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HomeMy WebLinkAbout040-170-01440-17-14 FIRE REPORT, 1/11/83 40-17-14 DQUG,.ZSGAN_,._ _. _ _ . _ _„,----------: 9561 Lott Rd, Durham 4P�/7/g� Permit#2921-86B(new pri garage) 7040=1 -014`” ° -,•� - 92-3$86-`BPEM r<; ,�, ZIGAN,+Doug Miche 1� e 9561 Lott Rd, rham contra Lawrence Tu er new sf 040-17-0-014. 93-375B,E ZIGAN, DOUG 8, CHELLE ^- 9561 LOTT , DURHAM 93 CONTR: RY TUPPER] ICON ND STORY STG AREA TO LIVING 040-170-014 PERMIT#95-1015 : ZIGAN, John & Michelle 9561 Lott Rd.., Durham New Pri Swimming Pool 7/3 040-170-014 00-2746 WETMORE, RICHARD 9561 LOTT RD, DURHAM CONTR: ABLE PLUMBING REPLACE WATER LINES 040-170-014 O 1 3676 WETMORE, RICHARD & MICHE 9561 A_LOTT RDS DURH� i v� 040-170-014 02-0083' WETMORE, RICHARD ,/�(`4 .\`h 9561 A LOTT RD, DURHAM TEMP POWER FOR BP 01-3034 040-170-014 02-0214 WETMORE, RICHARD �JK 9561 LOTT RD, DURHAM���� LIVING TO STORAGE 080-1 70;-' 1 41c" MAHAN, Fred 283 0-17 — 1 LottU Road, 1/2 mile north of Durham Oro Highwgy, Chico COMPLETE 7-10-62 040-170-014 �� 03-1668 WETMORE, RICHARD 9561 LOTT RD, DU CONVERT (5 STO 1 j SDS 040-170-014 03-1669 WETMORE, RICHARD - 9561 LOTT RD, DURHAM COMPLETE BP#01-3034 040-170-014 04-1259 WETMORE, RICHARD • ' 9561 LOTT RD, DURHAM PERMIT RENEWAL Cont: GREENE ROO G DATE - PERMIT TO COMP - '69 BP#2s9o� O EXPIRES:' 11 POW" � -- L V Rich Wetmore BUILDING PRODUCTS INC. TROJAN TRUSS CO. PO BOX 85 " ORLAND CA 95963 (530) 865-2321 7 7 MiTek® Re: Wetmore Rich Wetmore MiTek Industries, Inc. 7777 GREENBACK LANE SUITE 109 CITRUS HEIGHTS CA 95610 USA FAX (916) 676 1909 TELEPHONE (916) 6761900 The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc. under my direct supervision based on the parameters provided by Trojan Truss. Pages or sheets covered by this seal: R10401988 thru R10401991 My license renewal date for the state of California is June 30, 2005. VROF Oj G ANCF?J' N C1 1 . :P. October 15,2003 Anderson, Bobrvwmn. CA The seal on these drndicate acceptance of professional engineering responsibility solely for the truss components shhe suitability and use of this component for any particular building is the responsibility of theg designer, per ANSI/TPI-1995 Sec. 2. 5 V 5x5 = 6.00 12 5x5 = 2-s-0 } 5-6-0 1 11-24 I 16-10 -8 19-10-81 224-8 2-6-0 3-0-0 5-84 5-84 3-0-0 2-6-0 LOADING (psf) Truss Type — - - TRAY - — - --- — -- I QtY Ply Rich Wetmore ; R10401988f 6 1 i Job , WETMORE Truss-.-- ---- A— I/deft L/d PLATES GRIP Job Reference (optional) — — -- - - — _- - __ ------ TROJAN TRUSS,—ORLA DCA., Matt _ Wilson —` 5.100 s Jul -8 2003 MiTeF Industries, Inc. _ 7. Tue Oct 14 17.29.48 2003 Page 1 • -2-M 2-6-0 5-6-0 ._ _.11-2-4 1 16-10-8 >— 19.10-8 22-4-8 1 244-8 2-0-0 2-6-0 3-" 5-8-4 5-8-4 3-0-0 2-6-0 2.0-0 -0.25 12-13 >999 180 Scale = 1:45.9 BCLL 0.0 Rep Stress Incr 4x5 = WB 0.70 5 V 5x5 = 6.00 12 5x5 = 2-s-0 } 5-6-0 1 11-24 I 16-10 -8 19-10-81 224-8 2-6-0 3-0-0 5-84 5-84 3-0-0 2-6-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in floc) I/deft L/d PLATES GRIP TCLL 16.0 Plates Increase 1.15 TC 0.23 Vert(LL) -0.10'12-13 >999 240 M1120 220/195 TCDL 10.0 Lumber Increase 1.15 BC 0.49 Vert(TL) -0.25 12-13 >999 180 BCLL 0.0 Rep Stress Incr YES WB 0.70 Horz(TL) 0.17 8 n/a n/a BCDL 10.0 Code UBC97/ANSI95 (Matrix) Weight: 106 lb LUMBER BRACING TOP CHORD 2 X 4 DF No.1&Btr G TOP CHORD Sheathed or 3-11-12 oc purlins. BOT CHORD 2 X 4 OF No.t&Btr G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 OF Std G TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10'-W O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR REACTIONS (Ib/size) 11102a907/0-3-8=8=907-70-3-8 ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALLWAYS REQ'D) Max Horz 2=490oad case 6) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY Max Uplift2 = -40(load case 5), 8=-40(load case 6) AND RECOMMENDATION. FORCES (lb) - First Load Case Only TOP CHORD 1-2=46, 2-3=-1432, 3-4=-2710, 4-5=-1285, 5-6=-1285, 6-7=-2710, 7-8=-1432, 8-9=46 BOT CHORD 2-14=1218, 13-14=1295, 12-13=2320, 11-12=2320, 10-11 =1295, 8-10=1218 WEBS 3-14=-526, 3-13=1249, 4-13=744, 4-12=-1253, 5-12=757, 6-12=-1253, 6-11 =744, 7-11 =1249, 7-10=-526 NOTES p 1) Unbalanced roof live loads have been considered for this design. 1 2) Wind: ASCE 7-98; 85mph; h=25ft; TCDL=6.Opsf; BCDL=6.Opsf; Category 11; Exp B; enclosed;MWFRS gable end_ zone; cantilever left and right exposed ; end vertical left and right exposed;Lumber DOL =1.33 plate grip DOL =1.3 ¢ri dl�p�a �. 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads p ,. T �5p�U1Kll�l �PA f of IBC -00. 4) A plate rating reduction of 20% has been applied for the green lumber members. � r� 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 40 Ib uplift at joint afidt40Jii uplift at joint 8. A PROVE - 1 it n, LOAD CASEIS) Standard 4pFESSI� C17180 �� * 05 Sr CIV1� yt EXP. 06/30/ gTFOF A WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE CAIiFOE� Design valid for use only with MITek connectors. This design is based only upon parameters shown, and is for an individual October 15,2003 building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- 89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Trues Plate Institute, 583 D'Onofrlo Drive, Madison, wl 53719 MiTek Industries, Inc. Symbols Numbering System ® General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property Damage or Personal Injury 'Center plate on joint unless dimensions indicate otherwise. Dimensions are in inches. Apply l . Provide copies of this truss design to the _ plates to both sides of truss and building designer, erection supervisor, property securely seat. owner and all other interested parties. J2 J3 J4 2. Cut members to bear tightly against each ,. TOP CHORDS other. �/ ♦ /$ $ C2 C3 J5 3. Place plates on each face of truss at each � q joint and embed fully. Avoid knots and wane Oat joint locations. U�y U 4. Unless otherwise noted, locate chord splices O a at '/4 panel length (± 6" from adjacent joint.) For 4 x 2 orientation, locate � O C8 BOTTOM CHORDS Ce 5. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. plates 1/8" from outside edge J 1 J8 J7 J6 of truss and vertical web. 6. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. *This symbol indicates the required direction of slots in JOINTS AND CHORDS ARE NUMBERED CLOCKWISE 7. Camber is a non-structural consideration and connector plates. AROUND THE TRUSS STARTING AT THE LOWEST JOINT is the responsibility of truss fabricator. General FARTHEST TO THE LEFT. practice is to camber for dead load deflection. WEBS ARE NUMBERED FROM LEFT TO RIGHT 8. .Plate type, size and location dimensions PLATE SIZE shown indicate minimum plating requirements. 4 4 The first dimension is the width 9. Lumber shall be of the species and size, and x perpendicular to slots. Second in all respects, equal to or better than the dimension is the length parallel CONNECTOR PLATE CODE APPROVALS grade specified. to slots. BOCA 96-31, 96-67 10. Top chords must be sheathed or purlins ICBO 3907, 4922 provided at spacing shown on design. LATERAL BRACING SBCCI 9667,9432A 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, Indicates location of required WISC/DILHR 960022-W, 970036-N unless otherwise noted. continuous lateral bracing. NER 561 12. Anchorage and / or load transferring connections to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construction materials. BEARING Indicates location of joints atM1 14. Do not cut or alter truss member or plate without prior approval of a professional which bearings (supports) occur. 4 _ engineer. M i Te ke1944,11413 15. Care should be exercised in handling, erection and installation of trusses. MiTek Engineering Reference Sheet: MII-7473 © 1993 MiTekO Holdings, Inc. --_ — - -- - --- -- - ---... °Job Truss - Truss Type Qty Ply —` Rich -Wetmore 810401989' IWETMORE' B TRAY — — 6 1 — _ i Job Reference (optional)_ LTROJAN-TRUSS,—ORLAND CA -Matt Wilson — - 5.1 s Jul 8 2003 MiTilk strias, Inc. Tue Oct 14 fT:29:49 2003 Paa.� 1 I. 2-0-0 2-6-0 5.6-0 11-2-4 16-10.8 19-10.8 I 22-4-8 1 24-4-8 1-- — -- 2-0-0 2-6-0 3-0.0 5-8-4 5-8-4 3-0-0 2-6-0 2-0-0 Scale 1:49.2 4x5 = 4 M 19 LUMBER I --5x56-6-0 6 Q0J71 L--� TOP CHORD 2 X 4 OF No.1 &Btr G BOT CHORD 2 X 4 OF No.1 &Btr G 'Except" 5x5 = WEBS 1.5x4 II 15-16 2 X 4 DF No. 1&Btr-G 2.6-0 5.6-0 11-2-4 16-10-8 1 19-10-8 122-4-8 { + 2-6-0 3-0-0 5-84 5-8-4 3-0-0 2-6-0 Plate Offsets (X,`7j-(2:0=2`10;0-1-87 (8:0,0-1-87-110:0=2=8;0=2=4) LOADING (psf) SPACING 2-0-0 CSI DEFL in floc) I/defl L/d PLATES GRIP TCLL 16.0 Plates Increase 1.15 TC 0.23 Vert(LL) -0.10 12-13 >999 240 M1120 220/195 TCDL 10.0 Lumber Increase 1.15 BC 0.49 Vert(TL) -0.25 12-13 >999 180 BCLL 0.0 Rep Stress Incr YES WB 0.70 Horz TL) 0.17 8 n/a n/a BCDL 10.0 Code UBC97/ANS195 (Matrix) Weight: 113 lb LUMBER TOP CHORD 2 X 4 OF No.1 &Btr G BOT CHORD 2 X 4 OF No.1 &Btr G 'Except" 14-15 2 X 4 OF Std -G WEBS 2 X 4 OF Std G *Except* 15-16 2 X 4 DF No. 1&Btr-G REACTIONS (Ib/size) 2=907/0-3-8, 8=907/0-3-8 Max Horz 2=-88(load case 6) Max Uplift 2 = -40(load case 5), 8=-40(load case 6) BRACING TOP CHORD Sheathed or 3-11-12 oc purlins. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10'-0" O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALLWAYS REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. FORCES (lb) - First Load Case Only TOP CHORD 1-2=46, 2-3=-1432, 3-4=-2710, 4-5=-1285, 5-6=-1285, 6-7=-2710, 7-8=-1432, 8-9=46 BOT CHORD 2-14=1218, 13-14=1295, 12-13=2320, 11-12=2320, 10-11 =1295, 8-10=1218 WEBS 3-14=-526, 3-13=1249, 4-13=744, 4-12=-1253, 5-12=757, 6-12=-1253, 6-11 =744, 7-11 =124�� 7-10=-526 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) Wind: ASCE 7-98; 85mph; h=25ft; TCDL=6.Opsf; BCDL=6.Opsf; Category 11; Exp B; enclosed;MWFRS gablg en zone; cantilever left and right exposed ; end vertical left and right exposed;Lumber DOL =1.33 plate grip DOL=1.33. t,� 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent te with any other live loads per a IbP0,7=1z of IBC -00. � J V1410 4) A plate rating reduction of 20% has been applied for the green lumber members. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 40 Ib uplift at joint 2 and 40 Ib uplift at joint 8. LOAD CASE(S) Standard QRpFESS/U w'C17180 z� Xk *k EXP. 06/30/05 tS� CIV' A WARN/NG - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE q�E�F CA11F0� Design valid for use only with MITek connectors. This design is based only upon parameters shown, and Is for an individual October 15,2003 building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer — not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. nn Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- 89 Bracing Specification, and MIB -91 Handling Installation and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 MiTek Industries, Inc. Symbols Numbering System ® General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property Damage or Personal Injury � 3/4' 'Center plate on joint unless dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and building designer, erection supervisor, property securely seat. owner and all other interested parties. J2 J3 J4 2. Cut members to bear tightly against each 1 11 TOP CHORDS other. Y8 g C2 C3 J5 3. Place plates on each face of truss at each o cq 3 joint and embed fully. Avoid knots and wane U �� 3 O at joint locations. U �5 U U 4. Unless otherwise noted, locate chord splices O at '/4 panel length (± 6" from adjacent joint.) For 4 x 2 orientation, locate r Q C8 BOTTOM CHORDS Cs 5. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. plates 1/8" from outside edge J 1 J8 J7 J6 of truss and vertical web. 6. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. 'This symbol indicates the required direction of slots in JOINTS AND CHORDS ARE NUMBERED CLOCKWISE 7. Camber is a non-structural consideration and connector plates. AROUND THE TRUSS STARTING AT THE LOWEST JOINT is the responsibility of truss fabricator. General FARTHEST TO THE LEFT. practice is to camber for dead load deflection. WEBS ARE NUMBERED FROM LEFT TO RIGHT 8. Plate type, size and location dimensions' PLATE SIZE shown indicate minimum plating requirements. The first dimension is the width 4 4 9. Lumber shall be of the species and size, and x perpendicular to slots. Second in all respects, equal to or better than the dimension is the length parallel CONNECTOR PLATE CODE APPROVALS grade specified. to slots. BOCA 96-31, 96-67 10. Top chords must be sheathed or purlins ICBG 3907, 4922 provided at spacing shown on design. LATERAL BRACING SBCCI 9667,9432A 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, Indicates location of required WISC/DILHR 960022-W, 970036-N unless otherwise noted.' continuous lateral bracing. NER 561 ri 12. Anchorage and / or load transferng connections to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construction materials. BEARING Indicates location of joints atME Eli �;� 14. Do not cut or alter truss member or plate without prior approval of a professional which bearings (supports) occur. I 11144 ! engineer. iptl Mi Te k® 15. Care should be exercised in handling, erection and installation of trusses. MiTek Engineering Reference Sheet: MII-7473 © 1993 MiTekO Holdings, Inc. -- - -- Job, ------ ._ ; Truss Truss Type - Uty i rry ��••��� 810401990 jWETMORE, C FINK 1113 1 Job Reference (optional) LTFMAN TROSS, ORLAND`CA—, Matt Wilson 5 100 S Jul 8I 2003-MiTek Industnes, Inc. Tue Oct 14 1T:29:49-2003 Page 1 • ` -2-0-0 5-10-6 11-24 i 166-2 - 22-4-8 244-8 _I 2-0-0 5-10-6 5-3-14 5-3-14 5-10-6 2-0.0 Scale =.1:45.7 4x4 = i 01 4 3x4 = 5x6 = M 14 O LUMBER TOP CHORD 2 X 4 DF No.1 &Btr G BOT CHORD 2 X 4 DF No.1&Btr G WEBS 2X4DFStd G REACTIONS (Ib/size) 2=907/0-3-8, 6=907/0-3-8 Max Horz 2=88(1oad case 5) Max Uplift2=-40(load case 5), 6=-40(load case 6) BRACING TOP CHORD Sheathed or 5-7-8 oc purlins. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10'-0" O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALLWAYS REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. FORCES (lb) - First Load Case Only TOP CHORD 1-2=46, 2-3=-1342, 3-4=-1184, 4-5=-1184, 5-6=-1342, 6-7=46 BOT CHORD 2-9 =1135, 8-9- 774, 6-8 =1 135 WEBS 3-9=-248, 4-9=428, 4-8=428, 5-8=-248 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) Wind: ASCE 7-98; 85mph; h=25ft; TCDL=6.Opsf; BCDL=6.Opsf; Category II; Exp B; enclosed;MWFRS gable eRDIN� i cantilever left and right exposed ; end vertical left and right exposed;Lumber DOL =1.33 plate grip DOL =1.33.' 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads per Ta le 1607.1 ' of IBC -00. 4) A plate rating reduction of 20% has been applied for the green lumber members. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 40 Ib uplift at joint 2 and uplift at joint 6. LOAD CASEIS) Standard Q�(aFESS/p\ ANn-� �� E P17180 06/ 0/05�)k sr�l��C AWARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE Design valid for use only with MITek connectors. This design is based only upon parameters shown, and is for an Individual October 155,2003 building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- 89 Bracing Specification, and HIB -91 Handling installation and Bracing Recommendation available from Trues Plate Institute, 583 D'Onofrlo Drive, Madison, WI 53719 MiTek Industries, Inc. 7-7-11 14-8-13 _, 22.4-8 ' 7-7-11 7.1.3 7-7-11 elate OffsetsIX,Y)t C2:0-2-10,0-1.87-(6:0-2-10,0 87-f8. -3-0,0-3-01 LOADING (psf) TCLL 16.0 TCDL 10.0 BCLL 0.0 BCDL 10.0 SPACING 2-0-0 Plates Increase 1.15 Lumber Increase 1.15 Rep Stress Incr YES Code UBC97/ANS195 CSI TC 0.20 BC 0.32 WB 0.19 (Matrix) DEFL Vert(LL) Vert(TL) Horz(TL) in -0.07 0.05 0.03 floc) 6-8 7 6 I/deft >999 > 542 n/a L/d 240 180 n/a PLATES GRIP M1120 .220/195 Weight: 97 lb LUMBER TOP CHORD 2 X 4 DF No.1 &Btr G BOT CHORD 2 X 4 DF No.1&Btr G WEBS 2X4DFStd G REACTIONS (Ib/size) 2=907/0-3-8, 6=907/0-3-8 Max Horz 2=88(1oad case 5) Max Uplift2=-40(load case 5), 6=-40(load case 6) BRACING TOP CHORD Sheathed or 5-7-8 oc purlins. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10'-0" O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALLWAYS REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. FORCES (lb) - First Load Case Only TOP CHORD 1-2=46, 2-3=-1342, 3-4=-1184, 4-5=-1184, 5-6=-1342, 6-7=46 BOT CHORD 2-9 =1135, 8-9- 774, 6-8 =1 135 WEBS 3-9=-248, 4-9=428, 4-8=428, 5-8=-248 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) Wind: ASCE 7-98; 85mph; h=25ft; TCDL=6.Opsf; BCDL=6.Opsf; Category II; Exp B; enclosed;MWFRS gable eRDIN� i cantilever left and right exposed ; end vertical left and right exposed;Lumber DOL =1.33 plate grip DOL =1.33.' 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads per Ta le 1607.1 ' of IBC -00. 4) A plate rating reduction of 20% has been applied for the green lumber members. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 40 Ib uplift at joint 2 and uplift at joint 6. LOAD CASEIS) Standard Q�(aFESS/p\ ANn-� �� E P17180 06/ 0/05�)k sr�l��C AWARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE Design valid for use only with MITek connectors. This design is based only upon parameters shown, and is for an Individual October 155,2003 building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- 89 Bracing Specification, and HIB -91 Handling installation and Bracing Recommendation available from Trues Plate Institute, 583 D'Onofrlo Drive, Madison, WI 53719 MiTek Industries, Inc. Symbols Numbering System ® General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property Damage or Personal Injury 'Center plate on joint unless dimensions indicate otherwise. Dimensions are in inches. Apply l . Provide copies of this truss design to the plates to both sides of truss and building designer, erection supervisor, property securely seat. owner and all other interested parties. J2 J3 J4 2. Cut members to bear tightly against each ..TOP CHORDS other. /$ C2 C3 J5 3. Place plates on each face of truss at each c, joint and embed fully. Avoid knots and wane 0 U y, 3 ; 0 at joint locations. U �0 U 4. Unless otherwise noted, locate chord splices O a at 1A panel length (± 6" from adjacent joint.) ' For 4 x 2 orientation, locate ~1 C8 C7 C6 BOTTOM CHORDS 5. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. plates 1/8" from outside edge A J8 J7 J6 of truss and vertical web. 6. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. 'This symbol indicates the required direction of slots in JOINTS AND CHORDS ARE NUMBERED CLOCKWISE 7. Camber is a non-structural consideration and connector plates. AROUND THE TRUSS STARTING AT THE LOWEST JOINT is the responsibility of truss fabricator. General FARTHEST TO THE LEFT. practice is to camber for dead load deflection. WEBS ARE NUMBERED FROM LEFT TO RIGHT 8. Plate type, size and location dimensions PLATE SIZE shown indicate minimum plating requirements. The first dimension is the width 4 9. Lumber shall be of the species and size, and x 4 perpendicular to slots. Second in all respects, equal to or better than the dimension is the length parallel CONNECTOR PLATE CODE APPROVALS grade specified. to slots. BOCA 96-31, 96-67 10. Top chords must be sheathed or purlins ICBO 3907, 4922 provided at spacing shown on design. LATERAL BRACING SBCCI 9667,9432A 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, Indicates location of required WISC/DILHR 960022-W, 970036-N unless otherwise noted. continuous lateral bracing. NER 561 12. Anchorage and / or load transferring connections to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construction materials. BEARING Indicates location of joints at ® ,.t M1 14. Do not cut or alter truss member or plate without prior approval of a professional which bearings (supports) occur. 11114 1 $ipkl engineer. Mi Te k® 15. Care should be exercised in handling, erection and installation of trusses. MiTek Engineering Reference Sheet: MII-7473 © 1993 MiTekO Holdings, Inc. CTMORE b Truss i Truss Type QtY Ply - ----- R10401991,�_..._.-.--Rich Wetmore, I CGE I FINK 2 t Job Reference (optional) - TRO-JAN-TRUSS-ORGAN'ND CA7191ai Wilson 57100 -i--J'61- 8 2003 MiTek Industries, Inc. Tue Oct 1417-79:50 2003 Page 1 • I--2-0-0-�-- 11-2-4 2.0.0 11-2-4 I -OP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD 3x4 - �ONTIN000SLY BRACED @ 10'-0" O.C. UNLESS RIGIDLY SHEATHED. LATERAL 3RACING OF WEB MEMBERS; WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR 4DDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALLWAYS REQ'D)10 REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTAR >ND RECOMMENDATION. 