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HomeMy WebLinkAbout040-350-017COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone0) 538-7 r 3B f-) NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER OI j 0 y �( � o � � ZONING `r.^I `f J BUILDING PERMIT OWNER e'� LIM, 17 SO, F7, OCC. BUILDING VALUATION OWSSU/i`- CO R'S NAME I� TELEPHONE CONTRACTOR'S MAI/LNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADD R �y� /� M a ,�I� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT 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 ❑ Ulilifies ❑ Installation ❑ Other ❑ Describe Work: (�/� m t -s G. ` Q � """' ' I f ��` I� Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS 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 (commencin g 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 herebyaffirm under penalty of perjury that I em exempt from the Contractors License P hY P I N P LawfiaF the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the 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 OCCUR OR ADDNS. 3 ACC. BIDS, So 3.5¢FT: NON NO-RE51D. oo"s MULTI-OuTLET CIRCUITS BRANCH @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BALI @ 10 .0 Ex. OCCU RXEO APPUS. OR ourLETs RESID. EA 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 FEt S Policy Number (The above sections need not be completed if the permit is for work of a valuation A3111/�f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall .0. 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 compl h those provisions. q G _ Date Ax/j` /`3 Lignage of App cant - ❑ Owner ❑ Contractor ❑ Agent SHA permit is required for excavations over 60" deep and demolition or constructionQ, of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $(7 HAZ D FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the u e County Code and/or Resolutions to do work Indic ed a Ove for w fees have been paid. , ()F�� I I &-. Ja By Date C� (% PERMIT EXPIRES ON � 9-5 y Date Receipt No. 10K7 43yu I WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE MCCEIPT % 314844 -a) 9 I OFFICE OR DEPARTMENT ISSUING RECEIPT 20CJ A Received from The S u m of &, �41" TU/k,-L i f - For RO'ceived. CASH CHECK Inc. (530)877-9693 Received By tax W S CD C. .. .. n qID ' a CD CL��� i� � O { � N A � 1 • ., � is °5 3 m � � • ..s{ 4 t L'o n u to u t �,. LAND OF NATURAL W E A L T H AND BEAUTY BUILDING DIVISION v = DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 April 12, 2001 Steve Ferreira 11829 Butte Creek Island Drive Chico, CA 95928 Dear Sir: On March 28, 2001, you paid State Responsiblity fees of $89.00 for the property located at 438 Paseo Companeros, Chico. The fees were collected in error. Our office did not process you check. If.you-could ..please send us the white copy of the .receipt #314841we-can-return you. check. If you have any questions, please contact me, Monday through Friday, between the hours of 8:00 a.m to 4:00 p.m. at 538-7541. Thank you. Sincerely, Alice Mefford Supervisor, Staff Support Services O.B. 1 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. D I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES,-El'NO ❑ I HAN 30 HAVE NOT 13sgned an application 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: CONTRACTOR'S 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: PHONE: CONTRAC'TOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF .WORK SIGNED: PROPERTYOWNER: DATE:_ /��l y/ Z3 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and. returned to our office before we are permitted to issue the permit. • I OWNER BUILDER INFORMATION 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 yoursel4 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 worst, 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 famiily, 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 risks are especially serious with respect to worker's compensation insurance. ♦ 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 "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 areerfo Information about licensed contractors be obtained b p rmmg their own work personally. community or at 1020 N y con ttactiag the Contractors State License Board in your 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. Y. Mic lcVi ira, C.B.O. er, Building Inspection NOTE: This Owner-Builderinformalfon is required by Seddon 19830 of the Cal forma Seallh and Safety Code OVER �. 1�a. _ter ..J....s- +`..-�...+.y;a....^,....M�,.•r--•..CwnR,�rxw .Ayre �.�•. _�,"�f�:"� .-�<+n.a'-z..p T�rv�+r_�-.,,.-N+r'.x�sar�c:+rw.=;�'Y'y'"'`.RrjWi;.'fj. ^" 1 •w +r� :.r"1�'^,.. y.: r=a: �"+'iw"f:-..� •n 1 Y ' �, • .�,, � � � � �. •n A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75✓A PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT � U,5 ~ 38n ASSESSOR PARCEL NUMBER Z u' O `tel' 0 (� J ZONING BUILDING PERMIT `i �� t tc t OWNER' A I me r; �✓ jl TE , i� �'� SQ, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESSL1 �-e �tc4»�� LX I Z& C( ((l ./T f,~JR CO �WS NAME � TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDR €"iSS �x 1 G' Se � `.fl,�i t!��l�r �S � G. Energy Plan Checking Fee $ C��'1 $ PERMIT FEE $ LOT 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 ❑ Describe Work: n t („., �} }-� o 1 i SG. C f e f ! r1 (/ 1 (fir ` xl S- `' Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 6 15 0 ELECTRICAL PERMIT Fling Fee 20.00 vUE Main Service '..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGL License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law `tor the following reason: y&J 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 ,CCU 46.00 NEW CONST. DWE WE OR ADDNS. 8 ACCLLING OCUP. . BIDS. SO 3.5¢ NpNRf IDT. MULTI-OUTLEr 97,50 OUrLEf CIR.OWER APPARATUS 8 E Ex. OCCU OUTLET OR FDCTURES 00 BAL @ 1 0 Ex. Occup. oUTEL R=.) E,L 5.00 TemporaryService 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 G 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 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 forthwith comply with those provisions. JU XQ.:Li �/ Date /,2 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction 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 $j.Jt] HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the.Butte CountyCode and/or Resolutions to do work indicated above for which fees have been paid. 03of By �(// Date PERMIT EXPIRES ON 1 Z -)9-o `l (Da te Receipt No, '5'1I0e—G/(4� VJ WHITE -D.D.S.=B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 1/14/04 Jackie Palmer 438 Paseo Companeros St. Chico, CA 95928 Re: Permit Number: 03-2847 APN: 040-330-017 Upon review of the above -referenced permit file by the County Building Official, it has been determined that a refund cannot be processed for the following reason(s): ❑ Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. ❑ The request is over two years from the date of the fee payments on this non -issued permit. ❑ The request is over two years from the date of permit issuance and construction work has been done. ❑ Filing fees and plan check fees for work plans checked are not refundable. The above determinations have been made in accordance with Butte County Code 3-41(t). You may view Butte County Code online at http://municipalcodes.lexisnexis.coil/codes/butteco/. ® Other reason: The permit application was $35.00 ($20.00 was a filing fee which is non- refundable and $15.00 was a plumbing permit fee). The $15.00 plumbing_ permit fee is a potentially refundable fee however after applying the refund processing charge of $25.00, there are no funds to retlim _ Should you have further questions about this matter, please contact this office between 8:00 am and 4:00 pm, Monday through Friday. Sincerely, Diane Lewellen, OAIII Administrative Division enclosure REFUND CALCULATION SHEET CLAIMANT: Jackie Palmer ADDRESS: 438 Paseo Companeros St. CITY & STATE: Chico, CA 95928 [DATE OF CLAIM: 01/08/04 APN: 040-330-017 1 RECEIPT INFORMATION NUMBER: 385704 DATE: 09/15/2003 ISSUED TO: Palmer CHECK #: CASH AMOUNT: $35.00 PERMIT #: 03-2847 Yes No Yes No Yes ::::::j:: No PRIOR REFUNDS: I x FEES VERIFIED I x I I I APPROVAL Date Reviewed Michael Vieira Building Manager 01/14/2004 CHECK: _$10.00 DIFFERENCE: (Should be blank) A10 ��l,D �1suC� REFUND BREAKDOWN BLDG SRA SHERIFF DETAIL PAID RETAIN REFUNDI 440-001 0100 280 4210500 4617240 1011811 BLDG .............. ............................ .............. .............. ............................ .............. .......................... .......................... ............ ........... ............ FILING FEES . ............................ .............. .............. ............................ .......................... .......................... ............ ........... ............ Building .............. ............................ .............. .............................. .............. .......................... ............ .............. ............ ........... ............ ........... Plumbing 20.00 20.00 ............................ .............. .............................. ............ ............ ........... ............ Electric .............. .............................. .............. ........ ... ...................... .............. ............ .............. ........... ............ ........... ............ ........... Mechanical . ............................ ............................ — ........ .............. ............ ........... ............ PLAN CHECK ............................ .............. ........ .............. .............. ........... ............ ........... Plan Check ............................ .............. ............... .............. ............................ .............. ....... .................... ............ ........... ............ ........... ............ Energ .............. ............................ .............. ............... .............. .............. .............. ........... ................ ........... ............ ........... ........ ............... INSPECTION ............................ ............ Energy .............. ............................ .............. .............. .............. ........... ............ ........... SRA -BLDG .............. ............................ .............. ........... ............ Building $46 .............. ............................ .............. ............................ .............. .............. ........... ............ . ........... PERMIT FEES ............................ .............. ............ Building ............................ .............. ............................ .............. .............. ........... ............ ........... ............ Plumbing 15.00 15.001 .............. ....................... .............. . ...... ........... ................. Electric ...................... .............. ............................ .............. ........... ............ Mechanical ............................ .............. ........ .............. .............. ........... ............ ........... OTHER BLDG . ............................ .............. ................................. .............. ............................ ......... .............. ............ ........... . . . . . . . ......... * ...... ............ Overcharge .............. ............................ .............. .............. .............. ....... .................. ** ......... ............ ........... ............ ............ . ............................ .............. ............................ .............. ............................ ...................... .......................... .......................... ............ ............ REFUND PROCESS FEE 25.00 -25.00 .............. -25.00::::::::::::.'.*.*.'.'.'.'.*'.*.*-'-'-'-'-*-'-*-'-'-'-'- BUILDING TOTAL 35.00 45.00 -10.00 -10.00 . ............................ ........... ......... ............ SRA - FIRE ......... ..... SRA -FIRE ............................. .......................... Fire $43 .............. .............. .............. .............. .............. .............. ................... .......................... .............. ............ ............ ............ SHERIFF - $360 .................... ..................... .................... ...... . SHERIFF ............ ............ Sheriff ............................. .. OTHER NON -BLDG ..................... ........ ...... ......................................... ........................................... ............. OTHER $ 35.00 1$ 45.00 �$ (10.00) BLDG SRA SHERIFF L 0100 280 4210500 4617240 1011811 APPROVAL Date Reviewed Michael Vieira Building Manager 01/14/2004 CHECK: _$10.00 DIFFERENCE: (Should be blank) A10 ��l,D �1suC� AUT TF °°` Butte County Department of Development Services ° ° o Building Division UN REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). 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 are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code Section 3-41 (t)] CLAMANT' S NAME: MAILING ADDRESS: 7.3 k -FOSS eU Ohl co OA- ASSESSOR'S PARCEL #: U `I () " BUILDING PERMrr # : 0 3 — Dm - RECEIPT NUMBER(S): 3 e 5-7 O y A request for refund of fees paid on the above receipt number(s) is for the following reasons: o --,,o--,, r m i +-'(r m aS . 16w -c uij�) yi2; o, c1S l we- ot l r-ead �, ..PX is�ed ..Ln -+e ad, r4� ALU d"d On Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded) xBuilding Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: N p P 1 6Vn S ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Sheriff Fees ( ) Other (specify): 41 -�Yls — 9 111 u -a>_ ( ) Please dispose of plans Signature Date A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\My DocumenFlJND CLAIM APPLICATION.doc 7b W C)q tcj� 12/I7/02 FOR BUILDING DIVISION USE ONLY: Receipt Information: Number: Date: Issued To: Amount: Fees Retained: BP# BP# Processing Fee: $ Processing Fee: $ Bldg Filing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Elec Filing Fee: $ Mech-Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ SRA P/C Fee: $ SRA P/C Fee: $ Other: $ Other: $ Total Amount Retained: $ $ TOTAL REFUND DUE:$ $ Amount from 440-001 $ . Amount from $ Amount from $ Amount from $ J:WIy Documents\REFUND CLAIM APPLICATION.doc 12/17/02 COUNTY OF BUTTE /,DEPtARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 'PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT AS SESSOR PARCEL NUMBER l.. / '? , r. "7 1 r , ZONING BUILDING PERMIT OWNER,�/- \ TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME r 4 TELEPHONE ­ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fill I11, 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 $ BUILDINGADDRESs �` t r , ''•, Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUSDNISIONS 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U8lities ❑ Installation ❑ Other ❑ Describe Work: f`,, `l i f i (%!� �� C� /�L�i�: (.• l 4} Gas piping stem 1 - 5 outlets 15.00 1 . -� ( ) Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V0 R LESS Main Service p 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. license Class Lic. No. _ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor 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: ❑ 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 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.) :O 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. < �' X-' ` -� Date / i 1-/ Signature of Applicant,- ❑ Owner ❑ Contractor ❑ Agent An -OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DIMNG OCCUR s0 OR ADDNS. ( DIM ACC. S.3.50Fr. NEW NOON-REO.SID. MULTI -OUTLET RANCH IRCUITS @7,50 PowER APPARATUS IPS LE oImET CIa E x. OCCU ovnEroRFaTUREs 20@''00 BA.50 Ex. Occup. D 7DAPAEs o.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 $ r• . J HAZ. ,IMP FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have If By ! t r .PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date r ! / Date Receipt No. { 'N709 % %S 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) 538-7541 PERMIT NO. (Rev.12'f96) APPLICATION AND PERMIT 03 - z1 ASSESSOR PARCEL NUMBER o , Z2 0 t JJ ZONING BUILDING PERMIT n n �Ir.e OWNER I �� vii. V T� H7' SQ. FT. OCC. BUILDING VALUATION . OWNERS OR C � 14 COM OTS IZAME TEU;r C(� 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 $ BUILDINGADDRESS �0'^ �,/ r )q r (� Energy Pian Checking Fee $ S�$ PERMIT FEE $ LOT NO. SUBDIVISION'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 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: p %�] �ll S D()r I) l JT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE - $ LkJ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2001 OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (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 Lawlor 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. DWEW EE NG OCCUCUP. OR ( BLDS 3 5¢S0. FT. cDNS.ONS NEW9 MUALCTC. NON-RESID. r 97.50 APPARATUS 8 SINGLE OUTLET CIR Ex. Occu OUTLET OR FDCTURES 20 @ I'50 sAu @ .so Ex. Occup. O�EItTS Ra1D°Eq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 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 forthwith co w' h those provisions. j Date _ / Sign ure of A licant - caner ❑ Contractor ❑ Agent 9SHA permit is required for excavations over 60" deep an 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 $ ^PD HAZ. D. FE6 IMP I FLOOD I COF PARCEL HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate bove for whic es h ve By PERMIT EXPIR ON the applicable provisions Resolutions to do work been paid. / QDate '\ Dete ReceiptNo. 