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030-250-025
NCo- T- ES 'r ' ` " RESIDENTIAL 030-2507025 PERMIT NO.— MULLNER, MARY I ; 03-0778_ WILBUR RD, OROVILLE94c1�� Cont: OWNER NSF , �s . i. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER L40 c 1- 7 cl-� (C2 � • • �� �. JOB FINALED (Date) 6(�A Signature or ,f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPkENT SERVICES - BUILDING DIVISION 7 County Center.Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) '°+ ` APPLICATIONANDPERM"IT 03-077$ ASSESSOR PARCEL NUMBER 2 030-250-025 ZONING AR -10 BUILDING PERMIT OWNER MULLNER. MARY 83121-8794 TELEPHONE SO. .7, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 37925 PAIR COLORADO CAPL'+IFL CA. 9.3923 R 5 Aaf1 il(i CONTRACTORSpNAME VwLM TELEPHONE CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER s LENDER'S MAIUNG ADDRESS Fireplace Total ✓aluation $ 25.920.00 ARCHrrECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ 258.50 Plan Checking Fee $ .168.W BUILDING ADDRESS I.J 7 WT LR Rn t F. (-A Energy Plan Checking Fee $ 23�QQ $ PERMIT FEE $ 469.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IS: Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 28.00 Solar Q heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 1.5 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation 0- Other ❑ Describe Work: NRF Gas i in stem 1 - 5 outlets 15.00 15.00 Buildin sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 108.00 t. Fi.00DsX.0960C ELECT31CAL PERMIT Filing Fee 20.00 Main Service 800V OR LESS 2o.A OR LESS 23.001 23.0 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'mylicense 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: "° E 1, as owner of the property, or my employees with wages as their sole compensation, ' will do the work, and the structure is not intended or offered for sale. ❑ I, as owner ;of the property, am exclusively contracting with licensed contractors to construct the project. ,. r ❑ 1 am exempt' under Sec. Business and,Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW corr<T. owELUNc occuP.so OR ADDNS ( a AM. SMS. 3.5Qs,: 16.80 NEW CON£ -T. OUTLET NON RESID MULTL 1. I @7.50 POWER APPARATUS a SINGLE OURET CIR. Ex. OCCU OUTLET FDCTUREs BAS @'; 0 FU(ED APPLNOR Ex. Occu . ounETs S. RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. VAring 23.00 PERMIT FEE $ rj� $Q • WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: /El I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permitis issued. ❑ 1 have and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling•. Hood 6.50 Ventilation PERMIT FEE $ 35.00 Policy Number (The above sections need not be completed if the permit isrfor-work of a valuation of one hundred dollars ($100) or less.) " f '%lI 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 ag tee that if I should become subject to the workers' compensation provisions f section 3700 of the Labor Code, I shall f with co I wi os �� isi n �1 _ U Det / `'i'_ KSignature of ApplicantOwner ❑ Contractor ❑ Agent/ / An OSHA permit is requir�Zl for excavations over 60" deep and demolition cr construction of structures over 3 stories in height. Mobile F bme Installation Fee $ Energy Inspection Fee $ ;4{).QQ 10,00 NST TYPE TOTAL FEE $ 718.30 , ,FEES 'I�P FLOOD CDF PARCEL H ISSU This permit is hereby issued under of the BL.tte Co ty C?de and/or indicated ¢bov f r 7hLih fees ave By g, RMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 7/2 �OZlC�'¢ Date Receipt No., 7 `�}"� WHITE-D.D.S.-970. CANARY-ASSE SUR PINK-INSPECY-9A GOLDENROD-APPLICA T Insulation Certificate -v►n � -, Inn A , (? � n'„ „ _ BUILDING PERMIT #: O 3y7 7 WILDING LOCATION: Q5 Description of Installation ROOF Material Thickness (inches) ` Brand Name Thermal Resistance (R -Value) fZ I CEILING . Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance -(R -Value) Brand Name Loose Fill .type Minimum thickness inches Contractor's minimum installed weighdh lb . IvlanufactuMr's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL W—u Brand Name Material i Thickness (inches) �n Thermal Resistance (R -Value) 1 RAISED FLOOR Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL MaterialBrand Name Thickness (inches) 77--rmal Resistance (R• -Value) Declaration C( I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. %\. A and Sub•.Contractor (insulation Installer) Signature and Title License Number /?h$ � ---�i ---- -ate— -^ License Number Date THIS CERTIFICATE MUST.BBE RBE IDSED To oWTHE BUILDING ,NDEPAG�M. PRIOR TO FINAL INSPECTION APPROVAL AND A COPY S JANUARY 1993 . J=OK 0 = Not OK = Not Applicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Electric 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P. Nat. or / /" L "ft./ P LPG 9. 7. Well Clearance & Disconnect Roof; Shthg-Roofing 8. Utility Clearance 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date .MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line ' 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test . 6. Water; MH Test. . 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify#'s with Office• . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. . MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels ,Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. ` Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI• 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 4-'7oning-Setbacks-Easements-Flood-Slope .Ffg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4.",Ft ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 4b -415m -walls, Garage; Steel- Blockouts-Wra ed .09'-Hojd Downs and Special Anchors lab, Steel -Wrapped 8.: Piers -Fireplace Ftg.