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Home My WebLink About039-540-061NOTES t RESIDENTIAL' 039-540-043_ U4-1482 �. PERMIT NO. _ VERCRUYSSEN, RENE r 0 SOUTHWTND, DURHAM Cont: ME SENGER :;ONST NSF,GARAGE, COV.DECK 1 ` 47. i{ ` 1 FF SPECIAL CONDITIONS - CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION `ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - OFFICE COPY 7,p U (f� Address GAS Date Metre 3 r1�-off= ` By J ` ELECTRIC Date% Meter By JOB FINALEO Signature i' s' 1 i t RESIDENTIAL' 039-540-043_ U4-1482 �. PERMIT NO. _ VERCRUYSSEN, RENE r 0 SOUTHWTND, DURHAM Cont: ME SENGER :;ONST NSF,GARAGE, COV.DECK 1 ` 47. i{ ` 1 FF SPECIAL CONDITIONS - CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION `ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - OFFICE COPY 7,p U (f� Address GAS Date Metre 3 r1�-off= ` By J ` ELECTRIC Date% Meter By JOB FINALEO Signature J - OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels 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 1. 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 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-Con nectors 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-Linino 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- Panel boards- 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 J=OK 0 = Not OK - Not Applicable . Not Ready RESIDENTIAL (Single & Duplex) Date UNDEEWLOOR (Plans) OK except #'s 5. 6. ., M ' , Soils-Elec. Grnd.-/ K" Ftg. Depth t , arage; Soils-Steel-Elec. Grnd.-/ a P' Ftg. Depth tq., Porcbeg,,& Decks; Soils -Steel-//?-/" Ftq. Depth Anchors 8. Pier ire lace Ft .-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation _ 'Date t-1,0-11 e Card B-1 Date Card B-1 Dateq-% ilr UY Card B Date Card B-1 Date PLUMBING er 7) OK except #'s 17 -,-Water Htr.; Vent -Access -Combustion Air Baffle .V.; Test Fittings & Anchor -Nail Protection IWO . Shower Pan; Test, First Floor -Tub Access 21 Tes <Tub & Shower, Second Floor -Tub Access 2 as Pipe; Sixe & Anchors 23. Fire Sprinkler; Test, Date '1 Card B-1 /1/ Date Card B-1 Date CarofB 1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s & Switches at Doors Date FRAMING(Permit) OK except #'s 43 -'Sill ,Proper Materials & Anchors alls,studs-Nailing Spacing & Braces -Plates -Sound 43 Bea ' g IIs over Girders & Floor Nailing ra op in Walls (rat proof) 4 .) it tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAM IN&(Continued) 47� n ers-Post Caps -Anchors -Connectors 4 Cli . Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. ireDlete Ties or Type A Flue -Fireplace Throat Clearance 5 m. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 53. Prop!.5 Line Firewall & Openings Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. &tairS;,VV,idth- Head room -Rise -Run -Landing -Fire Protection obyatywo d on tsoot uvernang-Attic vents -hatter uutriggers 7. S' g -N ' ing Veneer ,4 Stuc Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. ezing Area -Glass Prot -Skylights-Plastic . Shear Walls; Nailing -Bolts Bl. Br Interior/Exterior Wall Panels Date, Card B-1 � Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ans) OK except #'s >WSteps-Door & Sidelight Protection -Landings 667 St�-Detector urnace Vents clearance -Comb, Air -Connector - In C36ge; Above Floor-Ducts-Mech. Protection om Exiting G Bath Fixtures & Tub Access -Spa Tri ubpanel, Breaker Sizes & Labels St ails �0. IactprStove, Clearance -Hearth Ele utlets at Wood Panel. Int. & Ext. Clearance 7,4/l��Outlets & Receptacles at Kit. Counter Ga Eire Door; Swing-Landinq-Closure in i ra , bove Floor-Mech. Protection PI lei&Mech. Equip. Listed for Location 7 I ec-eptacles in Garaqe (F.F.I.)-Romex Protection S. n ton- • am -Looked in Attic Gu ails & Deck Construction -Post Caps 8 dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Cle nce Looked under or ❑ Yes nowir19 Instld./Drive es O No/Walks e3 O No/Planters es ❑ No It, co Brown -Finish to Bi!aV�ell, Disconnect, Electrical, Plumbing . 9&`Gtel!3p,Trim, G.F.I. Receptacle -Underground en ign Throughout House 411 -Co ctions from Previous Inspections . Gas Test- ers Tagged, Gas -Electric 93. W & wer Connected -C/O to Grade -HD Approval E y Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkle Date &I Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Datet t Card B-1 Date Card B-1 Comments at Final: 26. Si2e Bo es & No. of Conductors Stapled 127' R ex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech Fasteners -Bond Gas & Water 29!2 Appliance Circuits in Kitchep & Conductor Size GFI 3 ubfeed Wire Size/ Z/g .•Cu-oirAl-A.C. Wire Size/ _/ga Cu or AI U,�Range Circle/ /ga Cu or AI -Oven Circ. / /g Cu r Al Insulated Neutral 'Yes ❑ No 32''Service-Riser Conductors & Ground Main Disconnect 33_Equip'Clearan6es Panels-Motors-Mech. Equip. 34sClothes-Closet Light -Shower Light -Spa Light 35,Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts1I6sulation & Support e.t-Fan, Exhaust above insulation 8 Co!)Oensate Drain & Overflow, Size & Grade ��ur ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 49e0'A_tt0c 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 43 -'Sill ,Proper Materials & Anchors alls,studs-Nailing Spacing & Braces -Plates -Sound 43 Bea ' g IIs over Girders & Floor Nailing ra op in Walls (rat proof) 4 .) it tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAM IN&(Continued) 47� n ers-Post Caps -Anchors -Connectors 4 Cli . Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. ireDlete Ties or Type A Flue -Fireplace Throat Clearance 5 m. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 53. Prop!.5 Line Firewall & Openings Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. &tairS;,VV,idth- Head room -Rise -Run -Landing -Fire Protection obyatywo d on tsoot uvernang-Attic vents -hatter uutriggers 7. S' g -N ' ing Veneer ,4 Stuc Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. ezing Area -Glass Prot -Skylights-Plastic . Shear Walls; Nailing -Bolts Bl. Br Interior/Exterior Wall Panels Date, Card B-1 � Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ans) OK except #'s >WSteps-Door & Sidelight Protection -Landings 667 St�-Detector urnace Vents clearance -Comb, Air -Connector - In C36ge; Above Floor-Ducts-Mech. Protection om Exiting G Bath Fixtures & Tub Access -Spa Tri ubpanel, Breaker Sizes & Labels St ails �0. IactprStove, Clearance -Hearth Ele utlets at Wood Panel. Int. & Ext. Clearance 7,4/l��Outlets & Receptacles at Kit. Counter Ga Eire Door; Swing-Landinq-Closure in i ra , bove Floor-Mech. Protection PI lei&Mech. Equip. Listed for Location 7 I ec-eptacles in Garaqe (F.F.I.)-Romex Protection S. n ton- • am -Looked in Attic Gu ails & Deck Construction -Post Caps 8 dn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Cle nce Looked under or ❑ Yes nowir19 Instld./Drive es O No/Walks e3 O No/Planters es ❑ No It, co Brown -Finish to Bi!aV�ell, Disconnect, Electrical, Plumbing . 9&`Gtel!3p,Trim, G.F.I. Receptacle -Underground en ign Throughout House 411 -Co ctions from Previous Inspections . Gas Test- ers Tagged, Gas -Electric 93. W & wer Connected -C/O to Grade -HD Approval E y Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkle Date &I Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Datet t Card B-1 Date Card B-1 Comments at Final: ©�f �SZ BUTTE . (=)'F -z3 INTER -DEPARTMENTAL MEMORANDUM COUNTY MAR 2 1 2005 TO: BUILDING DIVISION, OVILLE DEVELOPMENT SERVICES FROM: ENVIR. HEALTH, CHICO DATE:�— RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME:SS SEPTIC: WELL: AP#: jQ 39=5'03 ADDRESS/LOCATION:_ S?'•�T� Comments: GL/memos/releasehold BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041482 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/23/2004 APN: 039-540-043-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 9630 SOUTHWIND CT DUR Date: Contractor: Map Index: Description: NSF(2760) GAR(772) COV(286) OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: VERCRUYSSEN, RENS J. &CHRISTINE 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 4509 SKYWAY DRIVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is -exempt therefrom and the basis for the alleged exemption. Any 95954-7473 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does :applicant: PEITZ, GREGORY ARTHUR such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 383 RIO LINDA AVENUE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will. have the burden of CHICO, CA 95926 proving that he or she did not build or improve for the purpose of 530-894-5719 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: LUCAS G MESSENGER pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 13280 EGGLESTON LANE �wner: �d U CHICO, CA 95973 Date: (530) 345-6731. License #• 575152 / 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. - Architect: PEITZ, GREGORY ARTHUR ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 3818 S.F. Policy#: Valuation: $202,504.00 I certify that in the performance of the work for which this permit is Census Code: 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. 9 ) 9 3 a �> Date: / 0 Applicant: V f n /j WARNING: Failure to secure workers' compensation coverage unlawful, and shall subject an employer to criminal penalties and one unlawful, 2 / �'J � 1 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. q W660(? 4 G S / � ,U MrU l / �. CONSTRUCTION LENDING AGENCY This permit is he eby issued under thea czbleprovisions of the Butte County Cods anrllor I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolu 'ons to work indicated abov for hich fees have been paid. awlmm performance BY Date: Name: �^ PERMIT EXPIRES ON: e Address: Dat ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp es. Print Name: l� J TI Yl V/c U : f 1 je,La Signature: ?tr Date: �Z 21 0wr er ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 1w CERTIFICATION OF INSULATION ADDRESS OR T ACT SACRAMENTO BUILDING CONTRACTORS J 309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 ❑ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 �� ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 DATE INSULATION COMPLETED ( square feet) ( square feet) ( square feet) TYPE OF INSULATION TYPt OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM BAITS FORM BAITS & BLOW FORM BAITS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACT MANUFACTURER CT PCF KN CT OCF KN CT OCF KN BAGS R -VALUE APPLIED R -VALUE APPL ED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNE S INSTALLED THICKNESS SOUAREFOOT INSTALLED THICKNESS 1L"e�12 / oo 7. KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS CT OCF KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATE IAL STANDARDS GU ATIONS ool SI A E- I U TIO T TIT E� DATE IGNATU - GENERAf CONTR OR TITe DATE REMARKS WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT,SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHLCO) OFFICE #: (630) 538-7541 PERMIT NO. BPO50863 p. V. U. X11, LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/13/2005 APN: 039-540-043-000 the Business and Professions Code, and my license is in full force and effect. License Class : el 5-3 License Number: 4;R� Site Address: 9630 SOUT+HWIND CT DUR Date: Contractor. elx " �p� Map Index: Description: POOL MASTER 502-01 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 1 am exempt from the Contractors' Stale License Law for" the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: VERCRUYSSEN, RENS J. &CHRISTINE 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 4509 SKYWAY DRIVE the Cdnlraclors Slate License Law (Chapter 9 commencing. with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she Is exempt therefrom and the basis for the alleged exemption. Any 95954-7473 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than rive hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly who builds or improves thereon, and who does Applicant: CARE -FREE POOLS such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one 9 ALYSSOM WAY year of completion, the owner -builder willhave the burden of CHICO,'CA 95927 proving that he or she did not build or Improve for the purpose of (530) 342-4639 sale.).' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and PFofessions Code. The Contractors' Slate License Law does not apply to an owner of property who bullds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: CARE -FREE POOLS pursuant to the Conlractdrs' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 9 ALYSSOM WAY CHICO, CA 95927 D __ Date; owner: (530) 342-4639 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 380826 ❑ 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 sued. 0 I have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier:_, 0 Policy 0: Co — O� Total Square Ft: 0 S. F. ❑ 1 certify that In the performance of the work for which this permit Is Valuation: $0.00 Issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3.700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: �l WARNING: Failure Io secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Whereby Issued under the applicable provisions of the Butte County Code and/or o e (or yihrch fees have been paidI hereby affirm lhaClhere Is a conalruclion lending agency for theperformance of the work for which this permit Is Issued (Sec 3097 Clv.) Zsolull Dte:4L Name: V PERM Address: ( fe ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 of California. Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the'above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Bulla County. I hereby authorize representatives of Butte Co u ly to enter upon the above mentioned property for inspection pur?Kle—V�D •. I 4 f/ . e• G Signature:" - ' ` Prlhl Name: / Dale: ,_ ^ C/A5 O 25 /T Ey Owner on(ractor ❑ Agent for Owner ❑ Agent for Contractor ..u..-. o.. -..,n ni_ir_ne n., i p. V. U. X11, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name V,- nX /1v S5E irst Name 12FAJL Address O SOVrN r J `,vD 0-7— City � uA-N64M State.4 Zip Phone I 93 Qo Fax E-mail Lic. # 310AA4 APPLICANT NAME CONTRACTOR Name Pc)oG Address d Zip City C,#16C) ,� State � zip -95n, Phone .3qa- 4632 Fax 3 �� 0 79'1 E-mail E-mail Lic. # 310AA4 Class 1 C,63 APPLICANT NAME ARCHITECT/ENGINEER Name 60& At Address Zip City ,� State Zip Phone Book Fax E-mail Plan ne State License Number APPLICANT NAME Name Address ® 73 LAC- AP6�' City StateA- Zip Phone 3 3 Fax 3S<a - C3 7 9 �— E-mail APPLICANT SIGNATURE X :za— For office use only: Zoning lj — Flood Zone Cross Street SRA Yes No Occ. Typ6 Const. Subdivision Na Map Book Page Loth Plan ne DaApproved: �• 2 • a OVER FOR SUBIVyII I AL KtUUIKtivitN I.-) PERMIT NO. BP U��-5 BIN # LOCATION AP# 0,3'7- sya - 64r3 Property Address (P 3d So�l"ircus,u,7 cT City vuarad��'! Cross Street WORKER'S COMPENSATION Policy Number 3 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ,Aj 5_ 4U , iv (:;12aaw p P 00C_ Sq. Footage5tE�c _ o ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Re ce d by: Amount: "� l� Bldg SRA Receipt #: Sheriff SMIP Date: s :,!`� , Other � �CL7 Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper.!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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 65.0 w$ OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: '62' - G 1 Permit Technician: Date: `' Itefns required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde o apply. L 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. _ ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed. caPculationg ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 715. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. �, ❑ California Department of Forestry plan approval ❑ paid. Sent by:�-il ` jC _ r e24. >Ianning approval for (A) Use: (B)Parking: (C) Parcel Check: al........ C4, 2.457 Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ ❑ ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization................................................................... U d) ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ............................`..... ❑ 33. Existing violations and/or expired permits ......................... ............................ ❑ 34. Deed Restriction......................................................... ................. ... v.... CW ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration C ....................... ❑ 36. Other: ❑ 37. Other: When issued Telephone _1?A49 - q4 hold for I have been informed oft the above.i/ ms and require ents for obtaining a building,permit. ij. r) Q Applicant: °' Date: 1. Index permit application for the above items numbere . Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ pVne, ❑ mail, ❑ counter, by Date: 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, ❑ coun er, s Date: Plans reviewed by: Date: Plans approved by: i / Date: Structural reviewed by: Date:Structural approved by: // -Date: Note transfer by: _Date: Yellow: Building Division .►^ E.H. USE ONLY Rot Ren Attachod Floor Ren Attached Sena to B.D. TO: 13uilding Department FROM: Environmental Health SUBJECT: Sanitation Clearance . Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: vironmental Healt Specialist Date 8/96 o� Department of Public Works C o u n t y o f B u t t e 0 c 1. Michael Crump, Director LAND DEVELOPMENT DIVISION 04 Storm Water Management Program 7 County Center Drive Oroville. CA 95965 A�CI�5 (FAX) 538-7171-266 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control.Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: / A, C' (Y AJ7 Date: �f/S / d Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION*BUILDING *GIS * PLANNING December 3, 2004 Rene and Christine Vercruyssen 776 Filbert Avenue Chico, CA 95926 Re: Application for Lot Line Adjustment, LLA 05-07 A.P. Number(s) 039-540-058 and 039-540-043 Dear Applicant: On December 3, 2004, the Department of Development Services made the finding that the Lot Line Adjustment on the above referenced property is exempt from environmental review, and approved the project subject to the conditions on the attached page. Should you appeal the decision of the Dept. of Development Services, please submit your appeal, in. writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m., December 13, 2004. The conditions of approval, must .be met within thirty-six (36) months from the date of approval by the Department of Development Services or the approval will be considered null and void. If you have any questions concerning this matter, please contact this office at (530) 538- 7601, Monday through Friday, 8:00 a.m. to 4:00 p.m. incere Yvonne 9hristopher Director YC/rt cc: Bruce A. Nash, Rolls, Anderson & Rolls, 115 Yellowstone Drive, Chico, CA 95973 Environmental Health Department Building Division F I T, Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING MEMORANDUM TO: Stephen Streeter, Interim Planning Division Manager FROM: Mark Michelena, Associate Planner DATE: December 2, 2004 SUBJECT: Lot Line Adjustment for Rene and Christine Vercruyssen, APN 039-540-043 and 039-540-058, File # LLA 05-07 Project Description and Site Characteristics • Lot Line Adjustment (LLA) to meet the side yard setback requirements of the CC&R's for the Blossom Estates Subdivision. • The proposed Lot Line Adjustment would move the common parcel line approximately eight (8) feet to the north. • APN 039-540-043 is currently 0.42± acres in size. With this LLA, the parcel would be 0.44± acres. • APN 039-540-057 is 'currently 0.98± acres in size. With this LLA,. the parcel would be 0.96± acres. • The parcels are located on the east side of Southwind Road, approximately 300 feet north of Sunsup Lane, northwest of Durham. Both of the parcels have frontage on Southwind Court. • The parcels are zoned SR -1 (Suburban Residential 1 -acre minimal parcel size) and are designated by the Land Use Element of the Butte County General Plan as Agricultural - Residential. • The project site is located in Supervisorial District # 4. Project Analysis • The parcels werecreated by the Blossom Estates Subdivision, which was a Flexible Lot Subdivision (BCC 24782), which allowed lots smaller than the 1 -acre minimum of the SR -1 zone and Agricultural' Residential land use designation. of the Butte County General Plan. ■ Butte County Department of Development Services ■ ■ Vercruyssen LLA 05-07 Memorandum ■ Page 1 of 3 ■ • The proposed LLA will increase the size the smallest parcel (039-540-043) created by the Blossom Estates Subdivision. • The proposed lot line adjustment will resolve a conflict with 12 -foot interior side yard setback requirements of the CC&R's. • The project was reviewed by the Butte County Public Works Department, Building Division, Environmental Health Division, Fire Department/CDF, Agricultural Commissioner's Office, and the County Assessor's Office. None of these departments objected to the proposed project. The Public Works Department recommends four conditions of project approval., . CSA Issues This project is exempt from the requirements of the California Environmental Quality Act (CEQA) under a Section 15305(a) exemption. ACTIONS FOR CONSIDERATION: Staff recommends that the Planning Manager take the following action: I. Find that the project is exempt from environmental review under Section 15305(a) of the California Environmental Quality Act (CEQA). A Class 5 exemption consists of minor alterations in land use limitations in areas with an average slope of less than 20%, which do not result in any changes in land use or density, including but not limited to minor lot line adjustments, side yard, and set back variances not resulting in the creation of any new parcel. Because the project is exempt from the provisions of CEQA, the payment of fees pursuant to Fish and Game Code Section 711.4 and 14 CCR 753.5 is not required. II. Approve the Lot Line Adjustment for Rene and Christine Vercruyssen, APN 039-540- 043 & 039-540-058, File # LLA. 05-07, subject to the following findings and Conditions of Approval in Exhibit A: A. The resulting parcel sizes of APN 039-540-043 & 039-540-058 are in conformance with the Agricultural Residential land use designation and the Suburban -Residential 1 -acre minimum zone based on the Blossom Estates Flexible Lot Subdivision. B. The proposed Lot Line Adjustment is consistent with the requirements of Butte County Code Section 20-95.1. k:\planning\projects\lla\vercruyssen.11a 05-09\VercruyssenLLA 05-07 memorandum.doc ■ Butte County Department of Development Services ■ ■ Vercruyssen LLA 05-07 Memorandum ■ Page 2 of 3 ■ :w EXHIBIT A Lot Line Adjustment for Rene and Christine Vercruyssen, on APN 039-540-043 & 039-540-058, File # LLA 05-07 I. CONDITIONS OF APPROVAL: New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. 