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031-238-039
031.238 039' 94=0562B,P,E;M` -- POTESTIO,-:JIM 565 YUBA'AVE.-:.OROV.ILLE 31-238=� 4206-90B P,E�M POTESTIO, James NEW SINGLE FAMILY �S FIRE DAMAGE REPORT 1 r vlot565 Yuba Aveee,�Ovil y(new single�fam�i.ly) -� ��s It FIRE DAMAGE REPORT OWNER: . ? izrh of ! ' DATE: �D _ 'O �• LOCATION AUte• "'ni G c A.P. # CONTRACTOR: ZONING: DATE TO INSPECTOR: (O J 0 �0� PERMIT HISTORY:( ) NONE , (4 -AS -FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: i Commercial/Usage: Bic<<�aur%n �f Jnits: Currently Occupied " AbandonedlVacant Electric: Yes " No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewagePioblems Description of Damaged Area: Estimate Valuation of Damaged Area: Condition of Foundation: ' Mobile Home: Condition of Utilities: ' Inspector. Date Sketch building on reverse and Indicate'area of damage. o DF/BUTTE COUNTY FIRE INCIDENT. LO' DATE ' 03108120021 INCIDENT NUMBER X�2527 • LOGGED•13 JAMC 1 REPORT TIME 16:35 LOCAL FIRE NUMBE ..10151 I Asp I .+. Ai Flfw 'ho CLEMENS „ STATE FIRE NUMBER BI CASE NUMBER I aaM-t- MEDICS �.' I J LOCATION 565 YUBA AVE f.. j: r • { PRA JA911 ECC ❑ RP DAVID PHONE NUMBER 519-1860 REPORT METHO SEVEN DIGIT EM WILDLAND FIRES. ❑ ESTIMATED ACRES 1=0 FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL I I ;FIRE,14,,O SENT HO E-MAIL"-'` BY JAMC TO ISTA63 OTHER FIRE I 7 -DAY LOGGED', INITIALS MAA MEDICAL AIDS INCIDENT NAME ROGERS �, l PSA/OTHER START DATE 03/08/2002 START TIME 16:25 a; • HAZ MAT DIAMOND # 5.0 COMMENTSCA - USE [EQUIPMENT. �, f GARAGE ` LAND USE DOMESTIC ACRES, �1 , TYPE OF. ACRES DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 2000.00 SAVE 120000.00 'INJURIES/FATALITIES ❑ #,CIVILIAN INJURIES # CIVILIAN FATALITIES 01 . r EMD ❑ OES ,❑ # FF INJURIE 0 # FF FATALITIES 0 ♦ New Incident " FC-401INFORMATION FC -40 ❑ DATE OF FC-401NC J AGENCY INC # j INC P# 4 FC -40 COMP.' DATE ; ; : FC -46 COMP BY f County Notifications EARS Hard Copy Recieved EARS Checked Agenst EARS Computer= ❑ �1, J r 031-238-039 94-0562B, P, E , M ; '' 3. •2L POTESTIO JIM 565 YUBA AVE., OROVILLE X,>"�� --3"-i 4206-90B,}P, E, M 11 NEW SINGLE FAMILY > > JqL �S i Arngue�.-Orovi11ei lot iglfamil-y) ♦ '" ��'., �5 .{`.' . - ,a.i c-va �% • ^r L� ���i _.T' ri'35 ' +A t''�`i.: `.l{ f�' -" :?7.:. �,,,,. a�' Ta"'� + -� ` k. 1t` '_�f .-+�+••` '- .:: • r r 1� - - - � '�. C � - • P _ .� a �.'. {, r..' i _ r • V ' �' � •Iry `, ' - - •. .. r �. d COUNTY OF BUTTE i BUILD!NG DEPT OCT 1 7 1995 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: c, ;eta !� fes. ,� Date: _ .. Address: _ ! .L 1•, .;+ ur. .+.c. -, Acct. No: �- - _, y�• A.P. No. , . Phone: - No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: oa: =.,12 ,r Ur. SC -OR 1st mo. S.C. J. l r 1 Other J. Total Fees -= • Collected By: • a, Date: Field Review B �`�-r' ' �G*t A F- Date: Remarks: /� y� J /+ Ab / 7'7,) i71 �i�"/5 ilk © cl 7( G//�� /0 ''r-> 3./_r� f11` /r C �%/% 4• .� 1/ 2'- a V-. MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBLITION.I WHITE - TID, YELLOW -APPLICANT, PINK -DPW, GOLDENROD -DPW to TID .L ,�� � 4 t� V=OK O=Not OKNot ' = Not Ready MOBILE MOBILE HOMES r -Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a " 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 -Teat -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft:/ /"LPG • _7. Well Clearance & Disconnect B. Utility Clearance Date/Initials MOBILE NOME INSTALLATION(Plans) t #'a ( ) OK except 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line " - 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged ,.9. Exits; Insp.-Sketch 10. Cert. of Occupancy t L '� MISCELLANEOUS Date/Initial DECKS, 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 Jolsts-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Spllce-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 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test r V=OK O=Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR Plana OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd -/ P' Ftg. Depth -:f Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Be. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. OF Gas Pipe; Size -Anchors - yard gas piping: size -test mater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground L--_13. Plenums & Ducts; Clearance -Material -Support -Ins. ��4. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples L_ -15. -Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a . Water Htr.; Vent -Access -Combustion Air -Baffle W ter Pipe; Test & Anchor -Nail Protection 9.D.W.V.; Test -Fittings &Anchor -Neil Protection 19. Shower Pan; Test, First Floor -Tub Access 20. T901rub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date/initials ELE RICAL Permit OK except #'s EWure & Transformer Clearance -Ins. Protection ZfE . Receptacles Spacing -Lights & Switches at Doors Si oxes & No. of Conductors -Stapled ijprtex Installed Close to Edge of Studs & C.J. 26._W$. Ground made up w/Mach. Fastners-Bond Gas & Water . 7 Appliance Circuts in Kitchen & Conductor Size/GFI 2 . 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 Service -Riser Conductors & Ground -Mein Disconnect 3y. Equip. Clearances Panels -Motors -Mach. Equip. 2�thes Closet Light -Shower Light -Spa Light 3e Smoke Detector Date/Initials MECHAICAL (Permit) OK except #'a ,A -Ducts Insulation & Support 36 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 FRAMI O Plana OK except #'s SJ1a; Proper Material & Anchors 42. VMld'Studs-Nailing, Spacing & Bracing -Plates -Sound 411.ging Walls over Girders & Floor Nailing 421. D ft Stop in Wells (ret proof) fife Stops; Furred Ceilings -Stairs -Chases -Tub 4f.. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials / FRAMING (Continued) 46. H gers-Post Caps -Anchors -Connectors 4 . Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. A Flue -Fireplace Throat clearance . Attjc-Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5 amge Fire Protection Framing 5 r_qNrty Line Firewall & Openings 5 . .. Doors -One 3' -Check Garage -3rd Story, 2 Exits 58_s.i!!�; Width -Headroom -Rise -Run -Landing -Fire Protection pli vood on Roof Overhang -Attic Vents -Rafter Outriggers. _A_ 55e'Siding-Nailing Veneer _Tqq.co mesn-urp Screed -Fd. Vents-Underflr. Access ' 57--diazing Area -Glass Protection -Skylights -Plastic 5 ear Walls; Nailing -Bolts 60. Infiltration -Walls -Windows Date/Initials FINALIRIans) OK exceot #'a Comments at 63! Furna e; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor -Ducts -Meth. Protection 65,CyF.. &Beth Fixtures & Tub Access -Spa 6EEl.rim & Subpanel; Breaker Sizes & Labels 67."'Stairs & Rails ace or Stove; Clearances -Hearth ef EI u lets at Wood Panel; Int. & Ext. 7 . xt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7,f EI utlets & Receptacles at Kit. Counter 7 . Gayg61ire Door, Swing -Landing -Closer 73 C. Duct in Garage -Damper 7 r. Htr- Vents -Clearance -Comb. Air-Connector-P.R.V. In age; Above Floor -Meth. Protection 7 Ib ac- & Mach. Equip. Listed for Location 7WIE0ellaqeptacles in Garage; (G.F.I.)-Romex Protection 77.1 ation-Foam-Looked in Attic ❑ Yes 7 . Gu ails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door-Draina e & Wood -Earth Cle hce Looked under Floor Yes 8 . ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Pia ra ❑ Yes ❑ No rown-Finish A.C. it;'Dlsconnect, Electrical, Plumbing 83e -lints Above Roof; PIbg-Appliance-Fireplace-Clearance to 841. Water ell; Disconnect, Electrical, Plumbing 8 . �'Elec. Trim; G.F.I. Receptacle -Underground w -'Ven Throughout House from Previous :-Meters Tagged; Gas -Electric Sewer Connected -C/O to Grade -HD • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AN6 PERMIT ASSESSOR PARCEL NUMBER 031-238-039 ZONING AR BUILDING PERMIT 01/ OWNER JIM POTESTIO TELEPHONE 894-5579 SQ. FT. OCC. BUILDING VALUATION 1584 R 85,536 OWNER'S MAILING ADDRESS 9050 LASELL LN., DURHAM, CA 95938 480 M 8,640 CONTRACTOR'S NAME OWNER TELEPHONE O O C 624 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 94,800 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 617.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 401-05 Energy Plan Checking Fee $ 46.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 565 YUBA OROVILLE __ PERMIT FEE $ 1 084.05 PLUMBING PERMIT Filing Fee 20.00 EacUrap 9 7.00 56.00 Solar or heat pump water heater 23.00 Water piping / 15,00 15.001 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 15-0 USE OF STRUCTURE SFIU Duplex CIMobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 TYPE OF WORK New a Addition ❑ Remodel CIUtilities ❑ Installation ❑ Other O Describe Work: 4 BEDROOMS MASTER 40-91 PERMIT FEE $ 1 36.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 OOOV OR LESS ) 20OA OR LESS 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OR ADDNS.T DWELLING 8, Ace. BLDS. ) 3.50 F°: 7 2 , 2Q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No.�j/��r; �G. Classification Z13 ❑ I, as the owner, romy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. , BRANCH CIRCUITS ► @7.50 ' POWERAPPARATUS ) &SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BALO. @ i.00 .50 Ex. Occup' FIXED APPS. OR OW UTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 115.20 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating i 9 -nn 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cc an expenses which may in any way accrue against said Cou in consequenc of gran ' g of this permit. X Date A57 Sig to a of Applicant - ❑ Owner Contractor ❑ Agent An O HA permit is required for excavations over 5"0" deep and demolition or c truction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �F6 �� D CONST. TOTAL FEE $ 11437.75 HAZ D. FEES IMP I FWE cDF P R ' PD I WJISSUE. This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By rl PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. p to 3 %S (Dat 1 ReceiptNo. 156299/527.05// S(oG,S 6 - gdf �;-' WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "'07��� ..�. fiupuramnid,s. (DR,,m V,,,, ,01" 17'ULZ .. 3"Q NOI.LVInSNI 'V1 sVi � Vii✓ /2 - /, u1s avu,,,N 0fIrn,a) ,oix o) r 'POD jm=srurwpW rniloJrlrJ ?1i1Jo VZ off! L1ti DZttirlum s3urppnq jrnu-jpisv n%Du JO) sTurpums.Am3'3gJ3 k2l:- g 8uiplin fl �uauru 341: cp!M »urunoJuoo u! uogr�ol Dnogc Ftp Ir 3u?ppnq mp in ponmu .. A% uoncVui-n.j�o`c )q1"r i1 k1rU�..(gv�� .UOIJL. (Dn(rA-�-JOUMSa� Iruin�lL (s�t;�rn) ss:�^S�itu ,L2i3J..:urrNp�S SS\�`1D213flI3 fru !iEll llNM1vOLLWINnOj 2i I�rIL (S,ysur) mu:(�r� . aurrm purJH R?��rrZ1y dOOI� ars (=(QA -d) 2i IrmrgL . /i (rnhrn) ssaup!gL G IRIV'tui 3 Z=HpurJg SSK'IJ2 3SI3 "ri�I 40013 a3S1� (>nhA-� =a�a>H i 4I. "aumHpaerH (rwq=) ssjupnu ;i4JAAlVlUa3-= . . MVM 4011331X3 ' r (=1TA-S) U FmmgL o,%i2q= rn 1ooJ �nbs nd 1i18!9M Falimu! s sam»rJnury�(• 1 . ' \ � ?ti1 !�I Qi ,1J/N8 WIi�su! uinw!urw s..vm=uo.3 IV.1,2I3, ' isp H III 33KS'I(1SNI . oulIN ZSOO I (anitA-V �= �H T�4I. (s�q�ura ss�u�!til l a33ZNIKZ2i30 tQF H SSWID2i3HI3 11 HJottrg :. JN11130 irRA•2O ��i 1�YL (?aVxn) sz� rt�'RL (nlatZy . uo�le(je suf�O�uOild"iJoaap r)l WnN 1C' uonv ggns Gunoj ,»ns rug ucu,nl SSS loo u1)1 sub ,�...�,..,,:�ti,+.n9w'�'dw'�ri..7itf�a...I � + q . rr.,�L.'K�r� �r�� �?.:.n.. ..i�:j.�.•ifpiv�u a+,,n�,aOR''T�'i�'n:.. J-....'N:;,r �-� ).�. ., ...,�. a.. ... . � . r , .. . COUNTYOFBUTT=`BiPARTM NT OF DEVELOPMENT SERVICES-BUILDINGDIVISION � r - 7CQUNTYCENTER DRIVE -,4 ROVILLE, CACIFORNIA95965 -TELEPHONE (916) 538-7541 �/✓) PERM,ITAPPLICATION DATASHEET OWNER A. P. No. 3 -z -oar Proposed Building UseBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ........................................ lot plans/4 se s, signed by preparer of plans. .......................... 