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Home My WebLink About039-360-074I f 92-2372 B,E. C)'59 r-- 3(00.-j 039-360-074Wendy , LEWIS, Kenneth .813-70B AVER, Ralph & Chico ,/ 793-70E 1267 Orchard Way, 4 - -` - I -"7y _679-70P new . shop _ I Orchard Way, Chico w i CONTR: James. Lauderdale ,P.O.Box �, Tehama � � �� (new single family) /Q 7- %o FRc�&36R-'a0jp0h74& Wendy -0851 BPEM 1267 Orchard Way, Chiico ,add.ition)SF 0,W-- Q39-360-074 ' THAYER,BRENT, 1267 ORCHARD IVAYN,•CHIC Cont: PERFEC`T'ION POOLS GUNITE POOL MASTER500-OI 0 inJ NOTES t r' e� RESIDENTIAL 039-36-0-074 99-_085.1 B P E M PERF.:`AUER,"Ralph-& Wendy - 1267 Orchard Way, Chiico kaddition)SF 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS. REQ. SPECIAL INSPECTION ITEMS VERIFY CHECKED BY t OFFICE COPY Address / Meter By Dated/ ` ELECTRIC u Meter By Date i JOB FINALED (Date) % Signature r r� 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS. REQ. SPECIAL INSPECTION ITEMS VERIFY CHECKED BY t OFFICE COPY Address / Meter By Dated/ ` ELECTRIC u Meter By Date i JOB FINALED (Date) % Signature J=OK Q =,Not.OK = Not Applicable ' = Not Ready ' h t MOBILE HOMES $ . Date MOBILE HOME UTILITIES (Plans) OK except #'s � 1. Zoning Requirements -Setbacks -Easements. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch r Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Electricity; Location-Clearances-Grnd-/ _ /Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap;- / /" L'ft. u / P Nat. or / /"L"ft./ PLPG - Carports; Windows -Doors 7. Well Clearance 8 Disconnect Electric 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh • - Y Date Card B-1 Date 'Card B-1 Date Card B-1 Date ` ` , Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK exc8"pt #'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 1. 5. Drain; MH Test -Fall -Flex Connector 2. 6. Water; MH Test -Regulator -Connector 3. 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. 8. Gas and Electricity Tagged 5. 9. Tie Downs -Type -Installation Cert. ' 6. 10. Exits; Insp.-Sketch 7. 11. Cert. of Occupancy 8. 12. Permanent Foundation Only; License Decal 9. Health Department Approval .n Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 o. Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 ..." .1 C% ,r MISCELLANEOUS 8 � � a 1. Zoning Requirements -Setbacks -Easements Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 ..." .1 C% MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except Ws y 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI ' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip.r!Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Maidin Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 ..." .1 C% = OK 0 = Not OK - = Not Applicable =Not Ready 'RESIDENTIAL (Single & Dupl Date derfloor (Plans) OK except #'s Date oning- Setbacks- Ease ments-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth r A -1T., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Xtejnwalls, Main; Steel-Blockouts-Wrapped 8 . emwalls, Garage; Steel-Blockouts-Wrapped Id Downs and Special Anchors ]/ Slab, St el -Wrapped —7 P s -Fireplace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Yr Water Pipe; Test -Anchors -Regulator -Service Test ectric Underground aienums & Ducts; Clearance -Material -Support -Ins. 9e6ess & Ventilation Insulation Date Card B-1 Date Card B-1 Date _191 C d B-1 Date Card B-1 Date PLUMBI(JG (Permit) OK except #'s ff4ater Htr.; Vent -Access -Combustion Air Baffle ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection Sh wer an; Test, First Floor -Tub Access st Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors DateGI/014,M Card B -11/1V Date Card B-1 Date Card B-1 Date Card B-1 Date LECTRICAL (Permit) OK except #'s 16. ture & Transformer Clearance -Ins. Protection' kcac. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled dVomex Installed Close to Edge of Studs & C.J. jequip. Ground made up w/Mech Fasteners -Bond Gas & Water /Appliance Circuits in Kitchen & Conductor Size GFI ws. S eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 86"Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al In ated Neutral ❑ Yes ❑ No S ice -Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. C es Closet Light -Shower Light -Spa Light Smoke Detector Date Card B -!,e& I Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ducts Insulation & Support ant Fan, Exhaust above insulation ndensale Drain & Overflow, Size & Grade mace -Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Dat Card B-1467'Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s its Proper Materials & Anchors Is Studs -Nailing Spacing & Braces -Plates -Sound 162.1Aearing Walls over Girders & Floor Nailing rale Stop in Walls (rat proof) re Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing 62. 1 FRAMING (Continued) gers-Post Caps -Anchors -Connectors 1. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring. dace Ties or Type A Flue -Fireplace Throat Clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles n. Windows or Exiting Doors -Sill Ht. & Dimensions tge Fire Protection Framing Q 2 ,9 ierty Line Firewall & Openings Doors -One 3' -Check Garage 3rd Story, 2 Exits s; Width -Headroom -Rise -Run -Landing -Fire Protection ,00d on Roof Overhang -Attic Vents -Rafter Outriggers Ig -Nailing Veneer co Mesh -Drip Screed -Fd. Vents-Underflr. Access Ing Area -Glass Protection -Skylights -Plastic ar Walls; N ' i g -Bolts e-lnteri /Exterior Wall Panels 9 nsulation-Wal Date Card B- 11 Date Card B-1 Date Car B Date Card B-1 Date FINAL (Plans) OK except #'s 6 . fxt. Ceps -Door & Sideliaht Protection -Landings pr Xnoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Above Floor -Ducts -Mach. Protection Bedr om Exiting 91. V1' & Bath Fixtures & Tub Access -Spa lec. Tom & Subpanel, Breaker Sizes & Labels St & Rails 41 ace or Stove, Clearance -Heart %.-Y'1'/Elec. Outlets at Wood Panel, Int. & Exe— t. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance _ c. Outlets & Receptacles at Kit. Counter Gqr4e Fire Door; Swing -Landing -Closure 5. C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in arage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location j?2"Ej.0ecept6cIes in Garage (F.F.I.)-Romex Protection 9W1,116,ulatI06-Foam-Looked in Attic rd Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole DoorWainage & Wood -Earth C rance Looked under F r C3 Yes 6 ollowing Instld./Drive' es :J No/Walks ;J Yes :) No/Planters 0 Yes J No Stucco Brown -Finish C. Unit Disconnect, Electrical -Plumbing 85 ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings W -Ke Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground V ntilation Throughout House 9. I ss Protection or actions from Previous Inspections as Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval ,9VJinergy Compliance Certificate -Other Certificates Address Poste Date s200 Card B-1 Date Card B-1 Date Card B-17'Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNT -Y OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT p (Rev.12/96) •, -- APPLICATION AND PERMIT 2e7 6 ASSESSOR PARCEL NUMBER 039-36-0-074 ZONING AR -1 I - BUILDING PERMIT OWNER AUER Ral h& Wend TELEPHONE 345-6711 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1267 ORCHARD WAY CHICO 1994 R 86,076, REMODEL 10,000, CONTRACTOR'S NAME OWNER A TELEPHONE 349 coy 4,485 - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ` Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 643.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $417-99 BUILDING ADDRESS 1267 ORCHARD WAY CHICO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT NO. - SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 1611 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewX0 Addition IR Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CHANGE EXIST BEDROOMS TO DEN & LAUNDRY ROOM ADD 2ND STORY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS1G W1 @20.00 PERMIT FEE $ 173.00 ELECTRICAL PERMIT Filing Fee 20.00 LEs Main Service 20eoov0AOROR u:SSs 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LRw )or the following reason: XI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To IooaA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BIOS. SO 3.50FT: 53.90 NEW CONST. MULTI -OUTLET NON-RESID. ANC C @7.50 POWER APPARATUS 8 SINGLE Oun.ET CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.00 0 APPLINS Ex. Occup. OUTELETS qES D.ORE., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 96.90 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 6.50 Ventilation PERMIT FEE $ 70.