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039-460-091
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9340 LA ROSE CT Owner: Permit No: B07-1654 APN: 039-460-091 ALBERT, JOSEPH Issued Date: 8/1/2007 By GLB Permit type: MISCELLANEOUS 9340 LA ROSE CT Subtype: Private Pool DURHAM, CA 95938 Expiration Date: 7/31/2008 Description: MASTER POOL # W07-0018 (01-51 (530) 342-4561 Occupancy: Zoning: Contractor Applicant: Square Footage: POOL BUILDERS INC POOL BUILDERS INC Building Garage RemdUAddn 3080 THORNTREE DRIVE 25 3080 THORNTREE DRIVE 25 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)899-8988 (530)899-8988 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Swim Pool -Master Plan Co $496.42 Total Charged: $572.12 Fees Paid: $572.12 Balance Due: $0.00 Receipt No: B4079 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License POOL BUILDERS INC 833994 / C53 / 10/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (wmmenc'ng with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full or and effect. 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 X 8/1/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contra or's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provess'ons Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND Policy Number: 7113-0012060 Exp. Date:3/112008 Contractor's License Law.). (This section nee is or not be completed if the permit s or ons F ndreed oollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 8/1/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisi � X 8/1/2007 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 9179naturb Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. ou to enter above mentioned property for inspection purposes. I hereby certify that I am the roperty owners behalf. prop owne authorized t ton tZ,61c. CONSTRUCTION LENDING AGENCY IFUalk- C�evtnew� 8/1/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for MaYne of P ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner M41 Contractor OR. DAgent for Owner nAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Name First Mailing Address q 0n � t� City 'coo Stat Zip Phone 19$ Fax Fax k E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name City Address Zipq59, City 'coo Sta i Zip Phone 19$ Fax E-mail E-mail Lic. # 3 3�Q Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zipq59, City Fax State Zip Phone Sq FT- Living Garage Fax E-mail ��. ' / State License Number APPLICANT INFORMATION Name O / ` Bels Address T V -fLr14_re�_ D,._..� City Stat Zipq59, Phone g Fax E-mail APPLICA T SIGNATURE s PERMIT NO. V161 1. BIN # . PROJECT LOCATION AP# 3qlD d Property Address i V X—T City WORKER'S COMPENSATION Policy Number t 3 v 0d7t7,0120 Carrier t , , . rf2� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zoning Flood Zone O Z�l I Yes No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits Cl Proposed Change of Occupancy (Note previous use): ��. ' / For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. 'N `'Tp Butte Count) Department of Development Services/ Building Division, 7 County Center Drive, Oroville CA 95965 e (530) 538-7541 Telephone (530) 538-2140 Fax www.buttecountv.net/dds www.buttegeneralplan.net Swimming Pool Reclukernents Based upon California Health and Safety Code Section 115920-115929, known as the Swimming Pool Safety Act When ever a building permit is issued for construction of a new swimming pool, or spa, or any building permit is issued for remodeling of an existing pool or spa, at a private, single-family home, it shall be equipped with at least one of the following seven drowning prevention safety features: 1. The pool shall be isolated from access to a home by an enclosure that contains all of the following characteristics: a. Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground. b. A minimum height of 60 inches. c. A maximum vertical clearance from the ground to the bottom of the enclosure of 2 inches. d. Gaps or voids, if any, do not allow the passage of a sphere equal to or greater than 4 inches in diameter e. An outside surface free of protrusions, cavities, or other physical characteristics that would serve as handholds or footholds that could enable a child below the age of 5 years to climb over. 2. The pool shall incorporate removable mesh pool fencing that meets American Society for Testing and Materials (ASTM) Specification F2286 standards in conjunction with a gate that is self-closing and self -latching and can accommodate a key lockable device. 3. The pool shall be equipped with an approved safety pool cover that meets all the requirements of the ASTM Specification F1346. 4. The residence shall be equipped with an exit alarm on those doors providing direct access to the pool. 5. All doors providing direct access from the home to the swimming pool shall be equipped with a self -dosing, self - latching device with a release mechanism placed no.lower than 54 inches above the floor. 6. Swimming pool alarms that, when placed in pools, will sound upon detection of accidental or unauthorized entrance into the water. These pool alarms shall meet and be independently certified to the ASTM Standard F2208 "Standard Specification for Pool Alarms" which includes surface motion, pressure, sonar, laser and infrared type alarms. For purposes of this article, "swimming pool alarms" shall not include swimming protection alarm devices for individual use, such as attached to a child that sounds when the child exceeds a certain distance or becomes submerged in water. 7. Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth above, and have been independently verified by an approved testing laboratory as meeting standards for those established by the ASTM or the American Society of Mechanical Engineers (ASME). Prior to issuance of any final approval for the completion of permitted construction or remodeling work, the local building code official shall inspect the drowning safety prevention devices required by this act and if no violations are found, shall give final approval. Whenever a building permit is issued for the construction of a new swimming pool or spa, the pool or spa shall meet all of the " following requirements: 1. The suction outlet of the pool area or spa for which the permit is issued shall be equipped to provide circulation throughout the pool or spa as prescribed in paragraph 2. 2. The swimming pool or spa shall have at least 2 circulation drains per pump that shall be hydraulically balanced and symmetrically plumbed through one or more "T" fittings, and that are separated by a distance of at least 3 feet in and dimension between the drains. 3. Suction outlets that are less than 12 inches across shall be covered with anti -entrapment grates, as specified in the ASME/ANSI Standard A 112.19.8, that cannot be removed except with the use of tools. Slots or openings in the grates or similar protective devices shall be of a shape, area, and arrangement that would prevent physical entrapment and would not pose any suction hazard to bathers. 4. Any back-up safety system that an owner of a new swimming pool or spa may choose to install in addition to the requirements set forth in this article shall meet the standards as published in the document, "Guidelines for Entrapment Hazards: Making Pools and Spas Safer", Publication Number 363, March 2005, United States Consumer Product Safety Commission. Whenever a building permit is issued for the remodel or modification of a single family home with an existing swimming pool, toddler pool or spa, the permit shall require that the suction outlet of the existing swimming pool, toddler pool or spa be upgraded so as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM) or the American Society of Mechanical Engineers (ASME). (Revised 3/07) I i 1 t `.60- 04-3209 04-3209 SK-6GLi'."[ JAMES°` 4Y57 LA ROSE CT, [)URHAh1 Corii 'OWNER ,RENEWAL FOR 03-1664 1 1 _ t 3 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 E5Pe)i,43'.2,e'q ASSESSOR PARCEL NUMBER G,3q, .4 `p, 06-3IONING5$2- + BUILDINGPERMIT OWNERTELEPHONE Jam" EEG& o21,- SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS T d 15,:!5 X I t , LL 7 5cl CONTRACTOR'S aw NAME061 TELEPHONE I� .3 ✓ �� ,� .i„r CONTRACTORS CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 1 ►�, :� �✓ fo, I' ARCHITECT OR ENGINEER DCENSE NO. Filing Fee $ 20.00 Permit Fee $ 5416.— ARCHITECT OR ENGINEERS MAILING ADDRESS PlWn',Checkin Fee $ BUILDING ADDRESS /150 J.A r � �, A V� rsP 14 ' Energy Plan Checking Fee $ q8 PERMIT FEE $ 1"S,""' LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBINGIP.ERMIT Filing Fee 20.00 USEOFSTRUCTURE y. SF bf Duplex ❑ Mobilehome ❑ Other : r:! SPECIFY .e. py;' ' Each Tr' 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as. water heater or vent 15.00 TYPE OF WORK New Z7° Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ i _ Describe Work: MS� 4'�p�t"'� J Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W I @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.OA 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 force and effect.t License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I ' ❑ 1 am exempt under Sec. %, Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. s0 OR ADDNS. a ACC. BLDs. 3.5QFT: T. NOµRESID. MULTI -OUTLET CIRCUITS @7,50 POWERAPPARATUS a sINGLE ourLET cIR. 20 @ I'50 Ex. Occup. OUTLET OR FIXTURES SAL p .so FIXED APPLNS. . OR Ex. Occup. oLInETs R=EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION i 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) EY. 