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039-370-092
BPEM r p-092 .. . .. . .. .. . .. "I'll'I'll""I"����������.��""���������,� . .. . .. . .. . 93 ��-- 0311) HOILAND? STEN CO z - t 1725 DAYTON RD, CHI ANEW SF. - 039-370-092 03-3488 RUTHERFORD, JAN y " t`r=AYTON RD, CHICO Cont: EXECUTIVE HOMES MHu ELECTRIC i 'GAS LINE COMPACTION TEST REQ_ ' SUPPORT STRUCT REQ 039-370-092 RUTHERFORD, JAN 03-3529 a. DAYTON RD, CHICO CONT: EXECUTIVE HOMES f .. MHI C►�Y"" t • "7�2 -r 039-270-092 04-0479 HOILAND, STF,N 1725 DAYTON RD, CHICO Cont: EXECUTIVE HOMES ELE SER/MH eBuzi-12-fu W9-3 U92 MISCELLANEOUS Demolition DEMO EX MOBILE' (WAS AN AUNT 1\ 1725 DAYTON RD RUTHERFORD, JANET M - D 0 • r t t i e 0 • r t t t 039-370-092 '03-3529 RUTHERFORD, JAN 1725 DAYTON RD, CHICO ' CONT: EXECUTIVE HOMES MHI q\.W-u WPi3 ��oq �a �Ps3 OFFIC COPY I Address (( GAS GAr/ ( z7 Meter By Date ELECT RI (/ Meter By Date t OFFIC COPY I Address (( GAS GAr/ ( z7 Meter By Date ELECT RI (/ Meter By Date •� r COUt1T1(60BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 07 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Re 12/96) APPLICATION AND PERMIT°',�� ASd3 C0. NUMBER PiJj71VVL"'-o9f7. ZONING M - BUILDING PERMIT OWNER JAN RUTHERFORD A-5-3626 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 11611 C DOWKNG AVE CHICO CA CONT OR'S NAME891 6992 w TELEPHONE C0Rw3042 ESPtAJdA 1959,73 CONSTRUCTION LENDER / 1 I Fireplace MENDER'S MAIUNG ADDRESS ^H6fEOTOR Total Valuation is ENGIN Ei� r t LICENSE NO. Filing Fee $ 20.001 Permit Fee $23.00 ITECT-OR<ENQINE 5 MAILING ADDRESSi t J� �' 1 ) - Plan Checking Fee $ BUILDING ADDRESS " J \o( 1723 DAYTON RD CHICO Energy Plan Checking Fee $ 17! 11 It PERMIT FEE1 S 43.00 / f LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee -20.00 Each Trap / ��� , f 7100. I i . , ✓, U EOST T RE Duplex 0- �Mobilehome 0 Otheri SF ❑ 4 � 1 -N ^ . SPECIFv - 23.00 Solar o`r heat' um water heater V1lateri.pipiAgg 15.00 ' Each gas water heater Or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOBILE HOME MAUATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 i it ` I ' ' + PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Rss Main Service '.."A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full Circe and effect. /J /� L License Class "' 4 Lic. No. Ir :V✓ / iii 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. I BA 6, tun er ec. I Bust ess and Professions Code for this Q .Imp S _ \ area pn ��., WORKERS co,IPENSAT(ON 16ECLARATION I hereby affirm under penal ,perj ,}ry one ofithe Ulowing declarations: ❑ I have and will mainta n g, certiVicat o� , onsent to self -insure for workers' compensation, as provided for bid jioh 3700 of the Labor Code, for the performance of the work for which f�is permd is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work_ for which this permit is issued. My workeis' compensation Mf urance carrier a policy t1,�mbgrfere: Carrier %�,IIt' .+r�"- �"•- G� Policy Number iw% %t / 5 - / (The above sections need not fie 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 c6mply with those provisions. Date ff �" Signature of Applicant - ❑ Owner ❑ Contractor'�Q'•Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. i Main Service TO 1 46.00 NEW CONST. DWELLING GCS. ,3 50So. WE U ( Fr NEw cors . mu ET NOµRaIp, C .'' @7.50 POWER APPARATUS d SINGLE OUTLET CIR. OUTLET OR FDRURES 20 @ 1.00 Ex. Occup. BAL @ .50 FIXED APPE.,6 Ex. Occup.ouTLETs RESIo.OERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ' " PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating — Cooling1 f Hood . 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ • Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D FEES IMP I FLOOD I CDF I PARCEL I PO HO 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 li_ /1 Date Ai�x PERMIT EXPIRES ON 7 (P,7.) 7 ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I DIVISION OF CODES AND STANDARDS / 8911 FOLSOM BLVD SACRAMENTO, CA 95826 (916) 255-2501 TIEDOWN SYSTEM CERTIFICATION (To be completed, by the mobile home installation permittee or their representative) i rinfnam'e and Title)' hereby certify under penalty, of perjury and in accordance with the provisions of the CaliforniaCode of Regulations, Title 25, Division 1, Chapter Section 1326 t t t tiedown system installed at , i e r . d� i C t: (Address) (Lot No.) (City) (Zip) was not modified prior to or during the installation and was installed in accordance with the tiedown manufacturer's installatio structions or in accordance .With plans and specifications of an engineered tiedown system. `(4 L/ (Signature) ' (Date) Note to installers: Pursuant to the CCR, T25, Section 1326(d)•upon completion of the installation of the home, the home manufacturer's installation instruction, the approval plot'plari, a copy of tfie.plans and specifications for an engineered tie down system is used, and a copy of any maintenance requirements for the tiedown system shall be placed within the home for retention l5rthe.homeowner. Department Use Only ' .Permit# District Representative HCD-NAO (Rev. 12/98) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96), ' APPLICATION AND PERMIT Q6 ASSESSOR PARCEL NUMBER 039-370-092 ZONING ., SRI BUILDINGPERMIT ` OWNERTELEPHONE JAN RUTHERFORD 3 5- h' SQ, FT, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 1611 C DOWNING AVE CHICO CA CONTRACTOR'S NAME EXECUTIVE HOMES 891-6992 TELEPHONE ' DS MAILING ADDRESS 30R 42ESPLANADE CHICO CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $23.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1723 DAYTON RD C Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOBILE HOME INSTALLATION Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S 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 Pr fessions Code, and my license ip in full J and effect. ,t� Q License Clas -.2/ Lic. NO. 61 ( "V 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 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 or Code, for the erformance of work for which this permit is issued. My work o en tion . sur ce car policy �re: Carrie % Policy Number (The above sections need no' a competed 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' mpensation provisions of section 3700 of the Labor Code, I shall forth h mply with rovisions. f X Date r/ 0 Agent Sig ure of Applicant - ❑ Owner ❑ Contracto�oopp An OSHA permit is required for excavations over 5'0" and demolition or construction of structures over 3 stories in height. Main Service zoOA TO 46.00so CCU000A NEW CONST. DWE CC OCCUP. SO OR ADONS. a ACC. BLDS. 3.5Q FT. NEW CONS MULTI.OUTLET NON RESID. @7.50 POWER APPARATUS a sINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES20 @'.00 BAL Q .SO Ex. Occup. oFlx s Aa D OR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. p. PEES IMP I FLOOD I CDF PARCEL I PO HD SSUE 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. B ,tQo ,1 ;3 P MIT EXPIRES ON l� U V e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT h, COtyN1Y OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION w 7 County Center Drive, Oroyille, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: G ASSESSOR PARCEL NUMBER � I Proposed Building Use: N\ (� Counter Technician: Date: ' Mems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to a ply. 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. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes<'( 9ata sheets and installation inst�•Marriage line info,'��, Floor Pla�) Tie down or fnd plans, all in duplicate. ❑ 7.. Metal bldgs: (A) Met dg Plans, (B) Fnd plans and calcs in triplicate, (C) Eleva ions in triplic e. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ Fire Sprinklers........................................................:................................... � 4. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by_.. ❑ 15. Other .. fining items needed to issue the permit. (May require additional plan review upon receipt o i s.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ,17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ W0. California Department of Forestry plan approval ❑ paid. Sent by: ...................... 1. Planning approval for (A) Use: -Q�K(B)Parking: (C) Parcel Check: 12-)-02 ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26-"' Contractor's license information. (Number, Name Style, Classification) ...................... O 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 3' Recorded copy of Agricultural Acknowledgment Statement .................................... @/3 1. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... eD... ❑ Grant Dee ❑ M.H. Titlertatement of F,a ts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Other:'issued Telephone C o �;-� and hold for pickup. I have been informed ojh€i3bove items anV Mq#ements for obtaining a building permit. Applicant: ``—X Date: // 1. Index permit allplication for the above items numbered: EPn heck Letter 2. Additional items required Contractor, designer, owner, was advised of the above data phone, El mail. ❑ coun��teDate: Contractor, designer, ownewas advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: C-- Date: Plans approved by: YI/IC� Date: I Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 1 S ,. '• Sdtool District e A.P. Number �y Property Owner Property Location/Address Subdivision ... ye.,r.,i=r'Wr.+•gr'T- �c w,t %sr. �. n , _ . a . .'.5:.` {" r :�t.r t. . '- 3...1. r. i•. t %=S BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM , (One form per Building) `V Buikllng Department No. Qdurisd Q City �: ��County -/% .1/ // J. Residential Development 0 No of'Living Units • x; ,JC C,ca merc' I/Industrial--- ~ N Department Ri Lot No. taie Mobile Home i Addition) 'Supplemental to I\ (Group R Installation Conversion Permit # '(No foundation inspectbn) :: Deed Restricted Sq. Footage (Attach a signed copy of: Deed Restriction and Notice of Limited Use Facility document) Sq. Footage Addition " (Including Exterior -r 4hoofed Areas) Date District Identification.No. k � v School District certifies that v v w ti 4� 2A11 .. D_. �/ f7 (Street Address) / A / r: ?has complied with the requirements of Resolution No. representing square feet. . . (Applicant) (Phone Number) (state) / (Zip Code) J ` - �� by payment of $ JAB 2926 FULL MITIGATION `: I .,School District Repress to a kh. Date I S ; 1� Paid by Check #r , rIy Remarks: r Notlos: You may protest the Imposition of the fess Idertitied alms.by submKing a wrllt m protest to the Disbict, in compliance with Govenarnut Code Section 66020(a), within 90 days from the date fees are pald. Failure to submit a timely wrltW protest wlh'prohibh z . you from challenging the Imposition of the has In arty court scion. " If. subsequent to the School District Representative slgMng this Suns County Schools Impad Fee CerNNatlon Form, the School Disbld Is c notified by the applieWs Local Peening Apenry tint this protect Is being rwlerwd under the CaiMania Environments! Quaft Ad (CEQAh this project may be subject to additional school fess to fully nftieto.ft Impact on the school district's sdaole. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/031dmm r e OWNER PROPOS] COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 r— SCHEDULE OF FEES DUE A.P. P # i DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .......... $ 2. OL DISTRI T FE t s c ffiail e ) /0"— 3. RIFF FEES (paid at But ng Divi ion Residential ...................... x $360.00 $ �p nits Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) . 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Batta]ion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during t p an checkin.&Ptocess. APPLICAI DATE ✓/ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) 4 0 039-370-092 03-3488 'RUTHERFORD, JAN, 1725 DAYTON; RD, CHICO Cont: EXECUTIVE HOMES' MHU I- COUNTY,_OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7.County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. A. APPLICATION'AND PERMIT ASSES OPIA72 ZONING BUILDING PERMIT OWNER, .lAN � RtTIi�RF�ORD 345-362 fi TELEPHONE, S0. FT.- OCC. t BUILDING VA DATION OWNERS MAIUNG,ADORESS -.. ) 111 'C lX1i�3II�G AVE C1iIC0 CA '. CONTRACTOR'S NAME _,,. 40=11VE HOMES " 891-6992 TELEPHONE -- " - CONTRACTORS MAWNG ADDRESS z Id S1'IAY1AllE., C COO CA CONSTRUCTION LENDER � • �. ' Fireplace LENDER'S MAILING ADDRESS i } , e' j Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS , .j , ,, ;'L ` '' - (' r� . Plan Checking Fee $ 23.00 BUILDING ADDRESS J r► '- bAYTW Energy Plan Checking Fee $ $ '. ` t FV lIM �Z PERMIT FEE $023.00 LOT NO. SUBDIVISIONS NAME '- L - PARCEL)MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE ' ` SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping - 15.00 Each gas water heater or vent 15.00 ' TYPE OF WORK I New ❑ Addition [IRemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHU (NEFD ADM .pE} ) Gas piping system 1 - 5 outlets 15.00 ;f. Building sewer 15.00 ` Mobile Home S G W @20.00 "Q.QQ PERMIT FEE •{� ELECTRICAL PERMIT Fling Fee 20.00; Main Service AOR IESS 23.00 VV r LICENSED CONTRACTOR'S DECLARATION i �-'� 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.- ti License Classi—Ali Lic. No.�✓/!� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contracfois License Law for the following reason: - O 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 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. '-I ❑ 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 permitis issued. M,workers' compensation insurance carrier and policy number ares 'PERMIT Carrier GL/�.; 1J�I(�r, ./��.•, �'x_, � .