ramon M. and Leona M. LeFevre RE: AP 28-18-56 33 Le Fevre Lane NOTICE OF COMPLIANCE Bangor, CA 95914 Dear Mr. and Mrs. LeFevre: Enclosed please find the Notice of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder ort -April 11, 1991. The Recorder's Serial Number is: 91-14029. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works J n Mendonsa Assistant Director JM/ds attachment / cc: Building Departmentv, Environmental Health Department . 01--.1401.9 I ei 91-014029 Total .00 Recorded Official Records County of RETURN TO: Butte Public Works Candace J. Grubbs f Land Development Section Recorder 8:02am 11 -Apr -91 JJ 1 NOTICE OF IUUMNLIANCE Issued to: Ramon M. and Leona M. LeFevre 33 LeFevre Lane Bangor, CA 95914 This Notice of Compliance is hereby issued by the County of Butte to certify that the conditions imposed on the Certificate 8f Compliance; recorded on January 29,.1991 under Recorder's Serial Number`91-03628 have been fulfilled to the satisfaction of the Subdivision Violation Committee on property identified as: a. Assessor's Parcel Number: 28-18-56 i b. Property Location: on Le Fevre Lane approx. 0.7 miles west of Upham Road. Bangor area. DESCRIPTION: All that certain property located in the County of Butte, State of California, more particularly described as follows: The North half of the Northwest quarter of the Southwest quarter of Section 12, Township 18 North, Range 5 East, M.D.B. & M. Issuance of this Notice of Compliance is pursuant to Butte County Code, Chapter 20-167. County of Butte Subdivision Violation Committee �aA ht-14&WZA,� END 'OF DOCUME END OF DOCUMENT A v Z -obi F, PLUMBING ELECTRICAL, MECHANICAL, AND CONSTRUCTION (NOT. PLAN CHECKED SHALLCOMPLY WITH CURRENT EDMON OF NEG, UMC AND UPS �� u ai 2 QD V_ r heo' aftached on rjqq, ilrernt-nts L___ 12, ---Pages iON - 9UILDIW4 PLAN APPROVAL Use: Date: P) -�`F '� L�✓/ V Parking-- Landscaping: L Other. Signature J��� oq - 20gto /A_C___, BUTTE COUN-r-t QWILDING DEPARTMFE,�' IPPR V qw:llc cvzvl-- -PAD ��ANI U G ►-1"f 4x Ch1 10 " ceep EX.TENOED Lexxmi—r- i1L FROM CALIFORNIA SURVEYING t DRAFTMr. SUPPLY 1400.743-1/14 ,� a ) �;'�7 / A' i YOL_< -YSA>-L SIEVE 2. ��CPOScp JQCaCaRF�FE - VhL-l�1L me- - NANO 4Z-tM ] 3. �ruB volz eaAl- A.-rRuE P_w-T--*,5T-M 5. QCCX C*. EeAw199DVIOeD B`( H?)MFDW► 1 APPROVED ue uty E:nvlron enta 1eelth Date Signature i it I E�KP-ANGI✓ I� II � � ACCESS nvN 1311 TTE C0UN AUIL®ING Dv EPAR T ; A P P R V I��11%�Ff BUILDER NOT RESPONSIBLE FOR CONCRETE SHRUB- BERY AND OR UNDERGROUND OBSTRUCTIONS IN ACCESS THE UNDERSIGNED APPROVES THIS WORKING PLAN AND ACKNOWLEDGES RECEIPT OF A COPY: BI -co QTY PooL�ESIGNE QuuY FOR V SALESMAN HOMES 1 BUSINESS i DRAWN BY Mt _ CHECKED BY l BI -COUNTY POOLS . CONSTRUCTION, INC. 871 GARDEN HWY YUBA CITY, CA 95991 530-673-3786 Contractors License 720512 46 POOL SPECIFICATIONS, SIZE�x I PERIMETER AZ AREA 4& sq. ft. DEPTH TO VOLUME GALS. CONSTRUCTION SPECIFICATIONS RAMP HALLOW/DE. ER.SWIMOUT1plG: LOVESEAT _ a ALKOUT _ x EXCAVATION (COPING/CANTILEVERI FENCE: DOWN BY PLi1—NPT UP BY MONEK HOURS OF GRADING LOADS TO DUMP — STUMPS LEAVE/HAUL CONCRETE: REMOVE = sq. it. STEEbGUNITE/TILE/PLASTER (VORTEX/ANTI-VORTEXI RAISED BOND BEAM — FT. a = height RAISED BOND BEAM = FT. x = height DECK TIES TIIEST04l 10 COLOR OF PLASTER-rAVIVAAAAr' 1E Wt -C CAP FOR BOND BEAM CAP FOR RAISED BOND BEAM SPA = x = LENGTH OF DAM CAP FOR DAM SPILLWAY STA B r -06L SO 2 PLUMBING SPECIFICATIONS 2� POOL: NO. OF RETURNS L. MAIN DRAIN JIZE Q n SIZE OF SUCTION LIN OM SKIMMER 1- SLIDE =FILL IINEkFOUNTAIN LINT ft. SOLAR HEAT 'T's _ POOL CLEANER REVERSE FLOW PLMG.