8 6.00 12 7 6"i 5 J u3 3 4 i 2 - i�L-- s'-' ---[gam Of 22-4-8 11.2-4 2-M Scale= 1:45.7 12 13 14 15 16 ,7 ,6 i Cf, 0 3x4 = 33 32 31 30 29 28 27 26 25 24 23 22 21 20 3x4 5x5 = 22-4.8 Plate Offsets )CY -(24=0=2=8,0=3=01 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl L/d PLATES GRIP TCLL 16.0 Plates Increase 1.15 TC 0.18 Vert(LL) n/a n/a 999 M1120 220/195 TCDL 10.0 Lumber Increase 1.15 BC 0.08 Vert(TL) -0.03 19 >832 180 BCLL 0.0 Rep Stress Incr ' YES WB 0.03 Horz(TL) 0.00 18 n/a n/a BCDL 10.0 Code UBC97/ANSI95 (Matrix) Weight: 129 lb LUMBER BRACING TOP CHORD 2 X 4 DF No.1&Btr G TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 OF No.1 &Btr G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. OTHERS 2 X 4 DF No.1 &Btr G REACTIONS (Ib/size) 2 = 239/22-4-8, 18 = 236/22-4-8, 27 = 89/22-4-8, 26 =102/22-4-8, 33 =110/22-4-8, 32 = 96/22-4-8, 31 =96/22-4-8, 30=96/22-4-8, 29=98/22-4-8, 28=85/22-4-8, 25=99/22-4-8, 24=96/22-4-8, 23=96/22-4-8, 22=94/22-4-8, 21 =106/22-4-8, 20=83/22-4-8 Max Horz 2=88(load case 5) Max Uplift2 = -50(load case 5), 18=-68(load case 6), 32=-33(load case 5), 31=-6(Ioad case 5), 30=-13(load case 5), 29=-12(load case 5), 28=-17(load case 5), 25=-20(load case 6), 24=-10(load case 6), 23=-140oad case 6), 22=-60oad case 6), 21=-34(load case 6)U a "� )' Max Grav 2=239(load case 1), 18=236(load case 1), 27=89(load case 1), 26=102(load case 1), 33=130(load cot -,%. case 2), 32=96(load case 7), 31=96(load case 7), 30=96(load case 1), 29=98(load case 1), 28=87(load case 7), 25=100(load case 8), 24=96(load case 1), 23=96(load case 8), 22=94(loa. � � case 1), 21=106(load case 8), 20=110(load case 21 FORCES (lb) - First Load Case Only r V � `=" �"*'t TOP CHORD 1-2=45, 2-3=-49, 3-4=-27, 4-5=-24, 5-6=-25, 6-7=-24, 7-8=-25, 8-9=4, 9-10=-24, 10-11 =-25, 11-12=-25, 12-13=-24, 13-14=-23, 14-15=-23, 15-16=-23, 16-17=-23, 17-18=-46, 18-19=45 PR BOT CHORD 2-33=8, 32-33=8, 31-32=8, 30-31 =8, 29.30=8, 28-29=8, 27-28=8, 26-27=8, 25-26=8, 24-25=8, �d ® ,* 23-24=7, 22-23=7, 21-22=7, 20-21 =7, 18-20=7 WEBS 9-27=-63, 11-26=-73, 3-33=-90, 4-32=-64, 5-31 =-70, 6-30=-69, 7-29=-70, 8-28=-62, 12-25=-71, 13-24=-70, 14-23=-69, 15-22=-69, 16-21 =-70, 17-20=-74 NOTES 11 Unbalanced roof live loads have been considered for this design. 2) Wind: ASCE 7-98; 85mph; h=25ft; TCDL=6.Opsf; BCDL=6.Opsf; Category II; Exp B; enclosed;MWFRS gable end zone; cantilever left and right exposed ; end vertical left and right exposed;Lumber DOL =1.33 plate grip DOL =1.33. 3) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), see MiTek�OFESS/O "Standard Gable End Detail" Q 4) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads per Table 1607.1 ��C. ANO c of IBC -00. 5) All plates are 1 x4 M1120 unless otherwise indicated. 6) Gable requires continuous bottom chord bearing. 7) Gable studs spaced at 1-4-0 oc. 8) A plate rating reduction of 20% has been applied for the green lumber members. C 17180 Z a 9) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 50 Ib uplift at joint 2, 68 Ib uplift at joint 18, 33 Ib uplift at joint 32, 6 Ib uplift at joint 31, 13 Ib uplift at joint 30, 12 Ib uplift at joint 29, 17 Ib uplift at joint 28, EXP. 06/30/05 20 Ib uplift at joint 25, 10 Ib uplift at joint 24, 14 Ib uplift at joint 23, 6 Ib uplift at joint 22 and 34 Ib uplift at joint 21. !t LOAD CASE(S) Standard ST �0)0 AWARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USEgrFO Design valid for use only with MITek connectors. This design is based only upon parameters shown, and is for an individual October 15,2003 building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer - not truss designer. Bracing shown is for lateral support of Individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- 89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Trues Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 MiTek Industries, Inc. Symbols Numbering System ® General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property Damage or Personal Injury � 3/4' 'Center plate on joint unless dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and building designer, erection supervisor, property securely seat. owner and all other interested parties. J2 J3 J4 2. Cut members to bear tightly against each ,. TOP CHORDS other. g C2 C3 J5 3. Place plates on each face of truss at each o N cq 3 joint and embed fully. Avoid knots and wane O �, 3 O at joint locations. U�y = " U 4. Unless otherwise noted, locate chord splices O at'A anel length + 6" from adjacent joint. P g (- 1 joint.) • For 4 x 2 orientation, locate C8 BOTTOM CHORDS C6 O J. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. , plates 1/8" from outside edge J 1 J8 J7 J6 of truss and vertical web. 6. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. 'This symbol indicates the required direction of slots in JOINTS AND CHORDS ARE NUMBERED CLOCKWISE 7. Camber is a non-structural consideration and connector plates. AROUND THE TRUSS STARTING AT THE LOWEST JOINT is the responsibility of truss fabricator. General FARTHEST TO THE LEFT. practice is to camber for dead load deflection. WEBS ARE NUMBERED FROM LEFT TO RIGHT 8. Plate type, size and location dimensions PLATE SIZE shown indicate minimum plating requirements. 4 4 The first dimension is the width 9. Lumber shall be of the species and size, and x perpendicular to slots. Second in all respects, equal to or better than the dimension is the length parallel CONNECTOR PLATE CODE APPROVALS grade specified. to slots. BOCA 96-31, 96-67 10. Top chords must be sheathed or purlins ICBO 3907, 4922 provided at spacing shown on design. LATERAL BRACING SBCCI 9667,9432A 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, Indicates location of required WISC/DILHR 960022-W, 970036-N unless otherwise noted. continuous lateral bracing. NER 561 12. Anchorage and / or load transferring connections to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construction materials. BEARING Indicates location of joints at 14. Do not cut or alter truss member or plate without prior approval of a professional which bearings (supports) occur. 4 engineer. MiTek® 15. Care should be exercised in handling, erection and installation of trusses. MiTek Engineering Reference Sheet: MII-7473 © 1993 MiTek® Holdings, Inc. STAN DARD GABLE END .* DIAGONAL OR L -BRACING REFER TO TABLE BELOW TO CIOM.! 44 = TRUSS — 2X4 NO.2 OR BTR. DF -L — 1X4 OR 2X3 (T1fP) so MPH, f14F 2 OW DETAIL -SHEATHING �1 1l2r r(BY OTHERS 31/27 / NOTCH AT 24" O.C. (MIN,; TOFGHORD NOTCH DETAIL. 3x5 = 0�0 .11 1 �_11116 ON VERTICAL STUD i TYPICAL 2x4 L -BRACE NAILED /� TO 2x4 VERTICALS W/8d NAIL -5 ZN SPACED AT 8" O.C. 24- MAX 2X4 LATERAL BRACING A$ REQUIRED PER TABLE BELOW LATERAL BRACING VERT. HEIGHT LOADIWI)SI) SPACING 2-0-0 -Op TO 71-011 TCLL 30.0 Plates Increase 1.15 Lumber Increase 1.15 TCDL 10.0. 3 -CLL 0.0 ' Rep Stress Incr YES OVER 8'"6t1 BCDL 10.0 ; Code UBC97/ANS195 LUMBER TOP CHORD 2 X 4 SPF No.2 BOT CHORD 2 X 4 SPF No.2 OTHERS 2 X4 SPF No.2 VERTICAL STUD HEIGHT i MAXIMUM . -WITH'2;- I SPAC ING OF VERTICALS WITHOUT BRACE WITH lA I tty+t- oRAGE LATERAL 12 INCH O.C- --= rte - 24 INCH O.C. END - WALL 24-O.C. PrP_ MGIC CEILING MAT::_ IAL DETAIL A — —; ------------------ NAILING SCHEDULE T_#_0F NAILS AT END _j WITH L-13PACE NOTES HEIGHT25 FT 1) VERT_ STUDS HAVE BEEN CHECKED FOR SO MPH WIND• EXP. B+ 2) CONNECTION BETWEEN BOTTOM CHORD OF GABLE END TRUSS AND WALL TO BE PROVIDED BY PROJECT ENG EER OR ARCHRfCT_ 3) FURNISH COPY OF THIS DRAWING TO CONTRACTOR FOR-5RACING INS ARCHITECT N' ENGINEER FOR TEMPORARY AND PERMANENT 4) BRACING SHOWN IS FOR INDMDUAL TRUSS ONLY. CONSULT BLDG. 5RACING OF ROOF SYSTEM. STRUCTURAL GABLE ENDS AND TO GABLE ENDS WITH A MAX. VERT. STUD HEIGHT OF 7 DETAIL A (SHOWN ABOVE)'APPUES TO TOP CHORD NOTCHING NOTESQPR 4 7 ?OOO t) THE GABLE Nd1ST BE FULLY SHEATHED W/RIGID MATERIAL ONE FACE BEFORE NOTCHING IF STUDS ARE TO BE SPACED AT 24"0-c-. 2) NO LLWOER DEFECTS ALLOWED.AT OR ABOUT NOTCHES. 3) LU.vtBER MUST MEET OR EXCEED VISUAL GRADE 92 LUMBER AFTER NOTCHING. 4) NO NOTCHING IS PERMITTED WfTHIN 2X THE OVERHANG LENGTH. 4Y4.R't'ING - L'er;fr design paraarerers and READ NOTES'ON THIS ANDAk REVERSE SIDE BEFORE USE TNS design Oesigtt valid for use cny'riah L[IT•Ic Connectors- is based only upon parameters stp . and is fdf an individual. ot:ilding component m be trlatalled and loaded ver@CaW- ADDgoabIIFtY of de�fQ<l Darametets and DrODef IrtotDG�bn of shown is for lateral support of tndivldual, v, temrononl is responsrDitlry of bur707n$ designer -trot tfuss designer Blatin$ t n is the rasp _row of the erector. wee-iemoers onty. Addnional temporary bf*re ta'rsu's staDiaty during c�r>,tVttCLd net. fdf $erler� �anCe Additional permanent btatang of the overeat structure Is the responsibility of the btuldtng desig ogarding oas000uoc.-qualll� Control, Hage, galnatalelaUon end Graf c1ng9RecOmamaitdn- on�availa5 a roamrT-- %i�1Tek IRdusIfies, Inc. OQgOEEss[, Irk4< af DATE: PERMIT #: ASSESSOR PARCE'. OWNER'S NAME: BALANCE OF FEES SHEET 6 Je7o�-6"Is FEES (Amount and Purpose): BALANCE OF FEES: ADDITIONAL FEES: REVISED PLAN CHECK: SHERIFF FEE: SRA: COPY FEES ($1 or more) URBAN AREA FEES CHICO OR THERMALITO THERMALITO DRAINAGE CSA (North Chico Specific) WATER TENDER FEES SMIP $ $ $ $ BATTALION # $ OTHER iic/vCIL $ �� 9 `2 � RECEIPT NUMBERS ./=OK 0 = Not OK - = Not Applicable =Not Ready FRAMING (Continued) RESIDENTIAL (; � Date 47. U rf)oor (Plans) OK except #'s 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance u-Zo'n etbacks-Easements-Flood-Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. g., Main; Soils-Elec. Grnd.-// ;0 Fig. Depth 51. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 54. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outrigge s 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Fig. -Steel Insulation -Walls -Ceilings 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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 - G 79. ilgetry, Card B-1 Date Card B-1 Date - 3 fl Z 80. Card B-1 Date Card B-1 Date 81. PLUMBING ( ermit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date 87. fFIAZ Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Date 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Date 31. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector /Zl ^ 4!4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outrigge s 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters J Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V= OK 0 = Not OK - = Not Applicable = Not Ready " MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Can. of Occupancy 9. 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Y . � • ' NOTES ° V" ESI ENTIAL PERMIT NO.. 040-170-014 - �_01+1.��T WETMORE, RICHARD & MICHE 9561 A LOTT RD, DURHAM GARAGE CONVERSION 4 2- o n'-3 ; -1 'k kze- �ivic� t CAC SPECIAL CONDITIONS CHECKED BY `i SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS. VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date f ELECTRIC Meter By Date/ Pow ELE UAT)OA)c ; C/ l JOB FINALED (Da Signature (Rev. 12/96) t 4: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive • Oroville, California 95965 • Telephone (530) 538-754©1-3034 APPLICATION AND PERMIT PERMIT NO. ASSETCjj J F, 4 R, ajj-- ZONING BUILDING PERMIT OWN RICHARD � MICHELLE WE"I'�NE TELEPHONE 01-11-5225597 SO. FT. OCC. BUILDING VALUATION 11,940.00 owN� I�SRD. DURHAM 95938 5g R 7 7 381100 Codimdo TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 304.00 ' - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ -I cargn BUILo ��OQ�gpgRgsIIAAs W" RDe DURM Energy Plan Checking Fee $ PERMIT FEE $ ti . ft1 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PER ITS Filing Fee . 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap �, 7.00' y Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK F New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other .® Describe WORVAGE CUNV I Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 0 ELECTRICAL PERMIT Filing Fee 20.00 MOVOR LE Main Service zo.A OR LESS 23.00 23. C. ) LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:'1 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zoOA TO tOooA 46.00 NEW CONST. DWELLING OCCUP. Fa OR ADDNS.3.5Q ( NEW CONST. MULCTICOIS. TLET NON-RESID. 97.50 S SINGLER AO'.TC.. Ex. Occup. ourLE-r6R FDRURES 20 @' 00 BAL @ .50 Ex. Occup. ountrs RESID.LNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ %� MECHANICAL PERMIT Fling Fee 20.00 Heating S .15.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEE $ S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rovisions of section 3700 of the Labor Code, I shall forthwith -60M ly with se provisions. X ' Date / ` s - ❑ Owner ❑Contractor Er rAgent Signature �on An OSHA pequired for excavations over 5'0" deep and demolition or construction of structurestories height. F Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 TYPE TOTAL FEE $667.20 777.80 CDF PARCEL PD HD S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abovefor which feesthave been paid. By Date Y / PERMIT EXPIRES N i�/ 1i9ljoi Date .., Receipt No. w WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD G DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT h� ASSESSOR PARCEL NUMBER 040-170-014 ZONING BUILDING PERMIT OWNER WETMORE. RICHARD AND MICHELLE TELEPHONE 891-5225 SO. FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 9561 LOOT ROAD DURHAM, CA 95938 597 @ `O;G (;2.238.00) 25 /90.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 25, 790.00 ARCHFrECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 258.5 Plan Checking Fee $ BUILDING ADDRESS 9561 A LOTT ROAD DURHAM CA 95938 Energy Plan Checking Fee $ $ PERMIT FEE $ 278.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 12[ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other mi Describe Work: GARAGE CONVERSION --- ;DQ-.�`c is P't I Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ o/ ..Sm q ELECTRICAL PERMIT Fling Fee 20.00 Main Service a00V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'C/]~ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.DD NEW CONST. DWELLING occuP. OR ADDNS. ( & ACC. BLDS. so 3.52FT. NEW REOSID. MULTI -OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 O 1.000 8 5 Ex. Occup. OFlxuTitDTs REWs D DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 " PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this. permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of. one hundred dollars ($100) or less.) ( I certify that in the performance of the work for which this permit is issued, I shall not employ any, person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwithscomply with thgse provisions. ./,--^� �/ X _.lic!// A - �Date or D Signature of Applicant - O Owner ❑ Contractor ❑ Agent, OSHA permit required for excavations over 5'0"deep and demolition or construction of of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ - 278.50 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. L (- 1jy - r �` "`'� /T— B l�•i4Nlt/1.a;'t Date j PERMIT EXPIRES ON Date ReceiptNo. 2516 19 43 .c ► / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTOri GOLDENROD -APPLICANT Fes.. M , V t 03-1669 f04O-170-014 CHARD TMORE,1 LOTT RD, DURHAMMPLETE BP#01-3034 _ e} e. y�,r,�.,'-^}.ten' J M_ .. _ „ - • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 47County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0214 ASSESSOR PARCEL NUMBER 040-170-014 ZONING BUILDING PERMIT OWNER RICA" L. Wi"Ut�L) E TELEPHONE 691.»5225 Fr. Sp, , OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 9561 LI.T RD.0 DURNM CA conte est. 6M CONTRACTOR'S NAME LU�Y11T1•t TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 690W.01J, ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ». BUILDINGADDRESs W1 LOT RD. W&W Energy Plan Checking Fee $ $ PERMIT FEE $ 124.W LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other/( ,L ViN Describe, Work: `r0 STORE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 - Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. [a I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. WE OR ADDNS. ( SET 3.SQF°: NEW CONST. MU ICou�rL NO..ESID. 97.50 POWER APPARATUS i SIN GLE OLITLET CIR. oLmFroRFaTUREs Ex. Occup.BAL- 20Q1.0° @ .so Ex. Occup. . xUTE . oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood J 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any personrin any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 700 of the Labor Code, I shall forthwit ,comply with those provisions. " % X�'�'..e"'Date SignatureA6f Applicant - ❑ Owne,'r O"Contractor ❑ Agent An OSHA permit is required for iicavations over 60" deep and demolition or construction of.structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 124.00 HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HO ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above fo which fees have been By Date PERMIT EXPIRES ON T De provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i� :}- ..`i.w'ir _.A. . �:t�r -7 •C^i; 7r .-f �, .��py .. .-_.mow'..- -',�% � 7wT' - f . 040-170-014 02-0214 WETMORE, RICHARD ' 9561 LOTT RD, DURHAM LIVING TO STORAGE ,y COUNTY OF BUTTE - DEPARTMENT'0F.1DEVELOP,MENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 9.5965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1 ZONING BUILDING PERMIT OWNER flTQM t- it��jt+ l'1L'� T'V 9"fy 3225 1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS A Q59339 CONTRACTOR" _ LS_�NAMJE TELEPHONE - - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER S LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS Filing Fee •$ 20.00 Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS�,+ �� 9561 A U= ROAD HM WR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: A '? !N JTiT _ r%TNv FNMML_ W,0 GARAGE CONVERSION. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ti ELECTRICAL PERMly Fling Fee 20.00 -7L i Maln $en/iCB,• "v ' LESS - 2o0AORLESS t- -23 ' .4 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions. of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ct—I am exempt under Sec. Business and Professions Code for this WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My, workers' compensation insurance carrier and policy number are: Carrier I Main Service TO 46.00 CCU000A NEW CONST. DWFILING OCCUP. SO DWE200ALLING ADON ( a ACC. BMS.3.50' NEW S IpµRESID. MULTI -OUTLET @7.50 POWEPUS a SINGLER ADurLETPARATCIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1'00 BAL @ ,50 PPLNS Ex. Occup. G�ttrs R p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S 43.00reason MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation # PERMIT FEE $ Policy Number i (The above sections need not be completed if tfie permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that•in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit. • those provisions. lr;'rJ G••. Date f//elf 1r�1d �S Aature of Applicant - '2 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.04 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B owz J Date J • . y t/' yyp �f r PERMIT EXPIRES ON /' i */`) Date Receipt No. 337528/$43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i. 4 _A 040-170-014 02-0083 WETMORE, RICHARD 9561 A LOTT RD, DURHAM TEMP POWER FOR BP 01-3034 L NOTES ; F AESIDEN, TIAL V 1 03=1-668 -0 _ W0-170' *� z, PERMIT NO. _,ETMOR RICHARD ° 9561 LOT1RD, !DURHAM•{ CONVERT -TO, SORAGE off,- - .1 ti PERMIT RENEWAL s DATE: 4�Z'aS EXPIRES: s. 4 SPECIAL CONDITIONS' h CHECKED `BY .` . SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. . SPECIAL" INSPECTION ITEMS VERIFY - - •' .. 1 `r )lam' � r• USE PERMIT CONDITIONS' err SUB -STANDARD HOUSING LETTER OFFICE COPY Address/.l/o� GAS / Flo , . Meter By Da ' - ELECTRI Meter By /yam Date JOB FINAL ED (Da Signature j J=OK 0 = Not OK . = NotReadyble Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements-Setbacks-Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location-Test-Fall-C/O-Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location-Test-Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Gas and Electricity Tagged 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / /' Nat. or/ /" L "ft./ P LPG 10. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged - 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date .. Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main -Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not - =Not AAppplicable . = Not Ready (Continued) RESIDENTIAL Date UNDE OOR (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. g -Setbacks -Easements -Flood -Slope ,5-T 'Z-Ftg., Main; Soils-Elec. Grnd.-J�PLP' Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 53. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6a. Hold Downs and Special Anchors Card B-1 Date Card B-1 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Receptacles Spacing -Lights & Switches at Doors 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test quip. Ground made up w/Mech Fasteners-4nd Gas & Water 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 13. PJe ums & Ducts; Clearance -Material -Support -Ins. 33. Equip. Clearances Panels-Motors-Mech. Equip. girders -Sills -Anchor Bolts-Joists-Vents-Crippies 34. Clothes Closet Light -Shower Light -Spa Light 1'5 -Access & Ventilation 16. Insulation (Single & Duplex) I � Date FRAMING (Continued) Date7q ytangers-Post Caps -Anchors -Connectors -467 Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. eplace Ties or Type A Flue -Fireplace Throat Clearance ,5-T Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width-Headroom-Rise-Run-Landina-Fire Protection Date b ,oZ5 and B-1 /bate Card B-1 Date7q Card B-1. Date Card B-1 Date P MB G ( er rt) OK except #'s ate tc; Vent -Access -Combustion Air Baff ' ater Pipe; Test & Anchor -Nail Pr io: 10 D.W.V.; Test Fittings & Anch r-Nai ection-�'-- 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTF(ICA ermit) OK except #'s 24.