'J -7© S'(D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dec 1702 11:39a p.2 I OWNER -BUILDER VEll2IFICATION __1 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. '( I personally plan to provide th ajor labor and materials for construction of the proposed properly im ovement : YES NO O 2 I HA�HAVE NOT ❑ signed an application for a building permit for the proposed work - 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: PRONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following the work indicated: persons to provide NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: _W �U'0� 42d . S DATE: 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 Dec 17 02 1.1:37a •; . . , 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 owner, 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 $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. 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 Stage 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. Sifia:rel 'r Michael C. Vieiia, C.B.O. Manager, Building Insbection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER .. ..,+ NOSES Ld t ,3 c�-/2 gw(z5ov s&---p7l t,,v�zoo C.��i✓r Z . -(/ l off _ol . �r .f RESIDENTIAL 040-330-017 01-0637) HULL, MIKE &-SHERY 438 PASEO COMPANEROS, CHICO CONT: STEVE FERRARA !,GARAGE CONVERSION Z JOB FINALED (Date) lkp b f ` Signature Aij A/ 1 �74 i•3 3-3 SPECIAL CONDITIONS - ;�` ` CHECKED BY SRA ` ,j•, ` , `�, FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY j •USE PERMIT CONDITIONS' ' SUB -STANDARD HOUSING LETTER JOB FINALED (Date) lkp b f ` Signature Aij A/ 1 ,/ = OK t 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 8 Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing-Veneer-Stucoo-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 -Require ments-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. Cert. of Occupancy 9. 12. Permanent Foundation Onlv; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 n 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-Stucoo-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-Panelboards-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 53 ✓=OK 0 = Not OK * = Not Reald Y able RESIDENTIAL (E Date rfloor (Plans) OK except #'s 1 ing-Setbacks- Ease ments-Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ T' Ftg. Depth 4. F ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ste ails, Main; Steel-Blockouts-Wrapped temwalls, Garage; Steel-Blockouts-Wrapped told Downs and Special Anchors Slab, Steel -Wrapped 8. Pier ireplace Ftg.-Steel 9 W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date r Pipe; Test -Anchors -Regulator -Service Test Date T9.4lectric Underground 1 . Plenums & Ducts; Clearance -Material -Support -Ins. Ir. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 1,T.—'Access & Ventilation 16. Insulation Z,Pfre stops. Furred Ceilinqs-Stairs-Chasers-Tubs Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date PXUMBING (Permit) OK except #'s rJ/W er Htr.; Vent -Access -Combustion Air Baffle I Pipe; Test & Anchor -Nail Protection 19 W.V.; Test Fittings & Anchor -Nail Protection Q 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower. Second Floor -Tub Access Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date E7CTRICAL (Permit) OK except #'s C221 Fixt e & Transformer Clearance -Ins. Protection 4 c. Receptacles Spacing -Lights & Switches at Doors Si o s & No. of Conductors Stapled 26-"R'o ex 1ptg led Close to Edge of Studs & C.J. a ' . Ground made uo w/Mech Fasteners -Bond Gas & Water 29!2 Appliance Circuits in Kitchen & Conductor Size GFI 2 . bleed Wire Size / RiL Cu AI- C. Wire Size / Zega Cu or At 30. Range Circle /16 / C yen Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect X16p- Clearances Panels-Motors-Mech. Equip. C hes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date M HANICAL (Permit) OK except #'s A.0 ucts Insulation & Support e an, Exhaust above insulation Condensate Drain & Overflow, Size & Grade 38. F ace -Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F MING (Permit) OK except #'s 4. l roper Materials & Anchors uds-Na" Braces -Plates -Sound rin Walls over Girders & Flo Nailing Dra top in Walls (rat proof) Z,Pfre stops. Furred Ceilinqs-Stairs-Chasers-Tubs 48-466aders & Beams -Size & Bearing jingle & Duplex) Date FRA G (Continued) 4 . nger st Caps -Anchors -Connectors ,07 g. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49,-,Kt—tic Access; Si &Romex Protection -Draft Stop -Ins. Baffles 5kjM'rm. Win s or Exiting Doors -Sill Ht. &Dimensions 5V fi-a ire ro e t raming 5L x-aperty Line Firewall & Openings i 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width- Head room -Rise- Run- Landidg- ire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stu Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 9 ear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows\ Date "(/( Card B-1 Date Card B-1 Date I,Z. Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63,efxt. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 edroom Exiting F.I. & Bath Fixtures & Tub Access -Spa F919 . Trim & Subpanel, Breaker Sizes & Labels X69--6taifs & Rails place or Stove, Clearance -Hearth 7 Elec. Outlets at Wood Panel, Int. & Ext. 2. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Alec. Outlets & Receptacles at Kit. Counter 74 Garage Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77/ Ib., Elec. & Mech. Equip. Listed for Location 7 . Elec. Receptacles in Garage (F.F.I.)-Romex Protection 7 nsulation-Foam-Looked in Attic .aOrEUard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----&e-1Pol1owing Insild./Drive D Yes J NoMalks J Yes J No/Planters J Yes J No reS.—S'tncco Brown -Finish Unit Disconnect, Electrical -Plumbing --e5 -TFnts Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings _46—.tVater Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House Glass Protection 9 Corrections from Previous Inspections -.94 ---en Test -Meters Tagged, Gas -Electric — a" r"e'er & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates ✓Address Posted Date GO m Card B-1 to Card B-1 Date Card B-1'Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: A�T�c APPLIED TESTING CONSULTANTS MATERIALS ENGINEERING TESTING AND INSPECTION REPORT OF EPDXIED ANCHOR {. INSPECTION/ TESTS r DATE: 07/10/0'1 CLIENT: Steve Ferreira r' 11829 Butte Creek Island Road Chico; CA -95928 r. Type of Adhesive: Simpson Set Number of locations: 4 Hole depth: 10" Hole diameter: 11/16" Anchor type: %8" Threaded Rod PROJECT: Hull Residence 438 Paseo Companeros' Placement: PH Hold-downs to foundation, at the west side of the dwelling. DESCRIPTION OF WORK: Arrived at the jobsite at 1000 hrs. to provide special inspection of epoxy -grouted seismic anchors in the PH hold-downs. A total of 4 anchors were installed per Page 1. All holes were brushed and blown clean with compressed air. The adhesive was injected into each hole in sufficient quantity to cause exudation of the material when the anchors were inserted. The anchor bolts were rotated during and after insertion to insure proper bonding of the adhesive to the bolts. No discrepancies were noted. - -- ~--- P. Dickinson Inspector 3060 Thorntree Drive, Ste. 10 • Chico, CA 95973 • Telephone: (530) 891-6625 • Facsimile: (530) 891-4243 ;j;_ CERTIFICATION OF INSULATION ' :'ADDRESS OR TRACT is : ,! SACRAMENTO_ INSULATION CONTRACTORS Q • �� LOT N P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 ❑ • $421 MELODY ROAD, MARYSVILLE,+CA 95901 LIC. #202026 ❑ P.O. BOX 9651, FRESNO, CA 93793-9651 LIC. 4202026 L��2%� �� r� �nl �n ��J,�%�� • ��l//l U I I 1 I , `/ ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 ' ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 DATE ISULATION OMPLETED ' FLOORS ( SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) . TYPE OF INSULATION TYPE OF INSULATION -r TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM FORM FORM BATTS BATTS & BLOW BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. ` MANUFACTURER MANUFACTURER, .' '' MANUFACTURER OCF OCF OCF BAGS I R ' VALUE Y' APPLIED . R -VALUE APPLIED MIN. INSTALLED - R -VALUE" . ` . ' INSTALLED THICKNESS u ` INSTALLED' THICKNESS _--� WEIGHT PER , SQUARE FOOT INSTALLED , ' .APPLIED THICKNESS 1 KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R VALUE MANUFACTURER FIBERGLASS BATTS , , OCF ' AIR INFILTRATION SEALANT, t ` • r_ '" " " r MATERIAL MANUFACTURER . W'R GRACE r THIS IS TO CERTIF THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCEkWITH•APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS. • • SI NATURE INS TION CONTRACT TITLE DATE MANAGER SIGNATURE -GENER ONTRACTOR TITLE DATE REMARKS: , r• J • White - Builder copy, Green - Builder copy, Yellow - Customer copy SIC - 3O3 Pink - Attic copy, Gold File copy i ............. COUNTY, OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 411 Main Street - Chico, CA - (530) 89172751 7 County Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE.. ku 6 0/ 7 - 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, -AO please contact this office immediately. Axa VIVb- P// 1-2 O -Z 1a7 X194��J �o�� o ZA14 -"z IAI ,(751 MaVl;ff 51117 A� -APZ-T /�7 62rig4X Date 7- 01 REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT a]- S(n 3 7 ASSESSOR PARCEL NUMBER 040-330-017 ZONING AR BUILDING PERMIT OWNER HULL MIKE & SHERRY899-5922 TELEPHONE SO. FT. OCC. BUILDING VALUATION 214 R 11,566.00 — . OWNERS MAILING ADDRESS 38 CONTRACTOR'S NAME l STEVE FERRARA345-3195 TELEPHONE O 7 C 6,140.00 RRMOT)F.T.. 1-000-00 CONTRACTORS MAILING ADDRESS 396 C 5,148.00 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .330-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 91450 BUILDING ADDRESS 438 PASEO COMPANEROS CHICO CA Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 91 nd Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition # Remodel q Utilities ❑ Installation ❑ Other ❑, Describe Work: GARAGE CONVERSION/KITCHEN REMODEL ADD GARAGE AND BAY WINDOWS Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 00. UU ELECTRICAL PERMIT Filing Fee 20.00 Main Service p 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 �j{P full force and effect. 5�3�i I License Class 2 1j'` Lic. No. 'T 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: ❑ 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' compensq�tion insurance care r and policy number are: Carrier Si 4�TFr 101nQEf�%5(il I- Policy Number W1 2t1--3 (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 shallR3 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 rthwith mply with those provisions. �r/ ` j X '� �i� Date j� 1 Signature of Appli nt - ❑ Owner ;, Contractor ❑ Agent An OSHA permit is re uired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO L000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( 6 ACC. BLAS. 3.50 FT. T. NOWRESID MULTI.OUTLET @7.50 POWER APPARATUS a sINGLE DUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL Q I.00 . 0 Ex. Occup. ounEDTs Ro .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 77. 5 MECHANICAL PERMIT Fling Fee 20.00 Heating 19-00 Cooling Hood 6.50 Ventilation PERMIT FEt $ 56.50 Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 Occ CONST. TYPE VN TOT FEE $ 853.58 HAZ. D. IMP FLOQ H� COF P CEL D ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ate /�� PERMIT EXPIRES ON Date Receipt No. OLOENROD-APPLICANTWHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPE T r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAALIFORNIA 95965 - TELEPHONE (530) 538-7541 1 PERMIT APPLICATION DATA SHEET ___ � ER: yu& ASSESSOR PARCEL NUMBER: 0(40- 336- 01+ Proposed Building Use: Add Building Inspector: III&WApo Date: .28 - D 1 At time of permit application, I was advise a following data must be submitted prior to permit processing and/or issuance: C 4 v j— - Date Received By ❑ 1. All items have been submitted. ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 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! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------- ❑ 9,/M�nufactured Home data and installation instructions including Tie Down fees as shown on the attached schedule. ria Department of Forestry plan approv M113 - lood elevation certificate. carts sanitation and plot plan approval" Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: ® 11c-7- (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage,Axgal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- El 20. Pre -inspection for required. Request to Building Inspector on ❑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 0) - ------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------------- ❑ 26. Letter of intent on building use. ---------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------- ------------------------------------------------------- 028. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- N -4y ` r , (Date) When you issue the eennit, rocen as follows ❑ Mail to owner, ❑"aiHontractor. �`T elephone� and old or pickup toffice. ❑ Deliver with inspector. S`MXuc� s�� o/ 1R - - 3 - 2 - (� Y. -Applicant: Date. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department O er: ab : By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by t4onie, ❑ mail, ❑ Building Division counter, by Date: 5 - 7 so Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div* ion counter, by Date: Plans reviewed by: Date: Plans approved by: pZc�- Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: (L Date: 161 Yellow Copy - Department of Development Services, Building Division. A-011- : ± E.H. USE ONLY Plot Plan Attached Flour Plan Attached—� Sent to B. . —L�—D / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance zz- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ' Environmental Health Specialist Date 8/96 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number 6 v'J — 33o- 0/ -7 Jurisdiction: � city County Property Owner / C([ ►! y' r Property Location/Ad dress Subdivision Lot No. .................................................................................................................... G n� y Residential Development Sq. Footage r No of Living Mobile Home Addition/ •Supplemental to (Group R) Units Installation Conversion 'Permit# *(No foundation inspection): ................................................................................................................... Commercial/Industrial New Addition H Representative moor runs reviewea oy acnooi uistnct rersonneu District Identification No. !v , 14— School School District certifies that rep - (Street Address) �.� l [ Cz CA. Sq. Footage (Including Exterior Q Roofed Areas) Date 54v� Te- we i rci. x (Applicant) Rd _�3 ck�� - 3 IC/ I's (Phone Number) C ICity1-71(St7-0,V atel has complied with the requirements of Resolution No. ! representing o2' I square feet. AB School District Rep r sentative Paid by Check # Remarks: (Zip Code) by payment of $ }r n. 1. !�-/ i0 v Date r Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (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.x(s (10/98)dmm I P.Ol COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. LRev.t2/96> APPLICATION AND PERMIT - / +-7 rj AasnEDR.ARest,Rl f ` 101ma"0A ,� BUILDING PERMIT owNlR N! OCC.04 BUILDING VALUATION owNas rAu Ao GOw09 RAL7 V.3 5 0 3/f5 3145 691 ..17- AeeRe! CJ�'L ll t1NOels NIMA40 ADOF408 _ Fireplace ARCWCCr OR IN"M ucae! No. Total valuation i Filin Fee f 20.01 ARaATea Oft 60001=11waena AOORep Permit Fee — _ wan.aADORps31q Plan Checkin Fee i d 6 �� Energy Plan Checking Fee i Q. 00 s Y _.5 , LOT NO. suaDNeKM NYl[ FAResI MAP PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SFO(DuplexO AAobBehome O Other Solar or heatpumpwater heater 29.00 u t ten, Water in 15.00 " + TYPE OF WORK Each gas water heater or vent 15.00 Now O Addition RemodelGas Uhidss O 6nsta/atlon O Other O IpIng system 1 -5 outlets 15.00 f Buildingsewer 15.00 Describe Work: Mobile Homs S G W 020.00 CQ�eq Aa4a PERMIT FEE S U ELECTRICAL PERMIT ( Fiiin Fee 20.00 00656 'b&6b Main Service ieaA OO,RI L�6sss 29.00 Z � v Main Service A NEW C01/T. OWEAcc. 