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HomeMy WebLinkAbout028-440-043,m( 028-440-043 99-1758 ROBASON, Kathleen 840 Avacado Road, Oroville Contr. Monte Pratt MH on Perm l 10 028A40-043 A9 -Y3" ROBASON, Kathleen 840 Avacado Road, Orovikle Contr:,Owner 8 X 16 Storage Shed � 1yj 028440-043 99-2312 ROBASON,KATHLEENJ. 840 AVACADO RD., BANGOR CONT: MONTE PRATT CONST. OPEN DECK/MI-Ie/�wL 0240-0430-2327 p o/ ROBAS6 KATHLE (,,,, 840AVACADp/r CONTR: DON SC CONST. DETACHED GARAGE 028-440-043 01-2120 WE1NS, DAVID AND KATIE 840 AVACADO RD, BANGOR CONT: TOM GRAVISON COVERED PATIO flLf— ►AIck (G( - p 028440-043 AG02-079 KATIE WIENS 840 AVOCADO RD., BANGOR AG. BLDG. 028-440-043 04-0992 HUMMERHILL FARM, 840 AVACADO RD, BANGOR CONT: OWNER AG BUILDING 028440-043 04-0993 HUMMERHILL FARM, 840 AVACADO RD, BANGOR CONT: OWNER AG BUILDING B06-2567 028-440-043 MISCELLANEOUS Remodel DET. GARAGE CONVERSION -1-0 GUI 840 AVACADO RD STAUFFER, FAMILY LIVING TRUST BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 840 AVACADO RD Owner: permit No: B06-2567 APN: 028-440-043 STAUFFER, FAMILY LIVING T Issued Date: 01/09/2007 By KEJ Permit type: MISCELLANEOUS PO BOX 113 Subtype: Remodel BANGOR, CA 95914 Expiration Date: 01/09/2008 Description: DET. GARAGE CONVERSION TO ( (530) 679-0975 Occupancy: Zoning: A-5 Contractor Applicant: Square Footage: STAUFFER, FAMILY LIVING Building Garage Remdl/Addn PO BOX 113 499 BANGOR, CA 95914 Other Porch/Patio Total (530)679-0975 499 FEE INFORMATION Remodel - Residential $714.87 Total Charged: $714.87 Fees Paid: $714.87 Balance Due: $0.00 Receipt No: B718 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/09/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Sedion 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not a completed if the permit is or one hundredoilers ($100) or less. AM EXEMP...T under Section B. & P.C. for this reason: ICERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT ISISSUED, TI I shall not employ any person in any manner so as to become subject to the Workers' Compensationlaws of Ca' ia, and agree that if I should become subject to the workers' 01/09/2007 compo tion provisio of ecti 700 of the Labor Code; I shall forthwith comply with those prow o s. wners Sig ture Date Si 01/09/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig atUfe Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused t is arising out of, or in any way connected with t of, o the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to onto he ab ve mentioned property for inspection purposes. I hereby certify that I am the Pr e r r thor' to act on the roperty owner's beha CONSTRUCTION LENDING AGENCY �1/09/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for F%MmePLIrmittee [ N] Print I Date the performance of the work for which this permit is issued. (3097 civ. code) 0911Owner 1:1 Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip r Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. G If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YES)(7R NO) 2. 6V:)HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME 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 Description: DET. GARAGE CONVERSION TO GUEST COTTAGE Reference Number: B06-2567 Applicant Name: STAUF ER, FAMILY LIVING TRUST J Date: Signature of Property Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name�P (er Name first Nary :J C� Mailing Address FO Q City .3A L) r- No State Zip Phone -630 —Ll -0 ? 757 Map Book Fax 53, -679 -0 E-mail o o S 4C,1106-1, e APPLICANT INFORMATION CONTRACTOR Name Zi�S 9�T �I Address E-mail City No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Zi�S 9�T �I Address E-mail City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City 4-:2 a vi O Y Stag Zi�S 9�T �I Phone Fax E-mail APPLICANT/ ill' E /f_.: - �; For office use onl Zoning PropertyAddressJI/.4C44 9d12,tyn U 4 Flo)d Zone Cross Street A n Os' SRA ves No Occ. Type Const. Subdivision Name �L Map Book Page Lot it Planner Date Approved: PERMIT NO. 2s�� BIN # PROJECT LOCA TION AP# n — PropertyAddressJI/.4C44 9d12,tyn U 4 0r Cross Street A n Os' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address evt r-+ m-\ Description or Scope of Work: G a Gov► er s d Sq FT- Living qfs Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: -711/ Bldg SRA Receipt #• Sheriff '8 SIMIP _ Other Date: `�)' lA "9 Total /3/ U39 BUTTE COUNTY SCHOOLS IMPACTTEE CERTIFICATION FORM Jo (One form per Building) School District CX6Y ) I i — Building Department No. 66 V A.P. Number V' `T`tG' G Jurisdiction: City [County .r^ Property Owner a'4'Gm lY Property Location/Address � U r Gl ( Q _c6 ?n,::I, Subdivision Lot No. ,...................... f ........................................................ Residential Development Q . © Q Sq. Footage No of Living Mobile Home itioo� Supplemental to (Group, R) Units InstallationConyers on Pefrnit # -) •(No foundation inspection) ? ► W ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 New Addition �l Building District Identification No. 070106 I / tz R- S School District certifies that Sq. Footage (Including Exterior Roofed Areas) 1- 9 Date r P-71 m � 1 ) r�,�� (Applicant) ZyD i\ A 1a1R- c� --15- (Street Address) (Phone Number) (City) (State)) (Zip Code) has complied with the requirements of Resolution No. % 05— "I �) by payment of $ "�LJ representing 9 � square feet. -' District B 2926 $ ULL MITIGATION $ Paid by Check # �— Remarks: .P S 5-61c.' Y\ D I b7 Lo Date IVotice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In co nptlanee with Government Code Section 66020(a), within 90 days from the date hes are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Farm, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the CoWarnle EnWonmentei clue ty Act (CEQA), this project may be sub)ect to additional school has to fusty rnftate he I c on the school disvWs schools. . White (school district), Yellow (building department), Pink (applicant) feeformids (305)dr= Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds Signature of Property Owner: FILE Date: 10/31/2006 PERMIT APPLICATION DATA SHEET Reference Number: B06-2567 Date: 10/31/2006 Location: 840 AVACADO RD By: TMP Parcel Number: 028-440-043 Sub Type: Remodel Owner Name: STAUFFER, FAMILY LIVING TRUST Phone: (530) 679-0975 Description: DET. GARAGE CONVERSION TO GUEST COTTAGE The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ C3 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 8954711 PARKS & RECREATION DISTRICTS ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 1:1 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: 1 Other: E Other: Signature of Property Owner: FILE Date: 10/31/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2567 Date: 10/31/2006 Location: 840 AVACADO RD Parcel Number: 028-440-043 Owner Name: STAUFFER, FAMILY LIVING TRUST Phone: (530) 679-0975 Description: DET. GARAGE CONVERSION TO GUEST COTTAGE Signature of Property Owner: eg�ia� Date: 10/31/2006 /I v FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2567 Date: 10/31/2006 Location: 840 AVACADO RD By: TMP Parcel Number: 028-440-043 Sub Type: Remodel Owner Name: STAUFFER, FAMILY LIVING TRUST Phone: (530) 679-0975 Description: DET. GARAGE CONVERSION TO GUEST COTTAGE By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: J Title: FILE Date: 10/31/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YE�X)R NO) 2. HAVE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME 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 Description: DET. GARAGE CONVERSION TO GUEST COTTAGE Reference Number: B06-2567 Applicant Name: STAUFFER, F MILY LIVING TR ST ? Signature of Property Owner: `� Date: �U r cJ �J,(� I vv VJ vv V I.,Jjp JUQWV 12lO11 WVLL 1vuu I N.G TABLE OF CONTENTS TOC Project Title.......... Jerry Stauffer / 06SJ101 Date..02/05/08 13.18.10 Protect Address........ 840 Avacado Rd. Box 113 **_**** --------------------- Bangor, CA 95914 *v7.30* I I Documentation Au=hor... Jessie Starr ******* I Building Permit # Cal Starr Energy Consultants, Inc. I f 8938 Airport Rd., See. A I Plan Check / Date I Redding, CA 96002 530-246-7700 I Field Check/ Date ' Climate Zone...... 1_1 --------------------- Compliance Method ...... MICROPAS7 v7.30 for 2005 Standards by Enercomp, Inc. I MICROPAS7 v7.30 File-06SJ"101 Wth-CTZ11S05 Program -TOC — I I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- TABLE OF CONTENTS ----------------- Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 6 FORM WS -5R ................ 10 HVAC SIZING ............... 11 iZ�O,7 Sum- ,vlsj®�° ll 8UJLt)1 P►FR.Q1\(S 08 IBUTTE COUNTY JAN 2 8 2008 DEVELOPMENT SERVICES CI, Feb 05 08 01:33p Jessie Starr J.7V11-4 1.7VV 1 N.v CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page Project Title.......... Jerry Stauffer / 06SJ101 Date..02/05/08 13:18:10 Project Address........ 640 Avacado Rd. Box 113 ******* --------------------- Bangor, CA 95914 *v7.30* I I Documentation Author... Jessie Starr ******* I Building Permit # Cal Starr Energy Consultants, Inc. I I 8938 Airport Rd., Ste. A I Plan Check / Date 1 Redding, CA 96002 1 I 530-246-7700 1 Field Check/ date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.30 for 2005 Standards by Enercomp, Inc. I MZCROPAS7 v7.30 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R I Cser#-MP1628 User -Cal Starr Energy Consu'ta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- MICRO?AS7 ENERGY USE SUMMARY - Energy Use Standard Proposed Compliance - _ (kTDV/sf-yr) Design Design Margin = = Space heating.......... 24.21 19.81 4.40 = = Space Cooling.......... 25.50 17.50 8.00 = = Water Heating.......... 52.94 49.74 3.20 = _ Tnotal 102.65 87.05 15.60 = _ *** Building complies with Computer Performance GENERAL INFORMATION HERS Verification.......... Not Required Conditioned Floor Area..... 549 sf Building Type.............. Single Family Detached Construction Type ......... New Fuel Type ................. Propane Building Front Orientation. Front Facing 90 deg (E) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned volume......... Slab -On. -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Slab On Grade 1 4392 cf 549 s= 13.8 % of floor area 0.42 Btu/hr-sf-F 0.37 8 ft Feb 05 08 01:33p Jessie Starr 5302219001 p.4 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title.......... Jerry Stauffer / 06SJ101 Date..C2/05/08 13:18:10 MICROPAS7 •7.30 File-06SJ10-1 Wth-CTZ11S05 grogram -FORM CF -1R ) I User#-MP162.8 User -Cal Starr Energy Consults Run -Jerry Stauffer- / 06SJ101 i ------------------------------------------------------------------------------- BUILDING ZONE _NFORMATION ------------------------- Floor # of # of Cond- Thermo- Vent 'Dent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Rousewrao -------------- ----- ------ ----- ----- ------------- ----- ------- ---------- Residence 549 4392 1.00 2.0 Yes Setback •2.0 Standard No OPAQUE SURFACES FENESTRATION SURFACES U- Sheath- Solar Appendix Exterior Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt . Reference Comments ------------ 1 wall ----- Wood ---- 164 ----- 0.074 ----- 19 ----- 0 --- ---- --- 90 90 Yes --------- IV.9 A5 -------------- 2 wall Wood 176 0.074 19 0 0 90 Yes IV.9 A5 0.400 3 wall Wood 108 0.074 19 0 270 90 Yes IV.9 A5 49.0 4 Wall Mood 286 0.074 19 0 90 90 No IV.9 A5 Garage 5 Roof Mood 549 0.032 30 0 n/a 0 Yes IV.1 P.7 Attic 6 Door Other 20 0.500 0 0 90 90 Yes IV.5 A4 7 Door Other 18 0.500 0 0 90 90 No IV.5 P.4 PERIMETER LOSSES ---------------- Appendix Length F2 Insul Solar IV Location/ Surface ------------ (ft) Factor R-val Gains Reference Comments 8 S1abEdge ------ 106 -------- 0.730 ------- R-0 -------------- ---------------------- No IV.26 Al FENESTRATION SURFACES Exterior Area U- Act S_aade Orientation ------------------ (sf) ----- factor ----- SHGC ----- Azm --- Tilt ---- Type -------- Location/Comments 1 Wind Fronz (E) 4.D 0.790 0.700 90 90 Standard 7 ----------------------- FI/Metal Operable 2 Wind Front (E) 12.0 0.400 0.350 90 90 Standard F2/Vinyl/Wood Operable L 3 Wind Right ;N) 49.0 0.400 0.350 0 90 Standard R1/Vinyl/Wood Operable L 4 Wind .back (W) 12.0 0.400 0.350 270 90 Standard B1/Vinyl/Wood Operable L Feb 05 08 01:34p Jessie Starr 5302219001 p.5 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... Jerry Stauffer / 06SJ101 Date..02/05/06 13:18:10 MICROPAS7 v7.3C File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R I User*-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- SLAB SURFACES ------------- area Slab Type (sf) Standard Slab 549 HVAC SYSTEMS ------------ Verified Verified Verified Verified Verified Maximum System Minimum Refrig Charge Adequate Fan Watt Cooling Type Efficiency EER or TXV Airflow Draw Capacity ---------------- ----------- ----- HPSplit 8.20 HSPF ----------------------------- n/a n/a n/a n/a -------- n/a HPSplit 16.00 SEER No No No No No HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) ----------------------- (Btu/hr) (Btu/hr) (Btu/hr) ---------- HPSplit 11803 -------------------- n/a n/a n/a HPSplit n/a 7397 8927 n/a Sizing Location............ OROVIILE RS Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design....... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS ------------ Verified Verified Verified System Duct Duct Duct Surface Buried Type Location ------------------------ R -value Leakage Area Ducts HPSplit- None ------------------------------- R-n/a n/a n/a n/a HPSplit None R-n/a n/a n/a n/a Feb 05 08 01:34p Jessie Starr 5302219001 p.6 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... Jerry Stauffer / 06SJ101 Date..02/05/08 13:18:10 I MICROPAS7 v7.30 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -IR I User#-MP1628 User-Cal,Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------ Heater Tank Type Type 1 Storage Gas WATER HEATING SYSTEMS --------------------- Number in Distribution Type System -------------- ------ Standard 1 REMARKS Tank External Energy Size Insulation Factor (gal) R -value -------- ------ ---------- 0-.60 29 R- n/a Feb 05 08 01:35p Jessie Starr 5302219001 p.7 CEERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 Project Title.......... Jerry Stauffer / 06S•J101 Date..02/05/08 13:16:10 I MICROPAS7 v7.30 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R 1 I User(I-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Jerry L. Stauffer Name.... Jessie Starr Company. Company. Cal Starr Energy Consultants, In Address. 840 Avacado Rd. Box 113 Address. 8938 Airport Rd., Ste. A Bangor, CA 95914 Redding, CA 96002 Phone... (530) 679-0975 Phone... 530-246-7700 License. 004 Signed.. Signed.. Z-$ ate) 61(date) 2 '0(0 -0,43ENFO CEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) Feb 05 08 01:35p Jessie Starr 5302219001 P•S MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 6 Project Title...... ... Jerry Stauffer / 06SJ101 Date..02/05/08 13:18:10 Project Address........ 