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029-250-046
V 9rt-2-, - . 92-4M5 BPEM, f r +. ✓r" y HANSEN:, 'Larry, & Betty -1256 Lindale Ave, Richvale ; : 02.9— 2-5O ;�- contr: Mello' -.Const new sf 0 - -046 029-25-0-0 93-7 I LARRY D HA 99-0 II1256 LINDALE • •L•Arry &Betty U ' HANSEN, �, (AG E --AG STG) , VALE ' �' 1256 Lindale Ave, Richvale addl sq ftg/sf - ?' 029-25-0-0gir-. Contr : Blankenship, Pools r� Permit#94-1084 B,P,E(new pool) 029-250-046 PERMIT#99-1350 HANSEN, Larry & Betty'- 1256 Lindale Ave., Richvale .� Move -in Garage i • �(a 0 a r i a I j ,i LO NOTES i RESIDENTIAL 029-250-046 PERMIT#99-1350 PERMIT N0 HANSEN La & B l s i t _ JOB FINALED , rry. et -Ly - -- 1256 Lindale Ave., Richvale i Move -in Garage y-�20od SPECIAL CONDITIONS CHECKED M%l SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY _ USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Signature • ./ = OK - 0 = Not OK - = Not Applicable - ' 'MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 6 1W Z mng Requirements -Setbacks -Easements i Footings; Soils -Size -Depth -Spacing -Connectors -Steel T 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 6. Carports; Windows -Doors I 8 rmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Pinels DateCard B-1 Date Card B•1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rftr. Ties -Purl in -Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Wal Is -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing P ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Purl in -Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes ] NoMalks 7 Yes :j No/Planters 7 Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1.350 _7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 �9 PERMIT NQ. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-25-0-046 ZONING AR BUILDING PERMIT OWNER LARRY A AN BETTYEANSEN TELEPHONE 8824403 SO. OCC. DING VALUATION . OWNER'S MAILING ADDRESS P 0 BOX 183, RICHYALE CA 95974 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 52.65 BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 153.65 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOVE IN BLDG 16 X 18 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: pl I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service tow TO tOooA 46. NEW CONST. DWEWUP. OR ADDNS. ( a ACC. BLDs. so SO 3.5QFY: =REOSIU T. MULTI.OUTLET 1 11T5 97.50 POWELER APPARATUS 8 SIN GOVTLET CIR. Ex. Occup. OUTLET OR FUTURES BAS $ I:w FLXED APPLNS. OR Ex. Occup. oun ETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensa n provisions of section 3700 of the Labor Code, I shall ' iomply those provisions. Date / O / / gnatuLre$kfF�A_p01ic1nt- fi&Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FE $ 153.65 HA2. D. F I FLOOD COF PARC Po This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. f/1 Dat !!! 0-ta Receipt No. 265464 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � ...�e7tiM!reyi'!er'a*' •�WFt"tC"%�r�-X+":i �C COUNTY BUTTE- DEPARTMENT OF DEVELOPMENT .SERVICES - BUILDING DIVISION .7 _.O,UNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET oftvl OWNER:�17-:: P_ I7 ASSESSOR PARCEL NUMBER: Proposed Building irse_C4 aBuilding Inspector: Date: At a of permit application, was advised the following data must be submitted prior to permit cess g d/or issuance: Date Received By . All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 3. Flood elevation certificate. ------------------ L ------------------------------------------------------------------- 14. Sanitation and plot plan approval ra 1� Health Department. -- - - ---------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required. Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------- 0 26. ------------------------------------------------ ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. -----------------------------------------=--------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 0. Other: eC/ S ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. i (Date) 9 -Telephone 92 2 - 9 y 6 and hold for pickup at O r O office. ❑ DeI' with inspector. Applicant Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A. Pollu ' n Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme , ❑ Other: Date: By: 1. Index permit application for the above items numbered: / ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, vas advised of the above Mfold by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: o ` S Date:Plans approved by:,{ c� 4Q QeZ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 ^.ounty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ,Rev. 12/96) APPLICATION AND PERMIT qq_ � , No. A/.�W11.,MCdNIri.C, a9 25'd O 4 (c O O O m An BUILDING PERMIT OWN" Larr7 D ? Se f AoiSeA8�Z°yyo�, SO. FT. OCC. BUILDING VALUATION owFas 7 o �owsr . /,r3. . Rr'c Al vrt /c (Sp CA. 17.y -,?7y CONr1NCTows MAN Tao►gNa CONTRACTOR'S UMANG ADOrWt OOMTRNCBON t1F001 UMOn VAKM VOWN Fireplace Valuation i AAcwtcrORIM"A RTotal uce►sR: No. Firing Fee = 20.00 ARCNKCr OR OIONW'S RA L040 AODMO Permit Fee - Plan CheckingFee i V �� Energy Plan Checking Fee t i ROT MO. summeaft"u!.A�cR RrA. PERMIT FEE III M91NQ PERMIT Filing Fee 20.00 USEOFSTRUCTURE E°� Tr 7.00 Solar or heat um ater heater 20.00 SF O Duplex O Mobilehome O Other _ _ C C��2J��� Water piping 15.00 e►ecRn TYPE OF WORK Each as water heater or v 15.00 Gas piping tern 1 - 5 outlets 15.00 New O Addition O Remodel O Utl■fes O InsialafkxR O Ofhor O Building cower 15.00 Describe Work: 1'v1 cvf y� a cmc c i S"f i he b� 12 i.� c -� Mobile Home I S I G I W 00 Js-nOPr PERMIT FEE _ 1112 V9 CTRICAL PERMIT Filing Fee 20.00 Main Se aeoaw o0R H 23.00 Main Service To IDMA ) 40.00 Receipt No. WHIT a•O.D.s ■ tx. uccu . OUTUT oR "MAO e i ; .:w Ex. Occup. ( OUMF , FRFIO, F. 1 5.00 Mobile Home Facilities I 20. Misc. Wiring 1 23.001 1 PERMIT FEE S IRIECHANICAL PERMIT Fling Fee 20.00 Heatin Coolin Hood 8.50 PERMIT FEE ! Mobile Home Installation Fee $ Energy Inspection Fee i occ coNsr. Tr.e TO AL FEE $ nAz O. F113 K000COF ro w This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date ---— IIII• KIM OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Please complete and return this information at your earliest opportunity to avoid unneeess in processing and issuing your building permit. No building permit will be issued tmtil this verification is received. ..,3 1. I personally plan to provide the major labor and materials for construction of the proposed: property improvement : YES -14— NO O 2• I HAVE HAVE NOT O signed an application for a building permit for the proposed va 3. I have contracted with the following person (firm) to provide the proposed eonstiuctiod: - .�'.jti ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide . p p portions of this work, but I have hired thefollowing person to coo supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYMNER: r SOCIAL SECURITY NUi1MER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1 ; OWNER BUILDER INFORMATION -� Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property . improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party oflecord on such a permit. -Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license iiom the city or county. They are also required by law to put their license number on all permits for which they apply.. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should:. be aware of the following information for your benefit and protection: . ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you`an subject to several obligations including state.and.federal income tax withholding, federal social security,_taxas, workers compensation insurance, disability insurance cotts, and unemployment compensation contributions. . There may be financial risks for you if you do not carry out these obligations, and these risks are especWlyserious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform. their work personally or through their own employees, without a licensed contractor or subcontractor, only under'limited coaditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. - Please complete the "Owner Builder Verification" �n the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. 411vigeir,Zutildeing y, V_ � l Ci ira, C.B.O. Inspection NOTE: ThisOwner-Builder.Information is required by Section 19830 of the California Health and SafetyCode- OVER June 29, 1999 Larry Hanson P.O. Box 183 Richvale, CA. 95974 Assessor Parcel Number: 029-250-046 Building Permit Number: 99-1350 Count, L A N D O F NATURAL WEALTH A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 536-2140 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide bracing on all sides of the building per the 1994 U.B.C. or provide lateral design. 2. Provide complete structural plans for the building, including a foundation, as if the building were just being built. This building must comply with all code requirements. 3. You are in an area of highly expansive soil. Have the*foundation designed by a professional architect or engineer. All requirements must be put on two sets of plans, and the plans must be stamped and signed by the architect or engineer. Plan check will be done when the above items are received by this department. Sincerely, Linda Sexton Plans Examiner COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. # OWNER: PHONE: �$Z" MAIL ADDRESS: o �o x i -- VVA_r57 �l SITE ADDRESS: j 2 S (c U_ �.a 1 e Ave PROPOSED USE: 44 ra g e - S ra S PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION t1) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: ✓ No: 3. Will items produced in this building be offered for sale? -- Yes:. No: 4. Will the public have access to this building? Yes: No: (/ ' 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: +/ 7. Will this building be occupied at any time as an eating area? Yes: No: ✓ 8. Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: ✓ SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: t/ 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes:- No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: ✓ 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetftoilet? Yes: No: t� 17. Will this building have a sink? Yes: No: t� 18. Will this building have a water heater? Yes: No: ✓ 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? ADDITIONAL INFORMATION: I ) �` `�� o�m e filed �s bels "44oved �t"Yaw. Qv-o T�-�P✓ ra e - �a�r 1 I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permit from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S S"TuRe DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: 1 pI ■ L - .