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Ay o o�?Date LA nt-1 Signature of Applic Owner ❑ Con ractor Agent An OSHA permit is re ire for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R3 CONST. TYPE VN OTAL FEE $ 1,489.85 H X D F ,MP �( F�goD X fF PrEL Fg gD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRESN the applicable provisions Resolutions to do work been paid. Date (p _ �� t %" d6.O-0 to Receipt o.-2-584-96 -11 O r a. WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLD ROD -A PLICAN �L�'��;".'1i'� q�.-��4�� N ��'+�T, +i-...�.j } �+�^ -•► �' F� W j:'.ra.x'�(ct ti y "..t , ,Jd 1�f1�'}1^•"�.'i�,� . � fL COUNTYOFiBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION w,. 7 COUNTY CENTER DRIVE - OROVILLLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: n35- 3in"-414 Proposed Building Use: Building Inspector: Date: L/ • ,a -7 gJ 9 At time of permit application, I was advised thetfollowing data must be submitted prior to permit processing and/or issuance: Date Received By 11) ❑ 1. 1 items have been submitted .-----------------------------------------------------------' ---------------------- � Plotplans, 3/4 sets, signed by the preparer of plans. --1-+-�------------------- `�� ................................ � (�AXmplete plans, 3/4 sets, signed by the prepazer of plans. ----------------------------------------- . ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. -------------------------------------------------------- ❑ 8. Hazar its Material Form. ------------------------------------------------------------------------------------------ ❑ ' actured Home data and installation instructions includin Tie Down Specifications.------------------ eesof $,�------------------��-Q------------------------------------ Impact fees as shown on the attached schedule. ------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees- --------------------------------------------------------- e3ood elevation certificate. ---------------------------------------------- �E] anitation and plot plan approvalO� Health Department. - ❑ 15. City of Chico plumbing permit. ----------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- Up 7. Planning approval for (A) Use: d�,, 1 (B) Parking: _. 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1 ❑ 19. Encroachment Permit for driveway (construction approval Fprior to occupancy). --- F ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number,•Name Style, Classification). ----------------------------------- El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑2 tter of signature authorization. -------------------------------------------------------------------------------- 5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------. Z ❑26. Letter of intent on building use. -------------- ---------------------- ❑27. Manufactured Home utility clearance. - --------------------------------------------------------------------------- 0 - ❑28. Existing violations and/or expired permits- ------- --------------------------------------------------------------. ' 1129. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- (Date) E130. Other: ' F� When you issue the permit) process as follows 11 Mail to owner, ❑ ail to contractor. ❑ Telephone y 5'" J and hold for pickup at= office. ❑ Deliver with inspector. �( Apphcant\�Z-&qni (� Date: rla Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departm Air Pollu ' n Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department ❑ er: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: , Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter; by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: p` Date: — / Sets of plans on hold in ❑ Plari Cabinet, 13A.P. folder. Note transfer by: Date: �l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 4, _ Ir E.H. USB ONLY Plot Plan Attached Floor Plan Att ched P-5 Sent to B.D. Avg 1267 39-360—a74 Owner Location AP# Plan Approved for: Sewage Disposal . Water Supply: Public ->r Private Well Clearance for g OtherIF Hold final for: Final clearance O.K. for: NOTE: C • 8ez4o /e -a • / fysTl Environmental Health Specialist Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder' building permit has been applied for in your name and bearing your sire, Please complete and return this information at your earliest opportunity to avoid unneeeasary ddiW in processing and issuing your building permit No building permit will be issued until this verification is received 1. I personally plan to provide the or labor and materials for coaswuctioa of the proposed property imp t : YES NO C3 2. I HAVE HAVE NOT O signed an application for a building permit for the proposed a�oelc. 3. I have co, son (ban) to provide the proposed 000stcucdosc' NAME:` ... .. •;.. s ADDRESS: PHONEi T'RACTOR'S LICENSE NO. 4: I plan to. provide portions of this work, but I have hired the following -person to 000e+ok supervise, andpr Mde the major work: ~• t NAME: ADDRESS: CITY.- PHONE: TY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons mpt"Ide the work indicated: NAME ADDRESS PHONE TYPE OF WORK.-, SIGNED: p( PROPERTYOWNER: SOCIAL SECURITY MOM, �<DA1'E:_ NATE: This Owner -Builder Verylcation Is required by Section 19831 and 19832 of &e. (-- California Health and Safety Code: This verification must be -compkted Md returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified Foryourprotection, you should be aware that as "owner -builder" you aro the responsible pang ofmcc on=* a permit. Building permits are not required to be signed by property owners unless they are personally performing &air' own work. if your work is being performed by someone other than yourself. you may protect yourself Brom posole liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. Ifyou plan to do your own work with the excepdoa of various trades that you plan to subcontract, you should •. be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other tha=t your Immediate hmily. and the wont (ioehudb g m wfah and other coca) is 5300 or more for the entire project, and such persons aro not licensed as eonomoe or subcontractoR. then you' may be an employer. ♦ If you are an employer. you must register with the State and Federal Governments as an employer and you ane subject to several obligations including state and federal income tax withholding; Axleral social securlgr tiiuoet, workers compensation' insurance, disability insurance costs. and unemployment compensation ooatribuutioos, ♦ There may be financial risks for you ifyou do ant carry out these obligations, and these risks are especkll y; seriots with respect to worker's compensation. insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Divisiou of Industrial Accidents.' _ If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work'peisonally or through their own employees, without a licensed contractor or subcoiraxtor, only under limioed cooditiors. ',A frequent practice of unlicensed persons professing to be conaactors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material perwaally. Building _emu"' e smitsare int required to be signed by property owners airless they are performing their own wwlt personally. iafdmv d n about licensed contracprs may be obtained by contracting the Contractors State License Board in your coaataunity. or at 1020 N Street, Sacramento, CA. 95S 14. Please completutw"Owner Buikler Verification" on the reverse side of this form so that we an confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. jMe ly, l C. Vi ire, C.B.O. ra Buliding inspection NOTE. This Owner-dullder•Injormation is required by Section 19830 of the California Health and So/eV Coda • _ l COUNTY OF BUTTE- DEPARTMENT,OF DEVEK ''PMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville, CaijObr-*95965 - Telephone (916) 538-7541 PERMIT Iti ,2/96) - APPLICATION AND PERMIT SESSORPARCEINn -3 - 6 - � �/ ZGM� � I BUILDING PERMIT UV/NER AA eooV OR LESS Mobile Home Facilities 3 SNE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS �• " , CONTRACTOR'S NAME TELEPHONE CONTRAC RS MAILING ADDRESS CONSTRUCTION LENDER " �U LENDER'S MAILING ADDRESS - Fireplace To ValuaAwnS Q Filing Fee E , Permit Fee EPlan-Checki/ � S "' Energy Plan Checking Fee S 3 .� ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR EN3MIEERS MAILING ADDRESS BUILDING ADDRESSRG a . • 5' PERMIT FEE PLUMBING PERMIT Fling Fee 20.0( LOT No. SUBDIVISION'SNAME - PARCEL MAP USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other sPEcisv Each Trap 7.00fr Solar or heat pump water heater 23.00 Water piping 15.00 Each gas wate hea er o ve 15.00 .pp TYPE OF WORK N New ❑ Addition/Y°l Remodel O Utilities ❑ nIn_staAllation ❑ Other ❑ Describe Work: t "� AAAAP t7� APrYYAAff o -i& � � Gas piping stem —1- 5 outlets 15.00 6. op Building sewer 15.00 [Mobile Home S G W CG?20.00 0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ " 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. Receipt No. I WHITE -0.D.S.