840 Avacado Rd. Box 113 ******* --------------------- Bangor, CA 95914 *v7.30* I I Documentation Author... Jessie Starr ******* I Building Permit # 1 Cal- Starr Energy Consultants, Inc. 1 1 3938 Airport Rd., Ste. A I Plan Check / Date I Redding, CA 96002 1 1 530-246-7700 1 Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.30 fo= 2005 Standards by Enercomp, Inc. I MICROPAS7 v7.30 File-06SJ101 Wth-CTZ11S05 Program -FORM MF -1R I User4-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked wi.r an asterisk (*). when this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- fcrce- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling E50 150(b): Loose fill insulaticn manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply q to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors or eeuivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b. Outside air intake with damper and control, flue damper and control 2.. No conzinuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual 150(g): Vapor barriers mandatory in Climate Zones 14,16 only ./ 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indica}e type and include CF -6R form 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fen stration products (except field -fabricated) have Feb 05 08 01:35p. Jessie Starr 5302219001 p MANDATORY MEASURES CP.ECKLIST: RESIDENTIAL 14F -1R Page 7 Project Title.......... Jerry Stauffer / 06SJ101 Date..02/05/08 13:'8:10 MICROPAS7 v7.30 File-06SJ101 Wth-CTZ11S05 Program -FORM MF -1R I I User*-MP1628 03er-Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- label with certified 0 -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification Exterior doors and windows weatherstrioped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES n/a 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commisswon 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(i): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater 2. Sack -up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value 3. The following piping is insulated according to Table 150-A/E or Equation 150-A Insu�ation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A 4. Steam hydropic heating systems or hot water systems >15 psi, meet requirements of Table 123-A 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation 1150(TO : Ducts and Fans 1. A_1 ducts and plenums installed, sealed and insulated to meet the regLirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, De- En- sign- force ar ment 9 Feb 05 08 01:36p Jessie Starr SJULL I UUU.1 Y. IV MANDATORY MEASURES CHEC{LIST: RESIDENTIAL MF -1R Page 8 Project Title.......... Jerry Stauffer / 06SJ101 Date..02/05/08 13.18.10 ! MICROPAS7 v7.30 File-06SJ101 Wth-CTZ11S05 Program -FORM MF -1R I I User#-NP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 ! UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mast'_c and either mesh o-- tape shall be used 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials ether than sealed sheet metal, duct board or flexible duct shall not b d f- con—yin conditioned air. Building cavities and RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz _J/ e Use - support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts ✓ 3. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive due: tapes unless such tape is used in combination with mas-ic and draw bands ✓ 4. Exhaust fan syste7►s have back draft or automatic dampers ✓ 5. Gravity ventilating systems serving cond_tioned space have either automatic or readily accessible, manually operated dampers ✓ 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material ✓ 7. Flexible ducts cannot have porous inner cores ✓ 114: Pool and Spa Keating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cove= for outdcor pools or outdoor spas. 3. Pool system has d-rectional inlets and a circulation pump time switch J� 115: Gas-fired central furnaces, pool heaters, spa :seaters or _zousehold cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances ✓ with pilo-- < 150 Btu/hr) 118(i): Cool Roof material meets specified criteria ./ RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz _J/ Feb 05 08 01:36p Jessie Starr WULL1yUUl P. i i MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 9 ---- ------------------- Project Title .......... Jerry Stauffer / 06SJ101 Date..02/05/08 13:18:10 I MICROPAS7 v7.30 File-06SJ_01 47th-CTZ11SO5 Program -FORM MF -1R I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer --------------------------------------------------------------------- / 063J101 i 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain ---------- only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast ✓ 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires- Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy lum-naires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option �C 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always on option 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified air tight to ASTM E283 and labeled as air tight (AT) to lest than 2.0 CFM at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features o= other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that compiles with Sec. 130, 132, and 147. Lighting for parking for 8 garages or more vehicles shall have 14ghting that complies with Sec. 130, 131, and 146 150(k)B: Permanently installed lighting in the enclosed, non - .✓ dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) i/ Feb 05 08 01:37p Jessie Starr 5302219001 p.12 HVAC SIZING HVAC Page 10 -------------------- ------ Project Title.......... Jerry Stauffer / 06SJ101 Date..02/05/08 13:18:10 Project Address........ 840 Avacado Rd. Box 113 ******* --------------------- Bangor, CA 95914 *v7.30* I I Documentation Author... Jessie Starr ******* I Building Permit # I Cal Starr Energy Consultants, Inc. I I 8938 Airport Rd., Ste. A I Plan Check-7—Date I Redding, CA 96002 I 1 530-246-7700 1 Field Check/ Data I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.30 for 2005 Standards by Enercomp, Inc. I MICROPAS7 v7.30 File-06SJ101 Wth-CTZ11S05 Program -HVAC SIZING I I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 1 ------------------------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 549 sf Volume ..................... 4392 cf Front Orientation.......... Front Facing 90 deg (E) Sizing Location............ OROVILLE RS Latitude.. .............. 39.5 degrees Winter Outside Design...... 25 F 'hinter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shown are only one of the criteria affecting the selection Of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description ------------------------------ (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... ----------- 8530 ----------- 2581 Glazing Conduction and Solar..... 1438 2055 Infiltration........._ ......... 1835 ?01 Internal Gain .................... n/a 2060 Ducts._....... -.......... 0 0 ----------- Sensible Load .................... 11803 ----------- 7397 Latent Load ...................... n/a 1530 ----------- Minimum Total Load 11803 ----------- 8927 Note: The loads shown are only one of the criteria affecting the selection Of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Jerry L Stauffer 840 Avacado Rd. Bo 113 Bangor, Ca. 95914 530-679-0975 Fax 530-67.9-0996 Permit # B06-2567 :fp Parcel # 028-440-043 Exsisting 28x50 .Garage I v:a -..� f� Existing -:� Bathroomf.,, -_7 BUTTE COUNTY BUILDING DIVISION APPROVED 4x4 Sierra double pane 36" sill hight UF.34 SHG .34 VT .58 12 1 rr r 2'3 - } -�' Sierra double pane „ 6x8 Patio Door 114 �} �VF .34 SHG .35 VT .59 !G- t9�1 Hardy Board Exterior R 19 in the walls R 30 in Cieling 3x4 Sierra double pane> �36' Exterior Door?,7"' s � �TY LIVING AREA OF .34 SHG .34 VT .58 7 ELECTRICAL, PLUMBING, AND MECHANICAL NOT PLAN CHECKED _ AUIN EFFICIENCY LIGHTiNG(nerm. installed luminaries): Section 150 KITCHEN - High efficacy OR tip to '%"'�. of the total wattage cart be low efficacy All hi«h efficacy and low efficacy liU1hting must Ile SWitchcd scparalrl�• BATHROOM - Fligh eflicacv OR manual -on occupancy sensor GARAGE - Hi, -,h etfrcac}' OR manual -on occupancy sensor LAUNDRY R60M - High efficacy OR manual -on ucrupanc� sensor UTILITY ROOM - High efficacy OR manual -on occupancy sensor ALL OTHER INTERIOR ROOMS (Except closets < V sqr ft) - High efficacy OR manual -on occupancy sensor OR dimmer OURDOOR LIGHTING ATTACHED TO BUILDINGS - High el icaev OR controlled by motion sensor \N!manual-on/autonrnic off switch AND photo control r D TABLE OF CONTENTS TOC ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 Project Address........ 840 Avacado Rd. Box 113 ******* --------------------- . Bangor, CA 95914 *v7.10* I I Documentation Author... Jessie Starr ******* I Building Permit # I Cal Starr Energy Consultants, Inc. I 1727 Dakota Way I Plan Check / Date Redding, CA 96003 I I 530-246-7700 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.10.for 2005 Standards by Enercomp, Inc. I MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -TOC I I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- TABLE OF CONTENTS ----------------- Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 6 HVAC SIZING ............... 10 Minimum Mandatory Requirements b& �� g --2567 SUILDING DTVI �I i l APPROVED S � '// 71 Windows Vinyl Low E Glass / U -factor 0. 40, SHGC.0.35 Wall Insulation R19 Garage Wall Insulation R19 Ceiling Insulation R30 Ducts R6.0 with a HERS Tested tight Duct System (<6% leakage) HVAC Heat 80% AFUE Cool 13 SEER Water Heater System (0.62 EF) 40 gal ** Check New Mandatory Lighting Features for Kitchens, Bathrooms & Laundry Rooms CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 Project Address........ 840 Avacado Rd. Box 113 ******* --------------------- Bangor, CA 95914 *v7.10* I I Documentation Author... Jessie Starr ******* ► Building Permit # I Cal Starr Energy Consultants, Inc. I 1727 Dakota Way I Plan Check / Date I Redding, CA 96003 I I 530-246-7700 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v1.10 for 2005 Standards by Enercomp, Inc. -------------------------------------------------------------------------- ------------------------------------------------------------------------------ I MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 ------------------------------------------------------------------------------- = MICROPAS7 ENERGY USE SUMMARY = = Energy Use ---------------------------- Standard Proposed Compliance = _ (kTDV/sf-yr) ------------------------ Design ---------- Design -------------------- Margin = - Space Heating.......... 39.68 41.27 -1.59 = = Space Cooling.......... 25.50 22.37 3.13 = = Water Heating.......... 52.94 47.50 5.44 = = Total 118.12 111.14 6.98 = _ *** Building complies with Computer Performance _ *** HERS Verification Required for Compliance GENERAL INFORMATION HERS Verification.......... Required Conditioned Floor Area..... 549 sf Building Type .............. Single Family Detached Construction Type ......... New FuelType ................. Propane Building Front Orientation. Front Facing 90 deg (E) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Slab On Grade 1 4392 cf 549 sf 13.8 % of floor area 0.42 Btu/hr-sf-F 0.37 8 ft CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 ----------------------------------------------------------------------------- MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- BUILDING ZONE INFORMATION ------------------------- Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap -------------- ----- ------ ----- ----- -------------'-=---------- ---------- Residence 549 4392 1.00 2.0 Yes Setback 2.0 Standard No OPAQUE SURFACES U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments ------------ 1 Wall ----- Wood ---- 164 ----- 0.074 ----- 19 ----- --- ---- --- 0 90 90 Yes --------- -------------- IV.9 A5 2 Wall Wood 176 0.074 19 0 0 90 Yes IV.9 A5 3 Wall Wood 108 0.074 19 0 270 90 Yes IV.9 A5 4 Wall Wood 286 0.074 19 0 90 90 No IV.9 A5 Garage 5 Roof Wood 549 0.032 30 0 n/a 0 Yes IV.1 A7 Attic 6 Door Other 20 0.500 0 0 90 90 Yes IV.S A4 7 Door Other 18 0.500 0 0 90 90 No IV.S A4 PERIMETER LOSSES r ---------------- Appendix Length F2 Insul Solar IV Location/ Surface ------------ (ft) ------ Factor R-val Gains Reference Comments 8 SlabEdge 106 -------- 0.730 ------- R-0 -------------- ---------------------- No IV.26 Al FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade Orientation ------------------ (sf) ----- factor ----- SHGC ----- Azm Tilt Type --- ------------ Location/Comments 1 Wind Front (E) 4.0 0.790 0.700 90 90 Standard ------------------------ F1/Metal Operable 2 Wind Front (E) 12.0 0.400 0.350 90 90 Standard F2/Vinyl/Wood Operable.L 3 Wind Right (N) 48.0 0.400 0.350 0 90 Standard R1/Vinyl/Wood Operable L 4 Wind Back (W) 12.0 0.400 0.350 270 90 Standard B1/Vinyl/Wood Operable -L CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title........... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 I MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R (,•User#-MP1628 User -Cal Starr Energy Consults Run -Jerry Stauffer / 06SJ101 ------------------------------------------------------------------------------- SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ Standard Slab 549 Sizing Location............ OROVILLE RS Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS HVAC SYSTEMS ------------ Verified ------------ Verified System Duct Duct Duct Surface Verified Type ------------- Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type ------------ Systems Efficiency EER or TXV Airflow Draw Capacity Furnace ------- 1 ----------- 0.800 AFUE ----- ------------- -------- -------- n/a n/a n/a n/a -------- n/a. ACSplit 1 13.00 SEER No No No No No HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type ------------- (Btu/hr) ---------- (Btu/hr) (Btu/hr) (Btu/hr) ---------- Furnace 14011 -------------------- n/a n/a n/a ACSplit n/a 10173 12277 n/a Sizing Location............ OROVILLE RS Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS ------------ Verified Verified Verified System Duct Duct Duct Surface Buried Type ------------- Location --=-------- R-value,Leakage Area Ducts Furnace Attic -------------- R-6 Yes -------- No --------- No ACSplit Attic R-6 Yes No No CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------ Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------ MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 ------------------------------------------------------------------------------- WATER HEATING SYSTEMS Number Tank External Heater in Energy Size. Insulation Tank Type Type Distribution Type System Factor (gal) R -value ---------------- -------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.62 . 40 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and. *** *** verified during plan check and field inspection. - This building incorporates HERS verified Duct Leakage. , HERS REQUIRED VERIFICATION *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of 'a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on.the CF -4R installation certificate. *** This building incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF74R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then HERS verification is not necessary. REMARKS A CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 ------------------------------------------------------------------------------- ----------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM CF -1R User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Jerry L. Stauffer Name.... Jessie Starr Company. Company. Cal Starr Energy Consultants, In Address. 