3. Complete plans3/4 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/--1-'8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome ata and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flo�¢yEalifornia Engineer. .. ............ . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 1 ontact Land Development,about (A) Improvements (B) Drainage. ........... Driveway permit (construction approval required prior to occupancy). -JC re -Inspection requ-.e 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............ 4. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to ova ner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other 0 Parcel Creation Acreage Applicant Date 3 ~ 7- �; Y Copy of Haz-Mat form sent Health Dept. Fire Dept. ( /Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date, The following data must be submitted prior trmit ' n e: (Cir 'ne Xi m n c ec e). � 1. Index permit for above items No.—vo�C 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by L•` — e Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by 67� Date Sets of plans on hold in File cabinet AP folder 0 -�- 24 —f Copy - Department of Public Works , t COUNTY OF BUTTE DEPARTMENT: OF DEVELOPMENT SERVICES - BUILDING DMSION ' 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER �='`i / �i TI A. P. PROPOSED BUILDING USE f_ DATE REC. # DATE REC I,- SCHOOL- DISTRICT FEES C � � Zia (paid at District Office).... ................... Z. SHERIFF FEES (paid at Building Department) Residential...... x _$ unit amt. Commercial (sqft) x _$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential'(per unit) -7 _$ # units amt. Commercial (per sq. ft) x _$ / sq.ft. amt. . 4. RECREATION DISTRICT FEES (paid at District Office) ..............:.......... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division).....,.......... /VII 6. SRA FIRE INSPECTION AND PLAN CSECK $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above. fees are required to be. paid prior to issuance of the permit. APPLICANT DATE i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ��PERMIT ITNO. IO APPLICATN AND PERMIT ASSESSOR PARCEL NUMBER I — A _e OWNER ��/. ✓ J �/ ' ' V OWNER'S MAILING ADDRESS CONTRACTOR'S NAME__F J -JC •-///) % i7 0 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER �t / Nld✓ r--. LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS - BUILDING PERMIT SQ. FT. I OCC. I BUILDING VALUATION UNKNOWNA Fireplace I � Total Valuation $ ( 2OOA Ofl LESS ) Filing Fee $ Permit Fee $ LICENSE NO. Plan Checking Fee $ NEW CONST, OR ADONS. Energy Plan Checking Fee $ Penalty $ NtW •NON -R SLID. PERMIT FEE $ 1 `1�7 GC- Each Trap Solar or heat pump water heater LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping Each gas water heater or vent USE OF STRUCTURE Gas piping system 1 - 5 outlets SF Duplex ❑ Mobilehome ❑ Other Building sewer SPFCIFV Mobile Home S G W TYPE OF WORK NewAddition ❑ Remodel ElUtilities ❑ Installation O Other O Describe WoZ6/f/ t� �j �tv �U—C1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. I certify that I•have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep.harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �J X Date / Signature of Applicant - O Owner ❑ Contractor ClAgent Ari OSHA permit is required for excavations over. 5"0" deep and demolition or construction of structures over 3 stories in height. Receipt No. 5 -2-70 57— C.— q WHITE-O.D.S.-a.D. CANARY -ASSESSOR PINK-INSP 00 -APPLICANT PERMIT FEE 1 $ Contractor :il ft Fee 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 -- fl -\ vcnim t Filing Fee 20.00 Main Service ( 2OOA Ofl LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 ' NEW CONST, OR ADONS. ( DWELLING OCCUP. 6 ACC. BLDS. ) 3.5C sFT: NtW •NON -R SLID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup. ( OUTLETS A=. A S D.OR 1 EA. ) 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ //� r. (� Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating go Cooling (J G Hood 6.50 Ventilation PERMIT FEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ co sTnEv�E TOTAL FE I�RCILHO r /�/ D. FEES IMP FSO CDF This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ..�: r. r....�` ..... ` ..♦ n ... .r. ...+..... .. .n.:. .... ... .� n. .. .t�,t r. ♦ .w r�... ..,ter.. ..., .... _ • .... v.: V.. ..J' �.. yK•���, rs CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title......... 4 BR Master Plan Date........ 03/17/94 Project Address........ Master Plan Butte County Documentation Author... Marty Runnells Company ............... 'Energy Calculation Svcs. Telephone .............: (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Til—eld Check/ Date MICROPAS4 v4.02 File -94067S �Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1584 SF Res. - Submittal GENERAL INFORMATION Conditioned Floor- Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Component Type Wall Door. . Roof Floor Orientation 1584 sf Single Family Detached New Cardinal - N,E,S,W- 1 1 Raised Floor (Package E) BUILDING SHELL INSULATION Insulation Assembly R -value U -Value ,,Location/Comments R-13 0.089 FRONT, TO GARAGE, LEFT, BACK, RIGHT R 0� 0.330 ENTRY, TO.GARAGE. CR -38 0.025 TO ATTIC R-19 0.037 RAISED FLOOR Window Front (N) Window Front (N) Window Left. '(E) Window' Back (S) Window Right (W) Window Right (W) Equipment Type Gas AirCond HVAC SYSTEMS Minimum Duct Efficiency Location 0 780 AFUE Attic SEER Attic-� ID�vO �'l Duct Thermostat R -value Type FENESTRATION a R-42 Set � -.tk [R-4. �. ` c�`.°° . # of Interior � ,.. Over - Area U- Pan- Shading/ Exterior hang/ Framing (sf) Value es Description Shading Fins Type 15.0 0.760 2 Drapes.Std None Yes VinylDiv 9.8 0.670 2 Drapes.Std None Yes VinylDiv 64.0 0.760 2 Drapes.Std None None Vinyl 30.0 0.760 2 Drapes.Std None None Vinyl 39.0 0.760 2 Drapes.Std None None Vinyl, 19.6 0.670 2 Drapes.Std None None Vinyl r' - Equipment Type Gas AirCond HVAC SYSTEMS Minimum Duct Efficiency Location 0 780 AFUE Attic SEER Attic-� ID�vO �'l Duct Thermostat R -value Type =V=� a R-42 Set � -.tk [R-4. �. ` c�`.