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039-470-016
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 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires P F REILLY AND COMPANY INI 711037 / B / 08/31/2007 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. X 08/20/2007 Contractor's Signature Date WORKERS'- COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. II HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by L� Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0015191 Exp. Date:01/01/2008 (This section need not a competed if the permit is or ons undf rad dollars (3100) or ess. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 08/20/2007 Signature rDate WARNING: FAILURE ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJE AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ, code) Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4298 - OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 0-11. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractofs License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: X 08/20/2007 Owners Signature Date 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the r o e am aOhwized to act on the property owner's behalf. L Qo 08/20/2007 Name of Pe pliftee [SIGN] Print Date Owner1:1Contractor OR: Agent for Owner gent for Contractor Lender's Address City State Zip FILE COPY •r . rt PROJECT INFORMATION Site Address: 10720 LONE PINE AVE Owner: Permit No: B07-1777 APN: 039-470-016 SYLVIA, CONRAD F REVOCAB Issued Date: 08/20/2007 By KCG. . Permit type: MISCELLANEOUS 10720 LONE PINE AVE Subtype: Siding/Stucco CHICO, CA 95928 Expiration Date: 08/19/2008 . Description: VINYL SIDING ON SF(14 SQ) (530) 343-4984 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: P F REILLY AND COMPANY INC P F REILLY AND COMPANY Building Garage RemdUAddn 3028 ESPLANDE SUITE F 3028 ESPLANDE SUITE F CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)898-0833 (530)898-0833 _ FEE INFORMATION DBMSC Stucco/Siding-Stone/Bric $116.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires P F REILLY AND COMPANY INI 711037 / B / 08/31/2007 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. X 08/20/2007 Contractor's Signature Date WORKERS'- COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. II HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by L� Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 713-0015191 Exp. Date:01/01/2008 (This section need not a competed if the permit is or ons undf rad dollars (3100) or ess. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 08/20/2007 Signature rDate WARNING: FAILURE ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJE AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ, code) Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4298 - OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 0-11. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractofs License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: X 08/20/2007 Owners Signature Date 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the r o e am aOhwized to act on the property owner's behalf. L Qo 08/20/2007 Name of Pe pliftee [SIGN] Print Date Owner1:1Contractor OR: Agent for Owner gent for Contractor Lender's Address City State Zip FILE COPY •r . rt �%3'T rBUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION. 0. 0 OFFICE #: (530) 533-7541 FAX #: (530) 538-2140 c -= -:y—� 0 A FEE WILL BE REQUIRED AT TWE OF APPLICA TION C1, .� Website: w. 1w.buttecounty.net/dds UN's **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Narne,5 ` J ` l � F1 / �1 Mailing Address----) 72n Lo a Ano A-ug, City Ut Statq Zip Phone 3 Fax E-mail CONTRACTOR Name Address �� 2 '� 22fre . City State Zip Phone Fax. E-mail Zip Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City n 1 N Address Zipq C -39-B . City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name' AddressL$ tD 1rl r\,- -1 City n 1 N State GA Zipq C -39-B . Phone Q Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# _ 0 _ O Property Address `zn to City PERMIT NO. 607 vi BIN # WORKER'S COMPENSATION Policy Number ICX) 1 S7 9 1� Carder Q `ham . 1 un A 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: \ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning _s Flood Zone SRA Yes No Occ. Type Const. i 039-470-002 PERMIT#95-115AG SIMPSON, Steve & Stacy 10776 Lone Pine Ave., Chico Ag Exempt Permit-Turkeys,hogs,Feed & 039-470-002 Y PERMIT#95-0753 Tractor ' r, SIMPSON, Stacy & Steve'— '�- 10776 Lone Pine, Chico / Cont; Kim Parks��/%7 New Single Family / O _v3 � 1 { 4 ' , 4. r - l ; i I 1 c ; i t i t t i 039-470-002 PERMIT#95-115AG SIMPSON, Steve & Stacy 10776 Lone Pine Ave., Chico Ag Exempt Permit-Turkeys,hogs,Feed & 039-470-002 Y PERMIT#95-0753 Tractor ' r, SIMPSON, Stacy & Steve'— '�- 10776 Lone Pine, Chico / Cont; Kim Parks��/%7 New Single Family / O _v3 � 1 { 4 ' , 4. r - RESIDENTIAL 039-470-002 T PERMIT#95-0753 P SIMPSON, Stacy & Steve 10776 Lone Pine, Chico Cont; Kim Parks New Single Family OFFICE COPY Address GAS Meter By Date./:W' ELECTRIC 2�V�11 Meter By C� Date JOB FINALED (Date) Signature of OK Noot 'ot Rea Appgable ' MOBILE HOMES ate/Initials MOBILE HOME UTILITIES Plans OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences=Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged �. 9. Exits; Insp.-Sketch ., 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements r 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Graders and/or Joists -Decking -Bracing -Stairs -Rails. 4. Wood Awn.; Posta-Beams-Rftm. Connectors Shthg :Rig -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps-Doors-Lendingi Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ina. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready OK except #'s RESIDENTIAL (Single & Duplex) fig. n; Soils-Elec. Grnd.-/ P' Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi ireplace 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 1AP-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PL BING (Permit) OK except #'s /Water Htr.; Vent -Access -Combustion Air -Baffle i'j Aster Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor-Naii Protection V&Zower Pan; Test, First Floor -Tub Access Ne st Tub & Shower, Second Floor -Tub Access 31�Gas Pipe; Size & Anchors l Date/initials ELECTRICAL Permit OK except #'s 21. Fixture & Transformer Clearance -Ins. Protection 26. Elec. Receptacles Spacing -Lights & Switches at Doors $. Size Boxes & No. of Conductors -Stapled 2 Romex Installed Close to Edge of Studs & C.J. •. Tquip. Ground made up w/Mach. Fastners-Bond Gas & Water V.'2 Appliance Circuts in Kitchen & Conductor Size/GFI A&.