2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division for checking and approval prior to recordation and shall contain the notes specified below. 3. Provide documentation from a title company of the applicant's choice verifying any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. 4. Prior to recordation of deeds, provide documentation verifying payment of taxes as required by Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7 of the Government Code, commencing with section 66492. Prepare a plat showing approved Lot Line Adjustment 6. Record plat with deeds if one or more of original lots or parcels was created by map. If record of survey is prepared to show the lot line adjustment, recording of a plat is not required. Deed Note (To be placed on any deed to effect lot line adjustment) The purpose of .this deed is to effect a lot line adjustment as approved by the Butte County Director of Public Works on The above described lands are to be combined with and become Number I:••, a part of those lands as described in the deed to as filed for record in Butte County Official Records at Serial Page . No additional lots or parcels are created hereby. The scope of review of said lot line adjustment was limited as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. Plat Note (To be placed on any required Plat) This plat does not constitute a legal description of the lots or parcels depicted and does not show all easements of record on or affecting said lots or parcels. ■ Butte County Department of Development Services ■ ■ Vercruyssen LLA 05-07 Memorandum ■ Page 3 of 3 ■ M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041482 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/23/2004 APN: 039-540-043-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 9630 SOUTHWIND CT DUR Date: Contractor: Map Index: Description: NSF(2760) GAR(772) COV(286) . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: VERCRUYSSEN, RENS J. &CHRISTINE 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 4509 SKYWAY DRIVE the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954-7473 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).): D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: PEITZ, GREGORY ARTHUR such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 383 RIO LINDA AVENUE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95926 proving that he or she did not build or improve for the purpose of 530-894-5719 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: LUCAS G MESSENGER pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 13280 EGGLESTON LANE L/wner: r� CHICO, CA 95973 Date: (530) 345-6731. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #• 575152 ❑ 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. Architect: PEITZ, GREGORY ARTHUR ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier. Policy#: Total Square Ft: 3818 S.F. Valuation: $202,504.00 I certify that in the performance of the work for which this permit is Census Code: 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. Date: 0 V Applicant: `^/e �/ 2- f j ^ /A ��, / %� �• / ,/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 111 compensation, damages damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ' Je� 4 C) ^ :�,s MSI ,y�- �, / �• CONSTRUCTION LENDING AGENCY This permit is he eby issued under thea icable provisions of the Bntte County Coda anrt/or affirm that there is a construction lending agency for the I hereby a Resolu ns to work indicated abov for oich fees have been paid. Cl- I-) performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY: Date: EXPIRES C L Address: PERMIT ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. (3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upocn, the above mentioned property for inspection purp as. , OL Print Name: i` - 1 1 l' �� C.P s�J P�fii Signature: MRDate: �-J �23 1f ) 6 L� obwwner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor _3 I { _3 { 0'30? - '5(4 0 , ®c 3 13gyo 39 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Namerlm� T, Address 50 S oq- City MAIN Sv I U -C State Zip o l Phone S 7iq2,51q 1 Fax Sas 74 _21% E-mail \re_gi'Ljr. ��ld I -ean�r i o CONTRACTOR Name 1A65S W6-612 (1_'WST"0UGr1 W Address 3 Zip 96,1 5 i W %" City C_� ICS State Zip -1 sq 7 3 I Phone(�M) 3 5_(0-731 Fax FE -mail Lic. # 57� 15 Z Class ARCHITECT/ENGINEER Name cwg& 0 J5I-ra Address 3 g 3 O wi3iw City c t s I co City StateCA Zip qS- ZOO Phone (5-3a) g q- 571 Fax 530 W g q_ 1 SZ 3 E-mail CN1(ArEGI t„Gom State License Number GZ1 For office use only: APPLICANT NAME Name ' 5�1 As owmg�]_' Address City Occ. State Zip Phone Fax E-mail Lot # For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name MapBook Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. O`4 - BP BIN LOCATION AP# O39 _ 5q o Property Address %4_r 1(_' �LOSS61Vt Si'J�iI�S �v�' Cross Street SLIP WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. n , LENDING AGENCY Name 071% Mdt?-1v gft)w Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: CO ST ur gtj 4 J _ Srve-,4 S l961,C rft�q P151Z1260ce Sq. Footage 2 -7(0 S F G6(1_ ., _1 Z (0 V. 0 Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and otherje3�� of refundable. costs are Received by: Receipt #: q O S7 Z) Date: o int: /� ' /�" Bldg N �- SRA Sheriff 2D . )/ SMIP O REV 4-30-04 Ail 39 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! �1 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). 5. Letter from Engineer or Architect for truss design review. 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). C9 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signg_ed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Ene`rgy-eomp'liance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 _4�yt• _7' . J f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone"(530)538-7541 Fax (530)538-2140 `' P, Y -C PERMIT APPLICATION DATA SHEET �'2� OWNER: V (� S5-� ASSESSOR PARCEL NU %%�� ER ` 3q _S Ll 0 0 ` -I / j - &Fra �p 77 Proposed Building Use: �" (`� Counter Technici Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in or er to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. /VA 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required....................................................................... / ....... 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................ I............... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: } jW 24. Planning approval (A) Use: "(B)Parking: (C) Parcel Check: _-t?- 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form.........:................................................................................... 27. Encroachment Permit for driveway from the Public Works Dept.. ........................ ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... K❑ 0. Worker's Compensation Carrier and Policy Number.... 31. Owner -Builder Verification (-Given to owner, to owner) ..................... 32. Letter of Signature authorization ...................................... :........................... '• 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: .• . - ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and regr-u�irements for obtaining a building permit. Applicant.L- �1CD0 Date: � " 1 1. Index pe it application for the above items numbered: n Check Letter 2. Additional items required Contractor, designer was advised of the above data by e, ❑mail, ❑ counter, b Date: Contractor, designer9�as advised of the above data by one, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: en Date Structural reviewed Dat Structural approved by: Date: Note transfer by: Date - Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER C ✓L j SS -C Vl I 'L -Q / A.P. # 0 Ll PROPROSED BUILDING USE N S 1' C�� DATE '- - O RECEIPT # DATE REC. 1. BUILDING PERMIT FEES �..� ZZ1 � �. 23 O/L --- Balance Due ..................... $ 1 � `T --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ i 2. SCHOOL DISTRICT FEES DVA I�4� �) UK116 f G (paid at School District Office) (form available after Plan Check)' 3. SHERIFF FEES (paid at Building Division) -3�° 0 Residential........... X $360.00 =$ 2 2 8 23 0� Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. Q� 4-ol— 5. RECREATION DISTRICT FEES :/"� h �G� ✓ �" 2-3- 4 4 _P (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE S8.00-q%id at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ I aq. rig. AME. C Ao10. OTHER ? Z 2 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DAT6�t ;A .(A Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) License Detail California Home Page 1 of 2 License Detail CALIFORNIA CONTRACTORS STATE LICEN Contractor License # 575152 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments known to the CSLB are di. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 08/23/2004 * * * Business Information * * * LUCAS G MESSENGER 13280 EGGLESTON LANE CHICO, CA 95973 Business Phone Number: (530) 345-6731 Entity: Sole Ownership Issue Date: 08/16/1989 Expire Date: 08/31/2005 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * ClassI Description ©GENERAL BUILDING CONTRACTOR * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 6028400 in the arr $10,000 with the bonding company SURETY COMPANY OF THE PACIFIC. http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/23/2004 License Detail Page 2 of 2 Effective Date: 01/01/2004 Contractor's Bonding History_ * * * Workers Compensation Information This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 713-0001956 Effective Date: 10/01/1997 Expire Date: 10/01/2004 Workers Compensation History_ Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Re- uest © 2004 State of California. Conditions of Use Privacy Policv http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 08/23/2004 BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): J J • U�� Property Owner (s): Project Location/Add Subdivison Name: Type of Residential Development (check one): Assessable Square Footage: QI& 6 j New Development ❑ Afteration/Addition Mobile Home (s) Comments: Non -Residential to Residential Building Dlv' ion Representative Date Durham Recreation and Park District (DRPD) certifies that Applicant Name 5cl-7 %5 (` 1 -7y2-..51yI Applicant Phone Number 959 City State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for a-1(00 square feet at $ 1.04 per square foot for a total payment v of $2, 8- U.1 `-� 0APD Representative bate PAID BY CHECK No.. Remarks: BANK: No:'-' t�5-)1 PAID 'BY