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 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X7{— I L . + TA_ 11�la!h ( `•'� Date I (�j�j Signature of Applicant -Owner U3 Contractor ❑ Agent ' An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 5s40.` HAZ. D. FEES IMP ✓ FLOOD CDF PARCEL PD HD ISsu �% 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 aid. By h" " ItaALPate L,. PE/RMI EXPIRES ON � � 105 L/ Date Receipt No. 4-1 ,14.D 7 $ 546.-- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING TESTING AND INSPECTION Inspection Report for Concrete/ Reinforcing Placement DATE: 03/05/04 PROJECT: Seegart Residence A.P. # 039-460-094 Client: James Seegart Permit # 03-1664 c/o P.O. Box 772 Chico, CA 95927 INSPECTOR: B. Forsythe Weather: Cloudy Temp: 64 DESCRIPTION OF WORK: Arrived at the jobsite at 1500 hrs. to perform special inspection of reinforcing steel placement for the Slab on Grade & Wine Cellar Roof. Verified proper reinforcing placement, size, laps, spacing and clearances per details Section A -A Sheet 3. All wort: was in compliance with approved plans and specifications. No problems were noted during placement. ector _ i-o2��� teee.Sy�"k}7E� C.C.. 3060 Thorntree Drive, Suite 10 ° Chico, CA 95973 ° Telephone: (530) 891-6625 ° Facsimile: (530) 891-4243 r (Rev. 12/96) ;.COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17 County Center Drive • Oroville, California 95965 • Telephone(530)538 -7541 PERMIT NO. APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 039-460-094 ZONING SR -1 BUILDING PERMIT OWNER SEW RT JAMES TELEPHONE 8-7200 SO. FT. OCC. BUILDING VALUATION '. OWNERi MAIUNG ADDRESS PO BOX 1.05;R 9. 8 r 66 00 J4b a� 1� • / 0 55t). LX) CONTRACTOR'S NAME TELEPHONE 21 .3J Cd /' 24Z. L •OWNR 400C 592v• OuCONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 218,2-%.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ' $ 10-%.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ 686.40 BUILDING ADDRESS 9369 LA ROSE Cr, DURHAM 95938 Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 17$5.40 LOT NO. • SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE , SFI❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap Ifl 7.00 112.OQ Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.W TYPE OF WORK New'd Addition ❑ Remodel ❑ Ufilifies ❑ Installation ❑ Other ❑ _ Describe Work: NSF 14 Ll lic-efl'wM Gas piping system 1 - 5 outlets 15.00 1500 Building sewer 15.00 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ 192-E ELECTRICAL PERMIT Fling Feel 20.00 Ss Main Service 200A OR V OR LESS 23.00 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 Professions Code, and my license is in full force and effect. License Class Lic. No. - -Y x"17 OWNER -BUILDER DECLARATION,fli' f,�' r K/ I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: ❑ r 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 salo. � 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 ,000A 46.00 NEW CONST. DWELLING OCCUP. 3.50 OR ADONIS.6 ACC. S.F°: 163.6( Np gUNNT• MULTI -OUTLET 97.50 POWER APPARATUS •,r r? _-w &SINGLE,OUTCET CIR. ,, '" t,✓ ou�'"nFr OR FIXTURES 20 Q 1.00 Ex • Occu BAL @ .so a. Occu . oFIxLIxEEDA R oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 + r PERMIT FEE $ 6. WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' -compensation insurance carrier and policy number are: Carrier Policy Number It (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' .�' ctomPensation laws of California, and agree that rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f` o with comply with those provisions. r X Da e l _ .-Signatur of Ap�plioant - Owner ❑ Contractor ❑ Agent An O'S' A permit is,►/equire for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 1 U•Uii ',.QU Cooling 1 Z5. W. DO Hood 1 6.50 Ventilation 3 4.50 13.50 GAS FIRE LICE 1 15. W 15.00 PERMIT FEE $ 142.00 Mobile Home Installation Fee $ Energy Inspection Feer $ • oc coN�T,T: , Y�V 2375.0U TOTAL FEE $ HA MAZ. D. ES V IMP FLOOD CDF �, PARCEL V pD ✓ HD ISSUE ; •` f Y 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. -N4, f �% B( 411�.ate ;PERMIT EXPIRES ON % %% 31p4e Date Receipt No. �' �%�Q % oma= 6 X WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR OLDENROD-APPLICANT` NOTES RESIDENTIAL PERMIT NO. O 3— l �_6Az r114 � i� i rrLt `1369 LA �s� il SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 'i 1'. { i� i. i ',JOB FINALED (Date) Signature CHECKED BY J=OK 0 = NotOK = Not Applicable Applicable . = Not Ready RESIDENTIAL Date UND LOOR (Plans) OK except #'s Date Lloo'Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Date 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date - U� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Step -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . = NotReadyabie MOBILE HOMES.. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special.MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas.and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. 'Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh . 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 NOTES se RESIDENTIAL 039-460-083 PERMIT NO. _ SEEGERT, /��,� JAMES � , 9369 LA ROSE CT, DURHAM (, �G�/� �,IJU l% fln NEW SINGLE FAMILY J1 bo 4 6 S c'9 /} I to CA • 9v GAJ ten. �.� .� I� � 1 � s J a 03-1664 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �x I OFFICE COPY r � �- Address GAS Date Meter By /�-�/ t ELECT / Meter By Date ! 1 1 JOB FINALED (Dat ✓ �`, '- �7 Signature vf J=OK 0 = Not OK - = Not Applicable . = Not Ready Date RESIDENTIAL (Single & Duplex) OK except #'s / 2. FV., MaKSoils-Elec. GtB.-/P-�/" Ftq. Depth ) 14 1 t�/F ., Garage; Soils-Steel-Elec. Grnd.-/ , " Ftg. Dept Ftq., Porches & Decks; Soils -Steel-/ /' Ftq. Depth Downs and 7. W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test V" 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test \N,hinm 1LY Water Pipe; Test-Anchors-Requlator-Service Test 1111o4 gel. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-CrippiesGirders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date j1jfZ j Card B-1 (�� Date Card B-1 Dan Card B-1 A / Date Card B-1 Date ' -' PLUMBING (Permit) OK except #'s 101. •t4later Htr.: Vent -Access -Combustion Air Baffle P:W.V.; Test Fittings & Anchor -Nail Protection Shower Pan: Test. First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date 1� f �/� Date r 9O.,QMss Card B-1 Cle Date Card B-1 - Card B-1 Date Card B-1 Date ELEC RICAL (Permit) OK except #'s Corrections from Previous Inspections isfure & Transformer Clearance -Ins. Protection G e t -Meters Tagged, Gas -Electric 25. 0ec. Receptacles Spacing -Lights & Switches at Doors er ewer Connected -C/O to Grade -HD Approval 2 Siz Boxes & No. of Conductors Stapled Compliance Certificate -Other Certificates Address Posted 24. omex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech Fasteners -Bond Gas & Water Fire Sprinkler 2SO Appliance Circuits in Kitchen & Conductor Size GFI Date . Subfeed Wire Size/; /ga. Cu or AI-A.C. Wire Size/,$ / r At Date 31. Range Circle/ /ga C. or AkOven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 3 Service -Riser Conductors & Ground Main Disconnect 3 Equip. Clearances Panels-Motors-Mech. Equip. ZArClothes Closet Light -Shower Light -Spa Light 31 /. rmoke Detector Date 0�� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s Y�.C. Ducts Insulation & Support 34! Vent Fan, Exhaust above insulation 3W' Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date I h Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sj�le Proper Materials & Anchors 42. I Studs -Nailing Spacing & Braces -Plates -Sound 4 aring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 4 _r^Fjre Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47 Hangers Post Caps -Anchors -Connectors 4�. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 1. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ,V: Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 5 Property Line Firewall & Openings ,Ext. Doors -One X -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5j/Siding-Nailing Veneer ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailin8-Bolts 1. Brace Interior/Exterior Wall Panels `♦ nsulation-Walls-Ceilings-Walls-Ceilings .63. Infiltration- alls-Windows Date ti Card B-1 Date Card B-1 Date �",/ Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt. eps-Door & Sidelight Protection -Landings 6 Detector 6e -'Furnace Vents -clearance -Comb, Air-Connector- LQ.Garage; Above Floor-Ducts-Mech. Protection er Btopern Exiting ZZ 1. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 70. St ' & Rails. . 7 ire ace or Stove, Clearance -Hearth 7 meets at Wood Panel, Int: & Ext. . Fixt. & ADDliance: Ground-Air-GaD-Cookina Clearance (��utlets & Receptacles at Kit. Counter 7 . Gaire Door; Swinq-Landinq-Closure Duct in v Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Gar e; Above Floor-Mech. Protection 7 _. ec. & Mech. Equip. Listed for Location 7 eqReceptacles in Garage (F.F.I.)