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039-230-070
SPECIAL INSPECTION 55-91 r 10/25/91 . . WN 039-23-0-/Dne 92-3.701B ' PETRUCELLI, Kenneth L. 4057B PADILLA, DAie .�� 3256P 9690 McAnaram / ZR O E _ contr: Rick / -aarwi_ndows &.wSI #91-5 e�s McAnarlin mi. off Durham Dayton Rd., 039-23-0-' 1j 93-1595 BPE Durham PADILLA, DAVID`& 'ARIE (new single family) 9690 MCANARLIN, DURHAM f5 , CONTR: ADONIS POOLS 7, y SWIMMING POOL -�� 0-230-070 04-2198 JOH\rSON, MICHAEL i y `; �.. 9690 McANARLIN-AVE, URHA1VI�t CONT: BILL KEARNS OFFICE-ADDITIO��,r �` 039-230-070 06-2003. JOHNSON, MICHAEL . 9690 MCANARLIN AVE, DURHAM Cont: BILL KERNS ADDITION(KITCHEN) (b['403 9 a_ i 17 CMI ;� ��� � y K, t .. ,. :� V=OK v O = Not OK -=NotAppilcReadyeble MOBILE HOMES ' =Not Reedy Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size-Spacing-Marrlage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7.. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Inap.-Sketch 10. _Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posts-Beams-Rftm. Connectors Shthg: Rfg :Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS Plana OK except #'a .1'.' -Easements /j Soils; Compaction -Structure Stability .2. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI Elec.; Pool Lighting; 15 volts-GFI 8/Elec.;Enclosures; Conduit Entries -Terminals -Listed SAlec.; Bonding; Metal w/5' -Circulating Equlp: Heater VElec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Mein in Conduit -- les h Department Approval 10.' Plumb.; Cir. Test -Water Supply Test L164if Olcdt-- nJ-ClR G fl 7/6 3 c S / OusIZ V=OK O = Not OK - = Not Applicable RESIDENTIAL (single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vente-Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri ln-roof Brec-Truss-Shthng: Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. I nsu lation-Walls-Cel II ngs 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. i' 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER 039-230-070 :� ' ZD AN5 _ ' BUILDING PERMIT OWNER ' Mr. & Mrs David Padilla TELEPHONE 891-6837 .SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9690 McAnarlin Ave. Durham 95938 CONTRACTOR'S NAME Adonis Pools TELEPHONE 891-1197 CONTRACTOR'S MAILING ADDRESS 12 Pheasant Run Ct., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 172.50 ARCHITECT OR ENGINEER Bachman LICENSE NO. Plan Checking Fee $ 75-99 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ( Penalty $ BUILDIN ADDRESS n 9690 Mc Anarlin Ave. Dur m Permit fee $ " PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Pool SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New x Addition;__] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: New Swimming Pool _ IAC Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 600V Main service 200A OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �J� I am licensed under provisions of Chapt. 9, Div. 3 of the Business LO.and ProfessionsCode and license Is In full orce an effect. License;Jo. Classification 17I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044), ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO1000A) 37.50 NEW CONST./ DWELLING OCCUP.&) OR ADDN5. 1 ACC. BLDGS. 3.64sq.ft. NEW '_O .NSTR BRANCH CIRCUITS) : 5.00NONRE (POWER APPARATUS fit I SINGLE OUTLET CIR. Ex. OUTLETS OR FIXTURES 20 760 EX. Occup. OUTLETS (PRESID )FIXED APLNS.REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Pool lectric 1 15.00 15.00 Permit Fee $ 30.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud men costs, and expenses which may in any way accrue again t id y s the granting of this permit. Date ignature Of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 tories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONSTTYPE TOTAL FEE $ 314.75 HAz DFEES IMP FL000 cDF PARCEL PD HD Issu This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTO 4lrWORKS By PERMIT EX RES Date applicable provi- resolutions to do have been paid. D to J-49 41 Receipt No. © WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -I SPECTOR, GOLDENROD -APPLICANT M I, - i . COUNTY OF BUTTE -DEPARTMENT OF DE4VELOPMENT SERVICES -BUILDING DIVISION 4A, • .. .,r..a.. •.iii"t.: flit .':arn .f. .H,. ._ 1 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Yw ' OWNER 404 4/161�441 { A. P. No. Proposed Building Use !lam Building Inspector C - Date /3-J 01 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted . ......................................... 2. Plot plans,. 3/4 sets, signed by preparer of plans . .......................... 3- Complete: plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and'calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........,................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .'.. . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . VA, Flood elevation letter (100 year flood) by.Palifornia Engineer.................. lot Ian p p approval LU �C/c Health Department De - / 14. Sanitation and a p 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... - 18. Contact Land Development, about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o e ";, �a I�spetor (Date) 21. Contractor's license information. (No., Name Style, Classification) .............. . -' 22. Certificate of Workmans Compensation Insurance . .......................... r 23. Owner -Builder Verification (Given to owner , Mail to owner )..1......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, Iowner, was advised of above required data by _ phone _ mai Counter by _ Date Plans checked by Date Plans approved by Date �/6 (.O_</YL(yS'ets of plans in t--' File cabinet AP folder Copy - Department of Public Works t L IL 11W LY 1'lu1 I'Lm Auuched !� _ Floor Him Ami mwl _ Sanl its ILD, TO: Building Department FROM: Environmental Health SUBJECT. Sanitation Clearance Owner LocationAP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other l� Hold final for: Final clearance O.K. for: NOTE_ En ironmental Health Specialist 8/92 b — /,—Il Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviile, California 95965 - Telephone 916 538-7541 5 — -30 — 070 APPLICATION AND PERMIT ASS L N R y�ER t ZONI% 0f�� A s_„ % 4 BUILDING PERMIT OWTELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER' MAILING AOD CONT CTOR'S NAME TEL PHONE 441J 9-�r97 _144je CONTRAC �1'S MAILING AODR /"y107'e� C;*4e_4 9s X_IC Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filin Fee g $ L 15.00 LENDER'S MAILING ADDRESS Permit Fee ARC ECT OR E GIN ER C��,✓ LICENSE NO. Plan Checking Fee $ 7S• 2 IF Energy Plan Checking Fee $ AFFtHITECT OR ENGINEER'S MAILING ADDRESS A'44/ Penalty $ 2 BUIL G D KESS Permit fee PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.001 7 . Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ DuplexjJ Mobilehome❑ Otherpn� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 `` II TYPE OF WORK Newer Addition Remodels Utilities lI Installation❑ Other E] Describe work: 4a Permit Fee $ 2--7 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CA TO 1Oo0AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' ode and my license is in full orce and. -effect. License 'Jo Classification �-% jJ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.pI OR ADONS. l ACC. BLDGS. 3.6tsq.ft. NEW CONSTR.ULTI-OUTLET NON.RESIO BRANCH CIRC ITS @ 5.00 (POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 20 7611 4611 Ex. Occup. OU LETS FIXED PRESID )REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. bVirin g pa 15.00 i r Permit Fee $ ,j, — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju nt sts, and expenses which may in any way accrue agai t y con the granting of this permit. X Date _< ` Signature of Applicant – Owner ❑ Controcf� Agent ❑ An OSHA ion of structures toverr 3gstories oin height. excavations over 5't)" deep and demolition or construct- Mobile Home Installation Fee' S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE Sy. 75�_ HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL PD FAD' J ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. D�� -MITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PLAN REVISION Owner's Names o / II _Q - BP#: Date: Contact Person & Phone Number: AP#: 03'? -,P-3o Received By: G of�� Time: 1. po PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice - Inspector's Name: 8- Requested by Plan's Examiner - Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 A V 5 `eCIC W�R� Department C o u n t y J. Michael Crump, Director d of Public Works o f B u t t e 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: 4_..,.,. _. .,. ...__._ .. _ Project Location and/or Parcel Number: _ ci —0120 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and gist I, therefore, do not need to apply for 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: f f0 awn r Date:, /Z 3�� 7 0 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storrs Water Management Program Revised 5/12/04 r License Detail Page 1 of 2 License Detail CALIFORNIA CONTRACTORS STATE LICEN Contractor License # 405263 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments known to the CSLB are di: . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 07/23/2004 * * * Business Information * * * BILL KEARNS CUSTOM REMODELING P O BOX 3241 CHICO, CA 95927 Business Phone Number: (530) 895-8588 Entity: Sole Ownership Issue Date: 05/14/1981 Expire Date: 05/31/2005 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 905261 in the aml $10,000 with the bonding company http://www2.cslb.ca.gov/CSLB—LIBRARY/License+Detail.asp 07/23/2004 License Detail Page 2 of 2 -SURETY COMPANY OF THE PACIFIC. Effective Date: 01/01/2004 Contractor's BondingHistory_ * * * Workers Compensation Information This license is exempt from having workers compensation insurance; they certified that they employees at this time. Effective Date: 05/16/1993 Expire Date: None Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2004 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 07/23/2004 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9690 MCANARLIN AVE Owner: Permit No: 06-2003 APN: 039-230-070 MICHAEL JOHNSON Issued Date: 09/20/2006 By KCG Permit type: RESIDENTIAL 9690 MCANARLIN AVE Subtype: ADDITION(KITCHEN) DURHAM, CA Expiration Date: 09/15/2007 Description: ADDITION(KITCHEN) (530) 566-9421 Occupancy: Zoning: Contractor Applicant: Square Footage: BILL KERNS MICHAEL JOHNSON Building Garage Remdl/Addn 9690 MCANARLIN AVE 48 DURHAM, CA Other Porch/Patio Total (530)566-9421 48 FEE INFORMATION Room Addition - First Story $255.71 Room Addition - First Story $170.48 SMIP - Residential $0.31 Total Charged: $426.50 Fees Paid: $426.50 Balance Due: $0.00 Receipt No: B186 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License BILL KERNS / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 09/20/2006 penalty [$500); Please check one of the following: Contractor's Signature Date ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E] I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansalion insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Dale: (This section nee not a completed if the permit is oror on�dred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: (VI 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' X 09/20/2006 compensation provisions of Section 3700 f the Labor Code, I shall forthwith comply with those O er's Signature Date provisions. X 09/20/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the ab v mentioned property for inspection purp ses. I hereby certify that I am the rapeMr;�Xonzed to ci In th) proq� o rs half. ci1� �! n� �t 09/20/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Per ttee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR: Agent for Owner ❑Agent for Contractor FILE Lender's Address City State Zip 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 W. * LE SE,P T CLEARLY* r OWNER INFORMATION Last Name. 0 h yr Address Name,,4 i -t Address yo#7ct79r irk l/t City D. . r 1 !1 q � StateC Zip 7g � Phone 30)56 ( _ i Fax(53 0) S(o to _ 9 Lf 71 E-mail M k e e L YS -N q0L, cow CONTRACTOR Name ��• I� fi-�v vl S Address City State Zip Phon653 0 3 5 F g Fax E-mail . c# 0 6 3 8�cla Zipgsy2 ARCHITECT/ENGINEER Name 14 y st45 Eh r',q ee l'ti Address D' D` 6 O S S City C / ,.` O E-mail M l_�e e State Zipgsy2 Phone s2 -t-26 9 Fax E-mail Staj 61zpnseu ber ((�0 2 APPLICANT INFORMATION Name , dad ad 3-0 nsoIli Address 0 i�l /4 Q / ,,I City nn Stale I Yes No Phone 530)50(_gl)—I Fax( Fax(S36 E-mail M l_�e e 0 1-,C0M APPLICANT SIGNATURE X For office use only: AP# Zoning Ci Kr qh Flood Zone SRA I Yes No Occ. Policy Number Type Const. A Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NP. d! BP BIN # PROJECT LOCATION AP# Proope y Address 7 q0 %V'C)01P74?1 ,' �� Ci Kr qh Cross tree -e Ale, Sheriff SMIP 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: rte 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 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. Received b . � t: I Bldg !I SRA Receipt #:)q �� Cs� Sheriff SMIP Page 1 of 3 Dat /��J 1`7r), '! Total REV 8-12-05 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 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 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. ❑ 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 K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.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 0 G6 _90 PERMIT APPLICATION DATA SHEET ry OWNER:( �(_ f C. ASSESSOR PARCEL NUMBER Proposed Building Use: / Permit Technician: - Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply - 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. �j 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. 5 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 emaining items needed to issue the permit. (May require additional plan review upon recejpt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ErChico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ Erosion Control Plan Required..................................................""........... ....... I\ 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 .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ........... I� 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check:...... JI1 9 a�O ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ �❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 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 -*A2 and hold for pickup. have been informed of the above items a d requirements for obtaining a building permit. Applicant: �� 4 Date: Y_ /2, 1. Index permit application for the ab a items numbered: Plan Check Letter 2. Additional items required Contractor, designe ner, as advised of the above data by phone, ❑ mail, ❑ counter, by Date: -Z?- Contractor, design , as advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designdvised of the a ov -data by ❑ phone, ❑ mail, c u Date: Plans reviewed by: Date: Plans approved by❑ : Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 n 9 ww 2 E.H. USE ONLY Plot Plan Atladred i Floor Plan Attached Sent to BD/DS TO:. Building Division – Development Services FROM: EnYironmental Health �b SUBJECT: Sanitation Clearance ad Owner Location r AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. Other- -� Water Supply: Public Private Well — Final clearance O.K. for: NOTE: . �o A A Frealth Specialist Dat Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.6uttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner Johnson, Michael APN No: 039-230-070 Permit Type: F Subtype: App Date: 8/21/2006 Permit No: BP 06-2003 Permit Desc: 1 1 4-W 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application 4 5 6 7 7a 8 $426.19 $170.48 $255.71 Balance of Building Permit Fee 0 0 _ $204.98 $170.48 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $170.48 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $256 02 Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: _J - Kt11UtN I IAL'I Per Dwelling Per Dwelling s Per After 04/15/06 SFD MH 3238. 0 $100.00 $200.00 $7,997 $8.341 $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. RECEIPT DATE Tech/Asst 460956 8/21/06 Tammie RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst I PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check I is completed for applicant to take office. to respective district oce. 12 SCHOOL DISTRICT FEES* I'(�(h I I (2) kr) 0 `MVV, 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. L Applicant: Date: j�'/�-l( Pursuant to Gover ment code S4ction 660 , you are hereby notified those Items followed by an—" may have been imposed�'p oject. Yuou have 90 days from the date of approval of the porject o rom the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 county 4249.11 3183.54 770 Butte Creek Chico Urban Area 6146.231 4538.82 772 Little Chico Creek EI Medio Fire District 1 3249.971 2385.76 776 Mud -Sycamore Creek North Chico Specific Plan SR -1, SR -3, SR-1/PD 8801.091 7395.04 R-1 8897.09 °c R-2 839b.bgl R-3 7604.091 7491.04 6984.04 6198.04 Processing Fee is automatically added to impact fee total 9 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# MH 3238. 0 $100.00 $200.00 $7,997 $8.341 $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. RECEIPT DATE Tech/Asst 460956 8/21/06 Tammie RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst I PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check I is completed for applicant to take office. to respective district oce. 12 SCHOOL DISTRICT FEES* I'(�(h I I (2) kr) 0 `MVV, 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. L Applicant: Date: j�'/�-l( Pursuant to Gover ment code S4ction 660 , you are hereby notified those Items followed by an—" may have been imposed�'p oject. Yuou have 90 days from the date of approval of the porject o rom the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 1 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch MH 3238. 0 $100.00 $200.00 $7,997 $8.341 $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. RECEIPT DATE Tech/Asst 460956 8/21/06 Tammie RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst I PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check I is completed for applicant to take office. to respective district oce. 12 SCHOOL DISTRICT FEES* I'(�(h I I (2) kr) 0 `MVV, 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. L Applicant: Date: j�'/�-l( Pursuant to Gover ment code S4ction 660 , you are hereby notified those Items followed by an—" may have been imposed�'p oject. Yuou have 90 days from the date of approval of the porject o rom the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 A14 ('QCtc WOP�S Department C o u n t1, J. Michael Crump, Director of Public o f B u t 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 I ACRE] Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 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 r sanctions provided by law. Signed: Title: .__Date' __ License Detail. California Home Page 1 of 2 21, 2006 License Detail CALIFORNIA CONTRACTORS STATE LICENSE BOARD Contractor License # 405263 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there maybe relevant information that has not yet been entered onto the Board's license data base. Extract Date: 08/21/2006 * * * Business Information * * * BILL KEARNS CUSTOM REMODELING P O BOX 3241 CHICO, CA 95927 Business Phone Number: (530) 895-8588 Entity: Sole Ownership Issue Date: 05/14/1981 Expire Date: 05/31/2007 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * ClassI Description GENERAL BUILDING CONTRACTOR C-6 CABINET, MILLWORK AND FINISH CARPENTRY * * * Bonding Information http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/21/2006 License Detail Page 2 of 2 CONTRACTOR'S BOND: This license filed Contractor's Bond number 905261 in the amount of $10,000 with the bonding company 'SURETY COMPANY OF THE PACIFIC. Effective Date: 01/01/2004 Contractor's Bonding History_ * * * Workers Compensation Information This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Effective Date: 05/16/1993 Expire Date: None Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2006 State of California. Conditions of Use Privacy Policy it http:Hw- ww2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/21/2006 BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District Building Departme . nt No. A.P. Number aV-2301090urisdiction: 0 city F—P-7-16ounty Property Location/Address Subdivision Lot No. ........... ........ Residential Development Sq. Footage No of Living Mobile Home 4:: rg i �ti o 'Supplemental to (Groue)' Units Installation Conversion Permit # No foundation inspection) ....................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Us.e.Facility document) Commercial/Industrial 0 Sq. Footage New Addition (including Exterior Roofed Areas) Building Department Representative-._. Date District Identification, No. 67 34 / L-i/wriet —School District certifies that (Applicant) 19 0 . 1W C �Al,,9-14? t/ /0 Av c - (Street (State) (Phone Number) 5 (Zip Code) - has complied with the requirements of Resolution No. by payment of $ representing Square feet. rB —"26 ULL MITIGATION -n4GATION $ School District Representative Date Paid by Check # Remarks: F62F5 WA I I/L-7-) iv Notice: You may protest the Imposition of the fen Identified above by submMng a written prowatto the District. In coinpl1ance with Government Code Section 66020(a), whhin 90 days from the date fan are paid. Failure to submit a dnwly wriften protest w0l prohibit you from challenging the ImposMon of the few In any court action. If, subsequent to the School District Representative signing this Butte County Schools Irnixict Fee Certification Form, the School District is notified by On applicable Local Planning Agency that this project Is being nNswad under On California Environmental Quaft Act (CEQA), this project may be subject to additional school fees to ftft ndtlgate Its I j r an the school distrWs'schoolls. White (school district), Yellow (building department), Pink (applicant). fteformift (305W= M/1 sf�lAkjaBer 1�1 e domr overl�a►�; ��es -<-N JokA66I) � (� �a N►��'w''"Rve -Dur InakVl Q4A / q ' • ;wc � �-SV,s�r I I 01 A C- ° I r C' i ro m �e evh e • • o d° ° m p ©o u • ° m ° ° ID c e PIAN—N • • • • -'.G DAASION BUILD Use:Z6�4,Ql� 1G PLQI N /PPRQIqL Date: Parking:. Other, Landscaping: ee Signature: y nergy Ca lcu Iation ' Services uditing, Analysis, Systems Diagnostics and.documentation A .a - A L L' Y CEC Certified Energy Plans Examiner - RES91-1006 / NR -91 -1002 -C -HERS Analysts - RD/FmHa_Auditors -Member, of RRHA of Texas Energy Calculation Services 574 Manzanita Avenue, Suite 9 Chico, CA 95926 530.894.8466 Tel. 530.894.3422 FAX ecs@energyguru.com Ref. - Title 24 energy calculations for your RESIDENTIAL project. To Whom It May Concern: Provided in this package is an original set of energy documents. This original may be reproduced as necessary to facilitate completion of the project at the address contained within the documents. The building department will require two copies, and it is suggested that you provide a copy to all sub -contractors working on your project. Please be sure to sign these energy calculations on page 6 of the CF -1R forms where indicated. Read the signature requirements and determine who is most qualified, or willing to accept responsibility as explained in the paragraph above the signature block. A "Mandatory Measures" checklist is contained within the energy documents. These`;` requirements pertain to all construction and should be considered minimum code requirements. Any specific increases in efficiencies noted in the Title -24 Energy Documentation supersede "Mandatory Measures". Energy features that must be incorporated into this structure are indicated on the summary sheet included. This information should be copied and presented to all sub- contractors to ensure proper installation of these energy features per Title -24 requirements. Any questions will be gladly answered. If I may be of any assistance, now, or in the future, please don't hesitate to call. Thank you for your business. Marty Runnells, C.E.P.E. Energy Calculation Services 574 Manzanita Avenue, Suite 9 ecs@energyguru.com877 X530'894.8466 tel. Chico, Califomia 95926 Est. 1.989 530.894.3422 fax: General Notes;. TITLE -24, Part 1 "ENERGY EFFICIENCY STANDARDS". The following energy requirements must be met, or exceeded, to obtain final building department approval. It is the responsibility of the owner / project supervisor to ensure that these features are installed. The Johnson Addition Job # 06308 Date — June 15, 2006 .INSULATION Wall insulation shall be at least R-13 at all 2x4 exterior framed walls. Attic insulation shall be at least R-30. Floor insulation shall be at least R-19. A radiant barrier shall be installed as part of the roof system. HEATING. VENTILATION and AIR CONDITIONING Current heating unit(s) will be extended to serve the addition. If any additional heating units are installed they shall have an AFUE or HSPF that meets or exceeds the minimums as set forward in the energy standards. Current cooling unit(s) will be extended to the serve the addition. If any additional cooling units are installed they shall meet or exceed the minimums as set forward in the energy standards. The majority of ducting for all ducted heating & cooling units shall be located in the attic (Default worst case) and will be insulated to a level of R-4.2 or greater. DOMESTIC HOT WATER Current water heating will be extended to the serve the addition. If any additional water heaters are installed they shall have an energy factor (EF) that meets or exceeds the minimums as set forward in the energy standards. FENESTRATION PRODUCTS Patio doors shall have a 0 -value of .57 or lower and a SHGC of .4 or lower. HERS CERTIFICATIONS Heating and air conditioning ducting will be tested by a HERS rater to verify leakage is less than 15%. Not required if less than 40 linear feet of ducting is installed. ENERGY CALCULATION SERVICES 574 Manzanita Avenue, Suite 9, Chico, CA. 95926 Tel. 530 894-8466 / FAX 530 894-2422 CABEC certified Energy Analysts, CBI Energy Plans Examiners, CHEERS Analysts. r,,+- F/14/gnnF -. nwm CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R Project Title Johnson Addition Date 6/15/2006 Building Permit # Project Address 9690 McAnarlin Avenue, Durham, Ca. Roof Radiant Barrier Installed Yes or No Plan Check / Date Documentation Author Marty RUnneIIS Telephone (530) 894-8466 Field Check / Date Compliance Method (Prescriptive) Prescriptive Climate Zone 11 Enforcement Agency Use On" ✓ m Alternative Component Package Method: (check one) C ✓ D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) 54 ft2 Average Ceiling Height: 8 ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ----(20% X CFA) ft2 ✓ ® Building Type: (check one or more) ✓ Single Family Multifamily ✓ Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: 1 Number of Dwelling Units: 1 Floor Construction Type: Raised Slab/Raised Floor (circle one or both) Front Orientation: W North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ © RADIANT BARRIER (required in climate zones 2 4 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Cavity Continuous Insulation Insulation R -Value R -Value Assembly U - factor (for wood, metal frame and mass assemblies Joint Appendix IV Reference Roof Radiant Barrier Installed Yes or No Location Comments (attic, garage, typical, etc. Wall Wood R-13 W.13.2X4.16 IV.9 A3 Rear Roof Wood R-19 R.19.24 IVA A14 Yes Attic Floor Wood R-19 FC.19.2X8.16 IV.20 A4 To Exterior 11 See Joint Hppenuix iv to �)ectton iv./-, iv.j anu tv.4, which IS the basis for the U -Tactor criterion. U -tactors cannot exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms April 2005 Date 6/14/2006 Job Number 06308 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R Project Title I Date Johnson Addition 6/15/2006 FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ® FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. Fenestration Duct Location Duct Thermostat Configuration attic, etc. R -Value Type (split or package) Current #/Type/Pos. Orien- Exterior (Front, Left, tation, Shading/Overhangs6,' Rear, Right, N, S, E, Area U -factor SHGC ✓ box if WS -3R is Skylight)W'(ft'), U-factor2 Source SHGC4 Sources included Rear East 40 .57 116A .40 116B ❑ 13 13 13 13 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table I I6B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Minimum Distribution _ Type and Capacity Efficiency Type and Location Duct or Piping Thermostat Configuration furnace, heat pump, boiler, etc. AFUE or HSPF ducts attic, etc. R -Value Type (split or package) Current Cooling Equipment Type and Capacity Minimum (A/C, heat pump, evap. Efficiency cooling) SEER or EER Duct Location Duct Thermostat Configuration attic, etc. R -Value Type (split or package) Current Residential Compliance Forms April 2005 Date 6/14/2006 Job Number 06308 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R Title Johnson Addition Date 6/15/2006 SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are required. 10 Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Tank Capacity Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field Current verification required.) OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WAlrK11EAHINU aYSl'E'M5 17-7 Systems serving single dwelling units Water Heater Type/Fuel Type Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Tank Capacity not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Current Manual. No water heating calculations are required, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ❑ Check box to'verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Rated Input' (kW or Btu/hr(gallons) Tank Capacity Energy Factor' orExternal Thermal Efficiency Standby' Loss % Tank Insulation R -Value Current System serving multiple dwelling units Water Heater Type Distribution Type Number in System Rated Input' (kW or Btu/hr(gallons) Tank Capacity Energy Factor' or Thermal Efficiency Standby Loss % Tank External Insulation R -Value 1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are '/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B. Residential Compliance Forms April 2005 Date 6/14/2006 ,lob Number 06308 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pate 4 of 5) CF -1R Project Title Date Johnson Addition 6/15/2006 SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the prescri tive method. ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R CF -6R part 6 of 12 0 Radiant Barriers CF -1R ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required; Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Dwelling Unit Performance Calculation and attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -IR Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION _(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification ✓ Feature Required Forms if applicable) Description ,;d Duct Sealing CF -6R part 4 of 12 Not required if less than 40 linear feet of ducting is installed ❑ Refrilzerant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms April 2005 Date 6/14/2006 Job Number06308 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R Project Title Date Johnson Addition 6/15/2006 COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (ner Business and Prnfessinnc (ande) nncnmentntinn Anthnr Name: Name: Marty Runnells Title/Firm: Title/Firm: Energy Calculation Services Address: Address: 574 Manzanita Avenue, Suite 9 Chico, Ca. 95926 Telephone: Telephone: (530) 894-8466 License #: If OG (signature) (date) (signature) (date) Enforcement Agency Name: Comments: Title Agency: . Telephone: (signature / stamp) date Residential Compliance Forms April 2005 MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 1 of 2) MF -1R Project Title Date Note: Low-rise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or check NA if not applicable. DESCRIPTION NA Designer Enforce -meat Building Envelope Measures: ✓ ✓ ✓ * § 150(a): Minimum R-19 in wood frame ceiling insulation or equivalent U -factor in metal frame ceiling. © ❑ §150(b): Loose fill insulation manufacturer's labeled R -Value: [E FU q * §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). ' j * §150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor. O 11 § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. closeable metal or glass door covering the entire opening of the firebox ® ❑ b. outside air intake with damper and control, flue damper and control j] El 2. No continuous burning gas pilot lights allowed. �l §150(0: Air retarding wrap installed to comply with §151 meets requirements specified in the ACM Residential Manual. ' § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. § 150(1) : Slab edge insulation - water absorption rate for the insulation material alone without facings no greater than 0.3%, water vapor ermeance rate no greater than 2.0 perm/inch. n I_! rM El §118: Insulation specified or installed meets insulation installation quality standards. Indicate type and include CF-6RFE-1 Form: 1 (��1 1 I 11 § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ 2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient SHGC , and infiltration certification. _=0L_ (�� ' " El 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. Space Conditioning, Water Heating and Plumbing System Measures: §110-§113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. � F § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. [Ell 0 § 150(i): Setback thermostat on all applicable heating and/or cooling systems. §1500): Water system pipe and tank insulation and cooling systems line insulation. IJ F ❑ 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation havingan installed thermal resistance of R-12 or greater. TU yJ I I--' El 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal insulation and indicated on the exterior of the tank showing the R -value. L=...1 lj 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B. jnj ❑ 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A. FET FM 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A. ® El Residential Compliance Forms April 2005 MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 2 of 2) MF -1R Space Conditioning, Water Heating and Plumbing System Measures: (continued) Enforce - NA✓ Desi Designer -rent 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. I- ® ❑ 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space. ('v1 ❑ 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. 27 ]1 Fiji ❑ " § 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and retum-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or other duct -closure system that meets the applicable 0 ❑ requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings reater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support Ell] r ❑ platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause I� reductions in the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tae is used in combination with mastic and draw bands. E011❑ 4. Exhaust fan systems have back draft or automatic dampers. 101© ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated n Vil FET dampers. ❑ 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water ❑ ❑ ❑ retardant and provides shielding from solar radiation that can cause degradation of the material. 7. Flexible ducts cannot have porous inner cores. IEll Q ❑ § 114: Pool and Spa Heating Systems and Equipment. 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the ❑ heater, weatherproof operating instructions, no electric resistance heatini and no pilot light. 2. System is installed with: a. at least 36" of pipe between filter and heater for future solar heating ® 03 ❑ b. cover for outdoor pools or outdoor spas © I—II �! ❑ 3. Pool system has directional inlets and a circulation pump time switch. © ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously❑ burin pilot light. (Exception: Non -electrical cookingappliances with pilot < 150 Btu/hr '�1 IJ § 118(i): Cool Roof material meets specified criteria ❑ ❑ Residential Lighting Measures: § 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater FE -31 a ❑ are electronic and have an output frequency no less than 20 kHz § 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table n 150-C, luminaire has facto installed HID ballast Z f❑ § I50(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in § 130 (c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy �j Elluminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy I� (°V9 luminaires. §150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms utility rooms shall be high efficacy luminaires. OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on ❑ automatically or have an always ono tion. § 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 7011t2): OR are controlled by a dimmer switch OR are E]controlled by an occupant sensor that complies with Section 119(d) that does not turn on automatically or have an always Lam! ono tion. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are -11 ❑!�1 certified airtight to ASTM E283 and labeled as air tight AT to less than 2.0 CFM at 75 Pascals. I I ° § 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not including lighting around swimming pools/water features or other Article , ❑ 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section I �I 119d. § I50(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. n Li h ting for park in ara es for 8 or more vehicles shall have I ighting that comp] ies with Sec. 130, 131, and 146. ❑ § 150(k)8: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by occupant sensor(s) certified to comply with Ir. .I � ❑ Section 119(d). Residential Compliance Forms April 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042198 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: APN: 039-230-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 9690 MCANARLIN AVE DUR Date: Contractor: Map Index: Description: ADD OFFICE(167) 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; JOHNSON MICHAEL D 8r CONSTANCE J 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 9690 MCANARLIN AVE 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 DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 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 Applicant: JOHNSON MICHAEL D 8r CONSTANCE J 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.). 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 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.). Contractor: ❑ 1 am Exempt under Article 3 of the Bus' arid Profes ' hs Code Date: a Owner: L` 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 License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 167 S.F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $10,855.00 issued, I shall not employ any person in any manner so as to Census become subject to the workers' compensation laws of California, Code: 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 thhose provisions. Date: l/ 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. -46(/ 5�_ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit i y'ssu�d under the applicable provisions of the Butte County CodR anfUor Resolutic s o rk 'rfdicated above for which fees have been paid. - performance of the work for which this permit is issued (Sec 3097 Civ.) I v - _ Name: By: ) j Date: / \ G Address: PERMIT EXPIRES O : / v Z, 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. 1 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 County. I hereby authorize representatives of Butte County to enter upon th above mentioned property for inspection purposes. k Print Name: C�hg6 G' n Signature: Date: 0 O(Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor 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; I Ks A v Yl, first'Am ,� Lae, I Address a / -A-n a✓I VIAy-P, Cinur I _ . _ _ State Tip Phone,,-,, � q 4 Fax Email 1vt q,6 4 9) A -OL , C04q ARCHITECT/ENGINEER CONTRACTOR Name '$ )40—ro- Vl. 5 Address Zp Ra� Cityu v State CA Zip a Phone 91 s _ s �� Fax E-mail Planner Uc. # 40'r'a v3 Cla s C-5tC ARCHITECT/ENGINEER Name E vt,- L/L 6W Lt e Address City Gr„ IACD State Zp Ra� Phone J�oZ ff/ Fax E-mail State License Number APPLICANT NAME ' Name Address City State Tip Phone Fax E-mail , APPLICANT IONATURE X ` For office use only: Zoning _ Flood Zone Cross"Street SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT Qq- � L -1-1y, BP BIN # �S LOCATION AP# q Property Address City Cross"Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license con fractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name , Address Description or Scope of Work: 9Sq'ge ❑ Structure Built vAhout 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 Refimds 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 by: TP { Amounts. Bldg SRA Receipt #: i�0� Sheriff . ( + l - ___SMIP Date: / Other �`V r 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 ININ% 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 GRAPHPAPER! 