840 Avacado Rd. Box 113' Address. 1727 Dakota Way Bangor, CA 95914 Redding, CA 96003 Phone... (530) 679-0975 Phone... 530-246-7700 License. Signed. . AL leg , � g � Signed. l -9_3 d6 (date) (date) AGENCY Name.... Title... Agency.. Phone... Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 6 ----------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 Project Address........ 840 Avacado Rd. Box 113 ******* --------------------- Bangor, CA 95914 *v7.10* I I Documentation Author... Jessie Starr ******* I Building Permit # I Cal Starr Energy Consultants, Inc. 1727 Dakota Way j Plan Check / Date Redding, CA 96003 I I 530-246-7700 I Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM MF -1R User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass wails) *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b. Outside air intake with damper and control, flue damper and control 2. No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in RCM Residential Manual 150(g): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 7 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 I MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM MF -1R I I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 I ------------------------------------------------------------------------------- label with certified U -factor, certified Solar Heat Gain / Coefficient (SHGC), and infiltration certification t/ 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES n/a 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(1): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, De- En- sign- force er ment 4z �L MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R ------------------------------------------------------------------------------- Page 8 ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 ----------------------------------------------------------------------------- ------------------------------------------------------------------------------ I MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM MF-lR I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer ------------------------------------------------------------------------------- / 06SJ101 UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used / 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts 3. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands / 4. Exhaust fan systems have back draft or automatic dampers 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers_ 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(1): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz V/ MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 9 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -FORM MF -1R User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 -------------------------------------------------------------------- 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always on option 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified air tight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) V/ M HVAC SIZING HVAC Page 10 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Jerry Stauffer / 06SJ101 Date..10/23/06 15:32:15 Project Address........ 840 Avacado Rd. Box 113 ******* --------------------- Bangor, CA 95914 *v7.10* I I Documentation Author... Jessie Starr ******* I Building Permit # I Cal Starr Energy Consultants, Inc. 1727 Dakota Way I Plan Check / Date I Redding, CA 96003 I I 530-246-7700 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. I MICROPAS7 v7.10 File-06SJ101 Wth-CTZ11S05 Program -HVAC SIZING I User#-MP1628 User -Cal Starr Energy Consulta Run -Jerry Stauffer / 06SJ101 ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Floor Area ................. 549 sf Volume ..................... 4392 cf Front Orientation.......... Front Facing Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Description -------------------------------- Heating -------------------- (Btu/hr) ----------- and Solar...... 8530 and Solar..... 1438 .................... 2125 .................... n/a .................... 1918 Opaque Conduction Glazing Conduction Infiltration. Internal Gain Ducts........ 90 deg (E) Cooling (Btu/hr) 3744 2055 812 2060 1503 ---------------------- Sensible Load .................... 14011 10173 Latent Load ...................... n/a 2104 ----------- ----------- Minimum Total Load 14011 12277 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. eF-�- -_±57 75— -A-'*94.ee) AvotLajv Owi_ 011�'t_i lcl, vx.3CILIW s t) ol qlha \A1 .Q . El' cy I eL7 Jowl, (401 N5 2A yc 5 212 . C/ 17 / !_k ALL STIRL,10TURRED' AMi) MVUtNAEa,T 'MICILUDIMM '-p _11M 0vErtHAtjr_`S Sr-THiALL LIE A SME' SOEE AND TI-IIE-, _rcoT_ FT Tr-Ri .;ME HALF_ E. -I S"'_RUICT URIE'SAP-0 "EQU.".7-MENT EX04pr INS) FOP, A 2 Pll'. EAVE OVERHANU. 1" L-i:t'4101G DMISION - BUILDING PLAN Ilse y_­ ��_yul)ate:4_1 /06 Paridng:� Landscaping. - Other 2a,tk,& VA a BUTTE COUNTY--_ Owner: ING p I -U-1 LQ ;IONBP# 5Q. 1.4 ORO- f3-- APN: 0 7,f�-440 n6q.3 FILE COPY Jerry L. Stauffer. 840 Avacado Rd. Box 113 Bangor, Ca. 95914 530-679-0975 Fax 530-679-0996 Permit # B06-2567 Parcel # 028-440-043 Exsisting 28x50 Garage WP 0 Existing Bathroom ,o WP 0 18' 4x4 Sierra double pane 36" sill hight UF.34 SHG .34 VT .58 13'10 2'3 Sierra double pane 6x8 Patio Door VF.34 SHG .35 VT .59 Hardy Board Exterior R 19 in the walls R 30 in Cieling 3x4 Sierra double p'ane> \36' Exterior Door LIVING AREA OF .34 SHG .34 VT .58 lk owo CoUloy APp OVE6 b to 4— 4"'"— X 3 3 ==xis 3.x4 �, IL /ALL L J EX7 DU Fir — PA -d, -5 1 . t9IJN 1 � F rd, -o cc) T Gti i� Q�-WSi e S 1'D �raGto�� a Fe L3 r-1 Y--) ci Y1 1 ron o i2''x �2" Food-; •-�y � i N-�a�� o 6"X 7� Old bl) / Zl? '' l:. 9440 4"'"— X 3 3 ==xis 3.x4 �, IL /ALL L J EX7 DU Fir — PA -d, -5 1 . t9IJN 1 � F � `\9ƒ�� \\ 1 G ' # Fel TvsS if' Fame � i Li o CL Iffibcs 100 �14 I%- oe dw sg� 4K CO cz 74L Nk� 71 j�R - =««ALaSJ-.at vct . i . y»•�-=_______= L L.�L1 00 J=____=====cccc Ltwuruv»»==_---- -ustfomer : �v,���,�/ Fri , May 29 12:03:15 1998 ?rod ect # - Truss ID 28GE Family # : 104 ;pan °" 18-0 Quantity 1 Top Pitch : 4f/12 -- ld(4/20/1998) CES: 1 -Gable studs spaced at -16 inches o.c. 2 -Brace vertical studs in accordance with standard gable end detail 3 -Continuous bearing provided alonentire bottom chord 4 -Provide 1X4 plates at each end ofg gable stud unless otherwise noted 3: -4 14-0 0- -0 -4 6-8 6-8, 4X4 CiMIL 3 F CAL`ci 3X6 10-0 18-5-6 8-0 10-0 8-5-6 9-6-10 1X5 s KL -TO PK: 15-2 R. HL TO PK :15-2 r HEIGHT:0-4 SPAN: 28-0 RISE:6-2 RIGHT HEIGHT:0-4 ----------------------------------------------------------------- ----------------------------------------------------------------------------- -:)ING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER L D TOP CHORD:2X4 No.l&Btr 91 DF -L 16 10 BOT CHORD:2X4 No.l&Btr 91 DF -L r 0 8 LL.DEFL.L0=0.00 < L/240 WEBS :2X4 STANDARD GR-DF_L---- ------------------------------------------------------------------- ------------------------------------------------------- INC.: LUMB = 1.25 PLATE = 1.25 SPACING 24.0 in o c 3TITIVE STRESSES NOT USED _ NO. OF MEMBERS = 1 :TION(IN.) L.L= O.00,D.L=O.0O,T.L=0.00 1 ARE MITEK M20-165,142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) MUST BE INSTALLED ON EA. FACE OF JO I NT, SYMMETR I CALLY (EXCEPT AS SHOWN)DESIGN CONFORMS WADS DESIGN SPECS, UBC-ICBO,TPI-91 RO BRACING O 24- O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD - DUSLY BRACED'I 1Q O' O.C. UNLESS RIGIDLY SHEATHED. LATERAL - .OF WEB MEMBERS, WHERE REQUIRED, AREAS SHOWN ABOVE MONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS " EFER TO TPI PUBLICATION HIB•91 BRACING WOOD TRUSSES TARY AND RECOMMENDATION.. Customer ver. i 1»»========== L 665636 fRaPXfj'✓ Tue Sep 29 13:01:38 1998 Project t! #: Truss ID 28COM Family # : 104 Span 28-0 Quantity : 1 Top Pitch : 4/12 TOP CHORD BOTTOM CHORD WEBS REACTIONS - SIZE APPROVED FOR MITEK INDUSTRIES INC. 1-2=-2179 5-6= 2061 2-7=-359 1=-1142 3.50 2-3=-1908 6-7a 1439 3-7= 572 5=-1142 3.50 3-4=-1908 7-1= 2061 3-6= 572 4-5=-2179 4-6=-359 PLATE OFFSETS (X=LEFT,Y=TOP):(j7=3,21, 3; .00T O 1 1998 7-6-5 14-0 20-5-11 f 28-041- �2-0 7-6-5 6-5-11 6-5-11 7-6-1 '= - 4X4. 5X6 3X4 10-0 18-0 E 28-0 I 10-0 8-0 10-0 1X5 5 L. HL TO PK:14-9-1 R. HL TO PK :14-9-1 LEFT HEIGHT 0-3-14 SPAN:28-0 RISE 4 11-14 RIGHT HEIGHT 0 3 14 ----------------------------------------------------------- LOADING (PSF� MAX STRESSES MINIMUM GRADE OF LUMBER L TOP. 1-2=0.441 TOP CHORD:2X4 No.i&Btr 91 DF -L TOP 1 BOTT BOTT 0 10 LL DEFL.@70510 < L/240 BWEEBSCHORD:2X4 STANDARD GR DF-L _______________________________________________________________________ ---- ------------------------------------ STR.INC.: LUMB = 1.25 PLATE = 1.25 SPACING 24.0 in. o. c. REPETITIVE STRESSES USED NO. OF MEMBERS = 1 DEFLECTION(IN.) L.L= O.1O,D.L=O.12,T.L=0.22 PLATES ARE MITEK 1420-165,142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) PLATE MUST BE INSTALLED ON EA. FACE OF JOINT, SYMMETRICALLY(EXCEPT AS.SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS. UBC-ICBO.TPI-91 TOP CHORD BRACMO ® 24' O.C. UNLESS RIGIDLY SHEATHED. f6M CHORD COSY BRACED 0 10 0' O.C. UNLESS RAY SHEATHED. LATERAL BRACING OF WEB MIEMSERS WHERE REQUIRED. ARE AS SHOWN ABOVE FOR AODIiIOt'IAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REQcM REFER TO TPI PUBLICATION MGM BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION.. � � C a � _ t _ � •. r{ . �.. :c ✓ t �T? � .,'i - �� ..;.�i�"4 `'=?.1,; ,ti s � c •+ -T . K DIVISION, - C }„1!- i . .X< - �;�_ � rot ^� ,✓ ..x, y°:t` �+. �. f,. � - .H Mnx+. -.� z= i( �: r,irn�.-I.v:•'• 4 Xc •n,i.?t' 1+3 .T ^ irig I At - 00 77" a ��r 'O Ln _ -- � i eLi-ncc+•- �9 5hec �,v M f - -4e- 84�ev - .,,— - .... ��ri -' :' :'-_»�..�r:'' '"fir• ,.+- — t FA 'A vck,Lajo 52,2,gy, Kj r,,e- c-,*/ CA vx- G-7et4c$17 ALL STRUCTURED AND 1-: )UPP NIT > G 1 1DIM, OVE , wltrw,,- ±,e`r" SE -i" AA C, E -I;' A �c 4;r i-, ate:%rC��'�F�S�=S. CLEAR ft. 1c._QUiPMZEN '7EXt+v'. T FOP, A 2 FT. EAVE OVERHANG. hlo+ +0 SC;a,le. Date 0 Assessor Copy i�N I BUTTE -CO- - 0 me APPROVED ' BP4aD(c2- ZSR% _1 Jerry L Stauffer 840 Avacado Rd. Box 113 Bangor, Ca. 95914 530-679-0975 Fax 530-679-0996 Permit # B06-2567 Parcel # 028-440-043 Exsisting 28x50 Garage ID O Existing OBathroom O LIV;NG AREA WP 4x4 Sierra double pane 36" sill hight UF.34 SHG .34 VT .58 13'10 0 2'3 Sierra double pane 6x8 Patio Door /VF .34 SHG .35 VT .59 � U Hardy Board Exterior R 19 in the walls 18' R 30 in Cieling 3x4 Sierra double pane> 36' Exterior Door i OF .34 SHG .34 VT .58 1 i i b � I\ r! 1 j •s: t -i I r+ e a . � J (e b S �n e a . � k 1 S US 4j- R S 1% t� 0 '.&. -T -'C-)' -Pre- - Fn Ff- C. yv-\ e See- -Fros's C>- 5,1 Jlno-, �o o V- Y-, e -.(- To r,+ -s f 'r Ode 2C7 '- �F i P/ eel 0 ew -I-- w f It op '86 --- —% — owl"t 24, /Ile t 0 =««AL;r+S—}L VCt. L}V/00 JILCVU'rU4.'7»==------- ustomer : ,�/ Fri May 29 12:03:15 1998 ;po3ectY # _' 28-0 Quantity 184E Top Pitch : X12 d(a4/20/1998) Y =_______________________________________ CES: III -Gable studs spaced at .16 inches o.c., 2 -Brace verti.ca studs in accordance with standard gable end detail 3 -Continuous bearing provided alongentire bottom chord 4 -Provide 1X4 plates at each end ogable stud unless otherwise noted 3: lei 4 tS 7-4 14-0 0- _0 4X4 3 t OF CSL. 3X6 10-0 18-5-6 28-0 10-0 8-5-6 9-6-10 IX5 s RL -TO PK:15-2 R. HL TO PK :15-2 r HEIGHT:0-4 SPAN:28-0 RISE:6-2 RIGHT HEIGHT:0-4 -------------------------------------------------------------------------- 5ING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER L D TOP CHORD:2X4 No.l&Btr 91 DF -L 16 10 BOT CHORD:2X4 No.l&Btr 91 DF -L r 0 8 LL.DEFL.L0=0.00 < L/240 WEBS :2X4 STANDARD GR-DF_L---- INC LUMB = 1.25 PLATE = 1.25 SPACING 24.0 in o C. ETITIVE STRESSES NOT USED NO. OF MEMBERS = 1 TION(IN.) L.L= O.00,D.L=0.00,T.L=0.00 ARE MITEK M20-165,142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) MUST BE INSTALLED ON EA. FACE OF JO I NT, SYMMETR I CALLY (EXCEPT AS SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS, UBC-ICBO,TPI-91 RD BRACING 0 24- O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD DUSLY BRACED 10 O.O.C. UNLESS RIGIDLY SHEATHED. LATERAL OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE MONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS O=ER TO TPf PUBLICATION HIS -91 BRACING WOOD TRUSSES TARY AND RECOMMENDATION.. f ver. 1-1>>>>==========L 665636 ] =========-««TROJAN>»>========= Customer :/ o�'v,✓ Tue Sep 29 13:01:38 1998 Project #: R TrussID : 28COM Family # : 104 Span 28-0 Quantity : 1 Top Pitch,: 4/12 TOP CHORD BOTTOM CHORD WEBS REACTIONS - SIZE APPROVED FOR MITEK INDUSTRIES INC. 1-2=-2179 5-6= 2061 2-7=-359 1=-1142 3.50 2-3=-1908 6-7= 1439 3-7= 572 5=-1142 3.50 3-4=-1908 7-1= 2061 3-6= 572 4-5=-2179 4-6=-359 PLATE OFFSETS (X=LEFTY=TOP):(j7=3,21, 3; .00T 01 1998 7-6-5 1 14-0 20-5-11 28-0 7-6-5 6-5-11 6-5-11 7-6-5. 4X4 ;;��� _..,. .-- -� f• 5X6 3X4 10-0 1 18-0 28-0 10-0 8-0 10-0 1X5 s L. HL TO PK:14-9-1 R. HL TO PK :14-9-1 - LEFT HEIGHT:0-3-14 SPAN:28-0 RIGHT HEIGHT:0-3-14 -----RISE_4_11_14---- LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER D TOP 1-2=0.441 TOP CHORD:2X4 No.l&Btr 91 DF -L TOP 16 10 BOTT 7-1=0.579 BOT CHORD:2X4 No.l&Btr 91 DF -L BOTT 0 __ 10 LL.DEFL.@7=0.10 < -------------------------------------------------------------___________________ L/240 WEBS :2X4 STANDARD GR DF-L ------------------------------------------------------------- STR.INC.: LUMB = 1.25 PLATE = 1.25 SPACING • 24.0 in. o. c. REPETITIVE STRESSES USED NO. OF MEMBERS = 1 DEFLECTIONO N.) L.L= 0.10,D.L=0.12,T.L=0.22 -`y .• N' .{. ? 4 � ^t! ! �. '�wr F, 1��.a�^� , PLATES ARE MITEK M20-165,142 MANUFACTURED, FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) PLATE MUST BE INSTALLED ON. EA. FACE OF JOINT,SYMMETRICALLY(EXCEPT AS SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS. UBC-ICBO.TPI-91 TOP CHORD BRACMf3 44r O.C. UNLESS RIGIDLY SHEATHED. fGM CHORD CONTINUOUSLY BRACED ® 10 O.O.C. UNLESS RIGIDLY SHEATHEI LATERAL BRACING OF WEBMEMBERS, WHERE REOUIRED AREAS SHOWN ABOVE FOR ADDMONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS RED,q) REFER TO TPI PUBLICATION HISM BRACING WOOD TRUSSES COMMENTARY AND REOOMME DAT10N.. �....:-••.-=t"""om-"-=-- -._.._ -- r—`.#�-._=..ca::�.a:�...::..<;s.,,;..,,,,:,a�,�_.x_ _ .. _ __...;� s�. Y , ' � 2 �.. � t �3M 9[� i'� .. I< ' s, SST N L �"}�!' �$.. w +s, 'T1. '�� -`y .• N' .{. ? 4 � ^t! ! �. '�wr F, 1��.a�^� , ... ..a `F' .,�• n.F:i�r;;h:' �....:-••.-=t"""om-"-=-- -._.._ -- r—`.#�-._=..ca::�.a:�...::..<;s.,,;..,,,,:,a�,�_.x_ _ .. _ __...;� TA, .. ! I (, A � y . is n O O •� t�. o o � n O O •� t�. I I -1-P I- � I - - -- Ij�lllll��� � �, _ �;- SII �i�ll;� __ ��I��ii�i If t I I I no, NOTES RESIDENTIAL PERMIT NO. 028-4.40-043 01-2120 840 AVACADO RD, BANGOR CONT: TOM GRAVISON COVERED PATIO uv r . f S, . f SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I JOB FINALED (Date) .Signature i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541� ++ P RM1 NO, (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 428"440-04.3, ZONING A,.. BUILDING PERMIT OWNER i TTY" -a; TELEPHONE 1. "_. SO. FT. OCC. BUILDING VALUATION CAW OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TW GMVI" TELEPHONE 't f 58(1-SS CONTRACTORS MAILING ADDRESS " 49% ."