-Romex Protection sulation- Foam- Looked in Attic 8;1-.4�Lrd Rails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under -Floor O Yes- 84!Fo1Wjnq Instld./Driv%UYes 0 No/Walks�B'Yes O No/Planters OXes-UNo Brown -Finish it Disconnect, Ve l&Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings W r II, Disconnect, Electrical, Plumbing 8 .rior Elec. Trim, G.F.I. Receptacle -Underground VentilaUarThroughout House Comments at Final: 9O.,QMss Protection 91. Corrections from Previous Inspections 92 G e t -Meters Tagged, Gas -Electric er ewer Connected -C/O to Grade -HD Approval CAZKe_rgy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date ward B-1 Date Card B-1 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/0-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements-Setbacks-Easements Date 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector. 7. Water and Sewer Connected-C/0 to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 10/07/2004 10:18 5303454743 ., p rK DANIEL J DOBBIE ; PAGE 02 1 DANIELI DOBBIE Professional Engineer 20 Mayfair Drive Chico, CA 95973-0707 Telephone/Fax (530) 345-4743 I)JDdobbierckca co October 7, 2004 Job No. 3017 County of Butte . Building Division 7 County Center Drive Oroville, CA 95965 Re: Seegert Residence, Durham, APN 039-460-094, Permit Number 03-1664, Openings in ShearWall Dear Inspector, It has been brought to my attention that openings occur in the sheathing at one of the B Type shear walls on this project. I have instructed the Owner/Builder to add blocking and strapping around the openings per the following detail. Respectfully, Daniel J. Dobbie, PE C42028 'CS16' COIL STRAP ABOVE & BELOW OPENING OVER HEADER & SILL & 2x BLOCKING BETWEE STUDS IN ADJACENT BAYS, W/ 10d BOX NAILS Cad 2 1/1F o.c. OVER LENGTH OF STRAP l 1. INTER-DEPARTMET L AL MEMORANDUM -Q0 TO: BUILDING DWISIOI$ OROVILLE FROM: ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEAL• TH HOLD ON BUILDING FINAL FOR: OWNER NAME: �;+t�)2'7`_. SEPTIC: °� WELL: /y�� 7 . AP#: �`� ��(�� •-G %=�'S�:'ADDRESS/LOCATION: Comments: GL/memos/releasehold ;COUNTY OF BUTTE BUILDING DIVISION = DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ri CORRECTION NOTICE rf �tiu�A PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. A//&-�/� t' CERTIFICATION OF INSULATION WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy -4- ADDRESS OR TRACT SACRAMENTO BUILDING CONTRACTORS r �1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 ❑ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 (' j ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 ('� ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 DATE INSULATION COMPLETED ^) 1 = `� ( square feet) ( _—^, -. square feet) ( square feet) TYPE OF INSULATION TYPE OF INSULATION TYPEIF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM BATTS FORM BAITS & BLOW FORM BAITS MANUFACTURER'S PRODUCT I.D. ? MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER , Z q' l CT ,OCF KN CT OCF KN CT OCF KN BAGS Y R -VALUE APPLIED R -VALUE "APPLIED -- _MIN. INSTALLED WEIGHT PER• :� _ R-VALUEy .. -APPLIED, INSTALLED THICKNESS INSTALLED 'THICKNESS SQUARE FOOT INSTALLED THICKNESS,. KNEE WALLS IF R-VALUEJS OTHER THAN WALLS ABOVE MATERIAL FORM ' R -VALUE \ MANUFACTURER ,r FIBERGLASS BATTS ' C-K;� r KN *OCF AIR INFILTRATIORwatALANT MATERIAL t FOAM MANUFACTURER w. HILTI / HANDY FOAM r THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS � SIGNATUREyINSULATION`cONTRA'CTOR ,� ;�TITL'Ei � � ' �' DATE• SIGNATURE - GENERAL CONTRACTOR TITLE DATE ^' REMARKS, f i WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy -4- f COUNTY OF BUTTE ' BUILDING DIVISION t. DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �-T z x oq C - OWNER PERMIT NO. A routine inspection ' dicates that the following violations of Butte County Ordinances exist at the above addres and should be corrected. Please call for re-inspection when correction of work is compl d. If you have any questions pertaining to this matter, or need additional explanation ease contact the Building Inspector as indicated below. lw4wl)�7e E A 2 I"/%'c-/` %}�. iii•, c /1-T 1-:�i7 C1 r n �lr�Kv elI //?I/ FAUc i P/, -,g T/_� T/ vti ver /�37mc- /w cr/ e"r" `t Date 7'& Inspector REV 4/05 Phone # FOR RE -I CTION CALL: �538,-7636 OR 891-2834 :.: Certificate of Confol rmance i Certificate C15 4 0 16 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark Engineered Wood Systems (EWS) were manufacoftured ctured in accordance with the applicable standards 'and associated specifications indicated below: • , ANSI Standard A190.1-199 2, For Wood Products - Structural Glued Laminated Timber NER-486 Glued Laminated 'timber Combinations And "DAW Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing - Standard Specifications For Structural . Glued Laminated Timber of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspe manufacturing process and evaluation of the in -plant ction of the QA program with adequate sampling to verify conformance to Industry standards for lumber grade and glueline band quality. !� X 1<< L. 2 YOU �/. fit. 6 (� s y/ rV Y. �>✓ n X1 2-- 15; �4M CO 40 r SEAL Tr i en 1J+tts" byf -4ntj get,.- Thomas G. Williamson Executive Vice President tcNGINEEf1ED WOOD SYSTEMS Is 0 rpigtad ccrporotlan or APA — TMF ENI3INEr:RED Wt7pD ASSOCI 7011 S061% 19th Sueet • P0. Box 17700 thcomm WA ATION 9841. Telephone; (253) 595-6600 • a=Ax Numbgl: (7ti3) 580-7288 700 I .'d bZT 1'EbEOES Neta dM3 SPOOM u.Jaz-san T06 ELL ' ON 0289T68 F A1ddns 9N I (F) i n 3 SSd-lAdd TST2968 d6 t= i 0 f.p 4t now 9b :90 SOWIGEiLO 00 COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 5T6 9611f -17-19 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. (rld ✓ir�� %%Ld TG Vpv -VA G'-j1zy 'G rj vV%lt1i12G" /,UlA-il01/' K',lt-7 c7' 6Lv C4z , COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE q / =� �- � 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r +� - COUNTY OF BUTTE , ! • • .BUILDING DIVISION _ DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected%Please notice this office when correction of work is completed. If you have any queslions'pertaining to this matter, or need additional explanation, please contact jOGffice immediately. /0 1.9 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA - (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection irSicates that the following violations of butte county Ordinances exist at the above address and.Ahould be corrected. Please notice this office when correction of work is completed. If yow ave any questions pertaining to this matter, or need additional explanation, please conta his office immediately. y �Yr,p•"'i�'°'+a's,�,y�"�v-''v..,r .. 'w..."ern •'q COUNTY OF BUTTE yam_ BUILDING DIVISION — DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 2 NOTES -I l -off Lo 1j e -A 1 o xp o,� of r�RESIDENTIAL PERMIT NO. 039-460-083 40=2-2774 STORNETTA BROS. 9340 LA ROSE CT., DURHAM NEW SINGLE FAMILY W/ATTACHED sr L� e� GARAGE /�alD a7lasa 3 SPECIAL CONDITIONS CHECKED BY SRA ' FLOOD CERTIFICATE REQ., FIRE SPRINKLERS REQ. - - SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 5-w z3.23 i t JOB FINALED (D e 7 Signatur OFFICE COPY Address to GAS j � Meter B y ;253 Date (7 � ELECTRIC lO'O Meter By D , 3 SPECIAL CONDITIONS CHECKED BY SRA ' FLOOD CERTIFICATE REQ., FIRE SPRINKLERS REQ. - - SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 5-w z3.23 i t JOB FINALED (D e 7 Signatur J=OK o = NotOK Ap RESIDENTIAL - =Not Applicable . = Not Ready �/ . Date UNDERFLOOR (Plans) OK except #'s 1. oni -Setbacks-Easements-FI -Slope 2 ain; Soils-Elec. Gmd. 6 /" Ftg. Depth 3. F ., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ . /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wra ed d Dowpsand Special Anghors • 3 7tAlab, 5pt el -Wrapped 8. Pi -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Dat (/ Card B-1 Date Card B-1 Date :3-03 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK exceut #'s (Single & Duplex) Date FRAMING (Continued) 4P.S,1iaQJoist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 replace Ties or Type A Flue -Fireplace Throat Clearance indows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Framing -RC Channel perty Line Firewall & Openings 54_ D rs-One 3' -Check Garage 3rd Story, 2 Exits ai ;. Width -Headroom -Rise -Run -Landing -Fire Protection 56e45i`ywqpd on Roof Overhang -Attic Vents -Rafter Outriggers 5 . ing-Nai�jng Veneer 5$r-6ldeee,+J sh-Drip Screed -Fd. Vents-Underflr. Access 5"l g Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts T23 .3;111119 i it 61. BracIre Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (P ')s) OK except #'s 6C6 nace Vents -clearance -Comb, Air -Connector - In Garage Above Floor-Ducts-Mech. Protection 68G.F.l. Bat ,, Fixtures & Tub Access -Spa ec. m & Subpanel, Breaker Sizes & Labels airs & Rails 71. Fireplageor Stove, Clearance -Hearth 7-2,�Outlets at Wood Panel, Int. & Ext. Clearance at Kit. Counter in Garage; Above Floor-Mech. Protection Z$iPlb ec. & Mech. Equip. Listed for Location 2.9,-Elec. Receptacles in Garage (F.F.I.)