48.00 1 oR Aoora. a Ace. ails. ILD.. 3.St$ (1�J NOWPIES60 MW GUMT. VYITFOVRET @7.50 .. POWM APPAINhJS v as o as Ex. Oecu ovner OR o NTURea 200 0.00 eAI. .so 2 Ex. Occup.(►aaO AP.vs. ON ounErs 011). CA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 PERMIT FEE I S MECHANICAL PERMIT $Fe0.00 Heating1'5-OD, &D RECEIPT # I �J�' Coorn vaSRA $ Hood JXznSHERRIF $ Ventilation PERMIT FEE $ MobUe Home Insta�atbn Fee i Energy Inspectlo Fee i eO�T' Tr TOTAL FE TOTAL / 1-7, 13 : 0. RI. D COP n This permit b 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 Data RecelptNo. PERMIT EXPIRES ON WHITE -0.0's..4.0. CANAIW Oaaa011 PINK•INaPECTOR OOID(NI100-APPLICANT M DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone (530)538-7541 Substantial Improvement Worksheet for Projects within FEMA Floodplain Existing Building: USE AREA � firfL�_� . q X 517X .�1 %t7 �tir!'•'� APN: DATE: SF -VALUE TOTAL X X X 13 X - X X X NZE rl IExistina Structure Value (ESV): I Proposed Addition -Remodel USE AREA SF -VALUE I TOTAL / a -31 73 Remodel Contract: Improvements Value (IV): Improvement Percentage = IV = _ ESV 3 c If improvement percentage equals or exceeds 40 %, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new Improvement percentage will be calculated. If improvement percentage exceeds 50%, a substantial improvement exists. d 0r � � _ �� �� w � � _� � \ tip -yL�� �' � `��'��Q�2" _ �. d����? �� in 9 Jan -21-96 04:17P FLOOD PLAIN DECLARATION I declare the actual value of the proposed con struction work under build- ing permit application _O; � " O 6 �2 at ` n �OM'? JEKO' s A.P. #C)Z 0`330-0)_'-Mfor \+ kyr E_ �QLL_ 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 ADDRESS PHONE NO. DATE P.02 #Sttbsttintical improvement is defined as follows: Any repair, reconstruc- tion, or improvement of - structure, the cost of which equals or exceeds 500 of the market value of the structure either, (a) before the 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 costs. I Water closet clearances (Uniform Plumbing Code 408.5). wercomp1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). ta� ring walls on masonry or concrete foundations that shall be of sufficient size to support ll loads (Uniform Building Code section 1806.3). ��UCTURAL DETAILS: 1. raced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall Dlines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. _ 06,0 Clerestory requiring balloon framing and/or engineering. l 4,Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C). Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. Fireplace construction details and calculations if necessary. Garage door header size(s). Porch header size(s). Typical header size(s). Stud heights. High expansive soil — special foundation design required. Retaining walls requiring design. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. 17. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: fairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). ­17xterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). . Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). ound requirements. Energy design compliance and supporting documentation. CDF responsible area requirements. UILDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers required 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub-Standard Housing letter. Page 2 of 2 RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AAD MISCELLANEOUS ONLY i Owner: Building Permit Number: o iQ 3 Plans Examiner: Linda Simpson A. P. Number: /7 GENERAL: Zoning requirements — (number of permitted living units). Plans signed by the designer. ' Proper description of work on the application. xisting violations on the property. ecorded notice of violation. Building permit valuation. LOT PLAN: 11 Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or strictures. Grading, fills and/or drainage. Flood hazard Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) OOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). _ 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue. windows shall have a minimum net clear operable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 20". When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0). uel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). nder no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). Wood stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2). moke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 SITE PLAN REVIEW APPLICATION Date: L4- AP# L, 0' �3 Of 7 Permit Number (if applicable) — 63-7 APPLICANT INFORMATION Parcel Size: Owners Name: 1z-� SH C2>' 1-4 U L L_ Owners Address: L43 fi A S C {� h� (� p.r�'P_ Telephone No.: g 9 9- S 9 Situs Address: Proposed Use: Residential ❑ New Single Family Residential 9 Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ® Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well Brief Explanation (if necessary): IS � Iy PL DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) -M Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Q—} Page l of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: �— • Flood Panel No.:(�'j ] Q Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A R Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front SD, Side Side Street --� Rear Height —� Waterway N/A. N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 ❑ Parcel Deemed to be legal. F ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation F1Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ' ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements { ---------------------------------------------------------------------------------=-------------------------------------------- Page 3 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other --------------------------------------------------------------------------------------------------7---------------------- Subdivision Map Special Fees ❑ Water Tender } ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal. F ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation F1Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ' ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements { ---------------------------------------------------------------------------------=-------------------------------------------- Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 E .D ARCt, �No. �r C 21283 REN.`�i 2 1� �� OF CN .�01-6637- MUTTS Cowl gtlttDJNG ®EPARTMEK Dib- �3.6 ¢/ 0 Seismic Analvsis Static Method V = 2.5;(ea- (w) = 2.5 * .36 .1636 (w) '@ plywd,. shear walls R 5.5 V = 2.5 Ca (w) = 2.5 * .36 = .20 (w) @ plaster and gyp. bd. shear walls R 4.5 .. Gravity Loads Vk'*NS. 56W 4 6W4 QMN. ROOF LOADS: 18 psf. dead load 16 psf live load = 34 psf total load FLOOR LOADS: 10 psf dead load + 40 psf live load = 50 psf total load WALL LOADS: 12 psf @ 3 -coat plaster exterior walls; 8 psf @ interior walls; 10 psf @ exterior walls with 1 -coat stucco or siding LOAD SUMMARY Wind 'Analysis • . .. r Normal force method, exposure B, 75 mph wind speed. ..r Ir rw .I.A.r..r r ... .. P=Ce CgQsI WALLS P=.62*1.3*14.5*1.0=.0117 ksf@ 15 ft. P =.67 * 1.3 * 14.5 * 1.0 = .0126 ksf @ 20 ft. P =32 * 1.3 * 14.5 * 1.0 =.0136 ksf @ 25 ft. P=.76*1.3*14.5*1.0=.0143 ksf @30ft. - ROOFS 2:12 TO LESS THAN 9:12 P =.62 * 1.0 * 14.5 * 1.0 =.009 ksf. @ 15 ft. P=.67 * 1.0 * 14.5 * 1.0=.010 ksf.@ 20 ft. P =32 * 1.0 * 14.5 * 1.0 =.01 I ksf. @ 25 ft. P =.76 * 1.0 * 14.5 " 1.0- .011 ksf @ 30 ft. ROOFS 9:12 TO 12:12 P =.62 * 1'.1 '* 14.5 * 1.0'- .010 'ksf @ 15 ft.': P =.67 * 1.1 * 14.5 * 1.0 = .01 1 kst @ 20 ft.. . P =.72 * 1.: l * 14.5 * 1.0 = .012 ksf @ 25 ft..rr P=.76 * 1.1 * 14.5 * 1.0=.012 kst @ 30 ft. Seismic Analvsis Static Method V = 2.5;(ea- (w) = 2.5 * .36 .1636 (w) '@ plywd,. shear walls R 5.5 V = 2.5 Ca (w) = 2.5 * .36 = .20 (w) @ plaster and gyp. bd. shear walls R 4.5 .. Gravity Loads Vk'*NS. 56W 4 6W4 QMN. ROOF LOADS: 18 psf. dead load 16 psf live load = 34 psf total load FLOOR LOADS: 10 psf dead load + 40 psf live load = 50 psf total load WALL LOADS: 12 psf @ 3 -coat plaster exterior walls; 8 psf @ interior walls; 10 psf @ exterior walls with 1 -coat stucco or siding J 22-141 SO SHEETS nmaao 22-142 '100 SHEETS 22-144 200 SHEETS WE N r coq r� O v� p oq i s .� s �t4 N� WE N W W WLU ' W W W xxx V1 Yf N. coo Y1 O O N aa^ N N N N N N LaIlk bs 22-14-1 50 SHEETS (� 22-142 100 SHEETS O 22-144 200 SHEETS u \ - u \ Multi-Loaded Beam[ 97 Uniform Building Code (91 NDS) 1 Ver 5.03 By:_Gregory Peitz„_Gregory-A. Peitz Architect on: 03-25-2001 : 11:22:45 PM Proiect: hull - Location: flush beam between kitchen and living room Summary: 3.5 1N x9,5 IN x16.5 FT / Versa-Lam 2800 Fb DF - Boise Cascade Section_Adequate-By 167:8%—Controlling-Factor:-Moment••of-lnertia / Depth Required 6.84.In Center Span Deflections: ;. '' Dead Load: DLD-Center- „ 0.27 IN Live Load: LLD-Center- 0.14 IN = U1428 Total Load: TLD-Center- 0.41 IN = U482 Center Span Left End Reactions (Support A): Live Load: LL-Rxn-A= 808 LB Dead Load: DL-Rxn-A= 1201 LB Total Load: TL-Rxn-A= 2008 LB Bearing Length Required (Beam only, Support capacity not checked): BL-A= 0.64 IN Center Span Right End Reactions (Support B): Live Load: LL-Rxn-B= 144 LB Dead Load: DL=Rxn-B= 454 LB Total Load: TL-Rxn-B= 598 LB Bearing Length Required (Beam only, Support capacity not checked): BL-B= 0.19 IN Beam Data: Center Span Length: L2= 16.5 FT Center Span Unbraced Length-Top of Beam: Lu2-Top= 0.0 FT Center Span Unbraced Length-Bottom of Beam: Lu2-Bottom= 0.0 FT Live Load Duration Factor: Cd= 1.25 Live Load Deflect. Criteria: U 240 Total Load Deflect. Criteria: U 180 Center Span Loading: Uniform Load: Live Load: wL-2= 0 PLF Dead Load: wD-2= • 25 PLF Beam Self Weight- BSW= 10 PLF Total Load: wT-2= 35 PLF Point Load'1 Live Load: PL1-2= 952 LB Dead Load: PD1-2= 1071 LB Location (From left end-of sp,an): X1-2= 2.5 FT Properties For: Versa-Lam 2800 Fb DF- Boise Cascade Bending Stress: Fb= 2800 PSI Shear Stress: Fv= - 285 PSI Modulus of Elasticity: E= 2000000 PSI Stress Perpendicular to Grain: Fc_perp= 900 PSI Adjusted Properties Fb' (Tension): Fb'= 3592 PSI Adjustment Factors: Cd=1.25 Cf=1.03 ... Fv': Fv'= . 356 PSI Adjustment Factors: Cd=1.25 Design Requirements: Controlling Moment: M= 4896 FT-LB 2.64 Ft from Left Support of Span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s) 2 Maximum Shear: V= At IQft.support of span 2 (Center. Span) Critical shear created by combining all dead loads and live loads on span(§.) 2''' ,+ Comparisons With Required Sections: Section Modulus (Moment): Sreq= 16.4 52.6 8.5 33.2 93.4 250.0 2008 ' LB Area (Shear): Moment of Inertia (Deflection): S= Areq= A= Ireq= 1= IN3 IN3 IN2 IN2 IN4 IN4 a Roof Rafter( 97 Uniform Buildinq Code (91 NDS) ) Ver: 5.03 By: Gregory Peitz , Gregory A. Peitz Architect on: 05-02-2001 : 11:33:12 PM Project: HULL - Location: NEW VAULT AT EXISTING ROOF DL= Summary: PSF t1.5 IN x 7.25 IN x 13.7 FT (Actual 14.4 FT) (a) 24 O.C. / #2 - Douglas Fir -Larch - Dry Use Section-0=70/6-0.7%Controlling Factor: Section Modulus / Depth Required 7.22 In Rafter Span Deflections: FT Dead Load: DLD-Interior- Live Load: LLD -Interior -- Total Load: Rafter End Loads and Reactions: TLD -Interior= Upper Live Load: LOADS: 110 PLF Upper Dead Load: 130 PLF Upper Total Load: 240 PLF Lower Live Load: 110 PLF Lower Dead Load: 130 PLF Lower Total Load: 240 PLF Upper Equiv. Tributary Width: UTWeq= R t Lower Equiv. Tributary Width: ft D ' LTWeq= a er a a. Interior Span: Eave Span: Rafter Spacing: Rafter Pitch: Roof sheathinq applied to top ofjoists-Top of rafters fully braced. Live Load Deflect. Criteria: Total Load Deflect. Criteria: Non -Snow Live Load: Roof Loaded Area: Live Load Method: Rafter Loads: Roof Live Load: Roof Dead Load: Roof Duration Factor: Slope Adjusted Spans And Loads: Interior Span: Rafter Live Load: Rafter Dead Load: Rafter Total Load: Properties For: #2- Douqlas Fir -Larch Bendinq Stress: Shear Stress: Modulus of•Elasticity: Stress Perpendicular to Grain: Adjusted Properties Fb' (Tension): Adjustment Factors: Cd=1.25 Cf=1.20 Cr=1.15 Fv': Adjustment Factors: Cd=1.25 Design Requirements: Controllinq Moment: 7.221 Ft from Left Support of Span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s) 2 Maximum Shear: At left support of span 2 (Center Span) Critical shear created by combining all dead loads and live loads on span(s) 2 Comparisons With Required Sections: Section Modulus (Moment): Area (Shear): Moment of Inertia (Deflection): L= L-Eave= Spacinq= RP= U U RLA= Method = 0.44 0.37 0.81 RXNS: 219 LB 260 LB 479 LB 219 LB 260 LB 479 LB 6.85 6.85 IN IN = U469 IN = L/214 FT FT 13.7 FT 0.0 FT 24.0 IN O.C. 4.0 : 12 240 1.80 27.4 SF One LL= 16.0 PSF DL= 18.0 PSF Cd= 1.25 L-adi= 114.44 FT wL-adi= 29 PLF wD-adj= 34 PLF wT-adj= 63 PLF Fb= 875 PSI Fv= 95 PSI E= 1600000 PSI Fc -perp= i 625 PSI Fb'= '1509 PSI Fv'= 119 PSI M= 1641 FT -LB V= 455 LB Sreq=, 13.05 IN3 S= 13.14 IN3 Areq= 5.74 IN2 A= 10.88 IN2 Ireq= 39.98 IN4 1= 47.63 IN4 Gregory A. Peitz ' Architect 383 Rio Lindo Ave., Chico, CA 95926 { 894-5719 FAX: 894-1523 e-mail: gregpeitz@cs.com 1. Regarding the rafters at the existing roof area where the ceiling is being vaulted, the new 2x8 joists are being connected to the existing 2x6 rafters via the face nails attaching them where they lap and via the purlin member between them. Since there is not an attic between the members, only the roof live load is considered, along with the total dead load from roof and ceiling members. The 18 psf dead load would include 10 psf for the tile roof, as well as the weight of the framing and ceiling sheet rock. The attached calc shows that the 2 x 8's are capable of supporting the loads, even though they will be assisted by the existing 2 x 6's. 2. The revised foundation plan shows the missing footings under the ridge posts and at the garage and bath 3. 3. The roof plan now shows the hanger required for the girder truss at the nook. t c- ON G Z S rl- IA � � vi o Ss, �- z r C v r VQ COD �( --v r ,, I _ V) v( vi G � Q z n z� � c- ON G Z S rl- IA � � vi o Ss, �- z r C v r VQ COD �( --v r ,, I _ V) v( vi G � Q z� � c- ON G Z S rl- IA � � vi o Ss, �- z r C v r VQ COD �( --v r ,, I _ V) v( vi G � Q • s $�.c� _. o 18.5 2,� i3.o � �•�5 ►.3 •� ►�: j ` - • 8 • o ` K/O 1b AO)0 1b 1 �tI ,_ eooc eo4o 1e ecoa I .. _ I, foci e's .o'a 1p--�----------------- "so Ne _ . � O .. Q'-Y.Q.J. ® WALK-IN >q - ✓- • 2if0 W DilO fe2ifo NB I cLoWT �1' • • - .� foie mER 0R ioie e�ER DR - R • e 2 , .... .. 646" iiia Dv .� � —Y 1 `apj G4RAGf KRGNEN io7iANWM 6=6 TRAWOM I •••..-.......� i /.-..... MASTER 0 6AT141OOM Ii=IYrM'i' O O :C107E'f/ O � pp p • . r—� I UVING RODM eTORAOE : Mo7ET i•il•P'-p l70 . •.1 LAWORY ' I •S, I I ............' .: DiAo we- 26" . foie PKT. DR. "_ q .a - 9,440 1 ✓. I # mccRoon .. LIVING AREA:7.641 - 9Q.FT.: •ti ENiRT . LAUNDRY AREA: • - 12'eQ.FT. BO.FT. - • 4'-9 v2'�o'-0• .- - . .. �� •� IOTAL LIVING AREA: _�`• = GARAGE AREA:. 7,146 585 9Q.FT. i oETL9TIDT - 1'tA4TER eFsacoh , T !.. • • !. Q'-II'rl0'-Y - DR 111/ � • � . li'-II'CO'-i• t i TRANB 'ioLo Mf'•0 N - ( Loco We � " - . .. • � • bN) NAI! RTIID - pJb iMl. fleU10 .- � IeiO 11B 4o60 ND ILLO K9 i � 9 .. �• I ecw Ne . • 2010 114 MI4 NAL. i0U•D 116 7oi0 1 FEAR_ \NJ A L l— U^N O\IrT CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 Project Address........ 438 Paseo Campaneros ******* Chico, California *v5.10* f� / Q 693 Documentation Author... Donna Wallace ******* Building Permit Climate Zone.. ..... Compliance Method...... 399 East 9th Avenue Chico, CA 95926 530-893-4982 11 MICROPASS v5.10�for Field Check/ Date 1998 Standards by Enercomp, Inc. MICROPASS v5.10 File-HULL4 Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User- Run -Hull - Exist. + Addition GENERAL INFORMATION Conditioned Floor Area..... 2442 sf Building Type .............. Single Family Detached Construction Type ......... Existing Plus Addition Building Front Orientation. Front Facing 35 deg (NE) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 17.3 % of floor area Average Glazing U -value.... 0.7 Btu/hr-sf-F Average Glazing SHGC....... 0.68 Average Ceiling Height..... 