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029-142-006
029-142-006 PERMIT#94-1473 ROLD, FORREST 1218 RICE AVE., RICHVALE DEMO SF 029-142-006 PERMIT#94-1909 ROLD, FOREST . 121,8 RICE AVE. RICHVALE CONT: THEVE06S CONST. NEW SINGLE'- FAMILY 029-142-006 PERMIT#95-2111 ROLD, Forrest ` 1218 Rice Ave., Richvale� Cont: Skycrest Homes -New Pri Det Garage 029-142-006 PERMIT#95-2112 ROLD, Forrest 1218 Rice Ave., Richvale Cont: Skycrest Homes Mobilehome on Perm Fnd / p�i 0 ;°RESIDENTIAL 029-142-006 PERMIT#95-2112 ROLD, Forrest 1218 Rice Ave., Richvale Cont: Skycrest Homes Mobilehome on Perm Fnd /0 '-3./"9—z 7c7o-0 OFFICE COPY Address I I GAS Meter By v Dat ELECTRIC / r• Meter By Dater' `JOB FINALEP D t L _ `" Signature J=OK O = Not OK , = Not t Applicable NotMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh '10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Re dy RESIDENTIAL (; ' = Date UND LOOK (Plans) OK except h's Zo 'rrg-Setbacks-Easements-Food- ope Ftg., Main; Soils-Elec. Grnd.- a Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 4. Hold Downs and Special Anchors ab: Steel -Wrapped 8. P -Fireplace Ftg.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------- ----- - ----------------- 19. - Shower Pan: Test. First Floor -Tub Access --------- -------------------------------- 20. Test -Tub & Shower. -- Second-- Floor -Tub Access ----------------- ------------------ - - 21. Gas Pipe: Size & Anchors Date Card B-1 -- -Date -- - Card B_1 -------- -------------- ------ ------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ---- - - ------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ---------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------- - ------------------------------------------ 25 Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------- ------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---- ----------------------------------------------------------- 22. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or Al ---------------------------------------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Y ------------ --------------------------------❑ --es ❑------------ No --------------------- ________ 30.Service-Riser Conductors & Ground -Main Disconnect -------------------------------------------------- ------------- ------- ------ -31.-Equi-p. Clearances- - -Pane -Equip. ----------------- ------ --- --- ------------- ------ - -- - - - --- - - 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------- 33. Smoke Detector ------------------------------------ ---------------------------------------------- Date Card -B-1 Date Card -B-1 ------------------- ----------------------- --- - - -- ----------------------------- -- -------------- Date ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34.--A.-C.- Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ------------------------------ ---------- 36. Condensate Drain & Overflow; Size & Grade ------------------------------------------------------._. .-.-... - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------- - ---- - -------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------------- ------ ------------------- Date Card B-1 Date Card B-1 ------------------------------------------------ ------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils, Proper Material & Anchors - - ------ ---------- ------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----- -------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - ----------------------------------------------------------------------------- ----- -- 42. Draft -Stop -in Walls - (rat proof)- - ------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------ - -------- - -------- - ---------- ---------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Dale FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. -Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------ - 55. Siding -Nailing Veneer ---------------- ------------- ---------------___ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- _--- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts ------------59.--Insulation-Walls-Ceilings -------------- -- 60. Infiltration -Walls -Windows ------------------------------- Date ______ ___Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except. 's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------------------- 64. Bedroom Exiting __ - --- 65. G.F.I. & Bath Fixtures & Tuo Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. -------- 67. Stairs & Rails _ 68. Fireplace or Stove: Clearances -Hearth ----------- 69 . Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71.--Elec.-Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------------- 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------------- 7 Insulation -Foam -Looked in Attic ❑ Yes ------------78.-Guard--Rails-& Deck-- Construction -Post Caps ------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes a0. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------ ----------- ---- 81. Stucco: - Brown -Finish- ----------------- ----- ------ 82. A.C. Unit: Disconnect, Electrical, Plumbing ------- ---------------------------- ----- - - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ---------------------------------------- -- - 85. --Exterior---Elec.- Trim: G.F.I. Feceptacle-Underground - ---------- --------------------- --- 86. Ventilation Throughout House -- ------------------------------ 87. Glass Protection .-------- ------------------------------------- 88. Corrections from Previous inspections 89. Gas Test -Meters Tagged: Cas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - ---- ------------------------ 91. Energy Compliance Certificate -Other Certificates -------------------------------------------------- --- Date Card B-1 Date Card B-1 ---------- --- ------------------------------- --- --- Date Card -B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroviile, California 95965 - Telephone (916) 538-754�?a- PERMIT NO. APPLICATION AND PERMIT zz ASSESSOR PARCEL NUMBER 029-142-006 ZONING ARINM BUILDING PERMIT OWNER FORREST ROLD T n2!4388 SQ. FT. OCC. BUILDING VALUAT11 ION OWNERS MAILING ADDRESS PO BOX 480 RICHVALE, 95974 1560 R 84,240.00 CONTRACTOR'S NAME SY.YCREST HOMES TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20.30 Permit Fee 572/2 $ 286.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1218 RICE AVE PERMITFEE $ 329.00 RICHVALE, 95974 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USyyEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome C ` Other SPECIFY Water piping 15.00 1S • OID Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.OID Building sewer 15.00 D 15. 0L TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: PERM FOUNDATION Mobile Home S G W @20.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filinq Fee 20•DO Main Service ( zoonoaLEss ) 23.00 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing ) with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �T� Lic. No. � � � � 'L. 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 NEW CONST. DWELLING OCCUP. \ OR ADONS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST.MULTI.OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (d SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 50 �(, Occup. OUFIXED APPLNS. TLETS (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 45. UIJ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ALL(An.ICcC W -S ro R�D,0fAt 6 Policy Number We IM ,A 1�9—(r2 ° m (The above sections need not be copleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Laborforthwith comply with those provisi X � Date _ _� Signatur of Applicant - ❑ Owner Co ctor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ d.Dcompensation occ CONST. TYPE TOTAL FEE $ 437.00 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL I PD This permit is hereby issued under the applicable prof the Butte County Code and/or Resolutions to d indicated above for which fees have been paid. BY Date lo-31-95- oaf-9S-Receipt PERMITEXPIRESON_/6- 31-90 (Dade) ReceiptNo. 1 R5?75 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - f �p COUNT.YOF BUTTE - DEPARTMENTOFDE� SPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF OkNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use F, PERMIT APPLICATION D�ATASHEET �✓ l O (C A. P. No. �� J ��� -0Q �O Q Building Inspector' Date S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: �1} DATE RECENED BY 1, All items have been submitted. ..... . 2. Plot plans, 3/4 sets, -signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ........... ........... . . . 0/<J. Impact fees as shown on attached schedule..,5ee.�J'Fv"Ae6�.�0£.r.►ti �...... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . )Lm. Sanitation and plot plan approval on St -We v' Health Department. .............. 15. City of Chico plumbing permit. ...... ............................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . .:.. Pre -Inspection reque-ks 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). -' ............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ - 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. :... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ............... ............ . 