& WS DR., OWMIEs CA 95%r3 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 108.0 + ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 4.20 BUILDING ADDRESS 840 AM= RD. Energy Plan Checking Fee $ $ PERMIT FEE $198020 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: O M PAn(X 10' X 66' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is I GI W1 920.00 PERMIT FEE : ELECTRICAL PERMIT Fling Fee 20.00 ES Main Service 200A OR tESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fiA force and effect. License Class f`jr Lic. No. y OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. 3.5Qso. FT. NpµRalp MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET C1 R. EX. Occup. OUTLET OR FIXTURES SAL @ I.50 Ex. Occup.. ounFrs Aa DD_I E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with those provisions. forthwith 721 X . f`',:'f `-._ --Date �.�% _ Si a of Applicant` - ❑ Owner Contractor ❑ Age-n An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height:` ` Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 48+© HAZ. I D. FEES IMP FL D CDF PARCEL I PO H ISsl This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been �, �.,r F ; By «.�,� Date PERMIT EXPIRES ON " (Da provisions to do work paid. sF to) Receipt No. ' F WHITE-D.D.S.-W.D. CANARY -ASS I ESSOR 0 PINK -INSPECTOR GOLDENROD -APPLICANT d = OK / P Nat. or / /"L"ft./ PLPG 0 = Not OK Well Clearance & Disconnect - = Not Applicable MOBILE HOMES * = Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVER S,_QA RPORTS GARAGES (Plans) OK except #'s 1.. oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVER S,_QA RPORTS GARAGES (Plans) OK except #'s 1.. oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 7. 1. Zoning -Setbacks -Easements -Flood -Slope Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Piers -Fireplace Ftg.-Steel 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 9. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth Walls Studs -Nailing Spacing & Braces -Plates -Sound 5. Stemwalls, Main; Steel-Blockouts-Wrapped UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 11. 6a. Hold Downs and Special Anchors Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 7. Slab, Steel -Wrapped Card B-1 Date Card B-1 8. Piers -Fireplace Ftg.-Steel 40. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Walls Studs -Nailing Spacing & Braces -Plates -Sound 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 43. 11. Water Pipe; Test -Anchors -Regulator -Service Test Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 12. Electric Underground 54. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation Glazing Area -Glass Protection -Skylights -Plastic 16. Insulation 60. Brace Interior/Exterior Wall Panels 61. Date 62. Card B-1 Date Card B-1 Date Plb., Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date 79. PLUMBING (Permit) OK except #'s 80. 17. Water Htr.; Vent -Access -Combustion Air Baffle Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 18. Water Pipe; Test & Anchor -Nail Protection 82. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Stucco Brown -Finish 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes 82. Following Insild./Drive J Yes ❑ No/Walks :1 Yes J No/Planters ❑ Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection _ 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �%% 1�• as 9_05 6ct- h 0 r 9 g—qq—q3 51Ct 2 5 �2------------------- _o o� pa+.o h i J Q tr��c�►�� exp Q�G x APPROVED Butte County SFP 2 6 __ Environme tai Health /3';3 brasa�j�y� ►v/ `1 f / G ...... �, \_171 ��o�4� �rctt%I%. Ca d s e -- _-1 _-- Date Signature YYc � �l 1\'r"' 3 e, • �' JJV 1//V/�d� 110 Date 00 a ¢ , X if SEP 2 6 2000 County (;enter uriv, nmirille. C,p Butte County EnvironmntaI ealth Date 00 a ¢ , V r 0 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority -of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County. local regulations which equal or exceed these standards. Field inspections will be made by the Butte'County Building Department for compliance. [i( 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273..02 Surf,ace-.,_A1l,dr-iveway_surf aces _and.s.t ructures_(bridges,� // 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. Page 1 of -3., "r-11 -1 1273.04 Driveway Radius [�} 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet. radius; 2 feet.to those from 100-200 feet. [ 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�} 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum. of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. I Page 1 of -3., "r-11 -1 ��'--�- V -2-3 2-7 4&ff'� AP # PERMIT # NAME (�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but I less than 8.00 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet,.turnouts shall be provided no more than 400 feet apart. [�(J 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in -length and shall be within 50 feet of the.building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than ' the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where -a one•-way--roa-&-w -t-h- a--sing_le�traf f:ic- lane=_ provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parvels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi.ial inspection of a building permit. Page 2 of 3 • D O /S/q f0/ / AP # PERMIT # WA other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ) If Building Setback is Less Than 15 Feet. Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves —Interior automatic spr-,nkler system per NFPA 13D - Glass area not -to exceed 101k of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry �• Masonry=veneer--,..._._� o.., Metal Other Butte County Fire Department approved materials /0 Date Signature Page 3 of 3 S yc 05 n 0r ......... g�� �`7 g q y p I ,,�.�a�� �8�d � 4 gIcl, Wil' cly xis o 40 (o : ALL HAUMBEAF�ED OVERHANGS SHALL E CLRoAL EASEMENTS. _ A SET SACK OF �� FT. FROM THE SIDE AND s eC) �0 FT. FF THE REAR PROPERTY LINES AND $° FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF 'STRUCTURES AND EQUIPMENT EXCEPT O FOR A 2 FT. EAVE OVERHANG. 744 ale, OvErl A V s i d K I ^'t N r 'y�S:1t p1 ti4:1.4'i .y th ' N r v. . .... .... r A- CL cc.. T7 Alf 0 -_;IV .0e C 7.0- t fib. - Li I u` � o o `Z- ul 4.7 �V vl i � o o `Z- ul r= --=««ACES-32 Ver. 1.1»»===_______ [ 230786 ] ==========««'TROJAN»»== ====== Fri May- 29' 12 •03 :15 1998 • Customer iQ�e.P/ Truss ID : 28GE Family # 104 Project #:.8-0 Quantity : 1 Top Pitch - ¢/12 Span ________ =8Ld(4/2O/1998),V1 1______________________________ NOTES: 1 -Gable studs spaced at 16 inches o.c. 2 -Brace vertical studs in accordance with standard Sable end detail 3 -Continuous bearing provided along entire bottom chord 4 -Provide 1X4 plates at each end of gable stud unless otherwise noted 8 0 -0 —0 7-4 14-0 0-8 - • 7-4 6-8 6-8 , LJ 4X4 r Civil 3 lqJ� OF 3) 3X6 10-0 18-5-6 8-0 10-0 8-5-6 9-6-10 1X5 s :LECTION(IN.) L.L= O.0O,D.L=O.0O,T.L=0.00 ITES ARE MITEK M20-165,142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) ITE MUST BE INSTALLED ON EA. FACE OF JO I NT, SYMMETR I CALLY (EXCEPT AS SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS, UBC-ICSO,TPI-91 CHORD BRACING 0 24- O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD ITINUOUSLY BRACED @ 10' 0- O.C. UNLESS RIGIDLY SHEATHED. LATERAL ICING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE : ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS - XD) REFER TO TPI PUBLICATION HIB•91 BRACING WOOD TRUSSES ,AMENTARY AND RECOMMENDATION... r+' M9'&`TM i .l =-=««ACES-32 Ver. 1 1»»===_______ [ 665636 ] ==========««TROJAN>'»>========= Tue Sep 29. 13:01:38 1998 Customer v R.�,✓ i8COM #: Truss R. HL TO PK :15-2 . 15-2 HL TO PK: SFT HEIGHT:15- 0-4 SPAN:28-0 RISE 6 2 RIGHT HEIGHT:0-4 )ADING (PSF) _===MAX =STRESSES MINIMUM GRADE OF LUMBER----------- TOP CHORD:2X4 No.l&Btr 91 DF -L L D )P 16 10 BOT CHORD:2X4 No.l&Btr < L/240-- WEBS :2X4 STANDARD 91 DF -L GR DF—L )TT 0 8 LL.DEFL.@0=0.00 _____________________________ OCT 01 1998 LUMB 1. 25 NO. OFGMEMBERS ini o. C. :LECTION(IN.) L.L= O.0O,D.L=O.0O,T.L=0.00 ITES ARE MITEK M20-165,142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) ITE MUST BE INSTALLED ON EA. FACE OF JO I NT, SYMMETR I CALLY (EXCEPT AS SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS, UBC-ICSO,TPI-91 CHORD BRACING 0 24- O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD ITINUOUSLY BRACED @ 10' 0- O.C. UNLESS RIGIDLY SHEATHED. LATERAL ICING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE : ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS - XD) REFER TO TPI PUBLICATION HIB•91 BRACING WOOD TRUSSES ,AMENTARY AND RECOMMENDATION... r+' M9'&`TM i .l =-=««ACES-32 Ver. 1 1»»===_______ [ 665636 ] ==========««TROJAN>'»>========= Tue Sep 29. 13:01:38 1998 Customer v R.�,✓ i8COM #: Truss Toop1pitch 4/12 Project 28-0 antity MAX STRESSES TOP 1-2=0.441 Span- REACTIONS SIZE APPROVED FOR MITEK INDUSTRIES INC. TOP CHORD BOTTOM CHORD WEBS 1-2=-2179 5-6= 2061 2-7=-359 1=-1142 3.50 91 DF -L 2-3=-1908 6-7= 1439 3-7= 572 5=-1142 3.50 3-4=-1908 7-1= 2061 3-6= 572 4-5=-2179 4-6=-359 SPACIOFGMEM24.0ERS in. o. PLATE OFFSETS (X=LEFTY=TOP):07=3,21, OCT 01 1998 USED _ 7-6-5 14 0 20-5-11 ` 7-6-5 6-5-11 6-5-11 7-6-51"'; �`•` ��` :�;,.. - - 4X4 ,;:; _ ... 1 Yd--'v� 3) 5X6 3X4 10-0 18-0 i 28-0 10-0 8-0 10-0 1X5 s L. HL TO PK:14-9-1 LEFT HEIGHT:0-3-14 SPAN:28-0 R. HL TO PK :14-9-1 RISE:4-11-14 RIGHT HEIGHT:0-3-14 ------------------------------------------------------------------ -------------------------------------------------------------------------------- LOADING (PSF) MAX STRESSES TOP 1-2=0.441 MINIMUM GRADE OF LUMBER TOP CHORD:2X4 No.l&Btr 91 DF -L L D TOP 16 10 BOTT 7-1=0.579 LL.DEFL.@7=0.10-<-L/240--WEBS BOT CHORD:2X4 No.l&Btr :2X4-- STANDARD 91 DF -L BOTT 0 10 -GR-DF_L---- STR INC LUMB = 1.25 PLATE = 1.25 SPACIOFGMEM24.0ERS in. o. c. REPETITIVE STRESSES USED _ DEFLECTION(IN-) L.L= 0.10,D.L=0.12,T.L=0.22 PLATES ARE MITEK M20-165,142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) PLATE MUST BE INSTALLED ON EA. FACE OF JOIMT. SYMMETRICALLY(EXCEPT AS SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS, UBC-ICBO.TPI-91 €r. TOP CHORD BRACING 0 24.O.C. UNLESS RIGIDLY SHEATHED. BOTTOM CHORD CONTINUOUSLY BRACED ® 10 0- O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE FOR ADORIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REO -D) REFER TO TPI PUBLICATION HI13491 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION.. &9M OOUNT (�' LDING DEP®® AR I °T M04 ) Roy r -M. �. c.Oo €•-: �, GG l., �'• r•- .. yY 2 '::YS.{. �C _ 2w_.t u�yy. }} 'S �•l .. . ..a �_.S. _. II. YA• .,. _.. .. •.�h . - . _ . ^Sw Y... .- _ ...._ - - .i' - _ ..r .: ....✓' �._..,..... �. ��3�:, L � _tii-':..' ffio r ' V -rzz)��� 1/1 nr 1�x -c�J Jam` . • V 11 4;4 V -rzz)��� 1/1 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSO PARCEL NO. ZONING o ® OWNERa �. PHONE NO. -7 e'- 1 fav m• ✓s 409 OWN®ADD ESS iti n o r LOCATION OF BU`I'LDING /Ed 9 4 A%1oLceJo USE OF BUILDING us*.e _ SIZE OF STRUCTURE ,' , X - - SO. FT. TYPE OF CONSTRUCTION: ✓ WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOO� TYPE O oct QI r` ESTIMAT D COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ' � //SIDES� s FRONTy REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor'area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial buif8ing. 41 I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the re ' emen in effect at that time and before occupancy. Date ! Signature of Owner' Permit Fee - $69. The above described AG Building is exempt from a bui Ing permit. _::��}�� Com" RD PA C P.D. ROpF1D ISSU Receipt No. _` J Manager Building Div'!sion By Date White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT • Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _1+�M_ nq_ZONING WNER �detf&/ /—A Y . 'y,� i �� PHONE N �� 7 75 OWNER'S ADDRESS ff2l3eyx 113_J AAOr 'LOCATION OF BUILDING <g qp 'XI)a -A USE OF D41LDING SIZE OF STRUCTURE % ` �L' X �' = SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF, SJp� ROOF COVERT G FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:�� l FRONT SIDES �`1V REAR I v/f 12V2? AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comp) with the requir _ ents i ffect at that time and before occupancy. c� Date" / ' Signature of Owner Permit Fee - $@W -A 10q.9 The above described AG Building is exempt from a building permit. PARC P. . ROOF ISSUE Receipt No. J Manager Buildin Division By ' Date �� 0 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant .,�r..�-..`.-�-.. .� � y. -r .. � .-y,.:. .t,.�_ �.- ,may...-�-----+i -. `-- �-'r...,..+.�• ^ .-. .-. -•.-.` ..�. �.....r- - . _ _-�.-.�-+�'�....— a ,� t -r BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N. 1kd—An-1q--2 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER^/q P..— /s )��� V PHONE NO6, 9q.— Id 7 OWNER'S DRESS � i G LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE 'Xga'= SO. FT. TYPE OF CONSTRUCTION: / WOOD FRAME STEEL g// CONCRETE OTHER (Specify) TYPE OF SIDING/U oNg ROOF QQVERRII, G TFLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1 � FRONT 5" AmAt' SIDES 2-�j'MREAR Z o AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date - U L Signature of Owner Permit Fee - $60.00 �j The above described AG Building is exempt from a boding ding permit. �c/ Do F�D PAR L P.ly ROO G ISSU Receipt No. �/ Manager Building Division I©� By �' " Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541_ Pfaff (Rev.12/96) APPLICATION AND PERMIT l (J ASSESSOR PARCEL NUMBER 028-440-043 ZONING A-5 BUILDING PERMIT OWNER DAVID & KATJFJ&TNq TELEPHONE 679-10470 SQ. FT. OCC. BUILDING VALUATION cov 8,580 OWNERS MAILING ADDRESS 840 AlA A BANGOR. CA 95914 CONTRACTOR'S NAME TOM GRAVISON TELEPHONE IS99-9455 CONTRACTORS MAILING ADDRESS 4996 ROYAL OAKS DR. OROV=, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 81580 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDING ADDRESS 840 AVACADO RD. BANGOR Energy Plan Checking Fee $ $ PERMIT FEE - s][98-20 LOT NO. LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: OOVER PATIO 101 X 66' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in W force and effect. r 7 License Class Lic. No. J `'� 3 � $� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed R the permit is for work of a valuation of one hundred dollars ($100) or less.) FN I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cc with those provisions. X Date '���% ' ®� _ n Pre Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excava I g� eep and demolition or construction of structures over 3 stories in hei \ Main Service sow TO t 46.00 NEW CONST. DWELLINGOCCUP. SO U OR ADDNS. ( & ACC. BLDS. 3.5¢FT; =.EESIDT MULTI.OUTLET @7,50 'PsrWE EOPm�eruS OUTLET OR FDRUREs 4'00 Ex. Occup. BAL @ .50 Ex. Occup.OFIx s RLNs oREA� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 9 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 198.20 �HAZ. I D. FEES IMP I VD CDF PARCEL pp H ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. J t> �y By / ate A / PERMIT EXPIRES ON d� fDeto Receipt No. WHITE-D.D.S.