CASH: RECEIPT No-: p o l -1 q DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. (One form per Building)' IJO School District (f /t/[_Y! ► t3 -i r r A.P. Number ( J ';f) ` 15YA 1 10 Y Jurisdiction: City Property Owner Property L_ocatbn/Address Subdivision Building Department No. Lot Lot No. County ................. ....................._..._:... _ ..... ................... _._.... Residential Development Q Q Q Sq. Footage 0 0 No o living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation = Conversion Permit # i ,'(No foundation Inspection) Commercial/Industrial Q New Ruildina Department Reoresentative 0 Addition I ,c Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification,No. School District certifies that .50oWl ve r N a '07- (Street Address) r Sq. Footage (Including Exterior Roofed Areas) Date Rene -4 CAIR ISr10J` VE e. Cditj Al (Applicant) -:5-30 - -7 11Z - S/ q / lP�, (Phone Number) 2)u R-1 Pyr) CA 17,517,39 (City) (state) (zip Code) , . has complied with the requirements of Resolution No. Do? D 2 by payment of $ ,590 `/0 representing o? %wO square feet. JAB 2926 $ FULL WIGATION i $ -z3 -e School District Representative Date sh Paid by Check # Remarks: Noilk You may protest the imposition of the hes identified above by submitting a wrNten protest to the DWbK in compliance with Goverrrnwd Code Seddon 66020(a), wMdn 90 days from the data hes are paid. Failure to subrdt a timely wri ten protest williVrohlbit , you from challenging the ImposWon of the hes In any court action. If, subsequerd to the School District Representative algning this Was County Schools Impact Fes Certification Form, the School District Is notified by the applicable Local Planting Agency that this preset b bsing review undo the California Envlronmarrtel Quality Ad (CEGA), this projed may be subled to additional school hesto fully rrrtipats.ft Impact on ties school distrkft schools. White (applicant), Yellow (building department), Pink (school district) feefwm.xls 00/03)dmm t i gy nnmm.�mnnlmn�nm��n 0q,�y 2004-0034474 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder RUSOARY DICKSON Assistant 09:30AM 08 -Jun -2004 REC FEE 7.00 CONFORM 1.00 Barbara Page 1 of 1 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: LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BLOSSOM ESTATES SUBDIVISION", WHICH MAP WAS RECORDED INTHE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 17, 2003, IN BOOK 156 OF MAPS, AT PAGES(S) 59, 60, 61 AND 62. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED MARCH 17, 2003, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2003-16436, 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. AFFECTS LOTS 4 THROUGH 16, ONLY. PORTION OF APNS 039-540-022-000,039-540-023-000 AND 039-540-024-000 Date / L� �Z� PROPERTY OWNERS: T ene' J.1 Vercruy,en add Christine Vercruyssen IV us n an i e as loin ena State of California County of On before me, All? nn1 L -I - Aa 2rS personally appeared' Ke—ne-'-T Vexr-r d 01h YIS ve-'raruy SS e n personally known to me (o,". e. idente) to be the persons whose. name(s) -islare subscribed to the within instrument and acknowledged to me that htisbe/they executed the same in 46/1w/their authorized capacity(ies), and that by hisAw/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. NANCY J. ROGERS Signature Seal: COMM. #1400855 ON o NOTARY PUBLIC - CALIFORNIA YUBA COUNTY L4100 Comm. Expires Feb. 14, 2007 A.r.# 03 '9•-©.43 SITE PLAN REVIEW APPLICATION Date: ' 260 l AP# Q 3 ci _ 2 Permit Number (if applicable) Bin Number' APPLICANT INFORMATION Parcel Size: �, .4-(f- Owners 4-GOwners Name: Owners Address: Telephone No.: S3Ci "7 5-lcll Situs Address: I -or ,S t'i�s�ow� sfr tc1 Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Peimanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): 0 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ '-N/A DO NOT_WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) W Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stampd Approved By — Date 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 F-1Nitrate 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 attached) • Flood Zone: • Flood Panel No.: toy 2GL 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 -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 5 12' 1 6 -?%,,C Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � 2 0 Side f J Side Street Rear z� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 et Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ 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 R Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County. Standards for Deed Creation: [I 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 fig Subdivision ME/Parcel Map: Map Date of Recording: fylfjj{. Z- 20Z)3 Lot: S Book: ❑ Use Permit/Minor Use Permit Permit Number: / 5J� Date of Approval: Page: �-?— 62 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. FOR Page 4 of 5 I u Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAI,arrys\Building Permit Site Plan Reviewl.doc ` Page 5 of 5 OWNER'S STATEMENT YWE, EDWARD C. McLAUGHLIN AND DEBRA L McLAUGHLIN, HUSBAND AND.VAFE AS JOINT TENANTS, AND STEVEN RICHARD MCNELIS AND KRISTIN JOAN MCNELIS, AS JOINT TENANTS, AS OWNERS OF THE LAND SHOWN ON THE ANNEXED MAP, AND TRI COUNTIES BANK AS BENEFICIARY UNDER THAT CERTAIN DEED OF TRUST RECORDED AUGUST 12, 1993 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 93-345W AND THAT CERTAIN DEED OF TRUST RECORDED AUGUST 31, 2001 UNDER BUTTE COUNTY RECORDERS SERIAL NO. 2001-39708, AND WELLS FARGO HOME MORTGAGE, INC., AS BENEFICIARY UNDER THAT CERTAIN DEED OF TRUST RECORDED JULY 7, 1993 UNDER BUTTE COUNTY RECORDER'S SERIAL NO. M8501, QU HEREBY STATE THAT WE ARE THE ONLY PARTIES WHOSE CONSENT IS NECESSARY TO. PASS CLEAR TITLE TO SAID LAND AND THAT WE CONSENT TO THE PREPARATION AND RECORDATION OF THIS FINAL MAP. WE HEREBY OFFER FOR DEDICATION FOR SPECIFIC PURPOSES, THE FOLLOWING: (A) �A PORTION OF DURHAM DAYTON HIGHWAY, SUNSUP LANE AND SOUTHWAND COURT AS SHOWN ON THE ANNEXED MAP FOR PUBLIC STREET, PUBLIC SERVICE AND ALL OTHER PUBLIC PURPOSES, IN FEE SIMPLE TO THE COUNTY OF BUTTE (B) AN EASEMENT OVER A PORTION OF LOTS 8 AND 9 AS SHOWN ON THE ANNEXED MAP FOR STORM DRAINAGE PURPOSES TO THE COUNTY OF BUTTE (C) EASEMENTS FOR PUBLIC SERVICE PURPOSES INCLUDING WATER, GAS, ELECTRIC, COMMUNICATIONS FACILITIES AND ALL OTHER PUBLIC SERVICE PURPOSES OVER, ON AND UNDER THOSE STRIPS OF LAND SHOWN ON THE ANNEXED MAP AS P.S.E (PUBLIC SERVICE EASEMENT) . (D) WE HEREBY RELEASE AND REUNOWSH TO THE COUNTY OF BUTTE ANY AND ALL ABUTTERS RIGHTS OF ACCESS ALONG THE DURHAM DAYTON HIGHWAY FRONTAGE OF PARCELS 2, 3, A, 5, 8. 7. 5 AND 9 EXCEPT AT APPROVED ACCESS POINTS ON PARCELS 3 AND B AS SHOWN ON THE ANNEXED MAP. TURNER LANE, AS SHOWN HEREON, SHALL BE RESERVED IN DEEDS AS AN EASEMENT FOR INGRESS, EGRESS AND PUBLIC SERVICE PURPOSES FOR THE BENEFIT OF PARCEL 11. E ARD C. MCLAUGHUN STEVEN RICHARD MCNELIS �� BRA EN 1WEU3 TRI COUNTIESBANK WELLS FARGO HOME MORTOA E, INC. ''^^ BY: ( Lam" BY:NL DAvid Ravc.I V. P. EpldAae R. a RLr V,eE PLPTIoeN'r (PRINT NAME AND TITLE) (PRIM NAME AND TITLE STATE OF Cil COUNTY OF P.wB[ .ON THIS .O OAY OF DGLC.+Zr/ . 2002, BEFORE ME, THE UNDERSIGNED, PERSONALLY . APPEARED Pa+IA v<n PERSONALLY KNOWN TO ME(OR PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE) TO BE THE PERSONS) WHOSE NAAAE(S) ISIARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO METHAT HF/SXF/THEY EXECUTED THE SAME W HISIHERITHEIR AUTHORIZED CAPAOTYQES), AND THAT BY HISMEWHEIR SIGNATURES) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(B) ACTED, EXECUTED THE INSTRUMENT. WITNESS MY. HAND NO SEAL REQUIRED. SIGNATURE J PW," jLitndL/ kA.,kgll PRINTED NAME COMMISSION EXPIRES 10, 27, Z,005 ,I NOTARYS PRINCIPAL PLACE OF BUSINESS (` i (d 611 At, (CITY 6 COUNTY) ENGINEER'S STATEMENT THIS FINAL MAP WAS PREPARED BY ME OR UNDER MY DIRECTION AND IS BASED UPON A . FIELD SURVEY IN CONFORMANCE WITH THE REQUIREMENTS OF THE SUBDMSION MAP ACT AND LOCAL ORDINANCES AT THE REQUEST OF EDWARD C. MUAUGKUN IN JUNE. 20DI. 1 HEREBY STATE THAT THE SURVEY IS TRUE AND COMPLETE AS SHOWN, THAT ALL MONUMENTS SHOWN WILL BE SET IN THEIR CORRECT POSITIONS WITHIN 90 DAYS OF THE RECORDATION OF THIS MAP AND THE MONUMENTS WALL BE SUFFICIENT TO ENABLE THE SURVEY TO BE RETRACED. A, B SCE A. HASH RC.E..33381A .YAG C.E. Wm REGISTRATION EXPIRES: 08F30N08 t� d STATE OF CALIFORNIA COUNTY OF BUTTE , .ON THIS LO DAY OFy 2082, @ THE UNDERSIGNED, PERSONALLY APPEARE�.N+•1 C.M e,p, f• Q.bn. ��HNOWN TO ME(Oft PROVED TO ME ON THE BASIS OF SATISFACTO' iY EVIDENCE) TO BE THE PERSON(S) WHOSE NAME(S) ISIARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TOME THAT HEISHETHEY EXECUTED THE SAME IN HISHEWHEIR AUTHORIZED CAPAGTY(IES), AND THAT BY HISIHER/FHEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED. EXECUTED THE INSTRUMENT. WITNESS MY HAND (( NO SEAL REQUIRED. • SIGNATURE j M.1jeM ,��M11V b'i 6GknllN'I6G{=ea�l PRINTED NAME COMMISSION EXPIRES OLt'. Z1. ZOOS NOTARYS PRINCIPAL PLACE OF BUSINESSCV)ICO &Nt (CITY B COUNTY) _ STATE OF CALIFORNIA COUNTY OF BUTTE ON THIS 20 DAY OF%SL,. ems. 2002 BEFpRE1dE THE UNDERSIGNED, PERSONALLY APPEARF—..^.rc4: -' ' ' Y KNOWN TO ME(OR PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE) TO BE THE PERSONS) WHOSE NAME(S) ISIARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HEISHE/TLEY EXECUTED TXE SAME IN XISHERTHER ALITHORIZED CAPACTTY(IES), AND THAT BY HISHERNHEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED ME INSTRUMENT. WITNESS MY HAND" t /. .I NO SEAL REQUIRED. SIGNATURE J � yZGY1RITC/ AL.{:gll PRINTED WARE COMMISSION EXPIRES Oct. LT. UD05 e NOTARY'S PRINOPAL PLACE OF BUSINESS UJ I LD SM LIG (CITY & COUNTY) HARYLm"* . STATE OF�DMMM COUNTYOFOWM FAGDOkIDY ..ON THIS � DAY OF nth 2002, BEFORE ME,THE UNDERSIGNED, PERSONALLY . APPEARED LwAw A. DE f PERSONALLY KNOWN TO ME(OR PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE) TO BE THE PERSONS) WHOSE NAME(S) I&ARE WI SUBSCRIBED TO THE THIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HEGHEITHEY EXECUTED THE SAME INHISIHERUUHEIR AUTHORIZED CAPACITY(IESL AND THAT BY HISIHERTHEIR SIGNATURES) ON THE INSTRUMENT THE PERSON(S) OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT. WITNESS MY NAND /A.. //NO SEAL REQUIRED. SIGNATURE LL TTM• S 7qq ^33 SN PRINTED NAME COMMISSIONEXPIRES A -c9 -A4011 t NOTARY'S PRINCIPAL PLACE OF BUSINESS rRf DERru[ �.r..aTYI MD. (CITY 6 COUNTY) COUNTY SURVEYOR'S STATEMENT I. STUART EDELL, DEPUTY COUNTY SURVEYOR FOR THE COUNTY OF BUTTE, STATE OF CALIFORNIA, 00 HEREBY STATE THAT I HAVE EXAMINED THE FINAL MAP OF BLOSSOM ESTATES SUBDIVISION AND FIND THAT IT IS SUBSTANTIALLY THE SAME AS IT APPEARED ON THE TENTATIVE MAP AND ANY APPROVED ALTERATIONS THEREOF, THAT ALL PROVISIONS OF THE SUBDIVISION MAP ACT OF THE STATE OF CALIFORNIA AND LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF THE TENTATIVE MAP HAVE BEEN COMPLIED NTH. AND I AM SATISFIED THAT THE MAP IS TECHNICALLY CORRECT. DATE: /11grtcN 102003 STUART EDELL DEPUTY COUNTY SURVEYOR R.C.E. 29132 REGISTRATION EXPIRES: 0O31173 CLERK OF THE BOARD OF' SUPERVISORS' STATEMENT L. lu u� M464, CLERK OF THE BOARD OF SUPERVIS OF THE COUNTY OF U1TE�$TATE OF CALIFORNIA DO HEREBY STATE THAT ON THE,��ih DAY OF 2003, THE BUTTE COUNTY BOARD OF SUPERVISORS OFFICIALLY APPROVED THE SUBDIVISION MAP OF BLOSSOM ESTATES SUBDIVISION. DEDICATIONS SHOWN AS ITEMS A B. C AND D IN THE OWNER'S STATEMENT HEREON AND OFFERED FOR DEDICATION WERE ACCEPTED ON BEHALF OF T/¢R- � TIES N CVERKOF THE BOARD FSUPERVISORSF SUPERVISORS BY: 0P RECORDER'S CERTIFICATE FILED THIS LleDAY OF n1 RAe NI . MA AT Q o/ A .M. IN BOOK L6 OF MAPS, AT PAGES f4 1- LL— AT THE REQUEST OF EDWARD C. MCLAUGHLIN. SERIAL No.: __ CANDACE J.GRUBBS COUNTY RECORDER BUTTE COUNTY, CALIFORNIA BY: '"•N _.x"_ DEPUTY COUNTY RECORDER BLOSSOM ESTATES SUBDIVISION PARCELS 1, 2 AND .3 AS SHOWN ON THE CERTAIN PARCEL MAP RECORDED IN BOOK 78 OF PARCEL MAPS. AT PAGE 75, ALSO BEING A PORTION OF LOT 5 AS SHOWN ON THAT CERTAIN MAP ENTITLED'R.M. TURNER'S SECOND SUBDNNSIOW RECORDED IN BOOK -B' OF MAPS, AT PAGE TQ IN SECTION 25, T. 21 N., R. 1. E., M.D.B. 8 M. , BUTTE COUNTY, CAUFORNIA FOR EDWARD C. McLAUGHLIN AND STEVEN R. MCNELIS 11 RAR ROLLS AITERSOB, a ROLLS Iu mcawsron am : uim. ww+�w+fssnol I APRIL. 