°° . � ,.. x m �`.� v Q CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... 4 BR Master Plan' Date........ 03/17/94 MICROPAS4 v4.02 File -940675 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1584 SF Res. - Submittal WATER HEATING SYSTEMS COMPLIANCE STATEMENT This certificate of compliance 'lists the building features and performance' specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to . implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Jim Potestio Company. Address. "'1050 LA 5 E L -L- L PUP -HAM Phone ... A9 4 - S _ -*Z? License. Signed.. WFORCEMENT AGENCY Name.... Title... Agency.. Phone.... Signed.. ate DOCUMENTATION AUTHOR Name.... Marty Runnells Company. Energy Calculation Svcs. Address. 1907 Mangrove Ave. Ste D Chico, California 95926 Phone... (916) 894-8466 / 246-9522 Signed.. /y e Number- Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System' Factor (gal) R -value Storage Gas Standard 1 .62 EFf 40 R-12 SPECIAL FEATURES/REMARKS This is a multiple orientation building with no orientation restrictions. This printout is for the front facing North. Windows shall be vinyl framed. COMPLIANCE STATEMENT This certificate of compliance 'lists the building features and performance' specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to . implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Jim Potestio Company. Address. "'1050 LA 5 E L -L- L PUP -HAM Phone ... A9 4 - S _ -*Z? License. Signed.. WFORCEMENT AGENCY Name.... Title... Agency.. Phone.... Signed.. ate DOCUMENTATION AUTHOR Name.... Marty Runnells Company. Energy Calculation Svcs. Address. 1907 Mangrove Ave. Ste D Chico, California 95926 Phone... (916) 894-8466 / 246-9522 Signed.. /y e MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... 4 BR Master Plan Date........ 03/17/94 Project Address........ Master Plan. Butte County Documentation Author... Marty Runnells Company ............... Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Fie Check/ Date MICROPAS4 v4.02 File -94067S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1584 SF Res. - Submittal Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked. with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this,checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on .this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. ✓ 150(b): Loose fill insulation manufacturers.labeled R -Value., T *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).. *150 (d) : Minimum R-13 raised floor insulation in framed floors;...... . minimum R-8 in concrete raised floors. ✓ 150(1): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. N A 118: Insulation specified or installed meets CEC quality • standards. Indicate type and,form. ✓ 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration. products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ✓ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ! A 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. M 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a.. Closeable metal or glass door b. Outside air intake with damper andcontrol c. Flue damper and control 2. No continuous burning gas pilots allowed. ✓ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Prosect Title....... . 4 BR"Master Plan Date.... ..'03/17/94 MICROPAS4 v4.02 File --94067S ,Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy. Calculation Svcs.! Run -1584 SF Res. - Submittal, SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110=13: HVAC equipment, water heaters„ showerheads and faucets certified by the CEC. 150(i).: Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired:storage:'tanks or .backup solar hot-water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank; non - recirculating systems, insulated'(R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping belowm55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150 (m) : Ducts and Fans 1. Ducts constructed, installed and sealed'to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or•ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned.space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System;is certified with 78% thermal efficiency, on-off switch, weatherproof operat"ing instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: -Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES T r " Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting"in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Project Address.....:.. Master Plan;, Butte County Documentation Author... Marty Runnells -r '. Company ................ Energy Calculation'Svcs. Telephone.............. (916) 894-8466 /,246-9522• Compliance,Method....... MICROPAS4 by Enercomp,.,.Inc: 11 Climate Zone........... MICROPAS4 v4.02 File -94067S 'Wth-CTZ11S92• Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1584 SF Res. - Submittal MICROPAS4 ENERGY USE SUMMARY .Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating...... .. .• 12.25 12:82 -0.57 Space Cooling.......... 13.90 14.61 -0.71 Water Heating:,......... 13.69 - 11.55 2.14 North Total 39.84 38.98 0.86 Space Heating...:......" 12.25 12.86 -0,.61 Space Cooling.... .... 13'.90 12.78 1.12 Water Heating.. ....... 13.69, 11.55 2.14 East Total � 39.84, 37.19 2.65 Space Heating.......... 12.25 13.23 -0.98 Space Cooling..:...".... 13.90 13.57 0.33,, Water -Heating....... 13.69 11.55 2.14 South Total '39.84 38.35 1.49 Space Heating.......... ' 12.25, 12.92 -0.67 Space Cooling.......... 13.30 12.22 1.68 Water Heating ........... 