­1Fixtu & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors ,,,8iz oxes & No. of Conductors Stapled t o ex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners-4nd Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 3' . Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1_-_1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support 37. Vent Fag,, Exhaust above insulation 38. Cond sate Drain & Overflow, Size & Grade y4�Fu ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 0. ttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-_ Date Card B-1 Date FRAMIN (Kermit) OK except #'s 4 S3Is'Proper Materials & Anchors . WaIJ ,Studs -Nailing Spacing & Braces -Plates -Sound 43e,Elearind Walls over Girders & Floor Nailina 44!Dr ft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing 56' PL)w6od on Roof Overhang -Attic Vents -Rafter Outriggers Veneer 58. StuccojMsh-Drip Screed -Fd. Vents-Underflr. Access 59. 61. Card B-1 / Date Card B-1 Date Card B-1 " Date Card B-1 Date FINAL (PtW OK except #'s 64/Eut!Steos-Door & Sideliaht Protection -Landings Detector 6&-Turnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Blom Exiting F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.2rBUct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in GgGa ; Above Floor-Mech. Protection 7&,-P6.; Elec. & Mech. Equip. Listed for Location 79. El�eceptacles in Garage (F.F.I.)-Romex Protection in Attic 8�. u� ails-& Deck Construction -Post Caps lin \/ cnt. R r--1 Wnln r)n r) -i - R W-4-r-th prance Looked under Floor 0 Yes ff. Following Instld./Drive 0 Yes D No/Walks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. WioLElec. Trim, G.F.I. Receptacle -Underground 49'Vep6atiowfhrouahout House 94<-gerections from Previous Inspections G st-Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval 4. Icy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date ^Lj -0'5- Card 6-1 Date Card B-1 Date Card B-1 ` Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 8-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT a "1 4 4 ASSESSO1 RPAR%UMBER ti40-rU-014 ZONING BUILDING PERMIT OWNER WETMORE, RICHARD AND MICHELLE TELEPHONE 891-5225 SO. FT. OCC. BUILDING VALUATION NG VALUATION .OWNERS MA UNG ADDRESS 9561 LOTT ROAD DURHAM, CA 95938 CONT EST 60000.00 CONTRACTOR'S NAME OWE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 6 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ LDIB,bfOULM ROAD DURHAM, CA 95938 Energy Plan Checking Fee $ $ PERMIT.FEE $ 101.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE -� SF OZYDuplex ❑ Mobilehome ❑ OtherWater �--t SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Oa Describe Work: RETURN TO STWGE Gas i in stem 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION \ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: s I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DW:rOCCUP. OR ADDNS. a Acc. eLos. SO 3.5¢FT; , MULTI-OUTLET NON-RNON 97.50 t POWER APPARATUS a SINGLE OUTL CIR. Ex. OCCu OUTLET OR FOCTURES BAL @ �:w OR Ex. Occup. ouTlFrs Aa.) F, 5.00 Temporary Service 23.00 Mobile Home Facilities _ 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL .PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall n forthwith,.�¢olTflily,lith tho-se provisions. / % %n� e h ��/ (D�te t,S Signature of Applicant - ❑ Owner ❑ Contractor o� Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction { of structures over 3 stories in height. 1 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 101.00 HAZ. p, FEES IMP ROOD CDF PARCEL PD HD ISSUE This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have �yW1/yf�1G?ILQt, _ � PERMIT EXPIRES ON the applicable provisions beentp i to do work been aid. / Date 4/9 . � % SIB Receipt No. �� SU �w la/ - &7J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FtUtKAL tMtKUtNI;Y MANAUtPAtNI AUtNl;Y O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION 'For Insuranrp Fmmnanv 1 k1a- BUILDING OWNER'S NAME Policy Number Rich Wetmore BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number: 9561 Lott Road CITY STATE ZIP CODE Durham CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 040-170-014 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): W - #tf.f#X or ##. ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION D I. Ivrlr UUMVIUNI IT NAMt & k:UNIVIt1NI I Y NUMBER 62. COUNTY NAME B3. STATE BUTTE COUNTY UNINCORPORATED 06017 BUTTE CA B4. MAP AND PANEL 163.9 fL(m) B7. FIRM PANEL FEMA Form 81-31, January 2003 B99. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Lone A0, use depth of Wing) 06007CO520 C 04-20M 06-08-98 AE 162.4 Don 1...1:....4..11... .,.... ,.t 1L_1'f_1-1 u.c xnn 4 r- v u is uax nuw clCvauun torr-/ uata qr case noon oepin eniere4 In B9. FIS ❑ Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? . ❑ Yes ® No Desiqnation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations—.Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, ARIAO Complete Items C3. -a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum N/A Conversion/Comments NIA Elevation reference mark used RM59 Does the elevation reference mark used appear on the FIRM? ® Yes ❑ No o a) Top of bottom floor (including basement or enclosure) o b) Top of next higher floc o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) o f) Lowest adjacent (finished) grade (LAG) o g) Highest adacent (finished) grade (HAG) 161. 4 ft.(m) 163.9 fL(m) a) FEMA Form 81-31, January 2003 NA. _ft.(m) ora 0 we 162.6 ft.(m) 161.4ft.(m)z' m 161. 9 ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 18 o i) Total area of all permanent openings (flood vents) in C3.h 1858 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. t understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001 CERTIFIER'S NAME LAMBERT 0. LOWE LICENSE NUMBER RCE 59077 TITLE CIVIL ENGINEER COMPANY NAME NORTHSTAR ENGINEERING ^111`-00 CITY STATE ZIP CODE 20 DECLARATION DRIVE CHICO CA 95973 SIGNATURE / " (Y DATE 7-12-05 TELEPHONE (530)893-1600 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance company Use: BUILDING STREET ADDRESS (Induding Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 9561 Lott Road CITY STATE ZIP CODE Company NAIC Number Durham CA 95936 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS -C3e) The lowest elevation of the machinery and/or equiptment servicing the building is the air conditioning unit at 162.6ft. - The area of the enclosure is 1109 square feet. ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most sinular to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducing basement or enclosure) of the building is — ft.(m) _in.(c m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is — ft.(m) _in.(crm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m)—in.(crm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communit;ls floodplain management ordinance? C1 Yes El No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized mpnesentative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sedions A, B, C, and E are coned to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who' is a" 6orii6q'by law or ordinance to administer the oormrunitj's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Cormrplete`the applicable le rm(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state orlocal law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G8. Elevation of as -built lowest floor (inducing basement) of the building is: —ft(m) Datum: _ G9. BFE or (in Zone AO) depth of flooring at the building site is: _. _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions p,1 �/ Xr ! 4 .-1 % NOTES RESIDENTIAL PERMIT NO. x040-170-01' 04-1259`1 WETMORE, RICHARD 9561 LOTT RD, DURHAM Cont: GREENE R0014 G j PERMIT TO COMP (03-1669 o _ v q r h' vr�{ �4 1 SPECIAL CONDITIONS_ ' CHECKED ,F BY s SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS' VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I' 6 y 2ry� 1 y .y 4 A Y yyS 7 A Sa R JOB FINALED(D Signature = OK = Not OK = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. Carports; Windows -Doors 3. Blocking Electric 4. Gas; MH Test -Demand -Valve 9. 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Ext.; Steps -Doors -Landings 7. Water and Sewer Connected 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Exits Card B-1 Date Card B-1 Date 10. License Decals 1. Setbacks -Easements 11. Verify #'s with Office Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- 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 UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 23. Fire Sprinkler; Test Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RRAIe in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled Elec. Receptacles in Garage (F.F.I.)-Romex Protection 27. Romex Irstalled Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes ❑ No 32. Service-Piser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 89. Card B-1 Date Card B-1 Date 90. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Corr!AEns from Previous Inspections 36. A.C. Ducts Insulation & Support G est -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 37. Vent Fan, Exhaust above insulation Energy Compliance Certificate -Other Certificates 38. Condensate Drain & Overflow, Size & Grade Address Posted 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Fire Sprinkler 40. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RRAIe in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks O Yes O No/Planters ❑ Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corr!AEns from Previous Inspections S 92. 93. G est -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041269 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: 05/04/2004 APN-' 040-170-014-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address' 9561 LOTT RD DUR Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: permit to complete BP 03-1669 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 Owner: WETMORE RICHARD J & MICHELLE R M 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 9561 LOTT RD 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 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: WETMORE RICHARD J & MICHELLE R M such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). Contractor: ❑ I am Exempt under Article 3 of theRusiness and Professions Code Date: 51Yo Owner: ��"�u' � 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 License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I 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 become subject to the workers' compensation laws of California,CenSUS Code: ' 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Ct� 7 CONSTRUCTION LENDING AGENCY This permit i$lheerebyrssued under the applicable provisions of the Butte County odq a or I i5ereby afiiiin ;hat them: is a coiiaiructiorrler uiiigayencyforthe--^'— 'R"O "f 'r' -t,'-±1 6rk-indica above f` hich fees have bgen.paid__�). _ _.1 , 6 performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: PERMIT EXPIRES t Address: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 o = y offi 'al -form or, do u e t of Bu bounty. I hereby authorize representatives of Butte Countytoenterupon the above mentioned property for inspection purpose . Print Name:y/Z (= Signature: Date: 15�Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor 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. BP041259 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' . 05/04/2004 APN: 040-170-014-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 9561 LOTT RD DUR Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: permit to complete BP 03-1669 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 Owner: WETMORE RICHARD J & MICHELLE R M 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 Slate License Law (Chapter 9 commencing with Section 9561 LOTT RD 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM, CA 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 95938 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: WETMORE RICHARD J & MICHELLE R M such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). Contractor: ❑ I am Exempt under Article 3 of the Qusiness and Professions Code Owner: Date: 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: 9 insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code'' 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: SIy�o 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. L�d1� CONSTRUCTION LENDING AGENCY This permit i herebylissued under the applicable provisions of the Butte Countyod a. or I hereby affirm that there is a construction lending agency for the of the work for which this is issued 3097 Civ.) Reso 'e o do 6rk indicate above for which fees have been paid. 6 performance permit (Sec Name: BY: , Date: Address: PERMIT EXPIRES 64--1 ate El 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 ny offi •a1 -form or do e t of Bu ounty. I hereby authorize representatives of Butte Countytoenterupon the above mentioned property for inspection purpo Print Name: �� VeE2 (4 ,/Z C = - Signature: Date: �/�/0 l _Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING .PERMIT APPLICATION 24 HOUR INSPECTION#:` (530) 538-7636 (OROVILLE) (530)891'-2834 (CHICO) - OFFICE #: (530) 538-7541 r PERMIT NO. BP V� DATE: S Q q APN: / _ ZONING: ' OWNER'S LAST NAME: OWNER'S FIRST NAME P"°NE STREET ADDRESS: '/ FAX CITY. ZIP: /�Q ✓ U / E-MAIL' JCI &;P" ed SITE ADDRESS: CITY. ZIP: NEAREST CROSS STREET: TRACTILOT P APPLICANT NAME: PHONE STREET ADDRESS: FAX CITY. ZIP E-MAIL• CONTRACTOR NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: E-MAIL' LICENSE NUMBER LICENSE TYPE- ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: .i ❑ 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 fees will be required. REQUEST FOR REFUNDS . Refunds can only be made upon written request by the person who paid the fee.. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan. checked and other department costs are not refundable. For office use only: Notes: h Application Received by: Date: Receipt number: Amount Received: OB. -I OWNER -BUILDER ' ERIFICA'T'ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and. bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be.. issued until this verification is received. 1. �1 personally plan to provide the major labor and materials for construction of the .proposed Property improvement: YES `F,d NO D 2. I HAVE)Z HAVE NOT ❑ signed an application for a building permit for the proposed work. TI have contracted with the following person (5rm) to provide the proposed construction: AME: ADDRESS: - moi,. HONE: CONTRACTOR'S LICENSE NO. plan to provide portions of this work, but I have hired the following person to coordinate, pervise, and provide the major work: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the wo the work indicated: rk but I have contracted (hired) the following persons to provide NAME ADDRESS PHONE TYPE OF FORK PROPERTYOWNER: DATE: .-5-AM3 N07F. This Owner Builder verification is requited by ,lection I983I and 19832 of the .. . California Health and ,Safety Codes. This vertfuadon must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION Dear Property Owner.- An wner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For yourprotection, you should be aware that as "owner -builder" you are the responsible party ofrecord on.such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract; you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate fa y, and the work (including materials and other costs) is $300' or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risk are especially serious with respect to worker's compensation insurance. For more specific infimmation about your obligations under Federal Law, contract the Internal Ravenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your .obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited. conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building pmt will not be issued until the verification is returned. rely, Ivrc 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Bur lderinforrnadon is required by Section 19830 of the California Health and Safely Code �10 r. % COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-170-014 ZONING BUILDING PERMIT OWNER WETMORE RICHARD AND MICHELLE TELEPHONE 891-5225 SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 9561 LOTT ROAD DURHAM CA 95938 597 @ 0% 2 238.00 25 790.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 25 790.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 258.5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 9561 A LOTT ROAD DURHAM CA 95938 Energy Plan Checking Fee $ $ PERMIT FEE $ 278.50 LAT NO. SUBONIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe work: GARAGE CONVERSION ax� d2 �k A le #.—= Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G w @20.00 PERMIT FEE S 0/ — ? ( ELECTRICAL PERMIT Fling Fee 20.00 ' .A OR LEss Main Service .A zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawfor the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. s0 3.5¢,T. NEW CONST. MULTI.OLJTLEi NON REBID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Ex. Occup. oirtleis AF�SID.oE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo wit com ly with th provisions. X Date D — S gnature of App icant - 0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh, Mobile Home Installation. Fee $ Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ 278.50 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date 61-913 PERMIT EXPIRES ON //%O/03 ate Receipt No. S WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK-INSPEMM GOLDENROD -APPLICANT rYi -OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO 12196) APPLICATION AND PERMIT 63 to .sesSORPARCFINJUSEFt ZONING BUILDING PERMIT AMER TELEPHONE So. FT. OCC. BUILDING VALUATION v� S WNE7t5 UAILIl10 ADDRESS' r� ONPMCPORT wmz TELEPHONE ONPRACTORS NAIUM ADDRESS O15TRVCf10N LENDER Fire lace�L- _NDERs MAUNG ADDRESS ' Total Valuation S P,cHffECT OR ENWNm uoENSE NO. FGn Fes $ 2D.00 Permit Fee aaaraa'oR ENowEtxs PanJNcs ADDREss Plan Checking Fee 5' W=wDAMR= Energy Plan Checking Fee +d S • PERMIT FEE t vj aTNo. SUBDIvsIDNSNAME PANeEL "� PLUMBING PERMIT FifingFeel 20.00 Each Trap--- USEOFSTRUCTURE >F ❑ Duplex ❑ Nbblehome ❑ OtherWater SPa Solar or heat pump water heater 23.00 piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Adcrtim ❑ Remodei ❑ Lmuties ❑ Instaralion ❑ Other ❑ Describe Work: 0 Describe f �ft— 0 Gas pIping system' t - 5 outlets t 5.00 Building sewer t 5.00 Moble Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.DD Main Service = oR PF�ss 23.00 ' m11} SIPS b S � T O CX. •�� AwwwA ► Aed • .. -� _ _ ��� S L/ J v Main Service xow TO 1C.06A 46.0D NEW CONST. D VBJJIO OCCUP. OR ADDNS a AMC. EILDS. 3.5¢67 rmw W tD1.mum-oLRLzr BRANCH WFICAM @7.50 POWER APPARCM Ex. OCC31 OUTLET OR FScniREs eaL2D �(y t.00 Ex. Occup. OFn m ECro EX 5.0D Temporary Service 23.D0 Moble Home Fecili6es 20.00 V=. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Firing Fee 20.DD Heating ling Ho H000dd I I 6.5D I Ventilation ]EHE PERMIT FEt S Moble Home Installation Fee S Energy Inspection Fee S oEc NST. TYPE FEE $ NkZ. D. FEES IM FLOOD CDF PARCEL PD MD i 6SJE "tp-0 cayTKTG This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON %Je la) (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 01-3034 PERMIT NO. ASSE$$pRfiARJ1ffiMB6 4 �J ]+U j �iJ 1 ZONING BUILDING PERMIT OW"RICHARD & MICHELLE WETMORE TELEPHONE 891-5225 SO. FT. OCC. BUILDING VALUATION — - 32,238-00 i OWNE4trTNnT?'RD, DURHAM 95938 CONTWforklf- TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 60) BUILDIGADDRESS �561A LOTT RD, DURHAM . Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Iling ee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other t{] Describe worCARAGE CONV Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 7q Q0 ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 3,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPUS License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACc. BLDs. 3.50x: "w�'Na°esIDT. MULTI.QUIRM @7,50 8 SINGLER AOUTLETPARATCIR. EX. Occup. OUTLET OR FDTTUREs BAL I 0 Ex. Occup. oFuriFrs RESIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the15.00 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall0`3 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the ' cop nsation rovisions of section 3700 of the Labor Code, I shall workersm forth With • ly with se provisions. �J /�/ X Dattel O`'�`�0 Signature f Ap 'e " ❑ Owner ❑ Contractor Agent An OSHA permit i equired for excavations over 5'0" deep and demolition or construction of structures ov 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood �. Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 T TYPE TOTAL FEE $� 777 90 CDF PARCEL PD HD S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abovjqfor which fees ave been paid. )AAL 1 By IF .4c.001 Jv r Date PERMIT EXPIRES 1 Q P I Defe Receipt No. IbU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _7,County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541G� 3LER IT NCI. (Rev. 12/96) APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER JOl zO^dNO BUILDING PERMIT 1 OWNER - TELEPHONE SO-'. OCC. BUILDING VALUATION OWNERS MA NODI DDRESS Lo/� — CONfMCTOfi'S NAME CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MALLING ADDRESS BUILDING ADDREJ V, / A ,OT NO. 1 S:120NIS10:: Z : CI•a PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFr TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ VRI SHERIFF OTHER AIAWNT RECEIVED Fireplace PERMIT FEE ! 3,p0 Total Valuation b Filing Feel 20.00 ► N07 - Filing Fee $ 20.00 Permit Fee 46.00 NEW CONST. DR ADDNS. Plan Checking Fee $ Energy Plan Checking Fee<9 $ ov $ ' PERMIT FEE $ PLUMBING PERMIT =:;:-; =se 20.00 Each Trap 7.00 00 Solar or heat pump water heater 23.00 Water piping 1 15.00 Each gas water heater or vent I 15.00 Gas piping system t - 5 outlets 1 5.00 Buildin sewer 15.00 Mobile Home I S I G W 1 920.00 EX. OCCU . OUTLET OR FIXTURES PERMIT FEE ! 3,p0 ELECTRICAL PERMIT Filing Feel 20.00 Main Service z"ow�oaLE 23.002 Main Service 200A TO 1000A 46.00 NEW CONST. DR ADDNS. DWELLING AMRUP. ) 3.5¢s.° EX. OCCU . OUTLET OR FIXTURES BAL O .SO EX. OCCU . OUTLEE°rs�FLNSSID.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 5-a nnkMRA PERMIT FEE $ 20 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation # 1 PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ 00 OCC CONST. TYPE TOTAL F����- IMPJ FLOOD PARCEL PD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. *RECEIPT NV#JM �aE I OCA " TO BE PVT =NTD COMPVTER By PERMIT EXPIRES ON Date i COUNTY OF BUTTE - DEPARTMENT,OF DIi:VELOPMEN'f SERVICES 7 County Center Drive • Oroville, Califorriia 95965' - BUILDING DIVISION • Telephone (530) 538-7541 (RAPPLICATION AND PERMIT PLaMIr No ASSESSSSE990APAR4�EUNMYDEA ZONING BUILDING PERMIT OWNER - TClO11ON! w 7 e E/� Er02c:/—���5 OWNER'S "UNG SO "�• OCC. BUILDING VALUATION AD 93 X56/ osd aA��sa�.0 CSA 9.5938 0" CONTRACTOR'S r"W TEL8N10NE 23.00.?_I. CONTRACTOR'S MAAJNO ADDRESS CONSTRUCTION LENDER LENDERS MAaLNO ADDRESS Fireplace ARCHITECT OR EMMNEER LICEN4E NO. Total valuation is Gd ARCNfTECT OR ENONEER9 U MANo ADORES] S Filin Fee 20.00 Permit Fee $ euanwoAooREs Plan Checking Fee S Energy Plan Checking Fee S od S •OTNO SUG"ISIONSNAME PARCEL MAP PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Solar or hent Dum water heater 23.0015.00S .'�--� •PECIFv �-- cv TYPE OF WORK Each as water heater or vent 15.00 New ❑ Addition ❑ Remodel 'ff Utilities ❑ Installation ❑ Other �f Gas piping stem 1 - 5 outlets 15.00 �'=Ctio Describe Work: INS 7-;,+ t- L Al JV F0 ;tVV, Building sewer 15.00 Mobile Home S G W ,r-/0At 020.00 PERMIT FEE _ 00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service000V OR LESS x" OR Less 23.00 Main Service 20" To 1000A 46.00 NEW CONST. OWfllll0 OCCUP. OR ADONS. ACC. atO9. ) 3.5¢,s; *PBkMIT FEE PAZ0 SRA • SHERIFF OTHER AJI OVNT RECEIVED OPSCIEM W * TO IN DVT INTO COMpVM Ex. OCCU oLT1F►OR fDm/Rp 200 1.00 SAL .50 FDCEO Ex. Occur).UTUIS PESID ovnEr9 ESIo. Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00.?_I. PERMIT FEE t zo MECHANICAL PERMIT Fling Fee 20.00 Heating 6.50 PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee $ "' occ coNar. nvE TOTAL FEE $ N1AZ. D. FEES IMP 8000 COf PARCEL PO This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. 1 By Date PERMIT EXPIRES ON fon O(OaA ek-4-OLYW ' �1e..r` "'Os �A., .:��Ti'�• ':�'1'�^1�/' '�r ,,`��,1�: r, �,P'Nn+Rrer`����iR--'.�. '�I/-mow, �„ ^"!"R�,.MI;:; ....: ,. �,, t4.�i�^�es: w.'-.: .. f•iir t��r�... COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: +��,/ �Ji`� ASSESSOR PARCEL NUMBER: r! `'1 - / r7u " (71 � Proposed Building Use: Building Inspector: Date: //e-, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ❑ 2. Plot plans,, 3/4 sets, signed by the preparer of plans............................................................................. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... l7 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured H e Da a and nstallatioOstructions Including ie wn c tions...... �.Ll 1 . Fees of �................................. .................. y........... Q11 1. Impact Fees as shown on the attached schedule.Scaoo... 7,r ......................................................... ❑ 2. California Department of Forestry Plan Approval/Fees...................................................................... 13. Flood Elevation Certificate.................................................................................................................. L314. Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs............................C....... L1111'7. Planning Approval for (A) Use: IL aS (B) Parking: N1 mn..e 12- rel 1r!• �.�.� � l;v. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ........................... ❑ 19. Encroachment Permit for Driveway (ceP4ruction approval prior to occupancy)?`.» ........................... ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number.............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........r..::.............................................:..........�................ 09 ❑ 25. 14Zecorded Copy. of Agricultural Acknowledgment Statement...............e :'`:.`.`1° **............:.......y.. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor. ❑ Telephone and hold for pickup at _ office.,❑ Deliver with Inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other 1. Index permit Application for the above items numbered: 2. Additional items required: Date: G/ By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ n -4I, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Plans reviewed by: Date: Plans reviewed by: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Yellow Copy - Department of Development Services - Building Division By: ❑ Plan Check List . Date: Date: Date: Date: Date: Date: FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number: at the location of Assessor Parcel Number: for for the construction of an addition does not equal or exceed the definition of "Substantial Improvement I am aware the building site is in a flood - plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: Address: PhoneNumber: Date: ' Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate cost. . �� a. r .1L• .r �^^r'. r...,'•r-..,r. .. �.v-.w.,.,s�7•r,..r«n .+w�•..`l+k '�.. . ,. ..... r. G' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District � Building Department No. A.P. Number w 'iG/� �Jurisdiction: City County Property Owner 2iG�,(Q�f� � r-�� AEC, Property Location/Address i-i�_ — A-*4jQiA Subdivision Lot No. t { ' f Residential Development Commercial/Industrial Building Department R (Floor Plans reviewed by School District Personnel) District Identification No. 1p ZW k 467-n VA/ ! r/ 877> School District certifies that 1�/6FI A-12 0 I V/4 t T111O2 E (Applicant) (Street Address) (Phone Number) �U�/•�in � C � 9 S �/ 3 (City) ( (State) (Zip Code) has complied with the requirements of Resolution No: representing 59 / square feet. 0 by. payment of $ } � AB 2926 $ _ FULL MITIGATION $ /�- 34-01 School District Representative 41 Date Paid by Check t/ /(% 1,4 Remarks: 1/-57*&c rzi--0L7 i Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from -the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court'action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is ' notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm ...........................................................................:...................................... : Sq. Footage S� No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units 3 ;t Installation Conversion Permit # • ................................................................................................................... '(No foundation inspection); Sq. Footage New / Addition (Including Exterior ' Roofed Areas) • l ative Date (Floor Plans reviewed by School District Personnel) District Identification No. 1p ZW k 467-n VA/ ! r/ 877> School District certifies that 1�/6FI A-12 0 I V/4 t T111O2 E (Applicant) (Street Address) (Phone Number) �U�/•�in � C � 9 S �/ 3 (City) ( (State) (Zip Code) has complied with the requirements of Resolution No: representing 59 / square feet. 0 by. payment of $ } � AB 2926 $ _ FULL MITIGATION $ /�- 34-01 School District Representative 41 Date Paid by Check t/ /(% 1,4 Remarks: 1/-57*&c rzi--0L7 i Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from -the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court'action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is ' notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm FEDERAL EME�RGF,1`4PY MANAGEMENT AGENCY 7-0077 O.M.B. No. 306 NATIONAL FLOOD INSURANCE PROGRAM Expires July 06 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. ' SECTION A -PROPERTY OWNER INFORMATION ;i=o�ansur`onceCQmgariy�Use�>�:;:; BUILDING OWNER'S NAME Rich Wetmore peti. NuinFiecl._: BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company.N�IGN•umEes::?;;:;.:�::,:.:: Lott Road CITY STATE ZIP CODE Durham CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 040-170-132 BUILDING USE (e.g Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) Residential LATITt1DE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: I—1 GPS (Type): or #:t.#°) I,J NAD 1927 L_I NAD 1983 <_J USGS Quad Map Other: SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 131. NAP COMMUNITY NAME E COMMUNITY NUMBER BUTTE COUNTY UNINC 060017 82. COUNTY NAME 1 BUTTE 83. STATE CA 84, MAP AND PANEL NUMBER 0600700520 85. SUFFIX C B6.. FIRM INDEX DATE JUNE 8, 1998 B7. FIRM PANEL EFFECTIVE/REVISED DATE JUNE 8, 1998 68. FLOOD ZONE(S) At 89. BASE FLOOD ELEVATION(S) ,(Zone AO, use depth of flooding) 162.4 1�,-5 B10. Indicate the source of the Base Flood Elevation (8FE) data or base flood depth entered in 89. �( FIS Profile (X ( FIRM (-i Community Determined 1-1 Other (Describe): E31 1. Indicate the elevation datum used for the. 8FE in 69: Ll NGVD 1929 L( NAVD 1988 L_( Other (Describe): 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ( Yes ,LI No Designation Date: SECTION C -.BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: L(Construction Drawings' L_jBuilding Under Construction' I IFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram'Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see • pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3.. ElevationsL-,-Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion .calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comment's Elevation reference mark used RM 59 Does the elevation reference mark used appear on the FIRMS Yes L_] No ❑ a) Top of bottom floor (including basement or enclosure)~ �c!�- 16� 4 m O b) Top of next higher floor — ft.(m) 1501 , ❑ c) Bottom of lowest horizontal structural member (V -zones only) --- _ ft.(m) , 7;0 Q , t ❑ d) Attached garage (top of slab) --- — ft.(m) ❑ e) Lowest elevation of machinery and/or equipment " m w g bG.77 ' servicing the building 163`� ft. (m) . E 1Ti ❑ f} Lowest adjacent grade (LAG)61' , 4 ft.(m) ;z' - UpX0.03 ❑ g) Highest adjacent grade (HAG) 161 _5 ft.(m) WC ❑ h) No. of permanent openings (flood vents) withi.i i ft. above adjacent grade ❑ 1) Total area of all permanent openings (flood vents) in C3h 67sq. in. (sq. cm) 61e AAI SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to ceI a'ion information. !certify that the information in Sections A, 8, and C or, this certi;icate represents my best efforts to int r r -t t fiat i.1 'understand that any fa;se statement may be nunishebfP by CERTIFIER'S NAME LAMBERT O. LOWE LICENSE NUMBER RCE 590F UEPAR TITLE CIVIL ENGINEER COMPANY NANIE NORTHSTARENid,N ADDRESS 20 DE LARATION DRIVE C IH CO STATE z9597D SIGNATURE DATE TELEPHONE 11-29-01 530)893-1600 I AfA Fnrm R1_�1 AI Ir; AQ CPP A=1/PAPP SIr1P Fr)P r:rll'JTIN1 ICTIn.J RPPI Ar'PS, At I PRPVIrII IC PnITIr1NC .........::.::.:..:.......i it ......... ....:...,.,... , .- IMPORTANT: In these spaces, copy the corresponding information 1�om Section A. ; Fob 1�'sura ce:C"drripariy BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. s.F.oticyNuin>;;;; Lott Road CIN STATE 23P CODE :'?Company.NALC httim.her:?Er^'<';';<:?#rg;;, .. .... Durham CA • 95938 >»'"'>:-::::>_'>`"'>::`><;t>::>::: SECTION D -SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION,(CONTINUED) : . Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS -TBM: Rebar -located northeast of proposed building. b Elev. = 161.61 Vents need to be on at least 2 side of building = Bottom'of vents need to be within 12" of finish grade. Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. ff(he Elevation Certirrcate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number ' (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or. photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is LLl ft.(m) (_(_Iin.(cm) L—J above or L_J below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LLj f -M (_Llin.(cm) above the highest adjacent grade. E4. For Zone AO..only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes L( No (_( Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE] CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CIN STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here if attachments The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete: Sections A. B. -C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1, L) T'he Information-in.Section C was taken from other documentation that has been signed and embossed by a licensed surveyor; engineer, or architect who is authorized by state or local law to certify elevation information_ (Indicate the source and date of the elevation data in the Comments area below.) G2. I A community official completed Section E for a building located in Zone A (without a FEMA-4ssued or community: -.issued BFE) or Zone.AQ. G3. I The following information (Items G4-Gg) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY .ISSUED { G7. This permit has been issued for. L( New Construction I I Substantial Improvement G8.. Elevation of as -built lowest floor (including basement) of the building is.- _ ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE. COMMUNITY NAME SIGNATURE S TELEPHONE DATE Check here if'attachments COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... R. Wetmore Date..11/21/01 09:32:35 Project Address........ 9561 Lott Road"' ******* Durham, CA,.. *v6.01* Documentation Author... Robert Heaton Architect ******* Building Permit # Robert B. Heaton Architect 4284 Keith Lane Plan Check / Date Chico, CA 95973 530-343-8038 Field Check/ Date Climate Zone........... 11 Compliance Method....... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-WETMORE Wth-CTZ11S92 Program -FORM C -2R User#-MP1902 User -Robert B. Heaton Architec Run -Guest House MICROPAS6 ENERGY USE SUMMARY Height Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... . 15.34 13.34 2.00 Space Cooling.......... 18.41 22.87 -4.46 Water Heating.......... 33.42 29.40 4.02 Total 67.17 65.61 1.56 *** Building complies with Computer Performance *** Zone Type GENERAL INFORMATION Conditioned Floor Area..... Building Type............... Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor.... Average Glazing SHGC....... Average Ceiling Height..... 573 sf Single Family Detached New Front Facing 90 deg (E) 1 1 FullYear Raised Floor 1 4584 cf 0 sf 10 % of floor area 0.4 Btu/hr-sf-F 0.35 8 ft BUILDING ZONE INFORMATION' Floor # of Area Volume Dwell Cond- Thermostat (sf) (cf) Units itioned Type HOUSE Residence 573 4584 1.00 Yes Setback Vent Vent Air Height Area Leakage (ft) (sf) Credit 0.0 Standard No COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... R. Wetmore Date..11/21/01 09:32:35 Surface HOUSE 1 Wall 2 Wall 3 Wall 4 Wall 5 Wall 6 Wall 7 Wall 8 Wall 9 Roof 10 Door 11 Floor OPAQUE SURFACES Area U- Insul Act Solar Form 3 (sf) factor R-val Azm Tilt Gains Reference Location/ Comments 136 0.088 13 90 90 Yes W.13.2X4.16 186 0.088 13 180 90 Yes W.13.2X4.16 25 0.088 13 180 90 Yes W.13.2X4.16 16 0.088 13 270 90 Yes W.13.2X4.16 33 0.088 13 270 90 Yes W.13.2X4.16 115 0.088 13 270 90 Yes W.13.2X4.16 16 0.088 13 0 90 Yes W.13.2X4.16 195 0.088 13 .0 90 Yes W.13.2X4.16 605 0.025 38 n/a 0 Yes R.38.2X4.24 Attic 20 0.330 0 90 90 Yes None Solid Wood 605 0.037 19 90 90 No FC.19.2X8.16 Raised Floor (sf) Wdth FENESTRATION SURFACES Ext Area Ext Dpth Hght U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC HOUSE 1 Window Front (E) 12.0 0.400 0.350 90 90 Standard/0.76 Standard/0.68 2 Window Front (E) 12.0 0.400 0.350 90 90 Standard/0.76 Standard/0.68 3 Window Left (S) 16.0 0.400 0.350 180 90 Standard/0.76 Standard/0.68 4 Window Left (S) 5.3 0.400 0.350 180 90 Standard/0.76 Standard/0.68 5 Window Right (N) 12.0 0.400 0.350 0 90 Standard/0.76 Standard/0.68 OVERHANGS AND SIDE FINS Window- -0verhang Left Fin Right Fin - Area Left Rght Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 1 Window 12.0 3.0 4.0 10.5 0.5 15.0 16.0 n/a n/a n/a n/a n/a n/a 2 Window 12.0 3.0 4.0 10.5 0.5 6.0 24.5 n/a n/a n/a n/a n/a n/a 3 Window 16.0 4.0 4.0 1.3 1.5 19.5 14.0 n/a n/a n/a n/a n/a n/a 4 Window 5.3 3.0 1.75 1.3 1.5 5.5 29.0 n/a n/a n/a n/a n/a n/a 5 Window 12.0 4.0 3.0 10.5 0.5 27.5 1.5 n/a n/a n/a n/a n/a n/a HVAC SYSTEMS Refrigerant Tested. ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff HOUSE Furnace 0.820 AFUE n/a Crawlspace R-4.2 No No 0.743 ACSplit 10.00 SEER No Crawlspace R-4.2 No No 0.674 COMPUTER METHOD SUMMARY Page 9 C -2R Project Title.......... R. Wetmore Date..11/21/01 09:32:35 WATER HEATING SYSTEMS Tank Type Heater Type Distribution Type 1 Storage Gas Standard Number Tank External in Energy Size Insulation System Factor (gal) R -value 1 0.58 30 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Duct Location. This building incorporates Ducts in a Crawlspace or Basement.Location. All supply registers must be within 2 ft of floor. HERS REQUIRED VERIFICATION *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods.and *** *** must be reported on the CF -6R installation certificate. *** This building incorporates non-standard Duct Location. This building incorporates Ducts in a Crawlspace or Basement Location. The local enforcement agency may waive HERS verification for these locations. REMARKS f HVAC SIZING Page 10 HVAC Project Title.......... R. Wetmore Date..11/21/01 09:32:35 ProAdd 9 6 ******* �ect ress........ 5 1 Lott Road Durham, CA *v6.01* Documentation Author... Robert Heaton Architect ******* Building Permit # Robert B. Heaton Architect 4284 Keith Lane Plan Check / Date Chico, CA 95973 530-343-8038 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-WETMORE Wth-CTZ11S92 Program -HVAC SIZING User#-MP1902 User -Robert B. Heaton Architec Run -Guest House GENERAL INFORMATION Floor Area ................. Volume .. ..... ............ Front Orientation.......... Sizing Location............ Latitude .......... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 573 sf 4584 cf Front Facing 90 deg (E) CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F No No Yes 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 4632 2234 Glazing Conduction ............... 986 550 Glazing Solar .................... n/a 417 Infiltration ..................... 2899 953 Internal Gain .................... n/a 1650 Ducts ............................852 290 Sensible Load ..................... 9368 6094 Latent Load ...................... n/a 1219 Minimum Total Load 9368 7313 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-170-014 ZONING BUILDING PERMIT OWNER WETMORE RICHARD AND MICHELLE TELEPHONE 891-5225 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 9561 LOTT ROAD DURHAM CA 95938 CONT EST 6,000.0 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 81.00 Plan Checkin Fee $ 114'tW1D A LOTT ROAD DURHAM, CA 95938 A Energy Plan Checking Fee $ $ PERMIT FEE $ 101.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EZ)Ouplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RETURN TO STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' Kcompensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number of one hundred dollars ($100) or less.) klo�(The above sections need not be completed if the permit is for work of a valuation I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with o ly �thWe provisions. ` (D� �O3 ature ofApplicant - ❑ Owner ❑ContractorAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so WEE200A CCU000A NEW CONST, DWELLING OCCUP. SO OR . ( 3.5g! Fr, Cor MLIACOo� NON-RESID. BRANCH CIRCUITS 07.50 POWER APPARATus 8 SINGLE OUTLET CTR. Ex. OCCU OUTLET OR FIXTURES BAL @':� Ex. Occup. O DS RESlO) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 101.00 HAZ. D. FEES IMP FLooD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date 6 /9 A PERMIT EXPIRES ON Mte Receipt No. WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' . ;COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO 15)/961 APPLICATION AND PERMIT o .SESSDRPAROELNJNBEn zO�NO BUILDING PERMIT 1VNER . TEUTMONE . SQ. FT. OCC. BUILDING VALUATION AMERV WIBJND ADDRESS °,j{pAcroRS NONE TELEPHONE oMTUCTDRs �AWua ADORE owspw TION LENDER Fireplace ENDETi'S MUIJNG ADDRF6S ' Total Valuation 5 O C?