� Main Service 20oA TO tOooA 46.00 ` NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. Bins. 3.50FT. Npp�= ' MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE OUfIET CIR. p @,.Op Ex. Occup.OUTLET OR FaTUREs BAL @ .50 Ex. Occup.,oFlx s A ooEA , 5.00 Temporary Service 23.00 + Mobile Home Facilities 20.00 0.00 Misc. Wirina 23.00 PERMIT FEE S 63.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEE $ Policy Number A4.1 J - X / (e 9 ,O / .. (rhe 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` �.1�/*a:J, ..» •. `1 f!f �t•Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructs n tures over 3 stories in height. lX Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $16=0 HAZ. p, IMP` !/ FLOG �/ CDF — PARCEL! .\/ i PDQ 'I HD ISSUEa _ 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. y _ _. Bf�P Vftate �rtReceiptNo. PERMIT EXPIRES ON.D.S.-B.D. /Dele / rl �, 1 7�3 (�� CANARY-ASSESSOR"I� PINONSPECTOR OLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541RMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT 63.3y � ASSES(yJrJjM8 2 ZONING SR1 BUILDING PERMIT OWNEJAN RUTHERFORD 345-3626 TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 1611 C DOWNING AVE CHICO CA CONTRACTOR'S NAME EXECUTIVE HOMES 891-6992 TELEPHONE CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO CA CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 22Z DAMN ROAD CHIM Energy Plan Checking Fee $ (%� PERMIT FEE $023.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MU (NEED ADM PERMIT) AJ y-0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 - Mobile Home 71G W @20.00 PERMIT FEE $ 80-00 ELECTRICAL PERMIT Fee 20.00 600 RLESSFling Main Service 20OVA OR LESS 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 fuU force and effect. License Class Lic. No. ���d� 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 Main Service 200A To 1000A 46.00NEW CONST. OWEwOC NG CUP. OR ADDNS. ( a ACC. S. SO 3.5QFT: NOON -EW RESID. MULTI.OUTLET @7,50 POWER APPARATus a SINGLE OUTLET CIR. Ex. Occup. ounFr OR FaTUREs 20 @ 1.00 6AL @ .50 Ex. Occup. DFIx�eEo�A REwsS ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT. FEE $ 63.00 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' co ensation insuran carrier a polic umber are: Carrier C J Policy Number --D (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 f thwit h comply with thos provisions. XDate �o� 9- Alindicated Signature of lApplicant - 11 Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demo' ' n or constructi of structures over 3 stories in height. o MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T TA FEES 166.0 6 HAZ IMP FLoo CD p HD SU This permit is hereby issued under the of the Butte County Code and/or above for which fees have ' By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ty Date p� Q d , Dete " Receipt No. 3 WHITE-D.D.S.-B.D. A - S S PINK- OR /701-APPL ANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 LE OF FEES DUE OWWR V"Ir�C�27J PROPOSED BUILDING USE v 1. BUILDING PERMIT FEES-� Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL. DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN. AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.#"-376 'G9� DATE ' la 63 . RECEIPT # DATE RE . 4�D. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the planAecking process. r APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) . ,. r �,�'"rtia.�.#'i�^'a�.--�' �.. r --•�•r «-_. .-—_..�.•..:ss.�.,.-.,.-- vs -x..-11 ...-�.,,.. .,. �. �--.......�.- �.....�.ry.....-..a,�,�•^4wN„---`i! i 01 COU N - '_OF BUTTE -DEPARTMENT O DEVELOPMENT SERVICES -BUILDING DIVISION e4 , ,`...6 7 County Ce ter Drive, Orovilile, CA 95965 Phone (530)538-7541 Fax (530)538-2140 r� PERMIT APPLICATION DATA SHEET OWNER: r L�� ASSESSOR PARCEL NUMBER 39 Proposed u'l i Counter Technician: QtTlDate: I �� 3 Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order o pply. 4l 1,itLplans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2 0 plete plans, 3 or 4 sets, signed by the preparer of the plans. 5� �1041)_/ ❑ I1 Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and'signed calculations. ❑ 44'Engineered truss.details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation 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. 'p.#' Items required for'initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and retufned to-thel lan revieWkljne�p�when required items are received. �� � • ti i I-, Date Received By ...❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ...'....n:.." ................ ❑ 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............. ......................... . . ❑ 12. Hazardous Material Form............................................................................... 13. Fire Sprinklers............................................................................................ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue_ the permit. (May require additional plan review upon receipt of the following items.) l� ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement -of IntentforNopn-heated and A/C Buildings ................................... t 18. Sanitation and site Ian approval from th Environmental Health Department ink' ..I...,.\,. ❑ 1%, City of Chico.Plumbing permit ....�..... y X ............................. ❑ .California Departm�e,nt�of Forestry, pla'h approval ❑ paid SeRt by: l ...................... a n)ng appCoval for (A) se: (, Tacking: �(C) .Pure I,6C ck: about.,❑ Improvements, ❑ Draige....� :........................ ti z NP S Form.... tac an eve opm nt..:"..`.�.`.... �.........�,.� ..�.�..��................................. a ❑ 24. Encroachment P •rm jor dr eway fronn'the Public W' Is Dept ................................. ❑ 25. Pre -Inspection f r required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... O 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... fhen❑ Granher: t eed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Otissued Telephone and hold for pickup. I have been informed offfip', above itemsMd requirements for obtaining a building permit. i— Q 1. Index permit application for the above items numb ed: - Plan Check.L-efter-•� 2. Additional items required Contractor, designer, owner, was advised of the above phone,_0mail, tbounter, by Date: Contractor, designer, owne ,was advised of the above d to b phone, ❑ mail, O counter by Date: Plans reviewed by: Date:_I `Plans approved by: I ► C. Date: Structural reviewed by: gate:f ` f ) ! ` '-=Strucfural appfovedt by: • e Date: >_ : Note transfer by: Date' tai #fir Yellow: Building Division AL --c -Y) � ,j 9 E.M. USE ONLY (:', ? ;, •r, Piot Plan Attached Float Plan Attached sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �2d 039- 3�0 VV a Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: - GIV11tJ1IIJI=IILQI I IGalul v�`wa+....• 8/96 ail ..-m m ■■■ agg, :iAlfiiYYi// ■ /o■■■■■■a■I NOON VINING ■0111 ■■■■■■■■■ ■NOON■■COMEMOTATH WR■■Ei ■/■■■■■■■■■o■ ■Ru■R■i -■■■■■N■■■ill ...■■ ► - ••'a MENso ■■■■■Rm■■NNE■ERIKKE INNNAR 1// IFN= we iii ' ■■ IW►URI L►' No mammon ■.OWNERS RE r ••13E •• r •.ENTRY APPROVED Butte County Environrqental Health Vate Signatu J Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and; in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. WL/17/MARD3 Exterior • Fiber cement siding built to resist weather damage • Full 3:12 roof pitch for exterior eye -appeal • 2" x 4" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better support • 36" inswing front entry door with deadbolt, peephole and brass knocker for your family's safety • Inswing rear door with deadbolt and window add natural light Interior • Decorative vinyl covered sheetrock wall panels that are easy to clean • Standard 17 oz. carpet in all living and bedroom areas for, high performance and low maintenance • Textured ceiling throughout (vaulted in some areas) provides an open look and feel • Linoleum at front door for a formal entry look Baths • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Recessed medicine cabinet provides convenient storage space in each bath • Ceiling exhaust fan provides extra ventilation in each bath • Window in each bath to provide natural light • Porcelain sink with single lever faucet in each bath V G IFE A T U R ES Kitchen • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Brand name appliances provide confidence and hassle -free service . - 30" free standing gas range - 14 cu. ft. frost -free refrigerator • Single -lever metal faucet with sprayer • Bank of 4 drawers provides convenient storage for your utensils • Double cell porcelain sink adds flexibility in kitchen activities • Elegant crown molding provides a finishing touch to overhead cabinets Utility, Safety and Energy Features • 30 gallon gas water heater is efficient and requires low maintenance • Gas furnace provides name brand confidence and hassle -free service • Overhead utility shelf for added storage space • Zone II insulation package for energy efficiency includes: Low -E white vinyl framed, dual -paned windows, R-22 ceiling, R-11 wall, R-11 floor • Shut -.off valves at all plumbing fixtures for your convenience • Plumb/wire for washer and electric dryer provides convenient hook-up Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. O©2003 Optional Features • Dishwasher and garbage disposal for quick and easy kitchen clean-up • Skylights of various sizes brighten any room • Recessed entry adds charm and distinction to your home's exterior • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • '/z' rebond carpet pad extends the life of your carpet • Ceiling fan circulates air for a "spring breeze" J feeling all year long • One-piece fiberglass tub/shower combinations are beautiful and easy to clean • Wood burning fireplace creates a warm, cozy home environment • Dormer options create a variety of charming exterior looks • Increased roof loads are designed for the demands of mountain areas • Sliding glass exterior door welcomes more natural light into your home • 40 gallon gas water heaters provide energy efficient hot water for your family's needs • Zone III insulation package to meet the needs of the climate where you live, includes: white vinyl, dual -paned windows, 2" x 6" exterior walls with R-33,19,22 insulation FLEETWOOD, FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 N. Pioneer, Ave., P.O. Box 1308 Woodland, CA 95776 (530) 662-3223 WL/17/JUN03 FLEETWOOD HOMES OF CALIFORNIA, INC. 18 N. PIONEER AVE. PO BOX 1308 WOODLAND, 'CA. 95776 MC# 17 Date of Mat)ufacture HUD label No.(s) PFS835324 PFS835325 Manufacturer's Serial Number(s) and Model Unit Designation WOODLAND PARK 4453A CAFL317A27094—WP13 CAFL317B27094—WP13 Design Approval by (D.A.P.I.A.) PFS CORP. This manufactured home is designed to comply with the federal manufactured home construction and safety standards in force at time of manufacture. (For additional information, consult owner's manual.) The factory installed equipment includes: °u' .05 Equipment Manufacturer Model Designation For Heating COLEMAN DGAT056 For Cooking WHIRLPOOL SF315P Refrigerator WHIRLPOOL ETSCH Water Heater RHEEM 21I40T Smoke Detector RIDDE 1275E Dishwasher WHIRLPOOL DU890S Microwave/Hood WHIRLPOOL MH6150 HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE III EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1500' of the coastline in Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increased requirements specified for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones II and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices in accordance with the method * redorrumended in manufacturers printed instructions Design roof.load zone map: _ North 40 psf X South 20 psf X Middle 30 psf Other psf NORTH .V � a COMFORT HEATING This manufactured home has been thermally insulated to conform with the requirements of the federal manufactured home construction and safety standards for all locations within Uo Value Zone 1, 2 , 3 (See map at bottom) Heating equipment manufacturer and model (See list at left). The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at outdoor temperatures of — 10 4degrees Fahrenheit To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor winter design temperature (97'14%) is not higher than —51 degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING F]Air conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.U./hour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring an orientation of the front (hitch end) of the home facing . On this basis the system is designed to Maintain an indoor temperature of 75°F when outdoor temperatures are °F dry bulb and °F wet bulb. The temperature to which this home can be cooled will change depending upon the amount of exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will vary dependent upon its orientation to the sun and any permanent shading provided. Information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this home. XO Air conditioner not provided at factory (Alternate 11) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air conditioning system of up to 6 3 , 0 0 0 B.T.U. /hr. rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this manufactured home. To determine the required capacity of equipment to cool a home efficiently and economically, a cooling load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capacity closely approximates the calculated cooling toad. Each home's air conditioner should be sized in accordance with Chapter 22 of the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN Walls (without windows and doors) .................................... °U° -06 Ceiling and roofs of light color ......................................... °U° .03_ Ceilings and roofs of dark color .....................