2002 99130 SHEET I OF f9 fr SCALE 1'e 100' • RQIDENTML &NLONO SITE EK0.VSgM AiE4 TURNER LANE I-- --m yl IOD' L[ACNFIFLD tact — — — — — — — — — — — — T — — — — CRCLMIp MTIALA euILDINo.� 12 13 14 IS 16 BINE. 11 BET9ACK /� / \ /MIM[, iYPI(?L COURT i ��g 4' II 10 b g III t�Jtl I`,,,, OVRHpM/, 9 3 NOTES: 1. THIS ADDITIONAL MAP SHEET SHOWS ADDITIONAL INFORMATION WNIOHIS FOR INFORMATIONAL PURPOSES ONLY, DESCRIBING CON0171ONS AS OF THE DATE OF APPROVAL AND IS HOT INTENDED TO AFFECT RECORD TITLE INTEREST. 2. ALTHOUGH PARCELS I AND 2 NATION THIS SUBQYISION QUALIFY UNDER THE SR-1(SUSUR4AN RESIDENTIAL, UACRE PARCELS) ZONE FOR FURTHER SUBDIVISION. PARCELS 1 AND 2 MAY NOT BE FURTHER SUBDMOED BECAUSE THIS SUBDIVISION MAP WAS CREATED UNDER BUTTER COUNTY CODE SECTION 24.32, FLEXIBLE LOT SIZE PROVISIONS. ]. MEASURES SHALL BE TAKEN TO CONTROL FUGITIVE DUST EMISSIONS FROM ALL ORNE , Y AND OTHER CML CONSTRUCTION ASSOCIATED WITH RESIDENTIAL OEVELOPMENT. DUST CONTROL MEASURES CAN BE OBTAINED FROM THE BUTTE COUNTY AIR QUAKY MANAGEMENT DISTRICT. 4. OUR NO DEVELOPMENT ACTMTIES, SHOULD ANY ARCHEOLOGICAL ARTIFACTS BE DISCOVERED, THE 1NINO DIVISION SWLLL BE NOTIFIED IMMEDIATELY. AND ALL WORK SHALL CEASE UNTIL A QUALIFIED ARCHAEOLOGIST HAS EXAMINED THE ARTIFACTS AND THE SITE AND SUBMITTED HIS OR HER FINDINGS TO THE PLANNING DIVISION. AND RECOMMENDED CLEARANCE TO CONIWUE RECOMMENCEMENT OF CONSTRUCTION SMALL BE UPON THE APPROVAL OF THE PLANNING DIVISION. S. A DEVELOPMENT IMPACT FEE FOR SHERIFFS FACILITIES SHALL BE PND PURSUANT TO THE PROVISIONS OF CHAPTER A ARTICLE B OF THE BUTTE COUNTY CODE, PRIOR TO ISSUANCE OF BUNTING PERMITS THE FEE AMOUNT WILL BE OETERMINEDAND W.CUL.LTED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMIT. S. A DEVELOPMENT IMPACT FEE FOR SCHOOL FACILITIES SKALL BE PND PRIOR TO ISSUANCcCF SUILOING PERMITS. THE FEE AMOUNT WILL BE DETERMINED AND CALCULATED AS OF THE DATE OF APPLICATION FOR THE BUILDING PERMITS. 7. NO PUBLIC ENTITY SHA.L BE RESPONSIBLE FOR THE MAINTENANCE OF STOP SIGNS ON TURNER LANE IN ACCORDANCE WITH CML CODE SECTION 91S, MAINTENANCE OF THE ROAD, INCLUDING THE STOP SIGN SMALL BE SHARED BY THOSE PROPERTIES NTH LEGAL INTEREST IN THE PRIVATE RIGHTOF-NAY OR EASEMENT. S. DEVELOPMENT OF LOTS 2 AND A THROUGH IS WILL REQUIRE CONNECTION TO A PUBLIC WATER SUPPLY. 9. SOLID WASTE DISPOSAL SMALL BE THE RESPONSIBILITY OF EACH PROPERTY OWNER. TRASH AND DEBRIS SHALL BE PICKED UP WEEKLY BY EITHER A TRASH COLLECTION COMPANY APPROVED BY THE COUNTY OF BUTTE OR THE PROPERTY OWNER SHALL ASSUME THE RESPONSIBILITY FOR TAKING TRASy'AND DEBRIS 10 A COUNTY APPROVED LAND FILL 10. ALL ADDRESSES SHALL BE INSTALLED IN CONFORMANCE NTH PUBLIC RESOURCE CODE 4296 FIRE SAFE REGULATIONS. BLOSSOM ESTATES SUBDIVISION PARCELS 1, 2 AND 3 AS SHOWN ON THE CERTAIN PARCEL MAP RECORDED IN BOOK 76 OF PARCEL MAPS. AT PAGE 75, ALSO BEING A PORTION OF LOT 5 AS SHOWN ON THAT CERTAIN MAP ENTITLED "R.M. TURNER'S SECOND SUBOIVISIOM RECORDED IN BOOK -Er OF MAPS, AT PAGE 10, IN SECTION 25. T. 21 N., R. 1. E. M.O.B. 8 M. BUTTE COUNTY, CALIFORNIA FOR EDWARD C. McLAUGHLIN AND STEVEN R. McNELIS �1 RAR ROLLS ANDERSO u b ROLLS IM rDlowstmu oAln .lalm.cu¢uu Am7nm11 APRIL. 2002 99130 SHEET 4OF4 Qnoh isc PA4r,� �� 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 PERMIT NO. N - LICENSEDCONTRACTORS 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: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exxee/m�ptunder Article1 p3 oft eBusi esss an ofessions Code Date:F5 L IOwner:` -XCL`yCliLip WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: YJ I certify that in the performance of the work for which this permit is I 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bntte County Code BnrUer I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or Ilocument of B tte County. I hereby Butte enter upon th? above mentioned property for inspection p oses. authorize representativesnt1 \YAl`t�A-J1t\Yi)1� `/of %tC,ount Print Name': A ,1 ve\f A Y ll\ Signature: Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor Applicant: Vercru ssen Permit 04-1482 Project Type: NSF/Gars a/Cov.Deck APN: 039-540-023 100% 70% Plan Check Fees $ 1,350.53 $ 945.37 $ 1,350.53 $ 945.37 LP2A Fee $ 945.37 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations. Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other IN Butte County Department of Development Services T tF �v 1 0 YVONNE CHRISTOPHER, DIRECTOR 0 0 0 N 0 0 7 County Center Drive 0 Oroville, CA 95965 M (530) 538-7601 Telephone w (530) 538.7785 Facsimile TO: LP2A ' FROM: Scott Rutherford (530) 538-7160 srutherford@.buttecountv.net SUBJECT: Plans Transmittal For Review Per Contract O DATE: 6/2/2004" Applicant: Vercru ssen Permit 04-1482 Project Type: NSF/Gars a/Cov.Deck APN: 039-540-023 100% 70% Plan Check Fees $ 1,350.53 $ 945.37 $ 1,350.53 $ 945.37 LP2A Fee $ 945.37 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations. Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other IN National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Title: \( SSg By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aw e , al subm. in atr e and/or inaccurate information may result in revocation of gra n an o th r pe its or sanctions provided bylaw. Signed: Title: Sf Z I Date: GREGORY A. PEITZ ARCHITECT 383 RIO UNDO AVE., STE. 100, CHICO, CA 95926 (530) 894-5719 ,�►ll ' v �I �-b ��J ��l t� I �� ► (,- QIP T, ' LJ SSIzfKj TO: 'Building Department FROM: Environmental Health E.H. USE ONLY Pool Plea Attache Roos Plea A Sent toe. , C u'Mw gLGV Y�-� c_J SUBJECT: Sanitation Clearance S;0 t,(74 6J WD GeUV,�-AJ- 111AB;=.®39-so-2y)04) Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public J Private Well Clearance for dwelling. Other d final for: T ce-O.K: for:-- .NOTE: yrs Environmental Health Specialist S Date G� 8/96 July 28, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397. Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Address: Dear: Mr. Vieira: Vercruyssen SFD Southwind Court County of Butte- FINAL REVIEW Jurisdiction Application No.: 04-1482 LP2A Job No. 2040015-063 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) revised copies Plan Sheets 1 through 7 (7 total sheets) Title/Cover Sheet dated April 06, 2004 by Gregory A. Peitz, Architect. 2. Structural Calculations: Two (2) copies dated May 05, 2004 by Gregory A. Peitz, Architect. 3. Title 24 Energy Compliance Documentation: Two (2) copies dated May 20, 2004 by Gregory A. Peitz, Architect. 4. Prefabricated Roof Truss Calculations: Two (2) copies dated May 20, 2004 by Longfellow Lumber. Two (2) copies Truss letter by Gregory A. Peitz, Architect. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the basis of our review. Please note there are no further comments. Therefore, we are recommending approval of the above noted items with the added redlines. Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps along with the applicant's response letter. Please let us know if you have any questions. Thank you. Sincerely, LINHART PETERSEN POWERS ASSOCIATES 4445 Fart Roger Peterson, S.E. Structural Engineer PK/MB:ag Enclosures: Cc: Alice Mefford: amefford@buttecounty.net Bin 20 fAbutte county 015\butte county 2004\2040015-063-pcf.doc 12 LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard - Citrus Heights, CA 95610 (916) 725-4200 - FAX (916) 725-8242 - Toll Free (877) 235-0653 y l� GREGORY A. PEITZ ARCHITECT 383 RIO LINDO AVE. CIRCO CA 95926 (530) 894-5719 Structural Calculations For: VERCRUYSSEN RGS1 DE1`4C E PLAN REVIEW APPROVAL JUL 2 8 2004 UNNART PETERSEN POWERS ASSOCIATES RECEIVED JUN 0 4 2004 SA RAWIENTO U"F A&SOC POWERS .LOAD SUMMARY Wind Analysis Normal force method, exposure B, 75 mph wind speed P=Ce CgQsI WALLS P=.62*1.3*14.5*1.0=.0117 ksf@ 15 ft. P = .67 * 1.3 * 14.5 * 1.0 = .0126 ksf @ 20 ft. P = .72 * 1.3 * 14.5 * 1.0 =.O 136 ksf @ 25 ft. P =.76 * 1.3 * 14.5 * 1.0 =.0143 ksf @ 30 ft. ROOFS 2:12 TO LESS THAN 9:12 P = .62 * 1.0 * 14.5 * 1.0 = .009 ksf. @ 15 ft. P = .67 * 1.0 * 14.5 * 1.0 = .010 ksf. @ 20 ft. P=.72*1.0*14.5*1.0=.011 ksf @ 25 ft. P=.76*1.0*14.5*1.0=.011 ksf@ 30 ft. ROOFS 9:12 TO 12:12 P =.62 * 1.1 * 14.5 * 1.0 =.010 ksf@ 15 ft. P =.67 * 1.1 * 14.5 * 1.0 =.01 I kst @ 20 ft. P=.72*1.1*14.5*1.0=.012 ksf@ 25 ft. P =.76 * 1.1 * 14.5 * 1.0 =.012 kst @ 30 ft. Seismic Analysis Static Method V = 2.5 Ca (w) = 2.5 * .36 = .1636 (w) @ plywd. shear walls R 5.5 V = 2.5 Ca (w) = 2.5 * .36 = .20 (w) @ plaster and gyp. bd. shear walls R 4.5 Gravity Loads ROOF LOADS: 18 psf dead load + 16 psf live load = 34 psf total load FLOOR LOADS: 10 psf dead load, + 40 psf live load = 50 psf total load WALL LOADS: 12 psf @ 3 -coat plaster exterior walls; 8 psf @ interior walls; 10 psf @ exterior walls with 1 -coat stucco or siding I� L 9 ft 22-141 SO SHEETS AMPAD 22-142 - 100 SHEETS 22-144 200 SHEETS . 