•8.D. CAN1SOR I PINK -INSPECTOR GOLDENROD -APPLICANT EX. OCCU OUTLET OR FOfTUREs PERMIT FEE ELECTRICAL PERMIT Main Service ( eooV OR LESS Mobile Home Facilities ZOOA OR LESS Main Service ( 200A TO i000A 1 NEW CONST. DWELLING OCCUP. OR ADDNS. A ACC. RLnS EX. OCCU OUTLET OR FOfTUREs BZ SO W '''N EX. OCCU FILED APPLNS. OR OUTLETS RESIO. EA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 I PERMIT FEE _ J`- J lf6, `fl MECHANICAL PERMIT Flina Fee 1 20.00 Cool Ventilation PERMITFEE _ Mobile Home Installation Fee $ Enerav Inspection Fee/h(.�� b ./1h c`- 1 • 0 " i 1 =M&U,MOFF-MMINIVE lFw5a This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date _ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION ,.�.. 7 .County Center Drive Oroville, California" X5965 - Telephone (916) 538-7541 PERMIT NO. (Rev 6). APPLICATION AND PERMIT AS�:EssGRPARCEL Nt/11@E$,_ 3 �/ , 7U� �•1/ 20NIN45 f,/ BUILDINGPERMIT ,,fuWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME • TELEPHONE -90NTRACTURS MAIUNG ADDRESS - C. LiC S �r �.• 0- „�? _ r CONSTRUCTION LENDER Fireplace Total ValuationSin no LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee _ _ S 20.00 Permit Fee S 5"� ARCHITECT OR ENGINEERS MAIUNG ADDRESSaOlin -, Plan Checking Fee $ ec BUILDING ADDRESS RG 11 Energy Plan Checking Fee S $ PERMIT FEE j LOT NO. SUBONISION's NAME PARCEL MAP _$1061. PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap Cf 1 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as wate hea er o ve 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other New ' 13 Describe Work: 7 lAJ / t� G�Y�i.Z Zai Gas piping m ste' 1 - 5 outlets 15.00 Jr Bp Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ Cb CC .t• ELECTRICAL PERMIT Filing Fee 20.00 Main Service mon oa .ss 23.00 •3.� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business -and Professions Cade for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 20QA TO LOOOA 46.00 NEW CONST. DWELUNG OCCUR OR ADDNS. ( 6 ACC. BLDS. 3.5¢SOsa, Np REs,o' MULTI.OUTIEr @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 '•0° Ex. Occup.OUTLET OR FaTUREs BAL ® •50 Ex. Occup. ouTLEEDrsA RES,6•) EA 5.00 Temporary Service 23.00 Mobile Home Facilites 20.00 Misc. Wiring 23.00 PERMIT FEE _ 210 MECHANICAL PERMIT Fling Fee 20.00 Heating &O )5,c p Cooling,yp $',pp Hood t 6.50 JAp Ventilation , PERMIT FEi: S Mobile Home Installation Fee $ Energy Inspection Fee $ 46 . OCC CONST TYPE TOTAL FEE $ �' S HA2. 0. FEES IMP FLOOD CDF PARCEL ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON /o Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r T '16!.r.�qk .. ,.fir•., 4 r � :•� 4r• - { Y 1 7 1 yZt t l '• t r June 17, 1999 1, Wendy: Auer, give my permission for Christie Decker to pick up my building permit at the Butte County .Building Department. Thank you, Wendy Auer 1267 Orchard Way Chico, CA 95928 (530) 891-6992 - work phone r.tit�'�'�^�� .�»}.•t.1..a,.'Jr�i''i".'�.-"�..rir "Y`�'%1.w :In!Y�.•.y. ��,.'.1(,,:}.1.-r++tr�V^n75�ri+�11N��:�Y��litn�%'yf'Yi�'...NP'A ..,yrlS`rrw+'�:•"M•rr•. r�rr ni ...• , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District C (,(._S_) J Building Department No. A.P. Number ! — �� -U ( Jurisdiction: City County Property Owner (_URVII Property Location/Address Subdivision Lot No. ................................................................................................................... Residential Development Sq. Footage No of Living Mobile Home d1 ddl n/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection)' Commercial/Industrial New Addition imoor runs reviewea Dy bcnooi uismct District Identification No.tJ a 0. lav School District certifies that Sq.. Footage, "(IncludingExterior Roofed Areas) 5 -13 - Date t (Applicant) (Street Address) (Phpne Number) (City) has complied with the requirements of Resolution No. 't representing /59�_ square feet School District Representative Paid by Check # Remarks: (State) (Zip. Code) ti 7V0 by payment of $ 4 Zila, B 2926 S FULL MITIGATION _ . x• Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act' ICEGAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/98)dmm Ra4h . r Qaan" pver, 1 a 6, r7 0rC.()CU0 d, Loa -1 Ch1eoIQA- fvp 4 039 - 360-Dt7� m Environmental Health N OV - 31998 Chico, Califomia &kis+* stiff .z 2 c�a ------- APPROVED Butts ^o,.;-ity Cl • r�i� J - 1 t;4> XP� propaSec� I Yoo Prop Y'oo� L Zy� Q,drrn �(ooM G � 5 '7y' 50 U -P i 1910 .20 1 /00, 90 6a 1/0 I .I s%C0� I I � VI Q7 s s �I �I 1 J9 QAJ iE to I•F _.l J- -4-4 •-4- 4 �. to t� s• '. r 4 r 1 y` .w -• e Jm 1 ` nodddd 1 � F' "� (moi t' •��-` Environmental Health _ '� +t:;-., JAN 2 0 a. i 999 _ r ;..�... 0' o-+ Chico Califomia 1 Off) RESIDENTIAL PLAN CHECKING GUIDE aurvLt rAivULY, UUYLbX ANU MiSGF.i.LANEOUS ONLY OWNER: , . - str�.Dnv . 0?`:ele-F6j PLAN CHECKER: r A P. NUMBER Zoning requirements: (side yards and number of permitted living u"). Valuation. :. - Plans signed by designer. Proper description of work on application Existing violations on property. Items on data sheet, (Impact Fees, Environmental HeaW Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: ' Complete parcel size and dimensions. r Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard �. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). Complete to scale plan with dimensions. Required windows for. light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment Location of water heaters, heating and cooling equipment, other electrical or gas equipment Garage firewall, door size and closer (Section 302.4). - Minimum of one 37 exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing &\tures, water closet clearances and shower size. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. . Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. faj3geAae"wWor porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Header size. Sheetrock nailing inspection required? July 1996 3.2 Stairway ddailx landings, rise and ran. had clear aace, handrails (Section 1006). Guardrail details (Section S09). Brick or stone veneer (Seddon 1403)• . Exterior plaster - weep se=ssile (Section 2506). roof pitch for roof covering (Section 1501). Roof coveringtype - (fire hazard), - oam insulation = protection. 36- halls and stairways. Living area over garage - oomplete 14oiir separation requbW migarage side includingiiii6itiigWaiiiiia per• . wo exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). ^i Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duple= Energy design. Flashing at all exterior openings. C.D.F. responsible area requirement& S. July 1996 i 3.3 GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 Structural -.Calculations For.: �`'�� AR�y�� \vim �►°�r °wo. c 21$63 i. :-A REN. �� 4 tt ev LOAD SUMMARY *Use normal force method *Exposure B *Basic wind speed: 75 mph P = Ce Cq qs I Walls P = .62 * 1-.3 * 14.5 * 1.0 =..0117 ksf < 15 ft. P = .67 * 1.3 * 14.5 * 1.01= .0126 ksf @ 20 ft. P = .72 * 1.3 * 14.5 * 1.0 =...0136 ksf @ 25 ft. P = .76 * 1.3 * 14.5 * 1.0 = .0143 ksf @ 30 ft. Roofs'2:12 to less than 9:12 P = .62 * 1.0 * 14.5 * 1.0 = .009 ksf < 15 ft. P = .67 * 1.0 * 14.5 * 1.0 =•.010 ksf @ 20 ft. P = .72 * 1.0 * 14.5 * 1.0 =.011 ksf Q 25 ft. P = .76 * 1.0 * 14.5 * 1.0 = .011 ksf ® 30 ft. Roofs 9:12 to 12:12 P = .62 * 1.1 * 14.5 * 1.0 = .010 ksf < 15 ft. P = .67 * 1'.1 * •14.5' * 1.0 = .011 ksf ® 20 ft. P = .72 * 1.1 * 14.5 *•1.0 = .012 ksf @ 25 ft. P = .76 * 1.1 * 14.5 * 1.0._ .012 ksf Q 30 ft. I [, 4 ws�r2 G:. r vim. ` �i �9-�-,2�~°�✓. r .3 3 i E f y C(q 7, 57 (0 2� �K LD w el.- le Z.,Jr(!, Z r �l ?►, �� / e O it 7 1 t2 i ,057 -� C-Ce"t ll -A CIO , A�,�,j ste "c- -z . z X11 co `6 G•tJ G'�" v-7 . ('� i. O r f �i i I = , r C, 0h too , l 47-7 C.OY M o . i' = (2 , ? �[ moi, y� Y, 9 G) ��i - �. 2 eq) ( 2.71/` o . r. 1 . E6vz body (Z) o = z M �,$ J O -Z 41 i 7/7 if Sly' is2 O J 5 e- ��lDO ASF . 