* ................. 'U° .03 Floors........................................................................ °u' .05 Air ducts in floor........................................................... 'U° .09 Air ducts in ceiling......................................................... °U' NA ducts installed outside the home ................................. °U° .25— 2rjThAir The e following are the duct areas in this home: Air ducts in floor ........................................................... 71 sq. ft. Air ducts in ceiling.......................................................... NA sq. ft. Air ducts outside the home ............................................... 56 .5 sq. ft. fALUES 116 )96 379 Suite coullAf =� LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 December 1, 2003 Sten Hoiland 1725 Dayton Road Chico, CA 95928 CERTIFIED MAIL Re: Administrative Permit, ADM 04-08 APN 039-370-092; Dear Mr. Hoiland: Enclosed is your validated Administrative Permit No. ADM 04-08 to allow a temporary mobile home on property zoned SR -1 (Suburban Residential, 1 -acre parcels). The property is located on the south side of Harper Valley Lane, near the intersection of Dayton Road and Marian Avenue, south Chico. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Roni Thornton Office Assistant II Enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) Larry Painter Carl Durling ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Sten Hoiland FROM: Yvonne Christopher, Director - Development Services DATE: October 22, 2003 FILE #: ADM 04-08 PURPOSE: Administrative Permit for Sten Hoiland on APN 039-370-092 for a temporary second dwelling to be located on the south side of Harper Valley Lane, near the intersection of Dayton Road and Marian Avenue, south Chico, on property zoned SR -1 (Suburban Residential, 1 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home -certified under the 1974 National Mobile Home. Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to . An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Pennit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terns or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a dou le -wide mo 'le home. Permittee Signature Efate (jieph Baker Date �' Jan �uther�orci `�' I -e p 3 3,5-2 9 M HZ Building Permit Number: Q 3 - Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) • COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 C) Building Permit Number: Owner Name: t. Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and -5— feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this .site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. IN s•� H O M !E S Woodland Park Series 4453A 3 Bedrooms • 2 Baths • 1;Square Feet WN-Mu` IIIIIIIIIIIIIIIIIIIII, llllllllllllllllllllllllll, MENEM a■__�1:::=—Vii■■■■:■:■��`■•�I :: ::::::on --- ■■■■■■St • ' �p�■■■■■��u�► • MONSON • •M ■ , ■ ■■ i�� ■■■O■■I M■111 ....NEER■■■ �; :::.=HOW a � � rAIL OPT. RECESSED ENTRY �( Fleetwood Homes reserves the right to change colors, prices,. specifications, models, •dimensions and materials without notice.. Rendering and diagrams are meant,to be representative and, in keeping with Fleetwood's policy 'of constant updating and improvement; may vary from the actual home. All dimensions.are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure.,Length indicated in floorplans is floor length, only. The length of the hitch isnot included. (Add. four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND -SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. W • - U 17/MAR03 C 1. Owner's Name: r 2. Assessor's Parcel Number: DGq 3. 4. Is the site currently under hermit? Yes[ ] No Permit No. 5. Is the site an existing site? Yes[(] Nu[ ] (If yes, furnish two plot plans). /`` ' 6. What is the electrical rating of the mobilehonre? 1CO Amperes. 7. What is the mobilehonre site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehonre site? Amperes. 9. Is the main service remote from the mobilehonre site? Yes[ J No[ -'-I If it is, what is the rating? Amperes. . 10. Is there any other electric load to be serve(! by the mobilehonre site electric service (i.e. well, garage etc.)? Yes[ ] NoNj if yes, .please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Ahrheres- 11. Tylie of gas service at rnobilehome site: Natural[ ] Propanq[>q None[ ] 12. Size of as pipe at the mobilehonre site from the ureter or 1 tank: 3 _inches. I 13. What is the gas pipe length from the meter or tank to the rnobilehome? (n.). . 14. What is the mobilehorne'gas demand? r` B.1'.U. * X14 4; *(This information is not required if the pipe length is less than 6 feet on natures, g s,. r d less than 50 feet on propane). jlrIgY%; V THE OTHER SIDE OF THIS CORM MUST BE COMPLETE], N..Cr1h 'DR TO PROCESS '1'I11S 1'ERMI'I' Al'1'LICA'I'ION "', May 1995 8.5 'ii:ivi}; ::: ti:iiii:iv:•i::;}}:: ::i'i::::i::i::i':ri'+:i:: :i' 1:: 'i' 1:'<•: :: is ::•' :•i 'J: is?i; �- :: ::•.et:�:�>:�:�1.I.J1.i.R,R.. :E.t:ff..l4.:i>:: • :iU,:iM,;illk.�. • .Aaa.. >:':i:;>;i;::;i;:;>:i;:•i:?•>: 4:22•::^:•i::viii:P:i?.iiii:?4:i•ii:•i0:4ii:?•i:•:�:6.:v::?•.:v:.::::?5:,::::2•;L:•:•i:•:Li:•iii: i:::::.. n......:..+.v. :v::::.w::::::::::: i.? :.::::::............ � .. •.::. v. �::: v:............................>)...�.::: ((.........:.:::::. .... .. n.........: n.n...:......:..;•n•.:�::n:v.:�:::x::+i•.v;.��tYA4:.:2>•ii:4:4i.:i:???2?•i Nlobilehome Nlanufacturer:Rze- u mmitifacture Year: If other than single wide, rurllisll .getup Model Number:_ '4 Width: 91)(R.) Length: C7//_� 11.) T'agaloug or Expando ,Size -:— )'- On all nlobilehonles ' manufactured ager October 7, 19"73, furnish manufacturer's installation manual and structural setup sheets: FOOTINGS: Wood pressure treated or foundation grade[A],Other: SUPPORTS. Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: ' Pier Footings Sizes mid Location SINGLE WIDE PIUL'1'1-WIDE Line I Line 2 L6ne 2 ........................... Main Beano Line 2 ► ........................... ......................................... .ine 2 Luie I _ {— Line J ................................................................................................ 4,,- Line 2 Main Beams 'j ................................................................................................ Line 2 ti Line I �— .I,ag or TOple ole 4 {--Line 1 I Line 1 Piers: Size InHilluin: Spacing maximum: From ends- iaximun : Q Line I Openings Size minimum: J x L I.:ach side of openings With width over: ` Line 2 Piers: V hie 4 Piers: Size minimum: x [�7 ]. Size ininini un: i ) x [ ]. Spacing maximum: J6d Spacig naxinln: < , From ends-maximuni- < ` O From ends -maximum: Line 3 Roof Loads: (Z:� h-7 Size minimum X30 zyk3a"zy�3o z`1�'3oj 'Ly -- - Location (from front): --� 3r/rO�l- i Line 5 hoof Loads: j Size minimum: Location (frons fi-ont): — �+ ' 1 �-Uri='� i•(C:= si�. t 1 ^PT _jO�]� �` O y iFlii WE RS L •ice �a:ZtT f�,'T i FON UN,CEPSIX' 5ar F1G04 i r OP A jit �-'�M;`: kO'HC ^ I fury cx It IK/H I - -► OPT ,fir ��- , _ E�Fcoh! T t ,G_ I i CSD-,Al zibf r - - ` l v I� 1 v •� I - - = I L ! --� L� 1 r ^,o ;I \_:% x /. � 1`, L �. �. �� • . 11;. i �" j'• i lhr_ \ 1 11 REr nn( 17 T �{ �� •:e �lC.c0 I \ I �I If ii� I. \ C�M6;t7 y I� �� ✓ .:�� i�/, �`C�I` �I i' -s�O�J i2 <a ^j ; 32 i � "tI �'_ it \ ��,.,-�� rt� 000 P32 �32 " II CPT 7' 'errina a kzalar !� I1 - ji I irr I NIM'' ROO t j "Or: I� = 1 D HD %')Orr: = i ___-� r c2nL M1AfdL'rAC7URED ^i I_. ' o SO.F I_ i?l �Rl �� I; �0? SINv C J ii : wN 3CRLi. "30.! ; �uyvA^tDS I ;alr Ifii li < '�J.. r } ra �I ri l3o.v" �Q -i_ I �• ��? MAX. !ff j ?� Illc'�I j'^ ) C t (�- I, d L-• I `1 OREEZj..� j... �I T�`.t O�I I H I l'-L-- 2 1'32 3 7'-c" Z3i231�= +• /, ''.1� yy , /\ ~ 4c"I i'-10° I.3,2' 721<_c NOTc L? _ Ilr �� 7h'—y a1iU I3 h' 15'- 1} This Ilea may be bu7, as cn exact mirm-r im=e zb3ut the v ! sIzEtl�d:.:'siOcMn /cJernti6_r1c0t1e7tie�nJ_ ®� �� (•r i1�TE 'Ll �9NG-0 AI 15.-7" 15 2} A-,L=b-ibv:ary adetee Wry VzcJ inc mei _er G c,r5 AI7-10- 32+32 •''< '!1lNDCb' / DOOR n- i CESQi7- C\ lr_ gZ:��y7 ! t �� I CRIPAC: uE - �' 'r U'S Z" EC.7r^a -s : as ire _ _ iOi.AZI � �� --�� � 1 4'G Xn?-, I V. .S.i)JE= I C 7.c ri23v nAu I h�J ��C i - cr c il'VVJU J`U 11L! 0. ( L aCN nor- �j.l� _ I - bF _ y Prl- II '' rr 14^ -U_ 2� �._ 1 � I ISI zy. ) 6 . v PruZ.wPti NG RIMIER i 2 ,LC" 1 H. SURER .S 1 3.2 1 cT+ lU & CUA.- F:.`: Grr � � - �Vr 1`j r • i71�L" 4Jo"U_ ' I 3 Jtrau, Li rani,:. 1v�`RGY/4V Ail, Wca�L — 1 .tA ' SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' UAX. -- VARIES 10'-70' --- -- EVENLY SPACED BETWEEN E- ..... . .. _ i. _ E rterte ---- ' ' I I C]❑ L—! L—) rr RIEGE BEAM SUPPORT AS /R€GUIRE0 EY MANUFACTURER ❑ E3 (TYPICAL) EJ ❑ E-7 TIE SUPPORT PAD—, r—(TYPr:AL) r_, ii i i ❑ ❑ L—] I 1 CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY 1HE HOME MANUFACTURER. LENGTH OF HOME IS -HT HUMBER OF E -Z TIES E—Z TIE DOWN SYSTEM' DESIGN L00S: *WIND LOAD -- 15 PSF 1. THIS TIE DOWN SYSTEM IS DESIGNED 10 BE CONSTRUCTED ON A FAIRLY LEVE_ SITE WITH NO EXISTING SOIL PROBLEMS_ nM28"HT MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM 50lL BEARING CAPACITY Of 1000 PSF. - 2-CFIRSSIS-6FQW-SUPPORfs-SN.tCt-6E-tOCIiTED IU-SIZED`FfliT-TRE CIA VS SHOWN IN THE "MANUFACTURED HOME INSTALLATION 'INSTRUCTIONS". oAS ©tom , ) 0 3. IN AREAS WHERE OIFFERENITIAL SETTLEMENT (DS) CAN OCCUR, _ MANUFACTURED HOME SHALT. BE READJUSi_'D WHEN OS EXCEEDS 1/4", OR WIZEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT_ 4_ THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER 70' FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 6 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. _ SPECIFICATIONS. - _ CORDI�EG TO AWS SPEC TED NS. ELECTRODES 370 PLA AST1d .... ....:; - • - , .:. A 6 3 . BOLTS=ASTM A307, 6. THE E -Z TIE ASSEMBUES ARE CAPABLE OF THE FOLLOWING.- !LOADS: HEIGHT HORIZONTAL VERTICAL UPLIFT - 18" 2010 (Ib) 6000 f1b)8g1 (ib)� ' iYA. 21" 1325 (Ib) 5000 hb) 801 (Ib) . =;j ; 25" 1510 (ib) 6000 (Ib) 664 (Ib) 28" 1419 Ib 6000 11b) 629 Ib) a �Ibj 36" •567 6000 I lb) 385 f lb) .. a�C1 scJyytt1� •.•► la�� O 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROT TiV COATED. M Exp, s� o,t);>� 8- WHERE STAND IS PLACED ON CONCRETE SLAB ISE 112' CONCRE f EXPANSION ANCHORS TO SECURE THE STEEL FRAME TO THE SLAB. THE PLASTIC BASE PADS ARE HOT REQUIRED, 9_ ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. jP2. 10. THE LONG DIRECTION OF THE E -Z TIE PAD (37a) MUST BE INSTALLED PERPENDICULAR TO THE CHASSIS BEAM. 'Opp- V ABESCO-Gus GUARD ICOWAW 9 IN 595I FLORIN- PERKINS ROAD _.-__--- IP SACRAhrrNTO, CA 95623 P f: --_-•�. {8OOj 382-8831 FAX: (916) 383=5207 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' UAX. -- VARIES 10'-70' --- -- EVENLY SPACED BETWEEN E- ..... . .. _ i. _ E rterte ---- ' ' I I C]❑ L—! L—) rr RIEGE BEAM SUPPORT AS /R€GUIRE0 EY MANUFACTURER ❑ E3 (TYPICAL) EJ ❑ E-7 TIE SUPPORT PAD—, r—(TYPr:AL) r_, ii i i ❑ ❑ L—] I 1 CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY 1HE HOME MANUFACTURER. LENGTH OF HOME IS -HT HUMBER OF E -Z TIES 36" HT40' 4650' 4660' nM28"HT 4 84 8 70' 4 6 6 6 10 APPROVED SUBJECT TO COP.RECTrPIS NOTED Aaproval does raft aulhonze or z)srove any omission or deviation from requirements of app'kable State laNs and regulations. State Cf�a_lifarn;a Departmen ousJnga Community 0avefnment SI flDSB STANDARDS gy 311natm Date SPA NO / Ir 2 (--- This Plan Approval Expires.... 3 $f THIS TEE DOWN gYSTEM MEETS THE REQUIPEMENTS OF SECTION 1336-3 SUBSECTION (a). wAYNE T. P01_VADO, PE—LISTING NO, 99001 ' SHEET 1 of 3 ` 2"x2"x3/16" STL ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER PORED FLUSH WITH BOTTOM (8) REQUIRED 1/4" STAND BASE ABESCO ABS PAD #503 3/4" DIA. x i S" LG. f (4) REQUIRED DETAIL "A" CHASSIS FRAME 1/4{',RIPPER PLATE ( (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4' BOLT WfTH NUTS (4) FEQUIR€D Al 1/2" SCH 40 PIPE RISER WITH 111/2' ADJUSTER HOLES AND 3/8a—"� THICk TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ASESCO ABS PAD J503 ^ STEEL FRAl1E ' 36" MAX TO BOTTOM OF PAD I 191/2"x 3" C.R.' LOCK PIN WITH 01/8" BRIDGE PIN I 1/2' DIA. HOLE (9) PLACES 10.50 TOP VIEW — 1 1/2"x1 1/2'x3/16 x2" T.S. (4) REQUIR_D (4) Pt S � r __-______________________-__ SIDE VIEW / i"- 10 -OD --•� o 0 i0—nn W 09/16 HOL_ (TYP), STAND BASE TOP VIEW 1/4"x1-1/4 TEK STS (2) REQUIREI 1/4" GRPPER - BASE CH 'C" FRAME �6 COACH "J" FRAME GRIPPER I 1/d"x1-t/4" ATE TEK STS (4) REQUIRED %NNEL 1 (/2" A30? BOLT 2 REQUIRED 1/4" GRIPPER BASE 1/2' A307 BOLT—fesI X1/2" A307 BOLT (4) REQUIRED 0-'J (2) REQUIRED I / 5851 FLORIN - PFIuM43 ROAD �`. SACRAMENTO. CA 95823 PH_ (BOO) 382-8831 FAX: (916) 383-52x7 C -BEAM J-BEA.M ATTACHMENT ATTACHMENT E -Z TIE DOWN SYSTEM m WAYNE T. POLVADC-; PE -LISTING NO. 99001 m SHEET 2 of 3 INSTALLATION INSTRUCTIONS - E—Z TIE DOWN SYSTEM Co N CD 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM, m w 2. MAKE LEVEL THE PLA.CE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. ! 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE � WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN!. --L3EA« Lo m 5. Lo REMOVE THE TWO (2) GRIPPER PLATES OS THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT 8Y REMOVfNG THE COTTER AND Lo ADJUSTMENT m PINS, PIERS CAN THEN TELESCOPE RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS _ Ln m POSSIBLE. PLACE ADJUSTMENT PILI THRU ADJUSTMENT HOLE AND SECURE- WITH .THE .COTTER PIN. - _ - -,- -- - 6:-. RAISE THE TOP PLATE' USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. __j 7• PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C—BEAMS AND J—BEAMS 8. HEAD OF PIERS REQUIRES, THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPER PLATE.