-Romex Protection upon -Foam -Looked in Attic 8 and Rails & Deck -Construction- Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clean Looked under or' ❑ Yes owing Instld./Drive s ❑ No/Walks No/Planters9i9es rNo 84. Stuc rown-Finish nit Disconnect, Electrical -Plumbing SelVpnts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Wat"ll, Disconnect, Electrical, Plumbing erKbec. Trim, G.F.I. Receptacle -Underground 8A,A6afration Throughout House . go"Giassp :02_nions from Previous Inspections Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Ener ompliance Certificate -Other Certificates . Address Posted 96. Fire Sprinkle Date 7--elCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r, - 7. Wate tr.; Vent- A s-CombustigrlAir Baffle 1p atQyF'ipe, t & Anchor -N ction Test Fittings & An -Nail Protection 27 03 /i 28�6M+evrerPar , Test, First Floor -Tub Access 2 & Shower, Second Floor -Tub Access as Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT CAL (Permit) OK except #'s ixttUre-&Transformer Clearance -Ins. Protection 26ceptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors Stapled 27. Rom@4 Installed Close to Edge of Studs & C.J. 2 uip. Ground made up w/Mech Fasteners -Bond Gas & Water 297 2 Appliance Circuits in Kitchen & Conductor Size GFI Wire Size/ a. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At In ated Neutral ❑Yes O No 3 egsice-Riser Conductors & Ground Main Disconnect 33. Ouip. Clearances Panels-Motors-Mech. Equip. 16thes Closet Light -Shower Light -Spa Light 3 . Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC,"NICAL (Permit) OK except #'s Ducts Insulation & Support 7 nt Fan, Exhaust above insulation Ile ondensate Drain & Overflow, Size & Grade F rnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM G (Permit) OK except #'s 4 S' s Proper Materials & Anchors 4 is Studs -Nailing Spacing & Braces -Plates -Sound 4 aring Walls over Girders & Floor Nailing 4 . craft Stop in Walls (rat proof) 4 •,F e Stops, Furred Ceilings -Stairs -Chasers -Tubs 44 -"Headers & Beams -Size & Bearing 4P.S,1iaQJoist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 replace Ties or Type A Flue -Fireplace Throat Clearance indows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Framing -RC Channel perty Line Firewall & Openings 54_ D rs-One 3' -Check Garage 3rd Story, 2 Exits ai ;. Width -Headroom -Rise -Run -Landing -Fire Protection 56e45i`ywqpd on Roof Overhang -Attic Vents -Rafter Outriggers 5 . ing-Nai�jng Veneer 5$r-6ldeee,+J sh-Drip Screed -Fd. Vents-Underflr. Access 5"l g Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts T23 .3;111119 i it 61. BracIre Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (P ')s) OK except #'s 6C6 nace Vents -clearance -Comb, Air -Connector - In Garage Above Floor-Ducts-Mech. Protection 68G.F.l. Bat ,, Fixtures & Tub Access -Spa ec. m & Subpanel, Breaker Sizes & Labels airs & Rails 71. Fireplageor Stove, Clearance -Hearth 7-2,�Outlets at Wood Panel, Int. & Ext. Clearance at Kit. Counter in Garage; Above Floor-Mech. Protection Z$iPlb ec. & Mech. Equip. Listed for Location 2.9,-Elec. Receptacles in Garage (F.F.I.)-Romex Protection upon -Foam -Looked in Attic 8 and Rails & Deck -Construction- Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clean Looked under or' ❑ Yes owing Instld./Drive s ❑ No/Walks No/Planters9i9es rNo 84. Stuc rown-Finish nit Disconnect, Electrical -Plumbing SelVpnts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Wat"ll, Disconnect, Electrical, Plumbing erKbec. Trim, G.F.I. Receptacle -Underground 8A,A6afration Throughout House . go"Giassp :02_nions from Previous Inspections Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Ener ompliance Certificate -Other Certificates . Address Posted 96. Fire Sprinkle Date 7--elCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r, - J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketcn 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / /'Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp:-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test . 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.;-Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75410 (Rev. 12/96) APPLICATION AND PERMIT ongv! ASSESSOR PARCEL NUMBER 039-046-083 ptn ZONING BUILDING PERMIT OWNER TELEPHONE _ SO. FT. OCC. BUILDING VALUATION 2407 R 129 978.00 OWNERS MAILING ADDRESS 10616 S- MILLER AVE cHico CA 95928 624 C 11 232.00 CONTRACTOR'S NAME 7 TELEPHONE 436 0 5 668.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $146 878.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $804.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $522.60 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 PERMIT FEE $1 6 LOT NO. 34 SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 131 7.00 Q' .00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hest um 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: NEW SINGLE FAMTTY W/A'ITACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15 00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 Main Service ZOO. 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 ifo_ rce and effect. License Class Lic. No. � ( 19 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service TO 46.G0 NEW CONST. / DWELLING OCCUCUP. SO OR ADONS. \ a ACC. BLDS. 3.50s. EW N"ONRESDT MULTI.OUTLET @7,50 POWER APPARATUS A SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. Ou,TEEDA g GFR.A,5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ " 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. [2--fhave 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' mpensationsurance carr er and policy number are: Carrier JTR�C ��►n+o- ����+f�• �^'� Policy Number ii'l "7r — O© pct 3'1 O — et-) 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date i C:5� Signature of Applt6ant - 91-0w- ner C-etntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and emolition or co tr tion of structures over 3 stories in height. Receipt No. 363909602.60 �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR K NS OR GOLDEN OD -APPLICANT MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 r, 171 Ventilation ' PERMIT FEE Sj29.00 Mobile Home Installatio Fee $ Energy Inspection F (e $ 46.00 Occ CONST. TYPE TOTAL FEE $ .11 'JU-1 DJEs Es IM =DF PARC D 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 _ /Da ' 2 PERMIT EXPIRES ON Dafe I� N �n � . ATO: �� Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.N. USE ONLY P102 Pian AttacZd Fla0r Plan Atpj: d Sent to ®.D. I / I Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public 4-""" Private Well Clearance for dwelling. Other Final clearance O.K. for: NOTE: vironmental Health Specialist 8/96 Date ir. ;�(r!'�s=7vMY+�at�►�n.rrr �+-^o�.��c-: `7��.•7'f •}-s'ern•�*_..a......-..a..�r-+fia�*'�'!�`�q"'7ryf`vPrw�aP^^*rr r^ -.r. -n'-a�,wr,-.•.��cT�-i�r+-1T,+^�s•�r ,�. •�s-�- +e +-• t._ +fir. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: LJj t J(✓I/-i' �)OaS { �{�,5� ASSESSOR PARCEL NUMB Proposed Building Use: ky % Counter Technician Date: IIteems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. A L. Plot plans, 3 or 4 sets, signedty 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. 1P)4. Engineered truss details and layouts in duplicate. No faxes! io 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (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. Plot 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. Other maining items needed to issue the permit. (May require additional plan review -upon receipt oft the fo owing ite s.) . Fees as shown on the attached Schedule of Fees Due Sheet ....................................... I aOz ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................... ........ .�.1. //16. Sanitation and plot plan approval from the Environmental Health Department in C� I ( Q • -q- L ❑ 17. City of Chico Plumbing permit......................................................................... California Department of Forestry plan approval ❑ paid. Sent by: ...................... 9. Planning approval for (A) Use: C'i K (B)Parking: (C) Parcel Check: ,1-1 y - 02 0. Contact Land Development about ❑Improvements, ❑Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). J Ute/�Lc-� Ck ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization..................................................................... °V27. Recorded copy of Agricultural Acknowledgment Statement .................................... -2 L -az, V- c ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ,k ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone (p (p { ('�/ Ski -'$� and hold for pickup. a -I fi ��i vie�l�r• I have been informed of the above items and requirements for obtaining a building permit. Applicant: r^' i ate] 1. Index permit application for the above items numbered: =PlanChecketter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phon ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, Ws advised of the a data y ❑ phone, ❑ mail, ❑ counter by Date.- Plans reviewed by: Date: ab Plans approved by: ��- Date: Structural reviewed by: Date: o Z Structural approved by: Date: 6 7 - Note Note transfer by: Date: Yellow RuildinP Divisinn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 /� SCHEDULE OF FEES DUE OWNER \ U (/1 t� /I %�S. OCYI SL PRO ED BUILDING USE JZ11,441T A f- 1. BUILDING PERMIT FEES Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES E)O ( b aM I )n (PLI c Y WZLI D/4 (paid at District Office) (Available after Plan Check) 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. A.P. # DATE fir/ — , ` CE # TE�REC. I vv Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. V5. RECREATIONAL DISTRICT FEES� J ee- t Ir � IAM cnA- � ? I (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 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 plan checking process. 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. 6/00) LOERKE INSULATION CO., INC. INSULATION CERTIFICATE LA TMC * g, Maw— Lot 19UMSAF- DESCRIPTION OF INSTALLATION 1. ROOF z. CEIUNC Brand Th Resistance (R Value) Batt or BlanketType Fiba�lass Batts Brand Name Johns Manville Thickness (Inches) 1(31, Thermal Resistance (R Value) we? Loose Fill Type Fiberglass Brand Name Johns Manville w�e Contractods min. installed lgift sq. b. Minimum Thldmess Lc, -j ,-75_ inches. Manufacturers installed weight per square toot to achieve Thermal Resistance (R Value) 3. EXTERIOR WALL Z,.. Thickness (inches) S7- 4. 4. RAISED FLOOR Material - -Fiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Brand Name Johns Manville Thermal Resistance (R -Value). 19 Brand Name Johns MaMdlle Thermal Resistance (R Valu) Material Brand Name Thickness Thermal Rnce (R -Value) Pertrneter Insulation De (incneW. 6. FOUNDATION WALL Material Brand Name Thickness (Inches) Thermal ffesistance, (R Value) DECLARATION I here ce� at the ve n si stall in bu t �pp�e i d1,� in wrrtormance With pseulatloj�htrn�conncv of r+est�mpliance e� b,Part 13a tifornla code of C_L.#499150 G.J 5 �� LOERKE INSULATION INC.LAT1 N CO.,co , I Hem signature, Daf# ctar rte n r o. e General Ca�nt�na(Co. ami Or Item SignaWre, MW General r (Co r Na(Come) graer item a Genera ctor . r ane Ore "Or r.-y�))f4 1 ����yy jj ..rrte� ){,�,�{, �1,..1� '} •� +� Ji.~ -f ��'� �. ..tJ'«!�. r!_J,`{� .W'.'1 i�'.' ��•'A: t�{'�.•!�}f✓ E� ..2/,iJi.rt ... .. ...wW..-. _ . . _._ ..r .... _..� ...r- w __ . �. -�. —r ...r ...._w_....._w... ..•.w4r. •... .r1...N.L•w«.+. .. _..... ...�.. ...�.....r..._..._.. wr. Y. � ...• .._ _��.,,;..�, __ �i�rc'•,i3>43.i'V _._... ........ ..-.....�..~.� _....-_... 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Y?L .....-__ . _.....�........._._._,.... _�..`r •j ..i.-.:�.a:. .:'.(.i�!'ti ...~ Certificate of C'onformairi-(-.., Certificate 052736 THIS IS TO CERTIFY that the glued laminated timber products identified with*a collo:., ,.e mark of engineered Wood Systems (EWS) were manufactured in accordance with the applicaiJir standards and associated specifications indicated below: - ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC.117-93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT 1S HEREBY CERTIFIED that the APA E'WS trademarked structural glued laminated timb6, members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood, Sysiems .(EWS) Quality Assurance Program. Routine audits include inspr-c',ion of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to vnnfy conformance to .industry standards for lumber grade and giueline bond quality. T �4 L��s sem, �- � �,��,,�f-A 4,�,s : J 0� s. t Xose 5;`V <0�vo W D SEAL3 : by - �"' �- Thomas G. Williamsc, • Executive Vice Presid(;:ii .0 IN ENClNEERED $400D SYSTEMS* o iejetco cvtPo,euOn 01 AAA — 7r(E EIJG1rJLFAED WOOD ASSOCU71(�r, 70t1Scwm 191h Sneer- Q.V. 90>: 11700 - Tacoma.. WA 9Cu71-0760 7olePhonr: (253) 565 -MOO - Fav Number. (253) SGS. 726!l Y r A `z'3 ocl—i— +� t r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District D u 3-b Building Department No. A.P. Number Jurisdiction: CI �County Property Owner •• Q Property Location/Address . J (��!.� uA Subdivision Lot No. :.................. ................ .................................. ............ .... .............................. : �D Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # `(No foundation inspection): ................................................................................................................... Commercial/Industrial i ) 0 Sq. Footage New '•'q :Addition -� ��• 0 'r (Including Exterior . . • Roofed Areas) tr/wor riansQreviewea oy acnooi uistnct rersonneq District Identification No. U 40" LN / F 1 1r7 Date School District certifies that ✓l' maue1m (Applicant) 1'3go L14 Rose et (Street Address) (Phone Number) (City) (State) (Zip Code) n has complied with the requirements of Resolution No. D a " d by payment of $ ✓� �✓`D 9 a representing 4`"I 09 square feet. Paid by Check # itative Remarks: AB 2926 $ FULL MITIGATION $ M'J°+ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte -County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental -Quality Act (CEGAL this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm r 4. 7 BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): Property Owner (s): Project Location/Address: 4&22 Al Subdivison Namp: Assessable Square Footage: � Type of Residential Development (check one): 4New Development [a Afteration'/Addition U Mobile Home (s) ❑ Non -Residential to Residential Comments: Building Division Representative Date Durham Recreation and Park District (DRPD) certifies that S+-orne4a 3 q z? - ko -5 Applicant Name Applicant Phone Number () (03(o 5. M I I I A Street Address 04 -A, to Cfi q59-24' City State Zip Code --has�copnplied -with the requirements -'of -the Butte Count-y-130ard-�'of.,-Super'visors R-08blut6h-No"';," 93-114bypayment for 24107 square feet at $ 1.04 per square foot for a total payment of$ 17- / t 1 /0 -2- 0,HP131 Representative Da •e PAID BY CHECK No.: BANK.No.: - 90-142-0-2— PAID BY CASH: RECEIPT No.: Remarks: DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION PLAN (REVIEW RESPONSE FORM In order tr-c.rYcdite the rniew of your plans, please complete the following information and return this form pith your re-subc-itL:,!. this orrn is not complete, as to all correction iterns, we Rill not be able to accept your re -submittal for renew. There must lie a valid resporuc to every item Requested in our plan corrocdon letter. "By other' is not considered a valid response. please indicarc your respor_se, to each item arA the location v,•hcre the information can be found on the p calcs. ATTACH THIS FORM TO A COP'S( Of YOUR PLAH RMEb'J LETTER AND RET IM V` M REWSED AND 011 -UGI LkL pLjVjS. O',11%NERs NAME DATE: ASSESSORS PARCEL NUMBER PERMIT NUMBER O 2--2- 2 RESPONSE FOR PLAN CHECK LETTER DATED: 11/1 l 0 2 PLAN CHECK ITEM N ,�asE, r RESPONSE BY: ( [� JI rY l usz.�5� L LOCATION ON PLANSiCALCS: PGS{ r� 77 7r COMMENTS: PLAN CHECK ITEM H L•- CO.M:!ENTS: Ar_Ac4L�� IPLAN CHECK ITEM # ICO:!',1E:NTS: ITS: RESPONSE BY: jw RESPONSE BY: LOCATION ON PLANS!CAL CS: fs <a4- - LOCATION ON PLANSIC J LOCATION ON PLANSICALCS: U C",4�: November 19, 2002 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FA.X Stornetta Brothers Construction 10636 S. iN/ iller Ave. Chico, CA 95928 Assessor Parcel Number: 039-460-038 Building Peru Number: 02-2774 Thank you for submitting the plans for your buildir t. the plan examiner's cor;ments are listed below. Please rrespend n writing to each item by ec The plans have been Ved' and completing and returning the enclosed PLAN REVIEW RESPONSE FORM, your complete and clear response will expedite the re -check and approval ofthis protect. NOIR'-STR_LICTURAL CO,2___,MYIENTS: 1. Your front door maynot swing over the stair landing. Please so L,'tat it swings out and not in. reverse the swing of the door STRUC:I R L COMMENTS: I . Your house does nott m he requirements for bra.cin" line on Lthe second Moor in the rear that is over an opening f the LBC. You have a braced wall to below" area is over the allowable footage. Your interior br����l lines ,must lire up Your pen down to the foundation, with a footing under them. Please provide a lateral analysis of the building by an architect or engineer. Have him put his requirements on the plans and stam and sign them. Have him write a letter that he has reviewed the trusses and they conform to his design. (Section 2320.5.4.3, section 2320,5,4.4, Section 2320.11.3, last Paragraph If you wish to discuss any of these requirements, please, call (530) 538-7541 between he hou Of 1:00 pan, and 4:00 p.ni., Monday through Friday. To discuss non-structural items, ask form Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (you received this fog whe-1 you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Lin a Simpson / Plans Examiner Philo Hunt, P.E. Plan Check Engineer I of 1 T •d dis:60 20 ZT 09a j%j Water closet clearances (Uniform Plumbing Code 408.5). j<Shover compartment minimum 1024 sq. in & 30" circle (Uniform Plumbing Code 412.7). �'$C8dng walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). TRUCTURAL DETAILS: Beed w211 panels shall start at not more than 8 feet from each end of a braced Wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing gall not exceed 34 feet on anter in both the longitudinal and transverse directions NBC section 2320.4.1_) Braced %%-all � lines must be continuous throughout the structure. /2a A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply %6th the Uniform Building Code. This must include the designer's "wet" stamp, signawm, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Clerwory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18 (�,✓ Floor construction details complete enough to construct building Elevations and Wall construction details complete enough to construct building. �L Roof construction details complete enough to construct building. Firep8lace construction details and calculations if necessary. Garage door header size(s). orcb header size(s). pical header size(s). d heights. High expansive soil — special foundation design required. Retaining walls requiring design. G3psum wallboard nailing inspection required. . If the area below the lowest floor is fall)- enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Ahernatively. certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction design requirements must be shown on the building plans. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. CELLANEOUS ITEMS: Stairway details — landings, rise and rua head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Bride or stone veneer (Uniform Building Code section 1403). Fxudor plaster— weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2). Foam insulation — protection. j 36" halls and stairways (Uniform Building Code section 1004.3.3.2). U" Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. Ir Energy design compliance and supporting documentation. �A CDF responsible area requirements. MELDING PERMIT REQUIREMENTS: ❑ SRA. !� 2. ❑ Flood elevation certificate. 3. ❑ Fire SprinlJers required. b ' 4. ❑ Special Inspection requirements. (� S. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing lever. Pzee = f T TF 0 °O RESIDENTIAL PLAN REVIEW GUIDE c SINGLE FAMILY, DUPLEXAND MISCELLANEOUS ONLY Building Permit Number: 0 O1.vrer. e2 % 7�f ��f 8 Plans Examiner: ,t/adct S�.�rrjnwn A. P. Number. e q /�� G rER�L: 4/1.2-oning requirements — (number of permitted living units). signed by the designer. er description of work on the application. cisting violations on the property. ecorded notice of violation. Building permit valuation. PLOT PLA`: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on Parcel Map: Noise Q SR.a ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage Sees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement. Buildin; or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10410 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The miniatmm net ' clear openable height dimension shall be 24". The minimum net clear openable width dimension *A b620". When % indo« s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens. halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 Jest measur..d to the lowest proiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. purge, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters %%hick depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening tam a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed a closet, d ibathroom or a room readily usable as abedroom. of in a room compartment or alcove opening directly into any of these (Uniform Mechanical Code setiau 301.3). Garage firewall separation - required on garage side including supporting walls and posts (UnifomE rang Code section 302.4 exception #3). U nde r no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). Food stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2). moke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 Cm November 19, 2002 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Stornetta Brothers Construction 10636 S. Miller Ave. Chico, CA 95928 Assessor Parcel Number: 039-460-038 Building Permit Number: 02-2774 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and ear response will expedite the re -check and approval of this project. luiv Your front door may not swing over the stair landing. Please reverse the swing of the door Up so that it swings out and not in. STRUCTURAL COMMENTS: Vl . Your house does not meet the requirements for bracing of the UBC. You have a braced wall line on the second floor in the rear that is over an opening greater than 8 feet, and your "open to below" area is over the allowable footage. Your interior braced wall lines must line up down to the foundation, with a footing under them. Please provide a lateral analysis of the building by an architect or engineer. Have him put his requirements on the plans and stamp and sign them. Have him write a letter that he has reviewed the trusses and they conform to his design. (Section 2320.5.4.3, section 2320.5.4.4, Section 2320.11.3, last paragraph If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Lin a Simpson Philo Hunt, P.E. Plans Examiner Plan Check Engineer 1 of 1 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -11 Project Title.......... The Albert Residence Date..10/02/02 10:26:4( Project Address........ Tracy Ranch Road ******* Durham *v6.01* 7,7,V Documentation Author... Marty Runnells ******* Bui ng e Energy Calculation Services 1907 Mangrove Avenue, Suite E P n ec Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -024275 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal Component Type GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 2407 sf Single Family Detached New Front Facing 270 deg (W) 1 2 Slab On Grade 14.2 % of floor area 0.41 Btu/hr-sf-F 0.42 9.2 ft BUILDING SHELL INSULATION Frame Cavity Sheathing Total Assembly Type R -value R -value R -value U -factor Location/Comments Wall n/a R-19 R-n/a R-19 0.065 PLAN FRONT, LEFT BACK, BACK RIGHT RIGHT, TO GARAGE Door n/a R-0 R-n/a R-0 0.330 ENTRY, BACK TO GARAGE Roof n/a R-30 R-n/a R-30 0.031 TO ATTIC SlabEdge n/a R-0 R-n/a F2=0.760 TO EXTERIOR SlabEdge n/a R-0 R-n/a F2=0.500 TO GARAGE FENESTRATION Over - Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins Window Front (W) 30.0 0.400 0.400 Standard Standard Yes Door Front (W) 15.0 0.550 0.650 Standard Standard Yes Window Front (W) 5.0 0.400 0.400 Standard Standard Yes Window Front (W) 30.0 0.400 0.400 Stand d Standard Yes Window Front (W) 20.0 0.400 0.400 X((a ` Standard None Window Front ( W ) 2 9 . 8 0 .4 0 0 0 .4 0 0 r , , . Co ' dard None Window Front (W) 20.0 0.400 0.400 Sta �� and None Window Left (N) 6.0 0.400 0.400 St -_1 dlrt,L�' dard None Door Back (E) 9.0 0.550 0.650 S an_fla� S Yes Window Back (E) 12.0 0.400 0.400 Standard. None Vf%dard Window Back (SE) 12.0 0.400 0.400 Standard dard None Window Back (E) 40.0 0.400 0.400 Standard Yes CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1F Project Title........... The Albert Residence Date..10/02/02 10:26:4E MICROPAS6 v6.01 File -02427S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal Orientation Window Back (E) Window Back (E) Window Right (S) Window Right (S) Window Right (S) Window Right (S) Equipment Type Gas ACSplit Tank Type Storage Q� Area (sf) 16.0 16.0 15.0 40.0 16.0 10.0 FENESTRATION U- Interior Factor SHGC Shading 0.400 0.400 Standard 0.400 0.400 Standard 0.400 0.400 Standard 0.400 0.400 Standard 0.400 0.400 Standard 0.400 0.400 Standard SLAB SURFACES Area Slab Type (sf) Standard Slab 1272 HVAC SYSTEMS Exterior Shading Standard Standard Standard Standard Standard Standard Over- hang/ Fins None None None None None None Refrigerant Tested ACCA Minimum Charge and Duct Duct Duct Manual Thermostat Efficiency Airflow Location R -value Leakage D Type 0.800 AFUE n/a Attic R-4.2 No No Setback 10.00 SEER No Attic R-4.2 No No Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulatioi Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .59 50 R- n/a REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -11 Project Title.......... The Albert Residence Date..10/02/02 10:26:4( MICROPAS6 v6.01 File -024275 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal 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 Modeling Assumptions section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Debbie Albert Name.... Marty Runnells Company. Owner Company. Energy Calculation Services Address. Address. 1907 Mangrove Avenue, Suite E Chico, CA 95926 Phone... 530.342.4561 Phone... 530-894-8466 License. Signed.. Ldd Signed.. /Qlp� 2 tdaftelate) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed. ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -11 Project Title.......... The Albert Residence Date..10/02/02 10:26:4( Project Address........ Tracy Ranch Road ******* ✓ to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. �✓ !fi 150(1): Slab edge insulation - water absorption rate no greater Durham *v6.01* than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services Exfiltration Controls 1. Doors and windows between conditioned and unconditioned 1907 Mangrove Avenue, Suite E c. Flue damper and control Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02427S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal Note: Lowrise residential buildings subject to the Standards must contain thesE measures regardless of the compliance approach used. Items marked with al asterisk (*) may be superseded by more stringent compliance requirements listec on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties a! 