-tubf6ed Wire Size / / go. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. ItO ga. Cu o Insulated Neutral ❑ Yes Igo ervice-Riser Conductors & Ground -Main Disconnect uip. Clearances Panels -Motors -Mach. Equip. ,Clothes Closet Light -Shower Light -Spa Light WSmoke Detector Date/Initials MEC NICAL (Permit) OK except #'s 3/:.C. Ducts Insulation & Support 5.Velit Fan; Exhaust above insulation Pondensate Drain & Overflow; Size & Grade 3?" Fu nance-Vent; Access -Comb. Air -Return Air Vent=915 outlet Attic Access & Platform if Furnance in Attic Material & Anchors Plates -Sound 44 -Bearing Walls over Girders & Floor Nailing X. Draft Stop in Wells (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub 44, W6aders & Beam -Size & Bearing Date/Initials 4¢: Cing. Joist-Rftr. ties -Pu rlin—roof Brac-Truss-Shthng.-Rfng. lace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Windows or Exiting Doors -Sill Hgt. & Dimensions to Fire Protection Framing A"') ") j 51. Property Line Firewall & Openings 52. t. Doors -One 3' -Check Garage -3rd Story, 2 Exits 531 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Seplywood on Roof Overhang -Attic Vents -Rafter Outriggers 56 Siding -Nailing Veneer —56r611acco Mesh -Drip Screed -Fd. Vents-Underflr. Access 47• Glazing Area -Glass Protection -Skylights -Plastic ar Walls; Nailing -Bolts 5 nsulation-Walls-Ceilings 60. Infiltration -Walls -Windows w Date/Initials FINAL s OK except #'s OOTx eps-Door & Sidelight Protection -Landings 6 . moke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In G age; Above Floor -Ducts -Mach. Protection edro Exiting I. & Bath Fixtures & Tub Access -Spa 66. Elec. & Subpanel; Breaker Sizes & Labels airs & Rails 68. Fireplace or Stove; Clearances -Hearth le Utlets at Wood Panel; Int. & Ext. it.Fi Appliance; Grnd: Air Gap -Cooking Clearance 1 c. Oytlets & Receptacles at Kit. Counter tar<Grage Fire Door; Swing -Landing -Closer C. Duct in Garage -Damper 74. tr. Htr ants -Clearance -Comb. Air-Connector-P.R.V. I rage; Above -Floor-Mech. Protection f!rPlb_AI,eC: & Mach. Equip. Listed for Location pec. Receptacles in Garage; (G.F.1.)-Romex Protection 7 . sulation-Foam-Looked in Attic Cl_"6_• `M. ua5L3ails & Deck Construction -Post Caps n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 8877ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; PlanteqI, ❑ Yes ❑ No co; Brown -Finish A.C. U ' Disconnect, Electrical, Plumbing nts Above Roof; Plbg: Appliance -Fireplace: Clearance to Ope 'ngs ater Well; Disconnect, Electrical, Plumbing 8 xteri - Elec. Trim; G.F.I. Receptacle -Underground engin Throughout House brass Protection rrections from Previous Inspections 89. s W -'Meters Tagged; Gas -Electric PCo.WaRter & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Comments at Flnal: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-47n-nng ZONING A5 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3779 COSBY A CHICO 9592-8 2098 R 113 292.00 636 M 11 448.00 C 11 219.00 -11E, CONTRACTOR'S NAME TELEPHON 10 812.00 CONTRACTORS MAILING ADDRESS GIzEEK-woav 4'erQ �'% CONSTRUCTION LENDER UNIwOWN FINANCE Fireplace 1,500.00 Total Valuation $ 148.271.00 NORWEST AI LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 811.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 527.15 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10776 LONE PINE AVE CHICO PERMITFEE $ 1381.15 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 91.00. LOT NO. 1 1 SUBDIVISION'S NAME CAMPER TRACT PARCEL MAP Solar Or heat pump water heater 23,00 USE OF STRUCTURE SF §0 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 1 9 -no Building sewer 15.00 1 9_00 TYPE OF WORK New JPAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 RDRM Mobile Home IS I GI W1 El t-00 PERMITFEE $ 171.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OV OR LESS ( 2ooA OR LESS ) 23.00 9-J no Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, gill do the work, and the structure is not intended or offered for sale. C - 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( SO. 3.SQ FT. 99 NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 S ( POWER APPARATUS ) 8 SINGLE OUTLET UCIR Ex. Occup. (OUTLET OR FIXTURES) BA20 L 0 I•50 L 30 Ex. Occup. ( OUFIXED TLETS . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 138.69 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 6.5 Ventilation PERMITFEE __$ Contractor Policy Number (Toabove sections need not be completed if the permit is for work of a valuation ne hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cc ly with those provisions. • i`� \�- Date _�� _+ 1 -9 V _ Signature of plicant - � wner ❑ Contractor ❑ Agent An OSHA perm required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ R3 CONST. TYPE VN OTAL FEE $ 1821.34 I I HAZ. __ D. F S IMP X FLOOD __ DF __ PARCEL HD E X This permit is hereby issued under the of the Butte Ccun y Code and/or indicat ve f which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) R celp No.kO21'V J%s /2 1149.19-18006 WHITE-D.D.S.-B.D. ANARY-ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT W ,COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,-California, 95965 - Telephone (916) 538-75qc,- PERMIT NO. ©� �APPLICATION AND PERMIT_ ASSESSOR PARCEL NUMBER 31 _ '17- © 01L ZONINGtj , c J BUILDING PERMIT OWNER �j• q,. e`� TELEPHONE SQ. FT. OCC. BUILDING VALUATION L 1131-97, OWNERS MAILING ADDRESS 3?"71? Cos�� ✓� Cyfr� a C4' �_t'r7Z� Of. CONTRACTORS NAME If I -1 �1P��✓ q JJ Z TELEPHONE 3Z �63 60J, 21 /� CONTRACTORS MAILING ADDRES ;/ �� 63� Fireplacels-00 CONSTRUCTION LEND } p ! UNKNOWN Total Valuation $ =� Filing Fee 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee A 7 15 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS f0 '77-6L�� ® ��� g 3 15 PERMITFEE $ & .. PLUMBINGPERMIT Filing Fee 20.00 Gkl1 C-01 Each Trap 131 7.00 LAT NO. I SUBDNS -N'S NAME i - PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 S' USEOFSTRUCTURE SF -Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or ventt!, 5.00 . Gas piping system 1 - 5 outlet5.00 Building sewer 5.00 TYPE OF WORK New.,ffAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: lox — Mobile Home S G W0.00 PERMITF �1 Contractor ELECTRICAL PERMIT FilKa Fee 20.00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 i Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class IL No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I ❑ 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' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ove 5' "deep and demolition or construction of structuress over 3 stories n height. b o o /a NEW CONS DWELLING OCCUR OR ADONs. ? ( a ACC. ) SO. 3.5¢ FT. UTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .SO Ex. Occup. ( OUIXED TLETS(RES O.