8.3 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -value Location/Comments Wall Wood R-0 R-0 R-0 0.386 Existing, Garage Wall Wood R-13 R-0 R-13 0.088 Addition, New Garage Door n/a R-0 R-n/a R-0 0.330 Entry, New Garage Roof Wood R-11 R-27 R-38 0.025 Existing, Addition Floor Wood R-0- R-0 R-0 0.097 Existing S1abEdge n/a R-0 R-n/a F2=0.760 to Outside S1abEdge n/a R-0 R-n/a F2=0.510 to Crawlspace Floor Wood R-19 R-0 R-19 0.037 Former Laundry Addition FENESTRATION Over - Area U- Interior Exterior hang/ Orientation (sf) Value SHGC Shading Shading Fins Window Front (NE) 24.0 0.870 0.700 .Standard Standard None Window Front (NE) 24.0 0.720 0.730 Standard Standard None Door Front (NE) 5.5 0.990 0.740 Standard Standard None Door Front (NE) 5.5 0.990 0.740 Standard Standard: None Window Front (NE) 20.0 0.570 0.670 Standard Standar-'& None Window Front (NE) 20.0 0.600 0.650 Standard dar None Window Front (NE) 20.0 0.600 0.650 Standard None Window Front (NE) 12.0 0.870 0.700 Standa rd ), None Window Window Front (NE) Front (N) 12.5 12.0 0.600 0.870 0.650 St a '� 0.700 Stat n rd None None POkv �Stndard CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 MICROPASS v5.10 File-HULL4 Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User- Run -Hull - Exist. + Addition FENESTRATION REMARKS The existing house was built in 1976. Existing building assumptions are based on Table 7-3 of the Residential Manual, P400-98-002, and on information provided by, Over - Area U- Interior Exterior hang/ Orientation (sf) Value SHGC Shading Shading Fins Window Front (N) 12.5 0.600 0.650 Standard Standard None Window Left (SE) 8.8 0.600 0.650 Standard Standard None Window Left (S) 17.5 0.600 0.650 Standard Standard None Window Back (SW) 40.0 0.570 0.670 Standard Standard None Window Back (SW) 8.8 0.600 0.650 Standard Standard None Window Back (SW) 15.0 0.600 0.650 Standard Standard None Door Back (SW) 33.3 0.550 0.650 Standard Standard None Door Back (SW) 40.0 0.550 0.650 Standard Standard None Window Back (SW) 6.0 0.870 0.700 Standard Standard None Window Back (SW) 4.0 0.720 0.730 Standard Standard None Window Back (W) 17.5 0.600 0.650 Standard Standard None Door Back (W) 20.0 0.550 0.650 Standard Standard None Window Right (NW) 3.0 0.870 0.700 Standard Standard None Window Right (NW) 17.5 0.600 0.650 Standard Standard• None Skylight Front (NE) 6.0 1.720 0.830 None None None Skylight Back (SW) 6.0 1.720 0.830 None None None Skylight Back (SW) 6.0 1.720 0.830 None None None Skylight Right (NW) 6.0 1.720 0.830 None None None SLAB SURFACES Area Slab Type (sf) Standard Slab 539 HVAC SYSTEMS Minimum Duct Duct Tested Duct ACCA Thermostat Equipment Type Efficiency Location R -value Leakage Manual D Type Furnace 0.800 AFUE Attic R-4.2 No No Setback ACSplit 10.00 SEER Attic R-4.2 No No Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards REMARKS The existing house was built in 1976. Existing building assumptions are based on Table 7-3 of the Residential Manual, P400-98-002, and on information provided by, i f , I CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3' CF -1R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 MICROPASS v5.10 File-HULL4 Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User- Run -Hull - Exist. + Addition' REMARKS the Architect. r CEC default U -values and default SHGC-values were used for all fenestration. Previous improvements to the existing house: { 1) The roof insulation was increased to R-38. I 2) The original house had single pane windows. These were replaced with dual -pane, alumunimum-framed windows. Improvements to be made as a part of this work: 1) New windows will be dual -pane, wood -framed. 2) A new HVAC system will be installed. The system will have new ductwork and a setback thermostat. N i CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 4! CF -1R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 MICROPAS5 v5.10 File -HULLO Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User- Run -Hull - Exist. + Addition' COMPLIANCE STATEMENT This certificate of compliance lists the building features and+nerformance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. I DESIGNER or OWNER Name.... Gregory A. Peitz Company. Architect Address. 383 Rio Lindo Avenue Chico, California 95926 Phone... 530-894-5719 License. Signed.. 4?,/7 G ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... ate) Signed.. (date) DOCUMENTATION AUTHOR Name.... Donna Wallace I Company. Address. 399 East 9th Avenue Chico, CA 95926} Phone... 530-893-4982 Signed.. -312-711 + a e MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 1 of 2) MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures ' *150(x): Minimum R-19 ceiling insulation. R-38 150(b): Loose fill insulation manufacturer's labeled R -value. N/A *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal R-13 framed walls (does not apply to exterior mass walls). R-19 *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. N/A Fiberglass 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. Batts 116-17: Fenestration Products, Exterior Doors and Infilitration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U -value, By Contractor certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. N/A 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. N/A 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closable metal or glass door b. Outside air intake with damper and control N/A c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. By Contractor 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. Attached 150(i): Setback thermostat on all applicable heating and/or cooling systems. By Contractor 150(j): Pipe and Tank Insulation 1. Storage gas water heaters rated with and Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water N/A tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees Fahrenheit insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the ICBO 1997 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181A, or UL1818 and other applicable specified tests for longevity given in Section 150(m). By Contractor 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. Residential Compliance Form July 1, 1999 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures (continued) 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. N/A 2. System is installed with: a. At least 36" pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical By Contractor cooking appliances with pilot < 150 Btu/hr.) Lighting Measures 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. By Contractor 150(k)2: Rooms with a'shower or bathtub must either have at least one Luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Residential Compliance Form July 1, 1999 ADDITION WORKSHEET Page 1 ADD Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 Project Address........ 438 Paseo Campaneros ******* Chico, California *v5.10* Documentation Author... Donna Wallace ******* li_uilding Permit 399 East 9th Avenue Chico, CA 95926 530-893-4982 Climate Zone.. ..... 11 Compliance Method...... MICROPAS5 v5.10 by Enercomp, Inc. Plan C ec Da e Fie Check/ Da e MICROPAS5 v5.10 File-HULL3 Program -ADDITIONS User#-MP0995 User- Run -Hull - Exist. + Addition ADDITION/ALTERATION WORKSHEET - COMPUTER PERFORMANCE EXISTING File Name... ............. HULL3 - Hull - Existing Conditioned Floor Area..... 1921 sf Standard Design Energy Use. 48.28 kBtu/sf-yr Proposed Design Energy Use. 132.97 kBtu/sf-yr NEW (EXISTING PLUS ADDITION/ALTERATION) File Name... ............. HULL4 - Hull - Exist. + Addition Conditioned Floor Area..... 2442 sf Standard Design Energy Use. 43.50 kBtu/sf-yr Proposed Design Energy Use. 71.65 kBtu/sf-yr FLOOR AREA RATIO Floor Existing New Area Floor Area Floor Area Ratio 1921 / 2442 = 0.787 DESIGN ENERGY USE FOR NEW (EXISTING PLUS ADDITION/ALTERATION) Floor Addition/ New Area Existing Existing Alteration Standard Ratio Proposed Standard Design 43.50 + 0.787 x ( 132.97 - 48.28) = 110.12 Note: If (Existing Proposed - Existing Standard) is negative, this difference is set to zero. ADDITION/ALTERATION ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Addition/ Alteration Proposed Compliance Design Design Margin New .................... 110.12 71.65 38.47 *** Addition/Alteration complies with Computer Performance *** y i COMPUTER METHOD SUMMARY Page 1� C -2R Project Title.......... Hull - Existing Date..03/27/01 11:07:05 Project Address........ 438 Paseo Campaneros ******* Chico, California *v5.10* Documentation Author... Donna Wallace ******* Building Perms 399 East 9th Avenue Chico, CA 95926 530-893-4982 Climate Zone.. ..... 11 P ani C ec Da e Fie C ec Date Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc. MICROPAS5 v5.10 File-HULL3 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run -Hull - Existing ; Zone Type Energy Use (kBtu/sf-yr) MICROPAS5 ENERGY USE SUMMARY Standard Proposed Design Design Space Heating.......... 19.03 Space Cooling.......... 15.88 Water Heating.......... 13.37 67.59 52.01 13.37 Compliance Margin -48,.56 -36.13 0,. 00 Total 48.28 132.97 -84.69 *** Building does not comply with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather.Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... 1921 sf Single Family Detached Existing Front Facing 35 deg (NE) 1 f 1 ReducedYear ; Raised Floor 1 15368 cf 644 sf 14.4 % of floor area 1.33 Btu/hr-sf-F 0.8 8 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell (sf) (cf) Units Cond- Thermostat itioned Type HOUSE Residence 1921 15368 1.00 Yes NoSetback Vent Vent Height Area (ft) (sf) 2.0 Standard Air Leakage Credit No COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Hull -Existing Date..03/27/01 11:07:05 MICR0PAS5 v5.10 File-HULL3 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run -Hull - Existing OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE - Existing 1 Wall 354 0.386 0 35 90 Yes W.0.2X4.16 Existing 2 Door 11 0.330 0 35 90 Yes None Entry 3 Door 11 0.330 0 35 90 Yes None Entry 4 Wall 102 0.386 0 35 90 No W.0.2X4.16 Garage 5 Door 18 0.330 0 35 90 No None Garage 6 Wall 13 0.386 0 67 90 Yes W.0.2X4.16 7 Wall 13 0.386 0 3 90 Yes W.0.2X4.16 8 Wall 89 0.386 0 125 90 Yes W.0.2X4.16 9 Wall 163 0.386 0 125 90 No W.0.2X4.16 Garage 10 Wall 501 0.386 0 215 90 Yes W.0.2X4.16 11 Door 12 0.330 0 215 90 Yes None Laundry 12 Wall 260 0.386 0 305 90 Yes W.0.2X4.16 13 Roof 1897 0.047 19' n/a 0 Yes R.19.2X4.24 Existing 14 Floor 1277 0.097 0 n/a 0 No FC.0.2X6.16 Existing PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE - Existing 15 SlabEdge 48 0.760 R-0 No to Outside 16 SlabEdge 22 0.510 R-0 No to Garage 17 SlabEdge 73 0.510 R-0 No to Crawlspace FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade Orientation (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC HOUSE - Existing 1 Window Front (NE) 24.0 1.280 0.800 35 90 Standard/0.76 Standard/0.68 2 Window Front (NE) 24.0 1.190 0.830 35 90 Standard/0.76 Standard/0.68 3 Door Front (NE) 5.5 0.990 0.740 35 90 Standard/0.76 Standard/0.68 4 Door Front (NE) 5.5 0.990 0.740 35 90 Standard/0.76 Standard/0.68 5 Window Front (NE) 18.0 1.280 0.800 35 90 Standard/0.76 Standard/0.68 6 Window Front (NE) 18.0 1.280 0.800 35 90 Standard/0.76 Standard/0.68 7 Window Front (NE) 12.0 1.280 0.800 67 90 Standard/0.76 Standard/0.68 8 Window Front (N) 12.0 1.280 0.800 3 90 Standard/0.76 Standard/0.68 9 Door Back (SW) 6.0 0.990 0.740 215 90 Standard/0.76 Standard/0.68 10 Window Back (SW) 14.0 2.260 0.800 215 90 Standard/0.76 Standard/0.68 11 Door Back (SW) 33.3 1.250 0.800 215 90 Standard/0.76 Standard/0.68 12 Door Back (SW) 33.3 1.250 0.800 215 90 Standard/0.76 Standard/0.68 13 Door Back (SW) 33.3 1.250 0.800 215 90 Standard/0.76 Standard/0.68 14 Window Back (SW) 6.0 1.280 0.800 215 90 Standard/0.76 Standard/0.68 15 Window Back (SW) 4.0 1.190 0.830 215 90 Standard/0.76 Standard/0.68 16 Window Right (NW) 3.0 1.280 0.800 305 90 Standard/0.76, Standard/0.68 17 Skylight Front (NE) 6.0 1.720 0.830 35 18 None/1 None/1 18 Skylight Back (SW) 6.0 1.720 0.830 215 18 None/1 None/1 , COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Hull - Existing Date..03/27/01 11:07:05 MICROPASS v5.10 File-HULL3 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run -Hull - Existing Orientation 19 Skylight Back (SW) 20 Skylight Right (NW) FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC 6.0 1.720 0.830 215 18 None/1 None/1 6.0 1.720 0.830 305 18 None/1 None/1 SLAB SURFACES Minimum System Type Efficiency HOUSE Furnace ACPackage Tank Type Area Slab Type (sf) HOUSE Standard Slab 644 HVAC SYSTEMS Duct Location Duct Tested Duct ACCA R -value Leakage Manual D 0.750 AFUE Attic R-2.1 No 8.00 SEER Attic R-2.1 No WATER HEATING SYSTEMS Number in Energy Heater Type Distribution Type System Factor Water Heater to meet minimum CEC Standards REMARKS The existing house was built in 1976. Duct Eff No 0.664 No 0.578 Tank External Size 'Insulation (gal) R -value i Existing building assumptions are based on Table 7-3 of the Residential Manual, P400-98-002, and on information provided by', the Architect. CEC default U -values and default SHGC-values were used for all fenestration. I COMPUTER METHOD SUMMARY Page 1, C -2R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 Project Address........ 438 Paseo Campaneros ******* Chico, California *v5.10* Documentation Author... Donna Wallace ******* Building Permit 399 East 9th Avenue Chico, CA 95926 530-893-4982 Climate Zone.. ..... 11 P ani C ec Da e Field Check/ Da e Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc. MICROPAS5 v5.10 File-HULL4 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run -Hull - Exist. + Addition Zone Type HOUSE Residence MICROPAS5 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 17.15 30.71 -13.56 Space Cooling.......... 14.80 29.39 -14.59 Water Heating.......... 11.55 11.55 0.00 Total 43.50 71.65 -28.15 t *** Building does not comply with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... 2442 sf , Single Family Detached Existing Plus Addition Front Facing 35 deg (NE) 1 1 i ReducedYear i Raised Floor 1 ' 20361 cf 539 sf 17.3 % of floor area ' 0.7 Btu/hr-sf-F , 0.68 8.3 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat (sf) (cf) Units itioned Type 2442 20361 1.00 Yes Setback Vent I Vent Air Height Area Leakage (ft) (sf) Credit 2.0 Standard I No COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 MICROPAS5 v5.10 File-HULL4 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run -Hull - Exist. + Addition OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE - Existing F2 Insul Solar 2 Surface (ft) Factor 1 Wall 283 0.386 0 35 90 Yes 3 Door 11 0.330 0 35 90 Yes 4 Door it 0.330 0 35 90 Yes 5 Wall 13 0.386 0 67 90 Yes 7 Wall 13 0.386 0 3 90 Yes 9 Wall 80 0.386 0 125 90 Yes 11 Wall 56 0.386 0 125 90 No 15 Wall 379 0.386 0 215 90 Yes 18 Wall 260 0.386 0 305 90 Yes 20 Roof 1897 0.025 38 n/a 0 Yes 22 Floor 1277 0.097 0 n/a 0 No 25 Floor 105 0.037 19 n/a 0 No HOUSE - New 2 Wall 127 0.088 13 35 90 Yes 6 Wall 13 0.088 13 67 90 Yes 8 Wall 13 0.088 13 3 90 Yes 10 Wall 85 0.088 13 125 90 Yes 12 Wall 142 0.088 13 125 90 No 13 Door 18 0.330 0 125 90 No 14 Wall 24 0.088 13 170 90 Yes 16 Wall 37 0.088 13 215 90 Yes 17 Wall 33 0.088 13 260 90 Yes 19 Wall 101 0.088 13 305 90 Yes 21 Roof 521 0.025 38 n/a 0 Yes 26 Floor 521 0.037 19 n/a 0 No PERIMETER LOSSES W.0.2X4.16 Existing None Entry None Entry W.0.2X4.16 W.0.2X4.16 W.0.2X4.16 W.0.2X4.16 Garage W.0.2X4.16 W.0.2X4.16 R.38.2X4.24 Existing FC.0.2X6.16 Existing FC.19.2X8.16 Former Laundry W.13.2X4.16 Addition W.13.2X4.16 W.13.2X4.16 W.13.2X4.16 W.13.2X4.16 New Garage' None New Garage W.13.2X4.16 W.13.2X4.16 W.13.2X4.16 W.13.2X4.16 R.38.2X4.24 Addition FC.19.2X8.16 Addition Length F2 Insul Solar 2 Surface (ft) Factor R-val Gains Location/Comments HOUSE - Existing Door Front 8 Window 23 S1abEdge 39 0.760 R-0 No to Outside 24 S1abEdge 60 0.510 R-0 No to Crawlspace 24.0 FENESTRATION 0.730 SURFACES orientation HOUSE - Existing 1 Window Front 2 Window Front 3 Door Front 4 Door Front 8 Window Front 10 Window Front 12 Window Left 15 Window Back Area U- Act Exterior Shade Interior Shade (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC (NE) 24.0 0.870 0.700 35 90 Standard/0.76 Standard/0.68 (NE) 24.0 0.720 0.730 35 90 Standard/0.76' Standard/0.68 (NE) 5.5 0.990 0.740 35 90 Standard/0.76 Standard/0.68 (NE) 5.5 0.990 0.740 35 90 Standard/0.76, Standard/0.68 (NE) 12.0 0.870 0.700 67 90 Standard/0.76 Standard/0.68 (N) 12.0 0.870 0.700 3 90 Standard/0.76, Standard/0.68 (SE) 8.8 0.600 0.650 125 90 Standard/0.76 Standard/0.68 (SW) 8.8 0.600 0.650 215 90 Standard/0.76, Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 MICROPAS5 v5.10 File-HULL4 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run -Hull - Exist. + Addition Orientation 16 Window Back 17 Door Back 18 Door Back 19 Window Back 20 Window Back 23 Window Right 25 Skylight Front 26 Skylight Back 27 Skylight Back 28 Skylight Right HOUSE - New 5 Window Front 6 Window Front 7 Window Front 9 Window Front 11 Window Front 13 Window Left 14 Window Back 21 Window Back 22 Door Back 24 Window Right FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC (SW) 15.0 0.600 0.650 215 90 (SW) 33.3 0.550 0.650 215 90 (SW) 40.0 0.550 0.650 215 90 (SW) 6.0 0.870 0.700 215 90 (SW) 4.0 0.720 0.730 215 90 (NW) 3.0 0.870 0.700 305 90 (NE) 6.0 1.720 0.830 35 18 (SW) 6.0 1.720 0.830 215 18 (SW) 6.0 1.720 0.830 215 18 (NW) 6.0 1.720 0.830 305 18 (NE) 20.0 0.570 0.670 35 90 (NE) 20.0 0.600 0.650 35 90 (NE) 20.0 0.600 0.650 35 90 (NE) 12.5 0.600 0.650 67 90 (N) 12.5 0.600 0.650 3 90 (S) 17.5 0.600 0.650 170 90 (SW) 40.0 0.570 0.670 215 90 (W) 17.5 0.600 0.650 260 90 (W) 20.0 0.550 0.650 260 90 (NW) 17.5 0.600 0.650 305 90 SLAB SURFACES Slab Type HOUSE Standard Slab HVAC SYSTEMS Minimum Duct System Type Efficiency Location HOUSE Furnace ACSplit 0.800 AFUE Attic 10.00 SEER Attic Area (sf) Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 None/1 None/1 None/1 None/1 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 539 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 None/1 None/1 None/1 None/1 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Duct Tested Duct 'ACCA Duct R -value Leakage Manual D Eff R-4.2 No No 0.737 R-4.2 No No 0.645 WATER HEATING SYSTEMS Number in Energy Tank Type Heater Type Distribution Type System Factor Water Heater to meet minimum CEC Standards Tank External Size Insulation (gal) R -value COMPUTER METHOD SUMMARY Page 4 C -2R Project Title.......... Hull - Exist. + Addition Date..03/27/01 11:08:51 MICROPAS5 v5.10 File-HULL4 Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User- Run -Hull - Exist. + Addition REMARKS The existing house was built in 1976. t Existing building assumptions are based on Table 7-3 of the ; Residential Manual, P400-98-002, and on information provided by the Architect. CEC default U -values and default SHGC-values were used for all fenestration. Previous improvements to the existing house: 1) The roof insulation was increased to R-38. 