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 GRAPHPAPER! ❑ 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 .'TORMSIBUILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 „"'.„�ws�+7f�'=.K'+04."'a`'�"�'�<i�":s�--,:-.�`�jrYi ..'�j�..-�i:`+,t�'`"w.-."`✓r „'S, "'.i-r'L`-.,C'�: � �., > V 1 �f ' 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: �jWASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. [] 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. O 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. ❑ nergy 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) Data sheets and installation inst, (B) 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 1. 15. Sanitation and site plan approval from the Environmental Health Department in rico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ V rosion Control Plan Required............................................................ees as shown on the attached Schedule of Fees Due Sheet....$M1P...ity of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent by: ............. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 0 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone - and hold for pickup. I have been informed of the above items and require obtaining a building permit. Applicant: Date: 7b 31oy 1. Index p mit application or the ab - e 't menuer Plan Check Letter 2. Additional items required Contractor, desig r, own , was advised of thea at by o ail, ❑ counter, by Date: D Contractor, design�n'as vised of the ab adat by C�'phone, ❑mail, ❑count y Date: /2Plans reviewed byDate: I Plans approved by: Date : D Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: y,a Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ;o�rY rf Piot Plan Attached V • moi+' mos Plan Attached. Rant to 88.�0'%-Z: =eg noi�z &&& Ae - 42, X 30 _0;�9 Owner Location AP# Plan Approved for: Sewage Disposal °f Water Supply: Public Private Well Clearance for dwelling. Other IN Hold final for. Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 7 SITE PLAN REVIEW APPLICATION Date: Laqbvt AP# 03 013 U X70 Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Parcel Size: Owners Address: AP 7 U `YY. / c`4 alu TelephoneNo.: +��� '�%24 Situs Address: S &L, Proposed Use: Residential, ❑ New Single Family Residential ❑ Single Family Addition ® Single Family Remodel ❑ Mobile Home Residential Accessory off t Ct ❑ Permanent Second Dwelhing ❑ 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: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land ConservationAct Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ® Expansive Soils (Test for expansive soils and if verified proper foundation design required) %Ylaa� ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) o Flood Zone: X • Flood Panel No.: Ag 007CD Sx OC. Index Date: -, R r ❑ Sacramento River Reclamation District (Approval must be obtained from the C ifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -permit r~ ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 6 - Applicable Building Setbacks: 0 Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A 0 Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Co ' ty Stan ds for Deed Creation: E] No ❑ Yes Comments: Gt/I C.dzllzv � ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access. ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger 4 ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). • ❑ Construct road to: [:1 Meet Parcel size required by zone F1 Meet current Environmental Health Department requirements El Subdivision Map/ParceI Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: 9,.�, j P(YI - -I Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved. dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for ro . 0 Summary of Specific Requirements: This information provided in this summary is based on the application information of review. and on the best available data at the time CAL,arryslBuilding Permit Site Plan Reviewl.doc El Summary of Specific Requirements: This information provided in this summary is based on the application information of review. and on the best available data at the time CAL,arryslBuilding Permit Site Plan Reviewl.doc COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES �p r�rn OWNER l A.P. # [� � '' c�� (./ 'L,o PROPROSED BUILDING USE ( DATE.? RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ _dX�_ 2. SCHOOL DISTRICT _L(A/dNA,� (paid at School District Office) (form available after Plan Check) 4:11VEP4 -M pwtlE�2 9�17�04 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. g�5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) Gt v E4 7-p oyV"[� 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) . 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. Pv4i(). OTHER L_5�Aa I t L#/.,o '7 c1/17/04 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DA' Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) �,�".r"f-jry"�'i--� ,..+n..-n,..r+.�,-�7Y"il'_,b,.�.,�...,refry,��,�'�iM4ti=i:•�'`;•_a�ry-....-,vrhwY.•'airy'1.:..:-rrh''�'�i�".t.ri...y...'..... � BUTT_ P_ COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): 39 — 2--:50- o--7 o Property Owner (s): IN1 c, L. e, -e ,� ~ ., 0L..V 50 AJ Project Location/Address: qt - a A44- a 1" i AI 14air Cv.,4^..17 Subdivison Name: Assessable Square Footage: /4, Type of Residential Development (check one): • ❑ New Development Alteration/Addition ❑ Mobile Home (s) ❑ Non -Residential to Residential Comments: .'t A, As Vit• 9:, I S-a� uilding Divisi n Representative (Date A p,, D rham Recreation and Park District (DRPD) certifies that Co n siaA Ce ..d o h Ip s £ti'Applicant�Name ' Applicant Phone Number q6 ryn McAkio rll Street Address 3t5� r silty State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 -'114 by payment for square feet at $ 1.04 per square foot for a total payment Of $ DRPD Representative Date PAID BY CHECK No.: Remarks: \ BANK No.: �c J PAID BY CASH: RECEIPT No.: DISTRIBUTION: WHITE -APPLICANT PINK - DRPD YELLOW -BUTTE CO. BUILDING DIVISION i M a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One fonn per Building) s . :School District Building Department No. 0q— z r 9 A.P. Number 3 1 " oZ b' 0 -7 0 Jurisdiction: City County Property Owner , V 1 t C t a -C- •� QVC O A� /► t Property Location/Address �. ; f 6 l �( i t AA C, A Na )�' 1 AJ / (U �. V` r Subdivision /f , i Jif ' ! r'' '` ` Lot No. 3 / Residential Development Q Q � v Q Sq. Footage //77 No of 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/Indus'trial Q Q Sq. Footage r New Addition (Including Exterior r Roofed Areas) Building Department Representative Date / District Identification, No. School District certifies that �%�; t �y! C4 ( Jd 7 (Applicant) Ai ax /+L/� (Street'Addressi. (Phone Number) (City)''. .'.r - ' (State) (Zip Code) has complied with the requirements of Resolution No. /(,,,- District square feet. WIA- (A zJ n 04/ -/- 2— by payment of $ All L fvv,- 2926 $ L v FULL MmGATtoN $ Paid by Check # aA Remarks: H 9,17 - Date )Motke: You may pretsst the Imposition of the fess Identified above by submitting a written protest to the District. In conpliancs with ("mwd gods Section 66020(a), within 90 days from the date fees are paid. Fallureto submit a timely written protest will'prohiblt you hom ch&IWVing the tinpositlon of the fess In any court aeticn . if. subsequent to it* School District Representative signing this Butts County Schools Impact Fee Certification Form, the School District Is rrotlfl- by the applicable Local Planning Agency that this project Is being reviewed undw the California Environmental Quality Ac (CEQA) Bds pre -1 - may be *~to additional school fess to fully mitlpste, its Impar on the school districts schools.. White (applicant), Yellow (building department), Pink (school district) feeform.xte (10/03)dmm ' ESI E IAL '39-23 70 3341-91B,P„E,M PADILLA, Dave & Marie 9690 McAnarlin Ave, Durham (new laundry room & attached garage/sf) !t OFFICE COPY i IAddress GAS Date1�=�'— 1 t Meter BY --- 0 - I ELECTRIC Date I Meter BY JOB FINALED (DateI Signature -'o V=OK O = Not OK Not Not Readyable MOBILE HOMES • Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete ` 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector) * - i y 6. Water; MH Test -Regulator -Connector f 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ` 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 1„ I r 10. Plumb.; Cir. Test -Water Supply Test; Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK. O =Not OK <=Not Applicable Not Ready RESIDENTIAL (; = Date UND FLOOR (Plans) OK'except #'s J"lloning-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-43V Ftg. Depth yx'�Ftg_ Garage; Soils-Steel-Elec. Grnd.-/jV" Ftg. Depth U4/Fig., Porches & Decks; Soils-Steel-AZ{Ftg. Depth .estemwalls, Main; Steel -Bloc kouts-Wra pped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors ;-6Gfab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 4v -Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 1VGirders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation_ 16. Insulation Date )o �� e� l Card B-1 fy� Date Card B-1 Date Card B-1 GG Date Card B-1 Date PLU BING (Permit),OK except #'s -- - ater Htr.: Vent -Access -Combustion Air -Baffle -- - � Pipe: Test & Anchor -Nail Protection -------- ------ -- ttt���333//////D.W.V. Test -Fittings & Anchor -Nail Protection - - - - Shower Pan: To<First Floor -Tub Access -- - -------- ------- -- ---- ----------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date 1 �1 q Card B -1_(,_ G.