774—evto e vxi5 ;0, CERTIFICATE OF COMPLIANCE: RESIDENTIAL (page 1 of 2) CF -1R Documentation Author Telephone Compliance Method (Package, Point System or Computer) Climate Zone Total Conditioned Floor Area ft Building Type: Y Single Family Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: North 4outh East / West / All Orientations (input orientation in degrees and circle one) Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor. (circle one or both) Date Building Omit # Plan Check /Date Field Check / Date Enforcement Agency Use Only BUILDING SHELL INSULATION Construction Component Insulation Assembly Location / Comments Type R -Value U -Value (attic, garage, typical, etc.) LVIW Roof - R 32 Roof Floor Floor Slab edge Jols Lav% v FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (SO U -Value (roller blind, etc.) (shadescreen, etc. (yes / no) (metal, wood, vinyl) Front NOM5 A10#5I Revised March 1, 1996 POINT SYSTEM SUMMARY: CLIMATE ZONE MR A U 3 Project Title Date -3 J qq BUILDING DATA Conditioned Floor Area �� Number of Stories 21 Slab / Raised Floor C�eck all applicable Unit Type condition(s): [J] Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [Existing Plus Addition SCORE CARD Measures Point Scores 1. Ceiling Insulation R 3g or R -Value U -Value 2. Wall Insulation R 15 or - 7 R -Value U -Value 3. Raised Floor Insulation IR M or Q R -Value U -Value 4. Slab Edge Insulation or R -Value F2 factor 5. Infiltration Any Ducts in Unconditioned Space? (Y ///N) nnll [f 6. Fenestration Heat Loss 1'JIV(1'1 �� ib V ! Type U -Value Total %-Fenestration Sum of 1-6 7. Fenestration Heat Gain % Sc Eff. % Shade Fenestration Shade Open Fenestration Eff. Ratio North , ig x 1212 946 �0— East L'), 6— x South 316 x = West 611 x Skylight o.5 x = ,e 'i Overhangs? (Y / N) _ 8. Interior Thermal Mass or %Exposed Slab Int. Mass/CFA 9. Exterior Wall Mass Ext. Wall Mass , — , um 7-9 10. Heating System x 8 �G AFUE or HSPF Duct Efficiency Effective AFUE Zonal Control HSPF Adjustment �- 11. Cooling System //10 x �% _ 5"> SEER Duct Efficiency Effective SEER Zonal Control Adjustment 12. Water Heating 1.2- rD Fenestration Area % North (0 ? a> g East /5.5' Heater Type Energy Factor Ext. Ins. R -Value Auxiliary Input Distribution South 9& 3� West /z/ 7 6 Skylight /X,6 Total 32 ZA 13 ,6 SCORE CARD Measures Point Scores 1. Ceiling Insulation R 3g or R -Value U -Value 2. Wall Insulation R 15 or - 7 R -Value U -Value 3. Raised Floor Insulation IR M or Q R -Value U -Value 4. Slab Edge Insulation or R -Value F2 factor 5. Infiltration Any Ducts in Unconditioned Space? (Y ///N) nnll [f 6. Fenestration Heat Loss 1'JIV(1'1 �� ib V ! Type U -Value Total %-Fenestration Sum of 1-6 7. Fenestration Heat Gain % Sc Eff. % Shade Fenestration Shade Open Fenestration Eff. Ratio North , ig x 1212 946 �0— East L'), 6— x South 316 x = West 611 x Skylight o.5 x = ,e 'i Overhangs? (Y / N) _ 8. Interior Thermal Mass or %Exposed Slab Int. Mass/CFA 9. Exterior Wall Mass Ext. Wall Mass , — , um 7-9 10. Heating System x 8 �G AFUE or HSPF Duct Efficiency Effective AFUE Zonal Control HSPF Adjustment �- 11. Cooling System //10 x �% _ 5"> SEER Duct Efficiency Effective SEER Zonal Control Adjustment 12. Water Heating 1.2- rD System 1 -56 .1 4!0 -5 Heater Type Energy Factor Ext. Ins. R -Value Auxiliary Input Distribution l T System 2 Heater Type Energy Factor Ext. Ins. R -Value Auxiliary Input Distribution Point Total. Point Goal. Revised March 1, 1996 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (page 2 of 2) CF -IR HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump, etc.) (AFUE or HSPF) (ducts, attic, etc.) R -Value T pe (split or package) Cooling Equipment Type (air conditioner, heat pump, evap. cooling) Minimum Duct Efficiency Location (SEER) (attic, etc.) Heat Pump Duct Thermostat Configuration R -Value Type (split or package) Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation TYPe Type in System or Btu/hr) (gallons) Efficiency Loss % 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 and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. SPECIAL FEATURES /REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features / Remarks section. Designer or Owner (per Business and Professions Code) Name: Title/Firm: Address: Telephone: Lic. #: (signature) Enforcement Agency Name: Title: Agency: Telephone: (date) (signature / stamp) (date) Documentation Author Name: Title/Finn: Address: Telephone: (signature) (date) Revised March 1, 1996 MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures: • §150(a): Minimum R-19 ceiling insulation. §I50(b): Loose fill insulation manufacturer's labeled R -Value. • §I50(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). • §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in raised concrete floors. §150(1): Slab edge insulation -water absorption rate no greater than 0.31/6, water vapor transmission rate no greater than 2.0 perm/inch. § 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. §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. Manufactured fenestration products have label with certified U -value, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. §I50(f): Special infiltration barrier installed to comply with § 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control lights X 2. No continuous burning gas pilot allowed. Space Conditioning, Water Heating and Plumbing System Measures: §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. �( §150(i): Setback thermostat on all applicable heating and/or cooling systems. §1500): Pipe and tank insulation 1. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/extemal insulation. 3. All buried or exposed piping insulated in recirculating sections of hot water systems. 4. Cooling system piping below 55° F insulated. 5. Piping insulated between heating source and indirect hot water tank. • § 150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 601 and 603; ducts insulated to a minimum installed R4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. §I 15: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) Lighting Measures: §150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures are IC (insulation cover) approved. Revised March 1, 1996 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 1267 Orchard Way Chico Number and StreetCitv County Subdivision DESCRIPTION OF INSTALLATION Lot Number 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R-Value) 2. CEILING Batt or Blanket Type Fiberalass_atts, Brand Name Johns Manville Thickness (inches) 13" Thermal Resistance (R-Value) R38 Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. .659 ib. Minimum Thickness 16.25" inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL Material Fibergiass_B-atts Brand Name _J9has M_anvitle Thickness (inches) 3.5" Thermal Resistance (R-Value) R13 4. RAISED FLOOR Material Fiberglass Batts Brand Name Johns Many* Thickness (inches) 6.5" Thermal Resistance (R-Value) R19 5. SLAB FLOOR / PERIMETER Material Brand Name Thickness Thermal Resistance (R-Value) Perimeter Insulation Depth (inches)i�(( 6. FOUNDATION WALL 1 Material Brand Name Thickness (inches) Thermal Resistance (R-Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) indicated the lCertificate as on of compliance, where. applicable. C.L.#499150 a.A'% LOERKE INSULATION CO., INC. Item #s Signature, Date QInstalling 1a�q Subcontractor (Co. Name) Or General Contractor Name) Or Owner (Co. Item #s Signature, Date Installing Subcontractor_ {Co. Name Or Owner General Contractor (Co. Name) Or Item #s Signature;. Date Installing Subcontractor_ (Co. Name) Or . $ General Contractor (Co. Name) Or Owner ----�-s...-----•-•lw...�^s.r�_'-r.'y�.-�+.�i�..y1`�'•coir,,:n�:.:.Fr;=i.•r�r+�-`,-+-�+'�G -.. r-vti. 1,., COUNTY OF BUTTE.,. ti� s BUILDING DIVISION`" DEPARTMENT OF DEVELOPMENT SERVICES ` 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE . t OWNER PER61T NO. <. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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. "- ~ cY .it Dated Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541: CORRECTION NOTICE OWNER PERMIT NO. E A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. if you have an pertaining p p y y questions ertainin to this matter, or need additional explanation, please contact this office immediately. ;x f c, ,Y Date / Inspector 2 REV X0/9�- f OWNERS NAME: q k ' 74 U P f- RECEIVED BY: ��. DATE: ? 9- /" 7Z A . P�# / - 3 �o ' ? PERMIT # 2iv�i .� TIME: 2 S ✓ RESIDENTIAL NON RESIDENTIAL RECEIPT # REQUIRED PRIOR TO PERMIT ISSUANCE DATA REQUESTED -BY PLAN CHECKER ENGINEERING OTHER REQUESTED BY CORRECTION YES LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: NO ITEM: Mail to owner 1 to contractor Cally �r ��-- and hold for pickup at the c office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $ 20.00 $40.00 Additional Fees Not Required r �ODENTIALL 039-360-074 92-2372 B,E AUER, Ralph & Wendy 1267 Orchard Way, Chico new shop JOB FINALED (Date) Signature i J=OK c O = Not OK = Not Applicable Not Ready �Y� 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: / /" L" ft. / / /"Nat. or/ /"L" ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged _ 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 Hing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7e'glectric 01-frmg; Sils-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11-. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date , 2'f 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 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 RESIDENTIAL (; = Not Ready ` Date UNDERFLOOR (Plans) OK except n's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 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 -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe. Test & Anchor -Nail Protection ------------------- -------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------- ------------------- 19. Shower Pan: Test. First Floor -Tub Access - -------------------------------------------- 20. Test -Tub & -Shower.--Second Floor -Tub Access ------------------ - ------------------ 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 ------------------------ ------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except tf'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 r r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- --------------------------------------------------- - 30. Service -Riser Conductors -& -Ground-Main-----Disco -----------------------o------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. -------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------ - ---- - ----- ------ - --------- 33. Smoke Detector -------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n'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 Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39. Sils. Proper Material & Anchors ----------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- -------------------------------------------------- ---------- 41. Bearing Walls over -- Girders- -& --N-Floor ailing ---------------------------------------- 42. Draft Stop in Walls (rat proof) --------------------------------------------------------------- --------- ------------- 43.. Fire --Stops: Furred Ceilings -Stairs -Chases -Tub ----- ------------- ----------------------------------------- 44. Headers & Beam -Size & Bearing , o jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -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. Insulation -Walls -Ceilings --------- - 60. Infiltration -walls -Windows ----------------------------------- - Date _ _ ___Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Date FINAL (Plans) OK except k'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. ---------- - ------72. Garage Fire Door: Swing -Landing -Closer •-------------------------------------- - 73. A.C._Duct in Garage -Damper 74. Wir. Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------------------- --- - 76. Elec. Receptacles in Garage: (G.F.I.) -Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - 78. Guard Rails & Deck -Co nst ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-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. ----------------------------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 ------------------------------------------- - --- --- Date Card B-1 Date Card B -1 ------------------------------------------------ ------- Date Card B-1 Date Card B-1 •------- -- ------------------------------ Date Card B-1 Date Card B-1 Comments at Final: a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve--Qrovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBTR 039-360-074 ZONING SR -1 BUILDING PERMI OWNER Wood ,, TELEPHONE 345-6711 SO. FT. OCC. BUILDING VALUATION 1.560 28 080.00 owNERS MAILING 1267 Orchard Way. Chico 95928 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 28.080.00 LENDER'S MAILING ADDRESS __77S Filing Fee $ 15.00 Permit Fee $ 236.00 ARCHITECT OR ENGINEER ICENSE N0. Plan Checking Fee $ 118.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $369.00 PLUMBING PERMIT Filing Fee 15.00 1267 nrrhnrd WAV, Chirn Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping ' 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other Shop SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New LXi Add ition❑ Remodel❑ Utilities[:] Installation❑ Other❑ Describe work: Shol _ 1 11 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESOR S 18.50 Main service 20GATO f000A) 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 .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ADDNS. % ACC. BLDGS. 3.6S sq.ft. 1 54.60 NEW CONSTR. ULTI-OUTLET NON.RESI C>• BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p 20 751 FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 69,60 - 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 I shall not employ any person in any manner so as to become subject �l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 9 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 said County Xnseqne of the granting of this permit. X—� _ 2, Date signature of Applicant —Contractor 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 $ 438.60 t,Az 1 DFEES I IMP I FLOODCDF PARCEL PD D ISSUE This permit is hereby issued under the sions of the Butte Cou y Code and/or work indica a e or which fees I OF PUBLIC By !n -. PERMIT EXPIRES Date g. 3 - applica 'le provi- � resolutions to do have beenaid. p WORKS Date q ,3 Receipt No. 117537 WHITE -D. P.W„ YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD, -APPLICANT 145-IlArri n • 9191 y " • t'r ry^r zalr. rrag�e}f'1771�r+' r-• «QtY A o �.3, R;.. r - ,ti, A V COUNTY OF BUTTE - DEPT OF PUBLIC'YVORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OIRAVILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-754 t, 4/ r PERMIT APPLICATION DATA SHEET f� �j'' �j Y, (� OWNER T! V `� W�/�' �/ 7 /7'(/3� `�"+4. A+. P/. DJ_0.(/ �/ � �7 / Proposed Building Use Building Inspector Date / At time of permit applications, I wasadvisedthe following data must be submitted prior to permit processing and/or issuance: 7 DATE RECEIVED DY 1. All items have been submitted ............................................ 2. Plot plans, 3/4 set?, 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). .... 7/23 /9'Z ) Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . ............................. . =,Q2. California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year fl o ) �Ccilo rnia Engineer................... 14. Sanitation and plot plan approv Health Department. .. ' 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). . . Pre -Inspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). . 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement .............. . 25. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .................. i ...................... _7� 3T Z V14ui 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/ issue the permit p o e as follows: Mai o owner. Mail to contractor. Tele ho 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 pernyt issuance: (Circle new item not checked above). ,. s 1. Index permit for above items Nc t 2. Additional items required: m;31 , , -,nF.a , ; z `y;:i=v_.,ls ��n,jy}hy ��`r-� a `. Contractor, designer train was advised of above required data by C/ phone _mail Counter byi�W Date Z Z Contractor, designer, o�iivrrier, was advised of above required data by _ phone _ mail Counter by _ Dat6 Plans checked by til Date '76-7_ Plans approved by (- 4 Date cfZ Sets of plans on hold in File cabinet AP folder �� Copy - Department of Public Works °.: APR 04 �' 94 10: •51AM AT&T FAX 9015PF � � ;2' APR' 19 01 08:36 PGL BLDG. PROD, SAC. P.2i3 APA E&M.,� Certificate of Conformance Certificate N? 9248 —91 THE UNDERSIGNED MANUI"ACfURER HEREBY CERTIFIES that the structural wood products Identified below and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specllications Indlcated below, a ANSI Standard A190.1-1983, for Structural Glued Laminated Timber Dennis L. Ddrville 1267 Orchard Ln Chico" CA 959528 I Job Name PCL BLDG PRODUCTS Job Location SACRAWNTO, CA CuaWmer'e Order Nm ,,,30.1-29972 Date 2—?5_ g3___— Mtgr'a Order No. 2422—C Signattue PROOF LOADED END JUIN'PS Tltlo QUALITY CONTnOL s. Companyr1OSSOA0 LUMBER CO. Address _ SPPnINGFIELD, OnEGON . ...