`, 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIV=N THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUS{ WITH THE GUIDE. ALTERNATIVE: (2) #12 S.M.S. OR WELD (2) x'12 S.M.S. ANGLE IRON 1ll�'zl1/px3/16~ NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER 00 NOT OCC•JR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-GUS GUAM COMPANY i851 FLORIN - FERKINS ROAD SACRANEENT'O CA 95823 r! Lo n 0 H Z n PH: (800) 382-8831 WAYNE T. POLVADO, PE -LISTING NO. 99001 FAX: (916) 383-5207 _ . SHEET 3 of 3 A m CD i J _ C NTY OF BUTTE- -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califo pia 959,55 - Telephone (916) 538-7541 .� MI N ''APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER � 1 ✓�O O Itv a ZONING ?� BUILDING PERMIT OWNER c _ � C>t1, 00 �VY`GLM1I+ � TELEPHONE' �� SQ. FT. OCC. BUILDING VALUAN'8T7J 2 49.24 8•C OWNER'S MAIUi_�DOO �� t \ /� _ _ �� /T �^� / 1`i►`] (`/(r1 /TVE•Llj`E`'`PHO�NIYE "'1` /vN•,768 _ M 13,824.00 CONTflACTOWS NAME 199 71PEN 1,344.00 224 coy 2,912.00 CONTRACTOR'S MAILING ADDRESS Fireplace A 1,900.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $' 68,828.00 Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 325 00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESSEnergy Q L �' Penalty $ BUILDING ADDRESS[ " �� ��l�l'� �Q�'QLQ.� PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap Solar or heat pump water heater 00LOT Water piping V00 00Each NO. SUBDIVISION'S NAME PARCEL MAP gas water heater or vent .00USE OF STRUCTURE SF 6- Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets .00 00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New * Addition ElRemodel ❑ Utilities ❑ Installation ❑ Other C1 Describe Work: 'GmALL go,,, t,;, PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( II OR LEI 200AORLESS I 23.00 23.00 Main Service ( 200A TO 1000A I 46.00 NEW OCCUP. OR AODNST ( D BELLIN ACCGBLDS. I 3.50 FT. 31.92 NEW CONST. MULTI-OUTLET -NON-RESID.( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) El I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification )90, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) • ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS I B SINGLE OUTLET CIR. Ex. OCCU P• ( OUTLET OR FIXTURES 20 @ 1.00I BAL. @ .50 Ex. Occup.FIXED APPS. OR (OWUTLETS (RESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 74.92 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating WALL FURNACE 15.0 Cooling Hood 6.50 6.5( Ventilation 4.50 PERMIT FEE $ 46.00 Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co ts, andxpenses which may in any way accrue against said Countyconseque e f the anting o this permit. ' X Date NOV to f 1100 S gnature of Applicant -�OWner 0 Contractor -G-Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 ocC CONST. TYPE TOTAL FEE $ 1156.92 HAZ. D. FEES IMP COF PARCEL PO ND I UE This permit is hereby issued under of the Butte County Code and/or indicat abo for as IREC O U LIC By PERM EXPIRES ON the applicable provisions Resolutions to do work a been paid. WORKS e 111519 R IDatel Receipt No. X5.3 3 32 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /J Ed Hoiland,.A.I.(a.. Architect 1280A East 9th S-;-reet Chico, CA 95928 ( 916) 343'4008 December 1, 1993 Butte County Building Department 7 County Center Drive Oroville, California 95965 Job: House for Sten Hoiland A.P. No. 039-370-092 1725 Dayton Road Butte County Chico, CA 95926 The w.orking drawings show -the footing size for this building to be 18" deep and 1'5'" wide. Upon reviewing the Uniform.Building..Cod, Section 2907, and. Table No.: 2.9-A, note 3, "Foundations may support a roof in addition .to the stipulated number -of floors." I conclude from this that the footing for- thi.s` building can be 12" wide and 12" deep minimum. Ed Hoiland0. HOLAND ARO ECr o C 389 REN. 5-31-95 �l'� of cAUF Building Owner Building Location ENERGY INSTALLATION CERTIFICATE Building Permit # DESCRIPTION OF INSULATION. ROOF 11 Material Brand Name ��J1 (40 Thickness(inches) - Thermal Resistance (R Value) EXTERIOR WALL Q v 1 A S cz'w Material �"� .� 1 Brand Name Thicknesi(inclies) Thermal Re's istance (R Value) CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Brand Name Minimum Thickness(inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED I Material Brand Name . Thickness(inches) 7 z Thermal Resistance(R Value) FLOOR, SLAB Material Thickness(inches) Wtdth(inches) FOUMATION WALL - Material Thckness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) 'I hereby certify that the above insulation was installed in the above building, 1s consistent with- approved building depart -merit -plans --and at-tac-hments and- con- forms with requirements of Chapter 2�3 of State'of California Energy Requirement STATE CONTRACTOR'S LICENSE NO <;r-� OR DATE Zf10 I hereby certify the 'req'uired features, devices, and equipment, ats shown on the approved Building Department plans:and�att chmentshave been installed and conform to the appli- ance stagy dards and h pter 2 -53.,f -,the State o California Energy requirements. 4 S BUILDING CONTRACTOR/OW ER (Plea Prin ) STATE CONTRACTOR'S LICENSE NO. (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER DATE HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. ;J SIGNATURE OF HVAC CONTRACTOR/OWNER DATE '. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ', SEPTEMBER 1988 t A L ,.� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Rbad, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C?3 - 3 5- 7e OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ! ut7-� r- 4-611 i/yb . Date % 1 spector REV'10/92 COUNTY OF BUTTE , BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES j 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ( 21 / ��-� S��' 367� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conhis office immediately. r Date ! Inspector REV 10/92 . 1 i - DENTIAL 039-37_ _ .� �•9rs.. . ft HOILAND 0-092 v 1725 DAYTONERD, , NEW SF CHICO E h S I •�� y a r P OFFICE COPY - Address S' GAS Meter By Date_ ELECTRIC Meter By Bede OFFICE COPY Address p GAS Meter By Date # ELECTRIC Meter By �+� Dat • T JOB FINALED (Date) ? Signature r. Y . 1 i - DENTIAL 039-37_ _ .� �•9rs.. . ft HOILAND 0-092 v 1725 DAYTONERD, , NEW SF CHICO E h S I •�� y a r P OFFICE COPY - Address S' GAS Meter By Date_ ELECTRIC Meter By Bede OFFICE COPY Address p GAS Meter By Date # ELECTRIC Meter By �+� Dat • T JOB FINALED (Date) ? Signature V=OKE 0 = Not OK NotApplicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete --6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance d Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements __..• 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ;\ : J 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh s :i 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. • Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 1 V=OK r O=Not OK - - = Not Applicable RESIDENTIAL = Not Reedy Date/Ini Is UNDERF OR Plans OK except #'s ni g -Setbacks -Easements -Flood -Slope g., Mai Soils-Elec. Grnd.-/ 'f�.Ftg. Depth %L L g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 47-1 'L !r emwalls, Main; Steel-Blockouts-Wrapped r temwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel �7 i �j j .B.-V._V.; Fall -Fitting -Test -2 Way C/0 -Sewer Te 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING Permit OK except #'a eter Htr.; Vent -Access -Combustion Air -Baffle 14'Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 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. fiquip. Ground made up w/Meth. Fastners-Bond Gas & Water 2', 2 Appliance Circuta in Kitchen & Conductor Size/GFI -Zg.-Tubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. C AI '2 ange Circ. / / ga. Cu or AI -Oven Circ. / ga. or AI. Insulated Neutral 11 -yes 0 No 3e.--Service-Riser Conductors & Ground -Main Disconnect 31--Egoip. Clearances Panels -Motors -Mach. Equip. -9Y."Olothes Closet Light -Shower Light -Spa Light 3 moke Detector 4/4 L Date/Initials MECHANICAL (Permit) OK except #'s '34. A.C. Ducts Insulation & Support -35-Ti;ht Fan; Exhaust above insulation -UL-Ca_►densate Drain & Overflow; Size & Grade 3 . urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet . Attic Access & Platform if Furnance in Attic I b lie Date/Initials FRA G Plans OK except #'s WS ,' , Proper Material & Anchors 4 . W s Studs -Nailing, Spacing & Bracing -Plates -Sound 41.'Bea 'ng Walls over Girders & Floor Nailing 42. tt Stop in Walls (rat proof) 4 . F' Stops; Furred Ceilings -Stairs -Chases -Tub Single & Duplex) Date/Initials FRAMING (Continued) 4f Hangers -Post Caos-Anchors-Connectors W. jQIng. Joist-Rftr. ties-Purlin-roof Bmc-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat clearance 481'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Sdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 56 garage Fire Protection Framina yl' Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Wplywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding-calVeneer -3 - cco ash -Drip Screed -Fd. Vents-Underflr. Access . Glazing Area -Glass Protection -Skylights -Plastic --5 "She Wells; Nailing -Bolts `' nsulation-Walls-Ceilings 80. nfiltration-Walls-Windows Date/Initials FINAL Plana OK except #'s t81, xt. Steps -Door & Sidelight Protection -Landings Smoke Detector 3. Furnace; Vents -Clearance -Comb. Air-Connector- JF''Gar!ge; Above Floor-Ducts-Mech. Protection ,6 . Bed om Exitina Fixtures & Tub 46. . TPYm & Subpanel; Breaker Sizes & Labels ace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. JO. K1Y.FIxt. & Appliance; Grnd.-Air Gap -Cooking Clearance yYJE4c. Outlets & Recept ptles at Kit. Counter arage Fire Door, S ng -Landing -Closer A.C. Duct in Garage -Damper %/4. Wtr. r; Vents -Clearance -Comb. Air-Connector-P.R.V. Wge; Above Floor -Mach. Protection . PI ., Elec. & Mach. Equip. Listed for Location 7- lec. eptacles in Garage; (G.F.I.)-Romex Protection W7. emulation -foam -Looked in Attic 0 Yes P' gufrd Rails & Deck Construction -Post Caps W. Fdn. Vents & Crawl Hole Do�oor-Drains Wood -Earth Clearance Looked undeliFloor A Yes -,60. Following instid.; Driv6 ❑ Yes B No; Walks ❑ Yes Er No; Planters 0 Yes 'LJ No ; B wn-Finish A.0 nit; Disconnect, Electrical, Plumbing ants Above Roof; Plbg: Appliance -Fireplace: Clearance to }A tar Well; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground )n Throughout House from Previous '� -' as Test -Meters Tagged; Gas -Electric oli Water & Sewer Connected -C/O to Grade -HD ADoroval _ 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUMTYOF BUTTE-bEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION l ` 7COUNTYCENTERDRIVE -OOVILLE, CALIFORNIA95965�TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER S n/ H i ��i✓P,� A. P. No. Proposed Building Use"Lf 1AA, �f' Building Inspector Date / o - S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. ..':.................................. . 2. Plot plans, 3/4 sets, signed by preparer of plans' ......................... . 3, Complete plans, 3/4 sets, signed by4preparer 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�d�etails and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Feesof $',. . 11. Impact fees as shown on attached schedule" ...�4ft �a.� .c74� .......... ,ice 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer. . . 0'1414. Sanitation and plot plan approval Cfli60 Health Department . ............ iL ro Q� 15. City of Chico plumbing permit . ...................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. f 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 619`-19. Driveway permit (construction approval required prior to occupancy).....P��� a o. RQUe o 20. Pre -inspection for required. .. to Buttd nL9 1nepeaorDate (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ___j............ ' 24. Recorded copy of Agricultural Acknowledgement-STatement�:....` .......... 25. Letter of signature authorization . ...................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . .......................................... 28, Mobilehome utility clearance . ......................................... . .29. Documentation of legal access . ..................... :.................. • 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits . ...................................... r Plan theP33. J� 34. When y u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone j /6j. and hold for pickup at office. Delver with inspector. Other Parcel Creation �T Z� Acreage Applicant Date0n: M93 - 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 permik i uance: ircle new item notecked above). 1. Index permiffor above items No. gr 2. Additional items required: Contractor, designer, ow1rer, was advised of above required data by hone _ mail Counter b _ Date Contractor, designer, owner, v9s advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date - Plans approved bye- Date - Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works TO: �i FROM: SUBJECT: 131111ding Department Environmental Health Sanitation Clearance E.H. USE ONLY Hot rimi Atvichcd Fluor ITT Auad d ^' Scat to IS. U. _1 /—.g / 11 Owner Location Plan Approved for: Sewage Disposal 1/ Water Supply: Public i, Clearance for bedroom a"rrebrl�-home. Other Hold final for: Final clearance O.K. for: NOTE: . Environl cental Health Specialist 8/92 AP# Private Well Date Return to DPW AGRICULTURAL STA —MyENT OF AC.