= DIV. BRD. = PRONG JIG SPA MAlr1 DRAIN SIZE NO. OF JETS LIGHT RETURNI! VALVE TYPE I NC. NOTE: ALL AIR LINES PLUMBED BACK TO EQUIP. (I") UTILITIES � ELECTRIC BY Qrel l 0jA0_N 96L'5 GAS BY ti1 0 nu PO L DECKING (CANTILEVER SQ. FT. TYPE FINISHF FOOTINGS = x = x =MASTIC DIVIDERS: TYPE DRAINS RISERS f1. POOL EQUIPMENT FILTER: TYPA%Uek1P— SIZE 420 PUMP: TYPE47� 0— SIZE HP HEATER: TYPE ' SIZE 0006TU BLOWER: TYPE SIZE AMPS POOL CLEANER TYPE Fl � SEPARATION TANK POOL ACCESSORIES _ LIGHTS: POOL,�_SPA _ LENSE KIT BOARD _ BOARD STANDARDS — SUDE STRT./LC/RC COLOR GRAB RAILS/STEPS = LADDER = HANDRAIL POOL CLEANER TYPE VACUUM HEAD AND _ FEET OF Ht MAINTENANCE KIT AND POLE MAP BOOK PAGE: TRACT NUMBER: LOT NUMBER: Certificate of Compliance: Residential Climate Zone 11 Project Title r Documentation Author C1f� _qr BuildinNO Caedted By / Date 7 Enforcement Agency Use Only BUILDING SHELL INSULA116N Glass Area % Glass Insulation Locannrr/Comments BUILDING DATA North & !�r Wall .............. Conditioned,Floor Area/5 Number of Stories —!— _, East JV Duct SIqb/�aised' moor,) Number of .Units South & 0^/ West 7=� Roof ............. [.]' 'Single Family Detached (SFD) [ ] Addition Alone . Skylight / 15 (Btuh) (or approved equal) [ ] Single Family Attached (SFA) [ ] Existing Building Total Sl/� a, -ItAwr [ ] Multi -Family (MF) [ ] Existing -Plus -Addition ,� BUILDING SHELL INSULA116N Component Insulation Locannrr/Comments Type R -Value (arae, .ea garage, t;2ical, etc.j Wall .............. Efficiency Location Duct Roof ............. conditioner, heat pump) Roof ............. (attic, etc.) Floor ............. (Btuh) (or approved equal) Floor ............. Slab Edge..... GLAZING. Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type I North Ilk / North ( ) East ( ) 333 East ( ) South South i West ( ) West Skylight....... �!P THERMAL MASS Type/Covering Area Thickness (slab/ex22s4 tile. etc.) (sf) (inches) LOcation/Dcscription(kitchen, bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value ' (Btuh) (or approved equal) -ItAwr Jr -7 7, _55 - S,7 r 0 9. Alk Maximum Furnace Heating Output: Btuh 3� HOT WATER SYSTEMS Tank Manufacturer/Model# System T (storagegas. etc.) Capacity'(or equal) Scis _ SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrisc residential buildings subject to the Standards must contain these measures regardless of the Compliant approach used. Items marked with an asterisk (•) may be superseded by moretstringent complianoe requirements listed on the Certificate of compliance. When this checklist is incorporated into the permit docortwns. the features noted shah be considered by all parties as binding minimum component perfomuusce speafirations for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. 62.5352(b): Loose fill insulation manufacturer's labeled 11 -Value. ' §2.5352(c): Minimum wall insulation in framed walls R.I I weighted average (does not apply to exterior mass walls). , §2-5352(k): Slab edge insulation - AI on rate no greater dim 0.3`b. water vapor transmission rate no greater than inch. §2-5311- Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and forth. §2-5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfilration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and Seale §2:5352(c): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2.5352(d): Installation of F'ueplaces 1. Masonry and factory -built fireplaces have a Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continual burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach raleulado s. §2-5352(h) and 2-5315: Setback thermostas on all applicable heating systems. • 12.5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2.5316(br Exhaust systems have damper controls. 62-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerbeads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined intexior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return de recirculating piping. §2-531R(d), Swimming Pool Heating 1. Systcm herr a. On/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures 62-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building feamm and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapiar2, Sttbchapter4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the mrdficate to any subsequent purchaser of the building. ' Designer Nan= Address: Telephone Lie. 0: (signamm) (date) Documentation Author Name:. :Add,=: - Building Owner Name TitkJFum: �. Address: , Telephone (signatum) (date). ....... _._. Enforcement Agency Names: `} ALS'' j ht Tekpho,>c _ . 