� - Date 3 -2 -93 -- IT IS HEREBY CERTIFIED that the structural glued laminated Umber production of the above-named manufacturer which carries a cullet. -live mark of Arnorican Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit aartculstirtg of the inspection with reasonable frequency of the manufacturing process, with adoquate campting to verify the quality of glulam construction and the adequacy of glue bond. byL/�-,-- Michael 13, O'Halloran Pixecutive Vice President t - AMeREM WOOD SYSt19M3 —A AELAI 90 CORpOnATION OF AMEnrAN FLMOOD A%0CUTION it COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ' 747 Elliott Road, Paradise— Phone: 872-6307 3 CORRECTION NOTICE P -3 �2 IT 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 correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. biz- 6�iPtIri _ f7ftrhIT Sd C0ry-fLiTrL W\Ta \^J D(a\�S- Date— �- I, -! L' Inspector Alwll-)" COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit, will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) signed an application for a building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following.person to coordinate, supervise, and provide the major work Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Tvnp of Work Signed: Property Owner Social Security Number - Date NOTE: This Owner -Builder Verification is sent to you as required -by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. TO _..,..•. ' Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance ., i. - f Owner r -a -� d --l. Location AP# Plan Approv®d for: Sewage Disposal Water Supply Fold final for: , • Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other-- G� LhE4Q NOTE * * * Sanita ian Date is v ED AtQ1 r rovifonm butte -0 a�T Gv ......... �Q 3b ob 47� 2t IF ..a. �Q 3b ob 47� Q) O k 7"-1 N M"it- w d"I N,:3*-;-?!,i"!J, i" �artn hip 'hq,11 T.', 4 g Oad tn:p NA.%�W-vd C� I �:.�. i rl 2 This set of plans End speoif,*catio-Is MUSt wept on the job of Q!!, �IMCI-s it is unle wful i o n, d"ke any chcngos or i.AIerviions on some ri-600 viftiffen.penission fr-or, -Ithe Deparfmenf o P" A%- Works, County of Buffei f Location of structures A . equipment shall be as shown & clear of all easements. 5' 5 1 DE + 6' eeA e yAr 0 seMAclrs -1 r O rn 0 0 Z va M M z -1 r O .......... P� low N. . 30 h WALL. r -Te.- (lMKIS W A$ &X tlocL-v 112 194 P, LL FOLIA) DM " 1 "Fd / F1,. - pr.!" roe 1 -1 LL BUTTE COUNTY "S is &IFC i PIE yo I I�tl Vvi es14 .9- o C61 P606 o�� (J�2 I� SSU SGS I 1-04 C913AR C()OL'T- 10 FlrCn. h WALL. r -Te.- (lMKIS W A$ &X tlocL-v 112 194 P, LL FOLIA) DM " 1 "Fd / F1,. - pr.!" roe 1 -1 LL BUTTE COUNTY BUILDING DEPARTMEW .AvvmvVED I is BUILDING DEPARTMEW .AvvmvVED I Te�s3c� - see .Oc x" AT" -D �� 5pir►.7 � I� a _ & P; dv;cio.:�2" x 7 �J"'anc gar 'aaolf € 6' 0 C.- max. and within 12" cf joints. . Fra mit PLAN 4y 1 C)►r/ 3gKia2 ace Z4.I~V4 /// BUTTS .COUNTY -DING DEPARTMENT . �PRu" VED Sc.aIY. "9,s S % o wu ( }�•i '�f! 1. F.• i 442 (17x ?64) G ( 0>1 MU'P r."pA 69,P JL4 � fir¢ Frir�ncr BUM P; dv;cio.:�2" x 7 �J"'anc gar 'aaolf € 6' 0 C.- max. and within 12" cf joints. . Fra mit PLAN 4y 1 C)►r/ 3gKia2 ace Z4.I~V4 /// BUTTS .COUNTY -DING DEPARTMENT . �PRu" VED Sc.aIY. "9,s S % o wu ( }�•i '�f! 1. F.• i t - TOP CHORD 2X4 FIR -LARCH fl BOT CHORD 2X4 FIR -LARCH 01 WEBS 2X4 FIR -LARCH Standard CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH REOUIREMENTS OF I.C.8.0. RESEARCH REPORT 02949. ALL PLATES ARE CENTERED ON JOINT UNLESS OTHERWISE INDICATED. SEE_ORNGS. 130 G 160/16OA-F FOR TYP, PLATE LOCATION DETAILS. -TOP-CHORD SHALL BE LATERALLY BRACED -WITH PROPERLY CONNECTED f PURLINS SPACED AT A MAXIMUM OF 24" O.C. NOTE: 2X4 03 HEM -FIR OR BETTER CONTINUOUSLATERALBOTTOM CHORD BRACING 0 72"-MAX.-O.C. REOUIRED: — ATTACH WITH_ t 1.)2 -164 -NAILS. .BRACING IS NOT REQUIRED IF A RIGID CEILING ?` IS ATTACHED DIRECTLY TO BOTTOM CHORD._rBRACING MATERIAL 6 TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A SUITABLE .I SUPPORT—BY—ERECTION CONTRACTOR. -- _ 2.5X�(Fg) I. V 2.5X4 (F9) TC X -LOC L -R ' 9' 88 10.33 15.08 19.84 24.59 29.88 BC X -LOC L -R: `- 0 29 7,;81-15.08 22.35 29.88 PROVIDE FOR HORIZONTAL MOVEMENT AT ONE SUPPORT. (U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD. ALL TOP CHORD SPLICES OCCURRING BETWEEN PANEL POINTS ARE TO BE LOCATED AT APPROXIMATELY 1/4 OF PANEL LENGTH FROM PANEL POINT (WITHIN 121 AND SHOULD NOT OCCUR IN PANELS NEXT TO A PANEL POINT SPLICE. CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NOS TABLE 8.18. 1 RUT i E COUNTY CA 2.5X4 (F9) R-10290 W- 3.50' a N V r REV, 15.5.5 bUALt - U.zaUU DESIGN CRIT: UBC REF 8427--30986 15-1-0 DATE 03/19/92 ORWG CAUSR427 92079008 CA -ENG - 0/A LEN. 30-2-0 DUR.FAC. 1.25 PITCH 6.0/12 30=2=9 OVER 2 SUPPORTS *; R-1029# W- 3 y . i 4 PLT. TYP.-ALPINE SEON- ' ';r0 FURNISH A COPY OF THIS DESIGN;"TO'ERECTION 0 0 0 0 0 0 ALPINE ENtNEEPEO PRODUCTS. INC. *WIMPORTANT*lf RESPONSIBLE FOR ANN ' TRRSSE6 ACQUIRE.exialHE CARE WARNING 111 14A m O.'"'EREmoM ANO SHALL NOT 9E DEVIATION FROM 11419 DESIGN OR THESE SPECIFICATIONS. OR ANY SPACING. SEE 1418.91 BV IPI. SEEIMIS DESIGN FAILURE 10 BUILD TN4 TRUSS IN COFORMANCE W11H OS189 SY IPI FOR ADOIIIOIIAL SPECIAL PERMAHENI:�NCINO RE ALPINE CONNECTORS ARE WAGE OF 2004 GALV. STEEL MEETING ASIR OUIREMENtS. N0.ESS OTN WISE -4 NOICATED. TOP A446 GO A EXCEPT AS NOTED. APPLY CONECTORS 10 EACH FACE OF CHORD SHALL BE LAIERALLY-SRACED.WIIH PROPER ATRUSS TRUSSAHO UNLESS OTHERWISE LOCATED ON THIS DESIGN. POS11tOIl LY ATTACHED PLYX000 SWAT01MV6011014 Cmuvo CONNHECTOPSPEP DRAWINGS U0. ISO C 160A -F. DESIGN STANDARDS TPI. AN WITH PROPERLY ATTACEO-01410'CEICU10,-- SEE ALPINE Itt"11CAL 1P0A1E*11/.1/911NFOR PROPER CONIrdM W/APPLICABLE PROVISIOS Or NOS 6 ENGINEER'S SEALDNN 1H1S pUWItO APPLIES TO TSE CGIPONENT DEPICTED HERE DRYWALL APPLICATION.SFUMISM, ACOPY OF THIS 1" 2!11, ►Nq SHALL HOT BE IELIED UPON IN ANY OHER MAY. DESIGN TO THE TOM ERECTION CONTRACTOR, 0 0 0 0 0 0 .__tPN . IRuss aur ImtNm1F_ Nes - 1991 NATIOWL DESIGN STKtlFICAIIOM FOR 0000 COMIAMT1014 1 RUT i E COUNTY CA 2.5X4 (F9) R-10290 W- 3.50' a N V r REV, 15.5.5 bUALt - U.zaUU DESIGN CRIT: UBC REF 8427--30986 TC LL 16. 0 PSF TC DL 10.0 PSF BC OL (U) 5.0 PSF TOT.LO. 31.0 PSF DATE 03/19/92 ORWG CAUSR427 92079008 CA -ENG - 0/A LEN. 30-2-0 DUR.FAC. 1.25 PITCH 6.0/12 SPACING 24.0' TYPE COM-- TOP CHORD 2X4 FIR -LARCH 01 BOT CHORD 2X4 FIR -LARCH 01 WEBS 2X4 FIR -LARCH Standard CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949. ALL PLATES ARE CENTERED ON JOINT UNLESS OTHERWISE INDICATED SEE ORWGS. 130 6 160/16OA-F FOR TYP. PLATE LOCATION DETAILS TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY"CONNECTED PURLINS-SPACED-AT`A-MAXIMUM-OF-24--O.C. rNOTE:^2X4-#3-HEM-FIR-OR-BETTER-CONT-INUOUS-LATERAL BOTTOM iCHORD_BRACING @ 72" AD.C. REQUIRED. -ATTACH WITH i 2 16d -NAIL'S. BRACINMG h_NOT- REOUIRED. IF A RIGID CEILING A IS ATTACHED DIRECTLY TO -BOTTOM CHORD'; BRACING -MATERIAL `i 0 BE SUPPLIED AND ATTACHED AT'BOTH"E.�IOS-TO-A-.SUITABLE iSUPPORT'BY-ERECTION CONTRACTOR. 4 TC X -LOC L -R: 0.29 7.99 15.00 22.01 29.71 BC X -LOC L -R: 0.29 10.18 1.9.82 29.71 (U) BOTTOM CHORD CHECKED -FOR 10 PSF LIVE LOAD. ALL TOP CHORD SPLICES OCCURRING BETWEEN PANEL'POINTS ARE TO BE LOCATED AT APPROXIMATELY 1/4 OF PANEL LENGTH FROM PANEL POINT (WITHIN 12") AND SHOULD NOT OCCUR IN PANELS NEXT TO A PANEL POINT SPLICE. CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS TABLE 8.18. 12 -0-Q I _ 15-0-0 �i5pyp�`:�1' -12-0-01 30=0-0 OVER'2-SUPPORTS R-10240 W- 3.50' R-1024# W- 3.50' PLT. TYP.-ALPINE StUN-- 40b72 HtV 15.b.5 bUALt - V.dDVV C O O 1= O C O O O C7 uPINE ENo1NEEiEO TMNiDUCTs tNC. **IMPORTANT** SHHALL MOT BE TESPONSIBLE FDA ANY DEVIATION FROM THIS DESIGN OR THESE SPECIFICATIONS. OR ANY TRUSSES REQUIRE EXTREME CAPE WARNING IN HANDLING. ERECTION AND BRACING. SEE HIB -91 BY TPI. SEE THIS DESIGN DESIGN CRIT: UBC REF R427--47459 TC LL 16.0 PSF GATE 05/27/92 O O O o G G O G FAILURE TO BUILD THE TRUSS IN CONFORMANCE MIT" OSTBB BY TPI ALPINE CONNECTORS ARE MADE OF 2O0A GALY. STEEL MEETING ASTM FOR ADDITIONAL SPECIAL PERMANENT BRACING RE OUIREMENTS. UNLESS OTHERWISE INDICATED, TOP TC OL 10.0 PSF ORWG CAUSR427 92148001 O O O O ALPINE G "'I C= TRUSS C o f— = = o o AAAB 0 A EXCEPT AS NOTED. APPLY CONNECTORS TO EACH FACE OF TRUSS AND UNLESS OTHERWISE LOCATED ON THIS DESIGN. POSITION CONNECTORS PER DRAWINGS 130. ISO C IGOA-F. DESIGN STANDARDS CONFORM M/APPLIC ABLE PROVISIONS OF NDS C TPI. AN ENOINEER'S SEAL ON TNI; DRAWING APPLIES TO THE COMPONENT DEPICTED HERE IN MNLY. AID SHALL Ila T BE RELIED "I IN ANY OIIER MAY, CHORD SHALL BE LATERALLY BRACED 011H PPOPEI$ LY ATTACHED PLYWOOD SHEATHING. BOTTOM CM1AD WITH PROPERLY ATTACHED RIGID CEILING -- SEE ALPINE TECHNICAL UPDATE IT/1/01) FOR PROPER DRYWALL APPLICATION. FURNISH A COPY OF THIS I DESION t0 INE TRUSS EAECIION CONTRACTOR, CA BC OL (U) 5.0 PSF TOT. LD. 31.0 PSF CA -EN 0/A LEN. 30-0-0 OUR. FAC. 1.25 PITCH 6.0/12 SPACING 24.0" TYPE COMN-- F --IPM - 1R164 PLAIF N6TIHNTF_ INS . IPRN wtidHUL OrsIW1 SPFctrlcAlmN rm soon cRNBTAl6imI 5/7 8/y t- July 9, 1992, Butte County Building Dept. 7 County Center Drive Oroville, CA 95965 To Whom it May Concern: The shop we are building at 1267 Orchard Way Chico, CA 95928 AP#039-360- 074, is to be used for storage only. Ralph Auer A Wendy Auer f ' 1 ' NOTES.' Lo RESIDENTIAL 039-360-074 05-0803 PERMIT NO., THAYER, BRENT - 1267 ORCHARD WAY, CHICO t Cont. PERFECTION POOLS GUNITE POOL MASTER500-01 1, I a r t i 1 c i 1 _ • r r ;s i 1 SPECIAL CONDITIONS CHECKED {.... BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Da Signature l r SPECIAL CONDITIONS CHECKED {.... BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Da Signature l . .: "—'COUNTY OF BUTTE ®w .................. . BUILDING DIVISION J . DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive e Oroville, CA -(53 )538-7541 .