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 c PERMITFEE S �✓ Contractor F MECHANICAL PERMIT Filing Fee 20.00 9 Heating /5- f❑ Cooling Hood 6.50 d Ventilation L %Q PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee _ CONST. P TO $ - HA 0. FEES FLOOD COF L PD HD ISSUE _ This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (Date) X7)0 j � ecelptNo.(7 VL -�7� 1 f 'Z / /'! _j OCA f%O© WHITE-D.D.S.-B.O. CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT CEILING BATT OR BLANKET TYPE FIBERGLASS THICKNESS (INCHES) LOOSE FILL TYPE INSULSAFE III CONTRACTOR'S MINIMUM THICKNESS INCHES EXTERIOR WALL BATT OR BLANKET TYPE FIBERGLASS THICKNESS (INCHES) BIB SYSTEM INSULSAFE III CONTRACTOR'S MINIMUM THICKNESS RAISED FLOOR MATERIAL FIBERGLASS THICKNESS lamINCHES BRAND NAME CERTAINTEED THERMAL RESISTANCE (R-VALUE)L BRAND NAME CERTAINTEED THERMAL RESISTANCE._(R-VALUE) BRAND NAME CERTAINTEED THERMAL RESISTANCE (R -VALUE) BRAND NAME CERTAINTEED THERMAL RESISTANCE.(R-VALUE) BRAND NAME CERTAINTEED THERMAL RESISTANCE .(R -VALUE) DECLARATION I HEREBY, CERTIFY THAT THE. ABOVE -INSULATION WAS.I.NSTALLED IN THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE CURRENT BUILDING ENERGY EFFICIENCY STANDARDS FOR NEW RESIDENTIAL BUILDINGS CONTAINED IN TITLE 24 OF THE. CALIFORNIA ADMINISTRATIVE CODE. GENERAL CONTRACTOR (BUILDER) LICENSE NUMBER SIGNATURE & TITLE DATE SHASTA I SUB -CONTRACTOR (INS TION INSTALLER) SIPPIATLAE 95 - DATE 272941 LICENSE NUMBER PRODUCTION SUPERVISOR TITLE COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE, OWNERf PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. v ("#- b vLa s /,�j (_ r oC97— -�o d? Date (� �i�j 41 � Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Si r�i�S��✓ �'� � 5� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. %J Lock \/O/ 5� � G iii / S 6xiotv0 k, --c a, A.1 A 0 (D s /of �- QAUJ��� Date ��' �� Inspector REV 10/92 n D r �- QAUJ��� Date ��' �� Inspector REV 10/92 E.H. USE ONLY Plat Pl= Attached Floor Pim Attached t/ Seed to B.D. TO:,-" Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance . SID kDrle,__ Own r Location AP# Plan, Approved for: Sewage Disposal Water, Supply: Public Private Well_ Clearance for bedroom-fie home. Other Hold final for: Final clearance O.K. for: NOTE: E 71ironmental Health Specialist Date Q/o� f>`rr.� ter: a"""1Y ,y�s..... t1 �: i `� n..r^r-�"`-.^M"I*^'-.•:,^r••..�.�,�^e"+'w.w-+trl�ws+��Y.h"tiw�.,.�,r`^"'r•'�' ...+.--v......,....v........ rt...w•s.. .:„,rr-.ro.+ �r COUN,TYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER SprL 5re" e" cs/ma -5 on✓ A. P. No. 37 - Yi -O O Z Proposed Building Use evi Building Inspector C, Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). `... . fi 9. Mobilehome data d nufactu e1' instal tion instructions, 2 sets. ........... 0. Fees of $ e/ G.�. 7` ............................... 1. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval GNi4.0 Health Department .............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . Fred nspedion request 20. Pre -inspection for required. .. to Building Inspector qffte) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............ Recorded copy of Agricultural Acknowledgement Statement., ................... G qSZIA - Letter of signature authorization . ....................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road.' 27. Letter of intent on building use . ...................................... . . 28. Mobilehome utility clearance . ....................................... . 29. Documentation of legal access . ..................... :................. . 30. Documentation of 50% subdivision developed or (A) Road improvements complet and (B) Parcel meets zoning area and frontage requirements . ............. . 31. Existing violations/expired permits . .................................. 32. Plan check list. .................................... .. 7 (9 33 L t P Puy- /� -� s/i.� mw - 34. PIT c4lt' When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone Y -3'613L and hold for pickup at CHIC O office. Deliver with inspector. Other Parcel Creation oqa 7_� j Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air P&Nition Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuagce: (F�i/t�le e ite ,nohe bove). 1. Index permit for above items No. /D // / 7 , W �!)� 2. Additional items required: Contractor, designer, owner, was advised of above require ata by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above re u d data by _ phone _ mail Counter by _ Date Plans checked by 7' Date / Plans approved by Date . 3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Tf�s�sy COUNTY OF BU'T'TE - DEPART4ENT OF DEV ELOO43T SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER 01 PROPOSED BUILDING USE 3 2'2-i,1 �� c_ I�4i,•�y DATE4-7 k1 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT-�.r'�.�. ,: F ,.':.•, _.yam — \_ DATED RE._ DATE REC —Ot'. SCHOOL DISTRICT FEES C;1/ (paid at District Office) ......................... l 2. SHERIFF FEES (paid at Building Department) Residential ...... x un amt. Commercial (sqft) x 3. sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x amt. -- -- Commercial (per sq.ft) x =� r" sq.ft. amt. 4. RECREATION DISTRICT FEES (paid District at Office) .....t:.^;�,'r 5. DRAINAGE DISTRICT FEES (Contact Land Development Division):........... 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......`°-° _ (paid at Building Department) _ 7. OTTER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT-�.r'�.�. ,: F ,.':.•, _.yam — \_ DATED BUTTS COUNTY PARRS DEVELOPRM FSB CERTIFICATION FORM r CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) Property Owner fTAG Project Location/Address �� �� �Oy�• ��/✓ �j cr—%�C Subdivision Residential Development: (check'one) Lot Number(s) JNew Development —Alteration/Addition _Mobilehome(s) _Non -Residential / f� Vto Residential Total Number of Dwelling Units Comment: has complied with the requirements of_Butte Co. Resolution No. 90-114400 by payment for dwelling units @ $1,189 for total payment of CARD Representative PAID BY CHECK NO. BANK N0. PAID.BY CASH RECEIPT N0. Co Lo202�11E Date REMARKS,: a,-r.r. - A v # -3,� Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod--City.of Chico Building Dept. Building De artment Reqrese_fftative, Date Recreation and P�aarrk Distrinct(CARD) Chic��o'tt certifies that /A'�rea /97c-/- .(Applicant/Name)9- (Phone Number) l o 7 7U One Ane (Street Ad/dress) Oh ! .