2) The original house had single pane windows. These were replaced with dual -pane, alumunimum-framed windows. ' Improvements to be made as a part of this work: i 1) New windows will be dual -pane, wood -framed. 2) A new HVAC system will be installed. The system will have new ductwork and a setback thermostat. HVAC SIZING Page 1 HVAC Project Title.......... Hull - Exist. + Addition Date..03./27/01 11:08:51 Project Address........ 438 Paseo Campaneros ******* Chico, California *v5.10* Documentation Author... Donna Wallace ******* Building Permit 399 East 9th Avenue Chico, CA 95926 530-893-4982 Climate Zone.... ..... 11 Compliance Method...... MICROPAS5 v5.10 for 1998 Standards Plan Check Date Field C ec Da e by Erercomp, Inc. MICROPAS5 v5.10 File-HULL4 Wth-CTZ11S92 Program -HVAC SIZING User#-MP0995 User- Run -Hull - Exist. + Addition GENERAL INFORMATION FloorArea .............:... Volume.. .. ............ Front Orientation.......... Sizing Location............ Latitude... .... ....... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... SummerRange........ ..... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 2442 sf 20361 cf Front Facing CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY 35 deg (NE) Heating Cooling (Btuh) (Btuhj Opaque Conduction and Solar...... 32240 Glazing Conduction ............... 12792 GlazingSolar .................... n/a Infiltration ..................... 12875 InternalGain .................... n/a Ducts............................ 5791 Sensible Load .................... 63699 LatentLoad ...................... n/a Minimum Total Load 63699 13135 7140 204-53 4231 21)0 4737 51776 10355 62131 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. lb 040''.3 30 OsIlE alp - 38 a ter:.97 p -S T,# 004.1 eo., Cor.,.- an 4, w�c6ln t-11. B Parier6, Co., Ele S* arker #Ej� Chi 'v ChISV,,..-P,ct Jc4 C-0 SERVING UTILITY Ux I L I - r �vl ",%GAS' Date meter By EJECTRIC ate Meter 13Y w pA� �­7 4W- n ?F7^}'i�'y "•"": '' :fail. ''<'"•j l-''-:.1 ,?Ys'.!°'�".'x'�M;..?�R7�j.95:+,¢+'.1PJTiN`+i.�- illalR�f7'~ "!.+T _--w�f ",c•'.:;�5 ,i _ 1 7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 'PERMIT NO. APPLICATION AND PERMIT - - ASSESSOR PARCEL NUMBER 040-330--017 ZONING BUILDING PERMIT N OWNER XSEM WALTER & SANDY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 438 T r. C CONTRACTOR'S NAME BARYFR FLECTRTCt TELEPHONE — CONTRACTORS MAILING ADDRESS 45 Roun AMR. CHTC0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER'S LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 438 PASEO COMPANEROS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Eq Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other7l Describe Work: 2, t� AMP METER MAIN Mobile Home SG W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 200AAOORLLEESs ) X 23.00 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.7 z License Class-/(' Lic. No. %. �/ J�.►+ _ 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 OCCUR SO. OR ADDNS. ( S ACC. BLDS. ) 3.5¢ FT. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) BA0 @ 1,00 FIXED APPLNS. OR EX. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 on - V PERMITFEE $ C cj Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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 g 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.) E,l 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' comperjsation laws of California, and agree that if I should become subject to the worker' `compensatiop_provisions of section 3700 of the Labor Code, I shall forthwittt'comply witti those provisions. X l �~: i r - "_ `` _� Date _ _ Signature of Applicant , 0 Owner EYContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structure over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE [jG TOTAL FEE $ �9 HAZ. I D. FEES IMP FLOOD CDF PARCEL PO HD ISSU ✓ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 'AA By 1 J /I rtrl t/f ,a' Date ` ! 1 -T- PERMITEXPIRESON r� 1 4`, l !(Date) '209508 209508 -- `• WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY,OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .1",9-UwP;4@kk-R@a"hico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA'- (916) 338-7541 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 completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. IF&Ro d)A / c 14 )dDD 7410 A GDate I-) GG "q Inspector REV 10/92 .y: 13 r.F •^L COUNTY OF BUTTE- DEPARTMENT -OF DtVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-330-017 ZONING AR BUILDING PER � T OWNER �gg J)&8X7IIA TELEPHONE SO. FT. OCC. EUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME BARKER TELEPHONE CONTRACTOR'S MAILING ADDRESS 9435 ROID-Fo AVE, CH1120 Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 438 PASEO COMPANEROS PERMIT=EE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF [A Duplex ❑ Mobilehome ❑ Other -SPECIFY Water piping 15.00 Each gas water heater or vend 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other j[7 Describe Work: 2M AMP M'FTRR MATN Mobile Home IS I GI W1 920.00 PERMIT=EE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 2000A A OR LESS OR LESS ) X 20 23.00 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. 1r7��c,��i 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 OCCUR. OR ( 8 ACC. BLDS. ) -SO. 3.S¢ FT. CNS. NEWAD CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CI9. Ex. Occup. (OUTLET OR FIXTURE ) zo @ 1.00 BAL so Ex. Occup. ( OUTLETS(RESD.°EA-) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 E2� iQ- ty' 0`?3 I PERMITL=EE ; 1911.08i 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. ❑ 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 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' ation laws of California, and agree that if I should become subject to the worker ' compensati visions c section 3700 of the Labor Code, I shall fort �wi comply those rovisio X _ Date _ �� _ Signature o Applicant - er ontractor ❑ Agent An OSHA p mit is required for excavations over 60" deep and demolition or construction of structure over 3 stories in height.Ely/ Mobile Home Installation Fee Is Energy Inspection Fee Is GCC CONST. TYPE TOTAL IFEE $ �%• 8 494 •ISS* HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees iave been Ivy MJ PERMITEXPIRESON (Date) provisions to do work paid. ate )//,3/ 7 Receipt No. 209508 �9Sa/'—c;z3 D� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovi!�% California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT . ZDN'`" BUILDING PERMIT ASSESSOR PARCEL NUMBER t�NG 1 OWNER f� NE SO. FT. OCC. BUILDING VALUATION OWNERSMA gQDRESS (V[ 1 CONTRACTO E 1 K-- C�—�G L TELEPHONE - CONTRACTORs MAILING ADOR ' 1I6D Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee S Energy Plan Checking Fee $ ARCHITECT OR ENGIN MAILING ADDRESS Penalty 1 $ PERMITFEE S BUILDING ADDRESS •� PLUMBINGPERMIT Fling Fee 20.00 C, Each Trap 7.00 U7T No. SUBDNBgNS NAME PARCEL MAP Solar or heat pump water heater 23.00 I Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 SF Gplex ❑ Mobilehome ❑ Other sPECIFr Building sewer 15.00 TYPE OF WORK Mobile Home IS I G1 W1 @20.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Y % PERMITFEE S Describe Work:_/��Yf�/t"� l2�LY/� Contractor ELECTRICAL PERMIT Fli •-•Fee 20.00 Main Service ( e00v DR ue 200A OR LESSss 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR \ SO. OR ADONS. ( & ACC. BUDS. / 3.50 FT. LICENSED CONTRACTOR'S DECLARATION NEWCONST. ( BA,�H c a CIRCUITS ) @7.50 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter POWER APPARATUS ) 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, (a SINGLE OUTLET CIR. and my license is in full force and effect. Ex. Occup. (OUTLET OR FIXTURES) BAL o 1.00 L .70 License Class Lic. No. EX. Occup.FIXED APP-- OR (OUTLETS (RES., EA) 5.00 OWNER-BUILDER DECLARATION Temporary Service 23.00 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Mobile Home Facilities 20.00 ❑ 1, as owner of the property, or my employees with wages as their sole compensation. MAC. Wiring 23.00 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. PERMITFEE S ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason MECHANICAL PERMIT Fling Fee 20.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self-insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. PER MIT FEE S My workers' compensation insurance carrier and policy number are: Contractor Carrier Mobile Home Installation Fee $ Policy Number (The above sections need not be completed 6 the permit is for work of a valuation Energy Inspection Fee Is of one hundred dollars ($100) or less.) OCC CONST. TYPE TOTAL FEE $ ❑ 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' HAZ. 1 D. FL'ES I IMP FLOOD I CDF PARCEL I PD HO I ISSUE t 1 laws of California, and agree that ifI should become subject to the compensation workers' compensation provisions of section 3700 of the Labor Code, I shall This permit is hereby issued under the applicable provisions I forthwith comply with those provisions. • of the Butte County Code and/or Resolutions to do work, � indicated above for which fees have been paid. X ______ Date __ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction By Date of structures over 3 stories in height. PERMITEXPIRESON rR.ceipt No. TE-D.D.S.-B. D. CANARY•ASSESSOR PINK-INSPECTOR GOLDENROD•APPLICANT (Date) M TYPE OF OCCUPANCY: ' BUILDING INSPECTOR'S REPORT n Lididing r Description: - i [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ J Not j ] ...........:.............:;.:.......................................................... ::::::::::.�:a:a:->::::•T:J:a:?•TTT:.TTT:•:J:a}}TT:-:arTTT:•}:•:??•rT:�T}TTTr:-;rr:�:•r:?�:�::�. :�>:�::y:;-yy;:a:;-:.;:-;:-y>:�>;:y;::s;:�:<z;z:::y:•T:•:;•;;iy:.y:.;:.;:�:} :.�:.,�._ :.:..:!•:::} :::::::::�::.;yiry��:}:�;:T•:;�i::;.>:y:yy:�:>'�>.aT:•yy::.>:;::-.?�:::.>-::::::::::: ...... �:� ......... - .. ..::.:, ..: :' v. ...: :... ....:.,- # .,,,.} ,..:. ....., , :::::.......:.....:.:..: .. ::. ..t - •�ia:::.try:}r•-iT:.:�::>::•T::->: \ F t:•i}G ,t. "i.SS•\:,J'i tSSi�{SS'•. wK . t.:::.,�::::.:.:::::: • ... :.T:•>y: .., \�\`L• �: �s♦�':bbo•hi3:��ii:,.. [ ]Currently Occupied. .:................. ?.}..}r-:v:?•isxT;.�:}:?•;t::r:�ii:!J>}:}}:::::::::.::.y:::,, ................... ............... .... :•.,.. :•., n........ �Y.J:Ji}..:.:.� : ... 1.•.i.. ::.<.. J/ .y::;?;:; i.•Ov •r};:??:• 4: JQ3•�♦,. ��t:5'•♦>Gff y;;`:. .. ......... .......................................::::::?::•:: •. �:::: �::::. �.:� :::.;......... :\:::.: :::::?•:;+.<.}•••� S.a::�:�-}yj �::: T°..:, r•..>04.:: ti$;:. I J Yes ,[ ] No; '. i •WNER.1A.%-G f • �7Z- �© -� DATE: % ► ?% LOCATION: AP.#: CONTRACTOR: "�� ��a�2 �Z ZONING:. P -INSPECTION FOR: JGas: I Natural [/Propane[ ] None[ J Currently On[ J Off[ ] Obvious problems: 3 DATE TO INSPECTOR '- ERMIT HISTORY: [ ]NONE [ �SFOLOW._S: l�D16L_ Plumbing working Yes[ No[- TYPE OF OCCUPANCY: ' BUILDING INSPECTOR'S REPORT Lididing .I �i Description: - i [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ J Not j ] ` [ ]Currently Occupied. [ J AbandonedNacant. 1 t fElectrir. I J Yes ,[ ] No; '. i On Off Electric is currently :[ 10 , Condition of electrical? JGas: I I Natural [/Propane[ ] None[ J Currently On[ J Off[ ] Obvious problems: 3 anitation:'l 1 Plumbing working Yes[ No[- Well: Yes[ No[ ] Potable water: ,Yes[ ] No [ ] ' Obvious Sewage Problems: I , ction Recommended: [ ]Issue [ ]Hold for: CL f c [Inspector: Date: / %, ! I ' y ._ 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATMN AND PERMIT PERMIT NO. 9c2- ` y� r ASSESSOR PARCEL NUMBER — — — ZONING A—R BUILDING PERMIT OWNER TELEPHONE 345-88772,040 SQ. FT. OCC. BUILDING VALUATION OW A NIS ADDRESS 438 Paseo Com aneros, Chico M T6,720 480 C 6 240 CONTRACTOR'S NAM E owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 77i=_ NKNOWN Total Valuation $ 36,720 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 288.00 Plan Checking Fee $ 144 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 438 Paseo Companeros, Chico Permit fee $ 447.00 PLUMBING PERMIT Filing Fee 15.00 ach Trap 31 5.00 15.00 So r or heat VT p water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Wate iping 7.00 7.00 Each qh w ter heater or vent 7.001 7.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other ^�1= er�h9n —� SPEC r Gas pipin system 1 - 5 outlets 5.001 9,00 Building/se r 15.001 19-00 Mobil Home S GJWJ @ 15.00 TYPE OF WORK New E� Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: detached garage/shop _ Pe ' it Fee $ 4.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 /Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 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 200A TO IOOOA) 37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ADDNS, \ ACC. BLDGS. I NEW CONSTR. U TI.OUT LET NON•R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e (SINGLE OUTLET CIR. Ex.OccuTS OR FIXTURES 20 76 P�OUED FIXED APP LNS, OR Ex. Occup. OUTLETS IRESID.1 EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 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 E,/ 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 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 als ree to save, indemnify nd ke p harmless the County of Butte against all abil tie ju nt c st , and xpenses which may in any way accrue aga nst aid aunty c s nce the ranting of this permit. / ^� 2- y L — — X Date/ Signature of Applicant — Owner 0 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 597.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL PDSSUE HD I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 129882 WHIT!-D.P,W„ YELLOW-A88[880R, PINK -INSPECTOR, GOLDENROD -APPLICANT '"Y`�'1►�•r7"i'+'r'NK„j'i%rtr,"�y-t.::� � .. r .. , � . COUNTYOF BUTTE - DEPARTMENTOFzDEVELOPMENTSERVICES -BUILDING DIVISION ...,. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA. 5965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. t/O 33 - 7 Proposed Building Use Building Inspector SGL. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer oft -plans. . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Bu`itdings. . 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. ...... ............... Flood elevation letter (100 year flood b California Engineer. . . �I y ... j Sanitation and plot plan approval CY-H&O Health Departme t . ............ ` City of Chico plumbing permit . ...................... l .............. . 16. Plot plan and business license approval from City of Biggs/l/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking! 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to/occupancy). . . 20. Pre -inspection for / required. .. o Building �s,e� (Date) 21. Contractor's license information. (No., Name Style, Classification). ............... 22. Certificate of Workmans Compensation Insurance. .......................... . ............ . 23. Owner -Builder Verification (Given to owner t/, Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. . . l51' L'ettee.of intent on building use . ......................................... 28. M�o'bilehome utility clearance . .................. 