-Steel 9. .W.V.; Fall -Fitting -Test -2 Way C/O -Sew Test Z 'j,T,, (o j2 ((, . UF, Gas Pipe; Size Anchors -Yard Ga iping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s i'7 -Water Htr.; Vent -Access -Combustion Air Baffle 18./4yat`er Pipe; Test & Anchor -Nail Protection tD.W.V.; Test Fittings & Anchor -Nail Protection 26: Shower Pan; Test, First Floor -Tub Access P1' Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors -23--Fire Sprinkler; Test i Date 21 -4 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2 ure & Transformer Clearance -Ins. Protection 2 . EI eceptacles Spacing -Lights & Switches at Doors 26. a Boxes & No. of Conductors Stapled 2 . Romex Installed Close to Edge of Studs & C.J. 8'Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 21Y' 2 Appliance Circuits in Kitchen & Conductor Size GFI ybfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al sulated Neutral O Yes 0 No 'Service -Riser Conductors & Ground Main Disconnect _ 30r Equip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light JVd Smoke Detector/ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s '36. A.C. Ducts Insulation & Support �17. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date' Card B-1 Date FRAMING (Permit) OK except #'s 41/Sills Proper Materials & Anchors 42�IIs Studs -Nailing Spacing & Braces -Plates -Sound 43✓Bearing4alls over Girders & Floor Nailing 4 aft•Stop in Walls (rat proof) 4 . Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs' - 46�-Weaders & Beams -Size & Bearing Date FRAMING (Continued) V.,' n ers-Post Caps -Anchors -Connectors "Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. fireplace Ties or Type A Flue -Fireplace Throat Clearance 5 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51' drm. Windows or Exiting Doors -Sill Ht. & Dimensions rage Fire Protection Framing -RC Channel operty Line Firewall & Openings " 54,xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits _55_Stalrs; Width- Head room -Rise- Run -Land ino-Fire Protection 56/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57 Biding -Nailing Veneer ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts /Brace Interior/Exterior Wall Panels 6�. Insulation -Walls -Ceilings 63. Infiltration- alls-Windows Date y,/ of Card B-1 X Date Card B-1 Date Card B-1 Date Card B-1 Date FINAjs(Plans) OK except #'s Be Ex . teps-Door & Sidelight Protection -Landings 9b! oke Det for 6 ' urnac ents clearance -Comb, Air -Connector - Ir Garag , ove Floor-Ducts-Mech. Protection Boroom Exiting G�F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Gargle Fire Door; Swing -Landing -Closure 76. . Duct in Garage -Damper tr. Htr, ent Clearance -Comb. Air Connect• - i Gar bove Floor-Mech. Protection 7 Plb.; Elec. &Mech. Equip. Listed for Location 79. fzlec. Receptacles in Garage (F.F.I.)-Romex Protection . Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ I Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 4I5-A.C. Unit Disconnect, Electrical -Plumbing Ve s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing . E rior Elec. Trim, G.F.I. Receptacle -Underground ntilation Throughout House AoQmss Protection 941.""Cgrrections from Previous Inspections Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval i ergy Compliance Certificate -Other Certificates Address Posted 96. -Fire Sprinkler Date. Q (pCard B 1 Date Card B-1 Da Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 i Comments at Final: i 4 BALANCE OF FEES SHEET i DATE: PERMIT #:�� ASSESSOR PARCEL OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: ADDITIONAL FEES: REVISED PLAN CHECK: SHERIFF FEE: SRA: COPY FEES ($1 or more) URBAN AREA FEES CHICO OR THERMALITO THERMALITO DRAINAGE CSA (North Chico Specific) WATER TENDER FEES SMIP �lwf-1 wl RECEIPT NUMBER(S) $ $ $ $ BATTALION # $ q-,-2 w ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT - bw 7 3:�2 ASSESSOR PARCEL NUMBER ,iJ, ®, �-`. ® zO 6 `J `•/� BUILDING PERMIT OWNER T LEPHO E SO. FT. OCC. BUILDING VALUATION . OWNW �(. I l GrORESS bf e� 9/ P `S / ` CONTRA OR'S EV I 1 TELEPHONE CONTRACf-OR'Sr MAILING ADDRESS. CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS s s Energy Plan Checking Fee $ $ J I PERMIT FEE $ ' LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ IRe eell ❑ lliities ❑ �Installllatiion ❑ Other ❑ Describe Work: I `� )5" i � s Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W Mobile @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 UE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of•Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 'IX I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 4 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' ,sa,on Mmpen' w of C ornia, nd agree tha 'rf I hould become subject to thero n on Islo act n 7 the Labo Code, I shall i tho ov' ions. X Date . _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Age t An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service �� TO 46.00so CCU000A NEW CONST. DWElLNO OCCUP. SO OR ADONS ( a ACC. S.3.50FT. NO"ON.gGSIp T.MOLT CIRCUITS @7,50 POWER APPARATUS a sINOLE ocnLET cw. Ex. Occup. OUTLET OR FIXTURES X 9'.50 BAL � .50 Ex. Occ u . Pur rED s AE�sio °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. D FEES IMP FLOOD CDF PARCEL PD HD IS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in Ica above' or which fees have been paid. J3,6 By Dat PERMIT IRES ON 0 • �� t Date Receipt No. WHITE-D.D.S.