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038-170-038
�, .�,� n . Ag s �' �, i•.� +S` .� �"�'t � AS�i 4 +{ � � �y,'�y� i µl'�`�li l..# ti '�y"�L� � �, `1 r 3 38-17-M 38 Thomas F. Smith P.O. Box 115 - Durham, CA 95938 Use Permit #84-3, dated 11-9-83 038-170-038 - 05-148 PETERSON, JAMES 8747 MIDWAY, DURHAM Cont: OWNER DEMO SHOP 038-170-038 05-2184 PETERSON, JAMES 8747 MIDWAY, DURHAM Cont: OWNER Q NSF(GAR& COV) q'�7 038-170-038 06-0785 PETERSON, JAMES n 8747 MIDWAY, DURAHM Fj %�.Y Cont: POWERHOUSE SOLAR ROOF MNT SOLAR 038-170-038 - - 06-15821' PETERSON, JIM 8747 MIDWAY, DURHAM Cont: BLUE HAVEN �lM, POOL(MSTR 01-517) 4. Z? 038-170-038 06-158? PETERSON, JIM I-+ :�! u*tf. NOTES 8747 MIDWAY, DURHAM Cont: BLUE HAVEN °ours POOL(MSTR 0 1 -517) RES " I D E N T I AL i Owner Contractor i i 01 %__ _" b ) � _ _ ` i Type of Permit: �..� .0 .. a 3 4 Permit No. o'5 5' �e.no Slap CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: k� T� COUNTY OF BUTTE y.:'t BUILDING DIVISION 'a • DEPARTMENT OF DEVELOPMENT SERVICES "` 7 County Center Drive • Oroville, CA • (530) 538-7541 l4 CORRECTION NOTICE OWNER PERMIT NO. , A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional , explanation, please contact the Building Inspector as indicated below. 3 %t 0 n In Date �I 1 `� 1614 inspector "f REV 4/05 Phone # �•_- FOR RE -INSPECTION CALL: 538-7636 OR 891-2834`° COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center. Drive 9 Oroville, CA * (530) 538-7541 CORRECTION NOTICE A OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. fu V - "'f2' CJ <L -ft r N0 LVhf/( f!4 f 17 Date Inspector REV 4/05 Phone# FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ,�Q r Date Inspector REV 4/05 Phone# FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ii COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541~' CORRECTION NOTICE .m OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected.. Please call for re -inspection when correction of;�- work is completed. If you have any questions pertaining to this matter, or need additional :_• z explanation, please contact the Building Inspector as indicated below. "._. ICM $v-- i� "2 y' .1I rY'i r Date Inspector REV 4/05 Phone # t FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY PERMIT'NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061582 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7060) of Division 3 of Issued Date: 07/20/2006 APN: 038-170-038-000 � the Business and PF's i s Code, and my license isj0.f ll f87t effect // �j License Cl ss : license Number: I Site Address: 8747 MIDWAY DUR R Q,rALSn�, Map Index: Date: ntractor. _ — Description: POOL MASTER 01-517 OWNER -BUILDER DECLARATION 1 here affi m under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERSON, JAMES permit to its issuance, also requires the applicant for such permit to file a PO BOX 678 signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's Slate License Law (Chapter 9 commencing with Section . 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom and the. basis for the alleged exemption. Any 530-893-5588 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: BLUE HAVEN POOLS pp Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does DIVING LADY INC. such work himself or herself or through his or her own employees, 275 FAIRCHILD ST provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one STE 100 A 95973 year of completion, the owner -builder will have the burden of 530-899-8445 proving that he or she did not build or Improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: BLUE HAVEN POOLS and who contracts for such projects with a contractor(s) licensed DIVING LADY INC. pursuant to the Contractors' State License Law.). 275 FAIRCHILD ST Cl I am Exempt under Article 3 of the Business and Professions Code STE 100 A 95973 530-899-8445 Date: Owner. License #: 718849 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance.of the work for which this permit Architect: ;s issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: A Carrier: 1 � 3 Total Square Ft: 0 S. F. Policy #: 7 (7---?� Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to Census Code:- oderissued, become subject to the workers' compensation laws of California, %? =79` and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall those (/ forthwith comply with provisions. b� �llJ Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ' Resolute i do work indicated abo a for which fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) B Date: G y Name: PERMIT EXPIRES ON: ` Address: fel ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of a y official for or d e t of Butte County. I hereby authorize represen atives of Butt Cou toTer upon the bove mentioned property for inspection p s. Print Name: l Slgnature: '! �J Date: • ❑Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor • 7 C AA nn 1 UO. t,.. U, ,g Et „ +=OK MANUFACTURED HOMES ,Lj 'PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIVC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clmcs-Grnd * Amp -Concrete 6 Yard Gas; Loctn-Test Wrap . Nat F or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers MISCELLANEOUS" DECKS`C0VERS'CARP0RTS•GARAGES 1 ZoningSetbacks-Easements 2 Figs; SailsSz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing VengerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -1 andhigs 12 Braced Wali pnls #4e . 4 -Setbacks -Easements 2 SoilsompactlonStructure S IS Structure; Steel-Cn -Thickness Dead Men-Llning " Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting;15 volts-GFI 6 Ele rs; Conduit Entries Terminals4 fisted lec B ng; Metal w/5'-Drcitng Egp-Htr QXJed"G_rndng; Eqp w/5' Crcltng Eqp-Pool Ightg BoxerEnclsrs�inlboardsansultn to Main Conduit 9 Heal " Dept Apprvl b; Cir Test Wtr Supply Test 13 Bonding, Diving board or Slide ,'461 12Y/' Z - �� D RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING •i coningsetoacKs-casements-FloodSiope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Parches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls'Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrServlce Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupportansultn 14 GirdersSilts-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & VnUtn 16 Insulation DATE JFRAMiNG 1T Sills Proper Materials & Anchrs 18 Walls Studs4 ailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & flr Nailing 20 Draft Stop in Walls (rat proof)• 21 Fire Stops,'Funed CeilingsStairs-Chasers-Tubs 22 Headers B.Beari 4 &' Bearing 23 Hangers-Posf'Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac-TrussShthg 25 Frpic Ties'or Type A FIudLFrpic Throat Cimc 26 Attic Acc; Sz & Rmx Piteln-Draft Stop -ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Gauge 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Rund_anding-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Ouirgrs _ 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 Insultn-Walls-Ceilings ` 39 Infiltration Walls-Wndws d' -P DATE DATE ELECTRICAL 40 Fxtr & Trnsfrmr Cirncdns Prtcbl 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes &No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ❑CU or ❑AL AC Wire Sz Q. Q CU or ❑AL 48 Range Clic ya ❑ CU or ❑ AL Oven Circ Qa ❑ CU or ❑ AL Insulated Neutral ❑ Yes Q No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet LI-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Al-, Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctii 55 DWV; Test Fittings & Anchr. Nail -Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tubi & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping o� e?s oo DATE MECHANICAL 61 AC Ducts Insuitn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade - 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace In attic o$ os' dr #ys DATE FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 1 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Woad -Earth .86 Clmc Dmge Planters ❑ Yes 1DNo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnc% Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 9 I t Butte County Department of Development Services Inspection Card • • 24 HOUR INSPECTION O. (630) 538-7838 (OROVILLE) (530) 891-2834 (CHICO) • • OFFICE* (530) 536-7541 FAX* (530)538-2140 wVisitwour website at vw.bu ecour.ne1/dds ALL PLAN REVISPONS MIUSTA SE APPROVED BY THE COUNTY BEFORE PROCEE08NO stemwalls o; until Insp "fon Type Ira . Del Framing Rotqh Framing -Rough PlumbIrM RoWh Mechanical Rough Electrical Rough Gas Roof Sheathing Strap Shear Transfer Shower Pan Rough Sprinkler Do Not Irt3utate Until Above Sianod -_— .Inoulatton. Wag Insulation Coeilft Insulation Do Not Cover Until Ahove Signed Shear Interior shear Exterior shear 6mced wan wail covwtrtg T43w Ceili C Sheet Rock -1 "layer Sheet Rode -e layer SeparebonAzcellon Framing/Openinip Gas Test House Poe 8tueeo Lath Stretch + Brown Flnlsh ..'i;r ^��i'F ..._.a4�'�'is= i'u,.._. .'i:'•I_ .: �''_, *:... ,:i t'.:`:1i:. •'P:._ ... ..._. :i' .� .:i,�•1: ..,... ,1... 1.� 9 8. C. Ins -, ru M 0 W CD N b M MAR -5-2007 10:39A FROM:POWERHOUSE SOLAR INC 15302756600 TO:5382140 BUTTE COUNTY UTr�° DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT o ° 24 HOUR INSPECTION 1t: (530) 538-7636 (OROVILLE) (530) 881-2834 (CHICO) 0 o OFFICES: (630) 638-7541 °cOu• � yQ. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am Ilcansed under Pro of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in NO force and affect O Llmnsecless —IO C- LkenseNumber. (�t7 \ Data: L Contractor ['r.LLG i4 k Q OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I em exempt from the Contractors' State License Law for the following reason (Sac. 7031.6 Business and Prolesslons Code: Any city or county which requires a permit to construct alter, improve, demolish. Or repair Orly structure, prior to ft Issuance, also requires the applicant for such pornit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permlt subjects the applicant to a civil penally of not more than five hundred dollars (5500).): O I, as owner of the property, or my amployees,wlth wages as their sole compensation. will do lire work, and the structure Is not intended or offered for sale (Sec 7044, Busfllese and Professions Code: The Contractors• State License Lew does not apply to an owner of property who builds or improves thereon, and who does such -work hlmsell or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. It however, the building or Improvements are sold within one year of completion, the owner-bulider wIll hove the burden of proving that he or she did net build or Improve for the purpose of sale.). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sea 7044, Business and Professions Code. The Contractors' State License Lew does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pwauanl to the Contractors' State License Law.). 0 1 am Exempt under Article 3 of the Business and Professions Code Data: Owner. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the Following declarations: 0 1 have and will maintain a certificate of consent to aelfdnsure for, workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit it Issued. cet` I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy numbavre: C", 5p-�j jJu/1vX Ok (] 1 certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to 6scorlta svo)act to the Workers' compensation laws of Callroinle, and agree that If I should become subject to the workers' compensation provisions o1 Sat tion 3700 of the Labor Code, I shall forthyAth comply with those provisions. Dale - �¢ 0 Applkent: Qr IJtQ r uC SQ Al r W R N : Failure to secure workers' compensation coverage is unlawful, end shall subject an employer to criminal penalties and one innndred thousand dollars (S100,000), In addlllon to the rest of compensation, damages as provided for In Section 3706 of the Laver P.2 PERMIT NO. BPO60785 Issued Date: 04/06/2006 APN: 038-170-038-000 Site Address: 8747 MIDWAY DUR Map Index: Description: roof mount So* Owner: PETERSON, JAMES PO BOX 678 DURHAM,CA 95938 530-893-5588 Applicant: POWERHOUSE SOLAR INC. 20567 KiTTYHAWK LN. REDDING, CA. 96003 530-275-5600 Contractor: POWERHOUSE SOLAR INC. 20567 KITTYHAWK LN. REDDING, CA. 96003 530-275-5600 License #: 848901 Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: MAR -5-2007 10:39A FROM:POWERHOUSE SOLAR INC 15302756600 TO:5362140 P.1 PM P.O. Box 493099 Reddin'; CA 96049 (530) 275-5600 Office (530) 275-6600 FAX �eaerw nower►+e ePcetaccom FAX COVER SHEET To: 00� l�p From: Jeanine Phelps Fax: --/� Date: Phone: Pages: cluding cover page Comments: Thank you, Urgent . For Review Please Reply Please Recycle BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061582 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 'am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/20/2006 APN: 038-170-038-000 the Business and P ssi s Code, and my licens( fyll f� ' effect. J jY License Number: G License CI ss : / Site Address: 8747 MIDWAY DUR Date: �Dntr.ctiar: ��I.(/�/'Q1� Map Index: Description: POOL MASTER 01-517 p OWNER -BUILDER DECLARATION I here aff m under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERSON, JAMES to its issuance, also requires the applicant for such permit to file a PO BOX 678 signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom and the. basis for the alleged exemption. Any 530-893-5588 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions to Applicant: BLUE HAVEN POOLS Code: The Contractors' State License Law does not apply an owner of property who builds or improves thereon, and who does DIVING LADY INC. such work himself or herself or through his or her own employees, 275 FAIRCHILD ST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one STE 100 A 95973 year of completion, the owner -builder will have the burden of 530-899-8445 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: BLUE HAVEN POOLS and who contracts for such projects with a contractor(s) licensed DIVING LADY INC. pursuant to the Contractors' State License Law.). 275 FAIRCHILD ST ❑ 1 am Exempt under Article 3 of the Business and Professions Code STE 100 A 95973 530-899-8445 Date: Owner: License #: 718849 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance. of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance c@rder and policy number are: A Carrier: Total Square Ft: 0 S. F. _ � � �.,' -Z h Policy #: ,— -, :2 Valuation: $0.00 ❑ 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. TIIJ Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - -- This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutignsvio do work indicated abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: PERMIT EXPIRES ON: / Address: / (4te) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safely Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of agy official for or d e t of Butle County. I hereby authorize represen atives of Butt Cou �/►to ter upon the,. bove mentioned property for inspection p s. Print Name: V f Slgnature: � ODate: ❑ Owner Contractor ❑ Agent for Owner ElAgent for Contractor v B. C. Building Permit o11 -115-o4 pg 7 0 Q.V T r�o BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION N�, 0 0 AND SUBMITTAL REQUIREMENTS 0 r o 24 HOUR MSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 $P o o OFFICE #: (530) 538-7541 0 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # 0(! N Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" X11 ,�►��h�a�iri� For office use only: OWNER INFORMATION Last Name a irst Nam Address (t ) City cm Q'1 State Zip Phone l pi 1 c� Fax E-mail Planner X11 ,�►��h�a�iri� For office use only: CONTRACTOR Name I .Address 8 Citi\ State 6� Zip 3 Phone Fax O E-mail Lic. '710849 Fla�S5T X11 ,�►��h�a�iri� For office use only: ARCHITECT/ENGINEER Name I Address - City O J State Zip Phone 8Lfq� Fax E-mail Planner State License Number X11 ,�►��h�a�iri� For office use only: APPLICANT INFORMATION Name I Address a 8 G ( S City O J State Coq Zip Phone 8Lfq� Fax E-mail Planner X11 ,�►��h�a�iri� For office use only: - j ' Zoning v 8r1 Flood Zone 1/'\ ISRAI Yes Occ. Carrier �v Type Const Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: PROJECT LOCATION API# 1 —7dr " 63 Property AddressCif o 7 (-1 /4 J v 8r1 Cross Street WORKER'S COMPENSATION Policy Number / FL Carrier �v If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address v Descrip ion or Scope of Work: 61 Sq FT- Living Garage Op n Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS L' KAFORMS\BUILDING F0R1vlS161dgApp1SubRgmts.doc Page 1 of 3 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Recei ed by: Amount: I Bldg VU SRA Receipt M Sheriff 4�0 SMIP Date �Other r Total REV 8-12-05 I - SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) 'OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form El 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). 