�Ji OWL Z" ,ori' 93-48139 � FOR RESIDENMA.L IJEVELOP..ME.VT Sec -ion 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacentf. I , to land or included within an area zoned 93-048' 1 391 Ree Fee 8.00 for agricultural purposes, and residents I Cash 8.00 of this property may be subject to incon- Recorded I veniences or discomfort arisingfrom the Official Records I COUNTY BUTTE BUILDINNGGDEPT use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I N 0 V 0 3 9993 and fertilizers;- and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I 12 31 28 -Oct -93 I PURL XX 2 but not Iimited to cultivation, plowing, Pm spraying, pruning, and harvesting which -- - - - .----------�— occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenient: or discomfort from normal, necessary farm operations. All that real property. situate in the County of Butte, State of California, described a_ follows: Date: State of ) On this the TgM day of Ob�,a k � 191-3—, SS. undersigned Notary Public, personally appeared County of Vu1C2 ) S before me, the Personally known to me. ZProved to me on the basis ,.••w°;,, PEGGY JEAN CIP,RKof satisfactory evidence. _�� ' •; COMM. #975?.if-. be the person(e whose name( 'jNOMY PWUC - V41F0Mubsc: ibed to the within instrument and acknowledged that 1I,6 • o , SURE COUMY xecuted the same for the purposes therein contained. IN WITNESS °,„,. WHE.'tBOF, I hereunto set my hand and official seal. nay cam. r NVV"&M t 1996 , Present A.P. No. '���% ” ��,� tare Pu lie ORDER NO. BU -138485 LP DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, - COUNTY. OF 3 BUTTE,DESCRIBED AS •FOLLOWS : - - - - PARCEL"I: ---"PARCEL--2;'•-AS -SHOWN ON -THAT•-CERTAIN PARCEL "MAP, • RECORDED IN -THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 22, 1984, IN BOOK 94 OF MAPS, AT PAGE(S) 39. PARCEL ' II t THAT PORTION OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 22, 1984, IN BOOK 94 OF MAPS, AT PAGE(S) 39, DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF PARCEL„l AS SHOWN ON SAID PARCEL MAP, FROM WHICH A 3/4” IRON PIPE TAGGED L.S. 4860 BEARS SOUTH 88 DEG. 23' 29" WEST A DISTANCE OF 0.087EET; THENCE LEAVING SAID POINT OF BEGINNING, NORTH 88 DEG. 23' 29" EAST ALONG THE NORTH LINE OF SAID PARCEL 1, A DISTANCE OF 229.05 PEET TO THE NORTHEAST CORNER OF SAID PARCEL 1, SAID CORNER BEING MARKED BY A 3/4" IRON PIPE TAGGED L.S. 4860; THENCE SOUTH 1 DEG.. 36' 09" EAST ALONG THE EAST LINE OF SAID PARCEL 1 A DISTANCE OF 75.85 FEET TO A 3/4" IRON PIPE TAGGED R.C.E. 29465; THENCE LEAVING SAID EAST LINE OF SAID PARCEL 1 SOUTH 88 DEG. 26"30 WEST A DISTANCE OF 229.01 FEET TO A 3/4" IRON PIPE TAGGED R.C.E. 29465, SAID IRON PIPE BEING LOCATED ON THE WEST LINE OF SAID PARCEL 1; THENCE NORTH 1 DEG. 37' 58" WEST A DISTANCE OF 75.64 FEET TO THE POINT OF BEGINNING. PARCELS I AND II ABOVE ARE PURSUANT TO A BOUNDARY LINE MODIFICATION BY DEED RECORDED OCTOBER 21, 1987, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 87-39659 AND CANNOT BE SOLD SEPARATELY. PAGE 4 E_0_VD OF DOCUMENT _�`�� i:.L,.-s..3.......:-�r�+..�i.":._y'�L"',^.:'�' ...Y`i�'� c'"�'� :� _ s. :�`=. "�, r" �,. - ia�.•.i �'�_ -...._ ..ti r �;.:`•-. ..ci' ...r. � :'r�-�� .+., •."'�^� �.:c-r:. - • r ^r a -r ' Io'**' CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ------------ Project Title.......... House for Sten Hoiland Date........ 10/27/93 Project Address..... ... Dur am Road --------------------- Chico, California Documentation Author... Donna Wallace Building Permit Company................ Donna Wallace Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. I Field Check/ Date Climate Zone........... 11 --------------------- MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland I ------------------------------------------------------------------------------- GENERAL INFORMATION Conditioned Floor Area..... 926 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... 1 Number of Stories.......... 2 Floor Construction Type.... Raised Floor (Package_E) BUILDING SHELL INSULATION ------------------------- Component Insulation Assembly Type R -value U -Value Location/Comments ------------------------------- ---------------------------------------- Wall R-13 0.088 typical, garage, storage Door R-0 0.330 entry . Roof R-30 0.031 vaulted clg. ,F1oorExt R-19 0.048 typical S1abEdge R-0 0.900 exp. to o.s.. S1abEdge R-0 0.720 cvr. to O.S. S1abEdge R-0 0.550 exp. to stor. S1abEdge R-0 0.500 cvr. to stor. FENESTRATION ------------ Over- Area U- # of Interior Exterior hang/ Framing Orientation (sf) Value Panes Shading Shading Fins Type ------------------- ----- ----- ----------------------------- ------ -------- Window Front (S) 45.0 0.650 2 Blinds.Lt None Yes Metal Window Front (S) 4.0 0.650 2 Drapes.Std None N,ne Metal. Window Left (W) 16.0 0.650 2 Blinds.Lt None None Metal Window Back (N) 30.0 0.650 2 Blinds.Lt None Y'4� Metal, Door Right (E) 40.0 0.650 2 Drapes.Std None '3ie Metal Window Right (E) 30:0 0.650 2 Blinds.Lt None one Metal l THERMAL MASS <'I I _ Area Thicknes Type Exposed (sf) ( in) dll atioW Od ents -------------------------- ------ ------ ---=-------------- SlabOnGrade Yes 32 3 5� enttrl SlabOnGrade No 30 3.5 beow stairs CERTIFICATE OF COMPLIANCE:, RESIDENTIAL Page 2 CF -1R Project Title.......... House for Sten Hoiland Date........ 10/27/93 ------------------------ MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland I ------------------------------------------------------------------------------- HVAC SYSTEMS WATER HEATING SYSTEMS Number Minimum Duct Duct Thermostat Equipment Type --------------- Efficiency ------------ Location ------------- R -value ------- Type ------------ Furnace 0.651 AFUE None R-4.2 Setback ACSplit 10.00 SEER Attic R-4.2 Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater'Type Distribution Type System Factor ------------ ----------- ------------------- -------------- (gal) R -value ----------------' Storage Gas Standard 1 0.62 EF 40 R- 12 SPECIAL FEATURES/REMARKS Selected wall furnace: Monteray 50GV-5 35,300 Btu/hour heating output and 65.1 AFUE CEC certification: P400-92-019 page 22 Air conditioning will not be installed. Selected water heater: A.O. Smith FGR -40 CEC certification: P400-93-024 pages 132 and 133 All glazing shall have light-colored blinds except the 2020 window in the stairway and the 6068 sliding glass patio door. .y 4 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.... .... House for Sten Hoiland Date........ 10/27/93 ------------------------------- I MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program -FORM CF -1R I User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland ------------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Ed Hoiland Name.... Company. Architect, A.I.A. Company. Address. 1280A E. 9th Street Address. Chico, CA 95928 Phone... (916) 343-4008 Phone... License. DOCUMENTATION AUTHOR Donna Wallace Donna Wallace 399 E. 9th Avenue Chico, California 95926 (916) 893-4982 Signed.. ��i�,'r�7//P 9� Signed.. Aw^o_ UY jJ� /0/2-7/1'3 (date) ' (date) V " I ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... Project Address........ Documentation Author... Company................ Telephone .............. House for Sten Hoiland Durham Road Chico, California Donna Wallace Donna Wallace (916) 893-4982 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Date..... .. 10/27/93 --------------------- Building Permit Plan Check / Date Field Check/ Date MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program-FORM,MF-iR User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. R=3O 150(b): Loose fill insulation manufacturers labeled R -Value. N/A *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). -13 *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. R-19 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 1�/A 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. FOERCzL_#�55 M775 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints g�( and penetrations caulked and sealed. Co NTP, 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/A 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 1.(/A - 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 2. No continuous burning gas pilots allowed. N/A MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... House for Sten Hoiland Date........ 10/27/93 MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program -FORM MF -1R User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- CF - I FZ PAGE Z Design- Enforce - 110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. . er ment BY CcNTF,. Co IIT R . 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES ----------------- 1311, Co NTK, N /A SY CONTX. Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling PWG. fixtures IC (insulation cover) approved. SHT.Z. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... House for Sten Hoiland Date........ 10/27/93 Project Address........ Durham Road --------------------- Chico, California Documentation Author... Donna Wallace Building Permit Company ................ Donna Wallace Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date Climate Zone........... 11 --------------------- -------------- MICROPAS4 v4.01 File-STENil Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland --------------------=---------------------------------------------------------- ----------------------------------------------------------------- ----------------------------------------------------------------- = MICROPAS4 ---------------------------- ENERGY USE SUMMARY = = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _--------------------------------- Design Design ---------- Margin = ------- = Space Heating.......... 17.09 19.04 _ -1.95 = = Space Cooling.......... 16.07 17.37 -1.30 = = Water Heating.......... 19.97 16.50 3.47 = = Total 53.13 52.91 0.22 = _ *** Building complies with Computer Performance GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type.......... .. Construction Type ...... :.. Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 926 sf Single Family Detached New Front Facing 180 deg (S)' 1 2 ReducedYear Raised Floor 1 9165 cf 864 sf 62 sf 62 sf 17.8 % of FA 9.9 ft (Package E) COMPUTER METHOD SUMMARY Page 2 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... House for Sten Hoiland Date........ 10/27/93 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland ------------------------------------------------------------------------------- BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) -------------------------------- ------------------------ ------ --------- HOUSE Residence 926 9165 1.00 Yes Setback 8.0 n/a Area Surface (sf) OPAQUE SURFACES --------------- U- Insul Act Solar Form 3 Location/ value R-val Azm Tilt Gains Reference Comments ----- ----- --- ---- ----- ------------ ---------------- HOUSE 1 Wall 299 0.088 R-13 180 90 Yes W.13.2X4.16 typical 2 Door 20 0.330 R-0 180 90 Yes None entry 3 Wall 221 0.088 R-13 270 90 Yes W.13.2X4.16 4 Wall 64 0.088 R-13 270 90 No W.13.2X4.16 garage 5 Wall 222 0.088 R-13 0 90 Yes W.13.2X4.16 6 Wall 104 0.088 R-13 0 90 No W.13.2X4.16 storage 7 Wall 174 0.088 R-13 90 90 Yes W.13.2X4.16 8 Wall 17 0.088 R-13 90 90 No W.13.2X4.16 storage 9 Door 18 0.330 R-0 90 90 No None entry 10 Roof 432 0.031 R-30 180 27 Yes R.30.2X4.24 vaulted clg. 11 Roof 432 0.031 R-30 0 27 Yes R.30.2X4.24 vaulted cig. 12 F1oorExt 802 0.048 R-19 0 0 No FX.19.2X8.16 typical PERIMETER LOSSES ---------------- Length F2 Insul Surface (ft) Factor R-val Location/Comments ------------ --------------------- ---------------------- HOUSE 13 S1abEdge 5 0.900 R-0 exp. to o.s. 14 S1abEdge 5 0.720 R-0 cvr. to o.s. 15 S1abEdge 18 0.550 R-0 exp. to stor. 16 SlabEdge 9 0.500 R-0 cvr. to stor. FENESTRATION SURFACES --------------------- SC SC Interior Open U- Act Glass Int Shade Type value Azm Tilt Only Shade Description ------ ----- --- ---- ----- ----- ------------ Slider 0.65 180 90 0.88 0.58 Blinds.Lt Fixed 0.65 180 90 0.88 0.78.Drapes.Std Slider 0.65 270 90 0.88 0.58 Blinds.Lt Slider 0.65 0 90 0.88 0.58 Blinds.Lt Slider 0.65 90 90 0.88 0.78 Drapes.Std Slider 0.65 90 90 0.88 0.58 Blinds.Lt Area # of Frame Surface (sf) ----- Panes ----- Type -------- ----------- HOUSE 1 Window 45.0 2 Metal 2 Window 4.0 2 Metal 3 Window 16.0 2 Metal 4 Window 30.0 2 Metal 5 Door 40.0 2 Metal 6 Window 30.0 2 Metal SC SC Interior Open U- Act Glass Int Shade Type value Azm Tilt Only Shade Description ------ ----- --- ---- ----- ----- ------------ Slider 0.65 180 90 0.88 0.58 Blinds.Lt Fixed 0.65 180 90 0.88 0.78.Drapes.Std Slider 0.65 270 90 0.88 0.58 Blinds.Lt Slider 0.65 0 90 0.88 0.58 Blinds.Lt Slider 0.65 90 90 0.88 0.78 Drapes.Std Slider 0.65 90 90 0.88 0.58 Blinds.Lt COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... House for Sten Hoiland Date........ 10/27/93 ------------------- MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- Mass Type --------------- HOUSE 1 S1abOnGrade 2 S1abOnGrade THERMAL MASS ------------ Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value Location/Comments ------ ----- ----- -------- -------- -------------------------- 32 3.5 28.0 0.98 R-0.0 entry 30 3.5 28.0 0.98 R-2.0 below stairs HVAC SYSTEMS Area Left Rght Surface ----------- (sf) Hght Wdth Dpth Hght Ext ----- ----- ----- ---- ---- ---- Ext Ext Dpth Hght Ext Dpth Hght ---- HOUSE Efficiency ---------- ---- ---- ---- ---- ---- ---- 1 Window 45.0 3.0 n/a 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 30.0 3.0 n/a 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a Mass Type --------------- HOUSE 1 S1abOnGrade 2 S1abOnGrade THERMAL MASS ------------ Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value Location/Comments ------ ----- ----- -------- -------- -------------------------- 32 3.5 28.0 0.98 R-0.0 entry 30 3.5 28.0 0.98 R-2.0 below stairs HVAC SYSTEMS 'WATER HEATING SYSTEMS --------------------- Number Tank in .Energy Size Tank Type Heater Type Distribution Type System Factor (gal) ------------ ----------- ------------------- -------------- ------ 1 Storage Gas Standard 1 0.62 40 SPECIAL FEATURES/REMARKS ------------------------ Selected wall furnace: Monteray 50GV-5 35,300 Btu/hour heating output and 65.1 AFUE CEC certification: P400-92-019 page 22 Air conditioning will not be installed. Selected water heater: A.O. Smith FGR -40 CEC certification: P400-93-024 pages 132 and 133 All glazing shall have light-colored blinds except the 2020 window in the stairway and the 6068 sliding glass patio door. External Insulation R -value R-12 13 Minimum Duct Duct Duct System Type ---------------- Efficiency Location ------------------------- R -value ------- Efficiency ---------- HOUSE Furnace 0.651 AFUE None R-4.2 1.000 ACSplit 10.00 SEER Attic R-4.2 0.870 'WATER HEATING SYSTEMS --------------------- Number Tank in .Energy Size Tank Type Heater Type Distribution Type System Factor (gal) ------------ ----------- ------------------- -------------- ------ 1 Storage Gas Standard 1 0.62 40 SPECIAL FEATURES/REMARKS ------------------------ Selected wall furnace: Monteray 50GV-5 35,300 Btu/hour heating output and 65.1 AFUE CEC certification: P400-92-019 page 22 Air conditioning will not be installed. Selected water heater: A.O. Smith FGR -40 CEC certification: P400-93-024 pages 132 and 133 All glazing shall have light-colored blinds except the 2020 window in the stairway and the 6068 sliding glass patio door. External Insulation R -value R-12 13 HVAC SIZING Project Title.......... Project Address........ Documentation Author:.. Company................ Telephone .............. Page 1 HVAC House for Sten Hoiland Date........ 10/27/93 Durham Road --------------------- Chico, California ' Donna Wallace Building Permit Donna Wallace (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. I Field Check/ Date Climate Zone........... 11 --------------------- ----=-------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File-STEN11 Wth-CTZ11S92 Program -HVAC SIZING User#-MP0995 User -Donna Wallace Run -House for Sten Hoiland I ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Floor Area ................. Volume.. ... ............ Front Orientation.......... Sizing Location............ Latitude... ............. Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range.. ............. Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 926 sf 9165 cf Front Facing CHICO EXP STA 39.7 degrees. 27 F 70 F 102 F 78 F 37 F No No No 0.20 180 deg (S) HEATING AND COOLING LOAD SUMMARY -------------------------------- Heating Cooling Description (Btuh) (Btuh) ------------------------------------------------------- Opaque Conduction and Solar...... 8503 Glazing Conduction ............... 4612 Glazing Solar .................... n/a Infiltration ..................... 5796 Internal Gain .................... n/a Ducts ............................ 0 Sensible Load .................... 18910 Latent Load ...................... n/a Minimum Total Load 18910 3978 2574 6357 1904 1650 1646 18110 3622 21732 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered.' It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Automatic high BTU output at low cost for one or two rooms 4 SIZES: 20,000, 25,000, 35,000 & 50,000 BTUs The Monterey recessed wall furnace is an ideal solution for those who need high BTU output at low cost. The Monterey heats one or two rooms with fully automatic controls, providing quick comfort for houses, schools, cabins, apartments, offices, shops and other uses. The Monterey installs easily, too! Shipped complete, ready to install (less vent material), the Monterey DESIGN FEATURES simplifies rough -in, saving consider- able labor costs. The Monterey specially designed louvered face - panel complies with all the stringent American Gas Association surface temperature standards for lower temperature surfaces. The Monterey also utilizes a special low BTU pilot which reduces stand-by heat -loss. Anyway you look at it ... the Monterey offers efficient, low-cost heating for a wide variety of applications and does it with low installation and operating costs as well. All models comply with federal efficiency and energy conservation requirements and are certified by the American Gas Association. ❑ American Gas Association certified ❑ Complies with federal efficiency and energy conservation requirements ❑ Special low BTU energy saving. pilot ❑ Thermostats need no electricity ❑ Fuel efficient combustion burner ❑ Heating capacities of 20,000, 25,0007 35,000 and 50.,000 BTUs ❑ Vent safety shut-off system ❑ Comes ready for easy installation RECESSED WALL FURNACE - Furnace is self -positioning in header. Supports 4" oval vent and simplifies rough -in. • Vent safety shut-off system for added safety. • Drafthood protects burner flames from updrafts or downdraft in vent flue. • Heavy duty die -formed heat exchanger extracts maximum amount of heat from Combustion gases. Heat exchanger is aluminized steel, except for 35GV-T, which is ceramic coated steel. • Lifetime rugged multi -slot burner insures complete and efficient fuel combus- tion. Burner and control assembly are easily removable for service. • Low BTU energy-saving pilot reduces fuel loss. - Minimum clearance to intersecting wall is 4". Minimum clearance from top of appliance to ceiling is 16". Installation clearance dimensions may vary by area. Consult installation instructions and local codes for specific information. OPTIONAL ACCESSORIES -- Two Room Heating 9RD16 Rear Discharge Kit makes any single into a dual outlet unit. Chain operated damper with < register flush on rear wall, adjusts amount of heat delivered through rear register. Not to be used with 9FS01 Free Standing Kit or 50GV-T Models. SINGLE AND DUAL HEATING OUTLETS SPECIFICATIONS Heater TOP VIEW SINGLE. BTU Output Shipping Model Natural & Propane VENT J_ 115VOUTLET 20GV-T - 3 or 5 &WVENT a'.� MIN 5': MAX 68 lbs. r'OR OP710NAL 25,000 PLASTER TO 69 lbs. T 16 HLOWER TOP OF HEADER , 50GV-T - 3 or 5 6"ONJS GVONIY PANEL �— 9". 104 lbs. PIASTERGROUNO TOP VIEW DUAL .Q RM DEL90N�Y PLASTERGROUNO VF.NI 5'..'MAI% 162'.• 14WMin. a5" l' NIGV T IA,v.'Mm 25GV 15wvir PANEL. 1 _ o 7>t-9uM i5 Anemete 16'<< $ Gas Stub Note: FamPanel for all sizes Location �' .... 16" wide z 65'!" high Zwa•Plale Y SPECIFICATIONS Heater 'BTU Input BTU Output Shipping Model Natural & Propane Natural & Propane Weight 20GV-T - 3 or 5 20,000 14,000 68 lbs. 25GV-T - 3 or 5 25,000 17,500 69 lbs. 35GV-T-3or5 35,00024,500 82 lbs. 50GV-T - 3 or 5 ,, "50,006V 8 4 3 ' 35,000 104 lbs. Ratings shown are for elevations up to 2, 000 feet. For elevations above 2, 000 feet ratings should be reduced at the rate of 4% for each 1,000 feet above sea level. THERMOSTATS (No electricity required) GV -T-5 Wall Thermostat 100% safety device and pilot. Self - generating Millivolt pilot permits remote location of Wall Thermostat without using electricity. Blower Kit 9FG41 Blower Kit with built-in fan switch is easily installed for automatic operation. Accessory blower improves circulation of warm air and reduces temperature differences from floor to ceiling by deflecting warm air towards floor level. Optional blowers require 115V power supply in compliance with local codes. Get comfort from Williams — the widest line in the business? WILLIAMS FURNACE COMPANY 225 Acacia Street ' Colton, CA 92324 - U.S.A. (714) 825-0993 - (800) 266-0993 Fax (714) 370-0581 GV -T-3 Built -In Thermostat 100% safety device and pilot. Self-contained bulb thermostat senses circulating air temperature at floor level and turns burner on and off automatically. Full range of adustment on control dial. Another Williams First 9FS01 Free Standing Kit Drastically reduces . installation time by ,w eliminating the need of cutting into walls and ceilings. Allows single model units to be surface mounted a instead of recessed. f' Ideal for remodeling in existing masonry wall construction or when studding is substandard. Optional Oval Vent 5' Starter Kit 9RVK04 Contains starter hold down plate, spacer plate, oval to round adaptor and two pieces of oval ; pipe. Specifications subject to change without notice. Photos are representative only. 'c, 1990 WILLIAMS FURNACE COMPANY Printed in U.S.A. All Rights Reserved L1001 9/90 • .. T4NKLESS GAS WATER HEATER NEVER /�qyrAOT TER ' t v • V Zn f 1 ' e right sized Tankless er Heaters for any job.. Ile' 20s,L' he timate Water Heating Machine for 7 C mercial and Residential applications which e'mand High Temperatures and High Volumes. RESTAURANTS•LAUNDROMATS•CAR WASHES ARZMENTS • HOTELS- RESIDENTIAL 10DEL The porfect home residential heater can oelivgr a constant never ending supply of hot wate at the precise temperature you select."` W6 the larger model, can also be used convey fcho�ce where large volu not needed. GG eatjor small or single ies, cottaggslservlCg,stations, works X BYASJ(jCHAS °/U� 0 - - J j;LVS4 meje /as�a' FEATURING: • BAKED EPDXY CHIP AND SCRATCH RESISTANT FINISH • SOLID COPPER HEAT EXCHANGER • STAINLESS STEEL BURNERS 78-80% EFFICIENCY • USER ADJUSTABLE TEMPERATURE THERMOSTATIC CONTROL • POWER VENT OPTION AVAILABLE • AVAILABLE IN NATURAL OR LP GAS • SAFETY THERMOCOUPLE AND OVER HEAT SHUT OFF • • BUILT IN MANUAL GAS VALVE • ,T`: r Unlike the ordinary throw -a -way design storage tank, the AquaStar is built to last a lifetime. All water parts are solid copper or solid brass. State of the art design make AquaStar the top rated tankless on the market. AquaStar tankless heaters can be used in a variety of applications. Multiple AquaStars can be plumbed together or AquaStars can be used in conjunction with a storage tank to deliver larger.volumes. AquaStar is the perfect choice of home owners, industrial and commercial users who are looking for convenience, space, energy savings and reliability. American Gas Association MQDEL"S "SERIES HEATER$;,AII AqueWkidels are avdable with especial gas vimassemblydesignedspeafi*forirliStallatimore inletwaterWill bepreheated. Perfect foie backup tosolarsy9tem.Add. 1x;S toUIEirradelnumberwhenordering. _ SPECIFICATIONS YODEL 110 Model us Mom so Power Btu Input 56,000 to 165,000 25,000 to 125,000 Thermostatically variable 15,000 to 11,500 "LP Gas Pressure II" W.C. 11" W.C. minimum 10" W.C. minimum "Natural Gas Pressure 1" W.C. 1" W.C. minimum S' W.C. minimum Recovery Time 116 gallons/hour 126 gallons/hour 900 water temperature rise 18 gallons/hour Gallons per minute 43 xncc Tem„ D,.e nnxm- x i r.Du 12 Pou nnu 605 Temp Rise (115`17' 4.40 GPM 3.25 GPM 1.80 GPM 101f Temp Rise (1251F)' 3.11 GPM 2.85 GPM 1.61 GPM _ 90°F Temp Rise (1451F)' 2.95 GPM 1.11 GPM 1.30 GPM Minimum Flow to Activate Burners 1.1 GPM I6 GPM 46 GPM Vent Sire 6" 5" 4" Water Connections 4f" NPT Thread Male 44" Sweat Copper W" Sweat copper Gas Connections 4" NPT Thread Male 4i" Thread if" Thread Minimum Water Pressure 15 psi 15 psi 15 psi Maximum Water Pressure 150 psi 150 psi _ 150 psi Height x Width x Depth 3544" x 1244" x 1344" 21W" x 11" x 944" 2144" x 12" x 9Vi" Net Weight 66 lbs 37 lbs 28 lbs i Shiooing Weight 75 lbs, 43 lbs 31 lbs 'ASSUMES Sas INLET TEMPERATURE. SPECIFICATIONS SUIUECr M CHANGE ^GAS PRESSURE SUPPLIED LOWER TUN TRE REOUmEO M W MUM WILL RESULT W LOWER WATER TEMPERATURES. AVAILABLE AT: A-1 PLUMBERS SUPPLY 994 E. 20th Street Chico, CA 95928 The lightweight and compact design mounts easily on the wall. COMMERCIAL APPLICATIONS: In Commercial applications requiring high tempera- tures and high volumes of heated water the capability exists to produce a maximum temperature of 180OF at 2 gallons per minute or 4.5 gallons per minute at 115DF. RESIDENTIAL: Residential needs are also met where larger volumes are required. For example, the Model 170 can fill a 100 gallon Whirlpool in less than 20 minutes and still supply an endless quantity of hot water for any other household uses. ENERGY SAVING: AquaStar tankless water heaters operate differently than conventional tank type water heaters. Energy savings up to 50% are realized due to the elimination of the need to store any hot water at all. AquaStar will deliver a continuous flow of hot water at a given temperature within -the flow rate specifications (see specification chart). CHOOSING: It is important to choose the right AquaStar model for your application. Tankless water heaters if sized correctly will do the job effectively and efficiently for many years to come. If you need help in choosing the right model or have questions about installation or sizing, ask your localdealerorcall CEC at800642-3111 (802496.4436 within Vermont) .......We're here to help. �n0the( oauxv �;,,e Pry CONTROLLED ENERGY CORP. FIDDLER'S GREEN WAITSFIELD, VT 05673 802 496.4436.800 642-3111 a FAX 802 496.6924 ett& /a—�' 7a- dc;ii- ALSO AVAILABLE: ARISTON POWERSTREAM POINTOFUSE ELECTRIC WATER HEATERS INSTANTANEOUSEWRICWATER HEArERS 8191 ' RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails .(Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). _ Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. , 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ttic access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. nergy design. shing at all exterior openings. CDF responsible area requirements. �,�� RESIDENTIAL PLAN CHECKING GUIDE Aar (S.F., DUPLEX & MISC. ONLY) /} Bldg. Permit # OWNER A.P. # '3 7 -V -2-- Plan Plan Checke GENERAL �ng requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. ® Items on data sheet. (W.C., fees, Health, Recorded notice of violation. PLOT PLAN om�lete parcel size and dimensions. b ks, sideyards, easements, etc. e; --buildings or structures. a'ng, fills, drainage. ood hazard. S Bial conditions on creation map, tible, and foundations). AU & FAS road setback. Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb- . Building or utilities across lot lines (Record form). LOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article Light fixtures, switches, receptacles, and exterior receptacles 210-8). for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical Qr gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and Smoke detectors (Sec. 1210). clearance. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS ;,.'/Unusual bracing or engineered design (Table 25V) ;!/ Unusual shape, size, or split level house requiring lateral design. Y 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. f,7 Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. >J--��i.replace construction details and talcs if necessary. '3�>fter ties or bearing ridge beam. Q,1/ Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. dW. Retaining walls requiring design. -1-5- Special Inspection required. 1n building t t BUTTE COUNTY SCHOOLS IMPACT FEE -CERTIFICATION FORM (One Form Per Building) School District c kt! L o Building Department No. A.P. Number cJ 3 % 0 OFlisdiction City ®r County Property OwnereJ Property Location/Address Subdivison Residential Development Commercial/Industrial Bu 0 No. of Living MHI Units New Representative .,/ Lot No. Sq. Footage Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) ro Date District Identification No. School District certifies that (Applicant) (Street Address) (Phone Number) (CRY) has complied with the requirements of Resolution No representing a square feet. School District Representative (State) V91- �Z (Zip by payment of '$ //�a93 Date s, Paid by Check Number Remarks: ?itt rC aDR- eeb(i4Wc�L20t./ Bank Number _ �.e/,,,,/� �4�,�(, a -r, et,J Paid by Cash If, subsequent to the School District Representative signing this Butte County Schoolf Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental: Quality Act (CEQA), this. project may. be subject to additional school fees to fully mitigate its impact ori the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) A 0". in cur:n o DPW AGRICULI T STAit,.'( NT, .OF A0YOWL DGS` I_ FOR .RESIDENTIAL DEVELOPMENT Sec -:ion 26-8-.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 93-048139 The property described herein is adjacent --- - to land or included within an area zoned ' for agricultural purposes,, and residents OCT2 �9�3 of this property may be subject. to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited- ted- to herbicides, pesticides, and fertilizers; and from the pursuit oftra# Ai. DOCUMM of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which. occasionally generate dust, smoke, noise, and odor. Butt_ County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenient: or discomfort from normal, necessary farm.operations. Ali that real; property. situate in ' the Countv of Butte, State of California, described a= follows: State of CA ) County of botV( ) S.S. <��J ,.M 4 On this the �?00 day of OC}� 19 , before me, the undersigned Notary Public, personally appeared ST 5V /�i9lZ_ARID Personally known to me. Proved to me on the basis PEGR JEAN WdR of satisfactory. evidence. COMM. #975278 ,< o be the person(e whose name(za /.5 Y(Au; NOTARY Ar� UC - Cf:ur0Mw 14u,bscri bed' to the within instrument and acknowledged that ,yE MIE COUNTY t� xecuted the same for the purposes therein contained. IN WITNESS .• M, c«% e�� �,�, S. ism WHEREOF, I hereunto set my hand. and official seal. Present A.P. No. ()?3cl OT, tary Public vnuL'tc 1VV. DU—l.St54Li� LY DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF.CALIFORNIA, COUNTY,OF4BUTTE;- DESCRIBED AS FOLLOWS: = PARCEL -I:' `. PARCEL'.- 2 , . AS', SHOWN ON - THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE. RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY •2 2 ''� �19 84, - IN ' BOOK 9-4 OF MAPS , AT PAGE (S) 39-. PARCEL II:. THAT PORTION OF PARCEL 1, AS SHOWN -ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 22, 1984, IN BOOK 94 OF MAPS, AT PAGE(S) 39, DESCRIBED AS FOLLOWS: 'BEGINNING AT THE NORTHWEST CORNER OF PARCEL�l AS SHOWN ON SAID PARCEL MAP, FROM WHICH A 3/4" IRON PIPE TAGGED L.S. 4860 BEARS SOUTH 88 DEG. 23' 2911.WEST A DISTANCE OF 0.08 7EET; THENCE LEAVING SAID POINT OF BEGINNING, NORTH 88 DEG. 23' 29" EAST ALONG THE NORTH LINE OF SAID PARCEL 1, A DISTANCE OF 229.05 FEET TO THE NORTHEAST CORNER OF SAID PARCEL 1, SAID CORNER BEING MARKED BY A 3/4" IRON PIPE TAGGED L.S. 4860; THENCE SOUTH 1 DEG. 36' 09" EAST ALONG THE EAST LINE OF SAID PARCEL 1 A DISTANCE OF 75.85 FEET -TO A 3/4" IRON PIPE TAGGED R.C.E. 29465; THENCE LEAVING SAID EAST LINE OF SAID PARCEL 1 SOUTH 88 DEG. 26' 39" WEST A DISTANCE OF 229.01 FEET TO A 3/4" IRON PIPE TAGGED R.C.E. 29465, SAID IRON PIPE BEING LOCATED ON THE WEST LINE OF SAID.PARCEL 1; THENCE NORTH 1 DEG. 37' 58" WEST A DISTANCE OF 75.64 FEET TO THE POINT OF BEGINNING. PARCELS I AND II ABOVE ARE PURSUANT TO A BOUNDARY LINE MODIFICATION BY DEED RECORDED OCTOBER 21, 1987, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 87-39659'AND CANNOT BE SOLD SEPARATELY. PAGE 4 i a ?��c� �'Ha-:,,'�Y��vy7.k.'-T.�rv. >Yt� .zr'.-^"' �.:�.,,v�Qv-�—^-,•'..i,'.a.",sr'� �c�� t; :>.,c�".x_.-v�-4-,-cy- ;?^__:.;?!C':•,�^.'.'�-.-,n•=---R�---�.,-�--�-.�.-,-:..-...-.-.,,-.. _._._:°L'.,-..2�.sS t:�.��_P,�„?a__�r*..:�_..ss..aY.sVFt�ws:,...... s....._.; ._ ..sseswtta..�.. .. :x ���:.� _r...�•_���.�r�..�-:-as: w"w .'ec�..'in-.....,�..�t . . ^9.^ri�W►�ritypt5i'`r"` +'p ' T��h'" I�Si�``f�+'f;�^-s :� : a%kt'Y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District (G// l O Building Department No. ,49G A.P. Number 35Jurisdiction F-1 City County Property Owner Property Location/ABdress Subdivison Lot No. Residential Development ® Sq. Footage �l No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 0 Sq. Footage New Addition Building Department Representative �y Date . (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) District Identification No. %'yvp / 3 9 ' School District certifies that C�C Ctrl (Applicant) (Street Address) (City) (State) has complied with the requirements of Resolution No. I representing 9/a square feet. School District Representative Paid by Check Number / Remarks: A Bank Number _ Paid by Cash (Phone Number) (Zip C ` by payment of $ �i -1S//(o. 'm �a a8 3 Date 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 (CEQA), this,project may be subject to additional school fees -to fully mitigate'its`iinpact on the'school district's schools. r White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) $ - I F, :i xy BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P. Number 3� X37 " 1" Jurisdiction City Property Owner .S i F N PO {) 4,J al Property Location/Address Subdivison Residential Development Commercial/Industrial Building Department R a a No. of Living MHI Units Building Department No. C,r _ County _Lot N Sq. Footage �/� Addition (Group R) Sq. Footage New Addition (Including Exterior Roofed Areas) Date (Floor Plans r sewed by School District Personnel) District Identification No. 9)// 0 (,n�\ ' // C c -C to /School District certifies that. (Applicant) 706 2a (Street Address) (Phone Number) Com/ (City) (State) (Zip Code) has complied with a requirements of Resolution No. .� �� ;��% by payment of $ representing /�� square feet. School qstrict Representative Paid by Check Number '� Remarks: Bank Number Paid by Cash ie- ael- Date T 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 (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) S^ CHICO UNIFIED SCHOOL DISTRICT 1163 EAST SEVENTH STREET CHICO, CALIFORNIA 95928 (916)891-3006 CSU N //�s r F i 16'10A .S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT Terms and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND pursuant to C.U.S.D. Resolution No. I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor Parcel No. -;39- %A- J ,;Z represented by C.U.S.D. ID No. 9,1/61 for one of the following reasons: I will not be building a'residential unit on this parcel and I have cancelled my building permit. Credit for demolition of an existing residence.(copy,of permit & County Appraisal Report attached) ` Other Development fee paid $ Less administrative fee $ ($2.50 per residential unit) Total refund $ Fd, Applicant Signature/ Date. i ��j o►_n�y(� Printed Name Address Phone No. City/Zip ******************************************************************** School District Repre entative j/ b Da e White -applicant, pink -building department, yellow -school district REFUND.APP B.S. 43 (2/91) ENCROACHMENT PERMIT - `� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Phone: (916) 538-7681 A P P L I CATION Permit No: I, WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with county ordinances and general laws. NAME ...... ��k.......I�..i�..!a»; ---.SIGNATURE � ! ..._.»_....... _.._._.......... __ MAILING ADDRESS Phone _....... --.-_.._-----•-.._......»..... Dace ........ --- �1.:1.-.C.>..........................-............_....�........»._.».»_ ..» ` Location of work to be done TYPE OF WORK TO BE DONE I. Curb .._... Gutter ...... Sidewalk ..�»_ "Please check" 2. Driveway (List type) ..»._._ T 14..�7..._..Q »t: Q� .t1........_......».w..»..-..._...».... 3. Underground Conduit ...................... .................. 4. Ocher...........».............._........_..--•-----....._....»..........»...._...................................-......»..............._......».................._...»....»...»..».......»....... PERMIT GRANTED In compliance with your above request, and subject to all terms, conditions, or special conditions written below or printed on the back of this form, permission is hereby granted. SPECIAL CONDITIONS............................................................... .................................... ........................................................' ......................................................... ............................................. ...................................................... Date Issued ...... /.... ............... Suretyy .................(.... ........................... PER.IIT EXPIRES .... ��.'.(. -7 1... DIRECTOR OF PUBLIC WORKS By._....... ,^-----------------__.........---................----_.... Em f emad* at J3utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: STEN HOILAND. ADDRESS: 1702 GREENHAVFN LANE CITY & STATE: rHTrn, CA 9S99R IMPORTANT: .SEE INSTRUCTIONS DATE OF CLAIMS 11-1593- ON REVERSE SIDE SUBMIT CLAIM TO .DEPARTMENT .RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT- OWNER REAPPLYING. (BLDG PERMIT APPL. #93-3549, A.P. # 039-370-092, RECEIPT #153301, DATED 10/28/93, OWNER: STEN HOILAND). i TOTAL FEES PAID .................................:.... $1156.92 RETAIN REFUND PROCESSING FEE...............$25.00 I RETAIN BLDG PERMIT FILING FEE..............$20.00 RETAIN PLUMBING PERMIT FILING FEE .......... $20.00 RETAIN ELECTRICAL PERMIT FILING FEE ........ $20.00 , I RETAIN MECHANICAL PERMIT FILING FEE ........ $20.00 AMOUNT RETAINED ................................$ 105.00 TOTAL REFUND DUE....................................$1051.92 I $1051. 92 I TOTAL $1051.92 1. the undersigned. Seclare under penalty of perjury that the services or articles claimed have beeperformed or4del'e.and at this claim is true and correct as stated. D MV Dated this „I »...........«.» da of 0 �^ y ......................... 19 at......»»t ..........«.« Calif. ..»..«.».. Si azure o[ Clatin t 1. the undersigned. hereby certify that, to the best of my knowledge, the services or articl Iivered and that there is a Budget Appropriation E] Dor Specific� Board Approve �_(Checkone) Dated this».....1.-ST'1i......... .....— day of ...AIQYMBEE«. i9..9.3 at «QRQVILLE ... Calif. .. pacified above//:ave gear% performed or de - Head / Head or Authorized Deputy « Cod`' 440-002 Ext 4210500 CONSTRUCTION PERMITS Coda ....«..». ».............. Code ................................... «.. PAYABLE FROM ................»...........».................................................. .... FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY )EPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ' COUNTY OF BUTTE 153301 y� OFFICIAL RECEIPT )L/o/), a ee OFFICE OFYyloe4J PARTMENT ISSUING RECEIPT Received from ✓Pew% �� The Sum of For Teems /7 Al ✓yGrAUd a s t,? -F C, & Ale -,,-0 Received: !� o, t c �% / r-. � � ' � � Received By- CASH 5 C' ! 11§2 / - �LTitle CHECK �� (- �`�By AGLES FORMS AND MORE (916) 743.6523 1700 Greenhaven Lane Chico, CA 95926 'November 10, 1993 CLAIM REFUND I would like to request a Claim Refund form for a building permit cancelation and reapplication for school fee adjustment. My building permit is in progress for a house on Dayton Road between Marian and Stanley Avenues, southwest Chico--A.P. No. 039-370-092. I' am the land owner. 