�O CA (City) (State) (Zip Code) has complied with the requirements of_Butte Co. Resolution No. 90-114400 by payment for dwelling units @ $1,189 for total payment of CARD Representative PAID BY CHECK NO. BANK N0. PAID.BY CASH RECEIPT N0. Co Lo202�11E Date REMARKS,: a,-r.r. - A v # -3,� Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod--City.of Chico Building Dept. OWNER GENERAL RESIDENTIAL PLAN.CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # f S -0 75--35' A. P. # 9y- 7- i:�4 Z Plan Checker, 8/91 Zoning requirements: (sideyards and number,of permitted living units). ?-Valuation. r Plans signed by designer. 'Proper description of work on application.,; 7'.Exi sting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). :'Recorded notice of violation. PIAT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. . Other buildings or structures. 4�.-- Grading, fills, drainage. fFlood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form) FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second .exit (Sec.+1204). y Skylights' (Chapter 34' & Sec.' 5207)': � r �. Human impact -glass (Sec. 5406). • Required room sizes, ceiling heights (Sec..1207). FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). . Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. . Locations of water heater, heating and cooling equipment, other electrical or gas equipment. • Garage firewall, door size, and closer (Sec. 503(d)(3)). • 1 - 3'0" exterior exit door (sec. 3304 (f). 'replace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). • Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) c- Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction -details complete enough to construct building Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. 0' Rafter ties or bearing.ridge beam. Garage door or porch header sizes. 2? Stud heights. 3•: Adobe soils - special foundation design. Er Retaining walls requiring design. Spect4l Inspection 8/91 RESIDENTIAL PLAN CHECKING GUIDE Y MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec... 3306) . Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). r.Attoper roof pitch for roof convering (Chapter 32). ic of covering type - (fire hazard). am insulation - protection. " halls and stairways. ving area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). ".' Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. .'a Energy design. . Flashing at all exterior openings. ACDF responsible area requirements. 1-n -� i LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. 9-S-0-7 J Cot, CET I-) E/+eL TRvsr ErALOWNERS C /`�/l /� ^� NAME: SO n SUS '1 `� (� NUMBER: ( 1 / ` l 0 —0 D O( PRINT LAST NAME IRST COUNTY ZONING x DESIGNATION: FLOOD ZONE: ` FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: / \ Ir N PARCEL CREATION BY DEEDS DATE OF CREATION: `7'/ 9 AA Z 21,5 DEED REFERENCE: cJ 4" 02 2 Q LEGAL ACCESS PROVIDED:_ YES NO LEGAL ACCESS REQUIRED: YES �� NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: 10/Ly V/ 0115 1>e&c0 OF CZ&�07-10iAl DATE OF RECORDING PARCEL CREATION BY MAP LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 12 T CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12/94 - C:\WP51\F0RMS.K\8LDGPERM.CLR I •o9s,luawdolana(► N "- 5661. 3.111na BUILDING DIVISION —" COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-75 AGRICULTURAL BUILDING EXEMPTION PERMIT / P RMIT NO. J - Agricultural building is defined as follows: Agricultural building is a structure designed grid constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING A5 OWNER PHONE NO. STEVE &,STACY SIMPSON 345-3882 OWNER'S ADDRESS 10776 LONE PINE AVE, CHICO 95928 LOCATION OF BUILDING USE OF BUILDING TURKEYS HOGS FEED TRACTOR, FARM EQUIPMENT SIZE OF STRUCTURE .2 �l Xk 80 SO. FT. PE OF CONSTRUCTION: 'WOOD FRAME _-V— STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE WOOD COMP CEMENT COST OF CONSTRUCTION �ESTIMATED Z 50 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: , , FRONT SIDES S REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilefiome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the require ents in effect at that time and before occupancy. Date 2 Signature of Owner a 1000, Permit Fee - $60.00 The above described AG Building is exempt from a buildina Dermit. Receipt No./?S-90 I FLOODPARCE P.D ROOFI ISSU Manager Building Divisior C ByAld'�V����,Date White - DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant I2 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER, / A. P. No. 37 -LI -7-2- Proposed Building Use Building Inspector �/ &41v Date Q Z/ Q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: y 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup up at office. Deliver with inspector. Other icant EXPIRATION OF APPLICATION ..Date -7-c,,A Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant v STEVE & STACY SIMPSON AVAVAVAVAVAVAVAVAVAVAkV 10776 LONE PINE AVE • CHICO CA 99928-9500 • Telephone (916) 345-3882 • Fax (916) 836-799.5 September 20, 1995 Butte County Building Department 1469 Humboldt Road Chico Ca. 95928 Re:. Ag Permit Building Department, Would like to apply for an Ag Permit. The information that you require; Building Sq. Footage: Floor: Siding: Roof: Uses 480 Cement Slab Hard Wood 30 yr. Comp Housing baby turkeys and hogs, Storage of turkey and hog feed and equipment Storage of FFA projects Storage of farm tractor If you have any questions please contact me. Thayou, teve R. Simpson AN 39-47-002 10776 Lone Pine Ave Chico Ca. 95928 345-3882 ;CERTIFICATE OF COMPLIANCE: Residential ' Page 1 CP -1P. Type -------------------------- U -value -------- Pro,ject Title: SIMPSON 2098w (BASE CASE) Pun: 199 19 -Mar -95 Project Address: 10776 LONEPINE AVE. SIMPSON 2098w (BASE CAS Building Title: CHICO, CA. 95928 SIMPSON 2098w (BASE CASE) Building Permit,# (I-5- o 753 Document Author: BOB METZGER O.D.S. 0.037 Ceiling Telephone: 865-9688 or 342-9688 4 Plan Check / Date ,,,� ,2 5 Compliance Method: CALRES2 Version 1.31 Climate Zone: 11 GENERAL INFORMATION Conditioned floor Area: Building Tyne: Building Front Orientation: Number of Dwelling Units: Floor Construction Tpe: BUILDING SHELL INSULATION Field Check,/ Date 2098 ft2 SFD Single Family Detached 270 deg (West) 1.00 Raised floor Component Insul Assembly Type R -value -------- U -value -------- --------------- Door 0i 0.330 Wall 15 0.081 Wall 15 0.081 Wall 15 0.081 Floor 19 0.037 Ceiling 38 0.025 FENESTRATION Location/Comments Unconditioned Outside Unconditioned Attic Crawlspace Attic Interior Exterior Area U - Shading Orientation (ft2) value Panes ----- ----------------- Window West ----- , 80.0 ----- 0.600 2 Window West /20.0 0.600 2 Window West /60.0 0.600 2 Window North 43.0 0.600 2 Window North 20.0 0.600 2 Window East 47.0 0.600 