- .D. CANARY -A ESSOR PINK -1 CTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 aev.12/961 I APPLICATION AND PERMIT Q 1'�MI o AIsEssORPAAMNUMBM BUILDING PERMIT owFe,R s CONSTRUCTION umat - - LENOER's MMLM ADOMS ARC04MECT OR EMNEER ARCWMCT OR ENONEER'S MOJUM ADORESS LOT NO. suawmaNIBI A! U 0FIlTRUCTUIIE SF O Duplex O Mobllehome Other TYPE OF New O Addition O R ❑ Lmaties Describe Work: (' _A ; "PERMIT FEE PA10 SRA - SHERIFF OTHER AMOUNT RECEIVED 0 le -1, *RECEIPT ru,MsaR [q /q " TO BE PVI' INTO COMPUTER Total valuation S Filina Fee s Permit Fee = Plan Checkin Fee s Energy Plan Checking Fee E PLUMBII Each Trap Solar orheat Water piping Each gas water Gas piping syst Buildin sewer Mobile Home S PERMIT FEE 1 $ ter heater sr or vent - 5 outlets PERMIT FEE I s 20.00 19 Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 20.00 ng Fee 20.00 23.00 40.00 @7.50 5.00 23.00 PERMIT FEE s M PERMIT Fling Fee 20.00 13.50 Ventilation j PERMIT FEE I S IMobile Home Installation Fes Is Energy Inspection Fee s 1 OCC T. rI)e TOTAL FEE _ INAZ O. FEEB I WP CDF I PARCa A'a iUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1 By Date PERMIT EXPIRES ON ELECTRICAL PERMIT Main Service 00OV oR LEss ZOOA OR LESS Main Service 20M To IOOOA NEW CONS CM T. ONS. Dwt31lAO 31lAOOCCUP. A ACC. aLDs. NM NOI4NES10. MUI.TFOUTLET POMIE7A AVPAMTIA a srrOlE O CIR. Ex.OCC OR FIrTUMs ! Ex. OCCu FV(E.;A PPLM. OR I 1810. EA 1 Te m orar Service I Mobile Home Facilities Misc. Wiring 20.00 19 Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 20.00 ng Fee 20.00 23.00 40.00 @7.50 5.00 23.00 PERMIT FEE s M PERMIT Fling Fee 20.00 13.50 Ventilation j PERMIT FEE I S IMobile Home Installation Fes Is Energy Inspection Fee s 1 OCC T. rI)e TOTAL FEE _ INAZ O. FEEB I WP CDF I PARCa A'a iUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1 By Date PERMIT EXPIRES ON .. ,.,,. ;••waw "sarV iii �f�.yaw��ti'.rayl, :-. • ..�r r4;.- R? + i.` :Af>i: rY^"•^, q rt'P �.F �..- •,w a�{�,._ - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT -SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: /V�ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: )� At time of permit application, I was advised the following data mu t b su mitted prior to permit processing and/or issuance: Date Received By 1. All items have been submitted-----------------------------------------------------------------------7-------------- lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ mplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- r 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!--------------7--- 06. ---❑6. Energy Design Compliance and supporting documentation.---------------------------------------------------- _ ❑7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------------v-------"---- _ ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ _ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ _ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- '3 loud elevation certificate. ------------ ----------------------------------------------------------------------- Sanitation and plot plan approv� Health Department. ------------------------------------------ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use.- (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- El 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner-Budder ---------------------------------------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------- E124. ------------------------------ ❑24. Letter of signature authorization. -------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- 027. Manufactured Home utility clearance. ---- ----------------------------------------------------------- ❑28. Existing violations and/or expired permits.--------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, O M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. (Date) ❑ Telephone and hold for pickup at office. RVeliver with inspector. Applicant:;v--_ Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air4ollutnionL Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Y; "Sets. of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Vr+llnn) (-'nrn, _ Tl>„�.i...o..r':..fTlo..ol.......,...� c..,.3_.-_ n --:u__ _ r�___• _ . Location Plan Appr-ovid,for: Sewage Disposal--*--, Water Sypply: ublic Private Well Clearance for'' dwelling.: Other 3 1P 4,6 4db, r� KATHLEEN ROBASON P.O. BOX205 BANGOR, CA 95914 BEAUTY 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 536-7541 FAX: (530)538-2140 Re: Building Permit # 00-2327 Expiration Date: 10/30/01 A.P. # 028-440-043 With reference to the above subject, our -records indicate that your building permit expires on the above date and your permit falls into one of the. category marked below: [X] Permit work started, but not completed. Permit may be renewed for '/i the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit. expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. YWrs very truly, C. Vieira, C.B.O. -, Building Inspection MCV:lt Attachments CC: DON SCRIBNER CONSTRUCTION, P.O. BOX 1038, GRIDLEY, CA 95948 Chico Office - 411 Main Street, Chico / 891-2751 0 NOTES RESIDENTIAL 028-440-043 99-2312 PERMIT NO.—ROBASON,-KATHLEEN J.' 840 AVACADO RD., BANGOR CONT: MONTE PRATT CONST. OPEN DECK/MH 11 SPECIAL CONDITIONS 1 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ✓ = ,OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ' 6. 1. Zoning Requirements -Setbacks -Easements ` 7. 2. Soils; Special MH Support Sketch P. 3. Sewer; Location -Test -Fall -C/O -Concrete 9. 4. Water; Location -Test -Easement Needed (Sketch) 10. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /"L"ft./ /'LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Setbacks -Easements Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 T, Date DECKS, COVE, CARPORTS GARAGES (Plans) OK except #'s 3!Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors U V 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric P. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Hangers -Post Caps -Anchors -Connectors 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 48. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 11. Water Pipe; Test -Anchors -Regulator -Service Test 51. 12. Electric Underground Property Line Firewall & Openings 13. Plenums & Ducts; Clearance -Material -Support -Ins. 54. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 15. Access & Ventilation 57. 16. Insulation Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts Date Brace Interior/Exterior Wall Panels Card B-1 Date Card B-1 Date 62. Card B-1 Date Card B-1 Date 87. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 23. Fixture & Transformer Clearance -Ins. Protection Comments at Final: 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Insild./Drive Q Yes ] NoMalks :) Yes Q No/Planters Yes p No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF"DEVELOPMENT SERVICES - BUILDING DIVISION `? 7 County Center Drive • Oroville, California 95965 a Telephone (530) 538-7541 P MIT (Rev. 12/96) APPLICATION AND PERMIT !ff ASSESSOR PARCEL NUMBER 028-440-043 ZONING BUILDING PERMIT , OWNER KATHLEEN J. ROBASON TELEPHONE7237 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS P.O. BOX 205, BANGOR 95914 CONTRACTOR'S NAME MONTE PRATT CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRE�280 LOWER WYANDOTTE ROAD, OROVILLE CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ -� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS 840 AVACADO ROAD, BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ 58 00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15(.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61-Ities ❑ Installation ❑ Other ❑ Describe Work: DECK Gas piping system 1 - 5 outlets 15:00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 +: V OR UE Main Service . 'OR LESS 23.00 LICENSED4,CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class � Lic. No. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the' work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR S. ( ACC. BLSS. 3.5Qso EW co M HOµRESID, C 97.50 PO VER APPARATUS & SINGLE OUTLET CSI R. EX. OCCU OUTLET OR FIXTURESBAL zo @ "00OWNER-BUILDER @ .50 Ex. Occup. oUTIETS REs o a� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation I PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall -not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that H I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fOl U with comply with thos rove ' n X Ili, 'ate _ Signa a of Applicant - wner�ontractor ❑ Agent An OSHA permit is require for excav Ions over 60" deep and demoli ' n or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE`l- T AL FEE $ 58.00 loccCONST. D FE IM I FLOOD COF PAR EL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By C� p ateq D PERMIT EXPIRES ON at. Receipt No. NXXNN 75 0YzEr 13 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - 1_ ASSESSOR PARCEL NUMBER ® '{ . z �o ZONNG BUILDING PERMIT OWNER A+W-'e , NE tT'M SO. FT. OCC. BUILDING VALUATION OWNER'S MAAJNO ADDRESS Oo �" a r gSgl , CONTRACTOR'S NAME C ��. NE /0o CONTRACTOR'S 1AA41 DRESS a �o LD - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER y UCS F/i_ J (�QG`yl`J Filing Fee $ 20.00 ARCWrECT OR ENGINEEA9 MAILING ADDRESS Permit Fee $ Plan CheckingFee $ eunDINOACDREss �O a Energy Plan Checking Fee $ A7 $ PERMIT FEE $ LOT NO. sue Ns PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ Describe Work: TYPE OF WORK Utilities ❑ stallla-tion11 ❑ Other ❑ �— �YUv %�/)) ;` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 OR LESS Main Service a0.A zoOOR LESS 23.00 . t � — -- -- - - -- — ; I r /7 / I Main Service Zow To IOWA 46.00 NEW CONST. DWELLING Or -CUP. SO OR ADDNS. 6 ACC. S.3.50so. NEW GUMT. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS lri0 7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES 20 O I'00 eAL 9 .SO EX. OCCU FIXED APPLM3. OR ouTLETs ESID. EA 5.00 —TemporaryService 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. TYPE TOTAL FEE HAI• D. fEES IMP FL000 CDF PARCEL I pp HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON Paw) »ar-�'��r`�'�"�'{r.,,i;;i�.`4`i'�=^`YZ''�''",��+'`�1C` 'ix�."`��',j'�"``�'�"''l.'�' �`�.::.�"t+7"<'�r"JC`�:�jl�M�"N;'1t�i'_fg��"`�J�i %"..y►��t;ti,,,t ,; l; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �&&SOn ASSESSOR PARCEL NUMBER: L1V " D lk5 Proposed Building Use: (t� Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit proces4ing and/or issuance: Date Received By ❑ 1 items have been submitted.------------------------------------------------------------------------------------- vro—;-Kolplans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ omplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- Ell. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ El 9X.' Home data and installation instructions including Tie Down Specifications .------------------ 1 U. Fees of $ i ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- (f�tY v13.Flood elevation certificate. --------------- - ----------------------------------------------------------- Sanitation and plot plan approval Health Department. — - ----------------------------- ,0 0 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval `for (A) Use: (B) Parking: ------------------- I 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for i required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ------------- -----------------------7--------------------- r � 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner')- -------------------------------------- 024. Letter of signature authorization. ----------------------------------------- ------------------------------------- ❑25. Rec'o'rded copy of Agricultural Acknowledgment Statement.-------------------------------------------------- El ------------ ----------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------- '----------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28: Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 030. Other: ------- (Date) P'1=p`bone u issue the t, rocess as follows ❑ Mail to owner, ❑Mail o contractor. FF— Xrl and hold for pickup at O� offi4;�2 ❑ D�elty ith inspector. Applicant: �r Copy of Haz-Mat form sent o Health Department, ❑ Fire Department, ❑ ' PoDate: By: Copy of plans sent o Health Department, ❑ Fire Department, o Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: /0 Yellow Copy - Department of Development Services, Building Division. V ��aM,27 .•y v�pA--v iY.s4m � .; rf {,. r ,i 7 s-. `y_'.. { !' ar ,, ✓�' ) ',.�'yt �ti. •r , r irr.,' t,* � rj4L11. „� rrl +4 !r°� t ��. $ r{..i, ',?�'r roq�+ .'�, I� " .. _ � +s r n �,f � r r -..r •F t ! It 1 � = y e rtmet n Budding p Pa TO {ntal Health>, 'Envifdnm e FROM'araence,' J ECT, Sarnta onCl SU.B. AP#. i ll � ° f�'�= , s•' - Location Private Wel )�h Water Su Ply'.ublic fill 1 Owner roveSewage pisposal Plan Approved for: for Ilin d Other — we g' I Clearance S- - ► { tor.!F \ i a r I n l� if t If T 4 4 Jl4 Y AtY hl e' I. r r ry 1.'. y yr.,+5 ( ,# �tYr +7i >i•k s, _a : y f 4b x7 •y, ¢ g .tis �5„}.: Holdb r f of r F a t nce O. K ?, y1. .$ i 1'} -.0 S Si ti nlS tt. 3 I>'• i 15174 I. Qd fg��tti. /kA"ait,Nk al cleara ( 7 � itl� AFI -i 1Y�: 1i -C r7 Y N t t,t r .A art 1, + f� Y i� r T.,, -. 1 , n i 3 ;R: Y _ rt 5 T 1' •c. A •+ p i f -t �``. j t +'.• x•} �' itk .•._F r K r : + +F t ) ,a.` r x s .T_ . r. k .,tt�,y, d„(k'.o:• Y. i{r . 4r1t L(�._.a. i'l,.'F•. C * +, i�I.. �� fr�� .. t ,.- .+w•<•f r if., ! 'R” '1f -5 J4.. .5:r •$t r x 5,. v 7-.a:i�l t 11 �`-.:f« tio +y tykt... j4 } Fwx ° .^�f.r i•c-nx/i,1sStwr . :�yS1 •''kiit� <+: Yr P_rF L eNOrL...i 7 � 017, '« K:t : _° %� �;` ,: '� ,� '"u, �tq),,4, � ,�`i ih � r aw. �. Y`i'�' 5 .:;yt,:}'� k t:.,s .. , t� i. yh jy 11 ,;fl).ate��`�� ;�'Sr•- .'�*;' y k '{.t: � }�-�t?y � i hr t. L;�r,r ,k ,;1!: �"k. �_ .C?/;p^fi y �.1,�;3 dt r #; w.. i{}.. µ�.r.G�f z��,�S%;r•tf:, .'?.s3., "GC� .�`h�st3?�ap;',z � �": �,G 'A � ! t , .rA, 9! ?i �.r ` y d;l . i .iP'. t, -c:;}` °.ct S +"'r. ( ti .4a "4, � ..) � � t �5 x , 5 T.J i°J°��:'�..f'r:�y �Ga�1"rf�}. 5'f: �'�-' ft'�.�'.«�3'.�n?4•,�� I. c' .;1. t; .,?'X}* r �!"�, Px%: •s r ,. s i135a W <p r 4. i}vi r A � *... ,. Y. � tii bre ,i. Uf n it . n. � i tt. ,....;, � ! SSa t z - ro .1 a kt k r h t y'� � t k k ;; i q'+r s i •r,x,��; r: 4t' 7• r;1,�a } .,r •w✓: •.' a a2`.,�' ury .r,�� 'd�'�ti'{{ Sit` iri`� rrr! a -�J J v r� r r(�Y�t'���'S�i�i.tc �{+15.:ttl'�ti�� 4F. �. 1 , � !' i .l, ( f 'F 3 •A' 1 I 't. Nk'� 7xryiG G� t k' r,'i• rK , r1 t( -;} p �,J t r..{P 0 r � i•, .+ .