� CORRECTION NOTICE /§ � �� OWNER PERMIT NO. AnK_a9eion..� that the Gb%9v�lonsofBAecu� Ordinances e¥2.% the above address and should b corrected. Plea@clforrm9ei when correction of « _R is completed. If you have any questions pertaining to this matter, or need additional « explan@a,plem- n c the &LimInspector a indicated below.\ . Ail .� IV 0 �PJL, . � . .� 5« : � �\ \� . . � • l= \. . . . � . . :� 1AV te Date �mmcr. , RE 4025 Phone# ' � FOR RE|NSPECT ONI ALL 538-7636 OR 891-2834 y\ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES` 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �` uvvwth PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the_puilding Inspector as indicated below. ALOWr> VIAIA, IW'I"Al e1 //-;17 / 147�7 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 x r �'a '41 3 f Date Inspector C ��/7' L ✓%/S�l/L / rt REV 4/05 Phone # t� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 'yA' :ygty�:p�ra•+•cr+rmt--F .... ... -------Y•-. ,-�'i.'1T�4:,r �!{ry'�r.'""�sLH�,.+:t^PS'tyrb".�:.ft�''.��K'`�v.*: is COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .�y 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at • the above address and should be corrected. Please call, for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,pl con a Building Inspector as indicated below. 4. �Y g." /RKCAI Z// r t Date,. f'J ' f;. REV 2/05 Inspector Phone # '2 �" `) % C1 iy. a .. r t Date,. f'J ' f;. REV 2/05 Inspector Phone # '2 �" `) % C1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed' under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class: C License Number: Date: 3•.2: b' tib Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 'I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement (hal he or she Is licensed. pursuant to the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to.a civil penalty of not more than five hundred dollars ($500).): O I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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 (he purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsslons Code. The Contractors' Slate 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.). ❑ 'I am Exempt under Article 3 of the Business• and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: til 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. Policy #: -Z 7 Z - Ccr-0 S'Z PERMIT NO. BP050803 Issued Date: 04/13/2005 APN: 039-360-074-000 • Site Address: 1267 ORCHARD WAY CHI Map Index: Description: NEW POOL MASTER#500-01 Owner: THAYER, BRENT & KATHYLEEN 1267 ORCHARD WAY CHICO, CA 95928 Applicant: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 Contractor: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 License #: 566654 Architect: Engineer: O 1 certify that in the performance of the:work for which this permit is otal Square Ft: issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California. Valuation: and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Z r. D Applicant: /%(zL�rJ �i_c- -�> (L 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. F _a_CONSTRUCTIONLENDING'.?GENCY >This p�;rnit Is hereby issued m that there Is a construction lending agency for the Resoluli to O.o work Indic of the work for which this permit Is Issued (Sec 3097 Clv.) By� 0 S. F. $0.00 PERMIT EXPIRES ON: r' icabie provisions of the Butte Cnunty Code and/or which fees have been paid. I3 a.S : Ij Date: -T—T—_ Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification In accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate 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 the above mentioned property for Inspection purposes. /? Print Name: �1f�I-e-6 V I r .L.0 f i r �. Signature: Date: 3. a s GAS '' O Owner '12 Contractor ❑ Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK . = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Gas; MH Test -Demand -Valve -Connector 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Gas and Electricity Tagged 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft.• / P Nat. or / /" L "ft./ P LPG Cert. of Occupancy 7. Well Clearance & Disconnect License Decals 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POO lans) OK except #'s s -Easements s; Compaction -Structure Stability Pool ucture; Steel -Connections -Thickness D d en -Lining .; Receptacles and Lighting, Distance-GFI Elec.; Pool Lighting; 15 Volts-GFI 6. Elec Enclosures; Conduit Entries -Terminals -Listed ec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit Shw xz (000- 1 0 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POO lans) OK except #'s s -Easements s; Compaction -Structure Stability Pool ucture; Steel -Connections -Thickness D d en -Lining .; Receptacles and Lighting, Distance-GFI Elec.; Pool Lighting; 15 Volts-GFI 6. Elec Enclosures; Conduit Entries -Terminals -Listed ec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit Shw xz (000- 1 0 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -8lockouts-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 55. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 56. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes Cl No 57. 32. Service -Riser Conductors & Ground Main Disconnect 58. 33. Equip. Clearances Panels-Motors-Mech. Equip. 59. 34. Clothes Closet Light -Shower Light -Spa Light 60. 35. Smoke Detector 61. Brace Interior/Exterior Wall Panels Date Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date Infiltration -Walls -Windows Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 36. A.C. Ducts Insulation & Support Date 37. Vent Fan, Exhaust above insulation 64. 38. Condensate Drain & Overflow, Size & Grade 65. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 66. 40. Attic Access & Platform if Furnace in Attic Date Bedroom Exiting Card B-1 Date Card B-1 Date G.F.I. & Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection-SkylightsrPlastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ -695—+s License Class: cam_ License Number: Date: 2S Contractor: IS A�-r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors Slate License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to.a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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 Profdssions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: $ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier: S ATF 1=Jfj0 Policy #: 2 7 Z - OCCO 5--19 ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: 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. PERMIT NO. BPO50803 Issued Date: 04/13/2005 APN: 039-360-074-000 Site Address: 1267 ORCHARD WAY CHI Map Index: Description: NEW POOL MASTER#500-01 Owner: THAYER, BRENT & KATHYLEEN 1267 ORCHARD WAY CHICO, CA 95928 Applicant: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 Contractor: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 License #: 566654 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Bulla County Cody♦ endlor 1 hereby affirm that there Is a construction lending agency for the Resoluti irls to 0o work Indicated above or which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 CIV.) Date: Name: By PERMIT EXPIRES ON:— Address: Da ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of 8 to County. I hereby authorize representatives of` (Butte• County to enter upon the above mentioned property for inspection purposes. Print Name: (2 6 f " I ✓ F f–CSI-i r (L Signature: rr Date: 3 Z s- C3S� ❑ Owner -t" 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 OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last N City C44 (� FirsL�ee Address l 6 7 ® (? C.t P4( -D t„ t4 t,( City °i�� E mail State X74" Zip Phone Fax Fax E-mail State License Number CONTRACTOR Name Address (i2 t S City C44 (� StateG Zip Phone �5 005 Fax E mail Lic. '5664S-4- C8s�-3 i APPLICANT SI,6NATURE X (L., — For office use onI ARCHITECT/ENGINEER Name ALAddName CAL- Address ress rt- S I City 1co State Zip Phone qC- 04.37 Fax E-mail ap B k State License Number i APPLICANT SI,6NATURE X (L., — For office use onI APPLICANT NAME Name City Address rt- S I City 1co State Zip Phone qC- 04.37 Fax E-mail ap B k i APPLICANT SI,6NATURE X (L., — For office use onI AP# 0 39. 