13.69 11:55 2.14 West Total 39.84 36.69 3.15 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... 1584 sf ' Building Type......... ... Single Family Detached Construction Type New Building Front Orientation. Cardinal - N,E,S,W Number of Dwelling Units.,.. 1 Number of Building Stories. 1 ` Weather Data Type.......... ReducedYear Floor Construction Type.... Raised,Floor (Package E) COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... 4 BR Master Plan Date........ 03/17/94 MICROPAS4 v4.02 File -94067S Wth-CTZi1S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs...Run-1584 SF Res. - Submittal Number of Building Zones... 1 Conditioned Volume......... 12672 cf Footprint Area ............. 1584 .sf Ground Floor Area........:. 1584 sf Slab -On -Grade Area..:...... 0 sf Glazing Percentage......... 11.2 % of FA Average Ceiling Height...... 8 ft Floor Area Zone Type (sf) BUILDING ZONE INFORMATION # of Volume Dwell Cond- Thermostat (cf) Units itioned Type Vent Special Height Vent Area (ft) (sf) HOUSE Residence 1584 12672 1.00 Yes Setback 2.0 n/a OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 51 0.089 R-13 0 90 Yes None FRONT 2 Wall 142 0.089 R-13 0 .90 No None TO GARAGE 3 Door 20 0.330 R-0 0 90 Yes None ENTRY 4 Door 18 0.330 R-0 0 90 No None TO GARAGE 5 Wall 360 0.089 R-13 90 90 Yes None LEFT 6 Wall 226 0.089 R-13 180 90 Yes None BACK 7 Wall 365 0.089 R-13 270 90 Yes None RIGHT 8 Roof 1584 0.025 R-38 - 0 0 Yes None TO ATTIC 9 Floor 1584 0.037 R-19 0 0 No None RAISED FLOOR FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE 1 Window 15.0 2 VinylDiv Slider 0.760 0 90 0.88 0.78 Drapes.Std 2 Window 9.8 2 VinylDiv Fixed 0.670 0 90 0.88 0.78 Drapes.Std 3 Window 20.0 2 Vinyl Slider 0.760 90 90 0.88 0.78 Drapes.Std 4 Window 20.0 2 Vinyl Slider 0.760 90 90 0.88 0.78 Drapes.Std 5 Window 4.0 2 Vinyl Slider 0.760 90 90 0.88 0.78 Drapes.Std 6 Window 16.0 2 Vinyl Slider 0.760 90 90 0.88 0.78 Drapes.Std 7 Window 4.0 2 Vinyl Slider 0.760 90 90 0.88 0.78 Drapes.Std 8 Window 21.0 2 Vinyl Slider 0.760 180 90 0.88 0.78 Drapes.Std 9 Window 9.0 2 Vinyl Slider 0.760 180 90 0.88 0.78 Drapes.Std 10 Window 9.0 2 . Vinyl Slider 0.760 270 90 0.88 0.78 Drapes.Std 11 Window 15.0 2 Vinyl Slider 0.760 270 90 0.88 0.78 Drapes.Std 12 Window 9.8 2 Vinyl Fixed 0.670 270 90 0.88 0.78 Drapes.Std 13 Window 15.0 2 Vinyl Slider 0.760 270 90. 0.88 0.78,Drapes.Std 14 Window 9.8 2 Vinyl Fixed .0.6.70 270 90 0.88 0.78 Drapes.Std MICROPAS4 v4.02 File -94067S Wth-CTZllS92 Program -FORM C -2R, User#-MP1333 User -Energy Calculation Svcs. Run -1584 SF Res. - Submittal' OVERHANGS `AND SIDE FINS Window— Overhang —Left Fin— Right Fin— Area 4 Left Rght . Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 1 Window 15.0 3 n/a 4 3 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 9..8 2.5 n/a 4 .5 n/a n/a n/a n/a n/a n/a -n/a n/a HVAC SYSTEMS Minimum Duct. Duct Duct System -Type Efficiency Location R-value•Efficiency .HOUSE Gas 0.780 AFUE' 'Attic . R-4.2 0.830. AirCond 9.70 SEER Attic R-4.2 0.810 WATER HEATING SYSTEMS _ - r Number Tank External in Energy'. Size t Insulation. Tank Type Heater Type. Distribution Type System Factor. (gal) R -value 1 Storage Gas Standard 1 .62 40 R-12 SPECIAL FEATURES/REMARKS This is a multiple orientation building with no orientation restrictions. Thi's printout is for the front facing -North. Windows shall be vinyl framed.- , 1 r i � HVAC'SIZING Page 1 HVAC Project Title...... .. 4 BR Master Plan Date........ 03/17/94 Project Address........ Master Plan Butte County Documentation Author... Marty Runnells Building Permit Company ..............: Energy Calculation Svcs. Telephone.. ............: (916) 894-8466 / 246-9522 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp; Inc. Fie Check/ -Date Climate Zone. .... . 11 " MICROPAS4 v4.02 File -94067S Wth-CTZ11S92 Program-HVAC,SIZING User#-MP1333 User -Energy Calculation Svcs. Run -1584 SF Res: - Submittal GENERAL INFORMATION Floor Area................. 1584 sf Volume ..................... 12672 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 Yes '. Exterior Shading Used...:.. Yes Overhang Shading Used...:.. Yes - -Latent Load Fraction....... 0.20 y , HEATING AND COOLING"LOAD SUMMARY- ; Heating Cooling Description (Btuh) (Btuh) Opaque.Conduction and Solar...... .' 8505 4437 Glazing Conduction....... ..... . 5287 3437 Glazing Solar ................ n/a 6005 Infiltration ................... 7208 '2959 Internal Gain :................... n/a 2325 Ducts.:..... ................ 2100 1916 Sensible Load ............... 23100 21079. Latent Load ...................... n/a 4216 Minimum Total Load 23100 25294 Note': The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other -relevant. design'factors•such as air flow requirements,- outdoor design temperatures;,coil.sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. HVAC SIZING Page 2 HVAC Project Title.....:.... 4 BR Master Plan Date. 03/17/94 MICROPAS4 v4.02 File -94067S- Wth-CTZ11S92 Program -HVAC SIZING ' User#-MP1333 User -Energy Calculation Svcs. Run -1584 SF Res. -'Submittal GENERAL INFORMATION 'Floor Area..... ... 1584'sf Volume.. .. .. 12672 cf ' Front Orientation.. ....... Front Facing 90 deg (E) 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...... Yes Exterior Shading Used ....... Yes Overhang Shading Used...... Yes Latent Load Fraction:..... 0.20 HEATING AND COOLING LOAD'SUMMARY Heating Cooling Description' (Btuh) (Btuh) Opaque Conduction and Solar...... 8505 4437 Glazing Conduction....... ...... 5287 3437 Glazing -Solar .................... n/a, 3638 , Infiltration.... ....... ...... Internal Gain ................... 7208 n/a 2959 2325 Ducts. ......................:. 2100. 1680 Sensible Load ...................... 23100 18475 „ Latent Load:.. .................