♦ COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: LARRY D. HANSEN ADDRESS: PO BOX 183 CITY & STATE: RICHVALE, CA 95974 DATE OF CLAIM: 6/23/99 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED. TO BUILD A GARAGE. (AP# 029-250-046, AG BP# 99-34, RECEIPT #258579, DATED 3/18/99, OWNER: LARRY HANSEN.) DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. TOTAL AMOUNT PAID $60.00 RETAIN REFUND PROCESSING FEE $25.00 TOTAL AMOUNT TO BE RETAINED $25.00 TOTAL AMOUNT TO BE REFUNDED $35.00 I TOTAL $35.100 I, the undersigned, declare under penalty of perjury that the services or articles claimed have een performed or delivered, and that this claim is true and correct as stated. Dated this day of , 19_, at , Calif. '�s . .4 /�/-- Signature of Claimant ,ave een performed or delivered and I, the undersigned, hereby certify that, to the best of my knowledge, the services or art9Qent that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for Dated this 23RD day of JUNE 1999, at OROVILLECalif. Head or Authorized Deputy Dept. Code440440002 Exp. Code 491 n9nn PAYABLE FROM rnNSTR11C1111>.PERWIT2 FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: Date: - Issued To: Amount: Fees Retained: Processing Fee Bldg Filing Fee: Plbg Filing Fee: Elec Filing Fee` Mech Filing Fee Energy P/C Fee: Plan Check Fee Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE $ ( 0 O* $ 3S.o6�1 n 1 REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF -BUTTE GENERAL`CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION'ON THAT FORM. BUILDING DIVISION • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT R (IITT� () 03 � Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 02 l Z :gd ©Y 6 oO v ZONING /Q OWNER Lauri 'D, PHONE NO. $g2"`iY02Z OWNER'S ADDRESS , LOCATION OF BUILDING 12�b �� v\�a��e f4ve . USE OF BUILDING C'$✓�� MSK v sc p to v� r% sO ice. e orf e e✓ SIZE OF STRUCTURE v ' X 10 - z SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Spec'Ifyy TYPE OF SIDINGA, UlmROOF OVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1 _ r I - FRONT �S �` SIDES --0 nv REAR � /ta'"�''� AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the require nts in effect at that time and before occupancy. Date 3 a! 8' i Signature of Ownec Permit Fee - $60.00 The above described AG Building is exempt from a b 'Iding pe mit. FLOG PAR L P.D ROOD G ISS Receipt N Manager Building Division By V�'�/ Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant . , .-..,.�-^`a,.{?- •..r rs s �r +i...-,+ ..v, _.,�..'^+..�...-t--y'...,,�--x�-.^:-...w.�.-v-•---",rr�f •...,,w.�+At•..,,..-...._.- .-...... . - ...-•-+,--.. � � J yt . In .. BUILDING DIVISION, a3 " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO.,j Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure 'shall, not be a place of human habitation or a place of employment where agricultural products are, prod essed�treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 5 q t ° �� tj /]/ `I.2 NING•y=+'` OWNER 'PHONE -NO? OWNER'S ADDRESS I•d �C1at ��•r LOCATION OF BUILDING USE OF BUILDINGt� d F$d��� M-144 .t u � e _4 D r w/ )� 1 r c 0, j`a -+� . 47 'OVA 4f" +4. r, SIZE OF STRUCTURE+ TYPE OF CONSTRUCTION: WOOD FRAME ! STEEL CONCRETE OTHER (Spec'Ify) TYPE OF SIDING n ! ROOF COVERING t )c►vw,;� wrti FLOOR TYPE �,vv�,!rt')G ESTIMATED COST OF CONSTRUCTION 1 s �v, � a•r- AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 55' SIDES a U �"' "+� REAR 22 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, .10 feet from a mobilehome, and 23 feet from a commercial building. r _ ' r AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date '" _j `� Signature of Owne_rX Permit Fee - $60.00 The above described -AG Building is exempt from a building permit. ] v Receipt No. .off S ��75 . r Manager Building Division-, _ Byu �;� ear: 1 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date FLOODI PARCEL PD; ROOF,ING ISSUE Manager Building Division-, _ Byu �;� ear: 1 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date JOB FINALED (Date) Signature V=OK O=Not OK -=Not Applicable Not Ready MOBILE HOMES =- Date/Initials . 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 -Teat -Easement Needed (Sketch) S. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials 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 -Fell -Flex Connector 6, Water; MH Teat -Regulator -Connector 7., Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exifs; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial D COVERS CARPORTS GARAGES. Plans OK except #'a 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.; Posta-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext:; Steps -Doors -Landings Date/Initials POOLS Plans OK except #'s etbacks-Easements ompaction-Structure Stability 0o Structure; Steel -Connections -Thickness d Men -Lining DY-, Receptacles and Lighting, Distances-GFI f ec.; Pool Lighting; 15 volts-GFI A-- Elec.;Enclosures; Condult Entries -Terminals -Listed 1--l—tIec.; Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Bolds-Enclosures-Panelboards-Ins. to Mein In Conduit b.; Cir. V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-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. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts-Joista-Vents-Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. 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 Date/Initials 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 Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3b Story, 2 Faits 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 -Wal Is -Cel Zings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; O.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION C . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT APPLICATION -AND PERMIT If ASSESSOR PARCEL NUMBER 029-250-045 ARMH ZONING BUILDING PERMIT OWNER LARRY HANSEN TELEPHONE SQ. FT. OCC. BUILDING VALUATION EST 13 500.00 OWNER'S MAILING ADDRESS PO BOX 183 RICHVALE, CA 95974 CONTRACTOR'S NAME BLANKENSHIP POOLS I TELEPHONE 824-4302 CONTRACTOR'S MAILING ADDRESS 353 SOLANO ST CORNING 96021 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 153.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1256 LINDALE AVE PERMIT FEE $ 196.00 74 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 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 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome CI POOL SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 2(].00 TYPE OF WORK New PX Addition ❑ Remodel 1:1Utilities ❑ Installation ❑ Other O Describe Work: FROM MASTER #502-91 PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BDDv OR "' ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( & ACC. BLOS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW u ty1@cJare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code nd my - ense is in full force and effect. /f License No. lassification C_ 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 ) BSINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BALL @x.60 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) 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. l 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. ❑ 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 $ 50.00 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 C n consequence of,th granting of this permit. X Date ��g Signa ure of Applicant - O Owner Contractor ID Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. it Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 281.00 HA2. 1 D. FEES IMP FLOOD I CDF -- PARCEL ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By i PERMIT EXPIRES ON IDetel provisions to do work paid. ales Z ,,, Receipt No. 162506 -PLAN REV. 83.00 &Z 5.7 - s .7_ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEcIrOR GOLDENROD -APPLICANT , Al 4- COUNTY OF BUTTE. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-'�307 --CORRECTION NOTICE OWNER PERMIT NO. A routine inspe6tion indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complet�/d. If you have any questions pertaining to this matter, or need additional 6x n, please_cAtact this office immediately. A PAP=11 (::�r I C).60fo Date'S /j� —?V �.nspector f REV 10/92 (�c�:4•.`�..:.ti..e�-.. r... r�+}.,_;�.r.Y�'�r,it�`�-'fi�'Y*.rra+Ta"ls.(yi COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION, DATA SHEET OWNER ANSK,11P. No. Proposed Building Use Building Inspector4Dategy At time of rmit 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 . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... R. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome dat and manuf cturec''s installation instructions, 2 sets. ........... 0. Fees of $ Z 91 t"`.' ..................................... . 1 Impact fees as shown on ittichpd schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13 Flood elevation letter (100 year flood by California Engineer . ................. . 14. Sanitation and plot plan approva Healtb 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). . .r6q.uest ( 20. Pre -inspection for required. .. to Building Inspector Date 21. Contractor's license information. (No., Name Style, Classification) . .............. ? �° 22. Certificate of Workmans Compensation Insurance . .......................... 1 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. When yo6 issue the 2ermit, process as follows: Mail to a ner. Mail to contractor. Telephone 2 - 4CO2- and hold for pickup at C '% office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. ire Dept. Other Date By The following data must be submitted prior t permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail' Counter by _ Date Plans checked by Date Plans approved by �/ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO 7, County Center Drive - OroviIIef California 95965 - Telephone: 916/53 -7541 APPLICATION AND PERMIT PERMIT NO. SSESSOR PARCEL NUMBER 029-250-012 & 013 ZONING ARMH BUILDING PERMIT OWNER H Se TELEPHONE 882-4408 SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LNG ADDRESS ox 183 Richyale 5 74 22 R 1,188.00 CONTRACTORNAME 'S e TELEPHONE CONTRACTOR'S "MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.188.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 25.50 $ 40.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 1296 ale Ave. Richyale PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Additional Sq, Ftg to B P #92-4265 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 37.50 NEW CONST.