8, k 0 ThanA you. Sten Hoilan COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMITS=� ASSESSOR PARCEL NUMBER 51 zONING„ \ BUILDING PERMIT OWNER S TELEPHONE �Lti3 t l� SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Uo tie Cot c p yy CONTRACTOR'S NAME 3LE". S q ' , 0 V Z CONTRACTOR'S MAILING ADDRESSC Fireplace � ` � CONSTRUCTION LENDER UN -OWN Total Valuation $ LENDER'S MAILING ADDRESS `�— Filing Fee $ 20.00 Permit Fee $ pV ARCHITECT OR ENGINEER E7 VV0 k L,��1� LICENSE No. , c,13� Plan Checking Fee $ 3z5' Energy Plan Checking Fee $ 2.3 ARCHITECT OR ENGINEER'S MAILING ADDRESS 12bo A,lc, Q1NCO Penalty $ BUILDING ADDRESS (10P /7z5 -- 7Z -,m�-1•� \G PERMIT FEE $ C L L PLUMBING PERMIT Fling Fee 20.00 Each Trap C 1 7,00 Y Z Solar or heat pump water heater 23.00 Water piping 15,00 7 r LOT NO. -2 SUBDIVISION'S NAME PARCE,Lp�AP 9 'VAP -39 Each gas water heater or vent I 15.00 f USE OF STRUCTURE SF j Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets , 15.00 % Building sewer 15.00 1 Mobile Home S G W � ZO.00 TYPE OF WORK New Addition O Remodel O Utilities O Installation O Other O Describe Work: S� 1``�otfc5\��� �' PERMIT FEE Contractor ELECTRICAL PERMIT (ling Fee 20.00 Main Service ( 6001 OR LESS ) 23.00 �3 200A OR LESS Main Service ( 200A TO 1000A ) 46.00NEW OCCUP. So. OR AODNS.T 6 I L ( D E ACLLIC BLDS. ) 3.50 FT. 3 Jr (r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ql.o as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BL. @ 1.50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESIO.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Mise. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 0.1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. *I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ `% Z Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating 1 v y Cooling Hood f r 6.50 Ventilation y PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and eep harm ss the County of Butte against all co find ex nses whic may in any way accrue against said County i nsequethis• ermit. G liabilities, . gments��= X Date 6t_C j L S' n re o Applicant - O Owner O C tractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CON T. T TOTAL FEES HAS D. FEES IMP _ �O Qp F PAR L PD HD LIE 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON /Dare/ Receipt No. 3 3z)1= WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r r ares -�i Ile { COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 93-3549 ASSESSOR PARCEL NUMBER 039-370-092 ZONING BUILDING PERMIT OWNER STEN HOILAND TELEPHONE 343-1169 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1700 GRRENHAVEN 912 R 49,248.00 M n CONTRACTOR'S NAME SELF TELEPHONE 192 OPEN 1,344.00 CONTRACTOR'S MAILING ADDRESS S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ son 00 ARCHITECT OR ENGINEER ED HOTIAND LICENSE NO. Plan Checking Fee $ 325-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1280 A F -9TH ST c.T4T(,.n Penalty $ BUILDING ADDRESS 1725 DAYTON RD PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 1 5.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF;f] Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 TYPE OF WORK New Ek Addition O Remodel O Utilities O Installation O Other ❑ Describe Work: _21-44LER RESIDENCE 1 BR PERMIT FEE $ i 99 Contractor -on ELECTRICAL PERMIT Filing Fee 20.00 Main Service BOOV OR LESS ( 200A OR LESS ) 23.00 r Main Service ( 200ATOI000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AOONS. ( & ACC. BLOS. ) SO. 3.50 FT. l NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS .) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. • License No. Classification T11,14; as the owner, or my employees with wages as their sole compensation, will do he work, and the structure is not intended or offered for sale. (Sec 7044) Cl I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2D @ I.50 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.)EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 131 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. U6 .I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Cade, you must forthwith comply with such provisions or this permit will be revoked.n PERMIT FEE $ 74 ,,9 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating YALT FURNACE LE71,n Cooling Hood 6.50 Ventilation 5 n i ti PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to46 enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify andkeep har less the County of Butte against all n'I whi may in any way accrue against said liabilities, ' dgments, cos d �angsofpermit County i ofisequence a grVntractor DateOCT 78 lam[ X fJ S' pplicant wnar ❑ O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 00 OCC 1 CONST. TYPE I TOTAL FEE $ i A HAZ. D. FEES IMP F100D COF PARCE PD HD 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. DIRECTOR OF PUBLIC WORKS By. Date PERMIT EXPIRES ON /Decal Receipt No. 15-3)DJ 15330 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538 -7541 - OWNER �7' rnl PROPOSED BUILDING USEi2 SCHOOL DISTRICT FEES (paid at District Office) .................... 2. SHERIFF FEES (paid at Building Department) Residential...... 1 x 3E,z =$� unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office)........................... 5. DRAINAGE DISTRICT FEES (Contact Land.Development Division).............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $0.00...... (paid at Building Department) A. P. # 3 3 DATE l 0 2v J REC. # DATE REC />-3 t ; 'V At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. � jt APPLICANT / C DATE Zig (, l I� 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 an materials for construction of the proposed property improvement (yes or no) �C=6 . 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'portionsof 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 Type of Work Signedr : operty Owner cial Security Numb te (!�t_'—ac l!�, 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. ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Sten Hoiland FROM: Yvonne Christopher, Director - Development Services DATE: October 22, 2003 FILE #: ADM 04-08 PURPOSE: Administrative Permit for Sten Hoiland on APN 039-370-092 for a temporary second dwelling to be located on the south side of Harper Valley Lane, near the intersection of Dayton Road and Marian Avenue, south Chico, on property zoned SR4 (Suburban Residential, I -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: N R1) -r► -i o►2-�0 2b 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to 'o An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a tern of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Pennit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with,the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a /le -wide mo le home. f. Permittee Signature ate (:J;Aephker Date * Jan ?athe -Ford BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds _ PROJECT INFORMATION Site Address: 1725 DAYTON RD Owner: Permit No: B08-1270 APN: 039-370-092 RUTHERFORD, JANET Permit type: MISCELLANEOUS 1725 DAYTON RD Issued Date: 7/3/2008 By GLB Subtype: Demolition CHICO, CA 95928 Expiration Date: 7/3/2009 Description: DEMO EX MOBILE (WAS AN AUN' Occupancy: Zoning: SRI 0 Contractor Applicant: Square Footage: HAROLD BALAZ CONSTRUCTION HAROLD BALAZ CONSTRUC Building Garage Remdl/Addn P O BOX 347 P O BOX 347 PALERMO, CA 95968 PALERMO, CA 95968 Other Porch/Patio Total (530) 534-1190 (530) 534-1190 DBMSC Demolition FEE INFORMATION $59.00 LICENSED CONTRACTOR'S DECLARATION Contracor (Name) State Contractors License No. / Class / Expires HAROLD BALAZ CONSTRUCT[ 548442 / A / 11/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division of the Business and Professions Code, and my license is in full force -end effect. A LSFA • , a _ WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. State Fund Policy Number: 1785901 Exp. Date:6/112008 (This section need not be completed if the permitis for one hundred dollars ($100) or ass. ❑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. /, A X 7/3/2008 Sig — (/ Date WA G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License. Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 7/3/2008 Date I I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the arty owner or am authors to a property owner behalf. 1 v ',M , &A-7) 7/3/2008 ❑ Owner 1:1 Contractor OR; Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. � �1 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. CONTRACTOR OWNER INFORMATION Last Name / First Name. Mailing Address' A n. V AI City cm 0 10 E-mail State /d [:ms, Zip Ph n ' k;240 /00 E-mail State License Number CONTRACTOR Name Address .0.003LI City );M1 State fy,.1 Zip 6 Phonego:Z& Fax E-mail Lica#� �y Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip .. City I No State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name r Address City Slate Zip .. Pdne I No E-mail APPLICANT SIGNATURE PROJECTLOCATION Property Add— — City WORKER'S COMPENSATION Policy Number / 7e? Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address For office use only: DESCRIPTION OR SCOPE OF WORK: Flood Zone s SRA I Yes I No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ ❑ Structure Built without Permits Proposed Change of Occupancy V (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. V � �<l r -D- I •+ a MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN:03� _ 05& PERMIT NO.: ^ • ��� Owner shame: C.t 7 ^e Y" I )r -d Jail Owner's Address: 1 -7 2g5 Nfns Mobilehome Manufacturer/: I-eefwoc > �c5 0 th Year of Manufacture: I - 119" 03 Serial Number or V.I.N.: gniaorHUS erl D/"c 15325 ..J CAr-L317A2 _ (c I -L -CAFE —727Ja., tln er¢35 OfficiaQproving instar tI Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that. submitting false and/or inaccurate information may result in rqy-acaton of grading and/or other permits or other sanctions provided bylaw. Signed: Title: Date: �Z— 9- Dt BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES_ BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP040479 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date' 02/17/2004 APN' 039-370-092-000 ' 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. /,�IG58 2, (� " N 7 Site Address: 1725 DAYTON RD CHI License Class : License Number: IIII�r 01-1 0 �" 4 k Map Index: Date: Contractor:. Description: SEPARATE ELEC. SERVICE FOR MH OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HOILAND STEN EDWARD permit to construct, alter, improve, demolish, or repair any structure, prior 1725 DAYTON RD 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 CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95928 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of. the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: HOILAND STEN EDWARD intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:, EXECUTIVE HOMES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 3042 ESPLANADE pursuant to the Contractors' State License Law.). CHICO, CA 95973 ❑ 1 am Exempt under Article 3 of the Business and Professions Code (530)891-6992 Date: Owner: License #: 640583 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect' Labor Code, for the performance of the work for which this permit ' is issued. Engineer: I have and will maintain workers' compensation insurance, as / required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: CarrierAdiO r G 1hS Cb Total Square Ft: 0 S. F. 4N lA I& 3 - Valuation: $0.00 Policy #: .31 Census Code: ❑ 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' ?� / ((� 2 compensation provisions of Section 3700 of the Labor Code, I shall t j T) J forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti n to do work indicate ov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) O Name: BY Date: PERMIT EXPIRES ON: Address: fe ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby '' authorize representatives of Butte County to enter the above mentioned property for inspection purposes. upon ^ ���h r ��V Print Name: l' 111 yr Signature:l� 1� Date: J El Owner Ci Contractor ❑ Agent for Owner . Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) OFFICE #: (530) 538-7541 DATE: 11-1 zog APN: O;q- - O19 a ZONING: NEAREST ROSS S TRACT/LOTAI SITE ADDRESS: n pd CITY. ZIP:' OWNER NAME: PHONE 5 - 3to a l� STREET ADDRESS: FAX: CITY, ZIP: E MAIL• APPLICANT NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME:PHONE V ►nn e q I'- Leta STREET ADDRESS:(,� `_ (�(� F��/ 4? CITY, ZIP: EMAIL LICENSE NUMBER�C o L4 LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CRY ZIP. LICENSE NUMBER: E-MAIL' DESCRIPTION OR SCOPE OF WORK: ❑ ructure 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior.to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For. office use only: Notes: Application Received by: Date: Receipt number: Amount Received:' 3q(10 -37 STCAJ f 01LAQ1 10'kT4 LEEK) H -s/ APPROVED Butte County Environme��!tb HEALTH DEC 10 2003 CHIC®, CALIFORNIA 1 P 4 or . . - t7_ Z. v1' ti dT APPROVED Development Plan DATE %2/Z /a 9 USE PERMIT -VARIANCE MINOR U.P. -AWPERMIT--� PLANNING COMMISS. PLANNING MANAGER C> BUTTE COUNTY i .00T 21 1003 DEVELOPMENT �,� V JCES fir-- A Lff E/Q Ho 4 L-A�j L) r • `�> �. ,tri 1.. ��.`, �,. , .:� ._> - � � .�.,� I co cA qs.l `� o 8 ITG7 qy\cut V'v -HUYAU, 2 ELECTRICAL, MECHANICAL, AND PLUMB CONSTRUCTION ( NOT PLAN CH-F'-CKE SHALL COMPLY WITH CURRENT EDIT OF NEC, UMC AND UPC. , 14 TE: "-'tae the attached -�.�jrements Pages 11T, (Al j. A G, `� o 8 ITG7 qy\cut V'v -HUYAU, 2 ELECTRICAL, MECHANICAL, AND PLUMB CONSTRUCTION ( NOT PLAN CH-F'-CKE SHALL COMPLY WITH CURRENT EDIT OF NEC, UMC AND UPC. , 14 TE: "-'tae the attached -�.�jrements Pages K u 03-388 � � Y'A R -L r z BUTTE COUNrt quILDING DEPARTME A P R 0 V c b25� .�� -�� � Bah£ -1i r .. �......e...ae.dz+..�o..a,..._�......:..�.....av-p..........v..�.-,..+..+.... ...�.w..maer....msss.a�m+s•wr� APPROVED DATE Development Ptah USE PERMIT VARIANCE MINOR U.P.—_...AOM.PERMrr _j:::�_ PiANNJING COMMISS. �-. -.._.. __......... PLANNING MANAGER cv - o —� 4:r Li P \/ .11`�'��• /\ / Vi I i �; •,' BUTTE COUNTY w� - -- --�--= .. -_-='----------�;,`... � OCT � 2 2 2,003 20 `4 _ . - r l 13 .. .... - .. _ � ... d - �`• .+.i ! i1 � `MSS