0 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement.• ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. 'Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 COUNTY OF BUTTE-DEPARTMENT,OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: � /� � ASSESSOR PARCEL NUMBER Proposed Building Use- i l I I � `Ei'I '5rO 01 Permit Technician: Date: CD '(�_q . G Items required in order to apply for a permit All boxes MUST be checked OR marked NA in 6rdfii to apply. 1i 1. Site plans, 3 or 4 sets, signed by 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. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Zlining items needed to issue the permit (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers ....................:.................................................................... ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required......................................................................... ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs ......................,fes." ` ❑ 22. California Department of Forestry plan approval ❑paid. Sent by:......: 23. Planning approval for (A) Use: Qr (B) Parking: (C) Parcel'Check:..V..... OHO ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 1 .26. NPDES Form............................................................................................. ❑ !. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. When issued Telephone a I • Z� "f and hold for pickup. I have been i ffl e f the hove ite d equire a for obtaining a building permit. Applicant Date:f 1. Index permit application for the above items numbered: Plan Check Iter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ c e b Date: Plans reviewed by: Date: Plans approved by: -Date:' ate: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Division — Developmenf Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location . Plan Approved for: Sewage Disposal Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 EN Y Plot Plan Attadred . Floor Plan Attadiad Sent to WDS 7 /3-06 urz�.P u, Water Supply: Public Private Well 93 Date Butte CoutityDepartmei2t of-Developinel2t ei-wces rF° °$`" 7 County Center Drive ' ° 0 �.:. ° Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile )BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: ° I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am .required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition q f plans. i. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or r uire submission of amended building plans to the Building Division. . Once the 'plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. ' Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required 15ernnits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: , Building site address: 97q -7 APN: 0 u ! 0 D. Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signaturebelo ' 4w4 SIGNATURE OF APPLICANT DATE 6Q�ENr o ° UTT li C d o U 141 �8ClC WOP� Department C o u n t i J. Michael. Crump, Director of Public of B ut.� Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: �7Un l�e, Project Location and/or Parcel Number: N8 1i0 038 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: 6 Til !iTtlig- maps. 24 x 4 M F, 1 0 C� Title: A -7s / ('ren , Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060785 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issue 'd Date • 04/06/2006 APN: 038-170-038-000 the Business and Professions Code, and my license is in full force and effect./' L p License Class C- lt!o License Number: Eil 19-9 Site Address: 8747 MIDWAY DUR _� 1� Q j t -L Map Index: Date: ` 1�2J Contractor: L kC_e. 13 r� Description: roof mount solar OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PETERSON, JAMES permit to construct, alter, improve, demolish, or repair any structure, prior PO BOX 678 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's State License Law (Chapter 9 commencing with Section 95938 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 530-893-5588 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: POWERHOUSE SOLAR INC. Code: The Contractors' State License Law does not apply to an 20567 KITTYHAWK LN. owner of property who builds or improves thereon, and who does REDDING, CA. such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 96003 sale. If however, the building or improvements are sold within one 530-275-5600 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: POWERHOUSE SOLAR INC. not apply to an owner of property who builds or improves thereon, 20567 KITTYHAWK LN. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). REDDING, CA. 96003 ❑ I am Exempt under Article 3 of the Business and Professions Code 5330-270-27 5-5600 Date: Owner: License #: 848901 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ,tT` I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: �f�/,,l/l/ Carrier: Si7-7p��j u(� Total Square Ft: 0 S.F. q/ Valuation: $0.00 jI �� Policy #: 1 (O J `' f V Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the, workers' compensation laws of California, and agree that if I should become subject to the workers' I compensation provisions of Section 3700 of the Labor Code, I shall forthwiitthh comply/with those provisions. �( Q Date: I owe r Sdqr Applicant: g C WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor _ - code, Interest, and attorney's fees:– '– CONSTRUCTION LENDING AGENCY This permit is reby 1 u /under t applica provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio o do work'dicated ab ve for ich fees have been paid. By: Date:: Name: `�% '— .% 7 Address: PERMIT EXPIRES ON: v ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or do u ent of tte County. I hereby authorize representatives of Butte County to enterupon theabovementioned property for inspection purposes. e V' Print Name: v �J C� L l / Signature: 7 Date: Cl Owner ❑ Contractor ❑ Agent for Owner gent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION4: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY - OWNER INFORMATION Last NameFe_ i `5 o n First Name' J (y vvL es Address 0-7 /--17 M idwa V City (Pk r. v I0. �11t// Slate Zip Phon G 3.) q /_ Gl�Cj g' ✓ Fax r— E-mail CONTRACTOR l Name �wZ(-�T°u���, Qf` �viC• Address �15C9 7 / 2 /e wkZ L o L IC' !.( City UC Vl State ' Zip /„/j O0i Fax 2-75-i (600 W,Ion2� er CV-sesolar,m Lic. , Class _ o &zM0 V APPLICANT SIGN TURF X For offi a use only: ARCHITECTIENGINEER Name 4 ✓M f- aS C Oil +r a C +or Address SRA City No State Zip Phone Book Fax E-mail i State License Number APPLICANT SIGN TURF X For offi a use only: APPLICANT INFORMATION Name 4 ✓M f- aS C Oil +r a C +or Address SRA City No State Zip Phone Book Fax E-mail i APPLICANT SIGN TURF X For offi a use only: Zoning Property A� ss 0 Flood Zone Cross Street ' Q l Sova yZ �i SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPo60� BIN # PROJECT LOCATION . AP#�•3��I 7-0�� Property A� ss 0 C�t I)q r- Cross Street ' Q l Sova yZ �i WORKER'S COMPENSATION Policy Number I �T 199—n 5 Carrier 5�a`-Q Pu vi If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Other L _ Total LENDING AGENCY Name Address Descriptiog or Scope of Work: C71 -r �e .501or 2C r% Sq Ft- Living Garage Open Cov, - ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of�application. In order to renew -action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 9, Received ,b� Amount: bSRA —Bldg Receipt #: Sheriff SMIP r V2 Date- b' � tJ Other L _ Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A). Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). El4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 1 ' Rooftop Mounting Cross -Section: Post,and Flashing Method inter -module clip Channel nut Extruded rail AstroFlash assembly Solar module laminate Solar module frame Flashing Roofing plywood Rafter BUTTE COUNTY BUILDING DIVISION APPROVED O n FastJack® d6,36p 491 Fc7.5tJack Patent #6,360,491 Flashable Roof Stanchion The patented design of the FastJack® can be easily expressed as the most innovative, efficient and cost-effective tool of its kind! Between the precision CNC machined base and stanchion along with strict engineering and material standards, the FastJack® has been laboratory tested to provide 1,200 pounds of strength using only a single lag bolt (included)! Four Sizes Available! FastJack® 311 High Part# FJ -300 For low profile installations using Oatey® flashings (for composi- FastJack® 4-U2° High Part# FJ -450 0For installations using standard flashings (for composition & flat rooftops) FastJack® 6" High Part# FJ -600 For standard flashings (for flat tile rooftops) FasUackm 7-1/211 High Part# FJ -750 For standard flashings (sized for S-curve file roofs and/or double flashed installations) The Fast JackO design is covered under Pat. #6,360,491 I,aboratofy i tested to ,j()o lbs. FastJack® FJ -300 For Oatey* style flashings �4 FastJack® FJ -450 For standard height flashings .I Commercial FastJack@ also available (rated at 4,250 lbs.) Benefits of the Fast Jack® • Removeable post makes installation on existing roofs/retrofit quick and easy (refer to the illustration to the right) • Patented design locates the lag bolt directly under the stanchion providing superior strength values • Fast & easy to install - saves time and labor costs • Precision machined from extruded alu- minum, there are no welds to corrode or break • Significantly lighter than steel for installer convenience and reduced shipping costs. • Integrated drill guide insures perfect pilot holes every time - minimizes the possibility of splitting roof rafters • Base design allows virtually any roof flashing to install flat on the roof deck Email us for more information prosolar@prosolar. com Easy installation318, x 314" 318' SS Flat Washer of flashings on SS Hex Bolt existing roof -tops The post can 6e installed Standard & Oatey® Flashings through the top Slip over the base and under of the flashing the delicate shingle , r; • r� 516" x 3" SS Lag Bolt�� Threaded Fast Jack Base BUTTE COU Specifications 3/8" x 3/4" SS Hex Bolt k_ 3/8" SS Flat / Washer 1' ameter rbst (available in 3", 4-1/2", 6° & 7-1/2" - CNC _ Machined 5/16" x 3" Post 55 Lay Bolt\ Integrated drill _ 5/16 ss Flat guide Washu DECK RAFTER NEW CONSTRUCTION/ RETROFIT ROOF Also works well with e)dsting shingle rooftops! Will not rust or stain the roof professional SOLAR products ® Bulk packaging nte�nt easier Ctocking abilitier, lest Fast aek packaging aeaCte and quicker, mon mmrenient inttal- latia:. Everything iu the photo Gelotu is Chipped in a �p QQ redoseable box for storage of extra parts. The Fast Jack is available in four convenient sizes. All sizes are packaged in quan- tities of 18 per box. 18 - 1" Round Posts (311, 4-1/211, 6" or 7-1/2" tall) 18 - Threaded bases 18 - 3/8" x 3/4" SS Hex Bolts 18 - 3/8" SS Flat washers 18 - 5/16" x 3" SS lug bolts 18 - 5/16" SS Flat Washers t , -ROOFING PAPER �FLJ\HING Roofer -friendly design allows for ;_1 easy roll-out of roofing paper. / Plus they are half the weight in steel maximizing labor efficiency. Allows flashing to lay flat li��DIV/,31,�UA17y n I�� VE.:6ply6 �ply6� 121503 RoofTrac -PV MOUNTING SYSTEM ;V,,m 6.,6,4.1 INSTALLATION MANUAL The ROOF TRACT'" PV mounting system makes the installation of PV modules for rooftop installations easy, safe and attractive. The patented (pat #6,360,491) PV support mount along with the TILE TRAC® patented (pat #5,746,029) tile roof attachment system, is used to install frame modules to the most common roof tops including concrete tile. This manual will illustrate the proper installation of the TILE TRAC® system and provide the installer general information on roof framing and roof coverings. This manual will also provide instruction on how to make solid, leak free attachments to the roof. This manual will be divided into 9 different sections to provide the new and experienced installer general information and techniques that will reduce labor costs while providing a safe structural attachment to the roof. The instruction guide is divided into the following areas: • Components of the ROOF TRACT"' PV mounting system • General information about roof framing and coverings • How to locate rafters • Installation of modules using the TILE TRAC® base on composition roofs • Installation on new construction or new roof using the FASTJACK®flashable roof support stanchion • Attachment of the modules to the support channel • Installation of the TILE TRAM system for the roof installations • Safety guidelines for the solar installer • Recommended tools 60i o FP5�1PG� Page 1 ,1 COU COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2002: All information contained in this manual is propalu(L> io ffiodibts �7y (PSP). TILE TRAM is a registered trademark for PSP and is covered under U.S. patent 95,746,029. ••�� FASTJACK®is a registered trademark for PSP and is covered under U.S. patent #6,360,491. pn ' f VV�'ON ILJ � �,��� TILETRAC® & FASTJACK® MOUNT COMPONENTS SLIDING CARRIAGE 3/8" THREAD POST HEIGHTS 3/8'X1-1/2" _ e THREADED HEX STUD FOR COM- POSITION ROOFS _ �.� WASHER r 7-112" � 5/16" X 3' QTY: 6 SETS ^�\�\\ LAG BOLT \ LAG BOLT TILE TRAC ATTACHMENT BASE • / y�GN\Ola 3/8' X 1-1/2" 5/16" LOCK THREADED HEX HEAD 3/8" X 6" STUDS THREADED - 5/16" LOCK STUD FOR WASHER0 TILE ROOF 5/16" x 2-1/2" 3/8" THREAD POST HEIGHTS HEX BOLT 3" 5116" LOCK �.� WASHER r INTER -MODULE CLAMPS QTY: 6 /5116" THREAD 11 I' SLIDING INSERT CLAMP CITY: 10 i \ \� CITY:2 SUPPORT RAIL —Clear Anodized T Note: Proprietary end clamps labeled with ID line. Line position will depend on module manufacturer '\\ 5116" X 314" HEX BOLTS MODULE END CLAMPS QTY: 4 SETS Page 2 nn'' 9_1 �e COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2002: All information contained in this manual is propert> of on ISO 'S (PSP). TILE TRACO is a registered trademark for PSP and is covered under U.S. patent #5,746,029. ��_��_ ���VVVJJJ'/ �, • _LV IJI FASTJACKO is a registered trademark for PSP and is covered under U.S. patent #6,360,491. ` ,/�' Apon 0V�� N 3/8" THREAD POST HEIGHTS AVAILABLE 3" 4-1/2" �.