() gCHBHCT OR EN..MMM LIMNSE NO. FGn Fee $ 2 D.00 Permit Fee F,CHRECT OR ENDWIEMS SAAAM ADDRESS Plan Checkina Fee S' LMMIIC ADDRESS. Energy Plan Checking Fee S S • PERMIT FEE S U U O aTND. suaDymIONsUWE PARCEL NIAP PLUMBING PERMIT FirmgFeel 20.00 Each Trap -- -- -- --7.'00 --- USEOFSTRUCTURE ;F Duplex ❑ I&blehome ❑- Other sPECPr Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utirities ❑ Insiallation ❑ Other ❑ Describe Work: Gas piping system' 1 - 5 outlets 15.0D Building sewer 15.00 Mobile Home I S I G I W +L20.00 PERMIT FEE _ ELECTRICAL PERMIT Firing Fee 20.00 Main Service eoavDA oR iEss Main Service 20w TO IOWA 23.DD 46.00 mi} S1k 7777X mw- O � .``� 1 O Te"; ` Ls�s NEW CONST: / OwELLM Occup. OR ADONS. \ i AGC. BLDS. So.$ rftw NO"Esm.' MLRa'FDLm1:T @7.50 PovvFst APPARATJS a sD+t� E -a Ex. Oacu . ovnET OR FIXTURES BAIL O ,.50. Ex. Occup. FDD AFvus. oR 5.0D avtttrs ro. EA Temporary Service 23.00 Moble Home Facilities 20.00 Wsc. Wirinq 23.00 PERMIT FEE s MECHANICAL PERMIT Firing Fee 2D.00 Heating Hood Hood 6.50 Ventilation PERMIT FEt S Moble Home Installation Fee S Energy Inspection Fee S DCG C WT TYPE TOTAL FEES l (� t� NAZ. D. FEES IMP FLOOD CDF PAAGEL PD ND GSJE Nt� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ey Date PERMIT EXPIRES . ON 0a 10) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0214 ASSESSOR PARCEL NUMBER 040-170-014 ZONING BUILDING PERMIT OWNER RICHARD L. WETMORE TELEPHONE 391-52 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9561 = RD., DURHAM CA contr. est. 6000 CONTRACTOR'S NAME O W TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 6,000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 9561 Energy Plan Checking Fee $ $ PERMIT FEE $ 124.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,4 L_\v IN (�S Describe Work: TO STORAGE Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 G W Mobile Home @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 RLE 600VMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I$ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any perso in any manner so as to become subject to workers' compensation laws of alifornia, and agree that if I should become subject to the workers' compensa n provi 'ons of section 3700 of the Labor Code, I shall forthw' amply those- fro isi ns X21,indicated Signa r of Applicant - ❑ Ow ontr' t r ❑ Ag") An H permit is required fo ava Ions over 5'0" deep and demolition or construction of ructures over 3 stories in height. Main Service TO 46.00so CCUOOOA NEW CONST. DWELLING OCCUP. SO W: OR ADDNS. ( a ACC. BLDs. 3.5¢FT: ,mµp�I. ANCHOUTLET 97,50 APPARATUS a SINGLE CUTLET CIR. EX. Occup. OLm£f OR FIXTURES BAL @ 1. 0 FIXED UNS Ex. Occup. LITs RES p,OEq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 124.00 HAz. D FEES IMP FLOOD CDF PARCEL PD HD 5S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work abve fo which fees have been paid. i By Date //0z, PERMIT EXPIRES ON T De e Receipt No. 343138 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING DIVISION - 7 County Center Drive • Orovilie, California 95965 • Telephone (530) 538-754 (Rev.12/96) APPLICATION AND PERMIT LP " ANSUSORPAMMUMISER n qO - Q 014 BUILDING PERMIT "' SO. FT. OCC. r L . ?�5 BUILDINGvALuxnFON RNati COW ALTO M U#A ADORER. t MOM WAX.M ADOREq MCWfWT OR DONNI 1 AROWn OT OR 01004017 WALM AOORraa susavOW" Mm USEOFSTRUCTURE SF O Duplex O Mobilehome O Outer sreD�r TYPE OF WORK Nov O Additlon O Pan 61 O I=" O IrMU bort O Odw O Describe Work: T,viiin Qua I L- . PERMIT U ELECTRICAL PERMIT Main Service s�oo►� � Main Service sod► TO WMA New COMT. owaiw oocu 011 ADOM9. A Arn. mm Fireplace Total Valuation is Fifina Fee S 20. Permit Fee = Ca Plan Checking Fee = f�o Energy Plan Checking Fw i i PERMIT FEE = W PLUMBING PERMIT 9 Fee 20, Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gns pWng nytern 1 -5 outlet 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 10�AL l c),9. `° t 4F991 20.' 23.00 Ex. Occu p. OUTLET oR FomA1a y� ' Ex. Occup. ourtETs oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20. Heating Cooling Hood 8.50 Ventilation PERMIT FEE ! MPKAZ me Installation Fee $ spection Fee L CO16T• TY°a TOTAL FEE $ ��. an 10. n:0 I ail► I Anon I Cc MJ1CtL r0 -O This permit is hereby Issued under the appk-able Praxis" of the Butte County Code and/or Resolutions ev do w indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON 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 SHEET2/j / OWNER:- � �41 ASSESSOR PARCEL NUMBER, :(7—, 6 Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. E 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet-signed b the he engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 9. Plot plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner. ❑ 12. Hazardous Material Form. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 15. Statement of Intent for Non -heated and A/C Buildings. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit. ❑ 18. California Department of Forestry plan approval ❑ paid. ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required. ❑ 23. Contractor's license information. (Number, Name Style, Classification). ❑ 24. Worker's Compensation Carrier and Policy Number. ❑ 25. Owner -Builder Verification ( ❑ Given to owner, ❑ Mailed to owner). ❑ 26. Letter of Signature authorization. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement. Q 28. Manufactured home utility clearance. ❑ 29. Existing violations and/or expired permits. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued•permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant •t=;(► A ! Yu,,. . ti it ..+` COUNTY OF BUTTE-.DEPARTMENT;OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville,'CA 95965 Phone (530)538-7541 Fax (530)538-2140 rE/RMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required'in'order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. a 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.. ❑ •3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5 Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. r� (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for -initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. _.Date Received �:- By (] 8; k lood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings........'..... ❑ 11. Detached Accesebf3N wild ng Form filled out by the owner ..................................... ❑ 12. Hazardous Matersl1PeNM. .......................................................................... M ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fees as shown on the attached Schedule of Fees Due Sheet .......:............................... Statement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit......................................................................... California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement ....:............................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Gran aDeed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have -been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: r 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter., by Contractor, des igneraowner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: _ Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division` Plan Check Letter _Date: _Date: Date:_ Date 0 RN 4' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` Z . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT-09=0nR3 ASSESSOR PARCEL NUMBER 040-170-014 ZONING BUILDING PERMIT OWNER CIuD WEl'<` ou ZI + Tfff'–j225 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1 T= -ROAT), DIMHAM, CA 95938 CONTRAC( ,QTR' {lF�1QE TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9561 "A"Energy L= ROAD, DURHAM, CA 999332$ Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: p; t ���QI�-ING PERMIT NO. 91 334 G1%RAGE COINVERSION. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RUES Main Service zo.A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: C1, 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. LI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADDNS. ( & ACC. BUDS. 3.5¢FT. NPN R.0,�T. MULTI -OUTLET @7,50 owER APPARATus a PsINGLE oimET cIR. 20 Q 1.00 OUTLET OR FIXTURES Ex. Occu BAL @ .50 Ex. Occup. o"EED,s AESI6.OEA 5.00 Temporary Service 23.00 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisprTs of section 3700 of the Labor Code, I shall fort it �ryi}tly wi se o 'sions. 0 _ ate &Z— gnata of Ap 'cant - 1� caner ❑Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which f s h ve been paid. Date PERMIT EXPIRES ON -03 Date ReceiptNo. 337528/$43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �sE'Sa�rr�yLwra OwK� n County Center Drive • Oroville, California 95 Telephone (530) 538-7541uIVSIGN APPLICATION AND PERMIT PERMIT NO BUILDING PERMIT T Ni z SO. FT. OCC. BUILDING VALUATION =0.00"Ac OA7 M.N.OAl S/ :ONs rftcrso" LErCet E 40 EA S MMtMo ADOKts aC_nECT OA ENWKEA ACKTEC7 OA ENOMQA7 MAJUNO AOOitESS uaD«a AooAEsa 721, 11 / 6 Eby -6 �T'+D sueolv0 CN7wta! USEOFSTRUCTURE F O Duplex O Mobilehome O Other TYPE OF WORK .ew O Addition 0 Re O Utilities O in 'ascribe Work: V�Yn ie/ 17Y ro O Other O r *PERAUT FEE PAXb SRA . . SHERIFF OTHER AA0VNT RECEZVEb IV NUM C " TO se'vr Ono CO#Pjm Fireplace Filln Fee 20.00 Main Service Total Valuation ----f$ OtrrtETs Esi0 EA 5.00 Filin Fee $ Main Service 200A TO 1000A 48.00 20 00 Permit Fee = pOraAES�O Plan Checking Fee L Energy Plan Checking Fee i s PERMIT FEE $ MBING PERMIT Filing Fee 20.00 Trap7.00 nt um water heater 3Eachgas 23.00 piping 15.00 ater heater or vent 1 5.00 Gag piping system 1 • 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE I S LECTRICAL PERMIT Filln Fee 20.00 Main Service 800v OR LESS OtrrtETs Esi0 EA 5.00 200A Ort LESS 23.00 Main Service 200A TO 1000A 48.00 NEW CONST. / OA AOONS. ` OwE11N0 OCCUP. t ACC. &LDS. 3.5¢i° pOraAES�O t•utmouw 97.50 Ex. Occup. OVRET OA FUM ACs to a L.00 Ex. Occu.F=O A WVA. OR aAL .!0 OtrrtETs Esi0 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I f ZL MECHANICAL PERMIT Filing Fee 20.00 Heatina a.5o Ventilation PERMIT FEt: I ! Mobile Home Installation Fee S Energy Inspection Fee S Occ COAGT TYPC TOTAL FEE _ KAZ O. FEES I11P 11000 col I PARC&L 1 ro This permit is hereby Issued under the applkable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date �— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI a 9 ASSE.ISOR PARCEL N� UMBER - /p - /S! ZOX G to BUILDING PERMIT OWNER 0 ` c_.e_/ � TELEPHONE SQ, FT. OCC. BUILDING VALUATION -Q.. OWNER'S AILING ADDRESS S / .f. �.,-�489 CO)NTRACTOR'S NAME y p % -�^ TELEPHONE 1 47 74 .00 M 8,802 266 U 7 980.00 CONTRACTOR'S MAILING ADDRESS 1156 Filbert Ave., Chico 95926 CONSTRUCTION LENDER UNKNOWN 87 V 131.00 Fireplace "All1,500.00 Total Valuation $ 98,793.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 155.00 Permit Fee $ .00 Plan Checking Fee $2 .50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 926.50 9561 Lott Rd., Durham PLUMBING PERMIT Filing Fee 15.00 Each Trap 91 5.00 45.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF NJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.001 5,00 Building sewer 1 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New [N Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: New 3 Bedroom Single Family _ Permit Fee $94.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No.1G/ I✓D`75 Classification.. F2 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUPM V 3.64 sq.ft. 60 OR ADDNS. ACC. BLDGS. // /L p.55 NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS5.00 (POWER APPARATUS el SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 109-05 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Leof Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filirig Fee 1 15.00 Heating 1 9.00 9.00 Split Cooling 3 Ton 1 9.00 9.00 Hood 1 6.50 6,50 Ventilation 34.50-T3-.50 Permit Fee $ 53.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in consequence of the granting of this permit. X Date - _0 Signature Applicant - Ow r Contractor ❑ Agent 0� An OSHA permitis required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ CONST TYPE OTAL FEE $ 1 .55 HAz o E IMP FLQoo A coF PARC PD H ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTOR OF PUBLIC WORKS By 54�v_ Dat P IT XPIRES Date 0` ...- Receipt NRC 126318 $372.00//);?9g�f7 gY3 WNITC-D.P.W., YELLOW-ASS68SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR &-\F PUBLIC WORKS 'IE I T"M N 1 7 County Center Drive - Oroville, California 9,9 \6�;(_S� R\elEphone: 916, 538-7541 APPLICATION AND-rE PERMIT NO­ A55Fb5U" I- ARC ELNumts EH ZONING BUILDING PERMIT OWNER TELEPHo SQ. OCC. BUILDING VALUATION OVIW,S MAILIN� ADDRESS 5 ?�� Z_ 71- C S NAME 9 T .F!M r� TELEPHONE CONTRACTOR'S MAILING ADDRESS -.7 `- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS — Filing Fee S 15.06 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS — Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS fee Permit 5C $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00i Solar or heat pump water heater 20.001 LOT NO. SUBDIVISION NAME PARCELMAP Waterpiping 7.001 -7,6; c", Each qas water heater or vent 7.001J. o USE OF STRUCTURE SF& Duplex Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.001 Mobile Home S G W (015.0 TYPE OF WORK New 11V Addition El R emode I❑ Utilities ❑ InstallationE:- Other❑ Permit Fee Contractor $ Main service 600V OR LESS 200A OR LESS Fi I ing Fee 15.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I'l I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) -J-1 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Fj I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO t000AI NEW CONST DWELLING OCCUP.31) OR ADONS.' ACC.BLDGS. 37.501 NEW CONSTPLIAULTI-OUTLET NON-RESIO. BRANCH ".C" ITS I 1@ 5-001 (POWER APPARATUS T , 8, ) SINGLE OUTLET R. - Ex. OCCUP(OUTLETS OR FIXTURES 20 75d 9 464 FIXED APP.'45 Ex. Occup. OUTLETS (RLESIO.) IKEA.) 1 3.00 Temporary service 1 15.001 Mobile Home Facilities 1 15.001 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: It after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling [Hood 6.50 Ventilation - -3- & Permit Fee 5��Ltvl All) Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butteagatnst all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit/ X Date Si,n'ature of Applicant — Owner ❑ Contractor 7i Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ A;619, occ CONST TYPE TOTAL FEE $ IHAZIOFEESI IMP I FU0f0 ICOF I PA7 I PO I HO I- ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No.. WHITE-o.P.W.. YELLOW- A33E3 30P. PINK-INSPCC70P. ;;OLDEN-00-.PPL1CA.r A.— tsy Date PERMIT EXPIRES Date A -� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California,95965 STelephone: 916.'538-7541 APPLICATION AND PERMIT v IA SSESSOR PARCEL: NUMBER - _ / ZONI BUILDING PERMIT OWNER P b u a¢- M i C i -N Z) CL TELEoNA ' V SO. FT. OCC. BUILDING VALUATION OWNER*6 MAILir ADDRESS Z_ o 7 /A42 UA ?� C NTR TQ R'S NAME 1 (��J TELEPH ONE�� y/7 IF,place O CONTRACTOR'S MAILING ADDRESS Z/ ,6 L Z I C C)C 5p,5-1-ZA!� CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $r ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 1.2 O ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ .�O Penalty $ BUILDING ADD R ES 0 Q /5a v Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap Cf 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Q Q Each qas water heater or vent 7.00 O USE OF STRUCTURE SF,k Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Q Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK NewVAddition❑ emodel❑ Utilities❑ Installation❑ Other[] Describe work: �� ��% Permit Fee $ c7zl-, 027— Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORV OR LESS 1ESS 8.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) '❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1Oo0A1 37.50 NEW CONST. ( DWELLING oCCUPM OR ACDNS. ACC. BLDGS. IItp 3.60 Sq.ft. NEW CONSTFZ MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 X 76d * FIXED APLNS❑ Ex. OCCUp. OUTLETS P(RESID 1REA.� j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling , 0 0 Hood 6.50 Ventilation IV pertnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes,coN I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anway accrue against said County in consequence of the granting of this permi . X Date Signature of Applicant — Owner❑ Contractor E]Agent ❑ An OSHA ion of structures toverr 3gstorriesoineha excavations over 5'0" deep and demolition or construct- Receipt No. '� WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. OLDENROO-APPLICANT Mobile Home Installation Fee S Energy Inspection Fee $ Ila , 0 WE TOT EE $ / Q D JH AZ OF IMP F PARCE PO HO ISSUE This permit is herebyd under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date a:�C^�"t`�''')'i;1JY1; }•"y". .[T +-"•f"-,^'t i:. .,.� t i"V"".;.,.x•n/°N:.w.J,r.�+..tNf..,...--,.r-:.f�`•yr r'h..: "�..�'. •�,,.r +'n-1. .y .. . COUNTY OF BUTTE -.DEPARTMENT OF PUBd 'WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERp/7�% /�� r P. ©V0 —1749 /4/ Proposed Building Use 5 Building Inspector r Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ...................... j14. Engineered truss details and layout in duplicate (required prior to plan check). .... o ileho a an nufac s installation instr tions 2 sets. ........ . Fees of �.5 ...PFcQ ... IZq.Y.7.............. 11. Impact fees as shown on attached schedule . ...............:............. . California Department of Forestry plan approval/fees. Flood elevation letter (100 year flo ) by California Engineer ................... �� 9 Sanitation and plot plan approva l C(V Health Department. ...... . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. ......... . riveway permit (construction approval required prior to occupancy). . Pre4;spection request- �01,4-191 . -inspection for required. .. to Building inspector (Date) 21. ontractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23- Owner -Builder Verification (Given to owner Mail to owner_) ..... . 4. Recorded copy of Agricultural Acknowledgement Statement . .................. 1 / 25. Letter of signature authorization . ........................................ ✓26. Copy of recorded deed of parcel creation ' md.50 right of way toga public road. .... . -- 27. Letter of intent on building use. :: .. .......... ! l 28. Mobilehome utility clearance . ........... . .... ............ 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... �f 31. Existing violations/expired permits . ...................................... 32. Plan the 33. 34. When you issue th t roc ss as follows: Mail too ner. Mail to contractor. Telephony and hold for pickup at �/�} � office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Copy of plans sent Health Dept. F The following data must be submitted prior to p 1. Index permit for above items No. 2. Additional items required: Fire Dept. Air Pollution Date It. Other Date (C la ntrac i�ner, was advised of above required data by phone —mail Counter bWQ, Date Contractor,' designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by �Za Date 1/6U -9Y' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE. ONLY Hot Pl: Attached so„u w B.D. i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance O Location, AP# tt i Plan Approved 'for: ; Sewage Disposal J/ Water Supply: Public Private Well_, Clearance for, bedroom rlt�home. Other Hold final for: 1~';nnl rlaarnnPa (1 K fnr- 8/92 GOUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 G QOPOSED BUILDING USE A : P . NO . l/ `10 7c DATE School Distric Fees JP zz? A/A(paid at District Office) ., . Sheriff Fees . (paid'at Building Department) Residential ......... 1 =$ unit amt. Commercial(per sq.ft.) OG�x =$ ' sq. ft.- amt. 3. 6. Urban Area Fees (paid at Building Department Residential (per unit) R =$ 7r units amt. Commerical(per sq -ft.) % _ sq.ft. amt. Recreation District Fees (paid at District Off -ice) Drainage District Fees (Contact Land Development) Other REC. DATE REC /gyp1?,��ee 7. Other t time of permit application, I was advised the above fees are required to be paid pr:077 o issuance of the permit. PPLICANT DATE .—..-,�-�.r--'r�i7r�`Y"�'W:'1,t^.w.«wM'wgYca�rr�w^r....rW.sfa�x:.r.+s;q�e„W;yv-•'.•+raTMsA�+^.+vTw."w�wm'i��y.��i4�-3�'.§' r�iv{�+'M-�'Y�"`�'�"...+r.--,-vs,•,+,n:..,_..-.r.�.--, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number ('j►0�%�- Jurisdiction 0 oCity [� County Property Owner Property Location/Address / 4-4977 1z,4744 Subdivison Residential Development [i;� 0 No. of Living MHI Units Lot No. 0 Sq. Footage ; Addition ( ro p R) Commercial/Industrial 0 0 New Addition (Floor Plans reviewed by School District Personnel) District Identification No. 9� 9 Sq. Footage (Including Exterior Roofed Areas) ' Z. :..., Date School District certifies that - (Applicant) (Street Address) (Phone Number) �h� m e 9 9s 13� (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing /'�h square feet. District resentative Date Paid by Check Number Remarks:,/ Bank Number ".y�j�iO �.. ..nl•L m�„�., D Paid by Cash� �z,,,� rdu�' .2; � ,TT If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning.Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school feesto fully miti ate its iml2act on the school district's schools. White (applicant), Yellow (building department), Pink (school district) , feeformmkl (4/92) November 17, 1992 County of Butte Building Department 7 County Center Drive Oroville, CA. 95965 Re; Residence for Doug Zignan Lott Road, Durham, CA. AP #40-17-132 Gentlemen: At the request of Mr. Zignan, I have investigated the flooding potential of the above referenced building site. The recently adopted flood insurance rate map indicates that this site lies within a special flood hazard area inundated by 100 -year flood from Butte Creek. The base flood elevation has been approximated for this particular area based on an analysis prepared by the F.E.M.A. consultant and provided to us by the Butte County Department of Public Works. It should be noted that the consultant's analysis was based upon "the best available information at this time" which included the U.S.G.S. quad sheets and is not a final design. Because the analysis ignored the existing levee system it is very conservative and is acceptable as a reference until a. more complete study is prepared. emporary benchmark (orange spot—at the orn thwest co renr of the existing concrete patio at the rear of the existing residence) has been set near—the-building site. The elevation of the temporary benchmark is 161.77, USGS,�based on County of Butte TBM #12C, Lott Road 3 -Wire Levels, RD—#41273, page 17. Based upon linear interpolation of the F.E.M.A. consultant's cross sections the 100 - year flood elevation is 162:80. fp/w' lg.0 �4 .I trust this provides the information necessary to process the permit, however, please feel free to contact me should you have any questions. ST®4�Very Truly Yours, A 47l to N®• C34257 Mark Adams RCE 34257 Ex.��� y• D cc: Doug Zignan f OF/VIL At W/ R. C. E. 34257 Reg. Expires 9-30-9S RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) 9 Bldg. Permit # OWNER A.P. # O _/7_it / Plan Checker GENERAL f oning requirements: (sideyards and number of permitted living units). aluation. lans signed by designer. roper description of work on application. xisting violations on property. tems on data sheet. (W.C., fees, Health, -Developer Fees, License law, etc)., Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. etbacks, sideyards, easements, etc. Other buildings or structures. ,.4r:5rading, fills, drainage. CSS;! Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise., CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). kylights (Chapter 34 & Sec.. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- nance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical gas equipment. rage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). 14 Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Z-hree story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. -Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. ,Fireplace construction details and calcs Nif necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. ,Xud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building r r 8/91 RESIDENTIAL PLAN_CHECKING GUIDE Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). U.Noise per roof pitch for roof convering (Chapter 32). f covering type - (fire hazard). m insulation - protection. halls and stairways. ing area over garage - complete 1 -hour separation required on garage side luding supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ic access and ventilation (Sec. 3205). erfloor access and ventilation (Sec. 2516). bustion air for fuel burning appliances - L.P.G. requirements. requirements on duplexes. -4-3'Energy design. .A*.'Flashing at all exterior openings. . OF responsible area requirements. '001/— �` ��oc GREGORY A. PEITZ ARCHITECT 1907 Mangrove, Suite E, Chico, CA 95926 (916).894-5719 Structural Calculations for v AR �r No. C 29263 � ��� REN. '3 12 17 I -Jr I J 72 �el �6�t �.t) a d I 1� 4 -4- 7ZL- J' 1 j/,3 Z ob -1 '7 4� 1 -2-: /. )C2) + zo = 3 z8 IZ- 0 x" 6110 b i = Cit/�C:TZ 2-e) t'lo -3 (SO b7 0 x" 6110 b i = Cit/�C:TZ 2-e) t'lo -3 (SO I%c.L11r:l t I) 1)PW AGRICULTURAL STATEMP'N'r OF ACKNOWLI-MCEMENT FOR RESIDENTIAL DEVELOPMENT Se`; t ion `of the Butte Cuunty Eude requires Lhis acknowledgement be recorded prior to issuance of a building permit. The pro pert y described herein is adjacent 92-053465'1 Rec Fee 1 Check to I and or-i.ncluded w i thin an area zoned Recorded I for agric•ult ural purposes, and residentG ec Official Records I cry this prl,lu•rLy miry be suh_lecl Lo incon . County vc•n1(,ncc..5 car d i.scomfort arising from Lhe use of agr.irul L.ur.il chemicals, including, Butte I buL not 1 imLI-cd to herbicides, pesticides, Candace J. Grubbs I rendfert..i i.irers; and from the pursuit Recorder I of agr•.ic:u1tUral operations including, 2:32Pm 20 -Nov -92 I PUBL XX but not. 11mi t.cd to cultivation, plowing, spraying;, pruning, and harvesting which 5.00 5.00 1 occasiona LJ.y generale dust, smoke, noise, and odor. Butte- County has established ag-r• i (-u I - Lural zones which have as a priority use for productive agriculturalpurposes, and residellis within sa i.d zones and on adjacent property should be prepared to accept Such i n(•unven i e:nc•c. or diSCOmr(,(-L Crum normal, necessary farm operations. A LI that ren 1 property situate• in the CounL y of Butte, StaLe of California, dc•:.c r ibct<1 as r(ii.l.uws: the (0110.1all described *.I property is the "Unincorporated Area" County of Butte • Aute of Cdi(omlu That part of Farm Laborer's Allotment No. E. as the same is designated and delineated on that certain Map entitled, "Subdivisional Plan of the Durham State Land Settlement, being a portion of Esquou Rancho situated near Durham, Butte County, California," which Map was recorded in the office of the Recorder of the County of Butte, State: of California, September 17, 1918 in Book 8 of Maps, at pages.16, 17' and 18, more particularly described as follows: BEGINNING at the Northeast corner of said Farm Laborer's Allotment:: No. R. and running thence South 0. 36' East 86 feet; thence South 88' 47' West, 433.6 feet; thence North On 36' West 86 feet; thence North 88' 47' Bast, 435.6 feet to the point of beginning. Date: 4- _ o� ■ OFFICIAL SEAL ■ ■ � tuddr'•'t' ■ ® .. m LORENE HARPER ■ " o NOTARY PUBLIC - CALIFORNIA ■ BUTTE COUNTY ■ ■ (IFOR My C. Expires Nov. 8, 1995 ■ PROPER WNERS: �f Slate of C° On this the /& d' day of /1 %C%U��11 ��.� 19y�7 h(•rury me, SS. the undersigned Notary Public, personally appeared County <�r L l i � ) 2t C 9 ,9 A// - El Personall y known to mc. ® Proved to me on Lhe bars is _ of satisfactory evid(mc•c•. Lo be Lhe person(s) whose name(s) L<Z-- subscribed to the within instrument and acknowledged Oat executed the same for the purposes therein contained. M W1TN1.SS.. WHEREOF, I hereunto set my hand and official seuL. Pre sen L A. P. No. 41C - / 7 - /4 /7 NoLaryj'Puhl ic: -D2© (2.slY S' )Fyj-/(w `mss � - ' ►. - .. " ., `� ,� . - i � a � � �; - .. f P' t%ti• � v ` � i, _ _ 1 .. � .. �. � , � � _ � �� � ( � � , A COUNTY OF BUTTE - DEPARTMENT'OFIDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ' PE T NO. (Rev. 12/96) APPLICATION AND PIERMIT AM ASSESSOR PARCEL NUMBER C d— /70 — O� �- ZONING S F_ ! BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 7J.. 11..1I• / CONTRACTORS NAME T I TE HONE �— CONTRACTOR�S MAILING ADDRESS ` jt�,J} CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS/ liz,44_ AV" Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 9/Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 S 0-11 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other t/ Describe tWork: �) * r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ .� ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AOR..S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / A � -7 % r License Class (`- f-, LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so WEE200A CC NEW CONST. DWELLING OCCUP. 3.Sa�, NR A DONS' ( BBLUS MULACC. NON REsID. @7.50 POWER APPARATUS a sINGLE OUTLET aR. Ex. Occup. OUTLET OR FIXTURES S20 AL@ 1.50 FIXEDAPPUNS. OR EX. Occup.OUTLETS RESID.) EA 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �[)' I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier .14.4 1 G 'N �t-�,'S- Policy Number" L/r. — 2 1 !S C . / 14U >� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws etCalifornia, and agree that if I should become subject to the workers' compensittion provisions of section 3700 of the Labor Code, I shall forthwith c ply With thost provisions. X / Ij Date %� G Signature of Applicant - ❑ Owner D�IContractor ❑ Agent / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation FeeI $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRE ONJ Yf h I pfita) rReceiptNo. 7 .Z? R 9 , `� T.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e r 71", Alir COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE W6 ZME OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, rt please contact this office immediately. a• awa- G✓ 1w %^!tet % L✓I 114 tZ 7-0.1 L L 'COUNTY OF BUTTE"""' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530) 891-2751 7 County Center Drive - Oroville, CA * (530) 538-7541 CORRECTION NOTICE N OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. &,A/ Date Inspector REV 10/92 0 411 Main St. r Chico, CA 95928: G O h1C Ogg Re: Permit # 040-170-014, Richard Wetmore, 9561 Lott Rd., Durham 899 9 Dear Richard: S�%\\e This letter is to certify that we completed the system flush on the new Ma' CPVC piping in this home. Our initial flush was for twenty minutes and 673-886 the second flush at each fixture was long enough to completely flush the line, but.not less than ten' minutes. - OrOv,\\e Thank you for your cooperation with this mater. Please give me a call if 3456 you have any questions. 534' - - Sin er PaC ,d\se Vic Simenc Yuba Get 3 6� 886 P.O. Box 7907 Chico, CA 95927 Fax. (530) 893-4787 Lic. # 627760 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�n` P NO. (Rev. 12/96) APPLICATION AND PERMIT ((ff ASSESSOR PARCEL NUMBER _ d b- /-7O -- p! ZONING S R-1 BUILDING PERMIT OWNER ek T �HONE �SIZZ SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 111 - �V ° CONI CTO R'S NAME TELFfPHONE "� 5_ 4dr' CO TORS MAILING ADDRESS �r.`` V ` Z CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING DRESS J�17� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 j Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: %% / B /jl/!y l/%,� - ' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 20.AORLE.S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is !n full force and effect.P T-7/ A License Class _ - 6 J Lic. No. L- `� ! OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. DWELLING OCCUCUP. OR ADONS. ( a ACC. BUDS. SO 3.50FT, tNJOt}p�I.T' OU ANC.CUT 97.50 OWER APPARATUS a SINGLE OUTLET cIR. Ex. Occup. OUTLET OR FIXTURES BAL p I.5o UNIS Ex. Occup. ouXTLEEOTS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' , ompensation insurance carrier and policy number are: Carrier 44 10INZL7-15• Policy Number Lt/_ — 0 1:,�Ml144 (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws California, and agree that if I should become subject to the w rkers' coimpens do provisions of section 3700 of the Labor Code, I shall I rthwith mply itiy{hosp provisions. X Date l� _ Signature of App' ant - ❑ Owner Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35, &--a HAZ. p. FEES IMP ROOD CDF PARCEL pp I HD 6 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. I� o By t9V'M / UDate / PERMIT EXPIJ ON l D 7 ate Receipt No. -:� 0 S! WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11/01/00 WED 05:06 FAX 533089334787 /1Able Plumbing R002 a October 31, 2000 Vic Simenc Able Plumbing Co. 3415 Silver Bell Chico, Ca 95973 Dear Mr. Simenc_ Culligan Wa(cr Conditioning 2377 Ny Sucel Chico, CA 95928 53"95-1666 040 --1 i 0 --o t v I examined the copper pipe from 95611 Eo' ft+road in UI bam§ The copper pipe has a blue/green buildup inside with "pits" forming which will eventually lead to pin hole leaks in the plumbing system. This is a problem I see often here in Butte County_ This problem is caused from either acidity (low ph) or dissolved oxygen in the water. We have neutralizing filters available to correct this water condition. However due to the damage that has already been done to the plumbing we can not guarantee against a leak in the future. The best approach would be to re -plumb the home with e-/2vG plastic pipe and install a neutralizing filter. If I can be of further help please don't hesitate to call. Fi(-E or CUIIIt;AN. DEALERS ARE INDEPENDENTLY OPERATED uy� (3\� Au� O� a 14/01/00 FEED 05:06 FAX 5308934787 Able Plumblus Z001 Able Plumbing P.O. Box 7907 ChiCo, CA 95927 Phone: (530) 899-9009 Fax: (530) 893-4787 Date: To:� J Attn: Fax number: From: # of pages including cover page: 2— ❑ please call to confirm receipt ❑ Please respond by return fax ❑ Call only if transmission is incomplete � � w.�� 95si lead �� ✓��e Pile rvt cam Dcl R NTIAL 93-3 3 375B, -- 75B, 040-17-0-014 MICHELLE ZIGAN, DOUG *& 9561 LOTT RD, DURHAM DI CONTR: LARRY TUPPEKj CONV -2ND STORY.STG AREA TO LIVING q10 A-% r-5 JOB FINALED (Date) L44- Signature V=OK O = Not OK �-Not AReeaadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P'U ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs:Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosu res -Pane lboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic _Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. -Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) i 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: I/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 040-170-140 ZONING � A-10 BUILDING PERMIT OWNER Doug & Michelle Zi an TeLEPHONE SO. FT. OCC. BUILDING VALUAT N OWNER'S MAILING ADDRESS 9561Lott Rd., Durham 95938 238 Con@20 4,760.00 CONTRACTOR'SNAME Lawrence W. Tupper TELEPHONE CONTRACTOR'S MAILING ADDRESS 1156 Filbert Ave., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$4,760.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $60.00 $30.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $105.00 9961 Lott Rd., Durham PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other® Describe work: Convert 2nd Story Storage to Living _ Area B.P. #92-3886 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 15.00 Main service 00V OR LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Profession Code and m license is in full force and effect. License No. d Classification_ I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUP.ad) OR ADDNS. l ACC. BLDGS. // V 3.54sq.ft. 8,30 A NEW CONSTR ULT' -OUTLET NO N•RESID BRANCH CIRC ITS @ 5.00 APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $23. 30 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia 'lities, judgments, costs, and expenses which may in any way accrue agains spid County in co equence of the granting of this permit. X eo Date �" Signature Applicant — Owne contractor ❑ Agent21, An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.}� Mobile Home Installation Fee $ Energy Inspection Fee $ CON T YP IE - (%� / TOTAL F—EJF,4128.30 11 H- Z DFEES IMP FL09 CD F PARCEL PD HD ISS This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees TOR OF PUBLIC By / PER EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date -Z- 9 3 Receipt No. 135270 WHITE-D.P.W., YELLOW-A98C990R, PINK -INSPECTOR. GOLDENROD -APPLICANT ""r*� g�"r"'""'f`"�'°r'",� � trt.rV`r-^F-7sM vr.r.: ; •;,, COUIaTYOF BUTTE - DEPARTMENTbF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTERDRIVE - OROVI,LLE�iALIFORNIA95965 -TELEPHONE (916) 538-7541 ce. �,. t. PERMIT APPLICATION DATA SHEET OWNER _ C1 P1 t A. P. No. (46-170- /7 Proposed Building Use _ /� _ Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ......... ......... ....................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. obilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of$ . .......�..... ..... ... ... . Impact fees as shown on attached schedule. 12 California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year flood) byv Californiaaliffo�rnia Engineer. . . 14. Sanitation and plot plan approval (�- Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about .(A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pre4;S moo; reau-5-9 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. ,Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner _). ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 'i► 32. Plan check list . ...................................................... 33. •34. W en Su issue the er proce s as follows: Mai to owner. �,2_Mail to contractor. Telephone and hold for pick 01KU office. Deliver with inspector. Other Parcel Creation �� p Acreage Applica�nt� �ic�,cC6cJfi� Date oI Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date , - Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new 't m not checked above). 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date. Contractor, designer, owner, was advised of above required data by _ phone _ mail CourjAer by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works "'. y /Z ,4 F. H. USI: 0NLY Plot Him Ailachedi " 1 Floor roan nttad •d " sent to I1. I). 11� TO: Llilding Department FROM: Environmental Health SUBJECT: Sanitation Clearance An (0 z;AW �b -1:7-OJL( O ner Location AP# Plan Approved for: Sewage, Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 60,-, 6��QLOrQ Hold final for: Final clearance O.K. for: NOTE (9 ij, / Envir nmental Health Specialist 8/92 Date .yam A?/• -'•'t TT,",? COUNTY OF BUTTE - DEPARTMENT IOF PUBLIC WORKS 7 County Center Drive - Oroville; California g596E5 -Telephone: 916.'538-7541 APPLICATI,ONAND PERMIT CONST LENDE ARCHI' ARCHI' BUILDI LOT N< 7 D — -Al U ON Ave. IL TO R S MAI N Chico " 95926 r , 0. TELEPHONE, TELEPHO E. -'Y . UNKNOWN._...•. -- .. �r LICENSE O«•1 R'S MAILING ADDRESS JG ADDRESS"'°"' Permit fee t Rd. Durham. PLUMBING PERMIT Each Trap i' Solar or heat pump water heater SUBDIVISION NAME PARCEL AP Water piping ,Each Qas water heater or vent USE OF STRUCTURE I Gas piping system 1 - 5 outlets Duplex❑ Mobilehome❑ Other Building sewer SPECIFY Mobile S Home PERMIT NO. BUILDING PERMIT SO. T. OCC.. BUILDING VALUATION 3 c v-74 i D Permit Fee work: rl rg Qg2 Contractor Fireplace g� Total Valuation $ Filing Fee 1 $ 15.00 Permit Fee § Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ S Filing Fee 15.00 18.50 37.50 3.63 sq.ft. 0 CO) 5.001 3.00 15.00 15.00 1515 b0 Filing Fee 15.00 of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. 6.50 Itice to Applicant: If after making this statement, should you become subject Ventilation the W. C. provisions Of the Labor Code, you must forthwith comply with such Permit Fee $ visions or this permit shall be deemed revoked. Contractor :ertify that I have read this application and state that the above information correct. I agree to comply to all County Ordinances and State Laws relating building construction, and hereby authorize representatives of the Countyot tte to enter upon the above-mentioned property for inspection purposes. Iso agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue iinst said County in consequence of the granting of this permit. Date nature of Applicant — Owner ❑ Contractor ❑ Agent ❑ OSHA permit is required for excavations over 5'0" deep and demolition or Construct. of structures over 3 stories in height. ,eipt No. t/ S Sa -7� TZ•a•P•-•• TCL LOW-A3eC3]OA, PINx•iN9PCCTOA• GOLDCNIIOa-APPLICANT Mo7ftme7installation FeeEne$ a�TAL FEE $ This permit is hereby issued under the applicable provi- 1 sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date r PERMIT EXPIRES Date 6 TYPE OF WORK G W lew❑ lescribe Addition [I RemodelQ Utilities❑ Installation❑ Other® tnO�U / Permit Fee work: rl rg Qg2 Contractor g� ELECTRICAL PERMIT Main service 600A OOR LESS CONTRACTORS LICENSE LAW Main service 200AT01000A1 declare under penalty of perjury (check one): NEWCONST. /DWELLING OCCUP.al OR AODNS. l ACC. -SLOGS. ❑NEW I am licensed under provisions of Chapt. 9, Div. 3 0} the BUSIne$$ and Professions CONSTFt. UL I -OUTLET NON.RESIO BRANCH CIRC ITS Code and my license is in full force and effect. (POWER APPARATUS e� SINGLE OUTLET CIR- License No. Classification Ex. OccUp(OUTLETS OR FIXTURES ❑ I, as the owner, or my employees with wages as their sole compen- EXOCCUpFIXED S. OR . . OUTLETSS (RLESIO.) EA.) sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Temporary service ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities' ❑ I am exempt under Sec. Business and Professions Code Misc. Wiring for this reason Permit Fee WORKMEN'S COMPENSATION INSURANCE Contractor leclare under penalty of perjury (check one): MECHANICAL PERMIT ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate S Filing Fee 15.00 18.50 37.50 3.63 sq.ft. 0 CO) 5.001 3.00 15.00 15.00 1515 b0 Filing Fee 15.00 of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. 