� c}r)t I Y & y 4 ILHealth` PeC�aUst r .. e , h3 :r f ,� f, y.;,t�r ,�^r?p c if•r"�j^571 Tint, .. `� l� v a: `.N'. OLIAUTY POR TABLE STORAGE SHEDS 6570 M471' 3d 75 ANDERSON. x'14 96007 530-3 i 8 - FI 53O-3 65-8056 BUITE COUNTY BUILDING DEPT FOR- KATTY ROBSON B,A-Ni GOR, CA 510-701-7366 THE FOLLUWII�TG ARE TIS SPECS FOR OUR 8'X 16GABLE SHED PREASSEMBLED AND DELIVERED ON FLAT BED TRAILER. ' BUFLT ON : 2- 4' X16' PRESSURE TREATED SKIDS 4,WlZI 2 X 4 FLOOR JOISTS ON 16" OC, -5/4" PLYWOOD FLOOR SIDE. WAI.LS ARE 2 X 4'S--- 24"OC SIDP\TG IS 5!8"---- T-1-11 RAKERS ARE 2 X 4'S---24"OC WM-12 X 6 .R:IDGE ROOF IS 1/2" PLYWOOD �W H 15LB FELT A D 20 YEAR CORIPOSITIGN SZ�vGLES /1 01. I SePfi�, S��PsI Loundlt„� _ O ;. Ap �. M t Ip�t„ ©m Shea 8 -SP& Xtg4hken Nbasant a$- qq-y,3 ✓ae,ac��, R� s� Cl, lz q z d� a 52- �99' � -- BUTTE COU r\j i y 3UILDING DEPARTMEN E ao+ +0 5 6ai-e- A PPROVED -r, VARIES o N x • - lik z � A ' 7�� O • r v1 �� 3(0" LJ 0. C b lik z a vO .� um m°11� I .' Co °>i L'1 g •• t J//HAMORAIL REIGHT r �1 m �- o m c rn 36 'MIN. STAIR ' -f,�, d,a N� n n S • O -P O ti x 74 N X�- s� lik 60� M� X�- s� lik 60� %Q O SkV3 co ". mm K m 77 03 Z C N 4 MAX. um I .' Co •• t J//HAMORAIL REIGHT MAX. rn 36 'MIN. STAIR b• -f,�, d,a n W I DT14 S 7a -P O ti 74 �. vA X May 1995 6.5 -,RECO►_QDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 19039-0G4374GD Recorded Official Records CoBUTYYTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON • Assistant 01:23PM 13 -Oct -1999 CONFORM .00 Maureen Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 2� INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KATHLEEN J. ROBASON REAL PROPERTY OWNEWLESSOR PO BOX 205 MAILING ADDRESS BANGOR, BUTTE, CA 95914-0205 CITY COUNTY STATE ZIP 840 AVACADO ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STAN' ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS cnY eourm STME ffi UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-1758 (530)538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 10/8/99 SIGNATURE OF LOCAL AGEN DATE NONE DEALER NAME (ifnot a dealer sale, write "NONE*) DEALER LICENSE NO. SKYLINE 1998 OAK MANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 06700121L" 66'X 26' ULI470443/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028_440-043 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept LEGAL DESCRIPTION A.P. #028-440.043 All that certain real property situate in the County of Butte, State of California, described as follows: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING A PORTION OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21, T18N, R5E, M.D.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH ONE-QUARTER CORNER OF SECTION 21, THENCE NORTHERLY ALONG THE NORTH -SOUTH CENTERLINE OF SAID SECTION 21 NORTH, 0 DEG. 58'14" EAST 652.17 FEET TO THE SOUTHWEST CORNER OF THE NORTH ONE-HALF OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE- QUARTER OF SAID SECTION 21 AND THE TRUE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTHERLY ALONG SAID NORTH -SOUTH CENTERLINE NORTH 0 DEG. 58'14" EAST 652.17 FEET; THENCE LEAVING SAID NORTH -SOUTH CENTERLINE AND ALONG THE EAST -WEST CENTERLINE OF THE SOUTHEAST ONE-QUARTER OF SAID SECTION 21 SOUTH 89 DEG. 58'23" EAST 3 57. 10 FEET TO A POINT ON THE SOUTHERLY RIGHT OF WAY LINE OF THAT CERTAIN COUNTY ROAD KNOWN AS AVACADO AVENUE; THENCE CONTINUING ALONG SAID EAST - WEST CENTERLINE AND SAID SOUTHERLY RIGHT OF WAY LINE SOUTH 89 DEG. 58'23" EAST 162.11 FEET; THENCE LEAVING SAID RIGHT OF WAY LINE SOUTH 0 DEG. 38'26" WEST 649.95 FEET TO A POINT ON THE EAST -WEST CENTERLINE OF SAID SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21; THENCE WESTERLY ALONG SAID CENTERLINE SOUTH 89 DEG. 47'23" WEST 523.00 FEET TO SAID TRUE POINT OF BEGINNING. - '~RECdRDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999-00434610 Recorded I REC FEE .00 OfficialRecordsI CONFORM .00 CountTEOf BUT CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Nikki 11:26AN 11 -Qct -1999 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KATHLEEN J. ROBASON BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 205 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BANGOR, BUTTE, CA 95914-0205 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 840 AVACADO ROAD 99-1758 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT B DING PERMIT O. TELEPHONE NUMBER BANGOR, BUTTE, CA 95914 10/8/99 CRY COUNTY STATE ZIP SIGNATURE OF LOC G FICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (ifnot a dealer sale, write "NONE") MAILING ADDRESS DEALER LICENSE NO CRT Comm SMTS RP UNIT DESCRIPTION SKYLINE 1977 OAK MANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 06700121L/A/B 66'X 26' ULI470443/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-440-043 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #028-440-043 All that certain real property situate in the County of Butte, State of California, described as follows: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING A PORTION OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21, T18N, R5E, M.D.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH ONE-QUARTER CORNER OF SECTION 21, THENCE NORTHERLY ALONG THE NORTH -SOUTH CENTERLINE OF SAID SECTION 21 NORTH, 0 DEG. 58'14" EAST 652.17 FEET TO THE SOUTHWEST CORNER OF THE NORTH ONE-HALF OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE- QUARTER OF SAID SECTION 21 AND THE TRUE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTHERLY ALONG SAID NORTH -SOUTH CENTERLINE NORTH 0 DEG. 58'14" EAST 652.17 FEET; THENCE LEAVING SAID NORTH -SOUTH CENTERLINE AND ALONG THE EAST -WEST CENTERLINE OF THE SOUTHEAST ONE-QUARTER OF SAID SECTION 21 SOUTH 89 DEG. 58'23" EAST 3 57. 10 FEET TO A POINT ON THE SOUTHERLY RIGHT OF WAY LINE OF THAT CERTAIN COUNTY ROAD KNOWN AS AVACADO AVENUE; THENCE CONTINUING ALONG SAID EAST - WEST CENTERLINE AND SAID SOUTHERLY RIGHT OF WAY LINE SOUTH 89 DEG. 58'23" EAST 162.11 FEET; THENCE LEAVING SAID RIGHT OF WAY LINE SOUTH 0 DEG. 38'26" WEST 649.95 FEET TO A POINT ON THE EAST -WEST CENTERLINE OF SAID SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21; THENCE WESTERLY ALONG SAID CENTERLINE SOUTH 89 DEG. 47'23" WEST 523.00 FEET TO SAID TRUE POINT OF BEGINNING. ,NOTES RESIDENTIAL/_7(t 028-440-043 99-tIt" t PERMIT NO. = ROBASON, Kathleen � 840 Avacado Road,- Oroville Contr: Owner 8 X 16 Storage Shed SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALE(Date) Signature CHECKED II BY ✓ = OK OK ° = No Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or / /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line FINAL (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 11. Cert. of Occupancy Health Department Approval 12. Permanent Foundation Only; License Decal Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .i = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (Single & Duplex) r Date Underfloor (Plans) OK except #'s Slab, Steel -Wrapped Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 9. 46. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Electric Underground 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 14. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 51. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 52. Property Line Firewall & Openings 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. i Energy Compliance Certificate -Other Certificates t 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive 0 Yes Q No/Walks 0 Yes J No/Planters 0 Yes p No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. i Energy Compliance Certificate -Other Certificates t 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ✓ . ' CQUNTY10F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541P RM1r 7. (Rev. 12/96) APPLICATION AND PERMIT �Q 77C- , � I ASSESSOR PARCEL NUMBER QlJ) ZONING BUILDING PERMIT OWNER KATHLEEN J. ROBASON 510 TELEPHONE 656-6253 SO. FT. OCC. BUILDING VALLA 2,304 . OWNER'S MAILING ADDRESS P.O. BOX 205, BANGOR, CA 95914 CONTRACTOR'S NAME NO OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 2,304 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35-10 BUILDING ADDRESS 840 AVACADO ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ff Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 8 X 16 STORAGE SHED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. OCl,.as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. ACC. OR ADDNSEW . ( 3 Soso. FT. n& NON-R61D. C @7.50 PSINGLE OUTLiT OWER APPARATUS CIR. Ex. Occup. OUTLET OR FD(TUREs e20 p 1:00 Ex. Occup. OF�rs AE�s D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections need not be completed if the permit is for work of a valuation DQof one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thosr isions. X % _Hate —7/nof Sig ure of Applicant - wner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspectio Fee $ Occ CONST. NTFEE .10 HAz D FEES PFLOOD CDF P C PD HD — e� S This permit is hereby issued under the the Buffe County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been Basi. (,D�a l 99 a 3 Date Receipt No. 273633/$109.10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT if— 1T ASSESSORPo �,, _ ILtD y / -� `—t `t ZONING BUILDING PERMIT OWNER � !4 �szry R3 S� TELEPHONE ��-�s�-�a33 SO. FT. OCC. BUILDING VALUATION OWNERS MAUNG A�Oj 7 !�J CONTRACTOR'S NAME—lJ TELEPHONE CONTRACTORS MAUNG ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ OC' ARCHITECT OR ENGINEERS MAUNG ADDRESS Plan Checking Fee $ / O BUILDING ADDRESS V �/) `JLi! Energy Plan Checking Fee $ S PERMIT FEE t /D LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECWY Each Tr 7.00 Solar or heat pump.water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 13/ Utilities ❑ Installation ❑ Other ❑ Describe Work: ���P Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F (9?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ow oa LLss 23.00 _ - ......... ------- -- • (� \� ` 1 l I J /f in Service 200A TO l000A 46.00 NEW CONST. DWELLING OCCUR 3.54 F7. OR ADDNS. 6 ACC. SS. ID NEW CONS MULTFOIRLET NON•RESID. 97.50 F)WER APPARATUS SING.OUTLET C0. L ®I.BAL .00 Ex. OCCUOUnET OR FDTTURES 2 50 Ex. Occup. oirrLETs PDAPRES1 .°� 5.00 Service 23.00 —Temporary Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hoodd 6.50 H Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 0 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL I PD I HD 6sUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON De/a OSx � ��) 6-D-0 c3 --- fl "s CO[IAY- &%O &TTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION rAr4�.•• 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE -(530) 538-754,1- " 'e , PERMIT APPLICATION DATA SKEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: 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 By c ❑1 All items have been submitted.------------------------------------------------------------------------------------- of plans, 3/4 sets, signed by the preparer of plans. - PJL -- -- ------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. - -- C----�.1!�L�Q(-►-- �� 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on phis. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Fonm.-------------------------------------------------------------- — -------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $", # ------------------------------------------------------------------------------------ 1. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- California Department of Forestry plan approval/fees. j ----h POEM ❑ 1 . Flood elevation certificate.--------------------=------------------------------ --------------------------------,-�-1 • 14. Sanitation and plot plan approval 4fb Health Department. ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.----------------- 1119. ---------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on b2 1. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- E130. ------- ❑30. Other: When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. []Telephone and hold for pickup at office. ❑ Deliver with inspector. _ (Date) Applicant:f Date: Copy of Haz-Mat form sent ❑ Health Department, 11Fire Department, ❑ Air Pollution Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D vision counter, by Da�� Plans reviewed by: Date: Plans approved by: Date: o . Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transferbY. Date: Yellow Copy - Department of Development Services; Building Division. fir' Plan Approved for: Sewage Dispos Clearance for dwelling.: Other S � 8` Environmental Health Specialist 8/96 r Alf Date " 1 l � V9, ,q" _ --� �fo5a. /9uk ' 1 Ln Cil Apo?0•„ Butte N cour�ty6y9.9s Le Environmental �Date c� "l] Q C�1 � X 5 , c U � o a� 1 M USE ONLY now prr-I 3 ' Hoo. PtmSent Building Department . T0: FROM environmental Health `learance SUBJECt San,tation C ' }- QV0Lab hASo;J AP# .:0 Location Location' Well.. a� Water SupplY: ,public Plan Approved for: Sewage Dispos Clearance for dwelling.: Other S � 8` Environmental Health Specialist 8/96 r Alf Date " 1 l � V9, ,q" _ --� �fo5a. /9uk ' 1 Ln Cil Apo?0•„ Butte N cour�ty6y9.9s Le Environmental �Date c� "l] Q C�1 � X 5 , c U � o NOTES RESIDENTIAL 028-440-043 99-1758 PERMIT NO..ROBASON, -Kathleen 840 Avacado Road, Oroville Contr: Monte Pratt 1. MH on Permf� F E � i OFFICE COPY I t Address �w GAS Meter. By Date ELECTRIC Meter By - Date( C ` f SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. r. FIRE SPRINKLERS REQ. h SPECIAL INSPECTION ITEMS iz VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t r OFFICE COPY i rAddress GAS I Meter By Dat ELEC i Mete y Date iJOE i 1. ?/=OK 0 = Not OK - = Not Applicable- * = Not Ready MOBILE HOMES ' Date WOBILE HOME UTILITIES (Plans) OK except #'s 9. Zoning Requirements -Setbacks -Easements 2. oils; Special MH Support Sketch Roof; Shthg-Roofing . 3. Sewer; Location -Test -Fall -C/O -Concrete 11. 4: ter; Location -Test -Easement Needed (Sketch) Electricity; L ion-Clearances-Grnd mp-Concrete Braced Wall Panels Gas; Location -Test -Wrap;-/ ` 1,VL' /1 t1 / P Nat. or/ /"L"N./ LPG 7. Well Clearance & Discorinect 8. Utility Clearance Date Card B- Date Card B-1 c Date Card B-1 Date Card B-1 Date MOB!HOME INSTALLATION (Plans) OK except #'s 1. on' g Requirements -Setbacks -Easements 2 ootings; Size -Spacing -Marriage Line E• A 3._ Gas; MH Test -Demand -Valve -Connector actr' pony; MH Test -Crossovers -Breakers -Clearances 5 rain; MH Test -Fall -Flex Connector i_6 ate,; MH Test -Regulator -Connector 7. 'Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. owns -Type -Installation Cert. K. Exits; Insp.-Sketch 11. Cert. of Occupancy Only; License Decal Date " / Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 (41 o 3/ ,SKyL�ti� �y I)% �6� b C, -76 6.1 -1-4 13 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rhrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing . 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s 7. 1. Zoning -Setbacks -Easements -Flood -Slope Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Piers -Fireplace Ftg.-Steel 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 9. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Walls Studs -Nailing Spacing & Braces -Plates -Sound 5. Stemwalls, Main; Steel-Blockouts-Wrapped UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 11. 6a. Hold Downs and Special Anchors Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 7. Slab, Steel -Wrapped Card B-1 Date Card B-1 8. Piers -Fireplace Ftg.-Steel 40. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Walls Studs -Nailing Spacing & Braces -Plates -Sound 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 43. 11. Water Pipe; Test -Anchors -Regulator -Service Test Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 12. Electric Underground 54. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation 16. Insulation 64. Smoke Detector Date 65. Card B-1 Date Card B-1 Date 66. Card B-1 Date Card B-1 Date 67. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 74. Garage Fire Door; Swing -Landing -Closure Date 75. Card B-1 Date Card B-1 Date 76. Card B-1 Date Card B-1 Date 77. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 89. Glass Protection Date 90. Card B-1 Date Card B-1 Date 91. Card B-1 Date Card B-1 Date 92. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade Date 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive ] Yes ❑ NoMalks 0 Yes J No/Planters Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations.of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. T C.,IJ Y, / v,t,L) Z d '/- H Ao),I) s Hty lU/Wz L1 r 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, CAlifornia' 95965 • Telephone (530) 538-7541 PERMIT fq— (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-440-043 ZONINGA T -s BUILDINGPERMIT I OWNER KATHLEEN J. ROBASON 510 TELEPHONE 656-6253 SO. FT. OCC. BUILDING VALUATION 1694 91,476 .OWNER'S MAILING ADDRESS P.O. BOX 205, BANGOR, CA 95914 CONTRACTOR'S NAME MONTE PRATT S & ELEPHONE T533-0487 CONTRACTORS MAILING ADDRESS 751-0700 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 91 476 ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee 6nj cin 19 $ 301.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome lb Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent :15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH ON PERM FND Gas piping system 1 - 5 outlets 15.00 1 9 -nn Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service "*.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, „ will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To I000A 46.00so WE11200A NEW CONST. DWELLING UP. OR ADONS. ( a Acc. eLDS. SO 3.5¢FT: =R.,MULTI-OUTLET TS @7.50 PSO aPPARATus a SINGLE OUTLET US CR. R Ex. Occup. OUTLET OR Faro BAL .so Ex. Occup. ounEis as D.oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ( I certify that in the performance of the work for which this permit is issued, I shall mot employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those isic s. X14,4-4 -t 4 C r 2ac — 2, WA,�-�G� Date111A A ! Sidkature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required fo excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE, �T L FEE$ ',/,452,/5 H z D. M Fyoo PAR D Iss kW This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I applicable provisions Resolutions to do work been paid. D(}ate? V a c� 4bt.) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT SCOUNT�' OF BUTTE -DEPARTMENT OF DEV,,-LOPMENT SERVICES - BUILDING DIVISION f t 7 COUNTY CENTER DRIVE - OROVILLE, CAL1F0 IA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: A 12 A- 400 A) ASSESSOR PARCEL � ER: � " �'? U " 0 k1% Proposed Building use: 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 By t ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ S;n mplete plans, 3/4 sets, signed by the preparer of plans. - I '.J ?)----- L�=APM �=��f-------- �Q04 (Zb Cin gineered plans, 3/4 sets, with wet signature on plans. All engineermg must a sho n plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117, --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118.. arzardous Mat 'ale ------------------------------------------------------------------------------------------ 71 rManufacture Ome7ata-and'mstallation instructions including Tie Down Specifications .----------------- 010. Fees of $ ------ Impact fees as shown on the attached schedule.---------------------------- California -------------------------- California Department of Forestry plan approval/fees. ��3-�'^----- ----F= --------- ------------ 1 lood elevation certificate. -----;-----q------------------------ -------------------------------------------------- tion and plot plan approval Health Department. ------------------------------------------- %- 34'�? _ ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval froun the City of Biggs. ------------------------------------------=--- ❑ 1T Planning approval for (A) Use: (314. _ (B) Parking:, -------------------------- ^` - �. Contact Land Development about ❑Improvements, ❑ Drainage, Legal Parcel. -��----------------� �/3u/�!% tEncroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's -license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner-Builder -------------------------------------------------------!--❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- ❑' 4 tter of signature authorization. -------------------------------------------------------------------------------- 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----=------------------- --------------------------------------------------------- ❑27 Manufactured Home utility clearance. --------------- ----------------------------------------------------------- Existing aio ti and/o 0433 A, ant D H. Ti k to H.C.D .--------------- -021109 C-130. ❑30.Other: ----__ / When you issue the permit, process as follows ❑ Mail to owner, ❑M ''1 to contractor. Velephone 0 and hold for pickup atO G ) office. ❑ Deliverwi inspector. Applicant:ir ate: 9 / Copy of Haz-Mat form sent o Health Department, ❑ Fire Department, ❑ Air Pollution D : By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: , Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division.counter, by'Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'vision counter, by Date - Plans reviewed by: Date: Plans approved by: Date: M Sets of plans on hold in ❑ Plan Cabinet; ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. r - s COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNERC)!j/-,5©,V A.P.#�0�7d^�T PROPOSED BUILDING USE /yI J,4 Pffh?44 . } O CJ N Q DATE "Z 9 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - = $ n viiiw �uu. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES 0 $ 10.00 (paid at Building Division) 7. SRA FIRE INSPECTION, AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC 73f 7-30 -?9 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT , DATE 2 J /J Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. ' The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) E.H. USE ONLY Plot Plan Attached Roar Plan A ached Sent to B.D. 3_! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C��� I� le e ►���A�� c�c� O L) — 3 Owner Location AP# Plan Approved for: Sewage Disposa\Water Su ply: Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist 8/96 as 1_26___qq Date G, S-0, / 7 6 VP: 9.r- — APPROVED Butte County Environmental Health 7 1 —30---p 9 -- Date --- �� ----- Signature _04 6-sa. I1. 0 �(3 QV L` -a --p cA 06 X Ui o 0 �(3 QV L` S & J HOMES.-. 4025 GRASS VALLEY HWY. AUBURN, CA 95602' 885.4555 o. 933-2666. A BEDROOM No.3 12'-80 q- -7 it 11� V • � t UTILITYtgo . m �vr Z 1, q.M lwl 311 go. DINING ROOM 12' I 7 / I LIVING ROOM 18'•40 rr If CATIEDR CEIIK KITQINI/0 MG/lNrl: ROOM ro n , � �1�'rr i CATIRAI/ C kXXIG U IAC? rsl AND 1 �- BEDROOM -IN �r•. T�--r1�y woac t0o `----------- �°-KITCHEN-- -� ° 001 RA6EG cOYEQ 2234/3/6626 3BEDROOM - 2BATHS - CATHEDRAL 11,694 SO.FT.) a r.t 000/ l°on.j 'f• ? ouor- S�eJe. IT Td.Y1okA + I;L bP oQ�a wea s ;- n•+.a2 d-ra­ko-� IS lana Q cabl�+s 3 4oQ dramas � , c_ ip C r� O U Cc LL -Q � i m < b c T� m°11 T 1 TL C T r Environmental Health J U L 3 0 1999 I CounV Center Drive Ornwille Ca MASTER BEDROOM No. 1 lr i CATIEOAAI MOK I I' .. i.. ZALZR. l._ ADVANCED HOUSING SYSTF!IS, IN(; S & J HOMES AUBURN, CA r ~RAKE SHIP'T") z� j Skyline 140AR ."ine. P.O. Boz 1870 Woodlirid, Cill6nla 9569 i 1916166"74 V 6 tS i� OAK -MANOR L. = s 3 s r _ ...� SERIAL NO. I SIZE • • DESCRIPTION iKM 2234-D. ,. 06-10-0577-K 66X26 BASE PRICE JANDAR6 EQU WMENT AkO FEATURES: • 9 )PTIONAL EQUIPMENT AND FEATURES: 30 LB RdOF LOAD SINGLE LEVER FAUCET' CHANDELIER 3"12 1#*GRATED DORMER RECESSED LIGHTS BUILDERS PACKAGE #2 FRONT DOOR PLUMB FOR WASHER REAR DOOk WIRE FOR DRYER. DETACEAtt RITCHE6 PERIMETER HEAT FObnAWN READY WIRE FOR AIR W SKYLIG#T DORMER GLAMOUR M -BATH LAP & O UNNS FRONT DOOR 60" 1 PC FG COMBO E$GE/BA& SPLASH ; ROUNDED T&T CORNERS CA$INET3 UPGRADE DRAPES VENT RANGE THRU ROOF SHUT OFF VALVES 18 CF kbER HOLLOWCORE CLOSET DISAWASHER CARPET DISPOSAL CARPET PAD ;UGGESTED PRICE, EXTRA CONSTRUCTION FEATURES AND MATERIALS: TOTAL MANUFACTURER'S SUGGESTED RETAIL PRICE • (See below$: DEALER FREIGHT AND SETUP: )EALER ACCESSORIES: FAXES AND LICENSES: ')EALER RETAIL PRICE: $52,282.50 T- $12,690.00 $64,972.50 Ooes not include freight, setup, %tate or local tares, fir.ense fees nr the cost of anv access%. ms artded by ttr dealer. Includes towbar Ihitch), wheels• wheel hubs and axles. Sorer tires, vvt1p ft. brake%• spritlg4 an(f Arles Are teused Afie, , a•elirt inspecti!�m Dimensions slateTd Io industry standards. "Ove►all length does not inrlt,de npproximmely 4' hitch ��`�4`-`.,.,.rv�,:,.�i��N"'AN"�w�t-vi�'�`"'t:�GJ+.rti,�';:;i•,r~t3i�:rint�Kt�tv=k`�'�E3��vth:+vKtt�"iC s'�:-`i1'"`��1.t`vt�r�+'+s^r��r•:�;�r�i�;qi,,:t,t'ir,•h,s,=�'�.....s�.:�4�r..w:,xr;;e•... " l ,zF w 0-5 2 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ; ;f (One form per Building) (4 ! tt School District fes„ /, �U It �� r Building Department No. a A.P. Number �- -+ (lo, 0Lt3 Jurisdiction: City ©County f; Y{ rt • ' Pfoperty Owner k�T —QQf ./ 42 1SA69 A.) Property Location/Address gN / / 1 / A C. 4 Subdivision Lot No. r. Residential Development Commercial/Industrial tract Identification No. ? ff (St Address) (City) (Floor Plans reviewed by School District', 000015; ' i !, f� chool District certifies that 7 0 / �U ( pplicant) C -5 has complied with the requirements of Resolution No. represenprtg / �jq square feet. School District Representative Paid by Check q Remarks: (State) (Phone �Number) / < lJ � l (Zip Coder p by payment of $ AB 2926 $ FULL MI TION $ r7l& 19, 9 Date A 11-35//21 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ' ' feeform.x1s 00/98)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 1999-01032423 Recorded Official Records County E f CANDACBBEUUTTJT. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:33PM 30 -Jul -1999 REC FEE 10.00 CONFORM .00 Nikki Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT G Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort 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 agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ,6e; n 5 A �eri-c o n ©� y . S. W . O rte - e gut wF,e ✓ 0 �- ` Ota_ .5-G. One-- (,lux u -lam. ✓ o T / 8 N, P'6E, H11). I!, SEE ATTACHED LEGAL DESCRIPTION Date JULY 30, 1999 State of California County of Butte I)RO.ERTY OWNERS: On July 30, 1999 before me, Michelle A. Miller. Notary Public personally appeared Kathleen J. Robason personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS i vliand and official seal Signature / 16CC6666CC (tet", f /GCe-Ee-K, Seal: ELLE A. MILLER Cwmbft 01178414 Mh CPS) (�faftyPdft A.P. # J 7 o � C=Po•C 1oMb MY Cawhftfip, AM 9, 2002 �a�-r-►-ALL— 20 r3 kasc BUILDING PERMIT SITE PLAN CHECKLIST APN: O2Li O ' Cd t -i 3 Building Permit No.: Proposed Use: SFD O MHO Res. AccessoryO , Ag. Bldg. O Commercial O Industrial O Other: Zone. District: General Plan: The Proposed Use Is: Permitted: Not Permitted: Requires a Use Permit: Requires a Minor'Use Permit: Requires an Administrative Permit: Accessory Bldg. Use: Parcel Created By Map? No: Yes: Book/Page Map Conditions? No: Yes: , See reverse side 4 M1 Use Permit: Variance: Dev. Agreement: o _ Applicable Setback Zoning Code Streets & Hwy. Fire Prevention Subdivision Map Front 2p ��e✓ Side 13 0 Side, street Rear S 3 Height -' Parcel in Land Conservation Agreement? No: � Yes: , Check Use Parcel in North Chico Specific Plan? No: -j' Yes: , Check NCSP Zoning Parcel in Floodplain? No: Yes: , Zone: Panel No.: 0 C,00) Parcel in Enterprise Zone? No Yes: ,Check Use Commercial/Industrial Uses Parking Requirements: OK as shown Other: Landscaping Requirements: OK as shown Other Comments: NO P l,Kilk,y Reviewed By: Date: M I • • • IM • 'MSI I : I I r I 11/ I7 i ' / —1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced by planting replacement trees of equal number and not less than — gallon size. . .:: 1.. , _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to &-- retained as part of the project, shall be fully protected through the use of root protection zones (RPZ). During conamxdoti, RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the trunk to tie dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed. The RPZs shall be maintained after the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed. _3. Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at _ least 16" above the ground and the upper strand shall be no higher than 48" above the ground _4. Pay the required CSA 87 Traffic and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambed the following entitilements mast be obtained: a California Fish and Game 1604 Streambed Alteration permit and an Army Corps 404 permit or exemption certificate. _6. Pay the current West Chico Fire Station Fee of $75. —7. Pay water tender fees in the amount of $200 to Battalion Number of the Butte County Fire Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. _ 9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish Game at 916-355-7010. —10. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $750 as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 11. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. —12. —13. 14 K:IBLDCC H4.FR.M 2 U �0.+ l O �� Shea Kr7-4 h) e �e h )J o ba.50n 0, box a 05- CL SC- ha v r, C A- 9 ;3- qq-y3 Fu iuce. C-:KLIT ACL LoL c) Rj y Cr hio-f +-o 5 Ccl- e— CDF FIRE SAFE REQUIREMENTSS I f1F_/ ;76 / Idg ± AP# PERMIT # N Under authority of PRC 4290, the.following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these .standards. Field inspections will be made by the Butte County Building. Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of II curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum'of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3. AP # PERMIT # NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet -of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic.on that roadway. [ J 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi.ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or -Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signatur Page 3 of 3 1. Owner's Name: I 2. Assessor's Parcel Number: o�g — y`7 3. Installer's Name: 6 4. Is the site currently under permit? Yes(9 NoM Permit No. 5. Is the site an existing site? Yes[ J NO (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /Qd Amperes. 7. What is the mobilehome site circuit breaker rating? ,/ 00 Amperes. 