� 6" _ !k 7-112" � 5116"X3" P LAG BOLT \ y�GN\Ola 5/16" LOCK WASHER FASTJACK STANCHIONS QTY: 6 SETS Page 2 nn'' 9_1 �e COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2002: All information contained in this manual is propert> of on ISO 'S (PSP). TILE TRACO is a registered trademark for PSP and is covered under U.S. patent #5,746,029. ��_��_ ���VVVJJJ'/ �, • _LV IJI FASTJACKO is a registered trademark for PSP and is covered under U.S. patent #6,360,491. ` ,/�' Apon 0V�� N ROOF CONSTRUCTION SOLAR modules of any type must be structurally attached to the roof. This means that they must be secured (bolted) into a structural.member of the roof such as a rafter or joist. Structural attachment prevents damage resulting from wind, earthquakes and snow loading, it also insures that the penetration into the roof will be sealed and compressed to provide a leak free cannection for the life of the system. The TILE TRACO PV mounting system's patented design has been specially engineered and tested to meet industry requirements for load testing and engineering. The TILE TRACO mount system has been load tested and approved by a licensed structural engineer. (Copies of engineering reports are available with purchase). TILE TRACO mounts are load tested in both the uplift and download conditions while under toad at 50 pounds per square foot. Our unique extruded support rail design accomplishes this degree of support with minimal deflection using relatively tight gage aluminum. and brought to the construction site. Trusses are generally used in track or modular homes. Each of these roofs supports systems will work exactly the same for attachment of the TOLE TRACO system. The angle (inclination) of the roof is measured in terms of a division of 12, examples would be "3 in 12" 'A in 12" "5 in 12", this simple means the height is relative the horizontal measure. Most roof pitches wilt fall the previous categories. For the sake of this manual we will consider all roof supports rafters. This TILE TRACO system was the first system to employ the benefit of the "top down" attachment method. This unique innovation allows the installers to properly install attachment bolts into rafters. Before the invention of this product all module systems had to be bolted from the rear of the module frame. All module clamp sets and engineering are "module specific" and are tested and sized appropriately for each module manufacturer. The following sections of this manual will provide a good general knowledge of most likely roof installation situations. It is presumed that the installer has a fundamental knowledge of roof construction and tools. We will also try to suggest ways in which you can reduce installation labor and time. We appreciate your selection of our mounting system and hope that this installation guide will make your installation experience faster and more profitable. Safety: Installers should used only approved ladders and work only when roofs are dry and avoid installation on windy days. Secure all tools, modules and parts to prevent them from fatting off the roof. It is advised to protect all exposed studs with protective caps durina the installation process to prevent injury. GENERAL ROOF TYPES: Rafter and Pitch: Most modern roofs are composed of structural framing which consists of rafters or trussed units. Rafters are usually 2"x6" or better and are usually found in custom construction. Trusses are geometric shapes that are pre -fabricated in a factory TRUSS ROOF JOIST ROOF Rafter spans are generally 12", 16" or 24" O/C (on center). All modern roofs are design to support plywood centers which are 48". For this reason the TILE TRACO PV mounting system is engineered and tested at 48" centers for both portrait and landscape configurations. All attachments to the roof should be laid out and attached at 48" centers, attaching at this common distance and you will be reasonably assured of making a structural attachment to a roof rafter, while distributing the toad evenly on the roof stpscture. Sheathing: Roof covering over the rafters generally consist of three types of materials; 1. Exterior roofing plywood. 2. OSB which is an abbreviation for Oriented Strand Board, this material has now become the standard for new home construction. This material consists of pressed wood fibers which looks similar to particle board. Although this material is structurally sound for roof sheathing, it does not have the ability to secure a lag bolt if the rafters are missed. 3. Skip sheeting (space sheeting): This material is generally not used anymore because of more strict fire codes. This is simply a 1" x 4" or better nailed to the rafters with a space or gap between each board. This type of support is mainly used on older shake or wood shingle roofs. Important: Attaching or bolting to sheathing is not generally considered a structural attachment and should be avoided. au Page 3/� COPYRIGHT PROFESSIONAL SOLAR. PRODUCTS 2002. All information contained in this manual is property of P d a �o (PSP). TILE TRACO is a registered trademark for PSP and is covered under U.S. patent #5,716,029. �(= /�� , FASTJACK® is a registered trademark for PSP and is covered under U.S. patent #6,360,491. A���td t /S/ �E o 0 TECHNIQUES FOR LOCATING THE ROOF RAFTERS Based upon the fact that roof rafters can be located at 48" 2 centers, becomes necessary to properly locate at least one rafter. After locating a rafter, it can be used to reference other rafters on the roof. Since the roof sheathing and roofing materials conceal the rafters, there are several techniques that can be used to locate the rafter centers. Keep in mind that the ratter must be located absolute center for proper attachment. Rafters will generally provide a target of 1-1/2" wide which makes accurately locating the rafter is important for proper attachment. Regardless of the actual spacing of the rafters, most can be located at 48" centers. Here are some ways to accomplish this. 3. If the roof eve is exposed, use a framing square to locate the rafter tail and carefully transfer this location to the edge of roof. Mark this location with a crayon, visibte from the top of the roof. Reference this 4 measurement to the edge of the gable. Transfer this measurement to the work area and you should be fairly dose to the rafter. For a hip roof you will have to estimate the rafter location by visually triangulating the location perpendicular to the eve. If the roof has a closed or blind soffet, you can visually look for the nails on the rim joist (fascia board), this will indicate the general location of the rafter. Composition shingle or rolled cap sheet: Once you have general idea were the rafter is, you can refine your search by several methods. One simple method is to use a smooth face hammer (a rawhide hammer works nice here) and lightly tap perpendicular to the rafter until you hear a solid sound. Mark this location and you should be within inches of the rafters absolute center location. To determine absolute center you can drill small holes either left or right of the rafter until you hit the rafter center. Another way is to use a high density electronic stud sensor at the "HIGH RANGE" setting. Carefully sliding the device over a piece of thin cardboard (allowing it to slide off the roof shingles) will accurately show the start and ending location of the rafter. Tile roof rafter location: This will consist of estimating the general location of the rafter and then removing the the in the vicinity of it. After removing the tile, use the same procedures as above. After locating the Center of the rafter, it is advisahte to mark the hole using a crayon. Important! Never leave a hole unmarked or unaccounted for. 48.00 RAFTER CENTERS' SUPPORT RAIL STEP #1 STEP #2 STEP #3 TAPE I ASURE' M Cin n MEASURE T ND OF ROOF TAP FOR RIF TER LOCATION DRILL 10 LOCA1 E k Y AC I LOCA PION (APPROXIM E LOCATION) (CLOSE LOCATION) (L-'XACI' CLN I L 2 Oh IRAI='I L14) i FACIA RAFTERS EXPOSED RAFTERS LOCATING RAS=TER FOR DRILLING AND SUPPORTING ATTAr—"MENTS Page 4 `•/���p` COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2002: All information contained in this manual is props r>� r �Q�I So"r uc (PSP). TILE TRACO is a registered trademark for PSP and is covered under U.S. patent 45,746,029. irk V FASTJACK®is a registered trademark for PSP and is covered under U.S. patent #6,360,491. ppz) ® 'a/V/8 �0 V SON INSTALLING THE TILE TRAC®ATTACHNIENT FEET 3/8" HEX STUD REFERENCE PAGE 10 FOR MORE DETAILED INSTALLATION INSTRUCTIONS. How to attach the TILE TRACO base to the roof. After locating the exact position for the TILE TRACO bases, drill a 3118" (we recommend a carbide masonry bit) pilot hole into the rafter, place the lag bolt and washer through the base and apply mastic or roof sealant to the bottom of the base extrusion. Insuring that the roof is clean and warm, install base by inserting the lag bolt into the hole and impacting the lag bolt down using a 1/2" drive socket (do not over -tighten). After the base has MASTIC COMPOSITION ROOF RAFTER been secured and sealed to the roof, install the sliding carriage over the base and thread in the 3/8" hex stud. At this point, leave the carriage stud I oose to allow for final adjustment. Continue installing the TILE TRACO six attachment feet per rail set installed on 48" centers. NOTE: Roofing mastic must be applied per the manufacturer's recommendations. To ensure a proper seal, mastic must be fresh _and at least room temperature. �� B E C® Page 5 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2002: All informations contained in this manual is property of Profession(PSP). TILE TRAM is a registered trademarkP1141D ���FASTJCK® is a registered trademark for P Pf ands covered undeU.S. patnt #6360,491?46,029. /� pI //S101V INSTALLATION OF THE ROOFTRAC® SUPPORTS TO THE ROOF MOUNTS 48 % 3/16"T -WRENCH \\ 1/2" CONE BIT 8 DRILL — REFERENCE MARK HEX STUD /® T` \ 4s„ "V" GROOVE TO START DRILL SUPPORT RAIL (BOTTOM) A i�""NSTALLED SUPPORT RAIL Installation of the ROOFTRAC® support rails to the attachment feet. After the base has been secured and sealed to the roof, install the sliding carriage over the base and thread in the 3/8" short hex stud. At this point, leave the carriage stud loose to allnw far final adjustment. Continue installing the sliding carriages over the TILE TRAC® bases, 6 sets are required per set of module supports. Lay the module supports (upside down) next to the TILE TRAC® supports as illustrated in fig."A" above. Mark the SHEATHING TO THIRD SUPPORT — COMPOSITION ROOF RAFTER channel adjacent to the support feet. Align and mark the intersecting "V" groove on the rail and drill a 1/2" hole through the rail. (Note: a "Uni-BitTM" sheet metal cone bit is recommended for this). After drilling the hole in the support rail, place the rail over the attachment feet (fig. "8"), make any necessary final adjustments and tighten the carriage using a 3116" hex wrench. After the stud has locked the carriage to the TILE TRAC® base, install the 3/8" washer and nut and tighten using a 9/16" deep socket wrench. Your support rails are now secure and read; for installation of the modules. Page COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2002: All information connttained in this manual is property r f of Psl. r CoIJ" • (PSP). TYLE TRAC® is a registered trademark for PSP and is covered under U.S. patent 45,746,029. FASTJACK®is a registered trademark for PSP and is covered under U.S. patent 46,360,491. �Pp/ ` v r�%0 A - INSTALLATION OF THE MODULES OVER THE ROOF TRAC@ SUPPORT RAILS 14` Attachment and clamping of the solar modules to the TILETRACO feet or FASTJACK® stanchions work exactly the same. After the support rails have been installed to the attachmenls,'you are now ready to install the solar modules. There are two sets of clamps; the outside clamps (end clamp) and the inter -module clamps that install between the modules. For convenience, it is advisable to pre -thread or start the bolt, lock washer and clamp into the sliding insert prior to bringing them up to , the roof. Slide the two end clamps near the end of the support rail and install your end module (first). Carefully square the module to the frame and tighten the clamps using a 1/2" box wrench or drive socket. DO NOT OVER -TIGHTEN, we recommend a maximum torque of 20 foot pounds to prevent damage to the module glass. After the first module is secured, slide two inter -module clamp sets onto the first module. They are designed to stay in place freeing you up to slide and align the next module into place. Repeat this procedure until all modules are installed onto the support rail. Upon installation of the last module in the panel, install the module end clamp to complete the installation. Please note that all module end clamps are proprietary and specially extruded to fit a specific brand of module. Since many of these tolerances are very small, we install a die line (marker) to differentiate the correct die per module frame. Please refer to the module end clamp illustration on page 2 to insure you are using the correct end clamp. au�� Page 7 �/ %///B�JJPP COIJ y , COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2002: All information contained in this manual is property of Prof�llffraVd (PSP). TILE TRAC® is a registered trademark for PSP and is covered under U.S. patent #5,746,029. ^ A� / j f V/V '/� FASTJACK®is a registered trademark for PSP and is covered under U.S. patent #6,360,491. d`� P �+ V %� fT 0 / ON . st�sas=sae•sGsda�sas►sessasssa�os+sas�+sase� oG�ag..Sag,ybga5GSo5QeoSG5i3354. +SIIS►SGS►SGS►SGS�SfiH.6G9S6S�SGL9SG9�StiS►9QS+9Q39a5►3a�3Q9�Si'a5•�SQS° •,�. �q �9� ppqq qq � ® a j SGS U.S. Twira ComqmY tm• tl 8559 Telegraph Road a Los Angeles, CA 90040 Tel: 323-838-1600 o Fax: 323-722-8251 CLIENT: PROFESSIONAL SOLAR PRODUCTS 4630 Calle Quetzal a i O ! I Camarillo CA 93012 Mr. Stan Ullman , Test Report No: 146118 ®a4e; September 28, 2000. � SidiNIPiE $�3: 3 Cample was submitted by the Client and identified as a FastJack mounted to a built up root section. Tile roof section consisted of 2 x 4 DF framing with 1/2" plywood skin. DATE OF RECEIPT: The sample was received on September 7, 2000 and was assigned Sample Tracking Number 32240. TESTING PERIOD: September 26, 2000. AUTHORIZATION: Authorization signed on September 15, 2000. TESTS REOMESTED: Determination of ultimate load according to Client's Protocol, TEST RESULTS: See page 3. Tested By, a�iazC Test Technician Signed For And On Sehaff Of SGS U.S. Testing Company Inc. `lom Clark Manager, Meehanicat Evaluarion Services Page 1 of 3 This report is Issued by SGS U.S. Testing Company Inc, under its General Can itions for Tenting Swvloes (copy evaileale upon request). St. s U.S. Testing's responsibility under this report is limited to proven negligence and will In no eese be more than the amount of the testing fees.. Exoept by specie[ arrangement, sampler are not retained by SGS IPS. Teadng for more than SA days. The rsswts shown an thio tort repert refer orgy to the sarnplebl treated unless otherwise oteted, ur4w the aa" de"s egrered upon. Artyarte relying an We report should undomtend art of the details of the engagement.. Neither the rams, swig, marks nor inslpnia of SGS U.S. Tasting may be used in any advertising or promotlonril matori8is udtttout the prior written approval of SGS U.S. Testing. The test report cannot be reproduced, except in full, without Pitot vrrittare permission of SGS US. Testing Company Ina. Member of the SGS Group ISocigtd GAremrato do Sumaillanea3 8 U 7 -Tc n ILpIN� � �'V' Y plVl� APPROVED <_GSeSti5•5G5►SGS►StlS►SGSrSGS►SGS►SGS►gG4'SOS"S'uS'SGS+6G�9II�SG9SQSeSGSA.'G8+X65'Sy9►8a���S69'SG5°SG9SG6e5G5►SGSeSG9SGS�GS��r�c M��� c SGS U.S. Testitsg CoxnPanr Inc. Report NO.: Date: September 28.'2000 Page: 2 of 3 CLIENT: PROFESSIONAL SOLAR PRODUCTS c 5 a PROCtDUM Followt:ng client protocol, the roof section was placed in the lnstron ;nachirle and the upper jaws connected to the top of the l=ast,iack with a 318" bolt. The box was -then clamped to the lower platen of the Instruct machine Tyra toad was applied at a head movement of 3.05 inch per sec. The Fast iack was pulled to failure and the loan recorded_ Drawings of the t1ni-t tested are _ shown.below.. - 3113' THREAD \,\ is 4.00000 111 v M -IF AD, . F 4 z000- -QAY. pf�a `• t u `P N d � V 0 O ' iDt . N X' N O • T N u N 4 1 � SGSLSGS►SGS►SCiS•SGS•SL5• t �----- 6/96, x 3° ss. € AG goLT DRILLGUIDE CONSTRtiCi'lM MM ALLMIlatiM FASTACK PV ROOF MPUNT Mwnber of the SGS Group (Saeidth GOMrale de Syrveltlanati/L Ak Co - � 6 • aJa4aS+SOS�tiS+S'Sas►905aS68+SGSSG�Sas"aSG5�94S►SGSo3B9S3G95�38�L°3°3G9S85oS6'S,a�GSe5Q5aSG5`3GSiSa5�5aSS"+�; 6aSaSGS'ti9f . US-0-OFS-04-03-T � L L SGS U.S. Testsng CaMWY Inc- Report No.,. 