113 1 � �c I� L 9 ft 22-141 SO SHEETS AMPAD 22-142 - 100 SHEETS 22-144 200 SHEETS 0 e.1 I r- 6- (.00 CO r Rc. I if 3-),1- 22-141 50 SHEETS AMPOM 22-142 100 SHEETS 22-144 200 SHEETS I d 7 F9 mi N � 0 UNY fj -t 01. °Q Q I d 7 F9 X16 strap 622j4 straps c- ' t 7 Roof Beam( 2000 International Building Code (97 NDS) 1 Ver: 6.00.5 By: Gregory A. Peitz, Architect on: 05-09-2004: 3:03:06 PM Project: VERCRUYSSEN - Location: GARAGE DOOR'HEADER Summary: 3.125 IN x 13.5 IN x 16.7 FT / 24F -V4 -Visually Graded Western Species - Dry Use Section Adequate By: 38.5% Controlling Factor: Section Modulus / Depth Required 11.81 In . Deflections: Dead Load: DLD= 0.39 IN Live Load: LLD= 0.36 IN = U561 Total Load: TLD= 0.75 IN = U269 Reactions (Each End): Live Load: LL-Rxn= 1966 LB Dead Load: Total Load: DL-Rxn= 2139 LB TL-Rxn=4-105LB Bearing Length Required (Beam only, support capacity not checked): BL_ '-2.02 SIN,, Camber Reqd.: C= 0 58"�IN Beam Data: Span: L= 16.7 FT Maximum Unbraced Span: Lu= 0.0 FT Pitch Of Roof. RP= 5 :12 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Camber Adjustment Factor: CAF= 1.5 X DLD Non -Snow Live Load: Roof Loaded Area: RLA= 208.8 SF Roof Loading: Roof Live Load -Side One: LL1= 18.83 PSF Roof Dead Load-Side.One: DLI= -18.0 PSF Tributary Width -Side One: TW1= 11.5 FT Roof Live Load -Side Two: LL2= 18.83 PSF Roof Dead Load -Side Two: DL2= 20.0 PSF Tributary Width -Side Two: TW2= 1.0 FT Roof Duration Factor: Cd= 1.25 Beam Self Weight: BSW= 10 PLF Slope/Pitch Adjusted Lengths and Loads: Adjusted Beam Length: Ladj= 16.7 FT Beam Uniform Live Load: wL= 235 PLF Beam Uniform Dead Load: wDadi= 256 PLF Total Uniform Load: —WT= 492 PLF Properties For: 24F -V4- Visually Graded Western Species Bending Stress: Fb= 2400 PSI Shear Stress: Fv= 190 PSI Modulus. of Elasticity: Ex= 1800000 PSI Ey= 1600000 PSI Stress Perpendicular to Grain: Fc perp= 650 PSI Bending Stress of Comp. Face in Tension: Fb_cpr= 1200 PSI Adjusted Properties Fb' (Tension): Fb'= 3000 PSI Adjustment Factors: Cd=1.25 FV: FV= 238 PSI Adjustment Factors: Cd=1.25 Design Requirements: Controlling Moment: M= 17138 FT -LB 8.35 ft from left support Critical moment created by combining all dead and live loads. Controlling Shear: V= 3612 LB At a distance d from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Sreq= 68.55 IN3 S= 94.92 IN3 Area (Shear): Areq= 22.81 IN2 A= 42.19 IN2 Moment of Inertia (Deflection): Ireq= 429.23 IN4 1= 640.72 IN4 Roof Beam( 2000 International Building Code (97 NDS) 1 Ver: 6.00.5 By: Gregory A. Peitz, Architect on: 05-09-2004: 3:01:52 PM Proiect: VERCRUYSSEN - Location: LIVING ROOM WINDOW V= Summary: LB 5.5 IN x 5.5 IN x 5.3 FT / #1 - Douglas Fir -Larch - Dry Use 10.12 Section Adequate By: 167.1% Controlling Factor: Area / Depth Required 3.32 In Deflections: IN3 Dead Load: DLD= Live Load: LLD= Total Load: TLD= Reactions (Each End): 11.31 Live Load: LL-Rxn= Dead Load: DL-Rxn= Total Load: TL-Rxn= Bearing Length Required (Beam only, support capacity not checked): BL= Beam Data: Span: L= Ma)amum Unbraced Span: Lu= Pitch Of Roof: RP= Live Load Deflect. Criteria: L/ Total Load Deflect. Criteria: U Non -Snow Live Load: Roof Loaded Area: RLA= Roof Loading: Roof Live Load -Side One: LL1= Roof Dead Load -Side One: DL1= Tributary Width -Side One: T/1= Roof Live Load -Side Two: -LL2= Roof Dead Load -Side Two: DL2= Tributary Width -Side Two: TW2= Roof Duration Factor: Cd= Beam Self Weight: BSW= Slope/Pitch Adiusted Lengths and Loads: Adiusted Beam Length: Ladi= Beam Uniform Live Load: wL= Beam Uniform ,Dead Load: wDadi= Total Uniform Load: —WT= Properties For: #1- Douglas Fir -Larch Bending Stress: Fb= Shear Stress: Fv= Modulus of Elasticity: E= Stress Perpendicular to Grain: Fcw-perp= Adjusted Properties Fb' (Tension): Fb'= Adjustment Factors: Cd=1.25 Cf=1.00 Fv': FV= Adjustment Factors: Cd=1.25 Design Requirements: Controlling Moment: 2.65 ft from left support Critical moment created by combining all dead and live loads. Controlling Shear: At a distance d from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Area (Shear): Moment of Inertia (Deflection): l0 0.03 IN 0.02 IN = U2556 0.05 IN = U1213 453 LB 502 LB 955 LB 0.28 IN 5.3 FT 0.0 FT 5 :12 240 180 47.7 SF 19.0 PSF 18.0 PSF 6.0 FT 19.0 PSF 20.0 PSF 3.0 FT 1.25 7 PLF 5.3 FT 171 PLF 189 PLF 360 PLF 1200 PSI 85 PSI 1600000 PSI 625 PSI 1500 PSI 106 PSI M= 1265 FT -LB V= 802 LB Sreq= 10.12 IN3 S= 27.73 IN3 Areq= 11.32 IN2 A= 30.25 IN2 Ireq= 11.31 IN4 1= 76.26 IN4 Roof Beam( 2000 International Building Code (97 NDS) 1 Ver: 6.00.5 By: Gregory A. Peitz, Architect on: 05-09-2004: 3:00:27 PM Protect: VERCRUYSSEN - Location: REAR PATIO HEADER IN = U530 Summary: - IN = L/224 5.125 IN x 13.5 IN x 29.5 FT / 24F -V4 -Visually Graded Western Species - Dry Use Section Adequate By: 24.5% Controlling Factor: Moment of Inertia / Depth Required 12.55 In. Deflections: 2587 Dead Load: DLD= Live Load: LLD= Total Load: TLD= Reactions (Each End): A= Live Load: LL-Rxn= Dead Load: DL-Rxn= Total Load: TL-Rxn= Bearing Length Required (Beam only, support capacity not checked): BL= Camber Reqd.: C= Beam Data: Span: L= Maximum Unbraced Span: Lu= Pitch Of Roof: RP= Live Load Deflect. Criteria: U Total Load Deflect. Criteria: U Camber Adiustment Factor: CAF= Non -Snow Live Load: Roof Loaded Area: RLA= Roof Loading: Roof Live Load -Side One: LL1= Roof Dead Load -Side One: DLI= Tributary Width -Side One: TW1= Roof Live Load -Side Two: LL2= Roof Dead Load -Side Two: DL2= Tributary Width -Side Two: TW2= Roof Duration Factor: Cd= Beam Self Weight: BSW= Slope/Pitch Adjusted Lengths and Loads: Adiusted Beam Length: Ladi= Beam Uniform Live Load: wL= Beam Uniform Dead Load: wD_adi= Total Uniform Load: WT= Properties For: 24F -V4- Visually Graded Western Species B d' S 0.91 IN 0.67 IN = U530 1.58 IN = L/224 1093 LB 1494 LB 2587 LB 0.78 IN 1.37 IN 29.5 FT 0.0 FT 5 :12 240 2432 180 Sreq= 1.5 X DLD 115.1 SF 19.0 PSF 20.0 PSF 2.9 FT 19.0 PSF 20.0 PSF 1.0 FT 1.25 17 PLF 29.5 FT 74 PLF 101 PLF 175 PLF en ung tress. Fb= 2400 Shear Stress: Fv= 190 Modulus of Elasticity: Ex= 1800000 Stress Perpendicular to Grain: Bending Stress of Comp. Face in Tension: Adjusted Properties Fb' (Tension): Adjustment Factors: Cd=1.25 Cv--0.96 Fv': Adiustment Factors: Cd=1.25 Design Requirements: Controlling Moment: 14.75 ft from left support Critical moment created by combining all dead and live loads. - Controlling Shear: At a distanced from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Area (Shear): Moment of Inertia (Deflection): Ey= Fc perp= Fb_cpr= Fb'= 1600000 650 1200 PSI PSI PSI PSI PSI PSI 2866 PSI FV= 238 PSI M= 19082 FT -LB V= 2432 LB Sreq= 79.90 IN3 S= 155.67 IN3 Areq= 15.36 IN2 A= 69.19 IN2 Ireq= 844.24 IN4 1= 1050.79 IN4 1Z Roof Beamf 2000 International Building Code (97 NDS) I Ver: 6.00.5 By: Gregory A. Peitz, Architect on: 05-09-2004: 4:41:22 PM Project: VERCRUYSSEN - Location: FLUSH BEAM OVER NOOK AREA Summary: 3.125 IN x 12.0 IN x 15.4 FT % 24F -V4 -Visually Graded Western Species - Dry Use Section Adequate By: 68.7% Controlling Factor: Section Modulus / Depth Required 9.95 In Deflections: Dead Load: DLD= 0.30 IN Live Load: LLD= 0.28 IN = U655 Total Load: TLD= 0.59 IN = U316 Reactions (Each End): Live Load: LL-Rxn= 1390 LB Dead Load: DL-Rxn= 1497 LB Total Load: TL-Rxn= 2886 LB Bearing Length Required (Beam only, support capacity not checked): BL= 1.42 IN Camber Reqd.: C= 0.46 IN Beam Data: Span: L= 15.4 FT Maximum Unbraced Span: Lu= 0.0 FT Pitch Of Roof: RP= 5 :12 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Camber Adjustment Factor: CAF= 1.5 X DLD Non -Snow Live Load: Roof Loaded Area: RLA= 146.3 SF Roof Loading: Roof Live Load -Side One: LL1= 19.0 PSF Roof Dead Load -Side One: DLI= 18.0 PSF Tributary Width -Side One: TW1= 9.5 FT Roof Live Load -Side Two: LL2= 19.0 PSF Roof Dead Load=Side Two: DL2= 0.0 PSF Tributary Width -Side Two: TW2= 0.0 FT Roof Duration Factor: Cd= 1.25 Beam Self Weight: BSW= 9 PLF Slope/Pitch Adjusted Lengths and Loads: Adjusted Beam Length: Ladi= 15.4 FT Beam Uniform Live Load: wL= 181 PLF Beam Uniform Dead Load: wDadi= 194 PLF Total Uniform Load: —WT= 375 PLF Properties For: 24F -V4- Visually Graded Western Species Bending Stress: Fb= 2400 PSI Shear Stress: Fv= 190 PSI Modulus of Elasticity: Ex= 1800000 PSI Ev= 1600000 PSI Stress Perpendicular to Grain: Fc perp= 650 PSI Bending Stress of Comp. Face in Tension: Fb_cpr— 1200 PSI Adjusted Properties Fb' (Tension): Fb'= 3000 PSI Adjustment Factors: Cd=1.25 FV: FV= 238 PSI Adjustment Factors: Cif=1.25 Design Requirements: Controlling Moment: M= 11113 FT -LB 7.7 ft from left support Critical moment created by combining all dead and live loads. Controlling Shear: V= 2540 LB At a distanced from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Sreq= 44.45 IN3 Z= 75.00 IN3 Area (Shear): Areq= 16.04 IN2 A= 37.50 IN2 Moment of Inertia (Deflection): Ireq= 256.67 IN4 1= 450.00 IN4 Roof Rafter[ 2000 International Building Code (97 NDS)1 Ver: 6.00.5 Project: VERCRUYSSEN -Location: By: Gregory A. Peitz, Architect on: 05-09-2004: 4:44:30 PM Summary: 1.5 IN x 5.5 IN x 12.0 FT (11 + 1 ) 0). 24 O.C. / #2 - Douglas Fir -Larch - Dry Use Section Adequate By: 7.7% Controlling Factor: Moment of Inertia / Depth Required 5.37 In Interior Span Deflections: Dead Load: Live Load: Total Load: Eave Deflections (Positive Deflections used for design): Dead Load: Live Load: Total Load: Rafter End Loads and Reactions: Upper Live Load: Upper Dead Load: Upper Total Load: Lower Live Load: Lower Dead Load: Lower Total Load: Upper Equiv. Tributary Width: Lower Equiv. Tributary Width: Rafter Data: Interior Span: Eave Span: Rafter Spacing: Rafter Pitch: Roof sheathing applied to top of joists -Top of rafters fully braced. Live Load Deflect. Criteria: Total Load Deflect. Criteria: Non -Snow Live Load: Roof Loaded Area: Rafter Loads: Roof.Live Load: Roof Dead Load: Roof Duration Factor: Slope Adiusted Spans And Loads: Interior Span: Eave Span: Rafter Live Load: Rafter Dead Load: Rafter Total Load: Properties For: #2- Douglas Fir -Larch Bending Stress: Shear Stress: Modulus of Elasticity: Stress Perpendicular to Grain: Adjusted Properties Fb' (Tension): FV: Adjustment Factors: Cd=1.25 Cf --1.30 Cr -1.15 Adiustment Factors: Cd=1.25 Design Requirements: Controlling Moment: 5.958 Ft from left support of span 2 (Center Span) C" I DLD-Interior- LLD-Interior- TLD-Interior- DLD-Eave= LLD-Eave= TLD-Eave= LOADS: 105 PLF 71 PLF 175 PLF 124 PLF 85 PLF 209 PLF UTWeq= LTWeq= L= L-Eave= Spacing= RP= U U RLA= LL= DL= Cd= L-adi= L-Eave-adi= wL-adi= wD-adi= wT-adj= Fb= Fv= E_ Fc -perp= Fb'= Fv'= 13 0.30 IN 0.44 IN = U324 0.74 IN = U194 0.00 IN 0.00 IN = 2U5733 0.00 IN = 2U26000000 RXNS: 19.31 209 LB 1= 142 LB IN4 351 LB 249 LB 170 LB 419 LB 5.5 FT 6.55 FT 11.0 FT 1.0 FT 24.0 IN O.C. 5.0 : :12 240 180 24.0 SF 19.0 PSF 12.0 PSF 1.25 11.92 FT 1.08 FT 32 PLF 22 PLF 55 PLF 900 PSI 95 PSI 1600000 PSI 625 PSI 1682 PSI 119 PSI M= 962 FT -LB ntica moment created by combining all dead loads and live loads on span(s) 2 Controlling Shear: V= At a distance d from right support of span 2 (Center Span) Critical shear created by combining all dead loads and live loads on span(s) Comparisons With Required Sections: Section Modulus (Moment): Area (Shear): Moment of Inertia (Deflection):. 2,3 308 LB Sreq= 6.86 IN3 S= 7.56 IN3 Areq= 3.89 IN2 A= 8.25 IN2 I req= 19.31 I N4 1= 20.80 IN4 CERTIFICATE OF COMPLIANCE: RESIDENTIAL 'Page 1 CF -1R Project Title.......... VERCRYS.SON 2760 Date..05/20/04 15:25:07 Project Address........ ******* --------------------- CHICO, CA *v6.01* I I Documentation Author... Gregory A. Peitz ******* I Building Permit # I Gregory A. Peitz Architect I I 383 Rio Lindo Ave. I Plan Check / Date I Chico, CA 95926 I I 530-894-5719 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. I MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM CF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case I ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... 2760 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 225 deg (SW) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 21.6 % of floor area Average Glazing U -factor... 