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- spaces designed to limit air leakage. er ment *150(a): Minimum R-19 ceiling insulation. ✓ 150(b): Loose fill insulation manufacturer's labeled R -Value. ✓' *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply ✓ to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. �✓ !fi 150(1): Slab edge insulation - water absorption rate no greater N/iQ than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. N�I} 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints ✓ and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/iQ 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. N�I} 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. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -11 Project Title.......... The Albert Residence Date..10/02/02 10:26:4( MICROPAS6 v6.01 File -024275 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. ✓ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect ✓ hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 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 is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation �/A pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -11 Project Title.......... The Albert Residence Date..10/02/02 10:26:4( MICROPAS6 v6.01 File -02427S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). ✓ LIGHTING MEASURES Design- Enforce- er ment 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. ✓ 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. ✓ COMPUTER METHOD SUMMARY Page 1 C -2F Project Title.......... The Albert Residence Date..10/02/02 10:26:4E h d ******* Project Address........ Tracy Ranc Roa Durham *v6.01* Documentation Author... Marty Runnells ******* Energy Calculation Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 C1' t Z 11 ima e one.......... Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02427S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal MICROPAS6 ENERGY USE Building Permit Plan Check Date Field Check/ Date ima e one.......... Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02427S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal MICROPAS6 ENERGY USE SUMMARY Height Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 15.90 13.75 2.15 Space Cooling.......... 8.44 10.46 -2.02 Water Heating.......... 11.65 10.41 1.24 Total 35.99 34.62 1.37 *** 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......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 2407 sf Single Family Detached New Front Facing 270 deg (W) 1 2 ReducedYear Slab On Grade 1 22100 cf 1272 sf 14.2 °s of floor area 0.41 Btu/hr-sf-F 0.42 9.2 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat Zone Type (sf) (cf) Units itioned Type HOUSE Residence 2407 22100 1.00 Yes Setback Vent Vent Air Height Area Leakage (ft) (sf) Credit 8.0 Standard No COMPUTER METHOD SUMMARY Page 2 C-21 Project Title.......... The Albert Residence Date..10/02/02 10:26:4( MICROPAS6 v6.01 File -02427S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) factor R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 462 0.065 19 270 90 Yes None PLAN FRONT 2 Door 18 0.330 0 270 90 Yes None ENTRY 3 Wall 298 0.065 19 0 90 Yes None LEFT 4 Wall 490 0.065 19 90 90 Yes None BACK 5 Door 9 0.330 0 90 90 Yes None BACK 6 Wall 45 0.065 19 135 90 Yes None BACK RIGHT 7 Wall 514 0.065 19 180 90 Yes None RIGHT 8 Wall 191 0.065 19 270 90 No None TO GARAGE 9 Door 18 0.330 0 270 90 No None TO GARAGE 10 Roof 1272 0.031 30 n/a 0 Yes None TO ATTIC 15.0 0.400 0.400 180 PERIMETER LOSSES (S) 40.0 0.400 0.400 180 Length F2 Insul 16.0 Solar 0.400 180 90 Surface (ft) Factor R-val 0.400 Gains Location/Comments HOUSE 11 SlabEdge 124 0.760 R-0 No TO EXTERIOR 12 SlabEdge 22 0.500 R-0 No TO GARAGE FENESTRATION SURFACES Orientation HOUSE 1 Window 2 Door 3 Window 4 Window 5 Window 6 Window 7 Window 8 Window 9 Door 10 Window 11 Window 12 Window 13 Window 14 Window 15 Window 16 Window 17 Window 18 Window Area U- Act Exterior Shade Interior Shade (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC Front (W) 30.0 0.400 0.400 270 90 Front (W) 15.0 0.550 0.650 270 90 Front (W) 5.0 0.400 0.400 270 90 Front (W) 30.0 0.400 0.400 270 90 Front (W) 20.0 0.400 0.400 270 90 Front (W) 29.8 0.400 0.400 270 90 Front (W) 20.0 0.400 0.400 270 90 Left (N) 6.0 0.400 0.400 0 90 Back (E) 9.0 0.550 0.650 90 90 Back (E) 12.0 0.400 0.400 90 90 Back (SE) 12.0 0.400 0.400 135 90 Back (E) 40.0 0.400 0.400 90 90 Back (E) 16.0 0.400 0.400 90 90 Back (E) 16.0 0.400 0.400 90 90 Right (S) 15.0 0.400 0.400 180 90 Right (S) 40.0 0.400 0.400 180 90 Right (S) 16.0 0.400 0.400 180 90 Right (S) 10.0 0.400 0.400 180 90 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2F Project Title.......... The Albert Residence Date..10/02/02 10:26:4E MICROPAS6 v6.01 File -024275 Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 1 Window 30.0 n/a 6 6 0 n/a n/a n/a n/a n/a n/a n/a n/a 2 Door 15.0 n/a 3 6 1 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 5.0 n/a 1 6 0 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 30.0 n/a 6 6 0 n/a n/a n/a n/a n/a n/a n/a n/a 9 Door 9.0 n/a 3 5 1 n/a n/a n/a n/a n/a n/a n/a n/a 12 Window 40.0 n/a 6.67 5 1 n/a n/a n/a n/a n/a n/a n/a n/a SLAB SURFACES Area Slab Type (sf) HOUSE Standard Slab 1272 HVAC SYSTEMS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff HOUSE Gas 0.800 AFUE n/a Attic R-4.2 No No 0.76" ACSplit 10.00 SEER No Attic R-4.2 No No 0.66 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value 1 Storage Gas Standard 1 .59 50 R- n/a REMARKS HVAC SIZING Page 1 HVAC Project Title.......... The Albert Residence Date..10/02/02 10:26:4( Project Address........ Tracy Ranch Road ******* Durham *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite E Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02427S Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -2407 SF Res.- Submittal 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....... Description 2407 sf 22100 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... Internal Gain .................... Ducts............................ Sensible Load .................... Latent Load ...................... Minimum Total Load 270 deg (W) Heating Cooling (Btuh) (Btuh) 11586 5183 5613 3648 n/a 6680 12570 5161 n/a 2100 2977 2277 32746 25049 n/a 5010 32746 30059 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, outside air, 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. TO LARRY PAIld M %OV 12 2002 R>;7 m TO rico EH Z SITE PLAN REVIEW APPLICATION Date: AP# d �o %` N Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: A e— Owners Name: Owners Address: Telephone No.: Situs Address: to L' 3 q- Z-4 Proposed Use: Re idential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family • Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition WOt r� Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMA TION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved • By Date 11-1 L1—�2 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: • ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See a cher) • Flood Zone: 1 • Flood Panel No.: >5 O0-- Index Date: ❑❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑Administrative Permit ❑ Minor Variance ❑ Variance n U • ----------------------------------- --- --_-------__----_-----_—_______—_------- ---------------- Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire • ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By • n Deeds: n U Date of Creation: Legal Access Provided: ❑ No El Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 IN Subdivision Map/Parcel Map: `L7) )Z. 4 4:� A_j, j.A - Map Date of Recording: - 8 _ O 2. • Lot: Book: 5_ Page: SS 37 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions Comply with the following Conditions of Approval: )qT- ACS.+4 1G�� ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of .sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. • ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property cwners responsible for roa • ❑ Page 4 of 5 NO MS 1. INS SHEET SNOWS ADDITIONAL INFORMATION. IS FOR ADDITIONAL INFORMATION PURPOSES ONLY. DESCRIBING CONDITIONS AT THE TIME OF FILING AND IS NOT INTENDED TO AFFECT RECORD TITLE INTEREST. 2 A SOLID FENCE CHAIN LINK. BRICK. BLOCK OR SIMILAR MATERNAL. NOT WOOD. A MINIMUM OF SIX FEET IN HEIGHT S14ALL BE INSTALLED ALONG THE SOUTHERN AND WESTERN PROPERTY LINES OF THE PROJECT. PRIOR To ISSUANCE OF BUILDING PERMITS FOR ANY RESIDENCE IN PHASE 4. 3. DEVELOPMENT OF ALL LOTS IN THIS SUBDIVISION WILL REQUIRE CONNECTION TO A PUBLIC WATER SUPPLY. 4. SHOULD ANY ARCHAEOLOGICAL OR CULTURAL MATERIALS BE ENCOUNTERED DURING PROJECT CONSTRUCTION, SITE DEVELOPMENT SHALL CEASE AND ARCHAEOLOGICAL CONSULTATION SHALL BE IMMEDIATELY RETAINED. 5. ALL ALMOND TREES SHALL BE REMOVED FROM THE PROPERTY. REMOVAL OF TREES CAN FOLLOW THE PROPOSED PHASING PLAN SHOULD ACTIVE FARMING CONTINUE AS THE PROJECT IS DEVELOPED. 6. A DEVELOPMENT IMPACT FEE FOR SHERIFF'S FACILITIES SHALL BE PAID PURSUANT TO THE PROVISIONS OF CHAPTER 3. ARTICLE N OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUILDING PERMITS OR USE PERMIT IN THE CASE OF A MOBILE HOME. PARK. SAID FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT OR USE PERMIT. 7. ALL OAK TREES ON THE PROPERTY SHALL BE PRESERVED 077 EXCEPT FOR THOSE REQUIRED FOR ROADS. DRIVEWAYS. OR BUILDINGS. A NO DISTURBANCE SETBACK SHALL BE PROVIDED COMMENCING FROM THE OUTER EDGE OF THE OAK TREE CANOPY. 