( DWELLING OCCUP.t�\ OR ADDNS. ACC. SLOGS. // 3.6Qsq.ft. NEW CONSTR. MULY "OUTLET NO N•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, and expenses which may in any way accrue against s i Coy in equence of the granting of this permit. Si nature of r�y Date ` — 9 ' g pplicant — Owner R Contractor ❑ Agent ❑ A An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 100.50 I HAz FEES IMP D DF PARCF�{ ./ PO Issu This permit is hereby issued under the sions of the Butte Count Code and/or Y work indicated above for which fees DIR CTOR F PUBLIC BY P EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date/���-� /2 � Receipt No. 1 451(15 WHITE-D.P.W.. YELLOW-AS8[$SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT - 'l �':iy i.,... . �,.,,. �,��•. «. fn...4 .l'ivy r si .h.r .':-' , .r: (-BUI COUNTYOF BUTTE -DEPARTMENT OF DEQ ELOPMENTSERVICEING DIVISION 7COUNTYCENTER DRIVE - OROVILLE,.CALIEORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER &irry A. P. No. d Z 9 - Z SO - O/Z f 0/3 Proposed Building Use /t/oNQ'/ SQ Pr n Qf*_ Building Inspector Date t>/zGs— 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 . ............. 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. Y - Fees of $ . .............. . Impact fees as shown on attached schedule. �_ ois�r 0 , 12. California Department of Forestry plan approval/fees. ............ .. _ ....... . 13: lood elevation letter (100 year floo bY, Calif rnia Engineer. ..... ............ . cN u4le- Health Department S�►tiG Sanitation and plot plan approval I- . ............ 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) 20. Pre -inspection for Prey;sPect'°" req°at 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 ou issue the permit, process as follows: Mail to owner. Mail to contractor. tz Telephone QPZ N110jF and hold for pickup at C2 Quill I? office. Deliver with inspector. Other Parcel Creation ,• � I l Acreage Applicarlt/y= Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by G 113 g6rLS Date I' 1q-93 Plans approved by . G 1 9 t3 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT'i0N AND PERMIT ASSESSOR PARCEL NUMBER ZONING ACA411 BUILDING PERMIT OWNER/.4 rr �nlse TELEPHONE Ifn - yyaB SQ. CC. FT. OLNG VALUATION BUILDING OWyy(9 MAGI LING D 16 Ut/1 'rT z CONTRACTOR' NAME WAS TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS - ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 155.00 Permit Fee Plan Checking Fee $ $ oa ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ ZO - pa Penalty $ GJ. C- Uc' �... . BUILDING ADDRESS f� (A) A/` Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFa Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK Nei Addition x Remodel ❑/ Utilities ❑ Ins' tta�llation❑ Other ❑ Describe work: �A7��yNg/ s��® .tSW9Z #?_,6 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under enalt of ur p y p er l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.tr\ OR ADDNS. ACC. BLDGS. / 3.60 sq J1. NEWCONSTR ULT' -OUTLET NON -R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. OOcup(OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex, OCCup. OUTLETS (RESID )KEA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring JE 15.00 I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor ' I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in a y w y accrue against said County in consequence of the granting of this permi . X Date 11 Tl � Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ S✓ HAz OFEES tMP FLD D COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. � 3 5/05By WHITE-O.P.W.. TELLOW-ASa ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT '�.{wH�'�•uaia�S+iii•Y`a�'1°..w`&.ifsi''tl�.'`iii"`^�a'.y^K►ira:Y�pU�F..es�6'ePes�.r'�fe'�'�u^hw:w�b?f'�iC.<wf»'l�„`,�i Y7'.;i.+i'a Y• is^i�Y%��f�i4Yy � �.e`�'-^�(j ��,�,,�y �+t'K`.w'.;]�Y' 11i3th#�t''�"►�*Kewu3±�'-�'°.. .i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District S Building Department No. A.P. Number -d,7 c' . Z SU - o/'Z- Jurisdiction 0 City County 0/3 Property Owner /4-%/ AjSBA% Property Location/Address 12,56 L / Np(� �� (/� �' ,�} Subdivison 1. Residential Development 0 0 ?Ox- 5'oAm i S Q * -r No. of Living MHI To Perm i+— Units Commercial/Industrial 0 New Building Department Rep _Lot No. Sq. Footage A dition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) Date District Identification No. School District certifies that Sc Jf (Applicant) (Street Address) (Phone Number) (CRY) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. ScMa- p1-District Representative "' Dat Paid by Check Number Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) { �V Structural Calculations HANSEN RESIDENCE FOUNDATION DESIGN RICHVALE, CALIFORNIA September 1, 1992 JOB NO. 92 - 044 Robert D. McGhie, SE 2320 60 Declaration Dr., Suite C 916-891-0903 Chico, CA 95926 PPOFESS SON 4� PCO SP1 D. Mc F A. 00 Cy tiC 0 P F 2 LU m n No. 2320 �gUCTUP 6 OP CAI..�F0 EXP. 12/ 31/ 93 Robert D. McGhie Structural Engineer 60 Declaration Dr., Suite C Chico, CA 95926 (916) 891-0903 Job H NJ Sheet 2— of Date By Checked by . ...... . ...... ................ .......... ... .... ...... .......... ........ ..........:cr.....y:.......:......1.:......p.......1:........ .... ...... .................. ............................ ........ .... ....................... ............... ............. ................. ........ ........ ........ .......... r7 ............... ......• ...... .. ..... I kA..1 NV 1 A! I, ........................... ........ ........ .................. !.47N.� ...... .... .. ....... ........ . ...... ........ ... ............ . .......... ............ ..... ........ ............ ......... ........ ........ ............ ..... ............... ...... ...... . ..... T1 IT ALL6 1A .. . .... ... ... ..... ................. ....... ........ i�5.45 ? ..... p . ......... ....... . .... .......... ........ ........ ........ ................. ... ......... .. ..... .. .... .......... ...... .. ...... . ................ - rj ..... ........ : ......... ........ I ................... ......... ........ imp N ic 1. � —7 .................. ..... ... ............ .......... . . .... ...... I ......... ........ ....... i--.1 .... v . ........... r .......... ......... ....... ........ CJ/Q..'e ............. ........ . ................. ........ ............. ...............r..... :R.::. ......................... ......... ........ .................. ......... ......... ......... ........ ......... :: .......... : ........ ......... ......... ......... ......... ......... ...................... I ......... .................. A ....... '5Fc5—. :J ........ ............ . . . ......... ...... 7-7 - A .................... ......... ........ .......................... ....... ........ ......... . .................................... ........ IDIT 6/Q. >! .................. I ........ ......... ...... ........... * ........ ......... : ........ . ....... ............. I ................... f.: ........ L Robert D. McGhie Structural Engineer 60 Declaration Dr., Suite C Chico, CA 95926 (916) 891-0903 ............................. C A. m 1: 1 ................... ............ . . .... ..... ...... ..I -A ....... .4 ... w7 iz- C . . ............. ........ :rte........................ .... .... .... ....\... . .. .......... ... . .. .7...... ..... . .... ........... I ......... ........ ......... i ......... ........ ........ ......... i ........ ........ ......... ....... ...................... .. ...... ..... ......... ...... - ------ ................... .......... ...... ..................... ... ........ . ........ ....................................o........:........:........' . . ........ ......... . . ............. .. .. ....... ........ ........ ........ 5:hale ..... ....... . ........ ........ .. ...... ......... I ........ ........ ........ ..... . ....... ........ . .. ........ ........ ........ ......... I ... job Sheet of Date 3 7, By TM P Checked by .......... ......... ........ ........ . ........ ....... . ........ ........ ......... ................. ........................................ ..... ... ...I.. . o.... ........ ...... ....... ........ ...... .i ... ........;.,... .........i........j. ........... .......... I ........ ........ ....... . ........ ........ ........ ......... ......... ........ ........ ........ ........ .................. ........ ........ . ........ ........ ......... ........ ...... ....... . ........ ....... ........ L . . ............ ... .... e ................... ......... 1, ...... ...... ......... ........ ...... ...... .... ........ 7 II ................. n........:........:........ ........ ........ ................ . ................. ........ ....... ...... ....... ........ ................ ........ i ......... ... .............. ........................... ........ ...... ........ t ........ .. ........ ........ ........ ............................. . ......... ............... 153 ......... 1 ........ ........ ........ ................ ....... ......... ......... .... ........ I ..... . ........ .... ......... .................. ................. .... .... ....... ........ ........ . ........ ........ ........ ........ ........................ . ..... FIYL� i .......... ................... ................... ........ ........ I ........ ........ . . : ....... ........ ......... ........ K, F . ........... .................. ........ .. ... ................... ........ ......... ................... ........ .......i ................... ......... .................................. :........:.........i..... .......... .......... ...I.... .. ........... ........... ....................... ........ ...... ........ ....... ......... .................. ........ ........ ............... ................. r-5 r � { •I iii ��ti, +.2 RESIDENTIAL ;, 029=25=0=017g-1-3-q27-4265 B'PEM HANSEN, Larry & Betty n 1256 Lindale Ave, Richvale contr: Mello Const new sf 1. } i•� s. � cgs r• .y" ♦ . p. i 'V41 ,W + b OFFICE COPY Address • s GAS _ ` Meter'B"y Dai' ,ELECTRIC • f 7 - Date 1 } I.Address GAS Meter By g g ELECTRIC t pate? Meter By JOB FINALED (Date) :� It ,, Signature V=OK O = Not OK =N tReadyable_ MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except It'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 ti's 1. Zoning Requirements -Setbacks Easements t 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 \„1 10. Cert. of Occupancy ` Date Card B-1 Date --Card B-1.., I Date Card B-1 Date Card. � 11 MISCELLANEOUS Date -DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except q'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 ti's 1. Setbacks -Easements Z 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Y J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date U DERFLOOR (Plans) OK except 4's 1..Zoning-Setbacks-Easements- Slope U Main; Soils-Elec. Grnd. Ftg. Depth g., Garage; Soils-Steel-Elec. G nd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- /Ftg. Depth 5. Stemwalls, Main; Steel-Bloc'kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors G ; Steel -Wrapped o iers-Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting-Test-Ay C/O -Sewer Jr 10. UF. Gas Pipe; Size -Anchors - yard gas piping: site -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. ectric; Underground 11.1 1 . •Pienums & Ducts; Clear_ -Material-Support-Ins. 0,K1 4. irders-Sills-Anch s oists-Vents-Cripples `1- . Access & Ventilation 16! Insulation Date - and B-1 Date and B - Date rd B-1 Date Card B-1 Date PL ING (Perm O except P's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---poop-- — - ------- ---------poop-- - 1 Water Pipe; Test & Anchor -Nail Protection ----------�-poop-- --------------poop-poop-- W.V.; Test -Fittings &Anchor -Nail Protection -- ower Pan: Test, First Floor -Tub Acce 20.e�ub & Shower, Second Floor -Tub Access poop-- ------pooppoop-- ----------------- as Pipe: Size & Anchors --poop-- ----poop-- --poop-- --pooppoop-- - --- --- ------ - --- -poop-- - --- - --- -- -- 9� ---- -- -- poop ----- Date -' Card B-1 poop- Date — - Card -B_1 --- --------------- poop --poop-- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's -Fixture— & Transformer Clearance -Ins. -Protection - ----------------------------------------------- '___J--ec. ec. Receptacles Spacing -Lights & Switches at Doors --- - -- - ---------------------poop------�R -poop-------�. maize Boxes& No, of Conductors-Staplod' Romex Installed Close to Edge of Studs & C.J. - �—--poop-poop-- ----- uip. Ground made up w/Meth. Fastners-Bo G' Water ------ - --- Su27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI--------- - - --poop- ------------------------'---------------- C. Meed Wire Size / ga. Cu or AI-A.C. Wire Size ! / ga. -- ---poop---poop-- -- -- ------- -- - -------- - uorA Ran a Circ. ! ga. Cu or AI -Oven Ci/-� Ct or AI. JD.stiiated Neutral ❑ Yes NO o- -------------- - - - ------- ------------------------------- ------poop----------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------- ------------------------------ quip. Clearanes Panels-Motors-Mech. Equip. poop-- poop - -poop-- -----------poop----------poop-- - -- ----- s Closet Light -Shower Light -Spa Light ---------------------------------------- ---poop---poop-----poop-- 3 moke Detector ----------------------------------------------- Date Card B-1 Date Card -B- 1 poop---------- -----------------------------------------------------------poop-- Date Card B-1 Date Card B-1 Date MEC UANICAL (Permit) OK except a's 34. A. Ducts Insulation &Support ---------=poop-- --- ----port-----------------poop -----poop-- ------------------ Vent Fan: Exhaust above insulation --poop----------------------�•------------------poop poop --5 -- �in & Overflow: Size & Grade r ------Wn -----------poop-- poop- - ce-Vent: Access -Comb. Air -Return Air Vent -115 outlet --poop- --------- pooppoop-poop--poop-------------- -r---poop-- ccess & Platform if Furnance in Attic -------------------------------------------- ------------------------------------- Date Card B_1 Date Card B-1 ------------------------------------------ -------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's -poop-- Sits. roper Material & Anchors poop- -- - - - - --- - - - -------------------- 4 all Studs -Nailing. Spacing & Bracing -Plates -Sound --------------- ear all over Girders &Floor Nailing .- poop-- --------------------------------------------------- Draft -top in Walls (rat proof) ------------poSt s Furred Ceitings-Stairs-Chases-Tub -op-ire - -- - - ------------------------------- 4 eaders & Beam -Size & Bearing NO=V Single & Duplex) Date FRAMING (Continued) X45gers=Post Caps -Anchors -Connectors _ Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. --- 47. lace Ties or Type A Flue -Fireplace Throat clearance _tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -- m. Windows or Exiting Doors -Sill Hgt. & Dimensions -- _ _G -Age Fire Protection Framing - — - 5 oper Line Firewall & Openings - -- 52, t. Doors -One T -Check Garage -3rd Story, 2 Exits 5 airs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 pt�wo .d on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer Mesh -Drip Screed -Fd. Vents-Underflr. Access poop - -_Glazing Area -Glass Protection -Skylights -Plastic - - Shear Walls; Nailing -Bolts — - 59. In lation-Valls-Ceilings Infiltration -Walls -Windows Dae ( f Card B-1 Date Card B-1 Da W- rd B-1 ate 1 Date FI (Plans) OK except ft's 1. xt. Steps -Door & Sidelight Protection -Landings -- Smoke Detector 6 rnace: Vents -Clearance -Comb. Air -Connector- - arage: Above Floor -Ducts -Meeh. Protection ---------- poop- - - --- 64. Bedroom Exiting -- — G & Bath Fixtures & Tub Access -Spa 6. ec. Trim & Subpanel: Breaker Sizes & Labels & Rails ---- - - poop- ---------- ------------ — e or Stove: Clearances -Hearth 9. ec. Outlets at Wood Panel: Int. & Ext. - -- - 7 - it.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance Mc Outlets & Receptacles at Kit. Counter - 2. Garage Fire Door_Swing-Landing-Closer --pooppoop--�----- poop -poop ---poop-- — A.C._Duct in Garage -Damper _____ _____ __ 1. 7 r. Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. Garage: Above Floor -Meth. Protection poop � _Elec. & Mech. Equip. Listed for Location V76. c. Receptacles in Garage: (G-F.I.)-Romex Prote-tion --Insulation-Foam-Looked in Attic 8. Guard Rails & Deck Construction -Post Caps 79. ents & Crawl Hole Door -Drainage & ood-Earth Looked under Floor es ------ ---------- -- - k,'. llowing instld. Drive 0--Y-es � No; Walks Yes No; Planters- 0 -Yes --p ❑ No -----oop-- -- o: Brown -Finish C. Unit: Disconnect. Electrical, Plumbing 83. Bove Roof: Plbg.-Appliance-Fireplace.-Clearance to enings • dell: Disconnect. Electrical, Plumbing --- poop-- -= -- -- -- d terior Elec. Trim; G.F.I. Receptacle -Underground poop -- Ventilation Throughout House ----poop-- 87 ss Protection — -- --- �$". Corrections from Previo s Inspectiion{S Yd9. Ga est -Meters Ta a� s- letVV(c — poop-- --- -- - ------- -------------------- poop- -�- - ter &Sewer ConneL'ted-C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Date 9 Card B-1 Date _Card B-1 /� - Date and B-1 _ ate Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center -Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE AA A15 OMER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed * If you h9we any questions pertaining to this matter, or need additional explanation, please contact jW'offic6 immediately. REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chic�, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 111111011 A routiine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be correcte,d. Please notify this office when correction of work is coff.plet5d"ft you have any questions pe taining to this matter, or need additional explanation, pleaseydritact this office immediately. fX '0&v/ -'n Lr Mle -T REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A roullim kKilicates; that the following violations of Butte County Ordinances exist at Ifee ab� =W shotild be corrected. Please notify this office when correction of work iiscon4desmll- Kvmhave any questions pertaining to this matter, ;r need additional explanation, me �!2fjl& ofqm immediately. 'r -1, . ? V-'/ k -l( 't : �� /-'Ov -1 — __: r -I Is - - A RBf 1191512 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 r-0RRFr-T1nN NhTir.F -:NE -! 71VII U. Aroutim km*ecbon indicates that the following violations of Butte County 01 -...dnces exist at the above adWkess and should be corrected. Please notify this office when corre.;tion of work iscoo;4dele& 1111you have any questions pertaining to this matter, or need additional explanation, plemm contact this office immediately. e - P, Date :2-5 Inspector IIEVIO 92 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Oroville — Phone:. 5W-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violatioris of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this pate inspector 01 �e4f7 �_���?`�"-c�� �2�.�s #�` .Co � � off cc��°e �J'�►o ti� alb /cs'�c s f,1i,-?'?�Q_O�-sc_s l.. �_- D AR�y�, DANE Permit No. owner. —' E N E R G Y C E R T IF I CAT I ON Hansen Res., Richvale CA. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Brand Name S Material --- TI►icknees(incl►ee) Ti►at�a►al Resistance (R Value)______. _ EXTERIOR WALL Material FIBERGLASS BATTS Brand Name Qwc s -CORNING R13 Thicknesa(inchea) 3 5/811 Thermal Resistance(1k Value)_ CEILING Batt or -Blanket Type Brand ciamei incltes) Thermal Reaiatance(R Value) Thi_ _ Loose Fill Type FIBF_RCLASS Brand Name OWk'NS(IRNiNf. 3�_lb. Minimum Thicknes1(Inches) 123/4_" Number of Bags 21 Wt. per aaoR Area covered(ft. ) 1328 Thermal Resistance(R Value). FLOOR, ELEVATED Material FIBERGLASS BATTS Thickness(inches) 6411 FLOOR, SLAB Material Thickness(inches) Width inches) FOUNDATION WALL. Material Thickness inches) Brand Name OWENS-CORNING Thermal ReaistanCe(R Value) R19 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that tite above insulation was installed in tits above building in conformance With the State of California Ensrsy Requirements. 499150 -Q RKk NI Sl1 ST ATION IRM NAME�OWNER ATE COKfRACTOR S LICENSE NO. June 25, 1993 , SIG TUBE OF INSTAL. .AT 104TURE OF ITA L.ICATOR DATE I hereby certify the above insulation and all required items as shown on the. Building Department approved plana and attachiuents hav• been lnatalled as required by the State of California Energy Requirements. All equipment, devices and materials are of tits quality prescribed or are aoacifically approved by the Stats of California. STATE CONTRACTOR'S LICENSE NO. 3 DATE THIS CERTIFICATE MUST BE ON FILE WITH Till BUILDING DEPARTMENT PRIOR TO FINAL �s,onargrWIUM APPROVAL AND A COPY SHALL. HE POSTED WITHIN THE BUILDING . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - I APPLICAT10N AND PERMIT 61 PERMIT NO. _ -/a( � i ASSESSOR PARCEL NUMBER 029-250-012 & 013 ZONING ARMH BUILDING PERMIT UV OWNER LarryD. Hansen TELEPHONE 882-4408 ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 183 Richvale 95974 p 41 88.00 669 M 12 042.00 CONTRACTOR'S NAME Mello Construction TELEPHONE 32 0 224.00 CONTRACTOR'S MAILING ADDRESS C 1 .690.00 Fireplace "At' 1 500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 157 044.00 LENDER'S MAILING ADDRESS Tri Counties Bank Chico 95926 Filing Fee $ 15,00 Permit Fee $ 800.50 ARCHITECT OR ENGINEER Dan Ades Bi s 95917 LICENSE NO. C9593 Plan Checking Fee $ 400.