-B. . ' CANARY -AS E SO PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -]BUILDER VERIFICATION Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. (T)I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO ❑ I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for thero osed work. P P 1 I have contracted with the following person (firm) to provide the proposed construction: A11�• PHONE: CITY: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the fc llowing person to coordinate, supervise, and provide the major work: CITY: CONTRACTOR'S LICENSR NO. S. \I will provide some of the work but I have contracted (hired) the following persons to provide �he work indicated: ADDRESS PHONE TYPE OF WORK DATE: NOTA: This Owner -Builder Verification is required by Section 19831 and 19831 of the California Health and Safety Code. This verification: must be completed and returned to our office before we are permitted to issue the permit: OVER A OWNER BUILDER INFoRMATION Dear Property Owner. O.B.- 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 ofrecord m such a permit Building pew are not required to fie signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than youursel4 you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they. apply. 7f 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; d If you employ or othm lse engage any Persons other than your immediate f unfly, and the work ('including materials and other costs) is S30D or more for the entire project; and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to sremal obligations including state and federal income tax withholding, federal social security taxes, C°mPOnsatim msmmce, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worimes compensation insurance. ♦ For more specific hfimiation about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business .. ). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of industrial Accidents. If the structme is intended for sale, Property owners who are not licensed contractors are allowed to perform their work personally or trough their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practioe of unlicensed Persons professing to be contractors is to secure an "owner builder" building p2l' eQ°nsis'implyingbratthePropertyerowtynerisprovidinghis or her own are not eourequired t4 be signed by propowners unless they are p labor and materownial pework rsonally. Building information about licensed fact may be obtained by contracting flue Cors State Licensee Board in your cammtmity or at 1020 N Street, Sac w=it(, CA. 95814. Please complete the "Owner Builder Veai$cation" on the reverse side of this form so that we can confirm that you are aware of these matters. The bu&img p== wM not be issued U30 the venfieation is returned. iy, /GIJ��. Mi I C niftCB.O.Bding Inspection NOTZ- Tyus Owner-Baffderinforrnaaon is required by Seciiorr.19930 ofthe CaWornfa Health mrd Safely Code COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APF.UCATION AND PERMIT 03-0778 ASSESSOR PARCEL NUMBER 2 030-250-025 ZONING ` AR -10 BUILDING PERMIT OWNERTELEP"°NE. MULLNER MARY - SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 37925 PALO COLORADO CARMEL CA. 93923 4190 'R 29,920-00 CONTRACTOR'S NAME OWLV lilt TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 25 920.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 258.50 Plan Checking Fee $ 168.00 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 469.50 LOT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 5.00 Each gas water heater or vent 15.00 TYPE OF WORK New R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping system 1 - 5 outlets 15.00 15.00 Buildin I sewer 15.00 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S 108.00 FLOOD'X,0960C ELECTRICAL PERMIT Fling Fee 20.00 Main Service 0*0v oR LEss zoOA OR LESS 23.00 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, 0 OR ADONS. ( e ACC. BUDS. ':50SFT.. 16,80 Ip"�R.,. MULTBRANCI.OUTLET @7,50 I POWER APPARATUS ,,d-. • 3 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES BAS @':50 Ex. Occup. oZED LNS APPD OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 59.80 . WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: rI have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 19.00 Cooling Hood 6.50 Ventilation PERMIT FEt $ -35 00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions Off nection 3700 of the Labor Code, I shall fnwi"wi(b-t}aos� vi ' n CC1J �� X D - ature of Applicant Owner ❑ Contractor Agent An OSHA permit is requir d for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 4(;.00 °� �� TOTAL FEE $ 718.30 . FEES IMP FLOOD F/ CDF PAROL PD H s This permit is hereby issued under the applicable provisions of the Buttety C de and/or Resolutions to do work indicated bov f r h• h fees ave been paid. -7 4/C_7.7 By Date RMIT EXPIRES ON `// Defe Receipt No. 7 WHITE•D.D.S.-B. CANARY -ABBE S R PINK-INSPEC GOIDENROD-AP LICA T LS ... .., - -�.. 'NTr7' .. Tom...; ,p„ w „ m +�r;`r •g^.7++rora'-r..ry.r.ry-r ern.-w,.r`.G COUNTY OF BUTTE -DEPARTMENT OF`dEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, 6AA`5!�65 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET �/• r OWNER: ASSNSSOR PARCEL NUMBER Proposed Building Use: N r Counter Technician:*4 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J� L. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage :ine information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required ,for initial plan review. If checked items have not been received, plzn review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate:. -"%,.:," ...................... ❑ 9. Plot plan and business license approval from the City of Biggs.... t`? .....................:.":.. a❑ ,10. Letter of intent for non-residential buildings ...................?:J. (t.................• g .............. ❑ -11. Detached Accessory Building Form filled out by the owner.` ......................_............ ❑ 12. Hazardous Material Form..............................................................'................ _ IJ ❑ 13. Other ., . Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items. Yy 1174. Fees as shown on the attached Schedule of Fees Due Sheet.......................................Statement of Intent for Non -heated and A/C Buildings ..................................... Sanitation and plot pla... n approval from the Environmental Health Department in t� % a C3. City of Chico Plumbing permit............................................:............................ . California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: O')C (B)Parking: (C) Parcel Check: a 0. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).-/ 2s Pre -Inspection for required ................ ❑ 23.' Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24.", Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. IOwner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... V8.',.'Manufactured Letter of Signature authorization.................................................................... 'Recorded copy oCAgricultural Acknowledgment Statement ................................... home utility clearance............................................................... ' ❑ 29. Existing violations and/or expired permits......................................................... . . ❑. 30. ❑ Grant Deed, O M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Tther: When sued Telephone "— and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. DAplicant: CDa 3/ �- Q J 1. Index permit application for a ove ' s numbered: L, /.�l Plan Check Letter 2. Additional items required Contractor, designer, owner, was dvi c t e ab`ovf'dX by Z phone, ❑ mail, ❑ counter, by 44,1 Date: dontractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date: Plans reviewed by: Date: Plans approved by: _Date: Structural reviewed by: Date: Structural approved by: 411W Date: Note transfer by: �AT Date: Yellow: Bui dine Division _ APPLICATION FOR f r ADMINISTRATIVE PERMIT FOR TEMPORARY TRAVEL TRAILER Assessor's Parcel Number for Site: Q 12 2 Street Address of Site: Applicant's Name: 14A - J 0 -M U L Z, Aj L~ dl, Applicant's Address: 11*11 ��� S� s o� Ho V(L� Applicant's Telephone Number: 5`3 o- Q O - t 1 2 0 Building Permit Receipt Number: 0 3- D 7 -`7 9 (Show Copy of Permit Signed and Issued) Date Sewage Disposal Permit Issued: ! - l (Show Copy of Permit Signed and Issued) I certify that the above information is correct and that I have read Butte County Code Section 24-300-C. On the reverse side of this application. Applicant's Signatuge: votv_ TO BE FILLED IN BY PLANNING DIVISION Date Application Received: _a3 - Zoning Verified By: A& -10 Permits Reviewed By: L<A&v Associated Building Permit -0778 Planning Approval By: Date Approved: ��� 7 ��, D 3 File: "Mobile Home Permits - Temporary" Chapter 24 of the Butte County Code 24-300 C. Temporary uses in zones permitting a residential use: 1. Temporary travel trailer as a dwelling unit during construction of a single family residence or the rehabilitation of a single family residence that has been damaged by fire, earthquake, tornado, other acts of nature, or has been deemed condemned or uninhabitable by the County, subject to the following requirements: A. The travel trailer may be placed for a period not to exceed one (1) year from the date of issuance of the Administrative Permit; provided however, the Planning Manager may extend such Administrative Permit for one six (6) month period. Such extension by the Planning Manager shall be done only upon a showing of physical or financial hardship by the applicant. B. That the occupant has secured a building permit for a residence. C. That the occupant has secured a sewerage disposal permit from the Butte County Environmental Health Division. D. That before six (6) months have elapsed from the date. of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence; and E. That the house must be completed within the one-year period and the trailer . dwelling must be abandoned. F. The applicant must obtain the necessary permits from the Butte County Building Division and Environmental Health Division for the travel trailer installation. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive @. Oroville, California 95965 • Telaphone (b30) 538-1541 - FIM -74'. :v t 2196;.. 1* APPLICATIONAHD PERMiT � i ss %PAR=MJ � () r c� ✓r- O ") / -a �'�A��Z —j- Q BUILDING PERMrr `'l ,t� 031 75 –8- y' so. rf occ. BUELDING VALUATION rnraas mm inn s LlSn � p 7 .S- �� Ccc�i � n_(� . j ° a3 axs tacn� I :�mxor� ae�s �sar�+6 x»s J �tSSA�iI� ,may* � � AW -s-vww cmGimwm CIR Dan=% mum Z;0 RIR NTT Anna -m / , 11 n ores - I WAM mns wwe m Fes so LMEOFS TRUCTURE Solar w hest ptimp wder heeler 3F Dupl= D Wbbnshoms D Ober Wehr 00ho sP —%A em vadw hedec or vera TYPE OFWORK G•es pigmg qmtm 1 - 5 =gob t bf\A*M= 0 ,R=CdE t 0 Uifms 0 hs mW= O Other 0 -%Hw +0 sewer e Waw mgft Home 5 G W PRT F- S I mac'laom P99IT � hlbin Serie.-e � oA��s mmrm ate► -m 1=4 s = ass *?S;UW FEE ?AlD SRS � � • $-L 9 40 0 TO va. PJi XWO Comm • • e snv .a ' 00,.'.'��. � = OR FC1Sl� 0.00 ig Fee 20.00 7.0D t 23.DD 15.DD 15.00 15.DD 15.00 ren nn - CIO —20.00 I ts: wamg 29.00 PERW FEE s R ECKAADCAL PERMIT Fdbg Fee ZD. Do Cay Had s.5o PERMIT FEE S 3 U 7 Nbbne Hama h dwlmfan Fee t: Energy hrspe5on Fee 0 0 �� u� s LFA VIVI lohd'=zlad his PwmR is hereby 1=ued under the appEable prows r s f the Hutte Cau* Cade and/ar Read fmm b do work above far vkfrh fees have been paid. 3y rZ�piNa PERMIT DUIMSS ON n.uRRe_w -. .......vr_Rrecrene enrc_I/tSPECiaR v.7Ld=o1R00.iPPL1_ANT Dste ?'A COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 f SCHEDULE OF FEES DUE OWNER A.P. # -3 ' oZ J — c9L PROPOSED BUILDING USE /u J DATE ohq RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ / 30 3 0 Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) ' 3 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ -22 60 �V Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x-=$ # Units Amt. Commercial (sq. ft.) ............ —x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE �`� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or frim the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNVIPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNV1Ps, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BWs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: ^Z // Ck / �1 - ---)- NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan RECORDING REQUESTED BY: MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: LEILANA LOUISE BANKHARDT 1752 MCKINLEY'AVE. WOODLAND, CA 95695 ESCROW// 199595AM-3/ORO-C A.P.N.: 030-250-025-000 Order No.: 199595AM Above This Line for Recorder's Use Only Escrow No.: 199595AM SHORT FORM DEED OF TRUST AND ASSIGNMENT OF RENTS THIS DEED'OF TRUST, made this Thirtieth day of July, 2002, between TRUSTOR: MARY JO MULLNER, AN UNMARRIED WOMAN whose address is , and TRUSTEE: Mid Valley Title & Escrow Company, a California Corporation, and BENEFICIARY: LEILANA LOUISE BANKHARDT, Witnesseth: That Trustor IRREVOCABLY GRANTS, TRANSFERS AND ASSIGNS to TRUSTEE IN TRUST, WITH POWER OF SALE, that property in the UNINCORPORATED AREA, Butte County, State of California, described as: SEE ATTACHED LEGAL DESCRIPTION r This Note is given and accepted as a portion of the purchase price. This Deed of Trust is given and accepted upon the express provision that should the property hereinbefore described, or any part hereof, be conveyed or alienated by Trustor, either voluntarily or by operation of law, without Beneficiary's written consent, then all sums secured hereby shall, at Beneficiary's option, become immediately due and payable. TOGETHER WITH the rents, issues, and profits thereof, SUBJECT, HOWEVER; to the right, power and authority given to and conferred upon Beneficiary by paragraph 10 of the provisions incorporated by reference to collect and apply such rents, issues and profits. FOR THE PURPOSE OF SECURING: 1.Performance of each agreement of Trustor incorporated by reference or contained herein. 2.Payment of the indebtedness evidenced by one promissory note of even date herewith, and any extension or renewal thereof, in the principal sum of $25,000.00 executed by Trustor in favor of Beneficiary or order. 3.Payment of such further sums as the then record owner of said property hereafter may borrow from Beneficiary, when evidenced by another note (or notes) reciting it is so secured. TO PROTECT THE SECURITY OF THIS DEED OF TRUST, TRUSTOR AGREES: By the execution and delivery of this Deed of Trust and the note secured hereby, that provisions (1) to (14), inclusive, of the fictitious deed of trust recorded in Santa Barbara County and Sonoma County on October 18, 1961, and in all other counties on October 23, 1961, in the book and at the page of Official Records in the office of the county recorder of ther county where said property is located, noted below and opposite the name of such county, viz: Counly Book Page County Book Page County Book Pape County Book Parse County Book Page Alameda 435 684 Imperial 1091 501 Merced 1547 538 San Benito 271 383 Siskiyou 468 181 Alpine 1 250 Inyo 147 598 Modoc 184 851 San Bernadino 5567 61 Solano 1105 182 Amador 104 348 Kern 3427 60 Mono 52 429 San Francisco A332 905 Sonoma 1851 689 Butte 1145 1 Kings 792 833 Monterey 2194 538 San Joaquin 2470 311 Stanislaus 1715 456 Calaveras 145 152 Lake 362 39 Napa 639. 86 San Luis Obispo 1151 12 Sutter 572 297 Colusa 296 617 Lassen 171 471 Nevada 305 320 San Mateo 4078 420 Tehama 401 289 Contra Costa 3978 47 Los Angeles T2055 899 Orange 5889 611 Santa Barbara 1878 860 Trinity 93 366 Del Norte 78 414 Madera 810 170 Placer 895 301 Santa Clara 5336 01 Tulare 2294 275 EI Dorado 568 456 Marin 1508 339 Plumas 151 5 Santa Crux 1431 494 Tuolumne 135 47 Fresno ' 4626572 Mariposa 77 292 Riverside 3005 523 Shasta 684 528 Ventura 2062 386 Glenn 422 184 Mendocino 579 530 Sacramento 4331 62 Sierra 29 335 Yolo 653 245 Humboldt 657 527 San Diego Series 2 Book 1961, Page 183887 Yuba 334 486 (which provisions, identical in all counties, are printed on page 3 of this document) hereby are adopted and incorporated herein and made a part hereof as fully as though set forth herein at length; that he will observe and perform said provisions; and that the references to property, obligations, and parties in said provisions sha!1 be construed to refer to the property, obligations, and parties set forth in this Deed of Trust. CONTAINED IN THIS RECORDED REQUEST. IF YOUR ADDRESS CHANGES,,k NEW REQUEST MUST BE RECORDED. Signature of Trustor(s) MARY JO MULLNER Document Date: July 30, 2002 STATE OF CALIFORNIA )SS COUNTY OF ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence] to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and :hat by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature This area for official notarial seal. PAGE 2 OF 4 O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1�I personally plan to provide the major labor and materials for construction of the proposed roperty im rovement :YES NO ❑ 11 HAVE; HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NXME: ADLKE, CITY• PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide porn s of this work, but I have hired the followin erson to coordinate, supervise, and provide the r work: s: NAME: ADDRESS: PHONE: CONTRAC ICENSE NO. 5. I will provide some of the work but I e contracted (hire ; the following persons to provide the work indicated: NAME RESS PHONE TYPE OF WORK SIGNED:��tp PROPERTYOWNER: , cn�T �_r.