32. Plan check list. ✓G 1433. h C �' etcif a wt a �t f V 34. e G C> When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - and hold for pickup at (� 00 U r °c� office. Deliver with inspector. Other Parcel Creation Acreage Applicant gfr��� Date Q-- 31 5 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by /1�4Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4 • Z BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District �i` a!,<. j CAC Building Department No. A.P. Numbe`rr 6d. l " Jurisdiction: City County Property Owner p r r e S t RO[d /C- Subdivison Property Location/Address ��CC /1J.Q , Ch VC? Lot No. Residential Development 0 0 Sq. Footage /E6 Q No, of Living MHI // Addition (Group R) .` Unitsoe. �OuVe c�v�S/fr Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date 4� (Floor Plans reviewed by School District Personnel) District Identification No. ' 06 School District certifies that (Applicant) I Address) W C,6 (l01: t t�— �— (City) (State) has complied with the requirements of Resolution No. (Phone Number) (Zip Code) by payment of $ representing (� C/y square feet. t AB 2926 Paid by Check # Bank Number Paid by Cash .ON Date Remarks: pr e Vioc,l CJ a, e 1/11:2 so 19— Paid 9 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 (CEOA), 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.wkl (11/94)dmm e RESIDENTIAL 029-142-006 PERMIT#95-2111 ROLD, Forrest 1218 Rice Ave.,-Richvale Cont: Skycrest Homes et Garage JOB FINALE Signature IDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 k' t �4 1�# 0 V=OK O = Not OK No Ready = MOBILE MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date r16 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK ce t #'s 1. Zoning Requirements -Setbacks -Easements !' 1. Zo. ing Regdirements-Setbacks-Easements 2. Soils; Special MH Support Sketchit . Ff s oo; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete y 3 ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg,:=Afg.-Bracing 6. Gas; Location -Test -Wrap: / P11t. 5. AI . Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /" L"ft./ /"LPG 1 C sports; Windows -Doors 7. Well Clearance & Disconnect Electric 8. Utility Clearance ) 8. rmg; Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh 10. Roo�hthg-Roofing Date Card B-1 Date Card B-1 1. t.; Steps -Doors -Landings _ Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s t? /° / —I eo — i S �� Zoning Requirements -Setbacks Easements j Date ✓ and 13 Date Card B-1 2. Footin s; Size -Spacing -Marriage Line �' Date Card B-1 Date Card B-1 - s; MH Test -Dema alve onnector L/ M Date POOLS (Plans) OK except #'s 4. Electricity; MH st-Cr%;; over -Breakers- Iearances 1. Setbacks -Easements 5. Dr 'n; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability ater; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness ater and Sewer Connected -C/O to Gr de -HD Approval Dead Men -Lining was and Electricity Tagged � 4. Elec.; Receptacles and Lighting, Distances-GFI 9 xits; Insp.-Sketch �f 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy (, 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed ti 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. ate Card B-1Date and B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date and B-1 Date Card B-1 g. Health Department Approval Plumb.; (" _Ter Water Supply Test 1 IDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 k' t �4 1�# 0 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = 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 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------ --- - --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------- - ----------------- 19. Shower Pan: Test, First Floor -Tub Access 20. Test -Tub &--- Shower. - Second Floor -Tub Access - ------------------------- ---------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------------ ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- --------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - - - - -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - - - --------------------------------- 26. Equip Ground made up w!Mech. Fastners-Bond & Water ---------------------------- --------------------------Gas.--------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------- --------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ga. Cu or At ---------------- --------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - - -------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- -------- -- ____ _31. Equip. Clearances Panels-Motors-Mech. Equip. --- ------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------------------- 33. Smoke Detector ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------- -----------------------=----------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------- --------------------------------------------------------- 35. Vent Fan Exhaust above insulation --- ---------------------------- ------------- - - - - - - - - - -- - - - - 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------- -- - ------ --------- ------------------------ 38. Attic Access & Platform if Furnance in Attic ------ --- -- ----------------------------------- --- -- --- - - Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - --- ---------------------------------------------------- 40. ---------------------------------------40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ----------- - -- -------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------ - ----- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------------- ---------- 44. Headers & Beam -Size & Bearing .l jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing -------------------------- 51. Property Line Firewall & Openings --------------- -------------- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------------------ _ ---_ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer _____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------------- D - Card B-1 Date Card B-1 --ate -------------------------- Date Card B-1 Dale Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- -------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------------------------- 64. Bedroom Exiting -- - ------------------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - ------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - ----------- ------------------ 6J. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance ----------- 71. ----------71. Elec. Outlets & Receptacles at Kit. Counter ------ ---- ______72._------------------- ------ Garage -Fire -Door: oor: Swing -Landing -Closer ---------------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------- 75. Plb. Elec. & Mech. Equip. Listed for Location --------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - ----------- 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------------- -- 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes Planters ❑ Yes ❑ No ❑ No; -------------------------------------------- 81. Stucco: Brown -Finish - 82. A.C. Unit: Disconnect. Electrical, Plumbing --- ---------------------- -- 83. Vents Above Roof: Plb9- A lipp ance-Fire p lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ------ ------- ................ -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. --- - --- ------------------------------------------- 87. Glass Protection ---------------------- ----------------- 88. Corrections from Previous Inspections ... - - --- - -- -------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - - - - - - - -- - - - - - --- ----- ------------ ---- 91. Energy Compliance Certificate -Other Certificates - ------------------------------------------------ -- Date Card B-1 Date Card B-1 -------------- ------- --------------------- --- --- Date Card B-1 Date Card B-1 ---------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-142-006 ZONING A,%H BUILDINGPERMIT OWNER FORREST ROLD 882-4388 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 480 RICHVALE, 95974 CONTRACTOR'S NAME SKYCREST HOMES TELEPHONE CONrRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,0) Permit Fee $ - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1218 RICE AVE PERMITFEE $ 317.0 RICHVALE 95974 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 TOG LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE SPECIFY Water piping 15.00 (SOU Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New Al Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 39 X 30 Mobile Home . ISIGI W @20.00 �d PERMITFEE _L .00 Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service OOOV OR LESS ( zooA o -:s ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing ) with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. ,` Lic. No. License Class 7 9 �Y I � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. so3.5Q FT.' 31.50 OR ADDNS. ( 8 ACC. BLDS. ) NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR ) 20 Q 1.00 BAL .00 Ex. Occup.FIXED APPLNS. OR \ ,6.CR . ( OUTLETS (RESID.) EA / 5.00 Temporary Service 23.00 Mobile Home Facilities 20 Misc. Wiring t23*.0000 PERMITFEE Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not a completed I the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with those provision , X ate S� Signa a of Applican - ❑ Owner/Contra r ❑ Agent An OSHA permit is required for excavations over 60" deep and de Iition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ �-59y/,0. ' HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SS UE 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 PERMITEXPIRESON (Date) Receipt No. /F,5W3 Ag.00 WHITE-D.D.S.