2 Window East 31.5 0.600 2 Window East 16.7 0.600 2 Window South 17.8 0.600 2 Window South 22.5 0.600 2 Window South 10.0 0.600 2 Skylight 9.0 0.800 2. Lgt Blind Bug Screen 011+Fins Metal >� None None None Metal THERMAL MASS Area Thick Type Exposed:' (ft2) (in) - ----- Intmassl Yes 54.0 4.0 Location/Comments Unconditioned Outside Unconditioned Attic Crawlspace Attic Interior Exterior Overhang Frame Shading Shading and Fins Type ---------- Std Drape ---------- Bug Screen -------- Overhang -------- Metal Std Drape Bug Screen Overhang WdDr/Div Lgt Blind Bug Screen Overhang Metal Std Drape Bug Screen Overhang Metal Std Drape Bug Screen 0I1+Fins Metal Lgt Blind Bug Screen Overhang Metal Std Drape Bug Screen Overhang Metal Std Drape Bug Screen Overhang WdDr/Div Std Drape Bug Screen 011+Fins WdDr/Div Std Drape Bug Screen Overhang Metal Lgt Blind Bug Screen 011+Fins Metal >� None None None Metal A Location/Comments --------------------------------AU Interior ,(�� CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1P. Project Title: SIMPSON 2098w (BASE CASE) Run: 199 19 -Mar -95 HVAC SYSTEMS Duct Location Type Efficiency and R -value -------------------------- ---------- ------------- furnace 0.80 AFUE Attic R-5.6 Air Gond. -- central split 10.50 SEER Attic R-5.6 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name {Heater Type Iltrs Factor (,gal) ------ R-va] ----- -------------------- 50GALW/ll. e Standard ------------ 50W/H. e ----------------- Storage gas ---- 1 ------ 0.60 50 0 WATER HEATING SYSTEMS MISC Solar savings Solar system Wood stove Wood stove System Name fraction type boiler? boiler pump? ------------------------------------------------------------ 50GALW/II. a -- -- No No WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Ileater Name Efficiency AFUE (kBtuM Loss R -value (Btuh) ---------------------- ------------------------- ------ 5OW/II . e 76% -- 40.00 -- -- -- IIYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES None CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: SIMPSON 2098w (BASE CASE) Run: 199 19 -Mar -95 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply- with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility-. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special features, Remarks, and Notes section. DESIGNER OR OWNER DOCUMENTATION AUTHOR STEVE & STACY SIMPSON BOB METZGER O.D.S. BOB METZGER O.D.S. 3779 COSBY AVE. 113 E. WALKER CHICO, CA. 95928 ORLAND, CA. 95963 345-3882 865-9688 or 342-9688 Lic #: Signed Date Signed Date ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date COMPUTER METHOD SUMMARY Page 1 C-211, Project Title: SIMPSON 2098w (BASE CASE) Pun: 199 19 -Mar -95 Project Address: 10776 LONEPl NE AVE. SIMPSON' 2098w (BASE CAS C1i1co, CA. 95:,28 Building Title: SIMPSON 2098w (BASE CASE) Building Permi.t.# Document Author: BOB METZGER O.D.S. Telephone: 865-9688 or 342-9688 Flan Check / Date Compliance Method: CALRES2 Version 1.31 Field Check / Date Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-.yr) Energy Use Standard Design Space Heating 15.63 Space Cooling 1.2.11 Water Heating 11.52 Total 39.26 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Number of Stories: Proposed Design --------------- 16.76 11.27 11.08 -------- Complies 39.10 Yes 2098 ft2 SFD Single Family Detached 270 deg (West) 1.00 2 Floor Construction Type: Raised floor Number of Conditioned Zones: 1 Total Conditioned Volume: 21679 ft3 Conditioned Footprint Area: 1207 ft2 Ground Floor Area: 1207 ft2 BUILDING ZONE INFORMATION Floor Vent Vent Zone Area Volume Thermostat Height Area Name (ft2) (ft3) Type Type (ft) (ft2) ---------------------------------------------------- ------ ------ House 2098 21679 Conditioned CEC Standard 81011 27.7 OPAQUE SURFACES Surface Area U- Insl Tru 11)1r Construction Type (ft2) ------ value ----- Rval ---- Azm --- Tlt --- Gns --- Type ------------ Location/Comments -------------------------- ---------- Zone = Ilouse Door 17.8 0.330 0 180 90 No 28x68 -hood Unconditioned Wall 591.0 0.081 15 270 90 Yes W15.2x4.16 Outside Wall 23.0 0.081 15 315 90 Yes W15.2x4.16 Outside Wall 546.0 0.081 15 0 90 Yes W15.2x4.16 Outside Wall 751.8 0.081 15 90 90 Yes W15.2x4.16 Outside Wall 275.7 0.081 15 180 90 Yes W15.2x4.16 Outside Wall 158.2 0.081 15 180 90 No W15.2x4.16 Unconditioned Wall 175.0.0.081 15 180 90 Yes W15.2x4.16 Attic COMPUTER. METHOD SUMMARY Page 2 C -2R Project Title: SIMPSON 2098w (BASE CASE) Run: 139 19 -Mar -95 OPAQUE SURFACES continued Surface Area L'- Insl Tru Slr Construction Glazing Type (02) value Rval Azm Tlt Gns Type ------------ Location/Comments -------------------------- ---------- Wall ------ 23.0 ----- 0.081 ---- --- 15 225 --- 90 --- Yes W15.2x4.16 Outside Floor 1207.0 0.037 19 -- 180 No FC19.2x8.16 Crawlspace Ceiling 1198.0 0.025 38 -- 0 Yes R38.2x4.24 Attic PERIMETER LOSSES Insul Perimeter Length F2 Insul Depth Tyne (ft) Factor R -tial (in) Location/Comments ------------------- ------ ----- ------ ---------------------------------- None FENESTRATION SURFACES Glazing Fenestration Area Tru Open Frame Charactr Name Type ( ft2 ) Azm Tlt Type Type Name Comments ------------ ---------------- -------------- Zone = House ---- ----- --- --- ------- -------- F11 Wind 15.0 270 90 Slider Metal OPER/std F12 Wind 15.0 270 90 Slider Metal OPER/std F13 Wind 10.0 270 90 Fixed Metal OPER/std F14FRTDR {Find 20.0 270 90 Fixed WdDr/Die OPER/std F15 Wind 10.0 270 90 Fixed Metal OPER/std F16 Wind 15.0 270 90 Slider Metal OPER/std F17 Wind 15.0 270 90 Slider Metal OPER/std F21 Wind 20.0 270 90 Slider Metal BLDS/std F22 Wind 20.0 270 90 Slider Metal BLDS/std F23 Wind 20.0 270 90 Slider Metal BLDS%std FL11 Wird 10.0 315 90 Slider Metal OPER/std L11 Wind 10.0 0 90 Slider Metal OPER/std L12 Wind 10.0 0 90 Slider Metal OPER/std. L21 Wind 15.0 0 90 Fixed Metal OPER/std L31 Wind 6.0 0 90 Slider- Metal OPER/std L32 Wind 6.0 0 90 Slider Metal OPER/std L33 Wind 6.0 0 90 Slider Metal OPER/std B11 Wind 12.5 90 90 Slider Metal BLDS/std B12 Wind 12.5 90 90 Slider Metal BLDS/std B21 Wind 6.0 90 90 Slider Metal OPER/std B22 Wind 17.5 90 90 Slider Metal OPER/std B23FRCH Wind 16.7 90 90 Fixed WdDr/Div OPER/std B24 Wind 6:0 90 90 Slider Metal OPER/std B31 Wind 16.0 90 90 Slider Metal BLDS/std B32 Wind 2.0 90 90 Fixed Metal OPER/std B33 Wind 6.0 90 90 Slider Metal BLDS/std R11FRCH Wind 17.8 180 90 Fixed WdDr/Div OPER/std R21 Wind 12.5 180 90 Slider Metal OPER/std COMPUTER METHOD SUMMARY Area Page 3 C -2R Project Title: SIMPSON 2098w (BASE CASE) Run: 199 19 -Mar -95 FENESTRATION SURFACES continued Fenestration 5'0" Area Tru F121 Open Frame Name Type (ft2) Azm Tlt Type Type ------ -------------- R41 ---- Wind ----- 10.0 --- 180 --- 90 ------- Slider Metal FR, 11 Wind 10.0 225 90 Slider Metal SL1 Skyl 9.0 -- 0 Fixed Metal GLAZING CHARACTERISTICS 5'0" 3'0" Glazing F121 5'0" 3'0" Charactr Glazing n of U - Name Type Panes value ----- ------------ OPER/std --------- Clear ----- 2 0.600 BLDS/std Clear 2 0.600 DblSkylt Clear 2 0.800 OVERHANGS Fenestration Name Height Width fll 5'0" 3'0" F121 5'0" 3'0" Glazing F13 61811 11611 F14FRTDR 618" 3'0" 61, F15 61811 11611 4" F16 51011 3' 0" F17 5'0" 3'0" F21 51011 41011 411 F22 510" 4'0" F23 5' 0" 47011 FL11 5'0" 2'0" 4" 1,11 510" 2'0" L12 5'0" 21011 L21 5' 0" 31011 1110" L31 3'0" 2'0" L32 3701' 21011 L33 31011 2' 0" B11 510" 216" B12 510" 2'6" 0" B21 3' 0" 27011 4" B22 31611 51011 B23FRC11 61811 27611 L B24 31011 210„ 41' B31 41011 4' 0" B32 19511 115" B33 3' 0" 21011 31911 " R11FRC11 61•8" 21811 Glazing Charactr Name Comments ------------ ---------------- BLDS/std OPER/std DblSkylt SC GIs Interior SC Int Only Shade Type Shade ---------------- ------ 0.880 Std Drape 0.780 0.880 Lgt Blind 0.580 0.880 None 1.000 Exterior Sc Ext Shade Type Shade ---------- ------ Bug Screen 0.870 Bug Screen 0.870 None 1.000 Above Left Right Depth Glazing Extension Extension --------- ------ 12'6" --------- 11 --------- 433 1 61, 11:1 12'6" 4" 40'611 1516„ 12'6" 4" 31'6" 26'0" 12'6" 411 28161, 271611 12'6" 411 27'0" 30'6" 12'6" 4" 16'6" 39'6" 12'6" 4" 13'6" 42'6" 116" 1110" 33'2" 8'2" 11611 1110" 20'8" 20'8" 4 1611 11101, 81211 33'2" 15' 8" 4t1 19' 0" 19' 0" 8'6" 4" 12'0" 15'6" 81611 411 31611 2410„ 21611 41' 11'2" 33'4" 1' 811 319" 23'6" 610" 118" 31911 15'6" 14'0" 11811 31911 61011 23'6" 21611 4" 63'0" 61611 21611 4" 60'6" 9'0" 81611 4" 26'0" 1770" 87611 4" 15'0" 25'0" 816" 4" 10'0" 3296" 816" 4" 31011 40'0" 29611 4" 34'0" 1110" 21611 09011 261011 12'5" 27611 4" 18'0" 19'10" 56'0" 4" 11411 4' 6'1 COMPUTER METHOD SUMMARY Page 4 C -2R Project. Title: SIMPSON 2098w (BASE CASE) Run: 199 19 -Mar -95 OVERHANGS continued Fenestration -------------------------- Above Left Right Name height Width Depth Glazing Extension Extension --------- ------------ R21 ------ 5'0" ------ 216" ------ 876" --------- --------- 4" ZO'6" 32'0" R41 4'0" 276" 1'8" 511" 10'6" 18'6" FR11 5'0" 210" 15'8" 4" 16'0" 44'0" FINS Left Fin Right -------------------------- Fin Fenestration. -------------------------- Exten Dist Exten Dist -------------------------- Fin Fin above to Fin Fin above to Name height Width Depth height glzng glzing ------ Depth Height ------ ------ glzng glzing ----- ------ ------------ L11 ------ 5'0" ------ 2'0" ------ 816" ------ 9'0" ----- 214" 1210" -- -- -- -- L12 5'O„ 210" 876" 910" 2'4" ,','6„ -- -- -- -- R11FRC11 6'8" 2'8" 5010" 910" 214" 114" -- -- -- -- R41 410" 216" -- -- -- -- 1210" 1010" 31411 210" THERMAL MASS Vol Cond- Area Thck heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- Zone = Ilouse Brick 54.0 4.0 23 1.33 Brick 0 Interior SOLAR GAIN DISTRIBUTION Fenestration Name ------------ None 11VAC SYSTEMS System Name -------------- Zone = House GasFurn.80 ACsplit10.5 Hinter Summer Targetted Fraction Fraction Thermal Mass Comments --------------------------------=--------------------------- Duct Location System Type Efficiency and R -value -------------------------- ---------- ------------- Furnace 0.80 AFUE Attic R-5.6 Air cond. -- central split 10.50 SEER Attic R-5.6 CONFUTER MET110D SUMMARY Fade 5 C -2R Project, Title: SIMPSON 2008„ (BASE CASK) Run: 199 10 -Mar -95 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name .Ileater Type Iltrs Factor (gal) R-val -------- 50GALW/11. e Standard ------------ 50W/II. a ----------------- Storage gas 1 0.60 50 0 1.1 WATER IIE,,TING SYSTEMS MISC Solar sav liigs Solar system Wood stove Wood stove System Name fraction type boiler' boiler pump' 50GALW/I1. a -- -- No No WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank -Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) 50W/II. a 76% -- 40.00 IIYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe InsuI Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- None SPECIAL FEATURES, REMARKS, AND NOTES None MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF-1R ------------------------------------------------------------------ �' Project Title.......... MASTER PLAN Date........ 01/01/93 Project Address........ MASTER PLAN --------------------- CHICO, CA. Documentation Author... BOB METZGER 865-9688 ; Building Permit # ; Company ................ BOB METZGER 0 D S i Telephone .............. 865-9688 or 342-9688 ; Plan Check /'Date ; Compliance Method...... MICROPAS4 by Enercomp, Inc. ; Field Check/ Date ; Climate Zone........... 11 --------------------- ' MICROPAS4 v4.01 File-. Wth-CTZilS92 Program -FORM MF-lR ' User#-MP1000 - User -BOB METZGER 0 D S Run----------------------------------------------------------------------------- { I residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist o y. JK*"-4Ll BUILDING ENVELOPE MEASURES Nesi'gn- �� -------------------------- -A nforce- e� went *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. It *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 1� 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. E �� 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with ,/� Sec. 151 meets CEC quality standards. l 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door i b. Outside air intake with damper and control c. Flue damper and control r 2. No continuous burning gas pilots allowed. E 10 .' 1 110-13: HVAC equipment, water heaters, showerheaas ana faucets _- certified by the CEC.C l(r 150(i): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non- recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank.-� *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch.—�-C 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non-electrical cooking appliance �lb with pilot ( 150 Btu/hr.). LIGHTING MEASURES ----------------- -Design- Enforce- er went 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Be aware that glazing units (including doors with .glass) must have permanent NFRC labels. Glazing labels will be -checked against the Title 24 calculations at the time of framing inspection. If the installed U -value is of a lesser value, the Title 24 calculations must be redone, and appropriate changes made to the ' structure (e.g., this may include additional insulation, addition of screening devices, reduction of window sizes, etc.). Note that an Installation Certification Form CF -6R is required to be ` posted at the residence proper to the issuance of a Certificate of _Occupancy. This is in addition Co the Insulation Certificate. IF APPLIES GENERAL NOTES SHEET E 1. ALL PENETRATIONS THRU THE BUILDING ENVELOPE (CLG.. WALLS AND FLOORS)lb bE CAULKED, SEALED OR WEATHER STRIPPED. SHIM SPACES AROUND EXTERIOR DOORS OF THE BUILDING ENVELOPE TO BE INSULATED. 