- - Date - - Card B-1 --------------- - ------------- Date-�� -� 'L Card B-1 (,� Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------- 28'.'Elec. Receptacles Spacing -Lights & Switches at Doors --------- ---------------------------------------------------------- 2,i r. ��• ��'� ' ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico; CA - (916) 891-2751 7 County Center Drive, Oroville, CA -,(916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE TV1, V -t th 3 � y r -c, f 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. &I- CtCci �'Q.,-Zr'r C,rC'- 6/!Vu(1 Rlar-,011'-( TS Date I o, I Lt A, Z Inspector /j,.J�td t . `�=• REV 11191 /lcT u COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 2�,)')NI-9► OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at -the above address and should be corrected. Please notify this office when rrection of work is completed. If you have any question pertaining to this matt or need additional 'explanation, please contact this office immediately. +, \,J N Ut SHow;;Tri YII F Y T a Ff Date (— - C1 Inspectors PAb I L(, A 334//- 11 OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0QTA 14 PE2rn-f T f'8(Z 6xi sri AIG GAQA-,C. T -4A 1+AS eorr'ti'4 C on/U VLf2re A 1--Amll H '(ZOOM !Vj l ►L(LM�T n2 In/<QrzCrlOn/ 12-3�-a\ ` �►SPEcTIo.J I�.lbc,1nI'A'V� to2 fkT roil Date l -%lo -"7/ Inspector ,..i� COUNTY OF BUTTE E DEPARTMENT OF PUBLIC WORKS q - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise- Phone: 872-6307 ey CORRECTION NOTICE PAb I L(, A 334//- 11 OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0QTA 14 PE2rn-f T f'8(Z 6xi sri AIG GAQA-,C. T -4A 1+AS eorr'ti'4 C on/U VLf2re A 1--Amll H '(ZOOM !Vj l ►L(LM�T n2 In/<QrzCrlOn/ 12-3�-a\ ` �►SPEcTIo.J I�.lbc,1nI'A'V� to2 fkT roil Date l -%lo -"7/ Inspector ,..i� ,. permit No,._ ENERGY CERT 'r 1 u A l+" •• 9690 McANARLIN DURHAM CA. A.?. No. LOCATION + DESCRIPTION OF INSULATION jw ROOF pia t e r i a1___— 'l'1►ickness ( inches) EXTERIOR WALL - - Material Thickness (incllee) CEILINL Batt or Blanket Tyj,e�_ - - ' — TI►ickness( inclkes) FIBERGLASS Loose Fill TYPO Miaiumm Thicknesl(Inelke81�006' Area covered(ft. ) FLOOR, ELEVATED Material Thicknesa(I.nches) FLOOR, SLAB Material Thickoeaa(inches) Width(inchea) FOUNDATION WALL. Material Brand Name • Thermal Resistance (R Value) Brand Nava Thermal Resistance(R Value) Brand Name 'fliermal Resistance(R Value)_________-_ Brand Name OWNS CORNING lb. Number of Bags 38 Wt. per beg 35 Thermal Reeistance(R Valua)R19 Brand Name Thermal Rcsistance(R Value) Brand Name Tilorwal Resietance(R Velus)______.--- Bkaad Nave That'awl Reii�tpaag(s Valua)_. I Ikereby certify that tits ab�vAfiCalitAtnl�IWas ><aergl►Installed l;egaticwaVatg,Llbpve building in Fonformilace with the Stat LOERKE INSIl AT I0N CO. INC. p99150 STATS CONTRACTORS LICENSE NO, RM WE/OW 3TO TURF OF INSLIA- H APPLICATOR OCTOBER 12 1992 I hereby certify the above insulation pnd acl sat$ll required i�aveibea� in$tas of 111edoa$tile - Building Department approve) plans and att of California Energy Requirement$e required by the State All equipment, devices and material$ are of tits quality pr$acribed or are specifically approved by the State of California. FIRM NAME/ ONNF (Please print) STATE COiil'RACTORi3 1.ICENSE NO. SIGNATURE OF QENERAL QOt 'TOR OWNER p E 1 BE ON FILE WITH THE'BUILDING DEPARTMENT PRIOR TO FINAL THIS CERTIFICATE MIST INSPFC'fION'APPROVAL AND A COPY SHALL BE. POSTEp WITHIN TIIE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 (/ APPLICATION ANG' PERMIT PERMIT NO. / -�3�a ASSESSOR PARCEL NUMBER A 039-23-0-070 ZONING 1 BUILDING PERMIT OWNER DAVIDAND MARIA TELEPHONE 891-6837, SO. FT. OCC.1 BUILDING VALUATION PADILLA D WNEL D 9690 McAnarlin Avenue Durham 95938 EST 200.00 CONTRACTOR'S NAME Rick Denne Const TELEPHONE 342-7056 CONTRACTOR'S MAILING ADDRESS 2268 Channel View Lane Chico 5 26 Fireplace F "A' 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee ' $ 15,00 Permit Fee $ 33.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9690 McArtarlin Avenue Durham Permit fee $ 48.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF UX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition [:1Remodel [:]Utilities ❑ Installation❑ Other ❑X Describe work: Woodburning stove and safety glazing RE Special Insp 55-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): im I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In f 1 f rce and effect. License No. 2�i9 Z Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. \ ACC. BLDGS. B NEW CONSTR. U OUTLET NON-RESID BRANCH CIRC ITS 5•00 POWER APPARATUS &` (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20@7611 Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s C unty i onsequence of the granting of this permit. X Date 2. Signature of Applicant — ner❑ Contractor' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 48,00 HAz I DFEES I IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued unger the applicable provi- sions of the Butte Count Code nd/or resolutions to do Y work indicated b0 for WhIC fees have been paid. r, 7By D R F PU IC WORKSDate 10/20/9 f PEWIT EXPIRES Date (� / /� (/�� ig/2 143 Receipt No. 1260(fq � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK - INSPECTOR, GOLDENROD -APPLICANT `G00INTY OF BUTTE - DEPARTMENT OFPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -. ORO' ILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER D/C._-(..__/ 1 E A P.Bo. 0�j-a3�%-o7d Proposed Building Use Building Inspector DateZ- At time of p it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... _ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: , . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). :. . 20. Pre -Inspection for to Building Inn requesf required. . to Building Inspector (Date) X21. Contractor's license information. (No., Name Style, Class'ficat' ). . �L 22. Certificate of Workmans Compensation Insurance. .... 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use ..................................... . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contra for Telephone and hold for pickup at office. LfOlDeliver with inspector. Other /l Parcel Creation Acreage Applicant ! Date 1%9// 2--_ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutio /bate Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required:. Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California�95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER —a�0'-O�(� ZONING BUILDING PERMIT OWNERTELEPHONE -- ll SO. FT. OCC. BUILDING VALUATION OWN - FAILING AIDW4S CON'TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace / s CONSTRUCTION LENDER UNKNOWN Total Valuation $ '!7 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ v Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILqOORESS C Permit fee Pale— X573 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF/K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition U Remodel ❑ Uttilities ❑ Innstallation❑ Other E] c:5— <;;4 -F7 --/Describe work: _ /OD�S� f% F7--/ _ 1Ax:;,P Permit Fee $ Contractor. ELECTRICAL PERMIT Filing Fee 15.00 Main service 200OR LESS 200AA OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP"5f 3.6Q Sq.ft. OR ADDNS. ACC. SLOGS. // NEW CONSTR. UL'"OUTLET @ 5.00 NON•RESID BRANCH CIRCUITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS (RESID IRE A.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation pernit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date /1 Z Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA ion of structures toverr3Qsto iesorneheigfattions over S'0" deep and demolition or const.uct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ HAz 0FEES IMP FLOOD COF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT F1 David & Marie Padilla 9690 McAnarlin Avenue Durham, CA 95938 Dear Mr. & Mrs. Padilla: -� utte Count, DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE # OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 October 25, 1991 RONALD D. McELROY Deputy Director RE: Special Inspection #55-91 (A.P. #39-23-70) With reference to the above subject and your request for inspection of the garage conversion to living room at 9690 McAnarlin Avenue, Durham, the inspection was made October 23, 1991. The garage was converted to a living room by the previous owner without permits and inspections and approvals. from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and I found the conversion appears to conform to the intent of code requirements, except for the following items which must be done or resolved: (1) Provide safety glass at the two 3° 6° windows. (2) Provide the listing and verify clearances for the woodburning stove. (3) Provide a cap and spark arrestor on the stove termination. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. Should you have any questions' concerning this matter, please contact this office. Yours very truly, William Cheff Director.of Public Works eYv Pi �tt'd�A JFG:dms J.F. Glander Manager, Building Inspection cc: Assessor (Bui.ldng Inspector, Chico COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION'A0-PERMIT ASSESSOR PARCEL NUMBER 39-23-70 zONI G -S f BUILDING PERMIT OWNER Dave & Marie Padilla TELEPHONE 891-6837 BUILDING VALUATIO R 1,211-00 OWNER'S MAILING ADDRESS 9690 Mr Anarlin Ay.p, Durham 99938 VQ.FOCC. 528 M 9,504-00 CONTRACTOR'S NAME TELEPHONE 0 CONTRACTOR'S MAILING ADDRESS ./ C 1 OOr40 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $.O ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ 20.00. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ � PLUMBING PERMIT Filing Fee 15.00 Each Trap 4 5.001 20.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5 00 Building sewer 15.0019.00 Mobile Home S I GW @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities[] Installation❑ Other(11 Describe work: Add Laundry /GgraLe�--_ Permit Fee $69.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&� OR A.D.S. 1 ACC. BLDGS. IX 3.6d sV.ft. NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESI0.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 35.85 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject V` 1 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation 2 4.50 9.00 Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c equence of the granting of this permi X i �� .� % % Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" e d demcj;tion or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $30.00 D occCO TTVPJi TOTAL FEE HAz OFEE IMP FLO CDF PFjRCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicate ab a for which fees have been paid. F&CIRdF P ELIC WORKS 6ZA Byiol, Date--Ift-q PE IT EXPIR S J Date �(rj•--�. �—�q Receipt No. 101016 r� Zz� WNITE-D.P.W. A SS . PIN GOLDENROD -APPLICANT OWNER_ Propqsed . /` , • ,. �,, .. ,'?j r;T�; .iJ,.,v`�. 