• n/a 3695 . Minimum Total Load 23100 22170 Note: The loads shown are only one -of the criteria affecting the selection of HVAC equipment. Other relevant design.factors such as air- flow - requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing..safety margin, etc., must also be considered. It is the HVAC designer's responsibility,to consider all factors when selecting the -HVAC equipment. ' a HVAC SIZING ;' Page 3 HVAC MICROPAS4 v4.02 File -94067S Wth-CTZi•lS92 Program -HVAC SIZING User#,-MP1333 User -Energy Calculation Svcs.- Run -1584 SF Res. -,Submittal GENERALe.INFORMATION. Floor Area........:. .... 1584 sf` Volume........... ..... 12672-cf' Front Orientation....:,.....". Front Facing 180 deg (S) Sizing Location......... OROVILLE RS. Latitude... .... .:... `.f 39.5 degrees Winter Outside•Design......."30„F. Winter•Inside Design:..... 70 F` - Summer Outside Design.:... 104 F Summer Inside Design.,.,._..r. 7,8 F . Summer Range. ... .... :'37 F f Interior Shading Used.... Yes Exterior Shading Used....:. Yes Overhang Shading Used.... Yes Latent Load Fraction.'.....,. 0.20 'HEATING AND COOLING LOAD -'SUMMARY' i Heating Cooling Description {Btuh),' . (Btuh) Opaque -Conduction and Solar...... . '.,`18505 4437 , Glazing Conduction........... 5257_' Glazing Solar..'...... ....... n/a 3437 5706 Infiltration.... ... ... ......... , 7208 2959 Internal Gain....... . { `2325 Ducts. .. .....................: •2100, 1886 Sensible Load.'............ 23100 20750 Latent Load........ ........... �n/a t 4150 Minimum Total•Load 23100 24900 Note: The loads shown -are only one of the criteria affecting the selection of HVAC equipment. , Other relevant design factors such as air' flow requirements,. outdoor- design temperatures, coil sizing,.availability of equipment, oversizing safety margin, etc., must also be, considered.' It is the HVAC designer's respohsibility'to consider all factors when, selecting the” HVAC equipment. f , HVAC SIZING Page 4 HVAC r��.��.. ... A- m: 4-1 .. it QD Mnci-cr' Dl nn Tla tc - - 0-1 /1 7 94 MICROPAS4 v4.02 File -94067S Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333. User -Energy Calculation Svcs. Run -1584 SF Res. - Submittal GENERAL INFORMATION Floor Area................. 1584,sf, Volume.. ..... 12672 cf Front Orientation.......... Front Facing,270..;deg (W) 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...... Yes Exterior Shading Used...... Yes Overhang Shading= Used...:. ,. -Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btuh) (Btuh) , Opaque Conduction and Solar...... .8505 '..4437. Glazing Conduction..... ......a. 5287 --3437 Glazing Solar........... .... n/a_ ,:3584 Infiltration.............. 7208 2959. Internal Gain.................... . n/a '2325 Ducts..... ......... 2100 1674 Sensible Load..........., 23100 18416 Latent Load........... n/a 3683 Minimum Total Load 23100 22099 Note: The loads shown are only one?of the criteria affecting the selection of HVAC equipment. 'Other relevant design factors such as air •flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. 'It is the HVAC designer's responsibility to consider all factors when selecting ` the HVAC equipment. ��`�iai?�'�°��•.,r`��t+'"`�`�n�i 23s' y��";r''�.�'rrµ:��.,"''s""''a�%fi�"'`jWu'eN�r3,y+�k;,�`sits",.�Y�;�s�,ii�„iTji�`�'��!�`��*'4m.M.'.nz'*,F."�';""'�"dt"`�+.�`. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District (J pz d VAI. H S Building Department No. A.P. Number '3 9 .Jurisdiction City [t—/ County Property Owner 7 777 Property Location/Address .5-Z7S U16A Subdivison Lot No. Residential Development 0 No. df Living MHI Units Commercial/Industrial 0 New Sq. Footage /s Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) 3171,574 Buir"dirig DepartmeA Representative Date (Floor Plans reviewed by School District Personnel) . strict Identification No. :94012-1 !) -. . Ud School District certifies that e (Street,Addre.ss) if (Cqy) k has complied with. the requirements of Resolution No. representing /, square feet. School District Representative (state) /v.S--9D t�vtJ �p n (Applicant) (Phone Number) (Zip Code) ooy� by payment of $ oC, /�• Date Paid byCheck Number � �! Remarks! p Bank Number (..) Paid by Cash X wr If, subsequent.to'the School District Representative si ning this Butte County Schools Impact Fee Certification Form; the School District is notified by the applicable Local Planning Agency that this project is�being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink'(school district) feeformmkl (4/92) THERMALITO 'IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 17'.> e • I s'y �"l��i. CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT ':�-:�P._—`O` ':•\�i-iiT= Ti.D. Service Address: 565 Yuba Ave. Owner's Name: James Potestio Date: .12/6/90 Address: 1716 Bald Rock Road Acct. No: Berry Creek, CA. 95916 A.P. No.: 31-238n Phone: 589-1784 No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 30 00 Arrearage Preliminary Review By- Date: CSA 26 550 00 Remarks: Sewer connection fees. will be those SC -OR 900 On a licable at time of connection to the sewer 1.st mo. S. C. collector system, and must be jDaid prior to Other connection to sewer collector system. Cleanout. to rade red at o erty line. Total Fees 1480 00 I Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.R.