2. ALL EXTERIOR PANELS EDGES TO BE CAULKED. 3. ANY ACCESSESS TO ATTIC SPACE OR CRAWL SPACE FROM CONDITIONED SPACE TO BE FULLY WEATHER STRIPPED. 4. .EXHAUST FANS TO HAVE BACKDRAFT DAMPERS. 5. FIRE PLACES TO HAVE. a) O.S. COMBUSTABLE AIR TO F.P. BOX W/ MIN. DUCT CROSS-SECTIONAL AREA OF 6 SO. INCHES b) DAMPERS TO ' 'DUCT ACCESSABLE FROM INSIDE F.P. AREA c) FLUE .DAMPER. TIGHT -FITTING 8 READILY ACCESSABLE d) TIGHT -FITTING F.P. DOORS OR HEAT CIRCULATING DEVICE. 6. A/C DUCTS TO BE INSTALLED PER 10ka�A U.M.C. 8 INSULATED 0- INSUL.- GAS EQUIP.) & (2- INSUL.-HEATPUMP EQUIP.) 15# DENSITY TYP. r- - A rIsA .. 7. MAIN LIGHTING SOURCE IN ALL BATHS 8 KITCHEN TO BE FLOURESCENT OF 4.0 LUMENS/WATTS OR GRATER. 8. FAUCETS 8 SHOWER HEADS TO BE WATER SAVING TYPE 8 CERTIFIED BY C.E.C. 9. W.H. TO HAVE. a) 1'-6" HIGHT PLATFORM. b) . VENT THRU ROOF. c) ADEQUATED CONBUSTABLE AIR VENTING. d) R-4 INSULATION 5'-0- TO 8 FROM UNCOND. SPACE. e) R-12 INSULATION WRAPPING. f) R-4 INSULATION ON CIRCULATING SYSTEM. g) CERTIFIED BY C.E.C. 10. GAS COOKING APPLIANCES NOT TO HAVE CONTINUOUS BURNING PILOT LIGHT. 11. A/C UNIT TO HAVE a) SIZED 8 CERTIFIED BY C.E.C. b) SET -BACK THERMOSTATS. 12. INSULATION INSTALLER TO BE CERTIFIED BY STATE 8 LOOSE FILL INSULAT- ION TO HAVE MANUFRS. LABLED R -VALUE 13 BUILDER TO SUPPLY TO OWNER ALL INFO. PERTAINING TO THE OPERATION OR TREATMENT OF ALL APPLIANCES 8 DEVICES RELATED TO ENERGY OR WATER USE. 14. ALL WDOS. @ CONDITIONED SPACED DUAL -PANE. DOORS 8 WDOS. TO BE FUL- LY . I WEATHER STRIPPED. 15. CAULK BETWEEN BOTTOM PLATE AND CONC. FLOOR. 16. PROVIDE INSULATION BAFFLES @ EAVE BLOCK VENTS. 17. USE ELECT. OUTLET GASKETS @ O.S. WALLS. 18 WATER HEATER TO HAVE P -T VALVE WITH DISCHARGE TO OUT SIDE. 19. REF. FRZRS. FLUR. LAMP BALLAST TO BE CERTIFIED BY C.E.C. CON TRACT- OR -OWNER TO SUPPLY MAKE AND MODEL. (33ADaWO WSIMMELvai :SBL am { ,v 9kO pnft An �41-mMMM s4 MOO= mv IM" 9MI` , C � a. - .V'd Eam AMOLM M ON 402twu 2xim i T i (I .10 R= A 2wz Itam s%, lci v 13M ash ¢OZG It inn"cm =ffM toe 'go =Rqxsxa`'&° aor T MIM I'"1' X ZAM2 Qqlh� Ian it M=W44 % % Mm V MOLTSM x OBE 3DVA am I �04� z3x WE 141 -M q�y�gy�.we� i •' �AE! a:fa,>3 rU9 lVGl �' '�' b4Lma'] o✓'atb IDfl .:- V24MMMW AWN i+p 3UW' N cow JANVO is I� S6 lane: rta=,M S4W PEN C8,Tvar-vt ad= it oisns goes 9i i f� qy% WWI �t A4 i�G/'1 C.d 1.nl�Raa fi.T. rIT T j 3a -VA-n w -WAVI Yuw:hn an rc -�, T(iQ aa�joz:Z .i.I.Ia[' t L6T 264 9T6.Q 92: TT 26- f,Z;'2U �> �ubYY Of gull MAY 2 X95 ,.,and pevelopmenYSec• 05, 2.3/9 .5 15: 20 $916 895 1979 Jerry Tucker 001 25,95_03:07PM �£��)� W. 7 -VALLEY TIME i0 89519791 F0C1_-%'003 ;e I yk ` mid Valley i me and Escrow Co. * Chico Of'lct * Phone (9 16) 893-56,0 Customer Service Only (916) 893-0155 Fax (916) 893.1853 To: C� Company Name: ? l� �-A-I b t V, From Fax Munber. i 9 of pages being sent Including Cover Sheet./ %I , Notes:_, 1 i C � I 1 I i I itis fu is Frain fteCtaomer Department 'oag, juewdojeneCj PU -- SO 91 AVW nine 4o Aanw 05/25/95 15:22 V910 495 1979 25,-G;5 03; 07PM .,RUM M_0 -4A! !I Y r' s m Jerry- Tucker 16003 ISf ny3L! UIrL/ UUJ t� grant b Fat wolt4e seeeiiTdgkbVc WRL RA`' W_V aall COCAt/Ni4%-,GFi. Jotia Tepa{alo t:ft.NT e. O+MiOM WE=9 ORIET ' �l all that real 7enpmy oit+aatt: in the county of utto . S[otc'a f%ultzmiw loll all that real 7enpmy oit+aatt: in the county of utto . S[otc'a f%ultzmiw loll A psyti4s eT tent i of t" Cis' Tri5ct' a e a®g to th® ®[fq,o:.'3y, QSP 0VTEOf MW U the 2FfIt$ 4f L►ie RmarOrr a Oo QuAy of +r �6, p. uOto as CAliscreia. liag 01r 189 io aaa& i of ON -or 5t P��-ff W, e_;� paa;,'14311?&v 4"BCTUw ei fella", i t�ill7q oe rfi taiE� �c�a�se►nt�fititt� the �aptistsa�s .•. a Lat t Aid PROOL" OVYDw t{wtb Tie 450 Emv 224.t,S Ptmt m3 ~ lttae thtr"f. MeaCs ScaLb 1d 301 ftst 2=-4 j6�—,t: %krwG 3p •'`V® 10vr- weet 221.4 foet pwallel t4D tf5Q RO *Aerly nSZ @f gals iu i te ttss , reattTly lima oapeof 4TA tm iNW*rlp Ure ut Ld22 .dpi = r I , f 01"a coil Isco swt•b 1! W , 2s.Tt feat to tBs fti4a, ej wvtz i nd efttaic3me 40 cam..... . F. WMIM •� - ,rte 'J�"_. r rt ��•. a:'��:: . .yam•. ':�. % - �::" 'yam- .+ 1 'OeSlUGLudolOAGO pup -P SM 9 9 AVII WIN 40 AM," .I. P" 05.,,'25 95 15:21 V916 895 1979 Jexr3- Tucker -() 3q� I I.- P003/003 05-25, —91, 03: Ff PM �ROM M'.D—",'ALLEY TITLE t c -, -0, . .......... Akate Of "iforlda I " m I N*wfl 1"24kc ift Z,�w ,w "aid L,wuy -%ad Simi% pn-m-n2ljy kppwR .... ........ knowm ta mr to tm Isc pzm� 6,kd "abawk-ft=d w am dw& meoilk cult azw- W=37phw"ak &N-1 Env Mymlw�QA expim M�4 >ii *oaS, jU8U1t olOA8(] 9)U@1 5661 9 9 Atlw 3une A0 Aj.Nnoo r+L'R.+.'rr.,•fl''fir+`r'%s"Rr�.`�ti`'*''^'"*�=;,s;`. .y'�.`q fsf°a"v`.•:,�i�''?7,,y`"`""Y•�r*"""y'A'°`"`�.'�.''^-'t-- BUTTE COUNTY. SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District ItN Building Department No. C6c A.P. Number 3 y �'" � Jurisdiction Ej CityCounty if Property Owner' %/A C SrlejL� S�.Yr,o.9 Property Location/Address 0"776 �. o.�e /�<r✓c Grp<�� -ce- Subdivison Residential Dev'elopment Commercial/Industrial q L •r No. of Living Units ; Lot No. Sq. Footage—,20 9 6 . Z MHI Addition (Group R) 0 Sq. Footage New Addition (Including Exterior ' Roofed Areas) s- §uilclng Department Representative Date (Floor Plans reviewed by School District Personnel) , District Identification No. 966C29& School District certifies that (Street Address) k A G� i /Is I (Applicant) (Phone Number) (City) — (State): '(Zip Code) 1 has complied with the requirements ofRResolution No. by payment of $ � representing square feet. � r School District Representative fi . Check here if fee received represents "Full Mitigation". f .�- . Date Paid by Check # � � Remarks; Bank Number Paid`by Cash 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 QualityAct (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. X White (applicant), Yellow (building department), Pink (school district) feeform.wk, (4/94) F, And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 95-019651; Rec Fee I COP Recorded I Cash Official Records I County of I Butte I Candace J. Grubbs I Recorder I 2:32pm 14 -Jun -95 I PUBL XX 6. 