15y-3537 648- 02 ADDITIONAL INFORMATION SHEET DUFNIAM LAND ESTA PHA SE 4 A PLOX S SUMNNSIOV $SING A POR770N OP THE REMAINING L A -NOS- OF 0tRHA M LAND E51AT PHASE' I BOOK IM OF U4108 PACO 71-74, ALSO REINO A POA CP THe SOUTHSA-S-" 11-1-4 OF SSC77,ON 2-5., TOWNSHIP 21 NORTt t RANO 1 BAST SND .4 POR77ON OR ?H SO114 OP S C `IE I`l 30, OWNS - HIP .21 IVOR7r7 - RECORDING REQUESTED _ BY: MID VALLEY TITLE • t AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 q ceO -o,�3 �/I ALk IIII III III 1 Ilil I II II IIII II IIII II II Z� KZ1 KZ1 ;a--10Ka549.Z+4 Recorded i REC FEE 10.00 Official Records I County Of I BUTFE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Alyce 09:80AM 18 -Oct -2602 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date State of Calitnia County of (,L PRO RTY OWNERS: DEBRA LEB ALBBALT , On %D-�&-Q 2-- before me, personally appeared_ 451 rO I kk AJ 2:e. ✓i- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/ heir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, execut a instrument. WITNESS my handAnV6JWcial seal. ' t7EIWSEM.PRICE L Comrttissiont134T260 r A.P: # b�9 =�LGj� ^Q }� a► Notary Public - Celifomia Butte County - My Comm, Expires Jan 24, 2006 Order No. BU -202275 DMP Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 34, AS SHOWN 6N THAT CERTAIN MAP ENTITLED, "DURHAM LAND ESTATES, PHASE 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 18, 2002, IN BOOK 154 OF MAPS, AT PAGE(S) 35, 36, AND 37.• THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED JULY 2, 2002, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2002-17690 BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. APN 039460-083-000 (PORTION) 0 ENCROACHMENT PERMIT ,2 COUNTY Of BUTTE ♦ DEPARTMENT Of PUBLIC WORKS Z 7 County Center Drive ♦ Oroville, CA 95965 ♦ Phone: (530) 538-7681 ♦ Fax: (530) 538-4356" Download Forms: www.bUttecounty.net/publicworks NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE JPermitNumber JDigLLct Phone: (530) 538-7339 LHOZ 17 e-�erScrr� RCCt¢i'L + ffr'C0(-2_APPLICATION 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 accordancerm—nth Coun or eneral laws. All information except signature must be typed or legibly rinted. 1. Applicants Name: ) �^ LS i oRfv.3T�r i �Zos. �.s�� s.—r2 k, cT�r� �t�1C . 2. Address: Y ` ^ CA c179"2.� y 3 C. --is . 1 1 `�.��. / vim. • %A'� -o 3. Phone: -3 `13 _ c. Col 4. AssOrs Parcel Number 4i j1pO_ ; 5. Location of Work to be Done: q 3 `i cz. A ZLi 6. Applicants signature: \ 7. Date: CONTRACTORS INFORMATION 8. Contractors Name:C-1z' "Z -V iL%J 4L;%—% o r-4 9. Address: �� • CCA C'i 7 C, -t 10. Phone: 4-3 ` 11. Fax: 3'l 5 3 12. Contractors Number t c� 11 13. Certificate of Insurance: Yes &-Wo Cl 14. Contractors signature: 15. Authorized Agent TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): 18. other. PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions written below, permission is hereby ranted. I/ 19. Conditions.e C r f- K Jba rig ,'cr7 j o i -if a* L a c k d� C,4 rb Underground Service Alert(U-SA) must be notified two working days prior to any excavation. 800-227-2600 20. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 21. Date Issued: O,G /� F22. Expiration Date: l0 O/O� 23. surety: Y No o Mike Crump, Director of Public Works By: "Note: If permits are faxed to any number besides (530)538-4356, they can be delayed up to one week. Page l oft General Conditions - See Page 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califqrnia -95965 • Telephone (530) 538-75410 3E„T�NO. (Rev. 12/96) APPLICATION AND PERMIT U ASSESSORPARCELN MSER 039-46 091 ZONING BUILDING PERMIT OWNER STORNEITA BROTHERS TELEPHONE SO. FT. OCC. BUILDING VALUATION 128 C 1 664.00 OWNERS MAILING ADDRESS 10636 SOUTH MILLER CHICO, CA 95929 CONTRACTORS NAME STORNETTA BROTHERS TELEPHONE 343-6656 CONTRACTORS MAILING ADDRESS 10636 SOUTH MILLER CHICK), CA 95928 CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation Is 1.664.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 25.35 BUILDINGADDRESS 9340 LA Energy Plan Checking Fee $ $ PERMIT FEE S 84.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 10 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ;Describe Work: ADDITIONAL SUTA�RF' E001AGE TO $g# 02-2774 ,C.RF.mr$OOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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 isjnJull force and effect. �`. License Class 77� -9:4Lie. No. � \ ` ` 1 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 IOooA 46.00 NEW CONST.DWEWNG OCCUP. OR ADDNS. ( a Acc. OCS. SO 3.50P. 4.50 NEW NON -RC °E ID. MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ouTLET OR FDRURES 204 1.00 SAL @ O .50 Ex. Occup. GL,EE°,5 R= .G� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 24.50 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. cif 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 work ompensation insurance carrier and policy number are: Carrier IC -7—I. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections nee 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 forth ith comply with those provisions. X _ Date Signature Ap li nt - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ D T. TOTAL FEE $ 108.85 D FEES IMP FLOOD CDF PARC@: PD HD S .01 This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By za PERMIT EXPIRES ON applicable Resolutions been Date (D&,) provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY- S SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVEC�PMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ✓ J G� � 90S ASSESSOR PARCEL NUMBER Proposed Building Use: I �i� L P �a�°' �7 y Counter Technician: / Date: 0 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 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: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. Tile permit will be indexed and returned to the plan review line-up when required items are received. Date Received J By Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Plot plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential buildings......................................................... Detached Accessory Building Form filled out by the owner ..................................... HazardousMaterial Form............................................................................... Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑. 1 ,, S.: Satatement of Intent for Non -heated and A/C Buildings ..................................... ,.. 6.' Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid+ Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: t1: (C) Parcel Check: -Ip 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encrbachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $� ❑ 31. Other: When issued Telephone and hold for pickup. I have been informedA the above 'terns and requirements for obtaining a buildin permit. DPP cant: Da 1. Index permit application for;the above items numbered: Plan Check Letter 2. Additional items required==" - _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed_by: -;' Date: Structural approved by: Date: Note transfer by: } f,: Date: Yellow: Building Division t t t E.H. O v Plot Plea Attached Floor Pla» AniacAed Som to 8.0. TO: �Building Department FROM: '-En%ironmental Health - �• ,i SUBJECT: Sanitation Clearance 07-1 Owner Location LOP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ironmental Health Specialist + 8/96 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 3 PERMIT N APPLICATION AND PERMIT cJJ Ll Oq ASSEssoa PARCELNJusER y 11 (� WNW BUILDINGPERMIT D.-� TELFYHOME y3�665 SQ. FT. OCC. BUILDING VALUATION el S MAILINa ADDRESS OWNER4 eoNr 1 Rs3NU{E e , iELEPHOME cONmAc RS M%UND ADDRESS 3 y3 CO HWS ONLEMDER Fireplace LENDERS MULLING ADDRESS Total Valuation S ARcHLrECT OR ENM)&M (CENSE NO. Flinn Fee S 20.00 Permit Fee S 3 U ARCHLTECT CR ENGwEERS MATLINI ADDRESS Pian Checking Fee S 3 eUR,DING ADDRESS �+ y ^ r Energy Plan Checking Fee S ' PERMIT FEE S LOT NO, SUBDN6gNt NAME PARCEL MAP PLUMBING PERMIT -Fling Feel 20.00 Each Tap 00 USEOFSTRUCTURE SF Duplex ❑ hbblehome ❑ other Solar or No pump water heater 1 23.00 Water piping 15.00 Each gas water hea r vent 15.00 TYPE OF WORK (� New [3 Addition E3 Remodel ❑ Utilities 13ItnstaHabOn E3 other* Desc-ribe Work 7 % Gas piping tem 1 - 5 o is 15.00 Building sewer N15.00 Mobile Home I S G W @20.00 PERMIT FEE s ELECTRICAL PERMIT I Firing Feel 20.00 Main Service omi O.A. LE�sS 23.00 35— '�Erm��- ��►' d V S� >� • Ste,'. O4,hc ��- to_ AWOWA w� • ��/ / /1 [�%��_ ?�� - �� /l V t Main Service :-oA TO T-OOA 46.00 W. colst DWEi.U+o DCCl/P. SO ORADDHS. AAMC. SLOS. 3.SCFr, NOTFRF914 MULTI-OUTL-ET @7.50 POWER APPARATUS i SWMLE OUTLET cm OUTLET OR FDfMRED 20 a I.50 Ex. Occu eaL ® .w . Ex. Occup. ro �FrL 5.0D Temporary Service 23.00 Moble Home Facilities 20.00 Misc. Wiring 23.D0 PERMIT FEE S a MECHANICAL PERMIT Feng Fee 20.00 Heating Hood ' I I 6.50 Ventilation PERMIT FEE= S Mobile Home Installation Fee S Energy Inspection Fee S o6C CONST.TYPE TOTAL FEE $- NAZ. D. FEES LMP FLOOD GDF PARCEL PD HD i tisUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Delo Tool d+er�a 3080 T�orxitree, #25 Chico, Caii�ornia 95973 OiFice: <530� 899-8985 Cell: �530� 624-3639 Lic�x� ase #: 833994 1