1. Ceiling Insulation Standard Point Scores Insulation in Floor Number of stories -144 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -5 0.08 -11 0.501 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 ' R-11 Single- Single - -2 R-19 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 3 F2 factor 1 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Standard Point Scores Insulation in Floor 0.60 . -144 Number of stories -46 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value Standard Point Scores Interior 0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 A4 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 10 30 Number of stories -21 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -9 -2 6 Number of Stories 26 R -value One Two Three • R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 1 8 14 X0.90 -4 -3 -1 (. 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points 7..Shading (Shade Open) Effective Pea cett Glass (Percent Slags x SC) Effective Standard Point Scores Interior 0 f Mass 6. Glass Heat loss East South -West Total 18 5 1 4 U -value na Percent 4 2 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Pea cett Glass (Percent Slags x SC) Effective Point Scores Interior Slab Floor Raised Floor Mass %Glass North East South -West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 1.9 2.1 Wall Family Family 1$. Shading (Shade Closed) Mass Detached Attached Effective Percent Gigs 0.00 0 0 (p4Y+cett Sias x SC) 0.20 Effective 1 16 or 0.40 5 4 3 %Glaze Nath Etas South West Skylight 18 -14 -48 -69 -64 Ira 16 -12 -42 59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 37 na 11 -7 -26 -36 33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 .30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 -1 1 1 -4 0'' 2' 3 • 4 3 0 no . not allowed 0.56 5.13 0 0 0 0 0 0 9. Interior Thermal Mass Point Scores Interior Slab Floor Raised Floor Mass Stories Stories R -value [38] or ICFA One Two Three One . Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -i 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5. 7 9 9 10 4.0 3 6 ,8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 1.2 Exterior Single- Single - 1.9 2.1 Wall Family Family Mull Mass Detached Attached Famly 0.00 0 0 0 Effective -25 or 0.20 3 2 1 16 or 0.40 5 4 3 5 0.60 8 6 4 5.0 0.80 10 8 5 -17 1.00 13 10 7 -12 1.20 13 12 8 -6 1.40 12 13 9 -4 1.60 10 13 11 -2 1.80 10 12 12 0 2-00 10 11 13 8.0 11. Heating System 8 6 5 SE or HSPF 3 9.0 (assumes ducts in attic) 14 12 Siem of 1-6 7 5 10.0 -25 or -24 to -14 to -4 to +8 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8' 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 - 15 13 11 8 .5.S Effective SE or HSPF 10 8 (SE or HSPF x duct efTlciency) 6 Effective -25 or -24 to -14 lo 4 to +610 16 or SE HSPF less -15 5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 ' -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment or Type System Type less A699 2199 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System Point Scores 3r or SEER R -value [38] or U -value [0.030] 1 f �� (assume: ducts In attic) Q R-value[19] , Sim of 7-10 or -2S or -24 to 44 b -4 to +6 to 16 or SEER less -15 5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 _ 6 1 1.2 Effedlve SEER 1.6 1.9 2.1 (SEER xduct efficiency) 2.7 2.9 3.1 3.3 Sim of 7-10 3.7 4 Effective -25 or -24 to -1410 -410 +610 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 1 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 4.9 Zonal Control Adjustment 5.3 .5.S 5.7 10 8 7 6 4 3 1.7 No Cooling System Installed 23 --Stories 27 3 3.2 3.4 3.6 3.8 One -5 -d -4 3 -2 -2 Two+ 3 3 2 2 2 1 Single -Family Detached and Attached 1.6 1.8 2 Unit Size (sQ 24 Water 28 1199 12M 1700 2200 2700 Heater Credit or to to to or Type Type less A699 2199 2699 more SG None 0 i 0 0. 