-cam- --- - -- ---------- DATE- NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. TMcrely, el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is.required by Section 19830 of the California Heallh and Safety Code OVER SITE PLAN REVIEW APPLICATION AUG Date: D-3 AP# U — a S —� Permit Number (if applicable)( ,2/! -camy, 0 APPLICANT iYFORMATION Parcel Size: Owners Name: Owners Address:. Telephone No.: qqQ — 1/ 2 6 Situs Address: �_�l1. f� (�i h CJk Proposed Use: Residential. New Single Family Residential ❑'Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑,,. Temporary,:Travel Trailer ❑, multi—family, • tion -residential ❑ New Commercial ❑ Commercial Addition a, ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other Septic - ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVEL OP5fEiVT SERVICES INFORMATION (For Staff Use 01. 6 Approved ❑ Conditionally Approved ❑ Site Plan Stamped Approved By ❑ :Resolve Problems Prior to Approval Date C) —19, © /Z_ Page 1 of 5 e ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: • ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (Seech �d) • Flood Zone: • Flood Panel No.: 01:1) b0 G Index Date: 6- 8- 5 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California ReclamationaBoard) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ----------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: Applicable Building Setbacks: ❑ Setbacks dra•An on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Plot- 7 nF i Zoning Code Streets & Highways Fire Prevention Subdivision Map Front a e Side ) Q Side Street Rear O Height Watenvav I N/A N/A N/A ❑ Setbacks dra•An on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Plot- 7 nF i Applicable Development Fees: 'f Standard Fees ❑ Fire ❑ School' • ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP%CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact Other Subdivision Map Special Fees Amount Formula ❑ Water Tender , ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By • Deeds: Date of Creation: Legal Access Provided: ❑ No - jj Yes Deed of Reference: j) 6y 2 13 d 617 c Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: Parcel Deemed to be legal ` ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Nfeet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Nlay: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: :.. Date of Approval: ❑ Comply with the following Conditions of Approval: Page: r� LJ ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed *in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Pub Works. 0 ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Lleasures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. Class A roofs are re • ❑ required. q Paee 4 of 5 rlay= vl W I o o a Summary of Specific Requirements: 9 This information provided in this summary is based on the application information and on the best available data at the time of review. • C.Ndy Documents'B-jdding Permit Site Plat Reviewl.doe Pa;e5of5 a • II BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) i School District ( Building Department No. A.P. Number SV J�. Jurisdiction: City it County Property Owner t , Property Location/Address Subdivision Residential Development Commercial/Industrial No Living Mobiles ftme Units Installation Lot No. Addition/ 'Suppiemental to Conversion Permit # *(No foundation inspection) ................................................................................................................... i U3 -o0 r7 Sl Sq. Footage !49D (Group R) Sq.- Footage (Including Exterior Rofed Areas) s ag a Date Irwor runs rewewea oy acnooi uistnct rersonneo District Identification No. LAMSchool District certifies that J (Applicant) .'�.--.� • (GJI c:.`r� v2 2r� ilk - 0 (Street Address) �i (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. D by payment of $ —� w representing square feet. AB 2926 $ FULL MITIGATION S $ School District Representative Date y� /Z:// Paid b Check Jt Remarks: Notice: You may protest the imposition of the fees.id'entified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 day's from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), 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.xls (10/98)dmm I I� AND WHEN RECORDED MAIL TO: '. 2te3m3-0�t+85�6 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE Recorded I REC FEE 7.00 OROVILLE. CA 95965 Official Records I County Of I BUT CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Alyce 03:05PM 23 -Jul -2003 I page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: BEING A PORTION OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 20, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M. AND COMNIENC1NG FOR THE SAME AT THE SOUTHEAST CORNER OF SECTION 20, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M., AND RUNNING THENCE ON THE EAST LINE OF THE SECTION NORTH 20 CHAINS; THENCE WEST AT RIGHT ANGLES WITH SAID EAST LINE OF SAID SECTION, 15 CHAINS; THENCE DUE SOUTH 20 CHAINS TO THE SOUTH LINE OF SAID SECTION; THENCE EAST OF SAID LINE OF SAID SECTION 15 CHAINS TO THE PLACE OF BEGINNING. Date Jam/ 7 0 -�s 7WONERS: State of California ) County of �i.,-H-(1, On Z17C�� ;��(� -2_�X)'� before me, personally appeared V .. T,,) . jy/u //M e_/ personally known to me (or proved tom(on the basis of satisfactory evidence) to be the person(s) whose name(s) is/ate subscribed to the within instrument and acknowledged to me that he/she/tley executed the same in **her/their authorized capacity(ies), and that by his/her/thc4r signature(s}on the instrument, the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my ha and official seal. JAMES HAMAR KINSER Signature Seal: mNOTARY PUBLIC 3l F CABoRMYtlA BUTTE COUNTY �.. My Comm. Expires Sept 28, 2006 A.P. 4 0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF-1R Project Title.......... MULLNER COTTAGE Date..03/17/03 12:32:04 Project Address........ WILBUR ROAD ******* ORAVILLE, CA *v6.01* 0 - 0 Documentation Author... DAVID W. KNIGHT ******* Bui $} rm Monterey Energy Group 227 Forest Ave., Suite 5 Plan Check Dat ;7 Pacific Grove, CA 93950 831-372-8328 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPASG v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-MULLNER Wth-CTZ11S92 Program -FORM CF -1R User#-MP0113 User -Monterey Energy Group Run -R -21R R -21W R -OSE 2P GAS GENERAL INFORMATION Conditioned Floor Area..... 480 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 0 deg (N) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Slab Onrade Glazing Percentage......... 27.3 % of floor area Average Glazing U -'factor.'... 0.4 Btu/hr-sf-F Average Glazing SHGC....... 0.35 Average Ceiling Height..... 8 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments Wall Wood R-21 R-0 R-21 0.059 Roof n/a R-n/a R-21 R-21 0.048 SlabEdge None R-0 R-0 F2=0.760 FENESTRATION Over - Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins Window Front (N) 26.0 0.400 0.350 Standard Standard None Window Left (E) 27.0 0.400 0.350 Standard Standard Yes Window Back (S) 38.0 0.400 0.350 Standard Standard None Window Right (W) 40.0 0.400 0.350 Standard Standard Yes THERMAL MASS Area Thickness Type - Exposed (sf) (in) Location/Comments S1abOnGrade No 480 4.0 Exposed CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... MULLNER COTTAGE Date..03/17/03 12:32:04 MICROPAS6 v6.01 File-MULLNER Wth-CTZ11S92 Program-FORM.CF-1R User#-MP0113 User -Monterey Energy Group Run -R -21R R -21W R -OSE 2P GAS Y Equipment Type Wall ACSplit Tank Type Storage HVAC SYSTEMS WATER HEATING SYSTEMS Number Tank External . in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Recirc/TimeTemp 1 0.62 40 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspec:ion.. *** This building incorporates a High Mass Design. REMARKS CF -6R AND INSTALLATION CERTIFICATE SHALL BE POSTED ON JOB. H2O: RHEEM 41VR40N 40 GAL./ 40K. INPUT. ALL WINDOWS SHALL BE LOW E SQUARED. Refrigerant Tested ACCA Minimum Charge and Duct Duct, Duct Manual Thermostat Efficiency Airflow Location R -value Leakage D Type 0.730 AFUE n/a-- None R-n/a n/a n/a Setback 10.00 SEER No Attic R-4.2 No No Setback WATER HEATING SYSTEMS Number Tank External . in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Recirc/TimeTemp 1 0.62 40 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspec:ion.. *** This building incorporates a High Mass Design. REMARKS CF -6R AND INSTALLATION CERTIFICATE SHALL BE POSTED ON JOB. H2O: RHEEM 41VR40N 40 GAL./ 40K. INPUT. ALL WINDOWS SHALL BE LOW E SQUARED. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... MULLNER COTTAGE Date..03/17/03 12:32:04 MICROPAS6 v6.01 File-MULLNER Wth-CTZ11S92 Program -FORM CF -1R User#-MP0113 User -Monterey Energy Group Run -R -21R R -21W R -OSE 2P GAS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, -Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... NORMAN E. COTTON Company. Address. 37925 PALO COLORADO RD. CARMEL, CA 93923 Phone... (831) 624-8794 License. Signed.. ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed. date DOCUMENTATION AUTHOR Name.... DAVID W. KNIGHT Company. Monterey Energy Group Address.227 Forest Ave., Suite 5 Pacific Grove, CA 93950 Phone... 831-372-8328 Signed.. �"'b ?//g/O1 �(date) t. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... MULLNER COTTAGE Date..03/17/03 12:32:04 Project Address........ WILBUR ROAD ******* ORAVILLE, CA *v6.0-* Documentation Author... DAVID W. KNIGHT Building Permit Monterey Energy Group Y 227 Forest Ave., Suite 5 Plan Check Date Pacific Grove, CA 93950 831-372-8328 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-MULLNER Wth-CTZ11S92 Program -FORM C -2R User#-MP0113 User -Monterey Energy Group Run -R -21R R -21W R -OSE 2P GAS MICROPAS6 ENERGY USE SUMMARY Height-- Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 20.64 16.12 4.52 Space Cooling.......... 17.33 29.87 -12.54 Water Heating.......... 38.95 30.56 8.39 Total 76.92 76.55 0.37 *** Building complies with Computer Performance *** Zone Type HOUSE Residence GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -=actor... Average Glazing SHGC....... Average Ceiling Height..... Floor Area Volume (sf) (cf) 480 3840 480 sf Single Family Detached New Front Facing 0 deg (N) 1 1 ReducedYear Slab On Grade 1 3840 cf 480 sf 27.3 % of floor area 0.4 Btu/hr-sf-F 0.35 8 ft BUILDING ZONE INFORMATION # of Dwell Cond- Thermostat Units itioned Type 1.00 Yes Setback Vent Vent Air Height-- Area Leakage (ft) (sf) Credit 2.0 Standard No COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... MULLNER COTTAGE Date..03/17/03 12:32:04 MICROPAS6 v6.01 File-MULLNER Wth-CTZ11S92 Program -FORM C -2R User#-MP0113 User -Monterey Energy Group Run -R -21R. R -21W R -OSE 2P GAS Surface HOUSE 1 Wall 2 Wall 3 Wall 4 Wall 5 Roof 21 Surface OPAQUE SURFACES Area U- Insul Act Solar Form 3 (sf) factor R-val Azm Tilt Gains Reference HOUSE 6 SlabEdge Orientation HOUSE 1 Window 2 Window 3 Window 4 Window Surface HOUSE 2 Window 4 Window 134 0.059 2.1 165 0.059 21 122 .0.059 21 152 0.059 21 480 0.048 21 Length (f t) . Location/ Comments 0 90 Yes W.21.2X6.16 90 90 Yes W.21.2X6.16 180 90 Yes W.21.2X6.16 270 90 Yes W.21.2X6.16 n/a 0 Yes None 1 PERIMETER LOSSES F2 Insul Solar Factor R-val Gains Location/Comments 88 .0.760 R-0 No FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC Front (N) 26.0 0.400 0.350 0 90 Standard/0.76 Standard/0.68 Left (E) 27.0 0.400 0.350 90 90 Standard/0.76 Standard/0.68 Back (S) 38.0 0.400 0.350 180 90 Standard/0.76 Standard/0.68 Right (W) 40.0 0.400 0.350 270 90 S.tandard/0.76 Standard/0.68 OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght (sf) Wdth Hgth Dpth Hght Ext Ext Ext IDpth Hght Ext Dpth Hght 27.0 n/a 3.5 2.