146118 Date: September 28, ZOW CLIENT: pR®gESSIONAL SOLAR PRODUCTS Page: 3 of 3 RESULTS-- The 'ultimata load was 1200 pounds. The mode of failure was the wood screw withdrawing from the Z x Q in the roof section: End of Report COMember of the SGS Group (Socldti G8rt8rate de Survey/` 8a9oSGS�S�^ SGSoSasnsasescs;sGs65GS.sGSesasasGs�sastisa �SG a5�5 >s •s[ts Pacific Gas and Electric Company INTERCONNECTION AGREEMENT FOR NET ENERGY METERING FOR f RESIDENTIAL AND SMALL COMMERCIAL SOLAR OR WIND ELECTRIC GENERATING FACILITIES OF 10 KILOWATTS OR LESS DECLARATIONS n is,m IBI ITKIN ❑Biliuts ❑Customer-Gencrata r ❑Business Customer Center REFERENCE Current Acct No. 2928391082 James Peterson Jr. ("Customer -Generator") and Pacific Gas and Electric Company, also referred to as "Utility", referred to collectively as "Parties" and individually as "Party," consistent with, and in order to effectuate, the provisions of Sections 2827 and 2827.7 of the California Public Utilities Code and Pacific Gas and Electric Company's electric rate 'Schedule E -NET ("E -NET"), enter into this "Interconnection Agreement for Net Energy Metering For Residential and Small Commercial Solar or Wind Electric Generating Facilities of 10 Kilowatts or Less" ("Agreement" )t. This Agreement applies to the Customer -Generator's generating facilities identified below with the specified characteristics and generating capacity, and does not allow interconnection or operation of facilities different than those described. Accordingly, the Parties agree as follows: DESCRIPTION OF CUSTOMER -GENERATOR'S SOLAR OR WIND ELEC'T'RIC GENERATING FACILITY ("Facility") Project Identification Number: (Utility Log Number) Interconnected Equipment: Table 1. - List of generating equipment interconnecting with Pacific Gas and Electric Company's Distribution System with, or without, an inverter. (.For those generators interconnecting without an inverter, write in ".N/A" in the right three columns. If an inverter is shared by more than one generator, write "shared" on the same line as that generator under the manufacturer column and do not enter the inverter rating. Attach list of additional equipment if applicable.) —~ Hybrid)__ . - -" _ (watts) _ Generator - • - - Number - —^ ' Additional forms are available upon request by telephoning 415-972-5676 or on PG&E's website at hftp://www.pqe.com/gen). 2 The inverter rating equals: (the CEC efficiency for each installed inverter) TIMES (the nameplate rating, in kW, of each inverter). The CEC efficiency is obtained on the CEC website at http://www.consumerenergycenter,org/erprebatefeligible_inverters.html as listed on the date the application is reviewed. Enter the total of all inverter ratings for multiple inverter installations in the Table above. S Page 1 of 9 F;'8R�T an owl n� /� e r 0 3'� Effective 0 {�,� 0 DECLARATIONS (Continued) Site Address:, $747 Midway (Street) Durham (City) Facility will be ready for operation on or about: Apr112006 (date) If the date of the permits allowing the Customer -Generator to commence construction of the Generating Facility is prior to January 1, 2003, please provide the date the permits were issued: Customer -Generator shall.not commence Parallel Operation of the Generating Facility until written approval for Parallel Operation is provided by Pacific Gas and Electric Company. See Section 3.3 of Attachment A, PROVISIONS. 2. CUSTOMER BILLING AND PAYMENT OPTIONS Customer -Generator selects Pacific Gas and Electric Company's electric rate Schedule E7 as its otherwise -applicable rate schedule, in addition to Schedule E -NET. Customer -Generator understands: Customer -Generator will be billed and will be expected to pay monthly for the non -energy charges (i.e., non - per -kilowatt-hour charges) due under Customer -Generator's otherwise -applicable rate schedule. 1n addition, 'Customer -Generator may (at its option) pay any amount for energy charges monthly, with the understanding that any and all payments will be reconciled annually as set forth herein. At the end of every twelve (12) month period; or other reconciliation period as provided in Schedule E -NET, the Customer -Generator's charges will be totaled including: (1) the monthly non -energy charges, (2) the charge for any net -energy consumption as defined in rate Schedule E -NET. The Customer -Generator's total payments for the twelve (12) months or other reconciliation period as provided in Schedule E -NET, will then be subtracted from the total charges. The Customer -Generator will then be billed for any balance due. If the Customer -Generator has overpaid for the energy they consumed, a credit will be applied to the next month's bill. ff9 (� Tari ian COU Ty Revisedi$�1 ® 0 Effective January 88t���� ���C�t® Advice0 �3 V_0 DECLARATIONS (Continued) 3. NOTICES All written notices shall be directed as follows: Pacific Gas and Electric Company Attn: Manager, Generation Interconnection Services Mail Code B13M P.O. Box 770000 San Francisco, California 94177 CUSTOMER -GENERATOR: James Peterson Jr. (Name) 8747 Midway (Street or PO Box Durham CA 95938 (City) (State) (ZIP Code) 4. DECLARATIONS, ATTACHMENTS AND AGREEMENT TO THE TERMS THEREOF Customer -generator has read, understands, and agrees that interconnection of the facilities of the Customer - Generator shall be established and maintained in accordance with the terms in Attachment A, PROVISIONS, incorporated herein by reference, and the applicable rules on file with the California Public Utilities Commission. This Agreement includes the following exhibits that are specifically incorporated herein and made a part of this Agreement. Attachment A, PROVISIONS In addition, PG&E Electric Tariff Rules and Rates, including but not limited to Electric Rules 2, 14, 15, 16, and 21, Schedule E -NET, and Customer -Generator's otherwise -applicable rate schedule, available at PG&E's website at www.pgc.com or by request, are specifically incorporated herein and made part of this Agreement. Page 3 of 9 RevT i jn54 �� Effech DECLARATIONS (Continued) i 5. SIGNATURES IN WITNESS WHEREOF, the Parties hereto have caused two originals of this Agreement to be executed by their duty authorized representatives. This Agreement is effective as of the last date set forth below. "Customer -Generator" Name James Peterson, Jr. By (Signature): Date: Type/Print Name: James Peterson Jr Title: Home Owner Pacific Gas and Electric Company By (Signature) Date Type/Print Name: Title: Manager. Cicneration I:nterconnectioii Services t t d 0 e 9- COUN7Y. Tarifa I �^® Revised Novembe �j PV',S'oN Effective Janu Advice 2 73- O VED SPR -210 HIGH EFFICIENCY PV MODULE The SunPower SPR -210 module is designed for use in on -grid residential and commercial systems where the highest module efficiency and energy delivery is critical. Utilizing 72 series - connected A-300 solar cells, the SPR -210 delivers extremely high power density with total module efficiency approaching 17%. Reduced voltage -temperature coefficient, exceptional low -light performance and high sensitivity to light across the entire solar spectrum mean maximum yearly energy harvest. SunPower modules—innovative design, proven materials, outstanding performance. FEATURES & BENEFITS • Unique all -back -contact solar cells with conversion efficiency up to 21.5% • Low voltage -temperature coefficient enhances high-temperature operation • Exceptional low -light performance and high sensiviy to light across the entire solar spectrum maximize yearly energy delivery • Highest quality 4mm-thick high -transmission tempered glass provides enhanced stiffness and impact resistance • Superior aesthetics - back contact cells with no front side gridlines and a black annodized frame • Aerospace style cell interconnects with in -plane strain relief provide extremely high reliability • Advanced EVA encapsulation system with multi -layer backsheet meets the most stringent safety requirements for high-voltage operation • A sturdy, black anodized aluminium frame allows modules to be easily roof -mounted with a variety of standard mounting systems SPR -210 HIGH EFFICIENCY PV MODULE Unprecedented power density and exceptional energy production per peak W. a Dummha2 dSmfbw Cmp=*n. A9 riglnn vd. spedfwmions inducted in this dotmtsd me u4.d to dung. withow mem.Docun 0: 76.6008 e.66 ]� SunPower Corporation® Bv' �� COUN 1.877.786.0123 Email: sales@sunpowercorp.com www.sunpowercorp.com LpIN� p1 � / � A Subsidiary of Cypress Semiconductor APpp ^ V'S(/ON YY jj�� r� Ep ELECTRICAL CHARACTERISTICS AT STANDARD TEST CONDITIONS (STC) STC is defined as: irradionce of I000W/m2, spectrum AM 1.59 and cell tempeialuie of 25*C Peak Power 1.2 Pm� 21 OW Rated Voltage V.P 40.OV Rated Current lar 5.25A Open Circuit Voltage V« 47.8V Short Circuit Current Ix 5.65A Series Fuse Rating 15A Maximum System Voltage 600V (UL) 1000V (IEC) Temperature Coefficients Power -0.38%/°C Voltage -136.8mV/'C Current 2.2mA/'C Module Efficiency 16.9% PTC Rating 190.9W IV CURVE 6.0 — - -- - — - - - r 5.5 - r 50 1000 Watts/m2; 25'C; AM 1.59 4.0 .t ..I' - - - 3.5 rx 3.0 2.5- 2.0 1.5 , 1.0 i 0.s 0.0 0 5 10 is 20 25 30 35 50 45 so vuuu Peak Power Tolerance: +/- 5% 2Power guaranteed for 25 years. See SunPower limited Warranty for details. MECHANICAL SPECIFICATIONS Length (mm) x Width (mm) 1559 x 798^ Thickness, including junction box (mm) 46 Weight (kg) 16 DIMENSIONS 2X 0 4.2 L, 6 3 1 f� 2X 0 4-2 DD—ba. 7004 5 m%i corp.. iw. Al righs mwvad. Spacria.f=s Q64 roria. V v / II � /ObgimMtl:70-0008FcAl SunPowerCorporation' .`'' 0 fy3C�0V 1.877-786.0123 Email: sales@sunpowercorp.com www.sunpowercorp. I �V al � A Subsidiary of Cypress Semiconductor �/ �O�IO /� SPR -3200 HIGH EFFICIENCY INVERTER The SunPower SPR -3200 is a state-of-the-art inverter which combines high efficiency with high reliability, and is specifically designed to be perfectly matched to SunPowers SPR range of high efficiency PV modules. SunPower inverters come with an industry leading 10 -year warranty. FEATURES & BENEFITS • Ultra high efficiency • Low standby power - 3 watts • High thermal efficiency, no fan required • Wide range of possible string configurations with SunPowers PV modules • Easy to read vaccum fluorescent display with data logging capabilities as standard • Robust, UL50, aluminum -enclosure • Aesthetically pleasing design, blends elegantly with its surroundings 0 Aro 20055.4b rCorporation.AO-9fft remrved Spedfiaah— inducted in this dwAwt— Ajw b d—WviAtoutnaira. BUTT Dxtanera: 70-0013 PWO SunPower Corporation® SUIS f1 E �✓ Ov� A subsidiary of Cypress Semiconductor Corporation �,/I �� oI 7y 1.877.786.0123 Email: sales@sunpowercorp.com www.sunpowercorp.com �/1®^� ISIO/V o l POWER CHARACTERISTICS ,00 Continuous Output Power 3200W Maximum System Voltage (DC) 500V Operating DC Voltage Range 230V -430V Maximum DC Operating Current 15A Nominal AC Output Voltage 240V Operating AC Voltage Range 211 V -264V Operating Frequency Range 59.3Hz-60.5 Hz Normal Output Frequency 60Hz Maximum Continuous Output AC Current 14A Maximum Output Fault Current (AC) 16.65A Output Overcurrent Protection 20A CONSTRUCTION AND ENVIRONMENT Enclosure Aluminum, NEMA 3R Cooling Natural Convection Relative Humidity 0%-100% Condensing Peak Efficiency 96% AM D inr� _tom==tip: EFFICIENCY CURVES ,00 95 - 90 r es—* -230 Vdc —&-274 Vdc so f4MVdc 75 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Rated Output Power MECHANICAL SPECIFICATIONS Dimensions (W x D x H) 15" x 7.5" x 21.75' Weight (lbs) 89 DIMENSIONS sst LU 1 i 1� _i_ 7A! :1.a8 o A— 2005 5uib..r C* paaim. A9 ri¢a.—, d Sp.afimi«c 4.kd d to dis daxh.ety. wbj.a b d..g. vdthou naive. SunPower Corporation® A subsidiary of Cypress Semiconductor Corporation 1.877.786.0123 Email: sales@sunpowercorp.com www.sunpowercorp.com Plot, /V�SSO PV Powered - Today's Solar Power House in Photovoltaic Inverter Engineering eXP1.9R9 OUM SOLAR OOTAt,y+ WO ► e Home N String Calculator The String Calculator is for informational purposes only. All calculations should be verfied by the installer. Step 1. Select Module Values Module Manufacturer! SunPower I '- -- - Model � SPR -210 Celsius or Fahrenheit j Celsius Mounting Type ILPole Lowest Ambient Temperature 0 Highest A(bient Temperature 1,40 y � � Module Summary STC Rating (Prop): 210 Watts DC PTC Rating: 190.9 Watts DC Max Power Voltage (Vmp): 40 Volts Open Circuit Voltage (Voc): 47.75 Volts Max Power Current (Imp): 5.1 Amps Voltage Temp. Coefficient (Voc): -0.1368 Volts/C Min String Max String Min PTC Watts Max PTC Watts Max Total Modules XV 5 9 954 Watts 3436 Watts 18 4 8 763 Watts 2290 Watts 12 6 9 1145 Watts 3436 Watts 18 7 9 1336 Watts 3436 Watts 18 6 9 1145 Watts 6108 Watts 32 7 9 1336 Watts 6108 Watts 32 �g-�f littp://tvww. pvpowered. coin/str.ing_sizing. pllp Page 1 of 3 Menu - Installation Support Email Technical Support Admin Login 3/29/2006 PV Po,,yered - Today'5 Solar Power ]louse ill notovoltaic Inverter Engilleering Step 2. Inverter Selection Select your PV Powered Inverter: PVP 3200-240V Step 3. View String Calculation 1 String STC Watts PTC Watts CEC Watts Max Voc Max Vmp Min Vmp Max Imp 7 1470 Watts 1336 Watts 1262 Watts 359 Volts 280 Volts 250 Volts 5.1 Amps 8 1680 Watts 1527 Watts 1443 Watts 410 Volts 320 Volts 285 Volts 5.1 Amps 9 1890 Watts 1718 Watts 1623 Watts 461 Volts 360 Volts 321 Volts 5.1 Amps 2 String STC Watts PTC Watts CE Watts Max Voc Max Vmp Min V ns p Max Imp 7 2940 Watts 2672 Watts 2525 Watts 359 Volts 280 Volts 250 Volts 10.2 Ampsv 8 3360 Watts 3054 Watts 2386 Watts 410 Volts 320 Volts 285 Volts 10.2 Amps 9 3780 Watts 3436 Watts 3247 Watts 461 Volts 360 Volts 321 Volts 10.2 Amps Review Inverter Specifications: (PVP 3200-24OV) DC Input AC Output Lax Power (Watts DC): 3600 Max Power (Watts): 3200 Max VOC (Volts DC): 500 Nominal Voltage (Volts AC): 240 OperaQage Range (DC): 230 - 430 Utility Voltage Range (AC): 211-264 �8i `Ir(t Current (Amps): 15 Max Output Current (Amps): 14 "D 0 Overcurrent Protection (Amps): 20 4 Nominal Frequency (Hertz): 60 eMal Data 0CEC Efficiency 94.5% � Rating: Enclosure: Aluminum - NEMA 311 UL 50 Standards Dimensions (WXDxH): 13.1" x 6.5" x 19.75" Weight: 46 lbs, Cooling: Natural Convection http://www. pvpowered . com/string_sizi ng. pli p Page 2 of 3 3/29/2006 NOTES t V SS}} 11 s�c� �-r.�'L. K���'t-t�'Yn l.�r(iy� [',Q.6•c.� c.e�-c a c,� c0 �/ti r vt and t,�� e/►�c�.ew c�-�k� �� c for/I azo , 'tom QVA eAf d 0 VY is 44 !i Wr e t s RESIDENTIAL PERMIT NO. 038-170-038 05-2184 PETERSON, JAMES 8747 MIDWAY, DURBAM } Cont: OWNER NSF R U18 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,SCMTH of i�u941'4ltl1j0Ay7oN Hw y Address—Po --PF� E COPY GAS Meter By Date Abol� ELECTRIMeter By Date JOB FINALED (Date) ?'c = Signature COUNTY OF BUTTE r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. Aro tine fiction indi tes that the followin�iolati ss of Ordinances exist at 9 Y F the above address should be corrected. Please call for re -inspection when correction of work is compl If you have any questions pertaining to this matter, or need additional explanatio , lease contact the Building Inspector as indicated below. (>r- 12 (3'A(iSYS X-0 .- ti,^rrw+w4---`. .�v'`�✓.4l•l7'i^.r•a.+�ti•.+� K�S..� re�.i_ -__ :.-..-.v-�P..-. 4•'i .� • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �e is V -S 2171/1 OWNER PERMIT NO. 1A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Jt C�-e V -V\ i' In, ►mac A wl (00 1 4'f S'�- -412 ZS (I a 1 �►� I ,fie (� �1� V_ rAy 3 o� i die w ; � ;,ti,�� 10 (bs 4 C/o YV"Cch vP C +vn Date Inspector REV 4/05 Phone #� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 3 a N -3 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at re -inspection when correction of the above address and should be corrected. Please call for re -ins P work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. V n o ►ie clvy-d1 O r)5-Vccfi 61-) yr t A li 0 k / 7 I� is F: Date Inspector ' REV 4/05 Phone # k ` r` ' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 't -4 • COUNTY OF BUTTE BUILDING DIVISION w_ DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville CA - (530) 538-7541 -3 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at re -inspection when correction of the above address and should be corrected. Please call for re -ins P work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. V n o ►ie clvy-d1 O r)5-Vccfi 61-) yr t A li 0 k / 7 I� is F: Date Inspector ' REV 4/05 Phone # k ` r` ' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE , BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. ` t•� A routine inspection indicates that the following violations of Butte County Ordinances exist at r. the above address and should be corrected. Please call for re -inspection when correction of sq, work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. t �, .y Date . Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE ........ BUILDING DIVISION DEPARTMENT OF,DEVELOPMENT SERVICES 7 County Center brive 9 Oroville, CA * (530) 538-7546 CORRECTION NOTICE 05 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this -matter, or need additional explanation, please contact the,Building Inspector as indicated below. K(Cr1_T1Cr- AlWrteo 2-(_o-CXo SCCOMOARV MA(I-k-&( t72-- DP�q(d e_1A1,f- Nj� , tJ A ik4c& Ar O<�\ Date 23 Inspector '1N(9Q_L1AR SOWY)OA( REV 4/05 Phone # 15-39 - FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 uar r rou I ffe:i PP LPrl i (--, d FO (Z ('N 6 C6 P -r.4 r e x- -77 �U(f)i�-- au (4/n IcyeP161W)0" 5z_n2A PLATF Ae6:::A:r_5 W(TAW11 0 "Ar L/ GA 12A 6 45 rr A -P- F_1-4rzf41--ragE ;4u)Ak/ F&DIn ,A)A Aj2P,6Kr tEQp,_ IMSPEC770A/k r-7 ruc /A/ -Fz 6 1-4 7-6az A 6,-s mi aAeAric-1m,,l) gm)m WA L(_ -XtALINO RV - OFFICE -KL j Ot-11 SCCOMOARV MA(I-k-&( t72-- DP�q(d e_1A1,f- Nj� , tJ A ik4c& Ar O<�\ Date 23 Inspector '1N(9Q_L1AR SOWY)OA( REV 4/05 Phone # 15-39 - FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 `V .:: `COUNTY OF BUTTE? BUILDING DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES .� 7 County Center Drive • Oroville, CA • (530) 538-7541 Z _ 2 aF CORRECTION NOTICE ?e rc—m� -21ggl . OWNER PERMIT NO. A routine inspec � n indicates that the following violations of Butte County Ordinances exist at the above ad ess and should be corrected,. Please call for re -inspection when correction of work is co pleted. If you have any questions pertaining to this matter, or need additional explana ' n, please contact the Building Inspector as indicated below. -4- u Ps -7-A I P S Date ,:b " Z 3 —06 'j- Phone# (oc���Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 A . A r Date 2 `-'t Inspector REV 4/05 Phone # " FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r COUNTY OF BUTTE BUILDING DIVISION f DEPARTMENT OF DEVELOPMENT SERVICES f 7 County Center Drive • Oroville, CA • (530) 538-7541 4' CORRECTION NOTICE p ��y OWNER PERMIT N0. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of :♦ work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r.� . A r Date 2 `-'t Inspector REV 4/05 Phone # " FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r k' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 0 4 CORRECTION NOTICE ' OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of r, work is completed. If you have any questions pertaining to this matter, or needladditional f explanation, please contact the Building Inspector as indicated below. u ' (bCrG� 2v�5�� o•• fN� F� `i 3 . G�%mit r vT .v �Gt .C. /k"N t Co i J ' C � r' Ga V01 Date Inspector Q4 REV 4/05"� 7 ,Phone # r4- t�j£ r'.>` FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COBy ColBo� July 31, 2006 Jan Boeger Re: 8747 Midway, Durham We are writing this letter is in regards to our phone conversation on 7/31/06. You informed * ColBo Plastering that you did not get an inspection for the lath work we completed on the `f. above referenced job. The inspector has requested you get a letter from us as to the work that was performed. This is a summary of that work. If you have anything else you need don't hesitate to call us. Backing - Two layers, Grade D high strength Kraft paper. ` Foam - 1" R -Tech Foam with vertical and horizontal joints taped with 2" total wall tape. ' Lath wire walls -1" 20 gauge self ferd galvanized wire, nailed at 6" with 2" galvanized staples. Lath wire soffits - Expanded galvanized metal lath 3/8 high rib, 3.4 lbs per square inch, nailed at 4" with 1 '/ galvanized staples. Accessories - Foundation weep screed 5" above concrete and 4" above dirt. Exterior corner reinforcement nailed every 18". Casing beads 7/8 #66 at garage door opening. Thank Yo ColBo Plastering, Inc. 0 CO' Bo Plastering, Inc. 2270 Fair St., Chico, CA 95928 530/892-0214 * FAY 530/892-9187 insulation Certificate BUnMING FMRxaT 4. BALDING OWNER: BUILDING LOCATION: Description of Installation ROOF (. �.a 0 U I 0� Brnd Name Thermal ce n Material alue) Thickness (inches) CEILINGBrand Name 16 —5—LV 1 l C Batt or Blanket Type Value) Thermal Resistance (R- Thiclrness Cinches) Brand Name Loose Fill Type lb ithickness inches Contractor's minimum installed weightlh Min. Value Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIORMALLr ^ f Material Thickness Cinches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Material Thickness Brand Name ©1/t n - Thermal Resistance (R -Value) Brand Name ©h K^y1 ` f `IbermalResistance (R -Value) BrandName (^ Thermal Resistance (R -Value) Brand Name =r�rmal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed new re sdential builduilding at ings contained n Title conformance above location in 4 with the current Building Energy Efficiency Standards f California Administrative Code. General Contractor (Builder) Signature and i e Sub -Contractor (Imulati Installer) Si nature and Title i � ^� � OLic nae Number Date License Number Date g TFtTS CERTIFICATE MUST-.i3E PROYIDID TO*_T1;tE B �IRGILDINGr PRIOR TO FINAL INSPFMON BUTTEZOUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE R O. BOX 5364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965 TEL: (530) 891-2727 TEL: (530) 538-7281 The Sewage Disposal System was inspected at FOR SEPTIC TANK Size Gallons .Material `— LEACHING FIELD Length /3V feet Width inches No. of lines Rock Under. Pipe inches The above dimensions'meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: Date: V/ S2 - 778R (Rev. 4/98) r.' TH SPE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #; (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052184 17 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 10/21/2005 APN: 038-170-038-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 8747 MIDWAY DUR Date: Contractor: (69ap Index: Description: NSF(2699)GAR(575)COV(890) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERSON, JAMES to its issuance, also requires the applicant for such permit to file a PO BOX 678 signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom -and the basis for the alleged exemption. Any 530-893-5588 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PETERSON, JAMES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does PO BOX 678 such work himself or herself or through his or her own employees, DURHAM, CA provided that such improvements are not intended or offered for 95938 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-893-5588 proving that he or she did not build or improve for the purpose of sale.). 7 Gil I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts f(?.r..such projects with a contractors) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Arti3 of the Bus n s d essions Code Dale: 21 r� s Owner: License #: WORKERS' COMP SATION DECLARATION I hereby affirm under penalty o p jury one of the following declarations: ❑ 1 have and will maintain 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: HUBLEY, MICHAEL D. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 4164 S. F. Policy u: Valuation: $203,475.00 . certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, rI and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING• Failure to secure workers' compensation coverage is 1 V� ` V unlawful, a shall subject an employer to criminal penalties and one 1 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ __ CONSTRUCTION LENDING AGENCY This permit. is eby issued,6 r th aplic ble provisions of the Butte County Code andlor I hereby affirm that there is a construction lending agency for the '` -` hesolu;wt* `a`o wdrn iodic' "ed ab veiui '�IGrI rcub ilavC DCCrI`F alU.' - performance of the work for which this permit is issued (Sec 3097 Civ.) BY Name: Date: / C Address: PERMIT EXPIRES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑' Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter thebstance of any off 'al for or document of Butte County. I hereby authorize representatives of Butte Cou ty to nter u on trhe( above mentioned properly for inspecti urpQses. Print Name: O1 L / �Y' p J Signature: n� Date: "NqOwner ❑ Contractor ❑ Ag t for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7601 (530) 538-7785 FAX FACSIMILE COVER SHEET DATE: 24 May 2006 TO: Jan Boeger FROM: Deborah Simmons, Building Inspector, SUBJECT: Correction Notice Number of pages (including this cover sheet) 2 Fax Number 530-826-0440 If you do not receive all of the pages, please call 530-538-6822 as soon as possible. Saecial Instructions: Please confirm receipt by return Fax at (530) 538-7785. Date Fax Received Comments: Time: Here is the correction notice you requested. If you need anything else please do not hesitate to call. s Thank you, Deborah Simmons i KAplanning\forms\fax cover 07 05 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 ,pQ CORRECTION NOTICE o V_ OWNER PERMIT NO. - A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of = work is completed. If you have any questions pertaining to this matter, or need additional . explanation, please contact the Building Inspector as indicated below. r; Svc .,3 ii Date '~ Inspector y! A REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 05/26/2006 13:29 PAYLESS BUILDING SUPPLY 4- 8260440 ENGINEtTRED WOOD SYSTEMS L ' / NO. 941 P02 Certificate of, Conformance Certificate 054097 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A1901-1992, For Wood Products —Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117.93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance -with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and.evaluation of the in -plant QA program with adequate sampling to verity Conformance to industry standards for lumber grade and glueline bond quality. o 40 r 4P Wk sw SEAL ��puiN��•''• Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS Is a related corporation of AAA - TME ENOfNEEREO WOOD ASSOCIA77ON 7011South 19rt+ Street • P.O. Box i 1700 . Teccma. WA SW 1.0700 . Talapnona: (253) 5656600 • Fox Nvrilbor: (253) 565.726S y VerTech Structural Engineering 383 Rm Lo.= AVE #200, rwx3, Cq 95926 PK (530) 8998716 FAX (530) 899-1102 1 June 5, 2006 Tim Delmar RE: Peterson/Boeger Residence Dear Mr. Delmar: Per our discussions, the replacement of the msta36 straps with (2) cs16 straps of equivalents length is acceptable, and the notching of the 6X8 ridge post up to 3" for the placement of hold downs in acceptable.; Call if you have any further questions or i"nnAirfe 4 z X No. 8 4732 < Exp. 6/30PA i OF C,fti I Z0 39Vd H03163A ZOT1668069 89:0Z 900Z/b0/90 J - OK 0 = Not OK - = NotApplReady MOBILE HOMES . =Not Ready UY® Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ 4 P' L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 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 Cana 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 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 S. 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. Sec.; Pool Lighting; 15 Vons-GFI 6. Sec.; 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 J=OK - o = Not OK =NotApprxahle RESIDENTIAL (Single & Duplex) . - = Not Ftu& Date FRAMWIf IContinuedl _ 022W. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 5FaOIace Ties or Type AFlue-Fireplace Throat Clearance A " cess; Size & Romex Protection -Draft St Ins. Saffies- Ww,Sdvn. Windows or Exiting Doors- ensions ge Fire Protection Frami -R ann roLine Firewall & Openings oors-One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection WellFywood on Roof Overhanq-Attic Vents -Rafter Outrioaers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access I g Area -Glass Protection -Skylights -Plastic p -?I -46 Dab S Walls; Nailing -Botts 64' -Brace Interior/Exterior Wall Panels - 62. Insulation-Walls-Ceilinas Date .L -G_- (o Card B-1 Date - - Card B - Date -Z 'O Card B-1 D Card B - Date (D-17 Z61FIN ansl OK exce 's , 66. in uarage; rinove rioor-nnecn. rro>ecuon 78. ; Elec. & Mech. Equip. Ustedjpr-L on 7 . lec. Receptacles in Garag -Romex Protection 8 ation-Foam-Look ttic" 8 _dRails & aps 8 n. VBents & Crawl X480 r Drainage -Wood-Earth Clearance Looked under oor es 83. Following InstldJDrive No/Walks O Yes011o/Ph-"ers O Yes o 84. Stucco Brown -F sh 85. Aqtjnit Disc , Electrical -Plumbing 86 nts Above R -Appliance- uep -Clearance to Openings 87 -"Vater Well, Disconnect, SeL6ical, Plumbing 8 . erior Elec. Trim, G.F.. eceptacle-Underground 89. Veptilation Throughout House 9T-ICorrections 0TPrevious Inspections 92. Gas T - eters Tagged, Gas -Electric ffteAi 1-1. 8.31.0 93. WK_' & Sewer Connected - o- Grade -HD Approval 9 ew Compliance Certificate -Other Certificates (9,ddress Posted Dateq -40 -pard B-1 L j Date Card B-1 Datey-_2'j .Card B-1 VIA Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date UN RFLOOR {Plans) OK except #'s Ztoning-Setbacks-Easements-Flood-Slope Fig., Main; Soils -Sec. Gmd. / /" Ftg. Depth tg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. epth 4. t., Porches & Decks; Soils -Steel-/ /" Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped emwalls, Garage; Steel-Blockouts-Wrapped _.)4old Downs and Special Anchors Slab, Steel -Wrapped 8. P} -Fireplace Ftg.-Steel V!�U.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date - /7- Card B-1 C-4 Date Card B-1 Date Card B-1 t,,if Date Card B-1 Date PLUM ING (Permit) OK except #'s 4-7�WqW.; Vent -Access -Combustion Air Baffle ` P' ; Test & Anchor -Nail Protection Test Fittings & Anchor -Nail Protection 0 Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor - Gas Pipe; Sixe & Anchorsc', E TLcST 23. Fire Sprinkler, Test Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date ELECT ICAL (Permit) OK except #'s re & Transformer Clearance -Ins. Protection 24J.Elec. Receptacles Spacing -Lights & Switches at Doors z oxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. %2WIEcWip. Ground made up w/Mech Fastener and Gas &Water 2 6WiAfice Circuits in Kitchen & Conductor ize FI ub�tre Size! /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Inssoted Neutral O No e " iser Conductors & Ground Main Disconnect i . Clearances Panels -Motors -Meth. Equip. lot s Closet Light -Shower Light -Spa Light moke 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 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Aft -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 FRA NG (Pe it) OK except #'s Sills r Material Anc rs l Studs- ailing Spacing & Brace PI s- and ailing wring Walls over Girders & Floor Nailing- aft in Walls (rat proof) aft, _ Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMWIf IContinuedl _ 022W. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 5FaOIace Ties or Type AFlue-Fireplace Throat Clearance A " cess; Size & Romex Protection -Draft St Ins. Saffies- Ww,Sdvn. Windows or Exiting Doors- ensions ge Fire Protection Frami -R ann roLine Firewall & Openings oors-One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection WellFywood on Roof Overhanq-Attic Vents -Rafter Outrioaers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access I g Area -Glass Protection -Skylights -Plastic p -?I -46 Dab S Walls; Nailing -Botts 64' -Brace Interior/Exterior Wall Panels - 62. Insulation-Walls-Ceilinas Date .L -G_- (o Card B-1 Date - - Card B - Date -Z 'O Card B-1 D Card B - Date (D-17 Z61FIN ansl OK exce 's , 66. in uarage; rinove rioor-nnecn. rro>ecuon 78. ; Elec. & Mech. Equip. Ustedjpr-L on 7 . lec. Receptacles in Garag -Romex Protection 8 ation-Foam-Look ttic" 8 _dRails & aps 8 n. VBents & Crawl X480 r Drainage -Wood-Earth Clearance Looked under oor es 83. Following InstldJDrive No/Walks O Yes011o/Ph-"ers O Yes o 84. Stucco Brown -F sh 85. Aqtjnit Disc , Electrical -Plumbing 86 nts Above R -Appliance- uep -Clearance to Openings 87 -"Vater Well, Disconnect, SeL6ical, Plumbing 8 . erior Elec. Trim, G.F.. eceptacle-Underground 89. Veptilation Throughout House 9T-ICorrections 0TPrevious Inspections 92. Gas T - eters Tagged, Gas -Electric ffteAi 1-1. 