5 r r .Y' . t ..�. y. Y.•'�f'�(�j`(� � �Y7'T'a-l1C +^i'1r1^..fi COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE 'OROVILLE, CALJFOF• 95965 -TELEPHONE: 916/538-7541 XP PERMIT APPLIUATIONyD # I A SHEET Permit No. No. Date ,At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1, DATE RECEIVED APPROVED All items have been submitted . ................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form`. �f 6. Energy Design Compliance and supporting documentation ......... latement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. obilehome installation data including manufacturer's installation > instructions. 10. Fees of $ c7> SlJ ..... ' ►6- IS-r-tk 11. Chico Urban Area fees paid ....................................... 12. Park Lee ............................................. _ S h I District fees paid .............. i� S 14. Sal, itation approval from _�Health Department�L 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW e 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...................................; 26. 27. When you •sue the ermit, e l.ephone - Other ess as follows: Ma,ii to( w er. Mail to contractor. 22 -,And hold for pickup at ! office. Deliver w/inspector. Appl ica Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p 'or o perm' i uance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, de er, owner, was advised of above required data bylGpnone_mall—counter byr..date� 0 Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked Date Plans approved by Sets of plans on hold in File cabinet 4- A, folder oA/ Copy—DPW Date _lo — &�' :. 1 TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance qGTO M io�r Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for '� Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroom mobile home. Other. NOTE.:** Sanit Tian Date 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT ,FOR s (Sec. 3306). Cor Exterior plaster - weep screeds (Sec. 4706). leer roof pitch for roof convering (Chapter 32)'. covering type 1+. at e-acL -anal-ve--ntilat o ( Sec--3205� . D K lvmiatreai}r—f-ar--£ xe•nr-r�-i-frg-a p phi e s�-T�. ?'-C-- e,►e rrt s rents-oft-•d-np- exes. . y design. 1 Flashing at all exterior openings. 17. L e s f /040 Jfe-C/ ✓"� a_�c��! r�o Atl*Wdotd 57j.?,c Ct�03 Mz RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER a A.P. 7 O Plan Checker GENERAL Zoning requirements: (sideyards and number of permitted living units). valuation. 3- a -ns signed by designer. 4! Proper description of work on application. o 1 a t ' .ns-off--}r-ope-F�.— Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7-o-ti-ce-o,f_.viol.ati.on PLOT PLAN §5�mplete parcel size and dimensions. Setbacks, sideyards, easements, etc. 3 :--mer-bpi 1-d-rrtg- - s G ading, fills, drainage. Flood hazard. onditi o.a-c.-eat_io.n--reap=,--(noise; CDF-, fire sprinklers; non-comb- us.t-ibl-e ; a-nd f ou-n-dat ions.) . d--set-back: 8��-d i-grg-o�u-tilizi.es-acs ass 1 ot l_ ne s-�(R e c=cr ct f orfi) . FLOOR AAN mplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Fed windews for Vkylights (Chapter 34 & Sec. 5207). an impact glass (Sec. 5406). 6/,kequired room sizes, ceiling heights (Sec. 1207). CIs in baths, garage, kitchen, and exterior outlets (Article 210-8)." L'ght fixtures, switches, receptacles, and exterior receptacles for main- ena of mechanical equipment. cal rage firewall, door size, and closer (Sec. 503(d)(3)). 31 0" exterior exit door ec. 3304 (f). awe -gid wood s bave'�I-n, alcbves, and c Smoke detectors (Sec. 1210). ]Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Y. Standard bracing or engineered design (Table 25V) > n. ndation plan complete enough to construct building. 0o construction details complete enough to construct building. evations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 1�e-e-c-ensrc erica-etas-l-s-aid-c-ayc.s-af_necessa=r• y . fter ties or bearing ridge beam. ,�age door or porch header sizes. Stud heights. Ad���.ui=g�:znP�ia1 fount]ata.e�-d�53g,n. - b OWNER'S -NAME: IIVW,JjZ q RECEIVED / PERMIT NUMBER: 33 % l �z A. P. #: 3 7O DATE RESIDENTIAL C NON RESIDENTIAL RECEIVED BY ------------ ------------------- REQUIRED PRIOR TO PERMIT ISSUANCE ❑ FROM DATA SHEET n REQUESTED BY PLAN CHECKER Q (� OTHERNf �/J/ 1'01-C11 REQUESTED'BY CORRECTION NOTICE 7 YES 1,7 NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) t to contractor i �f Xand Address) d Call ( and hold for pickup at / office. Deliver with next inspection. REVISED PLAN CHECK FE S PAID: $20.00'_ $40.00 Additional Fees Not Required COUNTY OF BUTTE - D 'PAI 7 County Center Drive - Orovlll Call APPLIC 0 SESSOR PARCEL NUMBER ONIN 39-23-70 gave & Marie Padilla EQ1 a CONTRACTOR'S NAME Unknnwn CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 96Mr parl3:AAir— a t- D'Q'1:'ha.. LOT NO. I SUBDIVISION NAME TMENT OF PUBLIC WORKS PERMIT NO. trnla 95965 - Telephone: 916.'536-7541�`-�j AND PERMIT UNKNOWN N E i7 PARCEL MAP USE OF STRUCTURE SF [2i Duplex ❑ Mobi lehome F� Other SPECIFY TYPE OF WORK New � Addition(] Remodel❑ Utilities ❑ Installation[ Other Describe work: Add Laundry/Garap CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification U I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE i declare under penalty of perjury (check one): ❑ The permit is for $100..00 (valuation) or less. ❑ I have placed on file with the County of Butte-B.u.il.di-ng Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I?p I shall not employ any person in any manner so as to become subject `fes to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be'deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue nst said CounIx quence of the granting of this permi I • i �c��— P__.` Date / ;70/ Signature of Applicant - Owner Contractor E] Agent F-1 IF An OSHA permit is required for ex avations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. IUIUl0 WNIrC-D.P.W.. • �A-;sji&3o; BUILDING PERMIT SO. FT. I OCC. 1 BUILDING VALUATION Fireplace Total Valuation Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit tee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S FG FWT Permit Fee Contractor ELECTRICAL PERMIT Rfti4-service soot/ op HEH Main service NEW CONST. ( DWELLI OR ADDNS. 1 ACC. BL NEW CONSTR. 1AULTI. Filing Fee 4 5.00 20.00 1 7.00 1 7.00 1 5.00 15.00 @ 15.00 Filing Fee 18.50 37.50 V 3.66 sq.ft (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APP LNS. OR \ Ex. Occup. OUTLETS IRESID.I EA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring I '15.00 Permit Fee $ 35.85 Contractor 15.00 15.00 15.00 MECHA-N-ICA.L PERMIT FilingFee 15.00 HeatinD Cooling Hood 6.50 Ventilation 2 14.50 Penrlt Fee s24.00 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $30.00 CCI: CONST TYPE TOTAL FEE fig.: HAZ I D FEES I IMP I FLOOD I CDF PAKEL TPD7I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One d'o'rm per Building) A.P: Numberf A �"',� Building Department No. School District 4_ ,% j ]. City D county-E� Jurisdiction Property Owner Project Location/Address.�j(% �% SIVA R- 1--/ Subdivision Lot Number Residential Development: a Sq. Footage 6. # of Living MHI A dit'on (Group R) Units s -.. Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Buildi Department Representative Date (Floor Plans reviewed by School District Personnel) District ,Id No. School District certifies that ( p icant Name)' (Ph ne Number) 96 (Street Address) (City) (State) (Zip Code,) has complied-! wi'th the"fequirements 'of Resolution No. by the'payment of $ representing square feet. 9-��- ell 0 chool District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) BOUNTY OF "BUTTE '- •DEPARTMENT OF PUBLIC WORKS 7 County Cent.ei•Drive, Oroville,.•California 95965 L u.;` "Telephone : 538-7541 '_ APPLICATION FOR SPECIAL INSPECTION Owner10G..,.;c4�-Mr;a -PC— A. P. No. ?5'-.23-78 Mailing Address T GSo 16.t Telephone No. Applicant S� �- Telephone No. Mail IV Address Building Location (0,I r44 41,1 N Ave DOIC I hereby request a specialinspection of the following building:, 1 • Dwelling ~(if only a portion, specify)x 0 2. Apartment House (if only a portion, specify) 0 3. Commercial (specify present occupancy) Q 4. Other (specify) I am requesting a special inspection for the purpose of: ti 1. Moving the building. 2. Financing (specify agency) 3. Change of occupancy to _ 0 4. Other (specify) Case No. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application,and state the above information is correct and. hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date Signature of Owner Fee Paid $ Receipt No: �� 9 lst-DPW/2nd-Inspector/3rd-Applicant David & Marie Padilla 9690 McAnarlin Avenue Durham, CA 95938 Dear Mr. & Mrs. Padilla: A October 25, 1991 RE: Special. Inspection #55-91 (A.P. #39-23-70) With reference to the above subject and your request for inspection of the garage conversion to living room at 9690 McAnarlin Avenue, Durham, the inspection was made October 23, 1991. The garage was converted to a living room by the previous owner without permits and inspections and approvals from this office; so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and found the conversion appears to conform to the intent of code requirements, except for the following items which must be done or resolved: (1) Provide safety glass at the two 3° 6° windows. (2) Provide the listing and verify clearances for the woodburning stove. (3) Provide a cap and spark arrestor on the stove termination. . This inspection by the County of. Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. Should you have any questions concerning this matter, please contact this office. JFG:dms cc: Assessor Building Inspector, Chico Yours very truly, William Cheff Director of Public Works �..