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 40.0 n/a 6.7 2.0 0.5 n/a n/a n/a n/a n/a n/a n/a n/a Mass Type HOUSE 1 S1abOnGrade THERMAL MASS Area Thick Heat Conduct- Surface (sf) (in) Cap ivity UIMC R -value Location/Comments 480 4.0 28.0 0.98 .4.60 R-2.0 Exposed 'i COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... MULLNER COTTAGE I Date..03/17/03 12:32:04 MICROPAS6 v6.01 File-MULLNER Wth-CTZ11S92 Program -FORM C -2R User#-MP0113 User -Monterey Energy Group Run -R -21R R -21W R -OSE 2P GAS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates a High Mass Design. REMARKS CF -6R AND INSTALLATION CERTIFICATE SHALL BE POSTED ON JOB. H2O: RHEEM 41VR40N 40 GAL./ 40K. INPUT. ALL WINDOWS SHALL BE LOW E SQUARED. F HVAC SYSTEMS Refrigerant Tested ACCA 'System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff HOUSE Wall 0.730 AFUE n/a None R-n/a n/a n/a 1.000 ACSplit 10.00 SEER No Attic R-4.2 No No 0.645 WATER HEATING SYSTEMS . Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value 1 Storage Gas, Recirc/TimeTemp 1 0.62 40 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates a High Mass Design. REMARKS CF -6R AND INSTALLATION CERTIFICATE SHALL BE POSTED ON JOB. H2O: RHEEM 41VR40N 40 GAL./ 40K. INPUT. ALL WINDOWS SHALL BE LOW E SQUARED. HVAC SIZING Page 1 HVAC Project Title.......... MULLNER COTTAGE Date..03/17/03 12:32:04 ******* Project Address........ WILBUR ROAD ORAVILLE, CA *v6.01* Documentation Author... DAVID W. KNIGHT ******* Building Permit Monterey Energy Group 227 Forest Ave., Suite 5 Plan Check Date Pacific Grove, CA 93950 831-372-8328 Field Check/ Date Climate Zone........... 11 Cbmpliance Method...... MICROPAS6 v6.01'for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-MULLNER Wth-CTZ11S92 Program -HVAC SIZING User#-MP0113 User -Monterey Energy Group Run -R -21R R -21W R -OSE 2P GAS GENERAL INFORMATION Floor Area.........'........ 480 sf Volume...... ............ 3840 cf Front Orientation.......... Front Facing 0 deg .(N) Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer,.Range ............... 37 F Interior Shading Used...... No Exterior Shading -Used ...... No Overhang Shading Used...... No Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 4954 1871 Glazing Conduction ............... 2096 1362 Glazing Solar .................... n/a 2712 Infiltration........ ........... 2184 897 Internal Gain ..................... n/a 1050 Ducts .......................... 0 789 Sensible -Load .................... 9234 8682 Latent Load ...................... n/a 1736 Minimum Total Load 9234 10418 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. 0. Note: Lowrise residential buildings subject to the Standa measures regardless of the compliance approach used. Items marked with an asterisk (*) may be ore stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Designer Enforcement Building Envelope Measures *150(a): Minimum R-19 ceiling insulation. Y 150(b): Loose fill insulation manufacturers labeled R -Value. Y *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls Y (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. N/A 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no N/A greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. Y 116-17: Fenestration Products, Exterior Doors and Infiltration/exfiltration controls Y 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -value, certified solar heat gain coefficient, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 N/A only. 150(f): Special infiltration barrier installed to comply with N/A Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs N/A 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures Y 11,0-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. Y 150(1 : Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. Y 150(i)::1etback thermostat on all applicable heating and/or cooling systems. Y 1500): Pipe and Tank insulation Y 1. Storage',as water heaters rated with an Energy Factor of less than 0.58 must be externally wrapped with insulation Raving an installed thermal resistance of R-12 or greater. 2. First 5 feet of Pines closest to water heater tank, non- recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans Y 1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the ICB01997 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181A, or UL181 B and other applicable specified tests for longevity given in Sec. 150(m). 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment N/A 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pools stem has directional inlets and a circulation pump time switch. 115: Gas -Fired Central Furnaces, Pool Heaters, Spa Heaters Or Household Cooking Appliances Have No Y Continuously Burning Pilot Light (Exception: Non -Electrical Cooking Appliances With Pilot < 150 Btu/Hr). Lighting Measures 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or Y greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an Y efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC insulation cover) approved. Revised June 2001 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L�2 L Owner Location Plan Approved for: Sewage Disposal Water Supply* Public , )�j ClClearance for _ dwelling. Other 7cj� �/�- �-- -P,,A A Hold final for: Final clearance O.K. for: NOTE: mental Health Specialist E.H. USE ONLY Rat Plan Anachad Flow Plan Atts". sent to S.D. 1 -17 1 AP# Private Well Date am, aim zz- W. M. " .fi YUMA Ali TOOK, 00 t YUMA Ali TOOK, 00 t #; all a Amp. y egg.--• Now S BUILDING WI i PIP! 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