29. 'Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ,Telephone :?4/S-6307 and hold for pickup at office. Deliver with inspector. Other Parcel Creation /2 - Acreage Applicant ate 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 for 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-IZ- _ mail Counter by ate Z Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter 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 COUNTY OF BUTTE - DepArtr6ent of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: I . Phone: 916-538-7541.'., An "owner -builder" building permit has been applied for in your name and bearing your signature. 1 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. ; r 1. I personally plan to provide the major labor and materials for construction of the proposed propert improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I -have contracted with the following person (firm) to provide the proposed construction: Name ' Address City Phone Contractors License No. 4. ;I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: I Name Address . Phone Type of Work Sign Social Security Number Date/ Z -3 - JiL 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. pow PERMIT NO. _ 534-83B,P,E_ PERMIT EXPIRES OWNER RICK PRJI1,1$S CONTR. Sunshine Pools of .'hico ASSESSOR PARCEL 40-33-17 LOCATION S/S Paseo Companeros, 500'S of Fair lot 42, Ranchos Robledos, Chico a a 9 y. r P� 1. S f. Temp. Power Pole s ' ` Called PG&E 'j Temp. Elec. Service > Called PG&E S } Temp. Gas Service r Called PG&E JOB FINALE[ Signature 1 a r J -OK 0 = Not OK Not Applicable MOBILEHOMES L = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Conr4ectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Deckirg—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. Elec. 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 Card -BI Date _ Date Card -BI Date _ POOLS (Pl*(s) OK except #'s 1. Zoning Requirements—Setbacks—Easements V_aelbacks—Easements 2. Footings; Size—Spacing—Marriage Line # oils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector IAO.—Pool Structure; St —Connections-Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances c.: Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector , 5. Elec.; Pool LWing; 15 volts—GFI 6. Water; MH Test—Regulator—Connector { 6. Elec.: Enclosures: Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval i, 7. Elec,; B ing; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged l c.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch I 10. Cert. of Occupancy t 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test i Card B -I Card B -I Date Card -BI Date Date Card -BI Date Cav41 Card -BI Z§ Date J -X(. -3 Card -BI Date Date and -BI Date I J = OK 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAk, (S n-gle and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel_ /' /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-'Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test &,,Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ __19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. 68. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location - 21. Flet. Receptacles Spacing- Lights ,&,Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 71. Elec1nsul Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - -_ _ 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At __ _ _- 27. 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral r_,Yes El No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 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 _ 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I _-_ Card -BI Date --Date _-_-_ 81. 82. Ventilation throughout House Glass Protection _ Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except H's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. _33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI --35.-Attic Access & Platform ii Furnace in Attic - -- - -- - - ---------- - Date - _Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. X37. 38. 39. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Watts over Girders & Floor Nailing-_ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windows or Exiling Doors -Sill Hgl. & Dimensions_ Garage Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) r COUNTY OF1 BUTTE•- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville.,Xalifo6iia 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO.. ASSESS R PAJC L NUMBER - . L �}— ,� ZONING BUILDING PERMIT OW2RI I C .L Ph / U L–' .S TELEPHONE SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS C TRACTORME PP ^ /�, TELEPHONE' CONTRACTO 'S MAILING DRESS Aw ri C 1 ` Fireplace CON TRUCTI ON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 S A� LTJZMr Each Trap 2.00 Solar Water Heater 20.00 CA I'Lt� Water piping 5.00 LOT NO. SU DIVISION NAME f%/� G`j /�-���' PARCEL MAP Each qas water heater or vent 5.00 ' Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFX Duplex ❑ Mobi Iehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal lation ❑ Other Describe work; — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 2Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCU-.& OR ADDNS, 1, ACC. BLDG$. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code Qo a/ullnnd my license is in fforcce, and effect. License No.3-5-7 ` / Classification 5' �� ❑ 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 CONSTR U TI -OUTLET NON-RESID (BRANCH CIRCUITS 2.50 ea NEW R CONSTPOWER APPAR ATU> & NON-RESID. (SINGLE OUTLET CI -Z Ex. Occup(ouTLETs OR FIXTURES 20@50Q FIXED APPLNS. OR EX. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring . 15.00 (.l. (N11�.� �(� 0r✓ ^ Permit Fee $ J Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 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 againstAald Counsequence of the granting of this permit. X Date 3–/–S a Signature o Applicant — ner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures�ov7er 3 stories in height. Mobile Home Installation Fee' $ TOTAL PERMIT FEE $ occuP. GROUP _I I TYP of C NST. I PAR7 PD HD 1550 This permit is hereby issued under sions of the Butte County Cade and/or work indicated ab " for which fees DIR CT R OF FUBLIC By I EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date-' 2 �__Z' — Receipt No. / (7S� WHITE-D.P.W., YELLOW -ASSESSOR; PINK, INSPECTOR, GOLDENROD -APPLICANT RESIDENTI 040-330-017 PERMIT#97-1058 PERMIT N' HULL, Mike & Sherry 438 Paseo Companeros, Chico -- PERMIT E Cont: Bill Ginno New Pr i: 'Pool House'- . 1 t, OWNER CONTR. ASSESSOR PARCEL LOCATION } p ' r' i s I t_ Temp. Power Pole i Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service + Called PG&E JOB FINALED (Date) Signature V=OK O = Not OK Not • = Applicable MOBILE HOMES NotReady Date MOBILE HOME UTILITIES (Plans) OK except #'s I 1. ZbnN Requirement6 Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Spits-SizL- a thSpacng-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer Location-Test+all C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Sh ft.*-Rfg.-Bracing 4. Water Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Cdumns-ConnectionsSplice-Decal-Enclosures 5. Electricity; Location•Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / ItIt / /Nat or/ /L'fL/ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fmtg.; Si1s-Anchors-Studs-Rttm-Trusses 8. Utility Clearance 9. Siding; Nailing-VeneerStucc"esh 10. Roof; Shthg-Rooling Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Shme Spacing -Marriage Line POOLS (Pians) OK except #'s 3. Gas; MH TesVDemand- Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; CompactionStnicture Stability 5. Drain; MH Test -Fell -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water, MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -fisted 9. Tie Downs -Type -Installation Cert 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Endosures-Panelboardsins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. TestANater Supply Test Date Card B-1 Date Card 0-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date ,Mgll(% COVERS, CARPORTS, AGE$ (Plans) OK except #'s I 1. ZbnN Requirement6 Setbacks -Easements 2. Footings; Spits-SizL- a thSpacng-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Sh ft.*-Rfg.-Bracing 5. Alum. Awn.; Cdumns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fmtg.; Si1s-Anchors-Studs-Rttm-Trusses 9. Siding; Nailing-VeneerStucc"esh 10. Roof; Shthg-Rooling 11. Ext; Steps Doore-Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Pians) OK except #'s 1. Setbacks -Easements 2. Soils; CompactionStnicture Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -fisted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Endosures-Panelboardsins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestANater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓= OKi O = Not OK Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /' Ftg. Depth Date 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ / Ftg. Depth 47. 4. Ftg. Porches & Decks; SoilsSteei-/ / Ftg. Depth Fireplace T s or Type A Flue -Fireplace Throat clearance 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 59. 6a. Hold Downs and Special Anchors 61. 7. Slab, Steel -Wrapped Infiltration -Walls -Windows 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Date 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test FINAL (Plans) OK except #'s 11. Water Pipe; Test-Anchors-RegulatorService Test 64. 12. Electric Underground Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. Protection 13. Pienums & Ducts; Clearance -Material -Support -Ins. 67. G.F.I. & Bath Fixtures & Tub Access -Spa 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 69. 15. Access & Ventilation 70. 16. Insulation Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap Cooking Clearance Date Elec. Outlets & Recepticales at Kit. Counter Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date 77. PLUMBING (Permit) OK except #'s 78. 17. Water Htr; V t -Access -Combustion Air Baffle 79. 18. Water Pi Test & Anchor -Nail Protection Guard rails & Deck Construction -Post Caps 19. 20. D.W ., ittings & Anchor -Nail Protection Sh an; Firs Floor -Tub Access 82. 21. Test Tub & Sh`Slgconcl Floor -Tub Access 22. P)iK a ch fl 83. Stucco Brown -Finish 84. Date Date 85. Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing ELECTA AL (Permit) OK except #s Exterior Elec. Trim, G.F.I. Receptacle -Underground 23. Fixture & Transformer Clearance -Ins. Protection Ventilation Throught House 24. Elec. Receptacles Spacing -Lights & Switches at Doors Glass Protection 25. Size BoxesA No. of Conductors Stapled 91. 26. Romex In talled Close to Edge of Studs & C.J. Water & Sewer Connected -C/O to Grade -HD Approval 27. 28.2 Equ' d Tacle up w/Mech Fastners-Bond Gas & Water AW16nce Orcuja4 Kitchen & Conductor Size GFI 29. 30. Subfeed ire / a. Cu or AI-A.C. Wire Size/ / ga Cu or AI fh7ge r. / C r AI -Oven Circ. / / ga Cu or AI la eyq 0 s 0 No 31. 32. lGeAnice-Rip6r ondu s & Ground -Main Disconect Equip. Cl&n'2 s -Motors -Meeh. Epuip. 33. Clothes C14et Light-Sh r Light -Spa Light 34. Smoke Detector 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. Fumance-Vent Access -Comb. Air-Retum 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 (Plans) 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-roll Brac: TrussShting.-Rfng. 48. Fireplace T s or Type A Flue -Fireplace Throat clearance 49. 50. 51. 52. 53. 54. Attis; Sine & Romex Protection -Draft Stop -Ins. Baffles Bd i or Exiting Doors -Sill Hgt. & Dimensions Ga Fire Prot on Framing Property_Wel i & Openings D e t3jeck Garage 3rd Story, 2 Exits re s; ' th-Headroo Rise -Run -Landing -Fire Protection 55. f O ng -Attic Vents -Rafter Outriggers 56. Sidin -N if g Vep r 57. Stu s - cr -Fd. Vents-Underfir. Access 58. Glazi ea%lass Pro tionSkylights-Plastic 59. Shear Walls; Nailing -Bolt 60. Brace Interior / Exterior W II Parcels 61. Insulation-Walls-Cedings 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-Conector- In Garage; Above Floor -Ducts -Meeh. 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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.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 0 Yes 82. Following Insdd./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 , 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: COUNTY OF BUTTE- DEPARTMENT OFF DEVESLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califorhia 95965 - Telephone (916) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT g%-�D ASSESSOR PARCEL NUMBER 040-330-017 ZONING ONWO BUILDING PERMIT OWNER MIKE Py SHERRY MILT, TELEPHONE 891-4601 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS #9 DONNER TN_, CHT012 112 6 048. 24 COV 312. CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS 1179 WATTS ESTATES DR, ISHIC0 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 6.360.'. ARCHITECT OR ENGINEER '110'R HEATON LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 90.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 58.50 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 191.50 LOT NO. • SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other P001, HQUOT SPECIFY Each Trap 2 1 7.00 14.00 Solar or heatpump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 5.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ b4. UU ELECTRICAL PERMIT Filing Fee 20.00 Main Service E00V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 ful orce and effect.POWER 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 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 46,00 - NEW CONST. DWELLING OCCUR S5 OR OR ADDNS. ( 8 ACC. BUDS. 3.50x; 0 NON•RES;IJtIDT BMAUJLCTI-OCUTCLUT TS @7.50 APPARATUS 8 SINGLE OUTLET CIR. EX. OCCD OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oFIXUTLsrors AF�sID°RA1 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 23.90 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 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 provisions of section 3700 of the Labor Code, I shall forthwith comply wit t ose provisions. X Date 2- Signature of Applicant - ❑ Owner K Contractor ❑ Agent An OSHA permit is required for excav Ions ^ov^er 5'0" deep and demolition or construction of structures over 3 stories in height. AA Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 279.4 HAZ. D. FEES IMP FLOOD CDP PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indi a e f wftich fees have been paid. / c1 Da PERMIT EXPIRES ON 3 /- Date Receipt No. -221936/141.50// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .sits;,-4.'i"`t:•tyy,+'-�s."t"'+tv;."':-'.:`.c1F°.+Y�`o:+...:{.ti SZ .*etr'�7'f ir'`'°f�ji^.`�kr`�%'.t75r14'-�'r'"{�="�"+4� '�+f•-�i","''Iwrb.i•" n..:.,,:a�„t,,.....�-ti r-....�•1-,.s'•'....r-. COUNTY OF BUTTE DEPARTMENT OF_,DH O MINT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 1!s: PERMIT APPLICATION DATA SHEET 0 E_. OWNER: t I (I(+ .-:ASSESSORPARC - ER: Proposed Budding Use: Building Inspector: Date: 57 4n - q -;L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: .4 Date Received By ❑ 1. All items have been submitted .----------------------L------•-------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 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! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------;=----------------------- ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured`` Home data and installation instructions including Tie Down Specifications. --------- 511 Fees of $ --------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------------------------------------------------------- E112. ------------------------------------------------------ ❑12. alifornia Department of Forestry plan approval/fees. --Z ----------- El 1 lood elevation certificate. --------------------------------------------- tation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit: -----------------------------------' -- ❑ 16. Plot plan and business license approval from the City of Biggs. -,_y -: --------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: '.-----------. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage,. ❑ Legal Parcel. --------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required. Request to Building Inspector on - ❑21. Contractor's license information. (Number, Name Style, Classification). ----------- ------------------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------- =------------------------ ❑ 24. Letter of signature authorization.-------------------------------------------------------------------------------- . ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- (Date) 030. Other: ------- When you issue the permit, rocess as follows ❑ Mail to owner, ❑ ail to contractor. Telephone Y? "� �2 and hold for pickup at C� office. ❑ Deliver with inspector. plicant: D�,�� t Date: Copy of Haz-Mat form sent ❑ Health.D artment ❑ Fire 5etp�ar�tment, ❑ Air Polluti� ep on Date:_ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required ❑ Plan Check List Contractor, designer, owner, was advised of the above required data'by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, •❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by. Date: Ili -r �/ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note'transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Sewage Clearance for dwelling.(O 1136 % 0,, ( ew �Ocation osal ,/ Water E.H. USE ONLY Plot Plan Attached i Floor Plan Attached Sent to B.D. / i 194a& LI() -33-D AP# ly: Public Priv;te Well Hold final for: Final clearance O.K. for: NOTE: Environment Healt Specia ist bate 8/96 ` COUNTY OF BUTTE '* BUILDING DIVISION R' 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 Jos 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 completed. If you have any questions pertaining to this matter, or need additional explanation, ease contact this office immediately. n Dzte Inspector w. " REV 10/92 ,_; - a r.� ... .. .r�-g•-, g.... rc.. � . r w �.-.Z., _... � _,�.��'-�n-�4..--•e ..-�-...�.. ,.. -er.....-��!rtr:v"��'h,.�vw.L�s::eR'�Rp.a.'�e�ctl' .�,. �„s.n:.rrr . w t R411 -017 r�'Z,,l 97-1256=Bke:'& sherr `o Cy..Chico Baird Roo r i I - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 FERMI P NO. (Rev. 12/96) APPLICATION,AND PERMIT ASSESSORM� VEO ZON A BUILDING PERMIT OWNER �w ` (e c r+� � - rIy1�I1fUNG,,ADORESS ✓) TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' S, / "r Lp, - f / DO CONTRACTOR'9y ME f .2 0 O 1_ru TE ONE CONTRACTpf{;$, UNG ADDRESL � !V) "'amu a #Avm � r J CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 60 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �gp ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ 1 �,PERMIT FEE $ + da► LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 11 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 0 Other cl--- Describe Work: 1/[,C�7Tt"' .�' ���,) 11� 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 Filing Fee 20.00 EOOV ORLESS Main Service 2..AORLESS23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i fIi I Orce 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 Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. B.S. 3.5¢x: No NEIMULTI-OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 EX. Occup. OUTLET OR FIXTURES BAL w Ex. Occup. pUTLETSPPLNS RESD.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. 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 Jrzlm, F&&dz , MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 137E SS .-71of (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X— Date -/(///e r _ Signature of Applicant - ❑ 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 *� 1 TOTAL FEE HA2. I D. FEES IMP I FLOOD I 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 indicate, above for Which fees have been paid. / By ,•!�Date� /` _ PERMIT EXPIRES ON / ! (I? ` Od Date Receipt No. , ./ 'f/ (- 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 (916) 538-7541 % �y 49 NO• (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPADN M® 3 �^ ZONIN BUILDING PERMIT OWNERTELEPHONE SO, FT. OCC. BUI DING VALUATION OWNERS ILING ADDRESS D '000,v/^' cco 7 CONTRACTOR'S ME ! `O �('� � IJ ^ TELEP ON^ CONiRAClOR IUNG ADDRESS S CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 6 a ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ • tg9 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 'EG � Energy Plan Checking Fee $ $ PERMIT FEE $ c LOT NO. ' SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CroDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap* 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 01,elmodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 4 PC -S6 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service '.*.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f Irce and effect. /n 9 License Class LIC. NO. J OWNER -BUILDER DECLARATION TION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a Acc. BLDs. SO 3.5QFT; NON -R SNEW LID. =OU CET @7,50 POWER APPARATUS 3 SINGLE OUTLET CSR. Ex. Occup. OUTLET OR FlxruREs sn� @': o Ex. Occup.OUTLEEDTs REESIOOFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 Policy Number '] Sic _ 9 (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 with comply with those provisions. X � Date __ Si6ndfur EIJI Applicant - ❑ Owner >r Contractor ❑ Agen An OSHA permit is required for excava ions 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 $ : FES IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicat d above for ich fees have By PERMIT EXPIRES ON -- the applicable provisions Resolutions to do work been paid. Date s Date Receipt No. �1 �a7 WHITE-D.D.S.-B.D. ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i RESIDENTIAL R + 040-330-017 • _• PERMIT#97-1057 i HULL, Mike &.Sherry PERMIT N')4-38 -Paseo _Companeros ,'_.Chico _ Cont: Bill Ginno wF PERMIT a -Remove,-Walls & -Add Skylight/SF s OWNER CONTR. ASSESSOR PARCEL LOCATION 4 1 Temp. Power Pole S Called PG&E Temp. Elec. Service Called PG&E ` Temp. Gas Service Called PG&E JOB FINALED (Date) Signature • a f V=OK O = Not OK Not •=NotReady ble 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 -CAD -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /Ut. / /Nat or/ /I-'tL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance r MISCELLANEOUS Date DECKS, COVERS, CARRORTS, GAR GE¢ (Plans) OK except #'s 1. Zoning Requirements,Selbacks-Easements 2. Footings; Soils -Sine• thSpacng-Con nectDrsSteel 3. Decks; Girders and/or Joists-Decdng$recngStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors ' ShM.-Rfg.-Bracing 5. Alum. Awn.; Cdumns-ConnectionsSplice- l -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fang.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test-DemandVaheConnecto Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances . 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert '10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARRORTS, GAR GE¢ (Plans) OK except #'s 1. Zoning Requirements,Selbacks-Easements 2. Footings; Soils -Sine• thSpacng-Con nectDrsSteel 3. Decks; Girders and/or Joists-Decdng$recngStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors ' ShM.-Rfg.-Bracing 5. Alum. Awn.; Cdumns-ConnectionsSplice- l -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fang.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced WaH.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; CompactionStnicture Stability 3. Pool Structure; Steel-ConnectionsThickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit EntriesTenninals-Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/9 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. 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 ✓ = OK O = NotOK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #a 1. Zoning-Setbacks-Easments-FloodSlope 2. Fig., Main; Soils-Elec. Gmd. / /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /' Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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/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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists Vents-Crippies 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 #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; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector 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. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) 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. Zire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr: Ties-Purlin-roff Brac.-Truss Shfing.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 52-TropertjLine Gar a Fire Protection Framing Firewall & Openings r -0ne 3 -Check Garage 3rd Story, 2 Exits fai idth-Headroom-Rise-Run-Landing-FireProtection 55. P Roof Overhang -Attic Vents -Rafter Outriggers 56J SidingViling Veneer 7 Stu Mesh -Drip Screed -Fd. Vents-Underflr. Access zing Area -Glass Protection -Skylights -Plastic 59. Sh ar Walls; Nailing -Bolts 60. Bracle, 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-Conector- In Garage; Above Floor -Ducts -Meeh. 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 & Recepticales at Kit. Counter 74. Garage Fire Door;.Swing-Landing-Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.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 L6oked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/1Nalks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 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: 1' V/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cailiforni& 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _1? 7-- fz `Q ASSESSOR PARCEL NUMBER ZONING� 1 BUILDING PERMIT OWNER MIKE & SHERRY TITILL TELEPHONE 991-4601 ASO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS #9 DONNER TN_, CHIC0 CONT 3,000. CO 0 6-121 CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS 1179 WATTS ESTATES DR-, CHIC0 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ -121. 0 ARCHITECT OR ENGINEER BOB HFATON LICENSE NO. Filing Fee $ 20,00 Permit Fee $ // ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 76 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $2.132 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF §PX 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 di Describe Work: REMOVE WALLS — ADD SKYLIGHTS Qty �'y,L — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service EOOY OR LES9 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 commencin with Section 7000 ovision oe usness anroessions oe, ( g )f Di3f thBid PfCd and my license is in full rce 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 Main Service ( 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BLDS 3.50FT; NEW CONST. MULTI -OUTLET NON-RESID. ANC CIC 97.50 OWER APPARATUS d PSINGLE OUTLET CIR. OUTLET OR FIXTURES L O I.SO EX. OCCU BA Ex. Occup. OUTLED ETSPRES D.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 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.) 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. X Date_ z Signature of Applicant - ❑ 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. 4M ok7d Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE HAZ. I D. FEES IMP I FLOOD I COF PARCEL PO HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate abo a for hich fees have been paid. S Q By Date,,if PERMIT EXPIRES ON G S Date Receipt No. 221936/55.1011 WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT"( 7 COUNTY CENTER DRIVE OROV �' -'OFMENT SERVICES - BUILDI_NVG DIVISION 'IP©'95965 - TELEPHONE (916) 538=7541' R; , PERMIT APPT, ,LICIIONDATA SHEET y r OWNER: ��, . �L . ASSESSOR PARCEL NUMBER: 3 3 Proposed Building Use: Building Inspector: 013_9[js o Date: 5-- a 12 —92 At time of permit application, I was advised the following data, must be submitted prior to permit processing and/or issuance: Datr Received By ❑ 1. All items have been submitted. 02. 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, 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! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -----=-----------------=--------------------------------- 71 ------- -----------------=--------------------------------------- 118. Hazardous Material Form. ----------------------- -- 09. anufactured Home data and installation instru ' ns includin Tie Down pecpSktions.- -,--------------- �j y - ❑ 11. Impact fees as shown on the attached schedule. ----------------------- ----- ------- - -Y ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- elevation certificate. ----------------------------------------------------------------- ---------------------- Sanitation and plot plan approval Health Department. -_t�f----- - --- sg-------------- - A9 ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0). 024.. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------- 0 28. Existing violations and/or expired permits. ------------------------------- ❑ 9. 0433 A, ❑ffant Deed, ❑ M.H. Title, 11Check to H.C.D $ 0. Other: c( 2 6 r) r m ; E, 014 (Date) J�111en you issue the pulnit, process as follows ❑ Mb to owner, ❑Mail�tocontractor. E]Telephone 3 6a3 and hold for pickup at C" office. ❑ Deliver with inspector. / Applicant: %��i�G�� � Date: /57 % Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counte-, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counte-, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division count(,-.-, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildigg Division counter, by Daje: Plans reviewed by: Date: Plans approved by. �/�✓ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. - Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ,. r RESIDENTIAL f�' � ;vx. ..1: 040-330-017 PERMIT#97-0904 /� �42, l - - HULL, Mike & Sherry,i ' 438 Paseo Com P aneros, Chico , ; Cont: Bill Ginno S Add & Remodel/SF F r +a '61" -/Vo oar . 14 CI 4 . 1 JOB FINALED (Date) F Signature: J=OK O =Not OK -=Not Applicable- Not Ready 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 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 f a. MISCELLANEOUS „t=a ' Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 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 -Bea ms-Rftrs.-Connectors Shthg.-Rfg.-Bracing S. 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 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 wi5'-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'i OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL•(Single =. Date UNDEBPCOOn (Plans) OK except #'s o ' - etbacks-Easements-Flood-Slope Ftg.. Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft ches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fire lace Ftg.-Steel 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. Pi ms & Ducts: Clearance -Material -Support -Ins. 1 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 fit's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ------------------------- -------------------------- 18. D.W.V.: Test -Fit ings & Anchor -Nail Protection --- -- -1-9. Shower Pan: T s Fir I o Tub Access -- --------------------- 20. Test Tub'ower. Se loor-Tub Access -- ---- - ---------------- 21. Gas Pipe: e & A� rs ------------------------ -- ------------------------ --- -- ----- ------- ------------------- `,ate Card B-1 at Card B-1 -------------------- ----- --------------------------------------- .-ate Card B -t Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22.- Fixture -& Transformer Clearance -Ins. --Protection --------------- --- ----- --------------------------------------------- --- 23 Elec. Receptacles Spacing -Lights & Switches at - Doors --------- -- -------- - -------------------------------------- ---------- 24. Size Boxes & of Conductors -Stapled ----------------------------- ------------------------------------------------- 25 Romex Install d Close to Edge of Studs & C.J. ----------------------------------------------------------------------------- -- -- 26. Equip gr_6\nad up eoh. Fastners-Bond Gas & Water 27 2Appharje is m tc en & Conductor Size,GFI - - 28 Subfeed We Sizega. u or AI -A C Wire Size ga. _ - Cu or At 29 Range Cir _ �a' or At O n Circ. ga. Cu or AL - Insulated tial ❑ s ❑ No 30 Service -R s r Con t rs ouod-Main Disconnect -- - - - - - -----•------------------------- 31. Equip. Clearances s- otors-Mech. Equip. - - - -- - - ------------------- ------- 32 Clothes Closet Light- hower Light -Spa Light -- ----------------------- -- ------- 33 Smoke Detector -------------- ----- --------- ------------------------------------------------- Date Card B -t Date Card B-1 •----------- --- ---------- ---------------------------- --- ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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 Vent -115 outlet - - - - _. .. -- ............... 38 Attic Access & Platform if Furnance in Attic ----- ------ -- Date Card B-1 Date Card B-1 Date Card B -i Date Card B -t Date FRAMING (Plans) OK except it s 39 Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41 Bearing Walls over Girders & Floor Nailing 42 Draft Stop rn Walls oat proof) 43 Fite Slops Furred Ceilings -Stairs -Chases -Tub 44 Headpis & Beam -Size & Bea rinq 16, & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Clnq. Joist-Rftr. ties- Pu din -roof Brac-Truss-Shthnq.-Rfnq. 47. Fire ace Ties or Type A Flue -Fireplace Throat clearance 48.,Qtti Ajcess;,Size & Romex Protection -Draft Stop -Ins. Baffles 49 m. WKdows or, Exiting Doors -Sill Hgt. & Dimensions 54. G rage Firr? .Kebtion Framing 51. rs-One 2 Exits tags: i th-H droom-Rise-Run-Landing-Fire Protection 5 ply od in Ro Overhang -Attic Vents -Rafter Outriggers 55. Sid a' peer 56. Stuc Mes Drip creed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Ri- tection-Skylights-Plastic 58. Shear Walls: Nailing -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 #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- __ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage_ Above Floor-Ducts-Mech. 