� M.1,4 J.F. Glander Manager, Building Inspection ❑ i• W �' W W W W W W W WW W W W W W-4" A. ❑ J ; {,� ❑ W x i 5ETBACK )N WA5HER5 OR EQUIVALENT OUT PLATE D BOLT OR LAG SCREW HEAD5 WHICH BEAR �E GUT OR NOTCHED ONLY A5 SHOWN ON THE5E (ENDS TO 5PLIT WOOD MEMBER5, NAIL HOLE5 75% OF THE NAIL DIAMETER. .Y INDICATED 5HALL COMPLY WITH TABLE -L 5E WITH COMMON NAIL5 U.O.N. IN TABLE RT F(JR ALL FRAMING MEMBERS AT POINTS FOR ALL PREFABRICATED J015T MEMBERS -wv��1LL LIVrtI IV REMAIN (E) GARAGE O IG FLAN APPROVED Butte County Environ ental a Ith ate / Signature EXI5TINO LIVING ROOM (E) I -HR FIRE RATED MALL (5/50 bye FLOOR TO CEILING) environmental Heal", J U L - 2 2004 Chico, CA I. ALL ELECTRICAL IN5TALLATION5 SHALL CONFORM WITH THE CURREN EDITION OF THE CALIFORNIA ELECTRIC, CODE. 2. THE ELECTRICAL CONTRACTOR 5HALL V151T THE SITE, STUDY THE ELECTRICAL DRAWINGS, 5TUDY ALL OTHER DRA NING5 DESCRIBING INORk TH15 PROJECT, AND INFORM HIM OR HER5ELF OF ALL EXISTING CONDITIC BEFORE SUBMITTING A PROP05AL FOR THE WORK. ALL WORK INCIDENT TO THE PROJECT WHETHER SPECIFICALLY SHOWN, NOTED OR NOT 5HALL A PART OF THE ELECTRICAL WORK. THE WORK 5HALL INCLUDE ALL LAE MATERIALS, TOOLS, EQUIPMENT AND ETC. TO PERFORM ALL OPERATIONS INGIt�FNTAI� W®RK A N�GE55ARY FOR THE PROPER EXECUTION AND COMPLETION OF ALL ELECTRICAL WORK. 3. THE ELECTRICAL CONTRACTOR 15 RESPONSIBLE FOR THE PREPARA" OF ALL A5 -BUILT PANEL SCHEDULES, CIRCUITING, AND ETC. INCLUDING DRAWINGS (LIGHTING AND POWER). THE ELECTRICAL PART OF TH15 PROJf Ic, 17Fc,lr AI QI II I — -r-u= �1 : - - - - -- •--- . ��� ���� � D � 4�� ,��° � a _. ,___ , ��_ ,1.�� . _�_ . _ v�...� -- � --_ -� _t. � ,�. O O F (E)7 Ln I (E) Y . . . . . . . . . . . . . . . . . . . . . . . . ............ ............ . . . . . . . . . . . . ............ .......... .......... tzl- ............. . . . . . . . . . . . . . . . . . . . . . . . yr .............. V, . . . . . . . . . . . . . . . . x - - - - - - - - - - - - - - - - - PRE -FAB AZEB0. SEE- I . . .. . . . . . . . . . . . . . . . . •........... (P) FACLOSURE ................ ................ . . ............... . ............ ........... OFFICE AMMON .039-230-070 (E) 151-011 (E) &RAVEL DRIVEWAY TO REMAIN' 47 SEPTIC EFTIC - r' n/�OI 1200 GALLON 5EPTIC TANK (E-) LEACH L3 LINES 00.0.Vl 0 _/-.ROADWAY IM= A A A S BY MFG. (E) FENCE AT PROPERTY LINE o. APPROVED M TREE TO Butte County DE'REMOVW Environmorntal Ifir.,alth na jr,", .0 Environmental Health JUL 2`2004 APPROX. LOCATION Chico. CA OF 500 M. r N z- Z _ BRUNING 40.5000 _ .... _ .._ ......� Pool size _ ...ter �_ / Depth to if57 Elevation_ Rock will be brought to site at er t/I *110 Perimeter Ft. _-- Access width _- Remove from site, da cavation only: Square Ft. Excavation (Type) -- ❑ Concrete Asphalt ❑ Stumps _• _ - Template No. _ _._ Dirt on Job Site ❑Left IF, Removed ❑ $tu C] Trees Therapy Spa size -.- ___ _._ _. Shallow end ramp ❑ Dee�Feen end n Retuning walls (type) Spa Depth's Site access ❑Wall ,❑ e: Footings Ft. S" per Ft. Spa Perimeter — Removed Dy: toyer ractor ❑ fool Capacity %�-'-^r -� Gals. ` -- ,` Spa square - _ Replaced by: t ❑ Contractor ❑ Filter rate.P.M. X1191-14111-14 >10, Spas _ Gra3ing bty0 0l and/or Spa site: Turn over (Type) ____:Concrete ____Fiberglass _hrs Extra hrs at $ per hr. Raised bond beam ( ) _Ft. _Jicrylic _,.,,`Other a L- -Ft. incl. $— p/hr additional Raised bond beam �✓ _ . Miscellaneous -- -- - — -- Raised bond b ")—Ft. , This sold plans and specifications MUST be .i ..�C.✓e_-- ---- Risers --Ft. at $ per Ft • �� -- - -- rs [3 Flat p Cant ❑ Cantle kept on the job at all #imes and'it is unlawful to 2. EQUIPME N male any Changes Or alterations On some without Filter 1Y_s Sq Ft. IA Maintenance kit (To incl. the following) IR Light(s) *--/—withZ432Ft. cord IP y p U backwash valve__-__ ,. ' _ fIr Brush IM leaf skimmer V Test Kit P 30OW ❑ Trans. C34DOW Q 500W d Wcxtcs, Goanybf Butte. `', Pump horse power---/ - .iB 16 Ft. pole IM Thermometer €•t Light niche(s) wit. cord e Y Separation tank.`./.�'�`s`bQ Chlorinator —. Color pak Heater _, BTU _ D(ving/Jump Board - ❑ Time Clock(s) Model Nat ❑ LPG ❑ Elec. ❑ Oil ar ❑ Diving board panels ❑ G. F. 1. !1 indoor ❑ Outdoor ❑ Slide (type)— r C]Booster pump # H.P. Cl �. �--' �}Q'(E:---�►fl Materials & workrywmhip Shall Be In Pool cover ❑ Str. ❑ Cur. ❑ ❑ Right ❑ Preventa-Freeze ❑ accordance with Recognized Good Practices and at0mati cleaner ........... .. ❑ Rope Anchors # ❑ Aim flow(s) *—_�- ❑ Vasm ❑ Ft. hose __-_Ft. one w/ floats ❑ Skimmer(s) of >3 quality prescribed for the Specified use in the Grab _ ❑ Main drain(s) sr ?7Ic•?t+:.._ (d Uniform Bui':ding, Plumbing & &1echanical Codas: t _o" G rail panels _ ❑ Spa Jets # ❑ (' Miscellaneous--—------ Spa air ring ❑ . 'mt1onal wectrical-Code• � N. -- --- �/ E- Spa air blower i motor Model * ❑ ALL $tgl<7�C7U AND EDUIpMEIff.lNCLtlIIli�1� r� - S L BE CLEAR Ot ALL EASEMENTS. '* ; C. •� • . 011t:RHANt3S � '� 3. PLUMBING � PVC R COKER ❑ t . j Fill line -- Ft. of -`y _ Drain heads at $--ea. Seas: (Refer to No. 1) ❑ �l M BACK O ,:, FT. FROM THE SIDE AND ��. i — - - j - , -'• �•j,� Slide ___ .- -_.—Ft. of— �� - Pool cleaner ft- of --- f Return Ft of 'C. l'RO. , �'NC REAR PROPERTY LIMES AND � ( — — pur _ Return _---- Ft. o�____J Solar Ft. of Suction —_Ft. of - { Suction-_-�-Ft. of ti �l ___ Overflow ----_Ft. of Jet(s) #_ ❑ D FT. F THE ROAD CENtTERLtN S It &t;q - Backwash -_-_ Ft. of �_-- Spa air ring, --Ft. of Anti -Syphon valve ❑ ` - - I 1 ! %; Drain Zine _ Ft of Fountain of Valves # ❑ OF GTURES AND EQUIPME � s�'(r�R O ` I - j r , r , f ' • `' ` ; . NOTE: flan for proper placement of aim -flows and valves. Valves # ❑ i=OR A 2 FT. EA IDV1+I0• Miscellaneous — - ------ l «► Y:.J 0•.0 « 4. STRUCTUR L �- _.. Slee) ScheduleP_�-�i1___ Swimout-_length inside t' Outside ❑ Fiberglass ❑ 1: .3'C��t113 r 1 A + Deep end ramp ❑ Shallow end ramp ❑ Recessed steps ❑ Special Eng. ❑ : • .• — Spas: (Refer to excavation) No. 1 i � x• �, > .• ,.. n am Ft. r4 1 •� ---- -- - — -- _ Raised bond be ❑ ..• ,. Bonding ■ � Miscellaneous _ � .-�. ... •: yf� _ to -.. �— •- Soil Condition ❑ ,i'_ •' ' r •'� �. ,' S. CONCRETE + _ - t� ; ' ` : ° `; "` • • Equipment slab _.___r x _ . Swimout Ft. Inside Q Outside Ci Rope anchors # --❑ `D - —_ •' w•� s'i�^A -'�, + . Custom steps -_--- -- '❑ Recessed Steps - _ ❑ Spa (Refer to excavation *1) ❑ /•, -. ,• i *� � _ _ "'Miscellaneous.- 4 ane ----- - -- - -- - - --- - ---- — .� Miscell ous R CANTILEVER Y. `� ; F�. ' .` . , t . r, _ �•R.. , � . ,. � .. • ... - � - �•, sie T ----AN- /COotor__COPING/ .Coping --- Color______ 5 type t�. , t 'r %, �-^ K . a ; • ,r Size �� 'i'�'�itw Rock ❑ TYPe-- Ft Spa k(Refer to excavation No. 1) ❑ ,- �.r Miscellaneous- - -- w • NE r I wn In r t. tuildear ❑ UtAS ility ❑ 0 er ❑ Line (meter to heater) t Deck Ft. incl add at S pe } } +! f v �V I Line Sizeper Ft. flange ❑ Volcanic stone ❑ Miscellaneous_.. — - - --- N �i " r in i. ELECTRICAL .y { Builder C Utility ❑ Owner ❑ EI . run (Panel to equip.)---- Et. Li F. I. Time. locks) .,.� P (� ,, b • Miscellaneous--__.-_-_ __. -`.Ft. incl. additional at S—per Ft. light switch loc. See LLsiBter ow (Tile for — C building p - -- - --- Spa SlowerBch loc. - 9. DECKING • � :' Builder Other ❑ Owner ❑ Cantilever - _ n Exp. joints: of Felt ❑ trick ❑ •• : ;7!i,54 _�eek Crain(s) 'Ft. D laterals A r +.�'. , ,- ... ' 3-l>ype _ !jGS ---- Deck at S---- Ft. Mastic -- --- Footings .----Ft. at $---per Ft. Dividers - nF . � -• "...,...._---� "�` Miscellaneous__- ------- ----- ----- -- I oReamsRisers _ Rased Bond -❑ ❑ i r N CERI❑ORNI,S�HJ�_ Gel Coat_--- Color Rope anchors 10.1 I r .>:_-� - = .- Std. Main drain vortex ❑ Anti vortex 11 ,3 .-.. •> •.., .. � . •�rr • ' TZOV� Miscellaneous— ---- -- -- �1 11. START UP r .... ._.... nr.r.,�ptal ❑ Install accessories ❑ ._...._ _.--_ _..... .-: r rlvi r_, Service r. _ only E1 .... , , ,' r :.r ..:. U �OUt�ty --- (For equipment refer to No. 2) � �a.._.._.. '�2 Miscellaneous_. ------ -- jQ is .bo- ' - Initial r , ...i vi�'�..:e; • h.rr"".�.«+.....: - � :..«`,.�,+.a�,..,..,-:k _t4�..�.►r.++.k, �: ;,k ��w..�—-„y,.,.-t:,.tr.�•....«« .+ ..-s ! : - . x � 5 a1....;.r,..+,_- ,'r,r.�::...r..,..._:«r,.:.,•...,...+..,.•,.•,.....+...:.... a,.•.r ...,".--"'•+-- TY NamAddress_ ._. _....�! --------- cl _ �9 C L4 I. s.:.t...�. ..t .- .r /. / �r-,Z Bus. hone mfr "r /i -•-'------ .a. . .<..,, .... _ �u�E \/ U{V i >�!..- _Home phonrr P f- .r.... s. _ -; ` . �:` r' .+c..L+�6+a..Y-+--.,`\:!i.:•-. r+ -w ,ir+Liryr�•+�"!,•:.v ' :'Crit r`:..�• - . _ Thomas Map took Page _ _ _Lot. No.__.__ ____ _Tract #--__ ___Book No. _-_--_-_-Page- ---Job No • • r � BUILDiN alesman.+� /;.s ._Mamger_._ ---- . _, .. ; , �- :. . , . Office-, - -- - __, _ t..-. 2- + r--'- fi - • . ; a „� .:.:.. �. .. .4 - _ ;�. .�•.', :. ,, "' �r ` �� Drawn D `_ Checked DY --- — .. , -- - _� ,.. , y Checked b"'_ + _ Office use o Y- -- ----------- vi Phone ----_4:!F .. _ , - � �'.CJ.1f'•�'”' c•+'>�' - B.. PLAN APPROVAL . �-'-' ir lplus all accessories listed herein_.ova o{ spa and equmu ates vA 0 - ---- DATE:------ OWNER:----._�----- ----- LEGEND ELECTRICAL LIGHT METER © GAS ELEV. METER POINT O SKIMMER a FILTER { I LADDER © PUMP NEAMEST HOSE Big j i l ••J„ BOX LJ O HEATER ' NOTE Scale NOTE: DIVING BOARD JIG TO BE INSTALLED ACCORDING TO MANUFACTURERS OWNER A%A ARD WINNING POOLS— INSTRUCTIONS AND BONDED TO POOL TO FENCE POOL AREA AND INSTALL SELF CLOSINGr AND SELF NOTE. TO EXCAVATION. DO NOT WATER ACCESS. ORDINANCE. OWNER REQUIRED TO WATER DOWN POOL SITE AREA G AYS PRIOR LATCHING GATES PER COUNTY OR CITY AN ELECTRICAL BONDING INSPECTION MUST BE APPROVED PRIOR TO OWNER --A, NOTE. POURING DECKS. TO REMOVE OR HAVE RELOCATED ANY OVERHEAD ,ELECTRICAL NOTE: NO DIRT TI WILL BE REMOVED, RETURNED OR GRADED AFTER DAY OF WIRES PER COUNTY ONI CITY ORDINANCE. .�� EOUIPMENT PAD APPROVED FOR THIS LOCATION ONLY RELOCATION OWNER N. Adonic� y i NOTE. WILL RESULT IN ADDITIONAL COST TO OWNER. TO WE WN CONCRETE SHELL AT LEAST TIMES DAILY 0 PAY ELECTRICIAN FOR FOR,, -It'- - DAYS. <: NOTE: IF "J" BOX LOCATION IS MOVED -OWNER T EXTRA CONDUIT AT TIME OF INSTALLATION. ADO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY. Contractcr s License No 266839 053 CONCRETE DECK MUST BE SEPARATED FROM POOL STRUCTURE IN AC- DO NOT USE RUBBER HOSE WHEN FILLING POOL AS IT WILL NOTE: CORDANCE WITH CONTRACTORS SPECIFICATIONS. MARK INTERIOR FINISH. ... . .,• : - . .: .' '-' .-_i�Y,:� -:. ,..__Y:S:,. ._ _�...� -. a �.aWRYfiLL,v`Yi i:aa..�:.li-"r 'r' i..L�,.t1Xatrtli. 4 ,..;S..a..k • _ - :.'i1i•' / `.-.Ya.rr �' •'.�. "'.'`,=:. W ..3.Lwuci r,.W✓ - ' '��ya..y.�_y..-,.�3.�'3.,.rw.r,.r,�.: .:•�.�._�i+s 'var.a.iusr✓.[Yt!ra1r.S Must Be Retained At Sales Office. it I