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Energy g Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 1,235.75 1956 T.Tndalp Ave.. ichvale PLUMBING PERMIT Filing Fee 15.00 Each Trap jj 5.00 55.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or ventj 7.00 7.00 USE OF STRUCTURE SF [:J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets j 5.00 5.00 Building sewer j 1 15.00 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New D Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New 4 Bedroom Single Family Permit Fee $104.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 1$•50 18.50 CONTRACTORS LICENSE LAW I declare under Snail of perjury penalty p i y (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1o00A1 37.50 NEW CONST. DWELLING oC 2JR µ 3.6Q sq.ft. OR ACDNS. ( ACC. BLDGS. �G�y� 115.20 NEW CONSTR MULTI -OUTLET NON •RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUTLETS (RESID.)REAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 148-70 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating 2 19.001 Cooling 2 9.00 18.00 Hood 1 6.50 Ventilation 2 .50 9. Permit Fee s Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili 'es, judgments, costs, and expenses which may in any way accrue against d Co ty in co s uence of the granting of this permit. X Date %"- Signature o Applicant - Owner-N,Contractor ❑ Agent ❑ >✓ �o �j��� An OSHA permit is required for excavations over 5'0" deep and dernI ' nstruct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 1 94.95 HAZ - DFEE IMP r. FL000 CDF PAR 1. PD HD ISS This permit is hereby issued under the applicable provi- Code and/or resolutions to do ions of the Butte C FROF work Indic a which fees have been paid. PUBLIC WORKS BY Date �Z- �L-� P RMIT EXPIRES y Date �/ Receipt No. - a WNITE-D.P.W., YELLOW -ASSESSOR. PINK-INSPECTO . GOLDENROD -APPLICANT 1 I Z/, Y/, 7 -peo COUNTY OF BUTTE - DEPARTMENT 0 7 County Center Drive - Oroville,*Califomia 9.596ci APPLICATION AND PER 2 ,3v BLIC WORKS Ile phone: 916,"538-7541 I PERMIT NO. ASSESSOR RCEL NUME .�1-zsC�-d /� ��/ 3 ZONy� �-t�/�IFT BUILDING PERMIT OWNER .ELEPHO BUILDING VALUATION AC' - a R'S MAILING ADDRESS L s 1vctiii � CON R T R' NAME � TELEPHONE a�L�L Co colvsz. z C&'NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ " Filing Fee $ 15.00 LENDER'S MAILING ADDRESS r, Cr�.z��PS 1�t::�k �; h, cc (- �, , cjSrj Permit Fee 60. 5 $ 7 ) ARCHITECT OR ENGINEER SAN fiNAq:. 3 �a'c r`- `i LICENSE NO. C — Gs `+ 3 Plan Checking Fee ,a� $ Energy Plan Checking Fee $ Q r ARCHITECT OR ENGINEER'S MAILING A GRESS 1 Penalty $ BUILDING ADDRESS L it, 8 c:, e\)c Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1 �y �Xi 0i �y ze-4 Each Trap 5.00j G Solar or heat pump water heater 20.00 LOT O SUBDIVISION NAME I PARCEL MAP j y Water piping Each qas water heater or v 7.00 USE OF STRUCTURE SFj�i Duplex!—'Mcbilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Q� Building sewer 15.00 ', On Mobile Home S G FW @ 15.00 TYPE OF WORK New X Addition ' Remodel[] Utilities Installation[ Other ❑ Describe work: d l/f/j Permit Fee $ �) Contractor ` ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20GATO 10o0A, 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 -of the Business and Professions Code and my license is in full force and effect. License No. Classification J I, as the owner, or. my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCU 3.64 sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR.- ULTI.OUTLET NON.RESID BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS e r (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESFIXED 120 76d RESID 1EA.� 1 3.00 Ex. Occup. OUTLETS ( R Temporary service 1 15.00 Mobile Home Facilities 15.00 f Misc. Wiring 15.00 Permit Fee r Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. r I have placed on file with the County of Butte Building Department E]a Certificate of Workmen's Compensation Insurance ora Certificate of Consent to Self -Insure. f� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating 4 610 Cooling �Q IL Hood 6.50 Ventilation Q permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and .keep harmless the County of Butte against all liabilities, --judgments, costs, and expenses which may in any way accrue VInst said County in consequence of the granting of this per it. Date -tw /,,-A�q_ Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent An OSH&.permit_is. required for excavations over s'o" deep.ond o ition or construct- ion of structures over3 stories In height. Mobile Home Installation Fee 5 Energy Inspection Fe S occ CONST TYPE TOTAL E $ HAz DFEE IMP F PA CEL Pp NO ISSUE This permit is herekyOssusd<nder sions of the Butte Co work indicated above for which - DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- nd/or resolutions to do fees have been paid. WORKS Date ,,+� Receipt No. /Song vim— 24-,�2 5 /-7/3 76( z /30 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone_ 916:538-7541 APPLICATION AND -PERMIT PERMIT NO. ASSESSOR N?ARCEL NUM E 2 *-013 ZO yye� gkw(-f BUILDING PERMIT l OWNER LjPmeSL-tJ ELI- PHO SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS O. x 83 R2 o\valig Co. `t S9 1y CON R T R' NAME �C Cv Cd,(JS% TELEPHONE 3 V3- �B� 7 Z C �r�ACTOR'S MAILINCy ADDR SS e4 95 73e "a-) 5`60J Fireplace CONS/gTJRSUCTIO///N` LENDEERR!/V.'/ UNKNOWN Total Valuation LENDER'S MAILING ADDRESS� \ h1 C6 CA , 215 Filing Fee $ 15,00 Permit Fee $ r ARCHITECT OR ENGINEER bAfvE aV�dCS l�tc Cfa, ^c` /� LICENSE NO. _ �Sr Plan Checking Fee $ ` ARCHITECT OR ENGINEER'S MAILING A DRESS --Energy Ener Plan Checking g Fee $ rr 0 Penalty $ BUILDING ADDRESS L ii -,a ve Permit fee $ S /�J SSGPLUMBING F �+�� `—�—,9�� PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 0,0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other �` SPECIFY Gas piping system 1 • 5 outlets 5.00 00 Building sewer 15.00 �, 01) Mobile Home S I G I W @ 15.00 TYPE OF WORK Newt Addition L!Remodel❑, UtiIities❑ Installation[] Other E] Describe work: Permit Fee $ Zo 41 69 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200v OR LESS 00AOR LESS 18.50 r CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): r II I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or. my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. f DWELLING OCCUP.&\ 3.6Q sq.ft. OR ADONS. ACG. BLDGS. NEw CONSTR ULTI.OUTLET NO N•RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e l SINGLE OUTLET CIR. ( EX. Occup( OR FIXTURES 20 76d ++ Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of Cal.ifornia. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling t Q Hood 6.50 Ventilation ` O Pen It Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, -judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per it. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSH f� permit is required for excagvations over 5'0" deep and o ition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fe $ `,��j� OCC CONST TYPE TOTAL E $ HA2 DFEE 1, IMP I FL F PA CEL PD HO ISSUE This permit is here y�is nder sions of the Butte Co work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- nd/or resolutions to do fees have been paid. WORKS Date Receipt No. WNITE•D.P.W.. Y LOW-A!14ESSOR, PINK'INSPECTOR,GOL DENRO -A PLICANT .. ��h,,. •- r'��Jf _. ):�'.�."4�;..'.. rk,�JY,'�..y.y,',F1f�Y1,C'{.y..(�,{' �+C�'i" ♦�:tici..--i�+li-}�rn;Y�;�d r. -,'..u;:. ,_`•' r.. COUNTY OF BUTTE f'ARTMENT OF PUBLIC WO- BUILDING DIVISION s 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER � 611ySE4j Proposed Building Use qA. P. No�'2,-0-012- F i3 Building Inspector J IC 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 All items h e been submitted. ................ . . ............ .......... 2. Plot plans /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 . .................. Statement of Intent for Non -Heated and A/C Buildings. . engineered truss details and layout in duplicate (required prior to plan check). .... i 2 Mobilehom dat and wfacturer's installation instructions, 2 sets. ........... Fees of` f .. . 2- Z mpact fees as shown on attached schedule. .....SNG'IZIf� .. a.(o. ��...... , 12. California Department of Forestry plan approval/fees. ...... 13. Flood elevation letter (100 year fl d) by California Engineer. 14. Sanitation and plot plan approval e -V-_ Health Department" —j r. 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). .. ....... 8 —� Pre -Inspection request 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... r97 Certificate of.Workmans Compensation Insurance . .......................... Eji23. Owner -Builder Verification (Given to owner Mail to owner ) ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. t 6 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. P chec lis 34. When Y9issue th��Gjt, p5e�s as follows: Mail to owner. Mail to contractor. ✓Telephone Y � and hold for pickup at office. Deliver with inspector. Other Parcel Creation �3 9� Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuan, 1. Index permit for above items No. 2. Additional items required: hecked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter by _ Date Counter by _ Date __� Date / - 5 -gL TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner Driveway permit si/ature .x -;; 0, - - Z '441e 2 7 - location AP # has been issued for the above property. date COUNTY OF BUTrE - DP.PARTMM OF PUBLIC WORKS - B=DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 )WNER ���/ l�l%� /SL�tJ A.P. NO.Zc1.-2S�vO1Zf-13 IMPOSED BUILDING USE �� DATE School Distric Feesl/ S� S (paid at District Office)....' ........................ Sheriff Fees (paid at Building Department) Residential unit amt. Commercial(per sq.ft.). X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department - Residential (per unit)' X =$ #-units amt. Commerical(per sq.ft.) X _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other REC. .# DA_ 60 130328 It time of permit application, I was advised the above fees are required to be paid prior =o issuance of the permit. kPPLICANT DATE �Ms/�e+a'IF4T�`y'+`th,?'�:'SK a r r 'yftlR�f'+i'i�tl`''J"�","1•' �n� 1"4fiwrr�``i>i%:'i:.4�tt-.,-<t7v+"•.rTi''flY►^c�`rf"i;r1.'