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new*constru*ction", after Mar. 5, 1974). ;. YELLOW - APPLICANT, Pi -.,:K - DPW, GOLDENROD DPW to TID Retur to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this NOT COMPARED WITH acknowledgement be recorded prior to issuance of a building ORIGINAL DOCUMENT permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, .and residents MAR 1 4 199 of this property may be subject to inconveniences or '7 discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations C13�4-011348 including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generateJ- dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 8, of 'Block 26, as shown on that certain map entitled, "Map of Thermalito, Butte County, Cala", which map was recorded in the office of the recorder of the County of Butte, State of California, on June 8, 1887.' PARCEL II: All that certain abandoned portion of Yuba Avenue, 20 feet in width lying contiguous to the Northerly line of Parcel I, herein described, as set forth in Resolution of Abandonment recorded March 1, 1951, in Book 1 of Road Deeds, Page 207, Butte County Records. I PARCEL III: All that certain abandoned portion of the alleyway 7 1/2 feet in width lying contiguous to the Southerly line of Parcel I, herein • described as set forth, in Resolution of Abandonment recorded November 19, 1979, in Book 2464, Page 366, Official Records. Date: - / tA- State of Ca forma ) County of PRgP,ER7 OWNERS:. On -3/ / 1 before me, personally appeared 7� A -i- Gv personally known to me (or proved to me on t subscribed to the within i*nstrument and a e capacity(ies), and that lly "/her/ eir'si La re(! person(s) 'acted, execu d he i ent WITNESS my hand d ffici / Signature A.P.# L 5J��/ S G .S r. .41-j-', )asis of satisfactory evidence) to be the person(s) whose name(s) is/are ;ed to me that he/she/they executed the same in his/her/their authorized on the instrument, the person(s), or the entity upon behalf of which the :r,!m�cr,:�+a:��serms��t�n�as�nsY��E��m�itgF DANIEL F. HUNT {•;[l,,i'! t'i;ia':_i(rCAL1FUR1Ji1'v Seal: ;,i ?i,; C=�mT iC� Expir&S UGt.1,1S84 �� RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) s OWNER GENERAL oning requirements: (sideyards and number Valuation. Tans signed by designer. Pr .per description'of work on application: xisting violations on property. 8/91 � Permit . Blds �j A.P. •# Plan Checker of permitted living units). 6` ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN /� omplete parcel size and dimensions. �Z. Setbacks, 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. Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. .f .Required windows -for light and ventilation (Sec'.'1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). "U an impact glass (Sec. 5406). squired 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 er gas equipment. image firewall, door size, and closer (Sec. 503(d)(3)). x'3'0" exterior exit door (sec. 3304 (f). F,kfeplace and wood stove location, alcoves, and clearance. Sfn'oke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS . Standard bracing or engineered design (Table 25V) j2'—Unusual shape, size, or split level house requiring lateral design. i3 ---Clerestory requiring balloon framing and/or engineering. j+�hree story building requiring engineered calculations and plans. �l Foundation plan complete enough'to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct -- Roof construction details complete enough to construct building. .-- Fireplace construction details and calcs if necessary. _44$—. after ties or bearing ridge beam. ,44-- Garage door or porch header sizes. .-Stud heights. Adobe soils - special foundation design. Retaihi.ng walls requiring design. jP Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING -GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR —4-- Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). - Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). -4! terior plaster — weep screeds (Sec. 4706). "oper roof pitch for roof convering (Chapter 32). Roof covering type — (fire hazard). �7. m insulation — protection. 36" halls and stairways. wing area over garage — complete 1—hour separation required on garage side including supporting walls and posts, etc. I_vo exits on three—story dwellings (sec. 3303 & see Mezannines — 1716). access and ventilation (Sec. 3205). 12: U erfloor access and ventilation (Sec. 2516). bustion air for fuel burning appliances — L.P.G. requirements. -*+. oise requirements on duplexes. LW. -rgy design. d&! ashing at all exterior openings. . CDF responsible area requirements. Rerun to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94 1348 Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building I permit.94-0113481 Rec Fee 6.00 1 Cash 6.00 The property described herein is adjacent to land or included Recorded I within an area zoned for agricultural purposes, and residents official Records I of this property may be subject to inconveniences or County of I discomfort arising from the use of agricultural chemicals, Butte I including, but not limited to herbicides, pesticides, and Candace J. Grubbs I fertilizers; and from the pursuit of agricultural operations Recorder I including, but not limited to cultivation, plowing, spraying, 9 :33am 14 -Mar -94 I PUBL XX 1 pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot_ -8,. of Block 26, as shown on that certain map entitled, "Map of Thermalito, Butte County, Cala", which map was recorded in the office of the recorder of the County of Butte, State of California, on June 8, 1887. Date: PARCEL II: All that certain abandoned portion of Yuba Avenue, 20 feet in width lying contiguous to the Northerly line of Parcel I, herein described, as set forth in Resolution of Abandonment recorded March 1, 1951, in Book 1 of Road Deeds, Page 207, Butte County Records. PARCEL III: All that certain abandoned portion of the alley way 7 1/2 feet in width lying contiguous to the Southerly -line of Parcel I, herein described as set forth in Resolution -of- Abandonment. recorded November 19, 1979, in Book 2464, Page 366, Official Records.. PR ERTY OWNERS: - litJ Ti r3 State of C 'forma ) County of ) On 3 / 1 Cr before me, personally appeared jny�-i - personally known to me (or proved to me on tly subscribed to the wit'trument and ackno e capacity(ies), and t,fn, ' /her/ eir si e(; person(s) acted, exe