00 1.00 7.00 1 a, AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26.8 of the Butte County Code requires 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: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CAMPER TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1890, IN BOOK 1 OF MAPS, AT PAGE(S) 28. EXCEPTING THEREFROM THAT PORTION BEGINNING AT A GRANITE MONUMENT MARKING THE NORTHWEST CORNER OF SAID LOT 1 AND RUNNING THENCE NORTH 71 DEG. 45' EAST, A DISTANCE OF 221.75 FEET ALONG THE NORTHERLY LINE THEREOF; THENCE SOUTH 1 DEG. 30' WEST, A DISTANCE OF 208.71 FEET; 'THENCE SOUTH 71 DEG. 45' WEST, A DISTANCE OF 221.75 FEET PARALLEL WITH THE NORTHERLY LINE OF SAID LOT 1 TO THE WESTERLY LINE THEREOF AND THE EASTERLY LINE OF LONE PINE AVENUE, AS SHOWN ON SAID MAP; THENCE ALONG SAID LINE NORTH 1 DEG. 30' EAST, A DISTANCE OF 208.71 FEET TO,.,THE POINT OF --BEGINNING. _ DATE: State of California County of BUTTE On 6/5/95 before me, JANICE L. SM1TH personally appeared STEVE R. SIMPSONaersonally known to m to be the personN) whose name4) isAWsubscribed to the within instrument and acknowledged to me that h executed the same in hh 6,, Kauthorized capacitvrKK and that by hisNVDg0@bM-ignature(9 on the instrument, the person¢&), or the entity upon behalf of which the personM acted. executed the instrument. //•+nnnuuu"rsnuuuurouunuunnnunnwuuu,uiuunr WITNESS my hand and official scuT:� , 1/ - OFFICIAL SEAL c 98 JANICE L.SMITH l>: NOTARY PUBLIC - CALIFORNIA vj COUNTY OF w �,9 Seal: Signature Q BUTTE — - - My Commission Expires April 10, 1999 "`\ � i��nm�nclnc�!nununsrnnwnunnuuuuuruuuuunuu� :%.P.# .� `7 - y7- 007 ion e-- C� n ---q ( JZ . c i' 3ti5 8gz . II II AND WHEN RECORDED MAIL TO: BUTTE COUNTY DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2015-0006428 Recorded I REC FEE 22.00 Official Records I County of I CONFORMED COPY 1.00 Butte I CANDACE J. GRUBBS I County Clerk-Recorderl BWI 02:39PH 27 -Feb -2015 I Page 1 of 3 DECLARATION ACKNOWLEDGING RIGHT TO FARM Section 35-8 of the Butte County Code requires this declaration of acknowledgement to be recorded prior to the issuance of a building permit. The undersigned do hereby certify to be the owner(s) of certain real property located in Butte County, California, and 3 more particularly described in Exhibit "A", attached hereto and incorporated herein by this reference ("the subject ) property"). The undersigned do hereby acknowledge that the subject property is located on or adjacent to agricultural land, as defined in the Butte County Right to Farm Ordinance (Butte County Code, Chapter 35). The undersigned do hereby further acknowledge that the County of Butte permits the operation of properly conducted agricultural operations on agricultural land within the unincorporated area of Butte County and has declared it County policy in the Butte County Right to Farm Ordinance to conserve, protect, enhance, and encourage such operations. The undersigned do hereby further acknowledge that if the subject property is located near an agricultural operation on agricultural land, residents or users of subject property may at times be subject to inconvenience or discomfort arising from the operations, including, without limitation, noise, odors, fumes, dust, smoke, insects, operation of machinery during any time of day or night, storage and disposal of manure, and ground or aerial application of fertilizers, soil amendments, seeds, and pesticides. The undersigned do hereby further acknowledge that one or more of these inconveniences or discomforts may occur as a result of any properly conducted agricultural operation on agricultural land. The undersigned do hereby further acknowledge that the County of Butte has determined in the Butte County Right to Farm Ordinance that inconveniences or discomfort arising from a properly conducted agricultural operation on agricultural land will not be considered a nuisance for purposes of the Butte County Code or County regulations, and that residents or users of nearby property should be prepared to accept such inconveniences or discomfort as a normal and necessary aspect of living in a county with a strong rural character and an active agricultural sector. This Declaration shall run with the subject property in perpetuity and shall be binding upon the undersigned and the undersigned's heirs, personal representatives, lessees, executors, successors, and assigns. This Declaration and the acknowledgements contained herein shall be disclosed to prospective transferees of any interest in the subject property, including, without limitation, a leasehold interest, and prior to any such transfer. IN WITNESS WHEREOF, the undersigned has/have executed this Declaration this a day of j"�= �.r`r,✓ .20 BUT fE COUNTY DECLARANT(S) Signature ►4 v.t�SSr. Signature , -,,Ly S: 5.... Assessor's Parcel Number: 039-470-002 MAR 2 7 ?015 Z ZO DEVELOPMENT Da S7ERVICES 2 21C) - Date NOTE: ACKNOWLEDGMENTS MUST BE ATTACHED FOR ALL SIGNATORIES PLEASE SEE ATTACHED OFFICIAL NOTARY DOCUMENT 01 CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF��c't2, } On ��.o�''.ao%S before me , ��r.s�a.:. oos��&Notary Public, Date personally appeared (here insert name and title of the officer) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged to me that+e}she/they executed the same in ter/their authorized capacity(ies), and that by htis+er/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ----------------- WITNESS my hand and official seal. ei- Signature: CHMPAVIBAToosINGHCOMM. /1942802 NOTARY PUBLIC CALIFORNIA COUNTY OF BUTTE Comm. Expires July 1.2015 (Seal) OPTIONAL Description of Attached Document Title or Type of Document: \ !o<-\0",*" n K -_a Number of Pages: 1 Document Date: fp-aa- 1S Other: SIA 2015 Aoostille Service, 707-992-5551 www.CalifomiaApostille.us _ California Mobile Notary Network www.CAMNN.com :J YYYY�ie DESCRIPTION �5--ZOgBI ORDER NO. BU -141041 CV ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CAMPER TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1890, IN BOOK 1 OF MAPS, AT PAGE(S) 28. EXCEPTING THEREFROM THAT PORTION BEGINNING*AT A GRANITE MONUMENT MARKING THE NORTHWEST CORNER OF SAID LOT 1 AND RUNNING THENCE NORTH 71 DEG. 45' EAST, A DISTANCE OF 221.75 FEET ALONG THE NORTHERLY LINE THEREOF; THENCE SOUTH 1 DEG. 30' WEST, A DISTANCE OF 208.71 FEET; THENCE SOUTH 71 DEG. 451 WEST, A DISTANCE OF 221.75 FEET PARALLEL WITH THE NORTHERLY LINE OF SAID LOT 1 TO THE WESTERLY-LiNE THEREOF AND THE EASTERLY LINE OF LONE PINE AVENUE, AS SHOWN ON SAID MAP; THENCE ALONG SAID LINE NORTH 1 DEG. 30' EAST, A DISTANCE OF 208.71 FEET TO THE POINT OF BEGINNING. if, END OF DOCUMENT R' 1 N boA01 P 1TOP�+ - d�" i� o�T: F,c,.to ��-�." 20,0 ti lot _ W IM _2 44 Air Alt, rt1f O Environmental Health IL 1*7 P p, it, _ - — _ - - _ --_ — — - - --- i A' APR -211995 ,,�n • �. Chico, California ! r (Os - F��t o (fb 4 ti' j s L :�, s �r t-4 ID PR®V�Dapk,p - tz�1�1 meCounty al Health - �d� _9 qO 40 50 .4050 �'- m. r� L J% m 9: a 0 j3 _ u -c to fir, �- cr (TI -, rp o ? 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