0.36 Btu/hr-sf-F PLAN REV01 APPROVAL Average Glazing SHGC....... 0.36 Average Ceiling Height..... 9.6 ft J U L 2 8 2004 BUILDING SHELL INSULATION ------------------------- UNHARTPETERSENPOWERSASSOCIATES Assembly Component Frame Cavity Sheathing Total Type Type R -value R -value R -value U -factor Location/Comments ------------------------------------------- ------- ------------------------ Wall Wood R-13 R-4 ='R-17 ^� 0.063 FRONT, Left, Back RIGHT Wall Wood R-13 R-0 R-13_� 0.088 knee wall, GARAGE Door None R-0 R-0 �R-0 j 0.330 GARAGE Roof n/a R-38 R-n/a ' R-38 0.025 Attic S1abEdge None R-0 R-0 F2=0.760 SLAB EDGE S1abEdge None R-0 R-0 F2=0.510 GARAGE SLAB FENESTRATION ------------ Over- Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins -------------------- ----- ------ ----------------------------------- ----- Window Left .(NW) 10.0 0.350 0.340 Standard Standard None Window Left (NW) 10.0 0.350 0.340 Standard Standard None Window Front (SW) 6.0 0.350 0.340 Standard Standard None Window Left (NW) 20.0 0.350 0.340 Standard Standard None Window Left (NW) 12.5 0.350 0.340 Standard Standard None Window Back (NE) 25.0 0.350 0.340 Standard Standard None Door Back (NE) 18.0 0.400 0.350 Standard Standard None RECE,rb.� 40 JUN 0 4 2001�`'a�2.' }, SAP POWEp "'MAR TES CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R ---------------------------------- Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 ------------------------------------ MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM CF -1R I . User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- Orientation -------------------- Window Left (N) Window Left (N) Window Back (NE) Window Back (NE) Window Back (E) Window Back (E) Door Right (SE) Window Back (NE) Window Back- (NE) Window Back (NE) Door Left (N) Window Left (NW) Window Left (N) Window Back (NE) Window Right (SE) Window Right (SE) Window Right (SE) Window Right (SE) Window Right (SE) Window Right (SE) Window Right (SE) Window Front (SW) Window Right (SE) Window Right (SE) Window Front (SW) Door Front (SW) Window Front (SW) Window Front (SW) Window Front (SW) 0 SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ Standard Slab 2760 FENESTRATION ------------ Over- Area U- Interior Exterior hang/ (sf) ----- Factor ------ SHGC ------ Shading Shading Fins 25.0 0.350 0.340 --------------- Standard -------------- Standard ----- None 10.0 0.330 0.340 Standard Standard None 25.0 0.330 0.340 Standard Standard None 10.0 0.330 0.340 Standard Standard None 25.0 0.350 0.340 Standard Standard None 10.0 0.330 0.340 Standard Standard None 33.0 0.400 0.350 Standard Standard None 32.0 0.350 0.340 Standard Standard None 40.0 0.330 0.340 Standard Standard None 32.0 0.350 0.340 Standard Standard None 33.0 0.400 0.350 Standard Standard None 15.0 0.350 0.340 Standard Standard None 20.0 0.350 0.340 Standard Standard None 15.0 0.350 0.340 Standard Standard None 8.0 0.570 0.670 Standard Standard None 8.0 0.350 0.340 Standard Standard None' 4.0 0.570 0.670 Standard Standard None 10.0 0.350 0.340 Standard Standard None 10.0 0.350 0.340 Standard Standard None 10.0 0.350 0.340 Standard Standard None 20.0 0.350 0.340 Standard Standard None 10.0 0.350 0.340 Standard Standard None 16.0 0.350 0.340 Standard Standard None 16.0 0.350 0.340 Standard Standard None 20.0 0.350 0.340 Standard Standard None 20.0 0.550 0.650 Standard Standard None 5'.0 0.330 0.340 Standard Standard None 5.0 0.330 0.340 Standard Standard None 9.0 0.330 0.340 Standard Standard None SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ Standard Slab 2760 N CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project -Title .......... VERCRYSSON:2760. Date..05/20/04 15:25:07 MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM CF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- HVAC SYSTEMS REMARKS 0q J �� ®�joic)ly tl 4' Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type Efficiency Airflow Location R -value Leakage D Type ------------ ,Furnace -----_-------_--_----- 0.800-AFUE ----------- - n -/a- Attic ------- R-4.2 ------- No ------ No ---------- Setback •°ACSplit 11.00 SEER No' R-4.2 No No Setback ,Attic WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value -,,7------------M---------- tStorage _ --.- _. _ __ Gas ------------------- --- _ __-�- ^ Standard .. - -------------- 1 0.58 ------ 50 ---------- R- n/a REMARKS 0q J �� ®�joic)ly tl 4' CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 4 CF -1R -------------------------------------- Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 ---------------------------------------- MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM CF -1R I User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- 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 Name.... GREGORY A. PEITZ Company. GREGORY PEITZ ARCHITECT Address. 383 RIO LINDO AVE CHICO, CA 95926 Phone... (530) 8 5719 License. C2128 Signed.. '(daTeo ENFORCEMENT AGENCY Name..... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Gregory A. Peitz Company. Gregory A. Peitz Architect Address. 383 Rio Lindo Ave. Chico, CA 95926 Phone... 530-894-5-719 Signed.. Q � y `-_ � (date) �/ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Project Title.......... VERCRYSSON 2760 Project Address........ Documentation Author... Climate Zone........... Compliance Method...... ----------------------- CHICO, CA Gregory A. Peitz Page 1 MF -1R --------------------- --------------------- Date..05/20/04 15:25:07 ******* --------------------- *v6.01* 1 1 ******* I Building Permit # I Gregory A. Peitz Architect 383 Rio Lindo Ave. I Plan Check / Date Chico, CA 95926 I I 530-894-5719 I Field Check/ Date I 11 --------------------- MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. 1 MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM MF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all, parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 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. 150(1): 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 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. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 MICROPAS6 v6.01 File-VERC2760 Wth-CTZllS92 Program -FORM MF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. 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 ACCA. 150(1): 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 sections 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 backed rubber adhesive 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 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF-1R ------------------------------------- Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 --------------------- MICROPAS6 v6.01 File-VERC2760 Wth-CTZllS92 Program-FORM MF-1R User#-MP2330 User-Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- 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 pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). LIGHTING MEASURES ----------------- 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 -2R ------------- Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 Project Address........ ******* --------------------- CHICO, CA *v6.01* I I Documentation Author... Gregory A. Peitz ******* I Building Permit # I Gregory A. Peitz Architect I I 383 Rio Lindo Ave. I Plan Check / Date I Chico, CA 95926 I I 530-894-5719 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6..01 for 2001 Standards by Enercomp, Inc. -------------------------------------------------- -- -- -- MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM C -2R I User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) Design ---- -_----- Design ----------- Margin = ---------- _ _----------------------- - Space Heating.......... 19.69 18.98 0.71 = = Space Cooling.......... 9.68 10.84 -1.16 = _ .Water Heating.......... 10.32 9.39 0.93 = = Total 39.69 39.21 0.48 = *** Building complies with Computer Performance ----------------------------------------------------------------- ----------------------------------------------------------------- GENERAL INFORMATION Conditioned Floor Area..... 2760 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 225 deg (SW) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear 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..... Slab On Grade 1 26440 cf 2760 sf 21.6 % of floor area 0.36 Btu/hr-sf-F 0.36 9.6 ft COMPUTER METHOD SUMMARY Page 2 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 -------------------=----------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM C -2R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- Zone Type HOUSE Residence BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat. Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit - ------------ ----------------------- ----- -------- --------- 2760 26440 1.00 Yes Setback 2.0 Standard No OPAQUE SURFACES PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments ------------ --------------------- ----- -- ------------------- HOUSE 11 S1abEdge 262 0.760 R-0 No SLAB EDGE 12 S1abEdge 33 0.510 R-0 No GARAGE SLAB FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC ---------------------- ----- ----- ----- --- ---- -------------- -------------- HOUSE 1 Window Left (NW) 10.0 0.350 0.340 315 90 Standard/0.76 Standard/0.68 2 Window Left (NW) 10.0 0.350 0.340 315 90 Standard/0.76 Standard/0.68 3 Window Front (SW) 6.0 0.350 0.340 225 90 Standard/0.76 Standard/0.68 4 Window Left (NW) 20.0 0.350 0.340 315 90 Standard/0:76 Standard/0.68 5 Window Left (NW) 12.5 0.350 0.340. 315 90 Standard/0.76 Standard/0.68 6 Window Back (NE) 25.0 0.350 0.340 45 90 Standard/0.76 Standard/0.68 7 Door Back (NE) 18.0 0.400 0.350 45 90 Standard/0.76 Standard/0.68 8 Window Left (N) 25.0 0.350 0.340 0 90 Standard/0.76 Standard/0.68 ' 9 Window Left (N) 10.0 0.330 0.340 0 90 Standard/0.76 Standard/0.68 Area U- Insul Act Solar Form 3 Location/ Surface -------------- (sf) ------ factor ----- R-val ----- Azm --- Tilt Gains Reference Comments HOUSE ---- ----- ------------ ---------------- 1 Wall 323 0.063 17 225 90 Yes WALL.R13.R4 FRONT 2 Wall 823 0.063 17 315 90 Yes WALL.R13.R4 Left 3 Wall 457 0.063 17 45 90 Yes WALL.R13.R4 Back 4 Wall 152 0.088 13 225 90 No W.13.2X4.16 knee wall 5 Wall 545 0.063 17 135 90 Yes WALL.R13.R4 RIGHT 6 Wall 36 0.063 17 0 90 Yes WALL.R13.R4 RIGHT 7 Wall 89 0.063 17 90 90 Yes WALL.R13.R4 RIGHT 8 Wall 297 0.088 13 225 90 No W.13.2X4.16 GARAGE 9 Door 18 0.330 0 225 90 No None GARAGE 10 Roof 2760 0.025 38 n/a 0 Yes None Attic PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments ------------ --------------------- ----- -- ------------------- HOUSE 11 S1abEdge 262 0.760 R-0 No SLAB EDGE 12 S1abEdge 33 0.510 R-0 No GARAGE SLAB FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC ---------------------- ----- ----- ----- --- ---- -------------- -------------- HOUSE 1 Window Left (NW) 10.0 0.350 0.340 315 90 Standard/0.76 Standard/0.68 2 Window Left (NW) 10.0 0.350 0.340 315 90 Standard/0.76 Standard/0.68 3 Window Front (SW) 6.0 0.350 0.340 225 90 Standard/0.76 Standard/0.68 4 Window Left (NW) 20.0 0.350 0.340 315 90 Standard/0:76 Standard/0.68 5 Window Left (NW) 12.5 0.350 0.340. 