8. What is the electrical rating of the mobilehome site? ol- 00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ of No[ ] If yes, please identify the load and size: a) The mobile home site: W 0 0.0 Load- Go_)x (_"_ Amperes- 9 b) The main service: Load- Amperes - 11'. Type of gas service at mobilehome, site: Natural[ ] Propane[dNone[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: • inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?r)(1). 14. What is the mobilehome gas demand? a B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). 3a x THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION .rAUILDINGUEPA� May 1995 P P 0 VF. M.H.L- 2 . Mobilehome Manufacturer: 5xq .11 n -9-1—ManufactureYear: 19 % 8 If other than single wide, furnish Setup Model Number: 01 ai K411€ 120 -5A -Sac, - AQ4� 7-8- q'A —q3 REVIEWED 0'1 0MINEE1M10 DEPT ISSUED III ICILLO91-U9 SMICES DEPT. • tltf,l n aI. �saar, UNDERWRITERS LA90MATORIE9; INC. 12' 4'-10'00 1 r"1 I , . 1 b 0 IL L 1590] 15405 2210 19i0j ,>0lDb 7jD !" �010j 700 1"1 415z) -1 475, -� ' L 35" utak soao� I it �- i L�12' 6' I1'-10' '-4' .10'-10' Id---� cr I 13 �' CENTERLINE SUPPORT REQUIREMENTS rn M 11115 SHECI W 81: 1NSCHIED AIIH SUPPI(MENT 10 FIELD INSTAIIAIION MANUAL 1 IFOR Mf ROOF SNOW ILIAD. SU ABOVE PRIM fOH 1.MO REOIAREANES. Go 300 ROOF 1,IVt WA0 sero-3Ck-28-CATH p) 11u:..Mh.9321 VCA ..,. I _.. tL S1 DRAWN DY : Rm[R DAZE: 06-01-93 2234 fci - I A ALA01011710Rn61}K6IDR/1 1 -CV" III T k IOLt-le r 6 r 4 rr0 PRs —1I 0 i OW {PADS �/iiff II E JR �a ��• 4 �pp A'C I- VAR/L7 S z � — 9� A ��jl / y I rae. srnnvecare iw PO. BOX 7A9 rr / ��'/' E JR �a ��• 4 �pp A'C I- VAR/L7 S O• M/N Q1� ��jl / WOOD Fmoneerin& Inc. ' LLmraYOAwt�nVkh+D+� 91730 RM/CMO CUCv1MONOh G "10 `°°°"°°�D°' "�"°°'°°"°'D� -- SYSTEM rae. srnnvecare iw PO. BOX 7A9 rr / ��'/' MODEL NO: 3K-6 HIM. R M C l� N u a T 5 Z a�MANUFACTURED 4 * y� HOME FOUND_ ION MANUFACTURED HOME FOUNDATION WOOD Fmoneerin& Inc. ' LLmraYOAwt�nVkh+D+� 91730 RM/CMO CUCv1MONOh G "10 `°°°"°°�D°' "�"°°'°°"°'D� -- SYSTEM rae. srnnvecare iw PO. BOX 7A9 rr / ��'/' MODEL NO: 3K-6 3 D •N 1� y DEW 61 1 - - a � D > HAq 4"X jj' CDIP . Y �m mA " pp8p A 8Z yA� HIM {m� ��au FNO ���c�F171��,�ij l� � a • � 2 /7•noMCLeAR d " 4eirrawaeAMg N g d EDC f0 o 1. ioo OD 4314 a�MANUFACTURED 4 * y� HOME FOUND_ ION MANUFACTURED HOME FOUNDATION WOOD Fmoneerin& Inc. ' LLmraYOAwt�nVkh+D+� 91730 RM/CMO CUCv1MONOh G "10 `°°°"°°�D°' "�"°°'°°"°'D� -- SYSTEM rae. srnnvecare iw PO. BOX 7A9 rr / ��'/' MODEL NO: 3K-6 3 D 61 1 - - a � D > HAq 4"X jj' CDIP . Y �m mA " pp8p A 8Z yA� HIM {m� ��au FNO ���c�F171��,�ij l� � a • � 2 /7•noMCLeAR d " 4eirrawaeAMg N g d EDC f0 o 1. ioo OD 4314 a�MANUFACTURED 4 * y� HOME FOUND_ ION MANUFACTURED HOME FOUNDATION WOOD Fmoneerin& Inc. ' LLmraYOAwt�nVkh+D+� 91730 RM/CMO CUCv1MONOh G "10 `°°°"°°�D°' "�"°°'°°"°'D� -- SYSTEM rae. srnnvecare iw PO. BOX 7A9 rr / ��'/' MODEL NO: 3K-6 9 i kGy' MANUFACTURED kGy' MANUFACTURED MANUFACTURED WOOD Enoneerha, Em HFFOIJNDAUHU HOME FOUNDATION j, 5 Li FOR, SKYL/NE I.ORPOR.4TXNATCLACAPAONGIA. LA+Y1raY�ilYnfMneYAYfIbLhY1t� 8Y8T M 10040FOCAML eourvnan A 91M A+ P.O. OOX 743 ELKIURi IAV.Idi/9 (0 RAKICF� 1900i ""106 I MODEL NO: 8K-6 ,t�n-4 h ) p- e n )�oba5o►i P. ®• Y3 ox a os ,)ahao r) C A- 9,5-q /q ag-- qq-y3 CY o�,�� o; J 6" 5 e �u iu.�er �O tn1-4 522,9y, fio-t -i-C 5 Caj CDF FIRE SAFE REQUIREMENTS Agg 01 AP# PERMIT # NAME Under authority of PRC 4290, the.following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be'superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building -Department for compliance. [K] 1272.00 Maintenance of Defensible Space. To ensure continued Page 1 of - 3- , maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum'of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3- , AP # PERMIT # NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet -of the building. 1273.11 Gates [�} 1. Gate entrances shall be at least two feet wider than the roadway it serves. [J`] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [{� 1. All parvels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels les.s than 1 acre, local jurisdiction shall. provide for the same practical effect. See Other Requirements below. i] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi:ial inspection of a- building permit. Page 2 of 3 0 AP # PERMIT # NAME other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] if Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Page 3 of 3 gnatu 119 // 5;dir IN DO qx / +recied g' w Ldp- POLP- 6 1 e - Do c) r- 0 TTF COt o a So rL Nan 0 A 95 -?/l 9 k, -0 a Q - all rl l�IV N v 7*11-11 UY6 h,% -.W• t _poor II t X(O o • 9wtr ,coo culD E;I E .s -- — — — RLD PXC� � = aur � o iP ` BUTTE COUNTY �,h �D 3 f� BUILDING aoo www x x x .�.— --- �- r ridge _poor II t X(O o • 9wtr ,coo culD E;I E .s -- — — — RLD PXC� � = aur � o iP ` BUTTE COUNTY �,h �D 3 f� BUILDING • RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE. OROVILLE CA 95965 COPY of Document Recorded 13 -Oct -1999 1999-0043740 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KATHLEEN J. ROBASON REAL PROPERTY OWNEMESSOR PO BOX 205 MAILING ADDRESS BANGOR, BUTTE, CA 95914-0205 CITY COUNTY STATE ZIP 840 AVACADO ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STATF ZIP SAME UNIT OWNER (if also property owner, write 'SAME') MAILING ADDRESS cnT COUNTT STATS ra UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-1758 (530)538-7541 BUILDING PERMIT N0. TELEPHONE NUMBER 10/8/99 SIGNATURE OF LOCAL AGEN DATE NONE DEALER NAME (if not a dealer sale, write 'NONE ) DEALER LICENSE NO. SKYLINE 1998 OAK MANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NA.M NUMBER 06700121LA/B 66'X 26' ULI470443/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. #028-440-043 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - BurldbV Dept LEGAL DESCRIPTION A.P.#028-440-043 All that certain real property situate in the County of Butte, State of California, described as follows: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING A PORTION OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21, T18N, R5E, M.D.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH ONE-QUARTER CORNER OF SECTION 21, THENCE NORTHERLY ALONG THE NORTH -SOUTH CENTERLINE OF SAID SECTION 21 NORTH, 0 DEG. 58'14" EAST 652.17 FEET TO THE SOUTHWEST CORNER OF THE NORTH ONE-HALF OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE- QUARTER OF SAID SECTION 21 AND THE TRUE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTHERLY ALONG SAID NORTH -SOUTH CENTERLINE NORTH 0 DEG. 58'14" EAST 652.17 FEET; THENCE LEAVING SAID NORTH -SOUTH CENTERLINE AND ALONG THE EAST -WEST CENTERLINE OF THE SOUTHEAST ONE-QUARTER OF SAID SECTION 21 SOUTH 89 DEG. 58'23" EAST 357.10 FEET TO A POINT ON THE SOUTHERLY RIGHT OF WAY LINE OF THAT CERTAIN COUNTY ROAD KNOWN AS AVACADO AVENUE; THENCE CONTINUING ALONG SAID EAST - WEST CENTERLINE AND SAID SOUTHERLY RIGHT OF WAY LINE SOUTH 89 DEG. 58'23" EAST 162.11 FEET; THENCE LEAVING SAID RIGHT OF WAY LINE SOUTH 0 DEG. 3826" WEST 649.95 FEET TO A POINT ON THE EAST -WEST CENTERLINE OF SAID SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21; THENCE WESTERLY ALONG SAID CENTERLINE SOUTH 89 DEG. 47'23" WEST 523.00 FEET TO SAID TRUE POINT OF BEGINNING. BUILDING PERMIT NUMBER: 99-1758 Address or location of unit: 840 AVACADO ROAD, BANGOR, CA 95914 Legal Description of Real Property: A.P. #028-440-043 SEE ATTACHED - (x) Mobilehome/Manufactured Home' () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: KATHLEEN J. ROBASON Owner's address: PO BOX 205, BANGOR, CA 95914-0205 INSIGNIA OR HUD NUMBER:ULI470443/4 SERIAL NUMBER OR V.I.N.: 06700121LA/B MANUFACTURER'S NAME: SKYLINE YEAR: 1998 OFFICIAL APPROVING INSTALLATION: DATE: 10/8/99 j PHONE: (530) 538-7541 H.C.D. 513C i OEPARTWja OF MOUSINGSTATE FOOTVI p ITY OEYELOPMW RE6ISTRATION'ANOSTITLI 6 SECTION _ _ • _ VATFJENT OF FACTS Is unit is. a: Mobllehome ❑ Commercial Coach = :a (License) No. (s) Trade: Name ❑ SeriFloating Hong al No.($) uLtgv°gq3 o��M�•,,1o(P - 70 -o� z -3 le, the undersigned, hereby state that the unit described above: N., Truck Camper V10'C orJ 19F4rA^ _ A-T_coff` 4 T- 1-3,40 ti o CA ?/I,/ cant further agrees to indemnify and save harmless the Director of Housing and elopment, State of California, and subsequent 9 Community suffer resulting from registration of the abgye�-describedfunitsaidinnCalitornfor aay ar°.sfrthe,� uance of a Cal ifornia._certificate of title covering the same. e certify under penalty of perjury that the foregoing is true and correct. cuted on d 7 at A4& ✓il (E - te (City) c' A - (State) (State) inature ov" •ayf A. 2 less 122 MAe� 476.6 (Rev 11/86) AUG 3 0 1999 BUTTE COUNTY Printed name of each affiant ---1'(Z L(Y � f State . C-4 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. c� �p AND I�HE.\ RECORDED DIAIL TO: KATHLEEN J. ROBASON 4614 FANWOOD TERRACE FREMONT, CA 94538 e ' exal A. P.N.: 028-440-043 Order No.: 1 999-00 1 7667 Recorded Official Records CaantyEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 26 -Apr -1999 REC TAX FEE 10.00 44.00 Myles Page 1 of 2 Above This Line for Recorder's Use Only 1 GRANT DEED Escrow No.: 173382 THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $44.00 IX J computed on full value ofproperty conveyed, or computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] City of _,and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST hereby GRANT(S) to KATHLEEN J. ROBASON, a married woman as her Sole and Separate Property the following described property in the unincorporated area, County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST By: HENRY T. RUNGE, JR., TRUSTEE Document Date: April 19, 1999 TTE t:,'pu' + . � JU t-N!�l1h! STATE OF CALIFORNIA )SS COUNTY OF Butte ) On April 23, 1999 before me. Michelle A. Miller, Notary Public personally appeared _ Henry T. Runge, Jr. , Trustee personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of 'hi cqn(0_&ctq4 a ec ed e ' m t. WITNESS my hand annd.offii%cial seal. MICHELLE A. MILLER ' �`/Jfe� /LLL�1C ComrnWon #1178414 Mfr CPS1 _ . •. Signature t. CL' C Notary Public Butte County. Collfomla i r official notarial seal. My Commission Esp. APR. 3, 2002 Mail Tax Statements'to: SAME AS ABOVE or Address Noted Below RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: KATHLEEN J. ROBASON 4614 FANWOOD TERRACE FREMONT, CA 94538 ORO -C A. P.N.: 028-440-043 Order No.: 1 999-00 1 7666 Recorded OfficialRecords Count BUT TE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 26 -Apr -1999 REC FEE 13.00 Myles Page 1 of 3 Above This Line for Recorder's Use Only Escrow No.: 173382 INTERSPOUSAL TRANSFER GRANT DEED (Excluded from reappraisal under California Constitution Act 13 A Let seq.) DOCUMENTARY TRANSFER TAX $ NONE This is an Interspousal Transfer and not a change in ownership under §63 of the Revenue and Taxation code and Grantor(s) has(have) checked the applicable exclusion from reappraisal: [ I From Joint Tenancy to Community Property [ I From One Spouse to Both Spouses [XI From One Spouse to the Other Spouse [ I From Both Spouses to the Other Spouse [ X l Other: IT IS THE EXPRESS INTENT OF THE GRANTOR, BEING THE SPOUSE OF THE GRANTEE, TO CONVEY ALL RIGHT, TITLE AND INTEREST OF THE GRANTOR, COMMUNITY OR OTHERWISE, IN AND TO THE HEREIN DESCRIBED PROPERTY TO THE GRANTEE AS HIS/HER SOLE AND SEPARATE PROPERTY. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, GRANTOR ROBERT E. ROBASON, a married man hereby GRANT(S) to KATHLEEN J. ROBASON, a married woman as her Sole and Separate Property the following described property in the unincorporated area of, County of Butte State of California; See Exhibi attached he a and made a part hereof ROBERT E. ROBASON- Document Date: April 19, 1999 STATE OF CAL COUNTY OF I On GRANTOR HAS NO RECORD INTEREST roved tome on the basis of satisfactory evidence) to be the persono whose name96 is/are-subscribed to the within instrument and acknowledged tome that he/eheMMy executed the same in his/herOdnir authorized capaciry(jWland that by his/het'd+eir signature{ 6 on the instrument the personyi or the entity upon behalf of which the personfj�j acted, executed the instrument. WITNESS my hand and official seal. (( �Ix / . r MICHELLE I3000SIAN Signatu (� L.0 C.� COMM. #1193M NOTARY PUBLIC . CNOMNtA �nxr �li�r irxnnrmtxnnrnrtxwrtrwatlt Mail Tar Statements to: SAME AS ABOVE or Address Noted Below EXHIBIT "A" DESCRIPTION ORDER NO. BU -173382-3 THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING A PORTION OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21, T18N, R5E, M.D.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH ONE-QUARTER CORNER OF SECTION 21, THENCE NORTHERLY ALONG THE NORTH -SOUTH CENTERLINE OF SAID SECTION 21 NORTH 0058'14" EAST 652.17 FEET TO THE SOUTHWEST CORNER OF THE NORTH ONE- HALF OF THE SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SAID SECTION 21 AND THE TRUE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT OF BEGINNING, NORTHERLY ALONG SAID NORTH -SOUTH CENTERLINE NORTH 0058'14" EAST 652.17 FEET; THENCE LEAVING SAID NORTH -SOUTH CENTERLINE AND ALONG THE EAST -WEST CENTERLINE OF THE SOUTHEAST ONE-QUARTER OF SAID SECTION 21 SOUTH 89058'23" EAST 357.10 FEET TO A POINT ON THE SOUTHERLY RIGHT OF WAY LINE OF THAT CERTAIN COUNTY ROAD KNOWN AS AVACADO AVENUE; THENCE CONTINUING ALONG SAID EAST -WEST CENTERLINE AND SAID SOUTHERLY RIGHT OF WAY LINE SOUTH 89058'23" EAST 162.11 FEET; THENCE LEAVING SAID RIGHT OF WAY LINE SOUTH 0038'26" WEST 649.95 FEET TO A POINT ON THE EAST -WEST CENTERLINE OF SAID SOUTHWEST ONE-QUARTER OF THE SOUTHEAST ONE-QUARTER OF SECTION 21; THENCE WESTERLY ALONG SAID CENTERLINE SOUTH 89047'23" WEST 523.00 FEET TO SAID TRUE POINT OF BEGINNING. �, � RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUELDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 11 -Oct -1999 1999-0043460 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KATHLEEN J. ROBASON BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNEWLESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 205 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BANGOR, BUTTE, CA 95914-0205 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 840 AVACADO ROAD 99-1758 (530)538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT B DING PERMIT O. TELEPHONE NUMBER BANGOR, BUTTE, CA 95914 10/8/99 CITY COUNTY STATE ZIP SIGNATURE OF LocAtAggNeUFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME') DEALER NAME (Tfnot a dealer sate, write *NONE*) MAILING ADDRESS DEALER LICENSE NO CnY COUNTY STAYS W UNIT DESCRIPTION SKYLINE C19y_ OAK MANOR MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAME/NUMBER 06700121L/A/B 66'X 26' ULI470443/4 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNL4/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-440-043 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept �M IMM, KFIEETT 11 OT9 I H IF 1919 tj In if4l 0-- j4Z -5VOIFILUNG DE -PAR" fitVE-NI'l N M Approvui of '! * . , Plans dot's not authorize or ap- c"!r c'. (evir,,, :on from requirements pians 5WI be available on Ste i'a of C-riliforma DeParftr,,nf of Housillo and Community Dgyelopmen, Divicic;,-. of building and Housing Standards Nn.__� 0 /, U' - -'- - --- -------` ' - '~'-' ^---- -- - '----' - -------- ---~-[ - - '--~ -'~-~~^�-- Q|