8.31.0 93. WK_' & Sewer Connected - o- Grade -HD Approval 9 ew Compliance Certificate -Other Certificates (9,ddress Posted Dateq -40 -pard B-1 L j Date Card B-1 Datey-_2'j .Card B-1 VIA Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: $vT%'�. � BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES \ BUILDING PERMIT APPLICATION o o `N�" AND SUBMITTAL REQUIREMENTS o - 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 CHICO: (530) 591-2834 O ?' °��" o OFFICE #: (530) 538-7541 V A FEE WILL BE REQUIRED AT TIME OFAPPLICATION C0(f [��y Website:—www.buttecounty.net/dds U\� "PLEASE PRINT CLEARLY"' k. CONTRACTOR Name W Name Address SRA EYes City G• q-7 D State Zip Phone Fax Fax E-mail tate L'cense Number 7� Lic. # Class k. ARCHITECT/ENGINEER Name Name Addres SRA EYes City G• q-7 D State'Zip City Phone � g7 I ^ Fax E-C,aill� S�L� 6fa tate L'cense Number 7� k. Fir o Ice use only: APPLICANT NAME AP# 03r)— Name s SRA EYes Address G• q-7 D h City Book State Zio,,7— Phone3 L 65 �D Fax )— / � d v E-mail q t r U (b C Fir o Ice use only: Zo ' g AP# 03r)— Flood Zone i Y, I SRA EYes Occ. Type Const. Subdivision Name Map Book Page T;T# Planner Date Approved: OVER FOR SUBMITTAL REQUIKEIVIEN 15 KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. .6�,a1� Description or Scope of Work: C;10 n 421/ S . F otage O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount: I J� 14 / Bldg SRA Receipt #: Sheriff J ✓ �� SMIP Other Date: G ' �� otal Page 1 of 2 , REV 2-24-05 LOCATION AP# 03r)— l7DQ5 Pr e Addre CAN Cross 5treel WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: C;10 n 421/ S . F otage O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount: I J� 14 / Bldg SRA Receipt #: Sheriff J ✓ �� SMIP Other Date: G ' �� otal Page 1 of 2 , REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 } f ' YVONNE CHRISTOPHER, DIRECTOR o 0 0 ' 0 0 7 County Center Drive o° __ P o Oroville, CA 95965 * ° M (530) 538.7601 Telephone c�UIN w (530) 538.7785 Facsimile N TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 ■ A srutherford @buttecounty.net /) SUBJECT: Plans Transmittal For Review Per Contract O DATE: 08/16/2005 Applicant: Peterson, James Permit No: 05-2184 Project Type: Nsf 038-170-038 100% 70% Plan Check Fees $ 1,324.41 $ 927.09 $ 1,324.41 $ 927.09 WILLDAN Fee $ 927.09 Copies Attached: Qty Chk 0 r Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other r } . ._ .. ,....,_ ^--. ..-. „_ .-. , .y .. r..,. .' ..� r. v -. . 1"`"' ..`.+.r -".c w�, ... ._ �.-••+.^r.+..r1n� .y..• ..c -. •,. i _. ,� „ moi. _ „ .. _ ..-. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION j 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET f rr�� OWNER: QN ASSESSOR PARCEL NUMBER V�� + V� Proposed Building Use: Permit Technician: Date: 1 V 5 Mems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t pply. (,V 1. Site plans, 3 or 4 sets, signed by 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. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. '19 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings . ❑ x 12. Hazardous Material Form 13. Ackno ����$9ement building permit ap cation without r�jquired cle rances. 14. Other Cd nom( Pn� ; �'f �;'LQ f 1 'nC Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followingiitems)' BE.- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑J,%, Erosion Control Plan Required........................................................................ ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. g ❑ California Department of Forestry plan approval ❑ paid. Sent by: 24 tanning approval for (A) Use:.d�_(B)Parking: (C) Parcel Check:....... D • Z• _nr_ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _✓Given to owner, _Mailed to owner) ..................... - 31. Letter of Signature authorization.................................................................... - 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... VX040ther: ❑ Legal description, 13M.H. itle, title earch, registration or MCO ......................... a)Q/yV\_Z *nc uJ52❑ Other: C�f� When issued Telephone g�l� �� `v and hold for pickup. I have b, 'nformed of the above itdms a requirements for obtaaining a building permit. j Applicant: 1� Date: 1 1. Index permit ap lication for the above items numbered: P- Plan Check Letter onal 2. Additiite re ute Contractor, designer was advised of the above data by ❑ phone, NWil, ❑ counter, b Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter,by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: I it 1144 Date: Structural reviewe Date: Structural approved by: Date: Note transfer by: _Date: tbf� Yellow: Building Division -a5 E . U^ E ONLY Pio2 Ren Attechnd � �/� Floor Man AtnacAod ' " ` Sent to B.O. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance TT -c rs�,f, Jr, a!7(( 7 03 8 Owner location AP# Plan Approved for: Sewage Disposal t/"' Water Supply: Public Private Well Clearance for �dwelli? g. Other Hold final for: .K. for: NOTE: J Environmental Health Specialist Date 8/96 ( �� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER -4-' PROMOSED BUILDING USE 1. BUILDING PERMIT FEES --Balance Due ..................... --- FEMA Flood elevation review ... $ OQO A.P. # 06 DATE C� RECEIPT # DATE REC. na. --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES I �4AAo� X08 (paid at School District Office) (form available after Plan -Check) SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES v (paid at Recreation District Office) (form available after Plan, Y C� heck) 5. RESIDENTIAL DEVELOPMENT IMPA ES COL M7 E (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) #WATER TENDER FEES BATTALION # $200.00 (paid atBuildingDivision) 8. SMIP L � 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees required to be paid prior to issuance of the permit. These fees may be ch ed during the plan./Jche in r cess. I APPLICANT DATE ` ` O Pursuant to Gove me t Code Section 66020, you are hereby notified that ite 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days fro the ate of approval of the project or from the imposition o e above mentioned items during which you may protest. The requirements for a protest are specifi d i Government Code Section 66020(a). Original -Building . ision Yellow -Applicant Pink -Owner (rev. 7/05) FY:• �s'a Ya_�' ><.�:1`x*��utir,,.rc w<^,��tr.'��'. -��'.rn.�;2��.�rn�,., .l- *s,:v vTt :S•' a: ��'�*� 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. L. I personally plan to provide the m ' r labor and material for construction of this proposed property impr vement: YES [NO [ ]. 2. I 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: NAME: 'ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: SIGNED: ADDRESS . . . PHONE TYPE OF WORK PROPERTY OWNER: 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. Rev'd' 11/4/2004 Butte County Department of Development Services ADMINISTRATION t BUILDING t GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. UK Milael C. Vieirl C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Department of Public .1or_ks C o u n t y. a f. B u t t e J. Michael Crump, Director NO AC0 A-1 5 �Lic vvoF� LAND DEVELOPMENT D1V151UN Storm Water Management Program 7 County Center Drive Oroville, CA 951,165 (530) 538-7266 (FAX) 538-7171 National P®Mutant Discharge Elimination System (NPDES) Phase 11 Construction Storm 'Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACRE Project Description: Project Location andlor Parcel Number: w ' � L�-I D C 1, By siding below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of Califo;'nia Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a. Construction Storm Water Permit from the State of California Regional Water Quality Control Board - I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County Department of -Development Selvzces �03TTF 7 County Center Drive o\t.uf o 1`= Oroville, CA 95965 530 538-7601 Telephone ( ) P (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 9 I need to submit applications for septic andlor well to Butte County Environmental Health immediately. S I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained 9 I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or r wire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans. examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues • (fire, agriculture buffer zones, and habitat/species). Please print: HApplicant Name:ame�� �,i-c5o APN: ( Building site address: 9 -All Mid Permit No.: CQ' I have read, understood and accept the terms and conditions as expressed herein submission of the 0oN-referenced biAding permit application and my signature below NATURE OF APPLICANT as indicated by my ,�-15-05 DATE wu rxr AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIION'* 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded 1 REL' FEE Official Records I County of 1 COPIES But I C0*0RKED COPY CNmacE J. GRUBBS 1 County Clerk-Recorderl I 1 LV 012:39M 15 -Aug -M I Page 1 of 2 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: 0�e aflachEd Date F�ROPERTY State State of California County of &XI e - On ;; y S --Os • before me, W) -P— Cr - yl�) 0 n -I'- C personally appeared _ 1&mc-.5 H, Pe, -Ir -r% Oti 1XV /I —07rgmmffv knewa4o-we (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s4 is/aW� ubscribed to the within instrument and acknowledged to me that he/she#hey executed the same in his/he k4teir authorized capacity(ies), and that by hisAter4heir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(v}mcted, executed the instrument. WITNESS my;:?ndAd official s 44a Signature �` Seal: JAMES LAMAR KINSER COMM. #1377185 -� ►�— NOTARY PUBLIC . CALIFORNIA 1 s 2 BUTTE COUNTY A. P. # V I D 63 ,j My Comm. Expires Sept. 28, 2006 r �* 95-4 1838 Order No. 2-172084 f, SCHEDULE C The land referred to herein is described as follows: All that certain real properly situate in the County of Butte, State of California, described as follows: Parcel 1, as shown on that certain Parcel Map entitled, "Being a portion of Lot 11 as shown on the 'Map of the Hanlon Tract 5ubdivicion No. 110 recorded in Block 6 of Maps, page 16, Section 6, T.20N., R.28., 'M.D.B.&M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on January 20, 1984 in Book 94 of Maps, at Page 26. ,'AP No. 038-170-038 z4. ' �• 1! ILLLOIBL= NOTART 8WLL DECL MTXON !y' GOVERNMENT CODE 27361.7 C ? I certify under penalty of perjury that the notary seal on the document to which this statement is attached reads as follows: Name of Notaryt L. Normoylo Exp. Datat October ld, 1997 } Commission IDt . 1017332 Manufacturers IDt PWRS Countyt Butte &tate:Ga 11lorni Place of execution of this Declaration:LLc� Dati2_Bldwe;l ills 4 Escrow Company Bps x END OF DOCUMENT �y,'n ,: i WI LLDAN 2399 Gateway Oaks Drive, Suite 210 Serving Public Agencies Sacramento, California 95833 916/924-7000 fax 916/924-3644 www.willdan.com October 5, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-2184 Assessor's Parcel No: 038-170-038 Description: Peterson -NSF Willdan Project No: 14353-1853-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies, sheets AO through A1.2, 51.1 through S1.3, dated 7/29/05 SN, SDI, SD2 dated 6/21/05 by Buttitta & Associates, SD3 dated 09/15/05. k Structural Calculations: Two (2) copies dated 7/05 by Michael Hubley, revised 09/05. # Truss Calculations: Two (2) copies dated 7/13/05 by Longfellow Lumber Co., Inc. �k Enerey Calculations: Two (2) copies dated 7/27/05 by Max Ramirez, revised 09/17/05. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Cc: Alice Mefford amefford@buttecounty.net Vertech Engineering, Fax: 530-899-1102, James Peterson 8747 Midway Durham, CA 95938 Email: boegerjan@hotmail.com k WILLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. *This information is not consistent with that shown on the plans. Specific Use Type of Occupancy Type of Construction Stories 1" Floor Sq Ft 2"d Floor Sq Ft Total Sq Ft NSF R-3 V -N 2 2114 585 2699 COV PATIO R-3 V -N 1 *890 N/A *890 GARAGE U-1 V -N 1 575 N/A 575 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 5. A certified,HERS rater must provide verification of the TXV, or measure the refrigerant charge and airflow per page 2 of CF -1R energy compliance form. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, Tom Trueb Plans Examiner Page 2 of 2 4.��ra�nce,V�Vw"' Structural Plans Examiner Butte County 05-2184 Willdan 1.4353-1853-MYCH BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) School District A.P. Number 03 " 1 1 0 — D- Jurisdiction: City Property Owner Property Location Building Department No. O S� County Subdivision Lot No. ....................................................:.................................. Residential"Development Q Q Q Sq. Footage o��„�y�~J No o Living Mobile Home Addition/ "Supplemental to (Group'R) Units Installation Conversion Permit #- •(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q 0 Sq. Footage New Addition (Including Exterior - nRoofed Areas) W. Building Department Representativq J Date District Identification No. 6,3 / O Y► U AJ / F -/L-A School District certifies that TTPfrn &7S a,!TC--7eS1 J (Applicant) P'7q7 !tel iDIUA`l 893- s.599" (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the req jairements of Resolution No. Q'' Z, by payment of $ 3�`%�• to g a D fi representing/�17 �% square feet. B 2926 $ IVULL MITIGATION $ School District Representative Date Paid by Check # Remarks: an O rye a5/ = 3599? 49 Notice: You may protest the Imposition of the fees Identified above by submitting a written protest.to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing thls Butte County Schools Impact Fee Certification Form, the School Dharld is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Envlronmantat Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its Impsat on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xls (3M5W m BUTTt COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) K DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 03E—'170 Building Permit Number OS 9 Property Owner (s) Project Location /Address Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development ✓ Single Family -Detached Single Family -Attached Alteration/Addition(s) _ Mobile home _ Demo Permit (date issued Comments: Non -Residential to Residential Mobile home replacement /09 Multi -Family Dwelling verified by Assessor Department _ verified by Building Department 0 FRRPD 0 CARD ❑ PRPD 5a/DRPD certifies that: Applicant Name Phone Number Mailing City � 69 -3 State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. 0 y / Q -1 by Payment of. Dwelling Units@ $ per unit for a total of $ 'Z� Square Feet @ $ I `J ] per sq foot fora total of $ - 3, Fs o6 - 51? Remarks: Paid by Check No: ( ' Paid by Cash:. Recreation and Park District Representative v.\Poems\RiIli.mmn FORMS\nark-Tec standard form rev Ldoc Receipt No: 1� 30 10111 165 Date tj SITE PLAN REVIEW APPLICATION Date: 3 y ' ar AN Permit Number (if applicable) $! ' Bin Number t ' APPLICANT INFORMATION /� Parcel Size: A�dy (sC'e—e_s Owners Name: Owners Address: Telephone No.: Site Address: e 1 ( l. A, Wc..a Proposed Use: Residential *New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling, ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: o3f." • (ZCD • 0*X8 ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: .4 .2o GP: OZPG Brief Explanation/Issue: G'-t-X;rr=A)& (-4,00c.,1E Z27 d$G DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved }*Conditionall�oved ❑ Resolve Problems Prior to Approval >*' r '❑ Resolved Y 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: x, • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: A- • 26 General Plan: O F;C- Applicable Building Setbacks: am jR Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: LAe 844 Date of Approval: "Lk,r> sr -r -U- 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front w Side 2s Side Street Rear Z�-- Height -Waterway • N/A N/A N/A '- am jR Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: LAe 844 Date of Approval: "Lk,r> sr -r -U- 2 FU 4 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: 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 ❑ Obtain a -Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Map: Map Date of Recording: 'Lot: a- 2 Book: I Page: ZG 3 Butte County Department ofDevelopment Services PAUL MCINTOSH, INTERIM DIRECTOR 7 County. Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING September 30, 2005 Owner James Peterson Address PO Box 678 City/State Durham, CA 95928 Subject: Building Permit 05-2184 (APN 038-170-038); Proposed Dear Mr. Peterson, The Butte County Department of Development Services, Planning submitted permit application, and requires the following revi�i informntinn in order to continue the review_ / ision, has reviewed the to your site plan, or ❑ Creation Deed ® Site Plan submit — Follow Requirements ❑ Erosion Control Plan ❑ Setback Vonformance ❑ Watershed Protection Zone [J Font Yard ❑ Cohasset Specific Plan ❑ ide Yard ❑ Subdivision Map Note Rear Yard ❑ Off -Street Parking; Development Standards ❑ Spe ial Setback or Parcel Limitation ❑ Parking for Specified Use Federal Aid Road/Arterial ❑ Lot & Landscaping Requirements ❑ Easement ❑ Oak Tree. Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* D4orth Chico Specific Plan — Erosion Control ❑ Fire Sprinklers* 71 Notification Only — No Action Required ❑ Other: * Fire sprinklers, and the SRA setback, are not requ ements for the Planning Division approval, and this notification is for informational purposes, however it w 1 be required for the issuance of building permits. Your site plan must be revised to reflect added that states the existing dwelling dwelling. Should you have further quesl and 4:00 p.m. Monday through Department/Divisi6n identified in the har. Sin e ely, Chris Tolle , Assistant Planner )th he existing and new dwellings. A note should be ,v' be demolished prior to occupancy of the new s please contact me between the hours of 8:00 a.m. 'day at (530) 538-7603, or the appropriate -out. o� • to ' t2"a� SH71"ET Ofd=. �f BUTTE COUNTY PROPERTY RECORD NAM€ �. lid r _s m . �t e e � 7r NAME PROPERTY LOCATION ZONING Assessment Year 19 4 25 19 UTILITIES—SITE IMPS. Date Electricity: Yes ❑ Telephone p Appraiser 162 162 IPARCEL NUMBER Book I Page I Block I Parcel F Code 19 .—, .._.._ `. Sanitary Swr.: Public 0 Indiv..❑ 19 160 19 1 1 19 160 ..... u .... u. 160 . c U u LJ 160 a U v V 160 I v5 LJ IVO U Storm Swr.: Public [j Natural❑ Transfer Code 124 get i o 162 n % 162 % 162 % 19 .—, .._.._ `. Sanitary Swr.: Public 0 Indiv..❑ --��_ _____... _... Use Code 160 -_ -. ..- u IS 160 �+ u .... u 160 ..... u .... u. 160 . c U u LJ 160 a U v V 160 I v5 LJ IVO U Storm Swr.: Public [j Natural❑ Transfer Code 124 get i o 124 % 124 % 124 % 124 % 124 % Street: Conc.❑Asph. Fj Dirt❑ Gravel ❑ Acreage 17'8 178 178 178 178 178 Street Lights: Yes ❑ No ❑ Incomplete 163 P.U. 19 163 P.U. 19 T63 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes 0 No ❑ Building Class 167 167 167 167 167 167 Sidewalks: Yes ❑ No ❑ Bedrooms 168 168 168 168 168 168 SITE TOPOGRAPHY- Baths 169 T69 169 169 169 169 Lever Rolling ❑ Other El Effective Year 170 170 170 170 170 170 Slopes UPU Down S -S ❑ Area of Residence 171 171 "171 171 171 171 At ❑Above ❑ Below ❑Grade Land Type 172 Lot❑Homesite❑ 172 Lot❑Homes ite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑hlomesite❑ 172 Lot❑Homesite❑ View E Of: Car Shelter 173 Yes ❑ No ❑ 173 Yes ❑. No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ WATER Pool 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ 'No ❑ 174 Yes (-] No ❑ 174 Yes ❑ No ❑ Quantity: Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Complete Public ❑ Well ❑ - Ditch ❑ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ o Yes ❑ No ❑ Yes ❑ No ❑ I Yes ❑ No ❑ Supplier -- Aerial Photo Year Topo Map Year MARKET DATA Soil Name Index Acres Comparable 1 - ------ ---- Comparable 2 Comparable 3 . ---__ -- Sale Date*ice tl/ __ ,ate - - PRIMARY BASE SECTION — Base Year 140 140 140 140 140 t 140 ' Event Date 186 II 186 186 186. 186 186 Land 109 10'9 109 109 109 109 Avg. Soil Rating Improvements Trees and Vines 110 Ill P 110 ill 110 111 110 111 110 11'1 110 111 LAND REMARKS: ---.------- - ---- - — ._-----...--- Personal Property -Keyed 112 112 112 112 112 112 By: • SECONDARY BASE SECTION Base Year 240 240 240 240 240 240 — - Event Date 286 286 286 286 286 286 Land 209 209 209 209 209 209 Improvements 210 210 210 210 210 210 --- Trees and Vines Keyed By: 1 211 211 211 211 211 1211 r I L.Vr{/LLr• r mL- &a-- rI ..✓rr vv SIa-VVr r✓ ADDRESS DESCRIPTION OF BUILDING rs+rtuc L�- SHEET OF SHEETS LASS@SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LION TING AIR CONDITION ROOM AND FINISH DETAIL 7 LigA/_ Sub - Siondard Fro1neZX4Xl4 Stucco on F/o/ 1 Pilch S( Goble 1 Wiring kT. Conduit HeatingC�/in Forced leoni ROOMS FLOORS B 1 2 IFLOOR FINISHI TRIM 1 Moierio/ Grode INTERIOR Walls FINISH Ceilin s RCHITECTURE X Stondord Sheathing Sidin Hip /q B X. Coble Gravity Humid. A// X e / •�/ =-✓ Above -Standard Concrete Block Shed / Fixtures not, unit ECS / Stories Sp-clo/ 888. 1 r.8G. Cu/ upFew CAeop t LIr , Ent.Hal/ USE TYPE Brick �' Shingles /15-5 Dormers XAv Medium floorunit Living Nis Single FOUNDATION Adobe Shokes Mony Specip/ ZoneUnif Dining Double X Concrete F/oor.Jaist: B.SB. TBli. Gutters Cantrol•• \ Duplex !_ - Reinforced /Jr r 7 X _ / PLUMBING Bed R Aparimen/ Brick 2"di X - Brick shingle `bo,- I Goad Bed i Flat Wood Sub Floor Slone SAcke OVBurner jr Cour/ Piers I WINDOWS Tile Fixtures Motel D.H. r-,41cosemeni Tile Trim 19oterHeoter M.-B.T.U- j _1 Af f j —r Insuloled Ceilings A 30eefSosh,4V- 1 1 Composition � Autamol c Firep/ace Kitchen 7its Ligh/ Heavy Insuloled Walls - Screens Compo. Shin le Gos Elect. DroinBd. Moieria/.• p• '/�.>!h1 1191h. Ft .Splash: CONSTRUCTION RECORD EFFEC.1 APPRA NORMAL % GOOD RATING (E,G,A,FP) BATH DETAIL Permit Amount Dole YEAR YEAR A e Remoin9 Tob/e / Cond. Arch. Punc. Con- Sforo eSPoce Work_ FI. No. FINISH FIXTUR S SHOWER No: For g Life Attr. P/on form. uohldC/osef is,ip Floors Wolls c. Lo. ub Type Grade V.T. .D. Finish n %P/ .- /. �.� !<: ,.+� /9 t0 /4%2 el� e-00 ,�'s A I I I I I —TR PK 1,.t I X 10 /-0 1 -s I ;.'I SPECIAL FEATURES COMPUTATION AH 530-A EWA Nis NORMAL , GOOD R AH 530-A ADDRESS MISCELLANEOUS BUILDING RECORD DESCRIPTION OF 9tJIL ]1Mt..S '% 7 SHEET•; OF �✓� SHEE; Bldg. Structure No Size Found. Wolff E.Yfarior i Roof Floor S Interior Detail Second StorJ or Loft Year Built jst.Ta LifaY, Type Coder oZ /�'J� i rr'0�3 ' " v �' /dzo- ��i ��r✓ 9`-2�•-�-'�' � -�'� -S�.L ���� . lf.JX:� r Total8o d l Approiser - Dote 19 19 19 19 Bldg, Areo IVO. Unit t Cost % o0 R. -CIV. A Un t o Cost -. % R. C. N. .� od Unit Coat % Cost Oa R. C. M. Unit Cost "/m R. C. N. Q. COMPUTA TION Appraiser -Dote 41— 0 I9el--1 19 �- orb 19 19 Bldg. No. Area Unit % Cost Cost Gaod R. C. M. M. D. Unit Cost R. C. Al Cost Good L. �V D. Unit % Cos9 Cos Good RCM Unit L. �i. ® Cost Coat Goad R. C. J. D. r Total8o d l Approiser - Dote 19 19 19 19 Bldg, Areo IVO. Unit t Cost % o0 R. -CIV. A Un t o Cost -. % R. C. N. .� od Unit Coat % Cost Oa R. C. M. Unit Cost "/m R. C. N. Q. To -- SHEET OF ZONING: UTILITIES—SITEAMPS. Water: Public❑ Well❑ Ditch E) Electricity: Yes ❑ Gas: Public El LPG❑ None El SanitarySwr.: Public El Indiv.❑ Storm Swr.: Public ❑ Natural ❑ Street: Conc.❑ Asph.❑ Dirt❑ Gravel El Street Lights: Yes ❑ No ❑ C & G: Yes ❑ No ❑ Sidewalks: Yes ❑ No n SITE TOPOGRAPHY Level ❑ Rolling ❑ Other ❑ Slopes Up ❑ Down ❑ S -S ❑ At ❑ Above ❑ Below ❑ Grade View ❑ Of: REMARKS BUTTE COUNTY RESIDENTIAL PROPERTY RECORD NAME�!i%' Book NAME .5P4.f u df2R,.f� PROPERTY LOCATION Misc. Record 4 el Assessment Year 1.9Bs 19 19 19 19 Date •i�+ fes` List Price Appraiser Sale Price 160 Use Code R X Improvements 140 Base Year 1275 124 Transfer 108 Acreage t Y 163 Incomplete P.U. 19 P.U. 19 P.U. 19 P.U. 19 P.U. 19 167 Building Class �d� �y�t•' 168 Bedrooms 169 Baths r 170 Effective Year 192.1 171 Area of Residence /09 �Z_ 172 Land Type Lot❑ Homesite Lot[:) Homesite❑ Lot❑ Homesite❑ Lot❑ Homesite❑ Lot❑ Hon 173 Car Shelter Yes tK No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ 174 Pool Yes ❑ No). Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Ye i .� Transfer Base Year X�o Appraisal Date 4A t. -7Z; -nft N PARCEL NUMBER age I Block I Parcel P.U. 19 1 P.U. 19 .29Homesite❑ Lot❑ Homesite[ Yes ❑ No ❑ Yes ❑ No ❑ Yes❑ No ❑ Yes El No ❑ Revised 1/81 IMPROVEMENT SUM RY Building Record .5P4.f Building Record df2R,.f� t� Misc. Record Total Improvements MARKET DATA -Comparable 1 Comparable 2 Comparable 3 List Price Sale Date Sale Price TOTAL PROPERTY APPRAISAL Land Improvements Total Property , Revised 1/81 �'ARCE B CHRONOI;.O GY PAGE: OF APN:-,�r,?b 7- o -Q o4;,_6 DATE APPRAISBR CHRONOLOGICAL LISTING OF EVENTS AFFECTING THIS PARCEL' 'gyp A/0 9 -AA Raxr ° COUNTY O� �UTT� �ROPEQTY �Y3TE� � D�TE^ 0�/2q/q6 O2-ll�-O4�-1 - , . IZ�U7�[-�O3l ^ 5fCU��D 4P9SATSAL WORKSHEET PAGE� L ^ . TE19°18°50 . FEE A3MT: 0381-170-038-000 4S�T- 990-160-480-000 ORIG ASHT, 033-170-038-000 84SE DATE: 00/75 STATU*S: A ACTIVE SUPPLENENTAL� USE CODE: R3 SINGLE FAMILY DHEL-STICK BUILT HOLD STATUS: ASSESSEE: PFETEPSON JAMES H JK,.~/ HOMEOWNERS �LAr- , Y OTHER BASE YRS: ADDRE3S ` �� // _ �,//��~~"= 8747 Hl0W'Y~' FINALIZE OT: �' -------- D li fl, 11 AM _-___-_DUR11AN ~ '. [4 45938 TAXABILITYr UOO+-- ' SALES PRICE: 1151000 FV TRANSFER TAX: 1.26~50 ' BOND ; .NO IT US PTN LOT ll HANLQN TRACTJ l�' APPRAISAL TRIGGER ENTRY DATE- DOCUMENT NO, DOC DATE DOCUMENT CODE/TITLE- . 02/28/96 95-K�41838 11/29/95 ol lbO% SALF�,� ~ �**�* ^ VALUE ADDED: * * EXPLANATIONS: ^6 ~� SAL -IF ' ' . VALUATIONS/EX EMPTION3 VALUE SOURCE:* H - ROLL 1995-96 1996-97 A0J BASE CD TITLE ROLL NEW VALUE ROLL NEW VALUE VALUE Vol PIARKET LAND 9485 _ _________ --------- _________ VUZ RESTRICTED LAND VALU Vll 'STRUCTURAL I#PROVEME 14009 _ _________ _________ _________ V12 MARKET GROWING IMPRO _________ '_____-___ __-______ Vl3 RESTRICTED GROWING I _________ --------- _------- _________ Vl4 FIXED IMPROVEMENTS _____-_-_ --------- V 21 ________VZl PERSONAL PROPERTY OT ' V31 BUSINESS INVENTORY V' _ ______ --------- _________ --------- . EOl H HOMEOWNERS EXFNIPT.T 7000 ~_�________ TOTALS 23494 _1 _-____ --------- --------- NEI,v' '8ASE OTHER BA SE EVENT APPRAISAL ARPRAI'SER APPRAISAL INITIALS OATEYEARS (Y/N) 0�T5 COOE . TD O4TE . ' ll/29yg5 09c-L���� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS 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 : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Artkk 3 of the Businles Professi n Code Dale: ` ti Owner: C in ) ' WORKERS' CO NSATION DECLARATION I hereby affirm under penalty o perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: PERMIT NO. BP052800 Issued Date: 10/11/2005 APN: 038-170-038-000 Site Address: 8747 MIDWAY DUR Map Index: Description: DEMO OF HOME (1440 SQ) Owner: PETERSON, JAMES _ PO BOX 678 DURHAM,CA 95938 530-893-5588 Applicant: PETERSON, JAMES PO BOX 678 DURHAM,CA 95938 530-893-5588 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: �55K� `i 40005 Applicant: I 10-11-05 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutio s to do work indicated �above for which fees have been paid. By: � 1 � teVld I Date:: 10-11—o,5 PERMIT EXPIRES ON: to " I L O t_D ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte Cou I hereby authorize representatives of Butte Coun to nter upon the above mentioned property for inspectionrposes. L�—� l I \Q��Yi ' Print Name: Signature: 14 Date: l 1 1 y a8'Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor R R Rnilrlinn Pprmit n1-16-04 no 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name S0 ��• first Name', N City 41- st u s 3 g Ca I Phony 5Gg Fax E-mail O ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number APPLICANT NAME CONTRACTOR Name U State Address Phone City E-mail State ' Zip Phone 17ageT# Fax E-mail Uc. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATUR X 04q-LQ_� F ice use only: Z&dng Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book 17ageT# Planner Date Approved: n%rco Cno 421 tQnntrrAl RGr11 IIRFMFNT_q PERMIT NO. BPO5 2$ BIN # LOCATION AP# 034z - �0 3� Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address escription �o"r Scope of Work: oew o -©y- �lNs 2 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy. (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will -be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. cc Received by:�.b , Amount: Bldg SRA Receipt#: Sheriff SMTP Other Date: rr 00C55 Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for- additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed. by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION ....... ........i. rr.r,. �c•o�_n__c..�o__� .__ 0--- � _c') RFV f iP-nA Butte County Department of Development Services urr ADMINISTRATION ° BUILDING GISPLANNING o ; //Fo o o ! o 7, County Center Drive o -'- o Oroville, CA 95965 (530) 538-7541 Telephone c�U N'�y (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your naine listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party. of record on such a permit. Building permits are not required to be signed by property, owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations 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 hnuted conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware I f these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford ' Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 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 a material for construction of this proposed property improvement: YES[ ] NO[/]. 2. I HAVE [ HAVE NOT [ ] signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: UK Lh fl(IV V4 ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY /OWNER: DATE: �V®^' V 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. Rev'd 11/4/2004 Oct 11 02 08:45a p.2 Demolition Permits Asbestos Notification Statement Date /0-U- () 1 AP# 035 1`70 039 Pursuant to section 19827.5 of the -California Health"and Safety Code, all demolition permit applicants are required to fill out this form. Y "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part.61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration.in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 8R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demAl(i�tion projec / 1 Signature "of Applicant 2/19/91 1$ BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP051485 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 06/08/2005 APN: 038-170-038-000 the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Site Address: 8747 MIDWAY DUR Date: Contractor: Map Index: I D@SCrtlOn: DEMO SHOP 600-800 SQ FT p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERSON, JAMES to its issuance, also requires the applicant for such permit to file a PO BOX 678 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom and the basis for the alleged exemption. Any 530-893-5588 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PETERSON, JAMES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does PO BOX 678 such work himself or herself or through his or her own employees, DURHAM CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95938 year of completion, the owner -builder will have the burden of 530-893-5588 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with iii licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 33oof the Bu e s and Professions Code Date:��Owner: `-' IM rsoV1 ✓� License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. b ig 0 9 Date: — Applicant: W, I V) r WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - U t CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolutions tk indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: O� Name: y Address: PERMIT EXPIRES 0 LL Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substcf any offs I for or document of Bu County. I hereby authorize representatives of But Cognty toenterupon the aboove mentioned property for inspection ��-1#,�V Print Name: Signature: cD Dale: 5d Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name yrs©� V r,, �J First Name Address City Du.rh am Stat(!�� Ziip�Sg3S Phone g G[3 _ ej 5 $ g . D Fax <Rq j �,3 ( /P1Q V E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name . City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICAN,I SI NATURE X GVY- WTe� /I Iff FOffice use only: Zoning Properly Address S17 j r r7 M i � Dj `t Flood Zone reet � d� I a n e rss�'TL Gi,VI _l� SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING. FORMS\BldgApplSubRgmts.doc PERMIT a 5.1 4_5 BIN # LOCATION AP# 03T— 170-038— O(D0 Properly Address S17 j r r7 M i � Dj `t at reet � d� I a n e rss�'TL Gi,VI _l� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 De cription or Scope f Work Sq. Footage (P o go 0 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: , Amount: S S Bldg SRA ReceiptT- Sheriff SMIP I � Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 y�. Demolition Permits Asbestos Notification Statement (n Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to thde olition project. Signature of Applicant 2/19/91 a' LAND OF NA T URA 1. WEAI-TH ,SND SEAUT a6 PLANNING COMMISSION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 PHONE: 534=4601 Thomas F. Smyth November 9, 1.983 P.O. Box 115 Durham, Ca. 95938 CERTIFIED MAIL Re: Use Permit and Variance AP 38-17-05 Dear Mr.-Smyth- Enclosed r.