-B.D. CANARYASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT r'` .'•:�- , .: j � Y'p�""r,' �':,!=�'A-t.:: t "�...':: tt�' ''�' '1. �"17::+a"+i{�'.'ii►+ , - - -- { w J' rs. rra:9 .. ,n i a' 't .. �. r,+\ re i.r•• �'+r' i ` �i T i,T'(��i•"'i"��'T: ��'¢� �. A' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES,-; BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER(� t ��O f, A. P. No. 009-/W � -006 Proposed Building Use Q ra ® 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 1. All items have been submitted . .......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. .......•.............. . 4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobil home data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 4)04. Sanitation and plot plan approval Health Department . ............ 1 . City of Chico plumbing permit. ........ ...................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .......... �qe - 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:........................ 29. Documentation of legal access . .....................:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... ' 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - nd hold for pickup at /► office. Deliver with inspector. Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date v Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Count r by ate Z.E Contractor, designer, owner, was advised of above required data by _ phone _ mail Co ter by _ Date Plans checked by Date Plans approved by Dat t Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE BUILDING DIVISION r DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (91'6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE O IER PERMIT O. A routine inspection indicates the following violations of Butte County Ordinances exist at the above address and uld be corrected. Please notify this office when correction of work is completed. If yo ave any questions pertaining to this matter, or need additional explanation, please conte i)s/office immediately. O Date 7SInspecto REV 10f92 ' r Date 7SInspecto REV 10f92 RECORDING REWESTED BY: AND WHEN RECORDED MAIL TO: NAME COUNTY OF BUTTE BUILDING DIVISION STREET DEVELOPMENT SERVICES.DEPT ADDRESS #7 COUNTY..CENTER DRIVE CITY, OROVILLE CA 95965-3397 STATE and ZIP 95-044091 1 95-044091 195-044091 951 044091 1 Rec Fee .00 1 Total .00 Recorded 1 Official Records 1 County of- Butte f Butte I Candace J. Grubbs I Recorder I 9:37am 19 -Dec -95 I COMS XX 1 THIS UNE 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. Forrest & Betty Rold REAL PROPERTY OWNER/LESSOR PO Box 480 MAILING ADDRESS Richvale Butte, CA 95974 CITY COUNTY STATE ZIP 1218 Rice Ave. INSTALLATION MAILING ADDRESS. IF DIFFERENT Richvale, Butte, CA 95974 CITY COUNTY STATE ZIP Same UNIT OWNER (If also property owner, write "SAME'l MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte Countv Building Division LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Drive MAILING ADDRESS Oroville, Butte, Ca 95965 CITY COUNTY STATE ZIP 95-2112 (916)538-7541 BUIXX!2IT9�� TELEPHONE NUMBER 12/18/95 SIGNATURE OF LOCAL AG IAL DATE Cousin Gary's Factory Built Homes DEALER NAME (If not a dealer sale, write "NONE'l HCD #91265 DEALER LICENSE NO. Skyline 1995 Fairview 5502 MANUFACTURE S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 7C-70-0350-1A/B 60 X 26 ULI413844/413845 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 029-142-006 Lots 471, 472 and 473 As shown on that certain map entitled, "Town of Richvale", which map was recorded in the Office of the Recorder of the County of Butte, State of California, on January 17, 1910, in Book 6 of Maps, at page(s) 53. T Ofy�GJ\ 0 HCD FORM 433(A) Rev. 8/91 WHITE -County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. BUILDING PERMIT NUMBER: 95-2112 Addressor location of unit: 1218 Rice Ave., Richyh1e, CA 95974 Legal Description of Real Property: Lots 471, 472 & 473, as shown on that certain mnp enti d ed, "Tc)wn of Ri rh.»i e", whieh map was reeerded in the Office of the Recorder of the County of Butte, State of California. on January 17, 1910, in Book 6 of Maps, at page(s) 53. [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: Forrest & Betty Rold Owner's address: PO Box 480, Richvale, CA 95974 INSIGNIA OF HUD NUMBER: UL1413844/413845,, SERIAL NUMBER OR V.I.N. 7C7003501A/7C7003501B MANUFACTURER'S NAME: Skyline —YEAR: 1995 OFFICIAL APPROVING INSTALLATION: DATE: 12/18/95 PHONE: (916) 538-7541 I H.C.D. 513C DEPARTMENT OF STATE DLCOMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS � REGISTRATION AND TITLING SECTION STATEMENT OF'FACTS Thi -s unit is..as ® Mobilehome [:] Commercial Coach Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) UL -.l . 13 �� 7C- 7° 03.�°.� 7( 70 - 03-5 - g — I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on dc?' 3o /i95_ at C,y/co CA Date (City) (State) Signature of each affiant Printed name of each affiant �AUe/-/,9Mf Address City C/-// CO. State HCO 416.6 (Rev 11/86) .. .. • _ ',•:.::� .:ii✓..::�:ar..t3��'±,:1iti'�y:ri�'n'lca - s� �y'a.m" itfSA .t''• L . .F Recorded at the Request of Mid Valley Tltia 6 Escrow Company9 4 - I g g 2 j �1 Order No. a` `> Escrow No. 142141AM-3 Loan No. WHEN ECORDED MAIL TO: 74-0199271 Rec Fee 9. 00 1 DOC 33.00 V FORREST M. ROLD and BETTY J. ROLD Recorded I Check 42.00 1218 RICE AVENUE Official Records I RICHVALE, CA 95974 County of 1 Butte 1 Candace J. Grubbs 1 Recorder 1 StOOaa 9 -May -94 I MVTC MD 2 MAIL•: T DOCUMENTARY TRANSFER TAX S33:;>s{ # }: •��:•;';.;;.; AX STATEMENTS TO: M SAME AS ABOVEii Cem{wted on me owsweaa tion vow d p ww« y omvjy t oR �,,,�J_' ��'! }\Y..i ;�'. j;!{.• '(... �"W�'dl the COn! 'i7.;j;t f'•,.".;•: (. t; J;';., deretrOn of yekN lase. Iefa or ellpterafYtpee : y rernaa n at time of ew. . _ The undprs onari [`ranfn► r}pN_nrpe . . .. sip "M of Dectamd or Apert delamlYlYtp W - Fills flame : - AP Nos ON -142-006-400 GRANT DEED FOR A VALUABLE CONSIDERATION. ieoe4n of wNdt is nereoy aW*wledped. SJHO ADWIRM TITLE AS LESLIE DON LESLIE DON KfMOWSIdAnd JEAN A: KRAKOWS" husband and wife hereby GRANT(M to FORREST "AL ROLD and .BETTY J. ROLD. husband and wife, as community property i''' : ' : ':.? •; the real Property in the U?4fW*RPORATED AREA countyy-a BUTTE StatedCdbffdk , Qtam az LOTS 471, 472 AND 473, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 'TOWN OF RICHVALE'e "WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF TWE COUNTY OF BUTTE, STATE OF CAUFORNIA, ON JANUARY 17, 1910, IN BOOK 6 OF MAPS, AT PAGES) 53. lx� Dated May:) 19C14 5R - - - 1 / 1 STATE OF CALIFORNIA� Iss C ?✓ COUNTYOFoma. a -7 n s�Ttr• r J� E On b bib Porsonairy appeared Personally known 10 m0 ter Prayed to mo on the basis o1 salislactory ----- 0%nd0nC0 10 be the pMsonVI whose namoVQ5.,ro subscribed 10 the wdhrn rnsl:umont and acknowtodyod 10 mo That h0•(1Ojlnoy oxoculm the same inhrcArcfJlnOrt auihoruod Ca Pa CUty4"1. and that by h,50!D1 half srtpnaturejlron tho rnslrumonl the wrsonX of tho amity upon a0hall 01 which Ilro POIS0144 acted, o!oCutod the rnsilunienl WITNESS my hand and o1hUp1 SCA, i.-'-. OrF, -UWNq SEs: *A- fKd.r.A 0 CUNN@N,R( h ' SAN $/A rho C 0104Tv j ��': I 6, `4A -.. I 12.18 RIC AVE. T 1�- �o 0 moC7 70 v;N Ln C> 6'l-. r qbd Al �o o. OD h s; I 6, `4A -.. I 12.18 RIC AVE. T 1�- �o 0 moC7 70 v;N Ln C> 6'l-. n n 0 rri rT I �o i ro ( s m o 0-5)(01 79A IMP Fo o- �� \ 1 O i • f 1218 RIC�AVE. a p I r Ioil o ti 0_5)(01 79Add� . 0 I � i 1218 RIC AVE. i NO F13'- 4" F � 77 T 1 N 1 1 REVIEWEp DY ISSUEDENGINEERING DEPT. BY fpllpW UP SERVICES DEPT. MAR 1 1994 VNOERWRITER CA'3OR qT S ORIEg, INc Q T::iTo I fV Lxy\ln/ �'�' I 1 - - - -) OPT CRT BATH //� 12'-2'--y Co�9� 0 l 1 t I I I I II I L II II O I I CE Z� I�1 ❑ r 0, S1� 2" c°2go 342r�# 1290# i I I I � FILE MH 9321 VOL 1 OPT 3RD BEDROOM SEC. a CENTERLINE SUPPORT REQUIREMENTS at. St PG. 6-;34,g THIS SHEET TO BE INSERTED WITH SUPPLEMENT o TO FIELD INSTALLATION MANUAL FOR 2CLA#ROOF o, SNOW LOAD I I - SERIES SERIES DESCRIPTION NO. `&ngingAgwkah rm. Z.Q_41100F LIVE LOAD (�2Cv-2FK-2g G_T's DWO. BYE •�$ CHECKED SHT. OF 13'- 4 --y 0 0 OPT CRT BATH �12 -1•� REV'EWEO8Y FO(LODy SSUED ENGINEERING DEPT. MAR W UP SERVICES DEPT, 1 1994 CA'3OnATORRjE ERS CSI- �I S, INC. I� I I I II o ,I I II o I I s2- to N o Y 7 '\�' I I-- I 28aot� S1� 2n CDOor� Ca2�4��- 342r�#� I Zqo� 0 N E I i I I I OPT 3RD BEDROOM CENTERLINE SUPPORT REQUIREMENTS THIS SHEET TO BE INSERTED WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR 2CAYROOF SNOW LOAD FILE MH 9321 VOL 1 SEC. 4 ILL. _ 51 Pa. 6 -Slop. i O SWUNCI SERIES DESCRIPTION NO. `ingv>gArncncehmx. Z�>*ROOF LIVE LOAD DWO. BY .Sp •2SCHECKED SHT. OF 13'- 4'--y 0 O O --T I I I I 0 1 [� 11 /v\ F X OPT CRT BATH 12'- 2' --y N 2 i� aOk� C�000 l 1 I I I i II I II I II I II i I L-41, .l REVIEW,, FOQY ISSUEp ENGINEERING DEPT. QY IIOW UP SERVICES DEPT. MAR 1 1994 CA130RAT0}?RES RS ItYC FILE MH 9321 VOL 1 OPT 3RD BEDROOM SEC. a R CENTERLINE SUPPORT REQUIREMENTS ILS. 51 PG. 8-3fv THIS SHEET TO BE INSERTED WITH SUPPLEMENT z TO FIELD INSTALLATION MANUAL FOR 2 D--WROOF 0 SNOW LOAD W L SERIES DESCRIPTION NO. lgArraerxahor>x' LIVE LO OF ��'LCo-2t=4C—'LB SI-)bZ ' LIVE LOAD LTI�� DWG• 9Y SFZ-Z-254qCHECKED $HT. OF 13'-4'-y F 70 OPT CRT BATH I2'-2 --y R£V:EWEO Qy ISSUED By F ENGINEERING DEPT, D«DW UP SERVICES DEPT. MAR 1 1994 UNOERwRITE CASORATORI RS ES' INC -- I I II ❑ C��y x r i I 28ao1� S1� X09 Co2.4�-* 0 l 1 i I FILE MH 9321 VOL 1 OPT 3RD BEDROOM SEC. a CENTERLINE SUPPORT REQUIREMENTS ILL. 51 PG. 8-3/0{ THIS SHEET TO BE INSERTED WITH SUPPLEMENT o TO FIELD INSTALLATION MANUAL FOR 2�ROOF 2 SNOW LOAD Q S INE SERIES :711IPTION NO. `BinSAmencalxxne• ZVRooF -2FK-2B SS�Z • LIVE LOAD GTS DWO. IRYIa� •25 CHECKED $HT. OF OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: FOREST AND BETTY ROLD ADDRESS: P 0 BOX 480 CITY & STATE: RICHVALE CA 95974 IMPORTANT: SEE DATE OF CLAIM: 8/29/95 ON REVERSE SIDES SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNERS ARE CANCELING PROJECT. (A.P. #029-142-006, B.P. #94-1909, RECEIPT #167105 DATED 6/30/94 AND 167228 DATED 7/18/94) _.. TOTAL AMOUNT PAID ----------------------------------- $1564.50 RETAIN REFUND PROCESSING FEE ---------- $ 25.00 j i . RETAIN FILING FEES--------------------$ 80.00 I RETAIN PLAN CHECK FEES ---------------- $454.60 TOTAL AMOUNT TO BE RETAINED ------------------------ $ 559.60 i I TOTAL AMOUNT TO BE REFUNDED ------------------------ $1004.90 $10041. i ' I I I 1 I TOTAL _ $100 .91 1. the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered. and that this claim In true and correct as stated. _ Dazed this 4,. /..» day of »..»»..«...».....»..... 19f�? st �i !��tif •..1 .. Calif. S, e[ C1 trn.nr I, the undersigned. hereby certify that to the beet of my knowledge. the services or artic�16 s fled bova bee' performed or de- livered and that there is a Budget Appropriation Q or Speelfic Hoard Approval a (Cheek oner t se Dated this ««......»»»..3�.i.? .. day of t!i......»....». 19! y at , m/�✓lLGFr C.Ut. . ................. ..««. ».«. ...»......»_.»»............... D partment ad or Authorised Deputy Cde 440-002 caa; ..»»« ».4210500 PAYABLE FROM CONST. PERMITS «»_..»......»... .» ..»....»« ...««»..»..»».».»»»»««»..»..».......».».....«..«»...........»».»...«....«»...»...»..... FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. 1 CLAIM NO. INV. NO. I INV. DATE I ENCUMB. GROSS AMTNO. I INV. DATE I ENCUMB. GROSS AMT eouto q itatte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: THEVEOUS CONSTRUCTION ADDRESS: 7070 ORO COUNTRYCLUB RD_ IMPORTA 6/22/95 SEE INSTRUCTIONS DATE OF CLAIM: _ OtJ REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNERS ARE CANCELING PROJECT. (A.P.#029-142-006, B.P.#94-1909, RECEIPT# 167105 DATED 6/30/94 & 167228, DATED 7/18/94, OWNER: FOREST ROLD) TOTAL AMOUNT PAID .................. ...................$1564.50 RETAIN REFUND PROCESSING FEE.................$'25.00 RETAIN.FILING FEE...........................$80.00 RETAIN PLAN CHECK FEES ......................$454.60 TOTAL AMOUNT TO BE RETAINED .......................$559.60 g" 30/`5: j his re 'un w�� ©hCG iti erfot^ d � est tr, lie e- d -to w e ownev- W4 rF kms � I -1i c-�-4 od. L'ontr h kt 0e Ack, t rncom6y J e-- wns &- •30195; f TOTAL AMOUNT TO BE REFUNDED ............ TOTAL $1004 I �p I, the undersigned, declare under penalty *(perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this --.r d• of r.' 19 •�, st i. ! t..l../....:..... Y �YtwL.:...rs::r..... �....Lt.�.: «............ Calif.C•lit. ................................................ .. ................. SignatuWof Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or artic s fled ove /, been *,(ormed or de- livered and that there is a Budget Appropriation or Specific Board Approval Check o ) fo • %am� 22ND 9.� OROVILLE , Calif. .. Dated this .................................... d• of 19 / D paRment H-- or Authorized Deputy L :7ept, ........440-002 ................ Esp. ..............4210500............................................................ Code Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY L DEPT. & SUB. I PROD. I SUB. OBJ. CLAIM NO. I INV. NO. I . INV. DATE I ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: It Receipt Information: Number: 1417/D� Date: Z��O/93, %gl9/V p r//°�ww Issued To •c�h--�`�� �%''`'� Amount: $ V �ry 6� /0�9. 9O - / 15-0 Fees Retained: Processing Fee: Bldg Filing Fee ,,/Plbg Filing Fee /"Elec Filing Fee t/ Mech Filing Fee Energy P/C Fee V Plan Check Fee Inspection Fee Total Amount Retained TOTAL REFUND DUE $ �j o $ ozQ.00 $ ap.Oo $ C57-0 . ©o $ oZ p. o0 $ $ ��/• �o S S �d 1y i CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION ASSESSOR PARCEL # oa to y PERMIT # RECEIPT NUMBER(S) �107/O5 &-72,.2-k Request a refund of fees paid on the, above receipt number(s) for the following reasons: O (,Check those categories which you wish to have refunded.) i-, [ ] Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of Plans: [ ] Plans returned to me at counter: r • [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE r DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELdPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-75410. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-142-006 ARMH ZONING BUILDING PERMIT OWNER FOREST ROLD TELEPHONE 8 SQ. FT. OCC. BUILDING VALUATION 1665 R 89,910.00 OWNER'S MAILING ADDRESS PO BOX 480 RICHVALE 95974 819 M 14,742.00 CONTRACTOR'S NAME THEVEOUS CONSTRUCTION EPHOE 7533.0716 128 C 1,664.00 CONTRACTOR'S MAILING ADDRESS 7070 ORO COUNTRYCLUB RD OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 106 316.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 664.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 431.60 Energy Plan Checking Fee S23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1218 RIAVEPLUMBING PERMIT FdEE 1138.60 RICHMALE, 95974 PERMIT Filing Fee 20.00 Each Trap 1 1 7,00 77.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 15.00 USE OF STRUCTURE SF Of Duplex C1Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New g( Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ElContractor Describe Work: 3 BEDROOM PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 23 00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) D 3.50 SFT.. RA 00 CONTRACTORS LICENSE LAW Flare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and ProfessionsC de and my license is in full force an�ffect. License No. C{ Classification O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL. @ 1.50 Ex. Occup FIXED APPLNS. OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 152.90 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 15.00 15,00 Hood 6.50 6.50 Ventilation 3 4.50 13.50 PERMIT FEE $ 70.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agre save, indemnify and keep harmless the County of Butte against all liabilities u nts, cAsts, d expenses which may in any way occ ue against said County n n q e of a granting of this permit. X Date �_ Sig ture of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or Siconstruction of structures over 3 stories in height. l CS d Mobile Home Installation Fee $ Energy Inspection Fee I $ 46.00 occ R3 CONST. TYPE VN TOTAL FEE $ 1564.50 HAZ. D. FEES X IMP -- FLOOD X COF - PARCEL -- HD Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica ab a fo which fees have been paid. IR TdDR OF PUBLIC WORKS.r� A B Date FIPERMIT EXPIRES ON 7-28-475, ecr r (Date) ReceiptNo. 534.60-167105//167228 29.90BAL /00�,90 WHITE-D.D.S.-B.D. CANARY -ASSESSOR P -IN ECTO rAGOLD NROD-APPLICANT C e Wt Q 7 f ea'P_GL a0,;I'0►^ 'Diel r@ uiJd COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No APPLICATION AND PERMIT A9SE9SOR PARCEL NWeQ D O v - BUILDING PERMIT I NAME CONTRACTOWS MAILING YRf99s CONSTRUCTION LENDER LENDEWS MARINO ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGNEEWS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUSOIVLSION'S NAME LJ 12 USE OF STRUCTURE SFS Duplex O Mobilehome O Other < TELEPHONE UCENSE No. PARCEL MAP SO. FT. I OCC. BUILDING VALUATION Z Fireplace Total Valuation $ /a/ 3 Filing Fee $ 20.00 Permit Fee $ 6(o Plan Checking Fee $ W Energy Plan Checking Fee $ Penalty $ PERMIT FEE $ Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent 'Gas piping system 1 - 5 outlets Building sewer Mobile Home 1 S G 1 W TYPE OF WORK New Addition O Remodel O Utilities O Installation O Other O [;Contractor Describe Work: /��' ' ELEt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. , Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date t 'Al Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. PERMIT FEE PERMIT Main Service •OOV OR LESS 200A OR LESS ) Main Service ( 200A TO 1000A ) NEW CONST. OR AOONS. / DWELLING OCCUP. ) 1 & ACC. BLDS. NEW CONST. •NON-RESIO. MULTI -OUTLET ( BRANCH CIRCUITS ) 20.00 (POWEPPAIIATUS ) 6 SINGLERAOUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) Ex. Occup. (OUTLFIXED OR ETS (RESID.I EA. ) Temporary Service Mobile Home Facilities Misc. Wiring // 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Fling Fee 20.00 23.00 .d 46.00 3.5 C s,.�o' MECHANICAL PERMIT @7.50 20.00 PERMIT FEE S / S Z,G/D Contractor MECHANICAL PERMIT Fling Fee 20.00 Heatingfn, O o Cooling Hood Ventilation PERMIT Contractor Mobile Home Installation Fee Energy Inspection Fee 2j CDN T PE TOTAL MP I FLO S ISS- • W_P55 :.l This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ingicated above for which fees have been paid. -- /^ Y Date Receipt No. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER P. Proposed Building Use �� Building Inspector Date d �/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. -"Hazardous Material Form..................... ....................... Energy Design Compliance and supporting documentation . ................ OmC 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). . Mobilehome data d manufacturer's installation instructions, 2 sets. ........... eesof $ .......................................... pact fees as shown on attached schedule. ............................. . V.Flood alifornia Department of Forestry plan approval/fees......................... ��e elevation letter (100 year flood by Ca ifornia Engineer..................anitation and plot plan j4wealth Department . ............ L 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: » (B) Parking: ........ -- 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . l 9. Driveway permit (construction approval required prior to occupancy). .. . . Pre4nspect'ion req65T_ 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 91 Owner -Builder Verification (Given to owner Mail to owner _). ............ i 4. Recorded copy of Agricultural Acknowledgement Statement . ................ l/ r7 - Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... ,existing violations/expired permits . ..................................... . When you issue the permit, process as follows: Mail to owner. ail to contractor. Telephone533Q%/(o and hold for pickup at ffice. Deliver with inspector. Other Parcel Creation 3d -Tel Applicant ate Copy of Haz-Mat form sent Health Dept. Fire Dept. ' Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, wa i d of above required ata by _ phone _ ma Counter by _ Date Plans checked by Date2-�2� Plans approved by )7-7— Date _ Sets of plans on hold in File cabinet AP folder _ Copy - Department of Public Works / E �� COUNTY OF BUTTE - DEPART?MT OF DEVIIAPIMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 RIN z I N 7 PROPOSED BUILDING USE if SCHOOL DISTRICT FEES (paid at Distric Off.....ice ........ . 2 . SHERIFF FEES . (paid at Building epartmC Residential...... x =$ unit amt. Commercial (sgft). x =$ sq.ft. amt. .Ze3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) .......................... -&14-5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER A.P. # - / 7� & 6 DATE REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 19 .8/91 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNERA.P. # '2 Plan Checker % 7 V-9 GENERAL Zoning requirements: (sideyards and number of permitted living units). 2.Valuation. 3•�-Kaqns signed by designer. a//" Ooper description of work on application. xisting violations on property. dW Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). -7--nereorded notice of violation. ' Pr LOTT PLAN iComplete parcel size and dimensions. Setbacks, sideyards, easements, etc. 34.—'10ther buildings or structures. G!-gFading, fills, drainage. 5. Flood hazard. 6—-p.ec.ial conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAS road setback. Building or utilities across lot lines FLOOR PLAN d'. mm lete -to scale plan with dimensions. a!� -squired ¢windows• for ,light and ventilation (Sec. 1205). quired windows for second exit ,(Sec. 1204). skylights (Chapter,34 & Sec. 5207). y�/_,Hdman impact 'gla'ss (Sec. 5406). T-.' , .quired room sizes, ceiling heights (Sec: 1207). Z,,`95GIs in baths, garage, kitchen, and exterior outlets (Article 210-8).' 'ijht fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment,'other electrical PeG gas equipment. 1 firewall, door size, and closer (Sec. 503(d)(3)). exterior exit door (sec. 3304 (f). 12/. ilmbing ' ace and wood stove location, alcoves, and clearance. 1 e detectors (Sec. 1210). fixtures, water closet clearances and shower size. STRUCTURAL DETAILS I Standard bracing or engineered design (Table 25V) 2 -unusual shape, size, or split level house requiring lateral design. estory requiring balloon framing and/or engineering. e -e story building requiring engineered calculations and plans. foundation plan complete enough to construct building. ®/ construction details complete enough to construct building. levations and wala,construction details complete•enough to cons uct,-brri ng Roof construction details complete enough to construct,building D-.— ,:lace construction details and calcs if necessary. rafter ties or 'bearing r'id'e -beam. ° 1� ""age door or porch header sizes. g ��:d heights. • Adobe soils - special foundation design. -1-47--Retaining walls requiring design. a. Inspection required. ' 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCEL NEOUS ITEMS TO"LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails �Gr., . 3306). 2.rail details"(Sec. 1711 & 3306(j). �ck or stone veneer (Chapter 30). 4. Exterior plaster - weep screeds ('Sec. 4706). Proper roof pitch for roof convering (Chapter 32). oof cov ing-type - (fire hazard).. 7. oam insulation - protection. 84-�36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side nc supporting walls and posts, etc. 1 exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 tic access and ventilation (Sec. 3205). 1Underfloor access and ventilation (Sec. 2516). IrLPMbustion air for fuel burning appliances - L.P.G. requirements. ./CDF se requirements on duplexes. rgy design. 1,.shing at all exterior openings. 1 . responsible area requirements. '7_1LA-a4 :_J -�'�y�r CES 4 a f If q r --r,4 t� 7 1 -7` I Ie 3kYGf4(4T P/SS1IjG, Vel OtAM-W-1- _r� I F_ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Rold Residence Date........ 07/19/94 Project Address........ Rice Street Richvale CA. Documentation Author... Andrew B. Erickson Company ................ Sure Pass Energy & Design Telephone .............. (916) 533-4749 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date -I MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.. ...... Floor Construction Type.... Component Type Insulation R -value Wall rR 21-V Roof R-3-8 V Door R. -O__/! Floor [R=19--- 1665 sf e_-"° Single Family Detached New Front Facing 180 deg. (S) 1 1 Raised Floor (Package E) BUILDING SHELL INSULATION Assembly U -Value Location/Comments 0.059 Front Wall., Front Corner, Front Bay Right Wall, Right Bay, Back Wall Back Corner, Left Wall, Left Bay 0.025 Attic 0.330 Solid Wood 0.037 Wood Floor EE E T4aff ION # of Interior Over - Area—; U- Pan - orientation hang/ Frng (`sf-) r� lue es Window Front (S) 16.3 0.570 2 Window Front (S) 9.0 0.570 2 Window Front (S) 30.0 0.600 2 Window Front (S) 6.3 0.570 2 Window Right (SE) 8.0 0.600 2 Window Front (SW) 10.0 0.600 2 Window Right (SE) 10.0 0.600 2 Window Right (E) 20.0 0.600 2 Window Right (E) 7.0 0.600 2 Window Right (E) 20.0 0.600 2 Window Right (SE) 8.0 0.600 2 Window Right (E) 16.0 0.600 2 Window Right (E) 9.8 0.600 2 Door Right (E) 17.0 0.770 2 Window Back (N) 32.5 0.570 2 Window Back (N) 17.5 0.600 2 Window Back (N) 16.0 0.570 2 Window Back (N) 8.0 0.600 2 Window Back (NE) 32.5 0.570 2 Interior Over - Shading/ Exterior hang/ Frng Description Shading Fins Type Drapes.Std None Vinyl Drapes. St%vNA'�_- Drapes.Std Whe tA�tAj Yes 11��, None Vinyl vinyl A(Z1 Drapes.Std O1�Gl Drapes- . ���- o e None None None Vinyl Vinyl Draes.Std t�e None Vinyl Drapes.StdA P ME None Vinyl Drapes.S* None Yes Vinyl Drapes.Std None Yes. Vinyl Drapes.Std None Yes Vinyl Drapes.Std None None Vinyl Drapes.Std None None Vinyl Drapes.Std None Yes Vinyl Drapes.Std None Yes Wood Drapes.Std None Yes Vinyl Drapes.Std None Yes Vinyl Drapes.Std None None Vinyl Drapes.Std None Yes Vinyl Drapes.Std None Yes Vinyl CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 h i -CF-1R Project Title.......... Rodd Residence Date........ 07/19/94, MICROPAS4 v4.02 File-ROLD 'Wth-CTZ11S92 Program -FORM CF -1R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House Orientation Door Back. (N) Window Left (W) Window .Left (W) Window Left (W) Window Left (NW) Window Front (SW) Window Left (W) Window Left .(W) Skylight Right (E) FENESTRATION Over- hang/SFr ng Fins Type Yes Vinyl None Vinyl Yes Vinyl Yes Metal None Vinyl None Vinyl None Vinyl None Vinyl None Metal Minimum Duct Duct Thermostat Equipment Type efficiency Location R -value Type y_ Furnace ACSplit Tank Type 0.930 AF�UEJCXawlspace R-4.2 Setback 14.00 SECrawlspace R-4.2 Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS # of Interior ea �U- Pan- Shading/ Exterior (sf) VZLSeJ es Description Shading 34..0 0.550 2 Drapes.Std None 16.0 0.570 2 Drapes.Std None 15.0 0.570 2 Drapes.Std None 12.0 1.400 2 Drapes.Std None 10.0 0.600 2 Drapes.Std None 10.0 0.600 2 Drapes.Std None 25.0 0.570 2 Drapes.Std None 6.3 0.570 2 Drapes.Std None 6.0 0.800 2 None None Over- hang/SFr ng Fins Type Yes Vinyl None Vinyl Yes Vinyl Yes Metal None Vinyl None Vinyl None Vinyl None Vinyl None Metal Minimum Duct Duct Thermostat Equipment Type efficiency Location R -value Type y_ Furnace ACSplit Tank Type 0.930 AF�UEJCXawlspace R-4.2 Setback 14.00 SECrawlspace R-4.2 Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Forest Rold Company. Owner_ Ad ess:. Rice Street ICAVA'�NRE00N CA. Phone... :,(916) 882-4388 License. Signed.. VJ 'J l 9 (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name....Andrew B. Erickson Company. Sure Pass Energy & Design Address. P.O. Box 5566 Oroville, CA. 95966 Phone... (916) 533-4749 signed. . (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... Rold Residence Date........ 07/19/94 Project Address........ Rice Street Richvale CA. Documentation Author... Andrew B. Erickson Company ................ Sure Pass Energy & Design Telephone .............. (916) 533-4749 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; Design- Enforce- er / ment Wt V minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. lV 0 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. ✓, 150(1): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either.automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance < 150 with pilot Btu/hr.). LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. V COMPUTER METHOD SUMMARY Page 6 C -2R Project Title.......... Project Address........ Documentation Author... Company................ Telephone.............. Rold Residence Rice Street Richvale CA. Andrew B. Erickson Sure Pass Energy & Design (916) 533-4749 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Date......... 07/19/94 Building Permit # Plan Check / Date Field Check/ Date MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM C -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House Zone Type MICROPAS4 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 12.48 11.91 0.57 Space Cooling.......... 13.92 14.45 -0.53 Water Heating.......... 13.26 13.26 0.00 Total 39.66 39.62 0.04 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type.............. Construction Type .. Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage .A ..... Average Ceiling Height..... 1665 sf Single Family Detached New Front Facing 180 deg (S) 1 1 ReducedYear Raised Floor 1 14937 cf 1665 sf 1665 sf 0 sf 25.7 % of FA 9 ft BUILDING ZONE INFORMATION (Package E) Floor # of Area Volume Dwell Cond- Thermostat (sf) (cf) Units itioned Type Vent Special Height Vent Area (ft) (sf) HOUSE Residence 1665 14937 1.00 Yes Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM C -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments. HOUSE 1 Wall 145 0.059 R-21 180 90 Yes W.21.2X6.16 Front Wall 2 Wall 38 0.059 R-21 180 90 Yes W.21.2X6.16 Front Wall 3 Wall 27 0.059 R-21 180 90 Yes W.21.2X6.16 Front Wall 4 Wall 16 0.059 R-21 135 90 Yes W.21.2X6.16 Front Corner 5 Wall 14 0.059 R-21 225 90 Yes W.21.2X6.16 Front Bay 6 Wall 14 0.059 R-21 135 90 Yes W.21.2X6.16 7 Wall 153 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 8 Wall 60 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 9 Wall 24 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 10 Wall 48 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 11 Wall 24 0.059 R-21 45 90 Yes W.21.2X6.16 Right Bay 12 Wall 16 0.059 R-21 135 90 Yes W.21.2X6.16 13 Wall 153 0.059 R-21 0 90 Yes W.21.2X6.16 Back Wall 14 Wall 28 0.059 R-21 0 90 Yes W.21.2X6.16 Back Wall 15 Wall 13 0.059 R-21 45 90 Yes W.21.2X6.16 Back Corner 16 Wall 123 0.059 R-21 270 90 Yes W.21.2X6.16 Left Wall 17 Wall 26 0.059 R-21 270 90 Yes W.21.2X6.16 Left Wall 18 Wall 40 0.059 R-21 270 90 Yes W.21.2X6.16 Left Wall 19 Wall 32 0.059 R-21 270 90 Yes W.21.2X6.16 Left Wall 20 Wall 14 0.059 R-21 315 90 Yes W.21.2X6.16 Left Bay 21 Wall 14 0.059 R-21 225 90 Yes W.21.2X6.16 22 Roof 1665 0.025 R-38 0 0 Yes R.38.2X4.24 Attic 23 Door 20 0.330 R-0 180 90 Yes None Solid Wood 24 Door 20 0.330 R-0 180 90 Yes None Solid Wood 25 Floor 1665 0.037 R-19 0 0 No FC.19.2X8.16 Wood Floor FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open 0 U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE 1 Window 16.3 2 Vinyl Fixed 0..570 180 90 0.88 0.78 Drapes.Std 2 Window 9.0 2 Vinyl Fixed 0.570 180 90 0.88 0.78 Drapes.Std 3 Window 30.0 2 Vinyl Slider 0.600 180 90 0.88 0.78 Drapes.Std 4 Window 6.3 2 Vinyl Fixed 0.570 180 90 0.88 0.78 Drapes.Std 5 Window 8.0 2 Vinyl Slider 0.600 135 90 0.88-0.78 Drapes.Std 6 Window 10.0 2 Vinyl Slider 0.600 225 90 0.88 0.78 Drapes.Std 7 Window 10.0 2 Vinyl Slider 0.600 135 90 0.88 0.78 Drapes.Std 8 Window 20.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 9 Window 7.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 10 Window 20.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 11 Window 8.0 2 Vinyl Slider 0.600 135 90 0.88 0.78 Drapes.Std 12 Window 16.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 13 Window 9.8 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 14 Door 17.0 2 Wood Slider 0.770 90 90 0.88 0.78 Drapes.Std 15 Window 32.5 2 Vinyl Fixed 0.570 0 90 0.88 0.78 Drapes.Std 16 Window 17.5 2 Vinyl Slider 0.600 0 90 0.88 0.78 Drapes.Std 17 Window 16.0 2 Vinyl Fixed 0.570 0 90 0.88 0.78 Drapes.Std COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM C -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description 18 Window 8.0 2 Vinyl Slider 0.600 0 90 0.88 0.78 Drapes.Std 19 Window 32.5 2 Vinyl Fixed 0.570 45 90 0.88 0.78 Drapes.Std 20 Door 34.0 2 Vinyl Slider 0:550 0 90 0.88 0.78 Drapes.Std 21 Window 16.0 2 Vinyl Fixed 0.570 270 90 0.88 0.78 Drapes.Std 22 Window 15.0 2 Vinyl Fixed 0.570 270 90 0.88 0.78 Drapes.Std 23 Window 12.0 2 Metal Fixed 1.400 270 90 0.88 0.78 Drapes.Std 24 Window 10.0 2 Vinyl Slider 0.600 315 90 0.88 0.78 Drapes.Std 25 Window 10.0 2 Vinyl Slider 0.600 225 90 0.88 0.78 Drapes.Std 26 Window 25.0 2 Vinyl Fixed 0.570 270 90 0.88 0.78 Drapes.Std 27 Window 6.3 2 Vinyl Fixed 0.570 270 90 0.88 0.7.8 Drapes.Std 28 Skylight 6.0 2 Metal Fixed 0.800 90 30 0.88 0.88 None OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 2 Window 9.0 1.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a .8 Window 20.0 5.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 9 Window- 7.0 3.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 10 Window 20.0 5.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 13 Window 9.8 6.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 14 Door 17.0 6.67 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 15 Window 32.5 6.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 16 Window 17.5 3.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 18 Window 8.0 2.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 19 Window 32.5 6.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 20 Door 34.0 6.67 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 22 Window 15.0 5.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 23 Window 12.0 3.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.930 AFUE Crawlspace R-4.2 0.830 ACSplit 14.00 SEER Crawlspace R-4.2 0.860 COMPUTER METHOD SUMMARY Page 9 C -2R Project Title.......... Rold,Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM C -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards N POINT SYSTEM Page 10 P -2R Project Title.......... Rold Residence Date........ 07/19/94 P trodd �ec A ress......... Rice Street Richvale CA. Documentation Author... Andrew B. Erickson Company ................ Sure Pass Energy & Design Telephone .............. (916) 533-4749 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM P -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House MICROPAS4 POINT SYSTEM SUMMARY Energy Use Points Space Heating.......... 1 Space Cooling.......... 1 Water Heating.......... 0 Total 2 *** Building complies with Point System *** GENERAL INFORMATION Conditioned Floor Area..... 1665 sf Building Type............. _ Single Family Detached Construction Type ... New Building Front Orientation. Front Facing,180 deg (S) Number of Dwelling Units... 1 Number of Building Stories. 1 Floor Construction Type.... Raised Floor Number of Building Zones... 1 Conditioned Volume......... 14937 cf Footprint Area ............. 1665 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 25.7 % of FA Average Ceiling Height..... 9 ft GLAZING Orientation Glass Area % Glass a. North 140.5 8.44% b. East 115.8 6.95% c. South 81.6 4.90% d. West 84.3 5.06% e. Skylight 6.0 0.36% Total 428.1 25.71% (Package E) POINT SYSTEM Page 11 P -2R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File -BOLD Wth-CTZ11S92 Program -FORM P -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House Point Total: - -7 -8 8 9 0 2 SCORE CARD Measure Points 1. Ceiling Insulation (U -Value) 0.025 1 2. Wall Insulation (U -Value) 0.059 1 3. Raised Floor Insulation (U -Value) 0.037 0 4. Slab Edge Insulation (F2 Factor) 0.000 0 5. Infiltration - Ducts in Unconditioned Space Yes 0 6. Fenestration Heat Loss (U -Value) 0.616 at 25.71% -9 Sum 1-6 7. 