�C" BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. m A.P. Number d"/ S�-0�� 'f 13 Jurisdiction City [ID,-C'ounty 7•• Property Owner Lo r r r\ Property Location/Address ci\ e Ave. C ! � Subdivison Residential Development Commercial/I "Alstrial ,, yt; f i" sFAA � 1I Lot No. ,171 Sq. Footage No. of uving MHI Addition (Group R) Units a (02'Z 0 Sq. Footage New Addition COUNTY OF BUTTE BUILDING DEPT (Including Exterior Roofed Areas) DEC 1 6 1992 /2 `e_ � Z Date (Floor Plans reviewed by School District Personnel) , District Identification No. 0� iP M School District certifies that =" (Applicant)' (Street Address) (Phone Number) 14 11, C 1/4 le- 9,55P 7V (City) (State) has,complied with the requirements of Resolution No. representing sq are feet. Representative Paid by Check Number Bank Number Paid by Cash Remarks: (Zip Code) g�3�1o,30 by payment of $ Date 40, 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) feeformmkt (4/92) k RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNERA.P. # o�%'oZ5- Plan Checker Z_"S GENERAL 6xZoning requirements: (sideyards and number of permitted living units). aluation. •fans signed by designer. Proper description of work on application. isting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. (PLOT PLAN Complete parcel size and dimensions. etbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Complete or utilities across lot lines (Record form).jj FLOOR PLAN fComplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). �. Required windows for second exit (Sec. 1204). kylights (Chapter 34 & Sec. 5207). tIuman impact glass (Sec. 5406). J.�Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical'equipment. ` Locations of water heater, heating and cooling equipment, other electrical or gas equipment. O_ Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). ireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS -andard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. hree story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building /Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. . Rafter ties or bearing ridge beam. . Garage door or porch header sizes. tud heights. dobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway.details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). oof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. -9— Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 &see Mezannines - 1716 P '. ) Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. se requirements on duplexes. rC ergy design. ashing at all exterior openings. F responsible area requirements. a 92-5.3893 October 21, 1992 All that Real Property situated in Section 16 Township 19 North Range 2 East MDM Butte County California and being more particularly described as follows: Lots 12 and 13 as shown on that certain map entitled "Thengvall Tract Unit One" filed in Book 30 of maps at pages 11, 12 and 13 in the office of the Butte County Recorder, these lots are being merged into one lot. J5` D. / rT ✓,s =� L.S.420-2 EXP. 6-30-96 EmD or- DOCUMENT LANDS BEING MERGED: AP NUMBER(S) b ZF1 - Z -S. O - U 1-L $ 613 SUBDIVISION/PARCEL MAP: BOOK -30 PAGES /1 11 /Z J13 BLOCK LOT (S) lz 13 As of the lands noted described on I day of above are merged to create Exhibit "A" attached hereto. William Farrea,'" Director of/0evelopment Services 19., those one single parcel of land as Dat e OWNERS' CONSENT TO.MERGER .ti,rr �i HC,o Sev, owners df all that real agree to the merger of on Exhibit "A" attached SIGNATURE SIGNATURE C TP -10 ATI 100 GENERAL ACKNOWLEDGMENT SAN as property to be merged, do hereby consent and such lands into one single parcel as described hereto: State of l �U A �'&& 1.4 SS. County of '��—� OFFICIAL SEAL JOEL W BISSON . Notary Pudic- Gfomla BUTTE COUNTY f.'y Comm. Exp. June 7,1993 '/0- 2-Z -9Z DATE er)-- DATE On this the ZZ day of �� Q6L 19jj!before me, rbCA_ I�t9Sgfj the undersigned Notary Public, personally appeared personally known to me ❑ proved to me on the basis of satisfact ry evidence to be the person(s) whose name(s) subscribed to the within instrument, and acknowledged that _ executed it. WITNESS my hand and off icia al. I s Signatu 0 NO. 201 r LU C' IIn II(iNAI rl()IAII'.'AS!I)CIA111 H . i':4f117 viaM�mi lllvd . 1'l114n�-lli;'S . W��nill�uvllldlS, Cn illara qrl?S FZ !, , 92-53893 • AFTER RECORDING RETURN TO: _0+-+�O 7 C� 88a3 � �. 1 Rec Fee 8 00 v I Check 4 Recorded I 8.00 County of Butte Official Records I Department of Public Works County of I No. 7 County Center Drive Butte I Oroville, CA 95965 Candace J. Grubbs I Recorder I 8:02am 24 -Nov -92 I PUBL MP 2 CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMBER(S) b ZF1 - Z -S. O - U 1-L $ 613 SUBDIVISION/PARCEL MAP: BOOK -30 PAGES /1 11 /Z J13 BLOCK LOT (S) lz 13 As of the lands noted described on I day of above are merged to create Exhibit "A" attached hereto. William Farrea,'" Director of/0evelopment Services 19., those one single parcel of land as Dat e OWNERS' CONSENT TO.MERGER .ti,rr �i HC,o Sev, owners df all that real agree to the merger of on Exhibit "A" attached SIGNATURE SIGNATURE C TP -10 ATI 100 GENERAL ACKNOWLEDGMENT SAN as property to be merged, do hereby consent and such lands into one single parcel as described hereto: State of l �U A �'&& 1.4 SS. County of '��—� OFFICIAL SEAL JOEL W BISSON . Notary Pudic- Gfomla BUTTE COUNTY f.'y Comm. Exp. June 7,1993 '/0- 2-Z -9Z DATE er)-- DATE On this the ZZ day of �� Q6L 19jj!before me, rbCA_ I�t9Sgfj the undersigned Notary Public, personally appeared personally known to me ❑ proved to me on the basis of satisfact ry evidence to be the person(s) whose name(s) subscribed to the within instrument, and acknowledged that _ executed it. WITNESS my hand and off icia al. I s Signatu 0 NO. 201 r LU C' IIn II(iNAI rl()IAII'.'AS!I)CIA111 H . i':4f117 viaM�mi lllvd . 1'l114n�-lli;'S . W��nill�uvllldlS, Cn illara qrl?S Return to DPW AGRICULTURAL STATEMENT OF AMMOWLEDGEIMNT FOR RESIDENTIAL DEVELOP."FNT Section 26-8.1 of the butte County Code' requires this acknowledgement be recorded prior to issuance of a building permit. 5. 00 5. 00 XX . 1 but not to o cu iva n, p ng, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as A priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property. situate in the County of Butte, State of California, described as follows: All 1'1to.+ real Prope11r�7 s'vaf'ed �,� Se_J�um k°� SCJ Ilo(Qr h �� Mo r e ar� CL-sc.r; bed G-�ollows; l J as *ka_� Ce rfab ti rAv. P e V"� . -H t Thev�ej�.cLl1 Trac.+ Un i+ Orae" -F le d i -,, S a: ' Page S �eslt )01-.5ctre beIA5 Merged i oane Iot, Date: `J 2-- PROPERTY OWNERS: t, HAfJSE N' %i �-- le-rT Y—{!{n+Se N State of NuF On this the day of �cc E'w�t�E�l.� 19191-, before me, the SS. undersigned Notary Public, personally appeared County of �) "3cT rc-nJ OFFICIAL SEAL Personally known to me. Proved to me on the basis JOEL WSISSON of satisfactory evidence. No BUTTE lbCatifY - to be the person(s) whose name(s) A -R -E surrE couNnr subscribed to the within instrument and acknowledged that h'yComm. Exp. June 7,i993 executed the same for the purposes therein contained. IN WITNL S T WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public END OF DOCUMENT The property described herein is adjacent —C�$7 I Rec Fee to land or included within an area zoned I Check for agricultural purposes, and residents Recorded ", I of this property may be . subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, ce J. Grubbs Candace I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 2:52pm 9 -Dec -92 I PUBL 1' d t It do lowi 5. 00 5. 00 XX . 1 but not to o cu iva n, p ng, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as A priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property. situate in the County of Butte, State of California, described as follows: All 1'1to.+ real Prope11r�7 s'vaf'ed �,� Se_J�um k°� SCJ Ilo(Qr h �� Mo r e ar� CL-sc.r; bed G-�ollows; l J as *ka_� Ce rfab ti rAv. P e V"� . -H t Thev�ej�.cLl1 Trac.+ Un i+ Orae" -F le d i -,, S a: ' Page S �eslt )01-.5ctre beIA5 Merged i oane Iot, Date: `J 2-- PROPERTY OWNERS: t, HAfJSE N' %i �-- le-rT Y—{!{n+Se N State of NuF On this the day of �cc E'w�t�E�l.� 19191-, before me, the SS. undersigned Notary Public, personally appeared County of �) "3cT rc-nJ OFFICIAL SEAL Personally known to me. Proved to me on the basis JOEL WSISSON of satisfactory evidence. No BUTTE lbCatifY - to be the person(s) whose name(s) A -R -E surrE couNnr subscribed to the within instrument and acknowledged that h'yComm. Exp. June 7,i993 executed the same for the purposes therein contained. IN WITNL S T WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public END OF DOCUMENT Structural Calculations HANSEN RESIDENCE FOUNDATION DESIGN RICHVALE, CALIFORNIA September 1, 1992 JOB NO. 92 - 044 Robert D. McGhie, SE 2320 60 Declaration Dr., Suite C 916-891-0903 Chico, CA 95926 PPOFESS/ON O 1• D . 9 C ��P�00�P McC•y �tiC � m w m n No. 2320 Z OF EXP. 12/31/93 Robert D. McGhie Structural Engineer X60 Declaration Dr., Suite C Chico, CA 95926 (916) 891-0903 Job_HAN '�)e�j Sheet I of 10– Date— Date_ s3. fIA1 q Z By TM 4 Checked by .. ........ ......... ........ ......... ......... ......... ......... ......... ........ ......... i ............................. ........ .................D....I....C.I.................... 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No....T��1.v...���... ✓1�1 _ .... ...........:.. . �_:.. . �;AVA ........::........:........:.........:.......:.......................... , ... ... r R ..:... ...... :.......................... ............ ..........; ...................... - .................. ,..........r�.I.1.1..............��Jy.G...o..........0 . ....................................>................... :.. :...... ........:................................ .... ... .................... . rr: v `�'c.tel I C .........r-....... 1.... .................. :.................. .......... ......... .............. i..i..... �G; .. .... ........................ I . J°I i 77- ,: J. .................:........:..................................... �1� .............. :... .......:... ; J .......................... .... ........ .................. :........................... :.................... .... .... .... ... .....:.... :.. .... :. :...........:....:.....:..�.. T ......................................... -� :...... .... .... ; :. ..... ,.r.., . ....... /<tOANE P.' , V -71 aslA �(�tr/�✓\ O AGI CA S� ; ®��to T ` i�Y Waw Q 84 9lFp�GA1 0� pelf ud .e zt SAA QAc 2/C�a IEEE Gh�oGio 0738,® • 1. Ceiling Insulation Insulation In Floor -3 -1 Number of stories Number of stories j R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 „ -2 - R-30 -2 -1 -1 R-38 0 0 0 U -value U -value -90 Number of Stories 0.50 -176 -84 -54- 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 0.04 -1 0 Single- Single - = 4 2 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 2 8 15 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Controlled Ventilation Crawlspace Insulation In Floor -3 -1 Number of stories -1 Number of stories One - R -value --One Two Three R-0 -17 -8 .5 R-11 - -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -90 Number of Stories -26 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 --95 -46 -W 0.30 -69 -34 .22 0.20 43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 .3 .2 0.04 -1 0 0 0.02- = 4 2 1.. 