-Smyth:Enclosed is your validated Use Permit No. 84-3 to segregate a 1.0 acre homesite from a 13.S acre parcel and your Variance No. 84-8 to minimum lot -size as.per your requirements of Section 24-S4 a.l. of the.Butte County Code on property zoned A-20 (Agricultural - 20 acre parcels) located on the west side of the Midway,'approximately 220 feet south of Hanlon Road, Durham. Should you have any questions regarding this matter, please feel free to contact this office. Sincerely, B.. Kircher Director of Planning BAK:lr cc: Public Works Dept. (2)1 Environmental Health Fire Department 17 BUTTE COUNTY PLANNING COMMISSION USE PERMIT 'Page 1 of 2 November 9. 1983 DATE (Registered mail receipt)' 8d-3 PERMIT NO. AP %A•17-nfi ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Thomns P. Smvth is hereby granted a Use Permit NAME in accordance with application filed: Alta 't -IQA3 toallow Antyrnanto a 1,0 acro homesito from a 13.5 acro date parcel and zoned A-20 located on the wash side of the Midway. approx. 220 fent snwwth of UnnIon toad, Durham. 1 Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. Parcels should bo created pursuant to the requiromonts of the 3tato Subdivision Map Act and Chaptor 20 of the Butte County Codo. 2. Building site will moot minimum usable sewage disposal aroa requirements and water roquiremonts of Chapter 20 of tho Butte County C04e1 S. Original owners inform their hoirs, successors and assigns of the restrictions which disallow additional dwellings from being located on the proporty until oither of the ..�,` I hereby declare under penalty of perjury that I have read the foregoing condition that,,they are in fact -the conditions which were imposed upon the granting of ' this permit a d�that I'agree to abide fully by said conditions. ,,,..�•'""' Dated: Applicant NOTE: Issuance of,this Use Permit does not waive requiremerit'ofiobtaining Building and Health Department permits before starting construction, nor'does,it waive any,.other requirements. CC: -Health -�� Department of Public Works (2) . Fire Department chairman of Planning Commission - Ay.. USE PERMIT Page 2 of 2 BUTTE COUNTY PLANNING COMMISSION November 9 1983 }' DATE (Registered mail receipt)' • • ; PERMIT NO. o ,AP 39 -17 -AS ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Tl+nr�na Q- QVRW*% is hereby granted a Use Permit NAME in accordance with application filed: Ana. 1 19113 to allow,l ! tAorn*ntrn n 1.0 acro homosite from a 13.S acro date parcol and zoned A-20 located on tho unst sid4 of the ftAwAv, Annrnv,. 220 fAot +an"th n# Ann;on Road, Durham. 1 Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: following conditions occurs A. The property is rezoned to any othor sone. B. At loast ton ,(10) yoarn has elapsed from date of recordation, and the Commission finds circumstancon rogarding said property and other properties in.tho area havo changed sufficiently to reconsider the rostriction. 4. Applicant must also comply with all other applicable State and local otatutes, ordinances or regulations. I hereby declare under penalty of perjury -that --1 have read"the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permitdoes not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission BUTTE COUNTY PLANNING COMMISSION • j OWN' • VARIANCE October 24, 1983 DATE 84-8 VARIANCE NO. " 38-17-Q5 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Thomas P. Smvth is hereby granted a Variance NAME It i accordance with application filed: 'Aug • 1, 1983 to alEown minimum lot s to as per requirements of date Section 24-54 a. -I. of tho Butte County Code on property toned A,20 located on the west siAo of the 14idway, app"x, 22U t'oet south of Hanlon Road, Durham ' SPECIAL CONDITIONS: � 1. parcels -should be created pursuant to the requirements of the State Subdivision May Act and Chapter 20 of the Butte County Code. iN.2. Building site will Meet minimum usable sewage disposal area require - mems of Chapter 20 of•tho 'Butte County Code. S. Original ownors inform their heirs, successor$ and assigns of the restrictions which disallow additional dwellings From being located on the property until oithor of the following conditions occur: A. The property is rezoned to any other tone. B. At 'least ton (10) years has elapsed from date of recordation, and the Ca=fission finds circumstances regarding $aid proporty and other properties in the aroa havo changed sufficiently to reconsider the restriction, 4. Applicant must also comply with all other applicable State and local statutes, ordinances or regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this variance, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this variance does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052184 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 10/21/2005 APN: 038-170-038-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 8747 MIDWAY DUR Date: Contractor: Map Index: Description: NSF(2699)GAR(575)COV(890) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PETERSON, JAMES to its issuance, also requires the applicant for such permit to file a PO BOX 678 signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom and the basis for the alleged exemption. Any 530-893-5588 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PETERSON, JAMES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does PO BOX 678 such work himself or herself or through his or her own employees, DURHAM, CA provided that such improvements are not intended or offered for 95938 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-893-5588 proving that he or she did not build or improve for the purpose of sale.). O' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prgfessions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts.for-.such projects with a contFactor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Arti 3 of the Bus n s d essions Code Date:&Z�Owner: License #: WORKERS' COMP SATION DECLARATION I hereby affirm under penalty o p jury one of the following declarations: ❑ 1 have and will maintairtY 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: HURLEY, MICHAEL D. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 4164 S.F. Policy #: Valuation: $203,475.00 Census Code: 07� 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �pplicant: ARNING: Failure to secure workers' compensation coverage is unlawful, a shall subject an employer to criminal penalties and one 1 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY ` ' — This permit is eby issued r th apl511c ble provisions of the Butte County Code and/or- - I hereby affirm that there is a construction lending agency for the Resolutions do work Indic ed ab ve for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /O Name: By: Date: PERMIT EXPIRES ON: (Date) Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the pbstance of any o al for or document of Butte County. I hereby authorize representatives of Butte Cc u ty to nter u on the above mentioned property for inspecti urpPses. Print Nam l�/n/ 1 �(Jl I ISP > Signature: 1e:/r(1� Date: Owner ❑ Contractor ❑ Ag t for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 r , / D v V DEC THE "RED BARN" _^.,,t npWNWETERANS SUBSTANCE ABUSE RECOVERY CENTER SPONSOR: The OROVILLE ECONOMIC AND COMMUNITY DEVELOPMENT CORPORATION (OECDC) is a 50103 California non-profit corporation. It owns and operates Northern California Treatment Services, (NCTS), a substance abuse addiction treatment and recovery program in South Oroville, CA. The OECDC has entered into an agreement to acquire The Red Barn property to develop and operate a substance abuse addiction treatment and recovery program for veterans. PROPERTY: The Red Barn property is located at 899-903 Oro Dam Blvd. W., in Thermalito, CA. The property consists of the Red Barn, a 4,600 SF commercial building, the present owner's four bedroom residence, a manufactured home, and approximately one acre of additional vacant land. The entire property is 2.5 acres. The property fronts on H162 to the north which provides excellent transportation. To the south is the Feather River Wildlife Recreation Area. West is a vacant house and east is a car lot and restaurant. PROGRAM: The sponsor intends to develop the property into a substance abuse addiction treatment and recovery facility for veterans. The Red Barn will provide transitional housing for as many as 48 veterans. The vacant land will be developed into approximately 30 permanent supportive housing units, most likely one bedroom manufactured homes. The owner's residence will be used initially for administrative and counseling offices pending further development. Development will take into account and utilize all "green" technology such as solar power and environmentally correct renewable practices. The program will provide veterans with safe housing and counseling for abusive behavior. A major component of the program is vocational and life skills training to reintegrate our veterans into mainstream society. The property is ideal for this use. The proximity to the wildlife area will provide recreational opportunities. We expect to have exercise areas, extra parking, a garden and other amenities aimed at addiction recovery. The highway will provide excellent access to services. Because of its commercial zoning and its distance from residential uses, it is not expected to cause any disruption to neighbors or adjacent properties. The service road to the wildlife area will help with any traffic impacts. Many of our veterans suffer from complications from military service. There are approximately 1,200 homeless veterans in Butte County. Most of these suffer from substance abuse problems and mental illness. Our veterans deserve to be treated better and as tax payers, we need to reduce the burden of unemployed people. This project will treat our vets with pride. It is a visible, landmark property right on the highway, where we will proudly make a statement of what Butte County is proactively doing to deal with the veteran's substance abuse and housing issues. PEOPLE: We have a full service, well established substance abuse treatment program that presently provides services to approximately 50 clients in thirteen houses. Please see our website at www.norcaltreatment.or. In addition, we have people who were involved with the Veteran's Village in San Diego and we also have disabled veterans small business certifications. CONTACT: Eric J. Almquist, CEO Oroville Economic,and Community Development Corporation. ericalmquist@comcast.net 530-532-6406. Michael Anderson, General Manager, NCTS 3114 Myers St„ Oroville, CA ncts rehabworks@att.net 530-533-7664. NORTHERN CALIFORNIA TREATMENT SERVICES P.O. BOX 2631 ORO VH1Y, CA 95%5 * BUS530.533.7664 FAX 530.533.7664 RE: Northern California Treatment Services - Intensive Outpatient/Sober Living NCTS BOARDOF DIRECTORS This program is a highly structured treatment program for those men and women who can not afford the costs of - residential treatment but need more intense services than a typical sober living environment. President Northern Californialreatment Services (NCTS) has structured our IOP/SLE treatment program Eric J. Almquist, MA to help meet those needs today. We are a State Licensed and Certified Alcohol and Drug Program. #040029AN Secretary/Treasurer Court Approved Proposition 36 providerJudyAlmquist RE: Sober Living Treatment Program — minimum 90 days Executive Director rnWlUpon entry, there is a 30 day "black -out" period in which the client is familiarized with the NCTS program and assisted with focusing on their treatment goals. During this time, clients are only allowed communication with legal agencies. Director Andre Simic, PhD Each facility has, a qualified on-site house manager to oversee daily operation. Random drug testing is done on-site and clients are required to attend a minimum of Five (5) Twelve Step support groups per week; seven per week during the black -out period. Clients begin looking for Director work or enroll in college/adult school in as little as 60 days. Alan Almquist, PhD Bi -Monthly progress reports are sent to Parole/Probation and the Courts. Director RE: Outpatient Services George Tripp, CPA This is a mandatory program for all clients in NCTS. Clients attend two (2) IOP groups and one (1) individual counseling session per week with our certified Drug and Alcohol Counselors. Director John Mehra Services include but are not limited to: O Relapse Prevention O Anger Management O Life Skills Program General Mgr. Michael Anderson O Stress Management Bus/Fax. 530.533.7664 0 Grief Support Cell 530.693.9182 O Addiction and Impulsive Behavior Education O GED Preparation. Northern California Treatment Service (NCTS) welcomes your agency to visit our facilities at anytime. Thank you for your consideration in this matter. Intensive Treatment* Sober Living' Outpatient Counseling Visit NCTS Website: norcaltreatment.org e-mail: octs_rehabworks@att.net f• - ' SITE PLAN . . - .. .. .. _ .. .. ! N - BUILDIN. RPPROVALr{ . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . : : : :.-•--.- Use: � ... ..�-- i..... 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OUTIME ........ . ... ........... . .... ......L..... -•.. . •• •• •. .• •.• •. •• •. .•...................................•.............. .. .. ...............•• •. .• • •. .• • .• •. .. .. ........................ .. .. .. .• .. ............ • ... .. . .• APPRjOrti • ..... •..�.. •.. ..•..•{......t..... t...... {. •....L.....:.. : : : • .. •. •. .. •. .. .• ..........• .• 1 ...... _..... ......_ ................ ....................................... I .............._..... ........... _............. .... _.......... ......._.................._..........._..................._.........................-............_................................._.................._.................._....._............_.................._....._........................... Assessor's Parcel Number F 33 ® — owner Name }ed.-'r-.c�, a Address / Phone No. 91q —7 Site Location Dv ea,,Qn Contact: Name Z- a- a aEJ Scale: ,= 3 Phone 891 514 o23�2003 MM. FOR OFFICE USE ONLY Zoning:' General Plan Desig: Size, Acres ' ' 4.00r - PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: ,.GEN PLAN: USES: QBLUE HN\JEN'PG'D • Sinoe 1954 BLUE HAVEN OFFICE: C�11 -r•----_mow__ _ .__"_� �_-._._._.-• _ _.-.�..-��: ter,. �� � Tool Eqtj . too: _ Fxts+ I , { K 3 'K C9: Few. 6�1 OwN 6� 3' �`1--_rf-G (4;"l P,* Pt,A Lv!Q Pic 110 ftdefwjz I GENERAL POOL SPECIFICATIONS: (Temp.# EXCAVATION r Front Bob Cat Shuttle Remove Dirt _7-t,J l CSL Remove Stump(s) Remove Fence Replace Fence Remove Concrete 11a_S.F. Sawcut Concrete -0!4 Ft. STEEL-- Expansive TEEL'Expansive Soil Steel Pattern BH PLUMBING Filter Run Ftg: Return Lines P -Trap _ B/Wash Line Gas Line Ftg Drill Drive ELECTRICAL Run By 1' Ftg GUNITE Love Seat Swim Out WO Ext.2nd Sep � R.B.B. in. X Ft. R.B.B. ���JJJ���JJJ���pppppp in. X Ft. COPING Type CO✓1alCtl ?" _ TILE Type S rig Spa Dam.0 Accent Tyle a+ SUR. Gy eoce• DECKIN� _ �,i Type O d i U,QC Color M, Risers -- Footings IU D Mastic_�,t0 Drains EQUIPMENT Filter JypePumD HP 2 SD 1 So Smart Box Yes Rei_ PLASTER Color r" Q14163�.� SPA N4 Size In Out Plumbing Run Dam Wall Length Number of Jets Blower Hp Yes _ No Remote Model # Spa Side Switch Yes No Smart Light Yes No 100 Watt Light Yes No BUYER Initials • Approve above specification -T • Approve equipment location , • Understand that decking shown is for illustration purposes only and underst n that they are ceive square feet of deck. Signature I ey ` Date Prepaired Es cially For: Street 97Y-2 MI dwnv city D ur�24%1 zip Home Phone 091 44�1 � e Work Phone 3 5 + CQ i' 7 Designer hn Job No. Lot Block Tract Mapsco No. ,it AV` SITE PLAN - - - --- - - ------ - - -- - --- - -- --L _- - _ .... ...; ..:..:.:......... ....... ............. ...... �............. ... .. ..... .. .. .. .. .. .. .. ... �:...:� :.. ...... :. ..:...:....:....:..:.. . . ..:....:. ............. ............. .. .... ..... .... ... .. .y......•... .................... .. ............ .. ... .. .. .. ... .. .. .... .. .. .. .. .. i!. .;........ _ .. ............................................ _ ..S ....!. —' ......... .. ..... ....... . .. . .--............... j. ............ ........ :...... :............ :............ ......................... 4 .Nu. 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