6.50 Itice to Applicant: If after making this statement, should you become subject Ventilation the W. C. provisions Of the Labor Code, you must forthwith comply with such Permit Fee $ visions or this permit shall be deemed revoked. Contractor :ertify that I have read this application and state that the above information correct. I agree to comply to all County Ordinances and State Laws relating building construction, and hereby authorize representatives of the Countyot tte to enter upon the above-mentioned property for inspection purposes. Iso agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue iinst said County in consequence of the granting of this permit. Date nature of Applicant — Owner ❑ Contractor ❑ Agent ❑ OSHA permit is required for excavations over 5'0" deep and demolition or Construct. of structures over 3 stories in height. ,eipt No. t/ S Sa -7� TZ•a•P•-•• TCL LOW-A3eC3]OA, PINx•iN9PCCTOA• GOLDCNIIOa-APPLICANT Mo7ftme7installation FeeEne$ a�TAL FEE $ This permit is hereby issued under the applicable provi- 1 sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date r PERMIT EXPIRES Date 6 _1iHRi�`3i i.+NIF'ED Sit(. 1-z" F9X k&. 91689.14692 P, 02 f . BUTTE COUNTY SCHOOLS iMPACT FEE CERTIFICATION FORM (ane Farm Rer Building) School District '�-" �!� �: 4e /In J _ �. Building Department No. A.P. Number / i '" YO Jurisdiction City F—. Property Owner Property Location%Address •� _"7 / �'... �r_U�' - — — S6bdivison _ _._.__.._ —Lot No. I Sq. -F=ootage '�_ F�esidential ueveloprnent ,_._.,__ No. of Living MH1 A clition (Croup A) Units Coltil- wz;y,� fiel tvrj{ CommercialAndustrial `�-� Sq, Footage New Addition (Including EXterio' Roofed Areas) Date ---- iDistrict identification No. %+ C,fji/,D School District certifies that e1, .q (Applicant) r i (Street Address) -- (Phone Number) (City) (State) (Zip Code) rias complied with the requirements of Resolution No. -e' „ _ icy payment of $ trepresenting square feet. School trict Representative Paid by Check Number. remarks, Flank Number) Paid by Cash Date .._i ..�- if, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mit! ate its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school distridt) ieeform.wkt (4192) R SID N IAL T-17-0-014 ` 92-3886 BPEM ZIGAN, Doug & Michelle 9561 Lott-Rd, Durham ' contr: Lawrence Tupper new sf 4 5P 3.1 ^te+, 1%'5 o �. 3 Pq ' f I" JOB FINALE Signature J=OK O= Not 01< =Not Applicable MOBILE HOMES =.Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) , 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card�6-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8., Gas and Elect ricity.Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 R MISCELLANEOUS t Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth__Spacing-Connectors-Steel' 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh ', 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements i. 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 _ , I It OOK = Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except k's oning-Setbacks-Easements-F od-Slope . F g., Main; Soils-Elec. Ftg. Depth . JF,�g., Garage; Soils-Steel-Elec. Gl;A.-eP' Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalis, Main; Steel-Blockouts-Wrapped I 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors ab; Steel -Wrapped iers-Fireplace Ftg.-Steel Iff D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size -Anchors - yard gas piping: size -test X1 -1-W ler Pipe; Test -Anchor -Regulator -Service Test -12 I tri ; Underground tm & Ducts; Clearance -Material -Support -Ins. 44-6m16-rs-Sills-Anchor Bolts -Joists -Vents -Cripples 'S -Access & Ventilation 'A 1 -emulation Date j Card B-1 Date Card B-1 Date j L&9y Jaard B-1 C5 Date Card B-1 Date r P UMBIN6 (Permit),OK except a's Water Htr.: Vent -Access -Combustion Air -Baffle ---------- --------- ------------------------------- Water Pipe: Test & Anchor -Nail Protection ----- ;7D.W.V ; Test -Fittings & Anchor -Nail Protection ------- ----- -- 19. Shower Pan: Test. First Floor -Tub Access Test Tub & Shower. Second Floor -Tub Access Gas Pipe: Size & Anchors- -- -- — ----- - - .Date -_"5 Card B_1-G(Z,-- _ Date- ----------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's ---- --22. Fixture & Transformer Clearance --Ins. Protection ----------- -- /�3 Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------------- -- Size Boxes & No. of Conductors- Stapled ------ -- --- ------ 20' Romex Installed Close to Edge of Studs & C J -------------- - ------- -p-<-r- -----------------------------------�- --- -- ?6Equip. Gr made up w/Meeh. Fast ners-Bom<Gas & WSler ----------------/------------------------------------ ------------- 1�. 2 Appliance Circuts in Kitchen &--Conduct-or Size/GFI ------------- 2E-5ubfeed Oire Sizer ga Cu or AI-A.C. Wire Size 161 ga. Cu oro 29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes- -❑ No ----------- ------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------- ------- ------------------------------ 31 -.-Eq u i p.Clearances Panels-Motors-Mech. Equip. --------- Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------------------------- Smoke Detector Date ------------Card-f3-1---------------Date-------------Card-B_�---------- - ------3�]-_�i3---- - - ��----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 3A! A.C. Ducts Insulation & Support ------------- ----------------------------------------------- Yi Vent Fan: Exhaust above insulation ----------------- ------------------------------------------------ ----------- 36� Condensate Drain & Overflow: Size & Grade -- - 3,K Furnance-Vent: Access -Comb Air -Return Air Vent -1 15 -outlet ----- ---- ----- -------- 3Ff. Attic Access & Platform if Furnance in Attic ------------------------------------------ ------------------------------------- Date'?j- L'�� Card B_7 (�rrrV Date Card -B-1 ------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 3 . Sils. Proper. Material .& Anchors -------- ------------------------------------------------------------------ Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 4 Bearing Walis over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) -------- ----- ------------------------------------------------------------- y�- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ,` ------ ----,---------------------------------- ri Headers & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors _ _4$ _ g. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 'replace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------ 4H"Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5eGarage Fire Protection Framing se'Property Line Firewall & Openings S?w�xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits --------------------- ---------- __ _ 5CStairs: Width -Headroom -Rise -Run -Landing -Fire Protection 5A!plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ Se Siding -Nailing Veneer 56 --Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ _ SYGlazing Area -Glass Protection -Skylights -Plastic 58--S4;tear Walls; Nailing -Bolts dr kN 5 .3, E'N 5.21 -1 -ns In- aMRf-bU41 6 nfiltrakbn-WaPd WiKdows ------------------------------- Date __ _ Card B-1 Date Card B-1 Date Car B-1 Date Card B-1 Date FIN (Plans) OK except ti's 17 Ex Steps -Door &Sidelight Protection an gs 62."Smoke Detector Furnace: Vents -Clearance -Comb. Air -Connector- ` - II Garage: Above Floor -Ducts -Meth. Protection - --- i4 room Exiting - 6t' /GP. 1 & Bath Fixtures & Tub Access -Spa 6 . Elec. Trim & Subpanel: Breaker Sizes & Labels ---- - -- 6?' -St irs & Rails -------___ Fire lace or Stove: Clearances -Hearth 6le Outlets at Wood Panel: Int. & Ext. 7f/Y ixt & Appliance: Grnd.-Air Gap -Cooking Clearance Tf. El c. Outlets & Receptacles at Kit. Counter ----- 7 G rage Fire Door: Swing -Landing -Closer 72' A.C. Duct in Garage -Damper �7 . Htr Vents -Clearance -Comb. Air-Connector-P.R.V. . �In Garage: Above Floor-Mech. Protection 7S P Elec. & Mech. Equip. Listed for Location 7c. Receptacles in Garage: (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------- uard Rails & Deck Construction -Post Caps 77. -Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 89"Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No o --&t cco: Brown -Finish --- ilC. Unit: Disconnect. Electrical, Plumbing Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings al -water Well; Disconnect, Electrical, Plumbing -------------- ------------------------ - ae.-Exterior Elec. Trim: G.F.I. Receptacle -Underground --- rK. entilation Throughout House -- -- - - -- - - -- _ _ _ _ iH" Glass _Protection _ _ __ i3 orrecti from Previous Inspections cte Gas TXt-Meters Tagged: Gas -Electric— ---- r 9�ater & Sewer Connected -C/O to Grade -14D Approval ----- - ------- ---------------- --- --- Energy Compliance Certificate -Other Certificates ----------------------------------------- ---- Date Card B-1 Date Card B-1 -- �I-��-�i------------�+�- -- Date .Z Card B-1 �T�7 Date Card B-1 -�1 7-0��----------- - -------- - — Date Card B-1 Date Card B-1 Comments at Final_ )wner : Permit No. ENERGY CERTIF I C.A, T ION 9561 Lott Road Durham Ca. A.P. No. LOCATION ' DESCRIPTION OF INSULATION ROOF Material Thickness(inches) Brand Name Thermal Resistance (R Value) EXTERIOR WALL Brand Name OWENS-CORNING Material FIBERGLASS BATTS ness(inches) 3 5/8" Thermal Reeiatance(R Value) R13 Thick CEILING Batt or Blanket Type FIBERGLASS BATTS BrT�1erNal maleResist nce(R Value)_ R30 Thickness( inches) FIBERGLASS Brand Nam OWENS-CORNING Loose Fill Type 12 3/4" Number of Bags 23 Wt. per bagRlb. Minimum Thicknes5(Inches) Thermal Resistance(R Value) Area covered(ft. ) . FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Tit icknese (incites) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building In conformance With the State of California Energy Requirements. 21 LOERKk INSULATION CO. -INC. 4950STATE CONTRACTOR'S LICENSE NO. 4FIRM NAME/O NER April 20, 1993 DATE tIRE OF INSTALLA. KON APPLICATOR I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices.and materials are of the quality prescribed or are 11 a roved by the State of California. spec ica y pp r�vSTATE CONTRACTOR'S LICENSE NO. FI NAME/OL� (Please print) � �- Gf-2o-%3 • SIGNATURE OF nOENERAL (ION 'TOR OWNER DATE TfLIS CERTiFPe,MUST D FILE WITH THE BUILDING PTlEUIPRIOR TO FINAL INSPECTION AROVAIANA COPYSLAILBEPOSTEDWITNINBLDING January, 1984 eT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872=6307 CORRECTION NOTICE ZI(;A^J �?2 388 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. fin/ �12���rt�✓ of iRAUFL Date `{ - z3 -Ci 3 Inspector n ...a.. ll,,, •>....-.� ; a "=� 'a''.-.r.�1r:�.. fir.:. ' f ;�*t.S+r"i.i� COUNTY OF BUTTE BUILDING DIVISION 'DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - -(916) 891-2751 =_ 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at ?' the above address and should be corrected. Please notify this office when correction of work is conpleted.If-you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ✓C` \I�i 5t1�1 SM0y- �bq-TV, rDR- 1n Pti A il< P 7Y \1 e,,-0/VN �e_ Aecc, 56, 2J` 'rL Date Inspector REV 10192 .. .;..,:, ISERMIT NO. - - 2921-86 •�yL 9' /9-7 C�`A/j ld/SfdL�j Z--1 -� PERMIT EXPIRES OWNER DOUG ZIGAN CONTR. owner a ASSESSOR PARCEL 40-17-14 LOCATION 9561 Lott Rd, Durham t 6 1 Temp. Power Pole Called PG&E Temp. Elec. Service ' Called PG&E Temp. Gas Service • Cal led PG&E • I JOB FINALED (Date) Signature __._ J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready • :MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements l 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. .Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Beakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test-Fall=Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9.- Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r l 1 u V = OK } 0 - Not OK - = Not Applicable RESIDENTIAL (Sin ld Duplex) *t Not Ready c e g.e an Date VNDFJOR Plans OK except #'s Date FRAMING (Continued) - Zoning requirements -Setbacks -Easements Property Line Firewall.& Openings Main; Soils -Steel -Flet. Grnd.- / /" Ftg. Depth �zt. Doors -One 3' -Check Garage -3rd story, 2 exits - tg., Garage; Soils -Steel- / /" Fig. Depth -50, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection .-i:--f-tg., Porches & Decks: Soils -Steel- / /" Ftg. Depth _ Plywood on Root Overhang-gAttic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-Slab �9a _ Siding -Nailing -Veneer --&. temwalls, Garage; Steel-Blockouts-Wrapped-Slab ---53. Stucco Mesh -Drip Screed-Fdn: Vents-Underflr. Access �7rPisrs-Fireplace Ftg.-Steel Fall -Fittings -Test -2 way C/O -Sewer Test r75r -TS _ Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts _ -9--bas Pipe: Size -Anchors rt9rJ�ater Pipe: Test -Anchors -Regulator -Service Test =r.. -++" Underground Ar-R.len_um_s &_Ducts; Clearance -Material -Support -Ins. _/tlS IS iers-Sills-Anchor Bolts -Joists -Vents -Cripples Card-13 Dat Card -BI Date __ _ Card-BIDate Card -BI Card -BI Date Date Card -BI Date Card -BI_ Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. 16. 17. 18. 19. Card -BI Card -BI Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shcwer, 2nd Floor -Tub Access Gas Piioe: Size & Anchors \ Date _ _ Card -BI Date Date Card -BI Date 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance - Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23• Romex Installed Close to Edge of Studs & C.J. e!• - - - --- \24. Equip. Ground Wade up w/Mech. Fasteners_ -Bond Gas &Water 23 2 Appliance Circuits in Kitchen_& Conductor Size 26. ubfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Ra ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes -- No 28. Service -Riser Conductors & Ground -Main Disconnect -_- - 29. Equip. Clearances: Pane ls-Motors=Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date - _ Card B -I Date Card -BI Date 69. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. 73. Insulation -Foam -Looked in Attic El Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, - A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. -- Gas'est-Meters Tagged; Gas -Electric 31. 32. 33. 34. 35• Card -BI Card -BI A.C. Ducts. Insulation & Support _ - - _ Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size _& Grade _ Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet Anic cess & Platform if Furnace in Attic Date Card -BI Date _ Date Card -BI Date _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates - - -- - - -- - Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except q's Com lents at Final: 130 J9 X40. X43. ---*i4. --'46. Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Slairs-Chases-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Clog. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing ' -- (NOTE Anentrymust be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS EgNtIT�. a 7 County Center Drive - Oroville, CaUfornia 95965 - Telephone 916/534-4541 GG�� APPLICAT&ON ARCD PERMIT ASS S ^AR -NY B R ZOSG \ BUILDING PERMIT 14 ow \ TE HO It SQ. FT. OCC. BUILDING VALU ION OWING ADORE L r G A T R'S NAME COaRw n TELEPHO NE COACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S_ MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT E SF F1 Duplex❑ Mobilehome❑ Other ra 41La ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 ea TYPE OF WORK NewPV1 Addition❑ Remodel Utilities❑ Installation❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y S. h¢sgft New DONSTR� AMULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050c BALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS IRESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply.with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains s id County in consequence of the granting of this permit. / X QGC Date 9-24 g6 Signature Of A plican — Owner® Contractor ❑ Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ / occUP, cow C I JFLOOD ARCELJ Pa I HD IS9u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .— Receipt No. WHITE-D.P.W.. YELLOW -ASSES R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT# OF. PUBLIC WORKS - BUILDING DIV,ISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF RNIA 95965 - TELEPHONE: 916/53�4154:1 PERMIT APPLICATION DATA SHEET �� Permit No. OWNER v0 Ct L A. P. No. - Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and caics, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fee's Paid'' Stamp on Floor Plan . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , . . . , , Letter of signature authorizat'on. ,. Sanitation approval from ► �-d Health Dept. 11.. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) iti 14. Owner -Builder Verification (Given to owner[], Mail to ownerEJ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. i request ate) 17. Pre -Inspection for Required. Buildn Ins ector (D, 18. 19. 20. 21. 22. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of g p t + Al. r i� When you issue the permit, process as follows: _Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant 60up Copy of plans sent Health Dept., Fire Dept., Other Date r The following data must be submitted p'o to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by — date/ Plans checked by Date Plans approved by "C. Date Sets of plans on hold in Copy—DPW File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. TO:' Building Department FROM; Environmental Health, Chico Office i �UBJECT; Sanitation Clearance 7 - Owne Location t pp# Plan approved for: Sewage disposal Water Supply Hold final for: Water supply Final clearance O.K. for: Water supply Clearance for bedroom Mobile home House Xaa y Note!** s Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Y o $ 2. I (have/have not) H-4 U ,,c�_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: Name Address City s Phone Contractors License No. 5. I will provide some of the work but I have contracted persons to provide the work indicated: Name Address Phone Signed: Property Owner tc L49= Social Security Number Date �Z- Z 9- 0/, (hired) the following . Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832.of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. t4 t RESIDENTIAL ------------ 040-170-014:.- PERMIT#95-1015 ZIGAN, John ,& Michelle �. .9561 Lott Rd., Durham- New urhamNew Pri Swimming Pool Y' y �1 JOB FINALED (Date) Signature V=OK " O =Not QK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: ,' P'L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect t 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I it 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POge (Plans) OK except #'s acks-Easements Or Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. EI_ep-Receptacles and Lighting, Distances-GFI Iec.;.Pool Lighting; 15 volts-GFI 6. E .;Enclosures; Conduit Entries -Terminals -Listed Elec onding; Metal w/5' -Circulating Equip. -Heater ec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit �� J�ealth Department Approval 1p._,Bkrfnb.; Cir: Test -toter Supply Test Date Card B-1 Date' Card B-1 Date Card B-1 'J OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (tingle & Duplex) = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --- -- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------- ---- -- --------------- 19. Shower Pan: Test. First Floor -Tub Access ----------- - ---------------------------- 20. Test -Tub &--- Shower, - Second Floor -Tub Access ----------------------------- - ---------- 21. Gas Pipe: Size & Anchors ---------- ------------------ ----------------------------------- Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection -------------- - ------- --------- ------------------------------------------- ---------- 23. ------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. -Size-Bo xes & No. of Conductors -Stapled -- -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------ - - ------------------------- - ------------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water --------------------------------------------- -_.______.._____ ------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- - ------------ ---- ---- ----- --------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al --------------- ----- ------=---------- --------------------------------------- ---- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------- ---------------- ------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------ -- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------------.. 33. Smoke Detector ------------------------------- --------------------------------------------------- Date Card B-1 Date Card B-1 ------- --- --------------------------------- Date ------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support ----------- - -- - - --- ---------------------------------------- 35. Vent Fan: Exhaust above insulation --------- - ---- - - - ------------------------------ -- - -- ------- -- 36. Condensate Drain & Overflow: Size & Grade ------------------------- - -- -. ..... ... 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic -------------- ---------------------------- ------------------------ ---------- Date Card B-1 Date Card B-1 -- -------------- - ---------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - - ... ....... ------------------------------------------ -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ----- -- - - --- -- -- ------ ---- -- --------------...