i ntWITNESS my handfici (Signature .11 r � TSS%! d )asis of satisfactory evidence) to be the person(s) whose name(s) is/are ;ed to me that he/she/they executed the same in his/her/their authorized on the instrument, the person(s), or the entity upon behalf of which the € aISO mMgains iota®tse�s�m��®���i0 a DANIEL F. HUNT e1 NOTARY PUBUC CALIFORNIA p Butte County . a d- Seal: ® My Commission Expires 00t. 1, IS" 6 o --- A_ .P. // _ -s s-6 s END OF DOCUMENT OROVILLE, CALIFORNIA _ GENERAL CLAIM CLAIMANT: ADDRESS: 1716 Bald Rock Rd. CITY & STATE: Berry Creek, CA 95916 IMPORTANT: Januar 4 1991 SEE INSTRUCTIONS DATE OF CLAIM: Y , ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #4205,4206,&4207-90B,P,E,M AP#31-238-35(port), Receipt #84593, dated 12/6/90. Total Permit Fees Paid for BP 4205- --------------- Retain Building Permit Filing Fee ------------ $10.00 Retain Plumbing PermitFiling Fee ------------ Retain Electrical Permit Filing Fee---------- 10.00 Retain Mechanical Permit Filing Fee---------- 10.00 Total Permit Fees Retained-------------------------- 40.00 TOTAL REFUND DUE ------------------------------------$17 0.00 Total Permit Fees. Paid for BP#4206-90--------------- $ 70.00 B-21ding Permit Filing Fee ------------ Retain Plumbing Permit Filing Fee------------ 10.00 Retain Mechanical Permit Filing Fee---------- 10.00 Fees Retained- ------ TOTAL REFUND DUE ------------------------------------ $ 30.00 Total Permit Fees Paid for BP#4207-90--------------=$ 70.00 Retain Plumbing Permit Filing Fee------------ 10.00 Retain Mechanical Permit Filing Fee---------- 10.00 Retained 1 1 49.99 TOTAL REFUND -DUE ---------------------------------------- $ 30.00 TOTAL I. the undersigned, declare under penalty of perjury that the services or articles claimed have en performed o deli ere ,end at this claim is true and correct as stated. AA� ��p., '/ /J' Dated this ........ S �................. day of .....!.�4�.,............. 19 '^4� Y.!.�rl�j,;.....• Calif. ..... ......... ........... ................ ....................... ..; ....... S ature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles s e tied above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Boar/d� Approval ❑ (Checkone) forff,.rt,�nenl":H�eiad� Dated this 4th ....................... day of .:JJa]1.13gJX.y........ 19..9.1 at�...... Celli. ......... ....... . ................... or Authorized - eputy Dept. 440-002 Esp.4210500 Const. ermits Code............................................ Code FROM ................................................PAYABLE ......................................................................... ........... FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE'= DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Ornville, Q,alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NOO.. �wa / d, ASSESSOR PARCEL NUMBER - 31-2 ortion ZONING AR BUILDING PERMIT OWNER James otestiow TELEPHONE 589-1784 ,SQA FT. OCC. BUILDING VALUATION 1254 R 50 160 OWNER'S MAILING ADDRESS 1716 Bald Rock Rd. Berry Creek CA 95916 480 M 6,720 CONTRACTOR'S NA ME TELEPHONE qame 30 COV. 300 J CONTRACTOR'S MAILING ADDRESS Fireplace 1 "A" 1,0000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 58 180 LENDER'S MAILING ADDRES Filing Fee $ 10.00 Permit Fee $ 310.00 ARCHITECT OR ENGINEER Nnnp LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Yuba Avenue, Oroville Permit fee $ 350.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 8 SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each gas water heater or vent 5,00 5.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New0 Add ition❑ Remodel❑ Utilities[] Installation❑ Other ❑ Describe work: 3 BR master # Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 100 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �7`��y�� fes_ Classification / ElI, 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 EA. ADD -L 100 AMP 2.50 NEW CONST.( ACC. BLDGS. OR ADONS. DWELLING OCCUP.& 2�4sgft 43 35 NEW CONSTR OLTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES BAL030 FIXED Ex. OCCup. OUTLETS PIRESID,IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3.3 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 7 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 FiIingFee 10.00 Heating 6.00 Cooling 6.00 Hood 3,00 3.00 Ventilation _ P ermit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, judgme. s, costs, and expenses which may in any way accrue aga" t said County n c n eque e f the granting of this permit. X �" Date 'i' 0 Sig a re of Applicant — Owner Cantracroru Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ .00 occ CONST TYPE TOTAL FEE $ 516.35 HAz CUA PARK SCHL FAD PAR PD HD ISSUE This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date provi- to do been paid. Receipt No. 84593-70-.00// We only) WHITE-D.P.W., YELLOW-ASSrSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �f Permit No. OWNER A. P. N6. ��—��o� �� Proposed Building Use 6 tJ Building Inspector Date 1115;L-4111 a At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. tom. 10. Fees of $ '!,...................................... 11. Chico Urban Area fees paid ....................................... 2. Park es'paid.............. 13. h I strict fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A)` Use: (B) Parking: ...... X18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ,123. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Let of signature author'zati SSS �s ...... C ............ 26. K0 1 >na � SS V7 J` 27. .TSS fit .7 .S & C When you issue the er pro es; s follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at arm office. Deliver w./inspector. Other qq Applicant �� Date /Z 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_—nail—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date