0 0 or Solar 12 '' 8 6 5 4 - HP HWR 8 5 4 3 3 5.6 WSB 5 3 3 2 2 1.5 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 4.5 Solar -1 -1 -1 0 0 5.9 HWR -18 -12 -9 -7 -6 1.8 WSB -25 -16 -12 -10 -8 3.3 POU -18 _-12 -9 -7 -6 IG None '-S -3 -2 -2 -2 6.2 Soiar 7 - 5 4 3 2 21 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 5.1 Solar 8 5 4 3 3 6.5 POU -10 5 -5 -4 -3 . 2.4 Multi -Family (Individual units) 2.8 3 3.3 3.5 S Unit Size (sf) 3.9 4.1 Water 4.5 699 700 1200 1700 2200 Heater Dredd or In to to or Type Type less X1199 1690 2100 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 2 WSB 9 4 3 2 2 3.4 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 6.4 Solar 2 1 1 0 0 2.2 HWR "-23' -12 -8 -6 '-5 3.7 WSB -25 -13 -8 -6 '-5 S.2 fRQU_. _23 -12 -8 5 -5 IG None -8 -4 -3 -2 2.3 - - Solar .6.: 3 2 1. -r) j ' _ POU 1 o --.:'.0 0 5.1 E None . ;30 -15 -10 ^ -8 8 6.7 Solar =-18 . -: 9 6 4 4 ,_. POU -8 . -4 ' -3 '-2 -2 1 Interior Mass/CFA I TT.6 2 PASS Point Scores 3r or R -value [38] or U -value [0.030] 1 f �� l -value j11] Gf or U -value [0.098] Q R-value[19] , or R -value [0] F2 factor [0.77] u',•°=K:•'j� r�.rpet.a .1 - Standard 0 ► gal • _ i5 --- - t TYPE 1 IULSS (UIMC �.2, !B: exposed slab) �_ 0% S% 10Y. 15% 201/. 25% 30% 35% 40% d5% 50% 55% 60% 66t 70% 75% 80% 85% 90% 9S% 100% 105% 1101/. 11S% 120Y. 125` QY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.1 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 101/. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.1 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.1 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 401/. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 .5.S 5.7 5.9 501/. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 11.2 1.4 1.7 1.9 21 23 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.6 4.8 S 52 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 801/. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 33 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 65 67 901/.' 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 SS 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S S.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2S 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 38 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.32.5 2.1 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 56 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight S. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures Point Scores 3r or R -value [38] or U -value [0.030] 1 f �� l -value j11] Gf or U -value [0.098] Q R-value[19] U -value [0.037] or R -value [0] F2 factor [0.77] Standard 0 ► gal • _ i5 --- - > Type [doze ' e] U -value [0.65] 90 Total Glass (16] $um 5 % GlassSC- Eff. % d� � -5 X ?1- i . ? x , 7 7 _r5 X 11 _ % Glass SC w /� - Efff 7, 1- X I `C alp X s TYPE 1 MASS AREA 8 InteriorWass/CFA COND. FLOOR AREA TYPE 2 MASS AREA Exterior Wall Mass ND . L OR AREA SE or HSPF lata Efficiency [0.78] Effective SE or [0.7 6.61 HSPF [0.56/5.15] sS' X 7 f-3 SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] J. Type [SG] Credit [none] Point Total.. - - _ _ _ - � 1 T . - I'MI-T '7,,-,,MT7r7'. ,�� I ,-,J,�I�_, ,,"', , _t - - 'T',-" I . 11 11 : "T.,i V,�t'qY!AK'�ffl-IgT4 ,�",,!,i��,',3,:W`� ,� �j �vLioji� ,4."IIAF;AvT1 ; �;,�,g , '', - I'll 1!.� - -7-,7,1�7. �,,� -nv 0,1 I , ��" W g"F- OPR � T�'! �� �t ""' 1;1�'o '. . 111.1 P, A " A, �� I _r� mqp " _pa ... � v , T", -,""'I". �m , I ";Tr7�7,: 2r7M7 ,7 `177y,p -�tf7j,fg7,jwFTAN !"O, �', C�i"", If � ,� er� VWTI ?7(77,��4-�-� �, � - 7p, T llp",�r_ , "T �i I', ,P . , " A ". I I 11 �T lctlle� ,�;,,,N 4 11 �fv *F � 1, �N - ��Ip --,.!-�T,,, ,�, � -4."'. 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