- 41. Bearing Walls over Girders & Floor Nailing - - - ------------------------------------------------------ -------------- -------------- --- - 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exitinq Doors -Sill Hqt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ---------------------------- _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- __55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailinq-Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 -- --------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------------- 64. Bedroom Exiting 65.--G.-F. I. & Bath Fixtures & Tub Access -Spa --------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------ --------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. - -- ---------------- -- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------------ 72. -Garage -Fire - Door: Swing -Landing -Closer ---------------------- - -------------- 73.--A.C. Duct in Garage -Damper ------------------------ ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ----- - - - --------------------- --------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- 78. -Guard -Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ -------------------------------- ____ -- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No 81. Stucco: _Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing ------------------------------- --------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - . - .. . - - - - --- --- ---------- 86. ---------86. Ventilation Throughout House -- ---------------------------- 87 -- -------------- --------------------------- 87. Glass Protection .------- --- ----------- ----------------------- 88. Corrections from Previous Inspections --- --- --- ----------------- - Gas Test -Meters Tagged: Gas -Electric - - - - - _ -- - ---- -------- 90 ------- ------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - -- ------------------ -------------------- - - ---- -- Date Card B-1 Date Card B-1 ----- ------- ------- ------------------------------------ Date Card B-1 Date Card B-1 ------- ------------------------------------ Date Card B-1 Date Card B-1 Comments at Final: : '. -;. V/1"', COUNTY OF BUTTE- DEPARTMENT OP DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT �5 Z(D/";, ASSESSOR PARCEL NUMBER 040-170-014 A10 ZONING BUILDING PERMIT OWNER t JOHN & MICHELLE ZIGAN TONE 343-2206 SQ. FT. OCC. BUILDING VALUATION CONTRAT 9500.00 f OWNERS MAILING ADDRESS 9561 LOTT RD DURHAM 95938 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 76.05 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 9561 LO1T RD PERMITFEE $ 213.05 DURHAM PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRIVATE SWID,24ING POOL SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (FT�r^RGLASS,I Mobile Home S G W 920.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service a OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RES10. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 209 1.00 BAL .50 Ex. Occup. ( OUTLETS(S. OR RES 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOI ' 00 PERMITFEE $ 120 40.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. " Dateindicated Qn-2urPofAppl' nt - �O er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 288.05 HAZ. 0. FEES IMP FLOOD CDF PARCEL PO HO S rJJ OK This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for ich fees have been paid. B406�ate L6 -1 =t :2 PERMITEXPIRESON 4� / -2 6? (Date) Receipt NO. 176088 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION r 4 yy � aM8 � �7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER ( A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .......................................... . 2. Plot plans, 3/4 sets, signed bypreparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ....::............... . 4. Engineered plans and calcs, 3/4 sets, with wet signature ori plans . ............. 5. Hazardous Material Form..........***'**''****'''','''',*,*****,****- 6. .................................6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and�.A/C Buildings............... ' ......... 8. Engineered truss details and layout in duplicate (required prior to plan check). . . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of $........................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. N. ...................... xl lood elevation letter (100 year floo by California Engineer. ............ . 14. anitation and plot plan approval ! Health Department. ............ . 15. City of Chico plumbings permit . ............................................ 16. Plot plan and business license approval from City of Biggs/Gridley. X1.7. Planning approval for (A)Use: (B) Parking: ......... 18. Contact Land Development. about (A) Improvements (B) Drainage. ....... . 119. Driveway permit (construction approval required prior to occupancy). ......... Prest -inspection'fo� K required. .. s�"�d 9 redo Date) ) Contractor's license information. (No., Name Style, Classification) . .............. 22:.. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ....... i ................................ 26: Copy of recorded deed of parcel creation and 60 right of way,to a public road. .... . 27. Letter of intent on building use. ...... . 28. Mobilehome utility clearance. .........f ................................_; 29. Documentation of legal access. .......'.............. :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel"me oning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other 1.ri Z3 Parcel pplicant rection Acreage��/L J Date 's -f �, -qS �'Eif�F Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Co nter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mailunter by _ Date C Plans checked by Date Plans approved by . Date3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance RE H. USE ONLY ' Plat Plea Amc6ed �/ Pl. Pim Aft&M Sect to B. D. 5---/ 9SU Lnflh er Location AP# Plan Approved for: Sewage Disposal �Water Supply: Public Private Clearance for bedroom mobile home. Other 72 Final clearance O.K. NOTE: nvironmental Health Specialist Date • Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will. be issued until this verification is received. 1. 2. 3. 4. 5. I personally plan to provide the major labor and aterials for construction of the proposed property improvement: YESb< NMpation 111AVEV] HAVE NOT[ ],signed an a for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CO&TRACTOWS LICENSE NO. I pian to provide portions of this work, but _ I have hired the . following person to.. coordinate, supervise, and provide the major work:. NAME: ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK. SIGNED: PROPERTY OWNER: �1a 94�n=2 SOCIAL SECURITY NUMBER: �& DATE: /yt A<If NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 at Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an empiover. 0 If you are an_employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withl olding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. • 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira. C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION DEPAR,TMF. T OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE z! 9 5-161 5' OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �f,Lf1d0� f7 (o L0(1_ Co aerz) Daterj �� Inspector REV 10192 Certificate of Compliance: Residential Climate Zone 11 ProjactTltte Bbl a Y1A8 tt w { Project Address Chedwd By Date� Documentation Author Telephone Enforcement Agency Use Only t BUILDING DATAGlass Area % Glass North t15 Conditioned Floor Area Number of Stories eg East W, lab 'sed Floor Number of ..Units South LSI Jingle Family Detached (SFD) [ ] Addition Alone West lee t ht J�� � Q 1 [ ] Single Family Attached (SFA) [ ] Existing Building Total i— � [ ] Multi -Family (MF) (] Existing -Plus -Addition - 1. BUH,DING SHELL INSULATION t t Component Insulation LocaHoWCotnme res Type R-VValue (Sufic, to garage, t`3tr4 etc.) Wall .. Wall ........... J Roof ............. Roof ............. 5 Floor ............. fi r Floor. ..... _ Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type ' Orientation in double(roller blind. eta. ld—odesaam etc. matullwood North ( ) _ c� r ! North ( ) East ( )� East ( ) South ( ) Sou L h ( ) West ( ) West (- ) Skylight....... j�2_ - THERMAL MASS Type/Covering Area Thickness r, HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SE, SEER,HSPF) (attic. etc.) R -Value tun or approved equal)- 74- Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) �S- - CPFCTAi. FF.ATITRFSIRFMARKS (Ariel extra sheetc if nerpecarvl Mandatory Measures Checklist: Residential MF -1R - NOTE: Lowrise residential buildings subject to the Standards must contain these meaauea regatdlen of the compliance approach used. Items marked with an asterisk (-) may be superseded by more uringau compliance requuements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the (eatttres noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this chocklist only. DESCR VnON DESIGNER ENFORCEMENT Building Envelope Measures *§2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by Loose fill insulation manufacturer's labeled It -Value. §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). 62.5352(k), Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. 12.5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. 12.5352(n: vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Inftltration/Exftloation Controls L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathersuipped. all joints and penetrations caulked and sealed 62.5352(e): Special infiltration barrier installed to comply with 62.5351 meeu CEC quality standards §2-5352(dy Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12.5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 12.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. 12-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. 12-5316(b)- Exhaust systems have damper controls. 62-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2-5352(1): water heater insulation blanket (R-12 orgreater) or combined interiorkaterior insWation (R-16 or greater); fust 5 fat of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures r §2.5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and, bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. -. CObWLIANCE STATEMENT This certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Chapter -2-53 and Title 20.(3=k;2. Subdsapter4. Article 1 of the California Administrative code. This Certificate has been signed by the individual with overall design responsibility and the budding owner. who shall retain a copy of it and transmit the certificate to my subsequent purdulser of the building. Designer - Building Owner Name: Nanta - TukJl=irrrt: Address: T,tWF'um: Addtess: Telephonc Telephone Lic. N: (signature) (date) (signa n (date) t Documentation Author - Enforcement Agency Nana: Nanta: 1. Ceiling Insulation • Number of stories -3 .1 R -value One Two Three R-0 -103 .49 .32 R-19 -8 -4 .2 R-30 -2 -1 .1 R-38 0 0 0 U -value -39 -24 -10 0.50 -176 -84 .54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 -10 -2 5 13 2. Wall Insulation -52 -17 -9 Single- Single - 13 26 Family Family Multi - R -value Detached. Attached Family RA -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -4 2 8 0.80 -153 -114 .76 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 17 -23 -1 3 3. Raised Floor Insulation 12 17 Insulation In Floor -20 0 4 Number of stories 13 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 •0 0 0 R-30 3 1 1 U -value 18 12 -9 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 .95 -46 30 0.30 -69 -34 -22 0.20 •43 -21 c14 0.10 -17 -8 .5 0.08 -11 -6 '-4 0.06 -6 -3 -2 0.04 .1 0 .0 ' 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 4 3 Number of stories 2 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 2.5 HWR - Number of Stories -8 R -value One Two Three R-0 0 0 0 R-5 8 5 2. R-7 8 6 3 F2 factor 0.90 -4 -3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Inriltration (Air Leakage) Specification - Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 1.2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 . 20 -31 -6 0 5 10 16 19 -29 -4 1 6 it 16 18 -26 -3 2 7 12 ' 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effecthe Percent Glass (percent glass x SC) Effective -14 -48 -69 -64 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 6 2 na 10 2 3 5 2 1 9 2 3. 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 _ 2 3 1 3 3 0 1 2 1 3 2 - 0 0 1 0 3 1 -1 -1 .1 .1 2 0 A .2 -4 -2 0 na = not allowed 5 7 7 8 l6. Shading (Shade Closed) Effective Percmt Glass (Percent Haar x SC) EffecM Glac6 North East SPAN Wert S4VU 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 .29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21•. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 .2 -9 -11 -10 -30 4 .1 -6 -8 -7 -23 It n -d -5 -4 -16 9. Interior Thermal Mass Interior sovie. Slab Floor Raised Floor Mass Wall Stories Family Multi Stories Mass /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 - it 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 '13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior sovie. Single. Zonal Control? ( Y / N) Wall Family Family Multi -4 Mass Detached Attached Family 0.00 0 0 0 2 0.20 0.40 3 5 23 -25 or ,24 in 1.14 p -4 to 0.60 8 6 4 -15 .6 0.80 10 8 5 -14 1.00 13 10 7 8.5 1.20 13 12 8 -3 1.40 12 13 9 .2 1.60 10 13 11.. -2 1.80 10 12 12 0 0 200 10 it 13 4 11. Heating System 2 2 1 10.5 SE or KSPF 6 5 4 (assumes duets In attic) 2 11.0 10 Sum of 14 6 4 3 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 - +5 _+15 in0m 0.72 6.60 0 0 0 0 0 0. 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9. 7 - 0.95 8.71 _. 20 is. __ 15 - 13 -11 8 = 45' -5 Effective SE or HSPF = . . +15 (SE or HSPF x duct efficiency) .: Effective -25 or -24 to -14 In 4 to 4610 16 or . . SE HSPF leu -15 3 +5- +15 more 0.30 Z75 -73 -64 =56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18-- 0.40 3.67 -34 .-30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3• 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19' 16 13 10 0.90 8.25 32 28 .24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 20 System Type 10 i Zonal Control Adjustment Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst, m -74 x - _ Zonal Control? ( Y / N) SE or HSPF SEER One -5 -4 -4 .3 (amine, ducts In auk) Two + 3 3 &,n of 7-10 2 2 1 Single -Family -25 or ,24 in 1.14 p -4 to +6 to 16 or SEER less -15 .6 +5 +15 more 8.0 -14 -12 .10 -8 -6 -4 8.5 -9 .7 -6 -5 -4 -3 8.9 -5 .4 .4 -3 .2 -2 9.0 -4 3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 120 15 13 11 9 7 5 -37 20 17 14 12 9 6 _13.0 -1 1 .1 0 0 0.2 HWR Effe4tlre SEER -12 9 -7 (SEER xduct efficiency) - WSB. -25 Sim of 7-10 -12 -10' -8 Effective -25 or -24 to -1410 -410 +610 16 or SEER less 45' -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 3 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 i 33 29 24 20 15 10 i Zonal Control Adjustment Type Type I 10 8 7 6 4 3 None No Conlin; System Installed 0 =Stories -74 x - _ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] One -5 -4 -4 .3 -2 -2 Two + 3 3 .. 2 2 2 1 Single -Family Vetaehed and Attached Unit Size (so It. t•uf11C•..21 Water tt99 12013 1700 2200 2700 Heater credit or -1 In to to . or Type Type less • 11699 2199 2699 more SG None 0 1: 0 0. 0 0 or Solar 12 ' ` 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5- 3 3 2 2 to% POU 8 5 -4-33. 35% 3 SE None -37 -24 18 -15 -12 60% Solar -1 .1 .1 0 0 0.2 HWR -18 -12 9 -7 6 - WSB. -25 -16 -12 -10' -8 _ POU . -18 _-12 -9 .-7. .6 IG None =5 -3 -2 .2 -2 0.6 Solar 7.: 5 4 3 2 2.1 POU I_. 2.7 2.9 9.1 3.3 i IE None -28 -19 -14 -11 -9 S Solar - 8 5 4 3 3 1 POU -10 ' -6 -5 -4 -3 2.4 Mutts-F4uaih (Individual units) Z9 3.1 3.3 3.S ., )Mit Size (a 39 4.1 Water 4.5 699 700 12W 1700 2200 Heater Credit or In to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 2.2 WSB 9 4 3 2 2 3.6 POU 9 5 3 2 2 SE None 45 -23 -15 -11 .9 1.1 Solar. 2 1 1 0 0 2.5 HWR -23 -12 -8 •6 -5 4 WSB -25 -13 -8 3 -5 5.5 2QU 5.9 -12 -8 -6 -5 IG None ... -8 -4 -3 .2 ; -2 Z8 Solar 6 3 2 1 r 1 4.3 POU 1_0 4.9 - 0 0 0 Interior MasslCFA t TT►x 2 MSS -74 x - _ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or HSPF 10.5615. 151 [0.7Z/6.6L a' - X • _ n Zonal Control? ( Y / N) - SEER [9.5] Duct Efficiency [0.74] Effective SEER (7.03] t'>1 Water Heating S 6 It. t•uf11C•..21 4 TYPE 1 MASS (UIMC a 4.2. ie: exposed slab) xr�p,t.d .1_bbl 0% 5% to% 15% 20% 2S% 30% 35% 40% 45% SO% 55% 60% 6Sic 70% 75% 60% MY. 90% 95% 1007: 105% 110% 115% 120% 125` we 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 Z9 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.6 S 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 Z5 2.7 2.9 9.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 Z7 Z9 3.1 3.3 3.S 3.7 39 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 Z2 14 26 2.8 3 32 3.S 9.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 Z6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 Zt Z3 2.5 17 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 22 Z4 2.6 Z8 3 32 3.5 3.7 99 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 Z1 Z3 Z5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S S.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 Z2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 7o% 1.2 1.4 1.6 1.8 2 U Z5 Z7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.0 21 Z3 25 Z7 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 Me 1.4- 1.6 1.8 2 Z2 2.4 Z6 2.8 3 3.3 3.5 3.7 3.0 4.1 4.3 4.5 4.1 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 ZS 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 SS 67 9o%' 1.5 1.7 2 2.2 14 Z6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 S.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 7-2 2.5 ZI 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 2.1 22 2.5 Z8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 S.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 Z2 2.4 2.6 20 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 110% 1.0 2.1 2.3 2.5 27 Z9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 5.7 SA 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 All 6.8 7 7.2 120% 2 2.3 2.5 2.7 19 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 12S% 2.1 2.3 Z5 2.8 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.S 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures I in 1. Ceiling Insulation )_-- or R-vp[J8 U -value [0.030] 2. Wall Insulation � i or R -value I I1] U -value [0.098] 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) . a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass or R -value 1191 U -value [0.037] or R -value (0] F2 factor [0.77] Standard Type [double] U -value [0.65] % Total Glas (16] % Glass = SC Eff. % Glass X 0 = G v' X = ' . X d X. % Glass Slit Eff. % Glass -5 'd- X _ X 3.3 X = O TYPE 1 MASS AREA J� Interior M. COND. FLOOR .AREA �71� TYPE 2 MASS AREA a $ Exterior Wall Mass ND . L OR AREA 11. Heating System -74 x - _ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or HSPF 10.5615. 151 [0.7Z/6.6L a' 12. Cooling System X • _ n Zonal Control? ( Y / N) - SEER [9.5] Duct Efficiency [0.74] Effective SEER (7.03] t'>1 Water Heating S 6 Points Scores 0 Sum l•6 InH_ P v - TOP CHOR[l� 23C4.•FIR-LARCH !f 7C X=Lt7C L -R- 0_29 =5,13 IO•.40 - . 80T -CHORD 2X6 FIR -LARCH 12 REBS 2X4 FIR Scartaard BC X -LOC L� R: (!_29 5.13. 14 _t30 .i t- CUNNECiQR PLATES NUS( BE INSTALLED IN ACCOiTQANCE- tiITA1 to}SCAB BRACE.' -SAME :SIZE. '.GRdDE ANQ LENGTH'"AS 1E8..REt�BER REGUIRENENTS :UF Z.'C,B.O. RESEARCH REPORT #2949. ATTACH- Vftk J6d :NAILS @ 4" -O.-C. 'BRACING HATERTAL 'TO BE SUPPLIED BY ERECTION CONTR,ACTiR_ ALL PLATES ARE CENTEREQ. JOINT" UNLESSOTHERWISE TPIDICATED- v SEE ORHGS_ 130 6 ISOIif011-F FOR.,TYP.-"PLATE LOCATION DETAILS: THIS GIRDEA HAS BEEN tIESISNED TO SUPPORT FROM JONE SIQE-= B' @` OF -FRAMING 79 THE ;BUT [HUFi[i nr t _ AQP' CHOAU SOALL ,BE ;LAi-ERALL,Y BRACE 19I'3H,PRaPERLIC. COiitIEGTEi3 OPPOSITE SIQE-_ 2.' t?' CF .SPAN` :AANIA(ts TO TFiE;-TC79C 5PL`IT PURLINS SPACED..tT A i3tlXl+�tUFi iCF...,ZV'' O.C:- G.IVI3 C A 7C 10dD .OF 52 F'LF ANCf A ~nC LOAD OF 109_ SIF CONNECTOR PLATES CESIGNEO FOR GREEN LUMBER PER NOS: BND Y_FRT(CaL 4 Y NOT 'BE EXPOSED, TO HIND PAESSiIAE. _ :; `TABLE &. IB' - - t _. _. NOTF..7Xa K3 ,H F QR-8ET7£R �fRFC tJt[i=iAT87AL 8C3F;F Qit�iRQ SRAGINU {T 7?" --0.i = x FtE�ISiAE£� 2XA . TTAC`i 9/Z ti6d-I+IRILS : . bitJlGIiJG I5 Nfli, EQlliRE{i IF -]A, itlCriQ CEILTPI(; ^TS;1ST 11£ 6 . tRECT�- tt? 80TTQI 0lflEti3s i 8iiitL'iNG 'MI�TEit1AE TO __,5F EQ, -'AND r AGED =AT Bt3 H ENDS T0,l StIITABEE.St7PP-0Fti BY ERECT€ °=;CONTfi/1CTt'.R. . - ; . Y � lC" CC14NECT ION '"FCR 8 '8-t3 :Tf36 s �a" i3 -50TT0!� C1'0. 'SIMPS43N'-LUa26. ,SEE UkTAL0G C -92H -t �- FOR NAILING` SPECIFICAT11M.: 5X6 () 8-1 2,5X4 (A=�- ' to .. o.�t�-' 01 W t f .,:5 X 4 i t� = 2;. _XA f _ ti 4 ' �- - to- U.- ii -8404 ),I- 3-50' R-7840 M- s 50`- - PLT',. 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