'Fenestration Heat Gain SC Effective Shade % Fenes- Shade % Fenes- Effective- tration Open tration ness Ratio North 8.44% x 0.681 = 5.75% 0.860 -1 East 6.95% x 0.633 = 4.40% 0'.789 -2 South 4.90% x 0.638 = 3.12% 0.845 0 West 5.06% x 0.657 = 3.33% 0.822 -3 Skylight 0.36% x 0.792 = 0.29% 0.970 -1 8. Interior Thermal Mass (Mass/Area) 0.000 -1 9. Exterior Wall Mass (Mass/Area) 0.000 0 Sum 7-9 Equipment Duct Effective Zonal Efficiency Efficiency Efficiency Control 10. Heating 0.930 AFUE x 0.830 = 0.772 AFUE No 11. Cooling 14.000 SEER x 0.860 = 12.040 SEER No 12. Water Heating Tank External Energy Size Insulation Tank Type Heater Type Factor (gal) R -value Distribution Type 1. Standard Standard Std Std R -Std Standard 2. n/a n/a n/a n/a R-n/a n/a. Point Total: - -7 -8 8 9 0 2 POINT SYSTEM Page 12 P -2R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM P -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House BUILDING ZONE INFORMATION Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 1665 14937 1.00 Yes Setback 2.0 n/a OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 145 0.059 R-21 180 90 Yes W.21.2X6.16 Front Wall 2 Wall 38 0.059 R-21 180 90 Yes W.21.2X6.16 Front Wall 3 Wall 27 0.059 R-21 180 90 Yes W.21.2X6.16 Front Wall 4 Wall 16 0.059 R-21 135 90 Yes W.21.2X6.16 Front Corner 5 Wall 14 0.059 R-21 225 90 Yes W.21.2X6.16 Front Bay 6 Wall 14 0.059 R-21 135 90 Yes W.21.2X6.16 7 Wall 153 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 8 Wall 60 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 9 Wall 24 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 10 Wall 48 0.059 R-21 90 90 Yes W.21.2X6.16 Right Wall 11 Wall 24 0.059 R-21 45 90 Yes W.21.2X6.16 Right Bay 12 Wall 16 0.059 R-21 135 90 Yes W.21.2X6.16 13 Wall 153 0.059 R-21 0 90 Yes W.21.2X6*.16 Back Wall 14 Wall 28 0.059 R-21 0 90 Yes W.21.2X6.16 Back Wall 15 Wall 13 0.059 R-21 45 90 Yes W.21.2X6.16 Back Corner 16 Wall 123 0.059 R-21 270 90 Yes W.21.2X6.16 Left Wall 17 Wall 26 0:059 R-21 270 90 Yes W.21.2X6.16 Left Wall 18 Wall 40 0.059 R-21 270 90 Yes W.21.2X6.16 Left Wall 19 Wall 32 0.059 R-21 270 90 Yes W.21.2X6.16 Left Wall 20 Wall 14 0.059 R-21 315 90 Yes W.21.2X6.16 Left Bay 21 Wall 14 0.059 R-21 225 90 Yes W.21.2X6.16 22 Roof 1665 0.025 R-38 0 0 Yes R.38.2X4.24 Attic 23 Door 20 0.330 R-0 180 90 Yes None Solid Wood 24 Door 20 0.330 R-0 180 90 Yes None Solid Wood 25 Floor 1665 0.037 R-19 0 0 No FC.19.2X8.16 Wood Floor FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE 1 Window 16.3 2 Vinyl Fixed 0.570 180 90 0.88 0.78 Drapes.Std 2 Window 9.0 2 Vinyl Fixed 0.570 180 90 0.88 0.78 Drapes.Std 3 Window 30.0 2 Vinyl Slider 0.600 180 90 0.88 0.78 Drapes.Std 4 Window 6.3 2 Vinyl Fixed 0.570 180 90 0.88 0.78 Drapes.Std 5 Window 8.0 2 Vinyl Slider 0.600 135 90 0.88 0.78 Drapes.Std 6 Window 10.0 2 Vinyl Slider 0.600 225 90 0.88 0.78 Drapes.Std 7 Window 10.0 2 Vinyl Slider 0.600 135 90 0.88 0.78 Drapes.Std 8 Window 20.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std POINT SYSTEM Page 13 P -2R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM P -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description 9 Window 7.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 10 Window 20.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 11 Window 8.0 2 Vinyl Slider 0.600 135 90 0.88 0.78 Drapes.Std 12 Window 16.0 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 13 Window 9.8 2 Vinyl Slider 0.600 90 90 0.88 0.78 Drapes.Std 14 Door 17.0 2 Wood Slider 0.770 90 90 0.88 0.78 Drapes.Std 15 Window 32.5 2 Vinyl Fixed 0.570 0 90 0.88 0.78 Drapes.Std 16 Window 17.5 2 Vinyl Slider 0.600 0 90 0.88 0.78 Drapes.Std 17 Window 16.0 �2 Vinyl Fixed 0.570 0 90 0.88 0.78 Drapes.Std 18 Window 8.0 2 Vinyl Slider 0.600 0 90 0.88 0.78 Drapes.Std 19 Window 32.5 2 Vinyl Fixed 0.570 45 90 0.88 0.78 Drapes.Std 20 Door 34.0 2 Vinyl Slider 0.550 0 90 0.88 0.78 Drapes.Std 21 Window 16.0 2 Vinyl Fixed 0.570 270 90 0.88 0.78 Drapes.Std 22 Window 15.0 2 Vinyl Fixed 0.570 270 90 0.88 0.78 Drapes.Std 23 Window 12.0 2 Metal Fixed 1.400 270 90 0.88 0.78 Drapes.Std 24 Window 10.0 2 Vinyl Slider 0.600 315 90 0.88 0.78 Drapes.Std 25 Window 10.0 2 Vinyl Slider 0.600 225 90 0.88 0.78 Drapes.Std 26 Window 25.0 2 Vinyl Fixed 0.570 270 90 0.88 0.78 Drapes.Std 27 Window 6.3 2 Vinyl Fixed 0.570 270 90 0.88 0.78 Drapes.Std 28 Skylight 6.0 2 Metal Fixed 0.800 90 30 0.88 0.88 None OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 2 Window 9.0 1.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 8 Window 20.0 5.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 9 Window 7.0 3.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 10 Window 20.0 5.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 13 Window 9.8 6.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 14 Door 17.0 6.67 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 15 Window 32.5 6.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 16 Window 17.5 3.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 18 Window 8.0 2.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 19 Window 32.5 6.5 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 20 Door 34.0 6.67 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 22 Window 15.0 5.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 23 Window 12.0 3.0 n/a 2.34 0.0 n/a n/a n/a n/a n/a n/a n/a n/a POINT SYSTEM Page 14 P -2R Project Title.......... Rold Residence Date........ 07/19/94 MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -FORM P -2R User#-MP1838 User -Sure Pass Energy & Design Run -Typical House HVAC SYSTEMS Tank Type .WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.930 AFUE Crawlspace R-4.2 0.830 ACSplit 14.00 SEER Crawlspace R-4.2 0.860 Tank Type .WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS HVAC SIZING Page 15 HVAC Project Title.......... Rold Residence Date........ 07/19/94 Project Address........ Rice Street Richvale CA. Documentation Author... Andrew B. Erickson Company ................ Sure Pass Energy & Design Telephone .............. (916) 533-4749 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-ROLD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1838 User -Sure Pass Energy & Design Run -Typical House GENERAL INFORMATION FloorArea ................. Volume.. ..... ........... Front Orientation.......... Sizing Location............ Latitude. .... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... SummerRange.. ..... ..... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction..:.... Description 1665 sf 14937 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No Yes 0.20 HEATING AND COOLING LOAD SUMMARY 180 deg (S) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 7052 3662 Glazing Conduction ............... 10544 6854 Glazing Solar .................... n/a 13000 Infiltration ..................... 8496 3488 Internal Gain .................... n/a 2100 Ducts ............................ 2609 1455 Sensible Load .................... 28701 30560 Latent Load ...................... n/a 6112 Minimum Total Load 28701 36671 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin_, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. l Structural Calculations FOUNDATION DESIGN for FORREST ROLD SINGLE FAMILY DWELLING RICHVALE, CALIFORNIA DANE ANDES, ARCHITECT JOB NO. 94-07 BUI-TE COUNTY 3'ULDINO DEPARTMENY Robert D. McGhie, SE 2320 1224 Mangrov Avenue, Suite 5 (916) 891-0903 Chico, CA 95926 PPOFESS 10N 0 D. q< P4' G.Pt MSC 6` A. 00 ti tiC Z w m w m a n No. 2320 CAI - I EXP. 12/31/97 • w Robert D. McGhie Structural Engineer 1224 Mangrove Ave., Suite 5 Chico, CA 95926 (916) 891-0903 Job Sheet / of Date (p- 2 - By By 0 M Description ............................................... ......... ................... %..... ..,...... .... .......:................. .... ............................ ... ........:...................................................... ...................... .... ............. :>G .................... ... ............. .... .... .... ................:... ... ............. ........ :. X04%:.......Tri.. : ':`..........:% .. ...........X.,%�::....... '�........... /Z1!!: > t�.. ............................. ....... j.... .... .......................... .. .... ,q;.%........c�..r4<.��.:..'........' '...:........ z.�'� ...... ...`... .................. ...............;.......:.. ..:......:.:............:..... ........<....... .... . % .= .. .........�. ... ?.. "�.............P �... ... zz.S..� .... Z J . �.:.�...:. .......... ............ ... ...... .... :.. ...:..... A .. �tidDK .... . P........3.1.?, ..¢.9..� :.... ............................................:.................. ........ ......... ; .......;......-T/.. ..::.�.7......... .................P ....... Zlo3 5.:.............................. ............... /3 ........:............................ �...................... �..: .... T.Z-.................................... *Robert D. McGhie Structural Engineer 1224 Mangrove Ave., Suite 5 Chico, CA 95926 (916) 891-0903 - Job /Dle Oe4EEC 7' 20�. Sheet -2 of Date ? 4 — BV /� Description Robert D. McGhie Structural Engineer 60 Declaration Dr., Suite C Chico, CA 95926 (916) 891-0903 Job Sheet of Date By Checked by BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District (J S� Building Department No. A.P. Number X029-'��Z'OD �O Jurisdiction 0 City 0 County Property Owner Property Locatic Subdivison Residential Development Commercial/Industrial BLAdin§ Depa EP No. of Living Units 0 MHI New Lot No. 0 Sq. Footage 6 Co Addition (Group R) Sq. Footage Addition (Including Exterior (Floor Plans reviewed by School District Personnel) Roofed Areas) Datef A District Identification No. e) 6 School District certifies that z4� 5f 0< � .I (Applicant) Address) (CRY) (State) has complied with the requirements of Resolution No. square feet. Representative Paid by Check Number OW g Bank Number 9,2f Paid by Cash (Phone Number) (Zip Code) by payment of $ /�r%�, o`�Q -;7 — kze�f4 - Date • a'Pr ; i, mv www's w1i s 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) feeformmkl (4/92) -------------z�r---�- 94-028544 ;194-028544 94-028544 94-0285441 Rec Fee I Check Recorded I ti Official Records I County ofd r' Butte Candace J. Grubbs i Recorder I 12:53pm 7 -Jul -94 1 PUBL XX 6.00 6.00 Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building �� ®'�� permit. NOT COWARED WITH ORIGINAL DOCUMENT 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 94'28544 discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �1 c f 1 l / / ` • °Y -44 1110-7 Date: PR ERTY OWNERS: , State of California County of On -`- b personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Aare subscribed to the within instrument and acknowledged to me that 1)6/3Wthey executed the same in"r/their authorized capacity(ies), and that by tW/A*/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. A. P. # ���' T: ^"01� rIELINA K. FISCHER t r04- cwn. a 9-oO47 NOTARY PUBUC - CAI FORM Seal: Buie Co:�ity WCa^: �. Expires Atar. 3? . 