315 90 Standard/0.76 Standard/0.68 6 Window Back (NE) 25.0 0.350 0.340 45 90 Standard/0.76 Standard/0.68 7 Door Back (NE) 18.0 0.400 0.350 45 90 Standard/0.76 Standard/0.68 8 Window Left (N) 25.0 0.350 0.340 0 90 Standard/0.76 Standard/0.68 ' 9 Window Left (N) 10.0 0.330 0.340 0 90 Standard/0.76 Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 MICROPAS6 v6.01 File-VERC2760 Wth-CTZllS92 Program -FORM C -2R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- Orientation 10 Window Back (NE) 11 Window Back (NE) 12 Window Back (E) 13 Window Back (E) 14 Door Right (SE) 15 Window , Back (NE) 16 Window Back (NE) 17 Window Back (NE) 18 Door Left (N) 19 Window Left _ (NW) 20 Window Left (N) 21 Window Back (NE) 22 Window Right (SE) 23 Window Right (SE) 24 Window Right (SE) 25 Window Right (SE) 26 Window Right (SE) 27 Window Right (SE) 28 Window Right (SE) 29 Window Front (SW) 30 Window .Right (SE) 31 Window Right (SE) 32 Window Front (SW) 33 Door Front (SW) 34 Window Front (SW) 35 Window Front (SW) 36 Window Front (SW) Area (sf) 25.0 10.0 25.0 10.0 33.0 32.0 40.0 32.0 33.0 15.0 20.0 15.0 8.0 8.0 4.0 10.0 10.0 10.0 20.0 10.0 16.0 16.0 20.0 20.0 5.0 5.0 9.0 FENESTRATION SURFACES U- Act Exterior Shade Interior Shade factor SHGC Azm Tilt Type/SHGC Type/SHGC 0.330 0.340 45 90 Standard/0.76 Standard/0.68 0.330 0.340 45 90 Standard/0.76 Standard/0.68 0.350 0.340 90 90 Standard/0.76 Standard/0.68 0.330 0.340 90 90 Standard/0.76 Standard/0.68 0.400 0.350 135 90 Standard/0.76 Standard/0.68 0.350 0.340 45 90 Standard/0.76 Standard/0.68 0.330 0.340 45 90 Standard/0.76 Standard/0.68 0.350 0.340 45 90 Standard/0.76 Standard/0.68 0.400. 0.350 0 90 Standard/0.76 Standard/0.68 0.350 0.340 315 90 Standard/0.76 Standard/0.68 0.350 0.340 0 90 Standard/0.76 Standard/0.68 0.350 0.340 45 90 Standard/0.76 Standard/0.68 ).570 0.670 135 90 Standard/0.76 Standard/0.68 ).350 0.340 135 90 Standard/0.76 Standard/0.68 ).570 0.670 135 90 Standard/0.76 Standard/0.68 ).350 0.340 135 90 Standard/0.76 Standard/0.68 ).350 0.340 135 90 Standard/0.76 Standard/0.68 ).350 0.340 135 90 Standard/0.76 Standard/0.68 ).350 0.340 135 90 Standard/0.76 Standard/0.68 ).350 0.340 225 90 Standard/0.76 Standard/0.68 ).350 0.340 135 90 Standard/0.76 Standard/0.68 ).350 0.340 135 90 Standard/0.76 Standard/0.68 ).350 0.340 225 90 Standard/0.76 Standard/0.68 ).550 0.650 225 90 Standard/0.76 Standard/0.68 ).330 0.340 225 90 Standard/0.76 Standard/0.68 ),330 0.340 225 90 Standard/0.76 Standard/0.68 ).330 0.340 225 90 Standard/0.76 Standard/0.68 SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ HOUSE Standard Slab 2760 COMPUTER METHOD SUMMARY Page 4 C -2R -------------------------------- Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 ------------------------------ MICROPAS6 v6.01 File-VERC2760 Wth-CTZllS92_Program-FORM C -2R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------- ------------------------------------------ HVAC SYSTEMS REMARKS m Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type ------------- Efficiency ----------- Airflow Location ------- R -value Leakage D Eff HOUSE ------------- ------------------------ ---- Furnace 0.800 AFUE n/a Attic R-4.2 No No 0.737 ACSplit 11.00 SEER No Attic R-4.2 No No 0.645 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 0.58 50 R- n/a REMARKS m CONSTRUCTION ASSEMBLY Page 1 3R Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM 3R I User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- --------------------------------- Parallel Path Method Reference Name . WALL.R13.R4 Description .... Wall R-13 2x4 16oc Type ........... Wall R -Value ........ 17 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 --------------------------------- Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS FRAMING ADJUSTMENT CALCULATION Cavity Framing Total ------------------------------------------------------ U-Factor: (1 / 18.53 x 0.85) + (1 / 9.00 x 0.15) = 0.063 Btu/hr-sf-F Total. R -Value: 1 / 0.063 = 15.99 hr-sf-F/Btu Material Cavity Frame Name ------------- Description ---------------------------------------- R -Value R-Value 0. FILM.EX Exterior air film: winter value --------- 0.17 --------- 0.17 1. STUCCO.0.88 0.875 in stucco 0.17 0.17 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.R13 R-13 batt insul (cavity = 3.5 in) 13.00 -- 3f. FIR.2X4 2x4 fi.r -- 3.46 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 5. STYRENE.1.00 1.00 in polystyrene 4.00 4.00 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 18.53 9.00 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total ------------------------------------------------------ U-Factor: (1 / 18.53 x 0.85) + (1 / 9.00 x 0.15) = 0.063 Btu/hr-sf-F Total. R -Value: 1 / 0.063 = 15.99 hr-sf-F/Btu CONSTRUCTION -ASSEMBLY Page 2 3R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -FORM 3R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case I ------------------------------------------------------------------------------- --------------------=------------ Parallel Path Method I I I I Reference Name . W.13.2X4.16 I I I I Description .... Wall R-13 2x4 16oc Type ........... Wall R -Value ........ 13 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type Wood Description .. 2x4 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 --------------------------------- Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS FRAMING ADJUSTMENT CALCULATION Cavity Framing Total ------------------------------------------------------ U-Factor: (1 / 14.53 x 0.85) + (1 / 5.00 x 0.15) = 0.088 Btu/hr-sf-F Total R -Value: 1 / 0.088 = 11.30 hr-sf-F/Btu Material Cavity Frame Name Description R -Value --------- R-Value 0. ------------- FILM.EX ---------------------------------------- Exterior air film: winter value 0.17 --------- 0.17 1. STUCCO.0.88 0.875 in stucco 0.17 0.17 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.R13 R-13 batt insul.(cavity = 3.5 in) 13.00 -- 3f. FIR.2X4 2x4 fir -- 3.46 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values --------- 14.53 --------- 5.00 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total ------------------------------------------------------ U-Factor: (1 / 14.53 x 0.85) + (1 / 5.00 x 0.15) = 0.088 Btu/hr-sf-F Total R -Value: 1 / 0.088 = 11.30 hr-sf-F/Btu HVAC SIZING Page 1 HVAC Project Title.......... VERCRYSSON 2760 Date..05/20/04 15:25:07 Project Address........ ******* --------------------- CHICO, CA *v6.01* I I Documentation Author... Gregory A. Peitz ******* I Building Permit # I Gregory A. Peitz Architect I I 383 Rio Lindo Ave. I Plan Check / Date I Chico, CA 95926 I I 530-894-5719 I Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-VERC2760 Wth-CTZ11S92 Program -HVAC SIZING User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Floor Area ................. 2760 sf Volume ..................... 26440 cf Front Orientation.......... Front Facing 225 deg (SW) Sizing Location........., CHICO EXP STA Latitude ................... 39.7 degrees Winter Outside Design...... 27 F Winter Inside Design....... 70'F Summer Outside Design...... 102 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... No Exterior.Shading Used..:... No Overhang Shading Used...... No Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY 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. Heating Cooling Description --------------------------------- (Btuh) (Btuh) Opaque Conduction and Solar...... ----------- 20326 ----------- 6818 Glazing Conduction ............... 93.60 5224 Glazing.Solar.................... n/a 12790 Infiltration ..................... 16720 5494 Internal Gain .................... n/a 2100 Ducts. ...................... 4641 3243 Sensible Load .................... 51047 .35668 Latent Load.. .................... n/a 7134 Minimum Total Load ----------- 51047 ----------- 42802 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. SITE PLAN ........................................... ......... ..................... ...... 7 ............. ...... 7 ............ ........................... .......... 7 7- ... 7 ... 7-**:- .... 7 ............. ...... 7 ............. ...... 7 ............... ............... ............ .................... ............. ................... .... ............. ...... ...... ...... . ... ....... . . . ....... ..................... ...... ................... ................... ............................ ...... ............... ... ........ . . . ....... ..................... ..................... ..................... ...... .... .......................... ............. ...... ...... ...... ...... ...................................................................................................................... ...... .................... ...... ............................................................................... ............. ...... ............. ...... ...... ..... ...... ...... ...... * ............ ...... ..... ...... ...... ............ ................. ...... ............. ...... ...... ...... .............. .................. ...... ....... ............. ...... ........... ...... ...... ............ ...... . . . . . . . . . . . . . . . . . . ...................... ...... 7 ..................... :' ............ ...... .......................... ...... ............ ...... ............. ...... .............. ...... .............. . ............ ............ ............. tv ............. ...... ..... .......................... ............ ...... ...... .......... . ......... ............. ...... ............. ..................... ...... ....... 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C 11-1c 0 CA ......................... .......................... ... .................... ............................ ............................... ................... ...... ................................. ............ .................... ....................................................................................................................................... .............. ........................ . . ...... Assessor's Parcel Number FQJ F�37l H1, M El K F01 IT N sCa le: 1" T 0 0 Owner Name 0 0 tJ 0 0 Address i Phone- No. H509 Si--fWA-j IDF-.. MA . F_j-;Q),LL9 CA q 6qp i (53jo -7y 2 - S, i 4 1 0 Site Location ON Contact: -Name Phone. Oalxibw 2= Zoning: General Plah. Desig: Size, Acres PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC):' ZONING:. GEN PLAN: USES: M I 2 DURHAM DAYTON H I G H W A Y N 50 U T H W 1 N D C O U R T 5GALE I" -- 20'-0e GREGORY A. PEITZ SITE PLAN ARCHITECT for: M Mo undo Ave. Ceieo, CA. 95M (&M) 89"M VERCRUYSSEN DURHAM CALIFORNIA WATER AR�tii No. 33 \�9A_ RE14 1 i r.— _...._.. ,..., ..w.. -., ��PAw # Z APPROVED Butte County Environ Health ate REVISIONS BY © NOTICE Any use of these drawings for purposes other than as specified in writing by the architect is a violation of copyright. DATE t^. h a Op DRAWN M JOB SHEET OF `O O� `O M�y a DATE SCALE DRAWN JOB SHEET OF SHEETS _.