36a - Zoning City Flood Zone I X I SRA IYes No _Occ. - - - ------ -- -Type Const_ - - - - Subdivision Name let,,�y ap B k P e �V Lo Planne Date Approv d: 20-v OVER FOR SUBMIT AL REQUIREMENTS K:\FORMS\BUILDING FORM IdgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# 0 39. 36a - Property Addres ' O I (t y City Cross Street DIA -146 N WORKER'S COMPENSATION Policy Number -Z-72 , <�!)o00 S -Z 9 Carrier �TA—T- :r -7v mg 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: (Z-00 tJO U N tn-- Coo e 5 Sq. Footage 3 :�S— ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received b4 ` Amount: 4 Go `7 "1 Bldg I I Page 1 of 2 SRA SMIP Date: � � W Other '4(,o7- Total REV 7-27-04 If you have questions or would like additional information regarding this process, contact a Permit Application 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 2 REV 7-27-04 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 2 REV 7-27-04 ,•�YCOUNTY OF BUT1 E -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 •K.,. 4 •NUMBERO V ' OWNER: ASSESSOR PARCEL Proposed Building Use: ±J I Permit Technician: Date: Items required in order to lapply for a permit. All boxes MUST be checkedO,R marked N in order to apply. cF 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. (/ D,i ❑ 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 andzsig ed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in. duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. 'All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13:'Acknowledgement of building permit application without required clearances. } ❑ 14. Other P Rempining itemsneededto issue the permit. (May require additional plan review upon receipt of the following items.) CA* 1p15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable s ❑ 16. Fire Sprinklers.......................:.................................................................... _ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... , ❑ 19. Erosion C6ntrol Plan Required........................................................................ f ❑ 20:- Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 023. California Department of Forestry Ian approval ❑ paid. Sent by: , 24. Planning approval for (A) Use: (B)Parking:.(C) Parcel Check:..G_ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ` 26. NPDES Form............................................................................................. �! ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ _ 35. ❑Legal descri tion, ❑ M.H. Title, title search, registration or MCO ........................ 36. Other: fmol o ntOKAY-s)n...;o (t () ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. _ Applicant: -1)M Gt> Date: 1. Index permit application f r the above items numbered: QW Plan Check L tter 2. al items required i on racto designer..ow er, was advised of the /love data by phoney ❑ mail, ❑ counter, b Date: �J �� .,± or; designer own r, <was a vised of thee bovb data by< -q; phone, ❑mail, t❑ counter, by Date: Contractor designer,, owner, was adviseaof the above data by ❑ phone, b mail, ❑ co nter by Date: Plans revie` eddtby: _ �..-- I !, Date: Plans -approved by: Date: Structural,reviewed•byl rl-'/(../7 Date t 4 86c-tural approved b : Date: Note transfer by: Date: Yellow: Building Division 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 www.buttecounty.net/dds OWNER: ASSESSOR PARCEL NUMBER ® v -- 5Q-0 Proposed Building Use:Permit Technician: Qmkk Date: Items required in ordert apply for a permit. All boxes MUST be checked OR marked NA in`orilef 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. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings. ❑ 12. Hazardous Material Form. ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) � 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers ❑ 17. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 18. Soils Report and/or Engineered Foundation required. ❑ 19. Erosion Control Plan Required. ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 21. City of Chico Plumbing permit. ❑ 22. Site plan and business license approval from the City of Biggs. ❑ 23. California Department of Forestry plan approval ❑ paid. V 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 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 descriptionh❑ou.JM.H. Title, title search, registration or MCO &K 36. Other: ema-nof k&'s ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: l Jir0�0 �' �ZT� Date: 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, and other department costs are not refundable. Original -Applicant E.H. USE ONLY r 'Flat Ran AnzcMd Floor Ran Anachad T Santo 8.0. / TO: Building Departrne.nt FROM: Environmental Health SUBJECT: Sanitation Clearance _ l2 k-(1- Z O ner Location -AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: w Environmental Health Specialist 8/96 Date p�Q pR!�!!ENT 9W o�vTrFo I, 0 0 0 _ o Q 0 0 c0UA. N�y Department C o u n t J. Michael Crump, Director 11 of Public o f B u t 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 Watertion Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Description: VIL Nr) Project Location and/or Parcel Number: 031--360-014- 213 7 6 F-c-VA#sP W,4%( (L- -(Ic o 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 L 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 Stone 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. x7 Signed: Title: Date: J t than 1 Acre NPDES & SWPPP Compliance Certification z RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Kathyleen Thayer and Brent Thayer 1267 Orchard Way Chico, CA 95928 . 7. A. P.N.: 039-360-074 ILII I II II I � I�� I Illi � II I III I N �I li 2005-00Q)4 1 85 Recorded I REC FEE i0.00 Official Records I TAX 500.50 Cou_ntyEOf CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathyh 09:OM 24 -Jan -2005 I Page 1 of 2 Above This Line for Recorders Use Only File No.: 0401-1572756 (DMP) GRANT DEED The Undersigned Grantors) Declare(s): DOCUMENTARY TRANSFER TAX $500.50; CRY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $-0- x computed on the consideration or full value of property conveyed, OR computed on the consideration or full valueless value of Ilens and/or encumbrances remaining at time of sale, x unincorporated area; [ ] Cityof Chico, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ralph Gunter Auer and Wendy Marie Auer, husband and wife as joint tenants hereby GRANTS to Kathyleen Thayer and Brent Thayer, wife and husband as community property with right of survivorship the following described property in the unincorporated area of Chico, County of Butte, State of California: THE WEST ONE-HALF OF LOT 36, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "STANLEY PARK", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1906, IN BOOK 6 OF MAPS, AT PAGE(S) 105. Dated: _ 01/19/2005 Ralph 1306nter Auer Wendy Marie er Mail Tax Statements To: SAME AS ABOVE A.P.N.: 039-360-074 Grant Deed - continued File No.:0401-1572756 (DMP) Date: 01/19/2005 STATE OF California } )ss. COUNTY OF Butte } On A-Wtr,s _ _ before me, T MA&MV F'mHG personally appeared personally known me (or p ved to me on the s s of tisfadory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. L. AA , ES This area for offlow COMM.11443699 notaNa/sea! LNOTARY pU8LJG-CAUFORNIA ' Signat a COUNTY OF BUTTE Comm. Exgtn4s Oct 21.20D7 My Commission Expires: Notary Name:.J . Ad Ales rR-rt !Votary Phone: Notary Registration Number: County of Principal Place of Business: 121'3 J Y" s✓ J J J J J J r�7 J u � t J \ \ Fen•• is 5' nen-cnmbable _\\exweieerun \ . \\\ Any doer 1• pool on ahrm growler lfran i5dY Gates 1t pool are seiNatchins, open outward PW not bunt on any easement J J SrW Thayer 1267 Orchard way Chko, CA 345 -525W504 -00n :iwtlK J Pool Ge al Specifications Sin: 31` _ x _ 15' Square F•etage: 325' T -W Filler DE 3g' I'mW 2 speed whkpeAkw Skbnm•r medal: S"ft Desk: SW sq. 1t. Main Drain: Double Lyryh 500woltwhne CI•Nce- dl,ile intemratic ElockiCidb : turf etkn ElecYk:al bending: ftrfecbm Pool Cleaner: hark 260 Chl•rinatsr yes, rainbow Board: no Sid•: no Plaster, whM • Xtep stub for tutus waterfall PERFECTION k TU. E. Zen M.K craw G s>t.aw.«n aLIrrE coarNjt 4UILDINC3 DEEPARM' nPPHC?dFr