0.00 10 5 3 Controlled Ventilation Crawlspace -4 -3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 .5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 .1 .2 -2 4. Slab Edge Insulation 4 40 -90 Number of Stories -26 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total Single- Slab Floor Effective Percent Glass Mass 1.1 -value (Pecent glass x SC) Percent Effective Stones .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 . -55 -18 . , -10 -2 5 13 . 27 -52 -17 -9 .2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Single- Slab Floor Effective Percent Glass Mass Effective Pe eestt Glasr (Pecent glass x SC) Multi Effective Stones (percent glass x SC) ICFA Effective Two %Glass Nath East %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3•' 5 2 2 7 1 3 4 2 2 6 �i 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -1 -9 1 S. Shading (Shade Closed) Single- Slab Floor Effective Percent Glass Mass Family (Pecent glass x SC) Multi Effective Stones Attached ICFA One Two %Glass Nath East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 . -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 = 0 -4 -5 -4 -16 2 1 1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 3 7 8 10- 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stones Attached ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 .1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1' 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0. 3 6 8 . 9 -10 10 4.5 3 7 8 10- 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 ' 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - 2. Wall Family Family Multi Mass Detached Attached Famiy 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 91 1.60 10 13 11_ 1.80 10 12 12 200 10 11 13 I 11. Heating System 1. Ceiling Insulation 2. Wall Insulation 3. SE or ASPF -5 -4 -4 (assume; ducts (assumes ducts In attle) -2 Two + 3 Stin of 7-10 2 2 Sum of 1-6 1 -25 or -24 to ` 14 to -410 +6 to -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 3 • 120 Effective SE or HSPF 9 7 5 (SE or HSPF x duct efficiency) 20 • '17 14 - Effective -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 Y 12. Cooling Systtn SEER 1. Ceiling Insulation 2. Wall Insulation 3. One -5 -4 -4 (assume; ducts In attic) -2 Two + 3 Stin of 7-10 2 2 2 1 -25 or -24 to ` 14 to -410 +6 to 16 or SEER less -15 .6 +5 +15 more 8.0 14 12 S -10 -8 -6 -4 . 8.5 .9 -7 Heater (:relit or • 10 8.9 .5 -4 • '-4 -3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 R 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 • 120 15 13 11 9 7 5 '13.0 20 • '17 14 - 12- 9 - 6 8 5 4 3 3 SE Effealve SEER -37 -24 -18 (SEER x4ud efficiency) -12 95% Sim of 7-10 -1 -1 -1 Effective -25 or -24 to -141D -410 +610 16 or SEER less -15 -6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 3 4 6.6 -5 4 -4 -3 .2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6' 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed --Stories 1. Ceiling Insulation 2. Wall Insulation 3. One -5 -4 -4 -3 -2 -2 Two + 3 3„ 2 2 2 1 Single -Family IIetached and Attached = kd. •''";;r, .� a Skylight Unit Size (sQ x Water _ ; 199 12M 1700 2200 2700 Heater (:relit or • 10 to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 25% POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 95% Solar -1 -1 -1 0 0 0.8 HWR -18 -12 -9 -7 -6 23 WSB -25 -16 -12 -10' -8 3.8 POU -18 _-12 -9 -7 -6 IG None -5 -3 -2 -2 .2 ' 1.2 Solar 7 5 4 3 2 2.7 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 .9 20% Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 -3 3.1 Multi -Family (Individual units) 3.9 4.1 4.3 4.5 i Unit Size (sQ 5 S.2 Water 56 699 700 12W 1700 2200 Heater Credit or to to t0 or Type Type less 1199 1699 2199 more SG None 0. 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.2 WSB 9 4 3 2 2 4.7 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 21 Solar 2 1 1 0 0 3.8 HWR -23 -12 -8 -6 -5 5.1 WSB .25 -13 -8 -6 -5 0.9 PQU -23 ;J.2 -8 -6 -5 IG None -8 -4 -3 -2 ; -2 3.0 Solar 6 3 2 1 1 5.3 POU 1 0 0 0 0 IE None 30 -15 -10 -8 -6 2.7 Solar 18 9 6 4 4 4.2 . POU -8 . -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss Interior Mass/CFA Shading (Shade Open) c. South 3. x West 04 / TTPX 2 MASS = kd. •''";;r, .� a Skylight 0.3 x = _ • ra" 9., Interior Thermal Mass TYPE 1 MASS AREA = % 41.1 �•y Interior Mass/CFA GOND. FLOOR AREA 10.`ExteriorfWalll Mass TYPE 2 MASS AREA = e r• ;..+� Exterior Wall Mass COND. FLCOR AREA II. MIMC•4.21 I c.cvet.a .1_b) %�, x� _ � tr 7 Zonal Conor . Y�/, N) SE or HSPF t TYPE 1 MASS (UIIIC s 4.2.. 1e: eased slab) HSPF (0.56J5.15] Z01181aCOjltrOl? (;� ,/4N) SEER [9.5] x Duct Efficiency (0.74] Effective SEER 17.031 13. Water Heating 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 56% 60% 694. 70% 75% tic% 85% 98% 95% 100% 105% 110Y. 115% 120% 125•: OY. 0 0.2 0.4 0.8 0.8 .1.1 1.3 1.5 1,.7 1.9 21 23 2.S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.6 1 1.2 1.4 1.6 1.9 2.1 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 S.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 28 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 9.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1. 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 23 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 . 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6. 70Y. 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 50 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 110%. 1.4 1.6 1.8 - 2 2.2 2.4» 26, 2.8- 3 3.3 - 3.5 3.7 3.9 -4.1 4.3 4.5 4.7• 4.0 . 5.1 5.4 5.6 5.8 6 6.2 64 •66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 6S 6 7 90Y. ' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 22 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5, 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.8 7 110% 1.9 2.1 2.3 2.5 27 29 9.1 3.3 3.6 3.8 4 4.2 4.4 4.5 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures e 30 Or 11-vahie 38] U -value [0.030] or R -value [ 1] U -value [0.098] .1712 or R -value f 191 U -value [0.037] .or R -value [0] F2 factor [0.77] Standard Type [double] U -value [0.65] Point Scores r 0 % Total Glass (16) uS m 1 6 % Glass SC Eff. % Glass a. North f7. (C x _ f5 fi / - b. East 3.2 x = O c. South x = d. West 0. x e. Skylight 0.3- x 8. Shading (Shade Closed) Point Total: % Glass SC Eff. % Glass a. North 7' l� x (o = DY b. East 3 • .L x c. South 3. x West 04 / x = kd. •''";;r, .� a Skylight 0.3 x = _ • ra" 9., Interior Thermal Mass TYPE 1 MASS AREA = % 41.1 �•y Interior Mass/CFA GOND. FLOOR AREA 10.`ExteriorfWalll Mass TYPE 2 MASS AREA = e r• ;..+� Exterior Wall Mass COND. FLCOR AREA 11. H'eaing System %�, x� _ � tr 7 Zonal Conor . Y�/, N) SE or HSPF Duct Efficiency 10.781 ( J Effective SE or 12. Cooling-Systern (0.7y6.6 �- �% HSPF (0.56J5.15] Z01181aCOjltrOl? (;� ,/4N) SEER [9.5] x Duct Efficiency (0.74] Effective SEER 17.031 13. Water Heating Type [SG] Credit [none) Point Total: i Sum 7-10 3 Point Total: Certificate of Compliance: Residential Climate Zone 11 /d.�L�������� nocumentation Author Telephone BUILDING DATA Conditi n �4rea � Number of Stories Sla ised-Ftoo ;--' Number of _Units VAllingle Family Detached (SFD) [ ] Addition -Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUII.DING SHELL INSULATION Component Insulation. Locatioru'Commenits Tvne R -Value (Salic. to Garage. "iaal. etc.)' WaU.............. f _ Roof ............ Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING - Shading Devices tea- yes Building Pemtit N Caecited By / Date Enforeenent Agency Use Only Glazing Area Glass Type Interior Exterior Overhang Framing Type Worth UIZA1 North East East ( ) South South West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) LOcation/DCScription (kitchen, bath. etc.) 10 4 HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) 0/re .S7 ryff Maximum Fumace Heating Output: _ HOT WATER SYSTEMS Tank k" etc. Btuh Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Manufacturer / Model # t Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain Nese mcawre Sregardlrss of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance regwrements listed on the certificate or compliance. When this checklist is incorporated into the permit documents. the features rated shall be considered by all parties as binding minimum component performance speaftealiorts for the mandauory measures whether they are shown elsewhere in the documents or on this Checklist only. DESCRJMON DESIGNER ENFORCEMENT 4i Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. i • 42.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). .. §2-5332(k): Slab edge insulation -water absorption rate res gtearer than 0.396, water vapor transmission rate no greater than 2A permlinch. 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. 12.5352((): Vapor barriers mandatory in Climate Tones 14 and 16 only. 42.5317: Infltration/Exftlration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked toad sealed §2-5352(c): special inrdtration barrier installed to comply with 02-5351 meets CEC quality f standards. I 12-5352(d): Installation of Fireplaces j I. Masonry and factory -built fireplaces have: t a. Tight fitting. closeable metal or glass door t b. Outside air intake with damper and control j e. Flue damper and control I 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 1 §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 42-5352(h) and 2-5315: Setback Nertrastat on all applicable heating systems. ' 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 62-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanker (R-12 orgreater) or combined interiodexterior I insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). 42.53 t2(Excrytion p: Pipe insulation on steam and steam condensate room &recirculating 4 piping. §2-5318(d): Swimming Pool Heating i 1. System has: ' a. Orloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. 42-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. _ COMPLIANCE STATEMENT i This certificate of CotnpHance lists the; building features andperformanlx specifications needed to comply with •Title 24. Chapter 2-53 and Title 20, Mpter2. Subchapter4. Article I of the California Administrative code. This cestficate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the Certificate to any subsequent purchaser of the building. Designer Building Owner Nan= Nunn TttkJFim1 TitkJFrm: Address: Address: Telcowne: Telephone: t Lic. N: (signature) (date) (signatutre (date) t Documentation Author Enforcement Agency Name: Name: TttkJFirm Agency: Address: Tek0w= t 0 Glass Area % Glass North 0,100 7• G East py3. 