1�- .'. A. P. # ���' T: ^"01� Tuly 7, 1994 To whom it may concern: At a regular meeting of the Richvale Sanitary District Board of Directors it was unanimously approved to allow hook-up for Forrest and Betty Rold at 1218 Rice Ave, Richvale, California, parcel number 029-142-006. Hook-up to comply with District requirements. Signed: ^ ..,-AFTER RECORDING RETURN TO: County of Butte LAND DEVELOPMENT DIVISION 7 County`Center Drive Oroville, CA 95965 LANDS BEING MERGED: AP'NUMBER(S) 29-142_06 SUBDIVISION/PARCEL MAP: 3e-/ 94-37050 , 94-0370501 Rec Fee 9.00: I Check. 9.00 Recorded I Official Records I County of I Butte Candace J. Grubbs I Recorder I 9:38am 1 -Sep -94 I PUBL XX 2 CERTIFICATE OF MERGER BOOK 6 PAGE 5i BLOCK 142 LOTS) 471, 477, 4-73 As of the day of lands noted above are merged to create one described on Exhibit "A" attached hereto. , 19 , those single parcel of land as WILL A FARREL DAT i Director�of Development Services OWNERS' CONSENT TO MERGER _ PnTYPCt M R01 A and—BGtty si• Rol d as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into one single parcel as described on Exhibit "A" attached hereto. ALL SIGNATURES MUST BE NOTARIZED: 7"/9'/ 9 5" SIGNATURE DATE SIGNATURE DATE SIGNATURE LD 1530 (7/93) DATE-.. 94-31050 .EXHIBIT "A" Legal Description Forrest Rold A.P. #29-142-06 Lots 471, 472 and 473 of Block 142, as shown on the Map of the Town of Richvale recorded in Book 6 of Maps at Page 53, Butte County Recorders office, merged into one parcel. 94-102 ��P� L4NOS .; OSP t : :O .� .Nd405 NIA ALL-PURPOSE ACKNOWLEDGMENT State o/":�j LIG_ County of Ou On 7,11 9 before me, DAT �Z-tz- 'JANE ME, TITLE OF OFFICCEE�R - E.G., DOE, NOTARY PUBLIC' / personally appeared, 1'�2iC�7 %yl `1��/ ¢ ,(s&� 9 � NAME(S) OF SIGNER( ❑ 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 ac- knowledged to me that he/she/they executed 'ar•� D.KRi�Y�NESUiNERlA1JD the same in his/her/their authorized T U7IP0�NU1 capacity(ies), and that by his/her/their 0� NOT RJ91SUC elate count signature(s) on the instrument the person(s), (L ,oa fry Comm. ExplrosMsl',>l8,3_ or the entity upon behalf of which the person(s) acted, executed the instrument. THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT: Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. WITNESS my hand and official seal. SIGNATURE OF NOTARY I OPTIONAL SECTION TITLE OR TYPE OF DOCUMENT No. 5193 OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. ® INDIVIDUAL CORPORATE OFFICER(S) TITLE(S) PARTNER(S) []LIMITED GENERAL ATTORNEY-IN-FACT 0 TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR 0 OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE UJO OF DMUMIFUT ©1992 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184 '029-142-006 PERMIT#94-1473 ROLD,-FORREST 1218 RICE AVE.., RICHVALE DEMO SF COUNTY OF BUTTE - DEPARTMENT JF DEVELOPMENT SERVICES - BUILDING DIVISI0 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT Q - - ASSESSOf}pli�EL �''E-0� u) Z° 4 yj B LDING PERMIT OWNER t�JiuLSi 1OL TELEPHONE T!2 -43S3 SO. FT. OCC. BUILDING VALUATION OWNER'S5 �C J -' �a"ZRRES$1-30, r.LC..1Y ALL" CA JJ%74 T T(� t` /�� 95-074 [ OU CONTRAC�Q,Tf, { :.♦ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0 '� C- /�TT� 1210 iilC`J 11tT0 . �ICo?iT11L PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ( Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other Describe Work: D'L1Q PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600vORLESS 200A OR LESS ) 23.00 Main Service ( 2GOA TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. OLDS. ) SO. 3.50 FT_ NEW CONST. MULTI -OUTLET .NON RESOD. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. ,License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAD Q 1 O Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23,00 Mobile Home Facilities 20,00 Misc. Wiring 23,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 6,1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities,,judgments, costs, and expenses which may in any way accrue against said County in`C`onsequence of the grantinV of this permit. X !y1. I Date J ' .� �� 7Y Signature of Applicant Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP I FLOOD COF PARCEL I PD I HO 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 ees have been paid. 'B` �G�i �� %L' Date Sp?� PERMIT EXPIRES ON (Date) ReceiptNO. 133134 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVEL'OOMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, Cali`#ornia 95965 - Telephone (916) 538-754 / PERMIT NO. APPLICATION AND PERMIT n ASSESSOUf§EL ry"005 ZONING BUILDING PERMIT OWNER FORREST ROLD 882 "4388 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 480, RICHVALE, CA 95974 EST 500 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee$ rj ,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1218 RICE AVE*. RICHVALE PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Q[ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)(Contractor Describe Work: DEMO PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200V OR fl LESSLESS ) 0OA O 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification 0/11 as the owner, 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabilitie udgments, costs, and expen as which may in any way accrue against said County i onseqYnce f th ra tin of this permit. j' (� X / Date V — /`i Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 35.00 HAZ- D. FEES IMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo a for which ees have been paid. f Date,/"/,3 PERMIT EXPIRES ON 5:&5- A& (Da tel Receipt No. 163154 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Fermits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code,,, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits*as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable t this demolition project. Signature of Applicant 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side) Ag---i-s A= NOti.fiad: D T- ❑ e'—" Omit Air Aoavaroas Board D cai osm 0 Building i nt ASBESTOS DEMOLIrTION/RENOVATION NOTIFICATION I. EPA USE ONLY Please cheek on : DateRec ADDRESS Pstmrk Renovation CITY STATE CITY STATE School Demolition requiring COUNTY ZIP 10 day notice Del/ND Demolition requiring ADQUTE? 20 day notice AGE SIZE Code#: Revision of Original (Form on reverse side) Doc#: IDE—PLEASE READ BEFORE IISTNG TFtTc rnum I. OPERATOR: (Contractor) 3. FACILITY NAME - ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS AGE SIZE CITY STATF�_ ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet ° SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 & 152: 9. NAME & LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 Sam/4pm M -F u �. . INSTRUCTIONS Fog USE OF ASRx'BTOS DE2A01 TT1ON /�ENOV-ATrnN 1\OTTF"iAi T ON t )P24 RENOVATION: means altering in any way one or more facility components. NOT=CE MUST BE POSTMARKED AS EARLY AS POSSIBLFBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility toaeth r with any related handling' operations 10 Day notice for MORE than 160 sq.ft.or 260_linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. PROJECT JOB #: YCUr OWN IN -HO SR T_n_ for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full.information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. -(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB 4 ORIGINAL NOTIFICATION DATE Revision Notice 91 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION Return to: AGRICULTURAL STATEMENVOP'ACKNOWLEDGEMENT Bu-lring Division FOR RESIDENTIAL DEVELOPMENT 94-28544 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building' permit. 194-0285441 Rec Fee 6. 00 t The property described herein is adjacent to land or included I Check 6.00 within an area zoned for agricultural purposes, and residents Recorded I of this property may be subject to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of IButte I including, but not limited to herbicides, pesticides, and Candace J. Grubbs I fertilizers; and from the pursuit of agricultural operations er I Recorder includini, but not limited to cultivation, plowing, spraying, 12 : 53ReRe rdJu1-94 I PUBL XX 1 ' pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �i9i� �4� � It 173 � �n-ate^-61� gln� Date: PR ERTY OWNERS: % State of California County of late On - %- b personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Aare subscribed to the within instrument and acknowledged to me that 1)dWthey executed the same in /their authorized capacity('ies),, and that by IWA*hheir signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. HEUM K. FISCHER Cr Comm. # 990047 NOTARYBuM Caun� Signatur Seal: d WCw=ExokesMu. 31.1M7 -' A.P. #��`. �i� 1 D� EN® OF DOCUMENT