1, South � West O Skylight 0. Total 7V7 5 Glazing Area Glass Type Interior Exterior Overhang Framing Type Worth UIZA1 North East East ( ) South South West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) LOcation/DCScription (kitchen, bath. etc.) 10 4 HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) 0/re .S7 ryff Maximum Fumace Heating Output: _ HOT WATER SYSTEMS Tank k" etc. Btuh Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Manufacturer / Model # t Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain Nese mcawre Sregardlrss of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance regwrements listed on the certificate or compliance. When this checklist is incorporated into the permit documents. the features rated shall be considered by all parties as binding minimum component performance speaftealiorts for the mandauory measures whether they are shown elsewhere in the documents or on this Checklist only. DESCRJMON DESIGNER ENFORCEMENT 4i Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. i • 42.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). .. §2-5332(k): Slab edge insulation -water absorption rate res gtearer than 0.396, water vapor transmission rate no greater than 2A permlinch. 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. 12.5352((): Vapor barriers mandatory in Climate Tones 14 and 16 only. 42.5317: Infltration/Exftlration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked toad sealed §2-5352(c): special inrdtration barrier installed to comply with 02-5351 meets CEC quality f standards. I 12-5352(d): Installation of Fireplaces j I. Masonry and factory -built fireplaces have: t a. Tight fitting. closeable metal or glass door t b. Outside air intake with damper and control j e. Flue damper and control I 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 1 §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 42-5352(h) and 2-5315: Setback Nertrastat on all applicable heating systems. ' 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 62-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanker (R-12 orgreater) or combined interiodexterior I insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). 42.53 t2(Excrytion p: Pipe insulation on steam and steam condensate room &recirculating 4 piping. §2-5318(d): Swimming Pool Heating i 1. System has: ' a. Orloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. 42-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. _ COMPLIANCE STATEMENT i This certificate of CotnpHance lists the; building features andperformanlx specifications needed to comply with •Title 24. Chapter 2-53 and Title 20, Mpter2. Subchapter4. Article I of the California Administrative code. This cestficate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the Certificate to any subsequent purchaser of the building. Designer Building Owner Nan= Nunn TttkJFim1 TitkJFrm: Address: Address: Telcowne: Telephone: t Lic. N: (signature) (date) (signatutre (date) t Documentation Author Enforcement Agency Name: Name: TttkJFirm Agency: Address: Tek0w= t 0 BARREERS FOR SWB4MING POOLS, SPAS, AND HOT TUBS Effective Date: I Feb. 1994 *GENERAL nese provisions apply to A design and construction of barriers for swimming pools located on the premises of single and two family dwellings. DEFE'fMONS Abovegroundton-ground pool. See definition for swimming pool. Barrier is a fence, wall, building wall or combination thereof, which completely surrounds the swimming pool and obstructs access to the swimming pool - Grade is the underlying surface such as earth or a walking surface. Hot tab. See definition for swimming pool. In -ground pool. See definition for swimming pool. Spa, non portable. See definition for swimming pool. Spa, portable, is a nonpermanent structure intended for recreational bathing, in which all the controls, water -heating and water -circulating equipment are an integral part of the product and which is cord connected (not permanently electrically wired). Swimming pool is any structure intended for swimming or recreational bathing that contains water over 24 inches deep. This includes in -ground, aboveground and on -ground swimming pools, hot tubs and spas. Swiruming pool, indoor, is a swimming pool which is totally contained within a residential structure and. surrounded on all four sides by walls of said structure. SwUmning pool, outdoor, is any swimming pool which is not an indoor pool. ��-:_REQUHZEdENTS Outdoor Swimming pooli, An outdoor swimming pool, including an in -ground, aboveground or on -ground pool, hot tab or spa shall be provided with a barrier which shall comply with the following: 1. The top of the barrier shall be at least 48 inches above grade measured on the side of the barrier which faces away from the swuinmmig pool. The maximum vertical clearance between grade and the bottom of the barrier shall be 2 inches measured on the side of the barrier which faces away from the swimming pool. (See ligure "A") Where the top of the pool structure is above grade, such as in an aboveground pool, the barrier may be at ground level, such as the pool structure, or mounted on top of the pool structum (See ffgure "B") Where the barrier is mounted on top of the pool J1, structure, the maximum vertical clemace between the top of the pool structure and the bottom of the barrier shall be 4 inches. (See figure "C"). 2. Openings in the barrier shall not allow passage of a 4 -inch -diameter sphere. 3. Solid barriers which do not have openings, such as masonry or stone walls, shall not contain indentations or protrusions except for tooled masonry Joints. 4. Where the barrier is composed of horizontal and vertical members and the distance between tops of the horizontal members is less than 45 inches, the horizontal members shall be located on the swimming pool side of the fence. Spacing between vertical members shall not exceed 1-3/4 inches in width. Where there are decorative cutouts within vertical members, spacing within the cutouts shall not exceed 1-3/4 inches in width. (See fig. "D"). 5. Where the barrier is composed of horizontal and vertical members and the distance between the tops of horizontal members is 45 inches or more, spacing between vertical members shall not exceed 4 inches. Where them are decorative cutouts within vertical members, spacing within the cutouts shall not exceed 3/4 inches in width. (See figure "E") 6. Maximum mesh size for chain link fences shall be 1-1/4 inch square unless the fence is provided with slats fastened at the top or the bottom which reduce the opening to no more than 1-3/4 inches. 77he wire shall be not less than 9 gauge. 7. Where the barrier is composed of diagonal members, such as lattice fence, the maximum opening formed by the diagonal members shall be no more than 1-3/4 inches. S. Access gates shall comply with the requirements of Items I through 7 and shall be equipped to accommodate a locking device. Pedestrian -access; gates shall open outward away from the pool and shall be self -dosing and have a scif-latching device— Gates other than pedestrian gates shall have a self -latching device. Where the release mechanism of the self -latching device is located less than 54 inches from the bottom of the gate, (1) the release mechanism shall be located on the pool side at least 3 inches below the top of the gate and (2) the gate and barrier shall have no opening greater than 1/2 inch within 18 inches of the release mechanism. (See figure '71 9. Where a wall of a dwelling serves as part of the barrier, doors with direct access to the pool through that wall shall be equipped with an alarm which produces an audible warning when the door and its screen, if present, are opened. 'Me alarm shall sound continuously for a minimum of 30 seconds immediately after the door is opened, and be capable of being heard throughout the house during normal household activities. 'Me alarm shall automatically reset under all conditions. The alarm system shall be equipped with a manual means, such as a touchpad or switch, to temporarily � I I deactivate the alarm for a single opening. Such deactivation shall last for no more than 15 seconds. The deactivating switch shall be located at least 54 inches above the threshold of the door. Other means of protection, such as seif-closing doors with self -latching devices approved by the building official, shall be acceptable so long as the degree of protection afforded is not less than the protection afforded by the alarm system described above. 10. Where an aboveground pool structure is used as a barrier or where the barrier is mounted on the top of the pool structure. and the means of access is a ladder or steps, then (1) the ladder or steps shall be capable of being secured, locked or removed to ent, access or (2) the ladder or steps shall be surrounded by a barrier which mects the requirements of I through 9. When the ladder or steps are s or re any opening oc created shall not allow the passage of a 4 inch diameter sphere— Indoor Swimming pool. Doors with direct access to an indoor swimming pool shall comply with number 9 above. - --------- ----------- Barrier ,r MaiL If less than 45" between membe.m Maximum spacing= I 31,V -7 install members on pool side. 48" Min. opening 4W Min. Barrier is side. 2" MaX. LIM tbW 415" ......... - ----- --- L Grade level . . . 7i '* . . . . . . . iii'll"i 7i:i1s, IN GRO,UND POOL: Figure "A" Grade level Grade level Figure "C" Barrier ,r MaiL If less than 45" between membe.m Maximum spacing= I 31,V -7 install members on pool side. opening 4W Min. 4r Mill LIM tbW 415" ......... - ----- --- L Grade level Grade level Figure "C" Figure "B", ABOVE GROUND POOL Horizontal Members Vertical Members If less than 45" between membe.m Maximum spacing= I 31,V -7 install members on pool side. LIM tbW 415" ......... - ----- --- L Figure "D' 1 9 Horizontal Members Vertical Members' If more than 45" between members, Maximum spacing 4� members may be installed either side. A . . . . . . . . . . More than No. Figure "E' For gates other than pedestrian No opening greater than access gates, where latch is [an UZ inch within 18 inches than W from bottom of gaM of release mechanism. Install latch on pool side. 3" Min. . ....... ...... -Mw Figure "F" -7- T'-71 " I' -f i 1 11 ------- RW oil' Allmnow w. X. nx U P5, x;.; 44 Do* 09/09/91 Uslo As Shown Prowpo XT Job 95-36 of M=Ifo Mos" moilloo WON" L4W. Up Ep T T 1p T DOUBLE WIDE "PICAL nfl- nAl #592- nn ftd2- RW oil' Allmnow w. X. nx U P5, x;.; 44 Do* 09/09/91 Uslo As Shown Prowpo XT Job 95-36 of