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-Mech. 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 Construction -Post Caps - - -- -- - --- - ------------------------- ---- 79. -----------------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 Root: P1bg-Appliance- Fireplace. -Clearance to Openings .... - ---------- ------------------------------- 84. Water Well: Disconnect. Electrical. Plumbing --------------------------------------------- --- 85. Exterior Elec. Trim: G.F.I. Receptacle-Underg round 86 Ventilation Throughout House --- ----------------------------------------- - -- - - - -- - 87. ----- ------------------------------------------87. Glass Protection - - - - - - ----------- 86 ----------86 Corrections from Previous Inspections - - - --- -------------------------------- 89 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 0-1Date Card B-1 - - ------------------------------------- Date Card -B-1 Date Card B-1 Date Card B -t Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D VISION _ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7E41 PE IT NO. (Rev. 12/96) •��' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-330-017 ZONING AR BUILDING PERMIT OWNER MIKE & SHERRY HULT, TELEPHONE 891-4196 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDONNF.RDRESS 8 4717 r. ES 1 50 30 CONTRACTOR'S NAME BILL (,TNNO TELEPHONE 342-3023 CONTRACTORS MAILING ADDRESS 1175 WATTS ESTATES DR-, CHIC0 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9717. ARGijjT,�f.,T APA 1 V1V jj�g�Jj} j'1 [�1Vjy LICENSE NO. ' Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 BUILDING ADDRESS ' Energy Plan Checking Fee $ 23.00 $ PERMIT FEE 3 236.05 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF CQX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 2 7.00 14.00 Solar or heat pump water hearer 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 8 Remodel IK Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer f 5.00 Mobile Home I S I G I W @20.00 PERMIT FEE SqC1,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".AA OR OR LESSSS 2oLE 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / { �/014 License Class ��� Lic. No. ✓ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To I000A 46.00 NEW CONST. DWELLING OC UP, OR ACDNS. ( & ACC. BLDS. SO 3•SQFT. 3.05 NEW CONST. NON-RESID. MULTI.OUTIET ANC cu 97.50 POWER APPARATUS d SINGLE OUTLET CIA. EX. Occup. OUTLET OR FIXTURES 20 O 1.00 BAL @ .so Ex. Occup. ouTIEFOfB RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT SEE t 23.05 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 Fling Fee 20.00 Heating Cooling 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.) 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 '11> compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X ��-- -- Date S �-- Signature of Applicant - ❑ Owner �( 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 $ 46.00 2cc D TOTAL FEE $ .5 HAzF _ IMP I FLOOD CDF PARCEL PD _ D SUE This permit is hereby issued u-ider of the Butte County Code and/or indicated above for which fees have L�y By EXPIRES ON-d-�- the applicable provisions Resolutions to do work been paid. p�^ / T 11 ate / Date ReceiptNo. 221761/328.10// 9 83PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L V E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.O. 2; - Z-� • f7 / VETO: Building Department 00 FROM: Environmental Health SUBJECT: Sanitation Clearance q 110,.3.3 - r `1 Owner ocation AP# Plan Approved for: Sewage sal Water Supply: �1 Public Private Well Clearance for, dwelling. they, �x / U Hold final for: Final clearance O.K. for: NOTE: Environmenta Speciblist C ate *1•COU�,,��11�TAY OF BUTTE IJRING DIVISION DEPARTMENT OF DEVELOPMENT.SERVICES,- 411 Main Street,.Chi'co Ce-.7*"(916) 891-2751 7 County Center.Drive, Of'oville, CA - (916) 538-7541 E . CORRECTION NOTICE OWNER PERMIT N6. A routine inspection indicates -that the following violations of Butte County Ordinances exist at the above address and shouldtre 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. ui(rpp 145 -41(Uo e . 101/v 21 DU�s/J Q Gtiv bzZ� ORS kG� v Al 6 oe _ V - -^ { �e , Date g"7 Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE NER -6�0 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. Date -1 �. Inspector REV 10/92 ENGINEERING Civil Engineers - Planners . Surveyors INVOICE 20 DECLARATION DRIVE CHICO, CALIFORNIA 95973 916-893-1600 g Sherry Hull 1722 Mangrove Avenue, Suite.36. Chico CA 95926 Client ID: A1028 Project #: 6023 Flood Certificate Paseo Paseo Companeros Project Charges through: May 30, 1997 Fed. I.D. 68-0130310 � � y oy Invoice # 16503 05/30/97 Page 1 Professional Services Charge Flood Letter 250.00 s Total Professional Services: $ 250.00 Current Balance Due: $ 250.00 Please write Client ID# & Project# on your check * THANK YOU! TERMS: NET CASH A 11h% monthly service charge (18% per annum) will be added to your account if past due, plus attorney fees and costs incurred for collection NOTICE "Under the Mechanics Lien Law (California Code of Civil Procedure, Section 1181 at seq.) any contractor, subcontractor, laborer, supplier or other person who helps to improve your property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that after a court hearing, your property could be sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. This can happen even if you have paid your own contractor in full, if the subcontractor, laborer, or supplier remains unpaid." O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31,1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the. flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure;compliance'with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB). Instructions for completing this form can be found on the following pages. SECTION A 'PROPERTY INFORMATION I FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STRE T ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER - 4 PAt� SQA Il F� OTHER DESCRIPTION (Lot and Block Numbers, etc.) t4FbA -A" AQ 0123 — 11 CITY - `) STATE 25CODE 92 t ;SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1•. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 1 (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1-1 NGVD '29 i< r�ibe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE:1 1 1210151.2 feet NGVD (or other FIRM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level . 2(a). FIRM Zones Al -A30, AE, AH, and'A (with BFE). The top of the reference level floor from'the selected diagram is at an elevation of 1 1 1210 W-i,(t feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I 1 1J.0 feet NGVD (or other FIRM datum—see Section B', Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LJ I. LJ feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I I LH feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 'Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes XNo (See Instructions on Page 4) 5. The reference level elevation is based on:�actual construction• ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate -will be required once construction is complete.) _ 6. The elevation of the lowest grade immediately adjacent to the building is: 43.8.feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations- specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: U - H_1.0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81.31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required., Community officials who are authorized by local law or ordinance to provide floodplain management.information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. :. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to,certify to breakaway/non-breakaway wall, , enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then'list the F_eature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. l certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment unde{ 18 U.S. Code, Section 1001..' CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) TITLE C04PANYNAME ADDRESS CITY STATE ZIP -e? --A pEGS.--�# tic f C YID �A eeFPk SIGNATURE _ DATE PHONE Copies should be made'of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON SLAB A V ZONES ZONES FLOODI_ ELEVATION REFERENCE ADJACENT LEVEL GRADE WITH BASEMENT A ZONES REFEREI BASE LEVE FLOOD ELEVATION ADJACENT .: ' ``-1I` RE EvELCE GRADE No. C34257'- Page 34257 ° " , .. . R__ C- ER0311257 Reg. lExpilm 9-30-99 A V ZONES ZONES The diagrams above illustrate the points at which the elevations should be measured.in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 FLOOD ELEVATION GFiAOE ' O.M.B. NO. 3067.0077 ELEVATION CERTIFICATE - Expires May 31. 1996 y FEDERAL'EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the. flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure.compliance with applicable community floodplain management ordinances, to • determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR)- •,: Instructions for completing this form can be found on the following pages:.' _• y • SECTION A PROPERTY INFORMATION - FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME : ` POLICY NUMBER.. . LL— STREET STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER- OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY� C.� . • �•. - . • STATE . .• ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) j 020 � `� �jf�T ✓ /�1yn� 15: l • � it 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD'29 '0OthLr � Meibe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: l 1 1210151.ZZ feet NGVD (or other FIRM datum—see Section B, Item 7)• , SECTION C BUILDING ELEVATION INFORMATION 1. Using the. Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level . 2(a). FIRM. Zones A1-A30,.AE, AH, and'A (with BFE). The top of the reference level floor from *the selected diagram is at an elevation of l l 1210 l4 -i .lam feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I III I.0 feet NGVD (or other FIRM datum—see Section B', Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W -U feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is IJ.0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 M� Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7), then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes XNo (See Instructions on Page 4) 5. The reference level elevation is based on:,Kactual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate 'will be required once construction is complete.) 6. The' elevation, of the lowest'grade immediately adjacent to the building is: I I iliOI�J' A -feet NGVD (or other FIRM datum -see Section B, Item 7): " SECTION D' COMMUNITY INFORMATION' ' ' 1. If the community official responsible for verifying building elevations- specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: U_J_ I Li.0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the' case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to,certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then'list the Features) not - included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. / certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. , I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. :.r t CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) b6e!S9-K, KCr,— TITLE CO PANY NAME ADDRESS CITY 4- STATE ZIP Qc�crlp' 1 SIGNATURE S/gyp 5DA2-�--g� - afro Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS ieai_T 'W\ \ ON WITH ON PILES, ` SLAB BASEh1ENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES 'REFERENCE FREFEWENCE-L IEVEI BASE FLOOD LEVEL REFERENCE LEVEL ELEVATION BASE F10 00 ELEVATION REFERENCE - _ •••", ^•" AOJACENT ADJACENT ' GRAD E : REFERENCE "�" LEVEL " t BASE FLOOD ELEVATION LEVEL GRADE '•r:: •.: !' ADJACENT: .. .. - . .. .,' I. +I.! tI ,. , I. , /n rri:$::j.1:•:>i t,.(1r1r GRADE -..:J11• ! The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. , Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 _ O.M.B. NO. 3067.0077 ELEVATION CERTIFICATE Expires May 31, 1996 FEDERAL'EMERGFNCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the. flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to ' • ' • determine the, proper insurance premium rate; arid/or to support a request for a Letter of Map Amendment or Revision (LOMA 6r LOMR). Instructions for completing this form can be found on the -following pages. ' SECTION A .PROPERTY INFORMATION - = FOR tNsuRANce COMPANY USE BUILDING OWNER'S NAMEi tt_ POLICY NUMBER .r• STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER + COMPANY NAIC NUMBER -- OTHER DESCRIPTION(Lot and Block Numbers, etc.) N� �0^ 3-11 CITYSTATE ZIP CODE GE -h . 615928 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following fr6m'the;proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑NGVD'29 R1OthYr (de�L�ibe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE:1 1 1214902 n feet NGVD (or other FIRM datum—see Section B, Item 7). ' ' SECTION C -BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions; iridicate the diagram number from the diagrams found on Pages 5 and 6 that best . _ ... describes the su6ject'building's reference level . 2(a). FIRM Zones A1' -A30, AE, AH, and'A (with BFE). The top of the reference level floor from -the selected diagram is at an elevation of 1 1 1210141. feet NGVD (or'other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of 1 I I I I I,U feet NGVD (or other FIRM datum—see Section B', Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LU.LJ feel above ❑ or below EJ— (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LU.0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management'ordinance? ❑ Yes ❑ No ❑ Unknown,, 3. Indicate the elevation datum system used in determining*the above reference level elevations: ❑ NGVD '29 !')S� Other (describe ccl under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ;<No (See Instructions on Page 4) 5. The reference level elevation is based on: actual constr'uct1 6 ❑construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course `of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of,th'e:.lowest rade immedialel adjacent to the building is: I l01 . g y ) - g I IZ ..U.feet NGVD (or other FIRM datum -see Section SECTION:D '•COMMUNITY INFORMATION'"' 1. If the community official responsible for verifying building elevations- specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor' as defined by the ordinance is: U_I H _j.0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81.31. MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION r _ This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation .information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, . enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. ' I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, -Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) �42rJ' TITLE �en1 � COI O"1 NAMEASTAP, ^ I ADDRESS SIGNATURE STATE ZIP �iI(o��-(IGiDO Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: 4 _. ... _ No; C342!57 OF CREW o E__ 3 257 Dego ExpOm 9-30-99 • ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS i , ) A v A A v ZONES ZONES ZONES ZONES ZONES ' REFERENCE ,REFERENCE 1 lEvElFLOOD BASE LEVEL i }r` • REFERENCE LEVEL ELEVATION I BASE • •: FLOOD "• •ADJACENT :;' ,'``:` REFERENCE •,. GRADE�? BASE FLOOD ELEVATION ELEVATION REFERENCE ADJACENT '`f". r LEVEL GRADE •LEVEL . i•:. •: `�'': i,�i,• I AOJACENT 'i::: i;:;; :•.i. GRADE The diagrams above illustrate the points at which the, elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM JC+e-to��fr% per Building) `5. JJ �� f . ! / 4C.0 Building Department No. qG - 3 30-0 /'1 Jurisdiction: City E4 County Property Location/Address ,Subdivision 4 Lot No: Residential Development No of.Living Mobile Home Addition Units Installation; h . «- Commercial/Industrial. ' / New Addition Bdilding Department-Wpresenta (moor runs revieweo oy scnooi uistnct versonneq Sq. Footage r " (Group R) Sq. Footage 1111k:wuniy LAMIU1 Roofed Areas) Date District Identification No. Ai School District certifies that i Cy%h (Applicant) W7. (Street Ad ress) :c (City); has complied with the requirements of%Resolution No. representing U �l� square feet. School District Representative Paid by Check # A / (Phone Number)'. RFs (State)) (Zip Code) by payment of $ B 2926 $ > ULL MITIGATION $ "V Date r Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within.90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by theapplicable 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.xls (2/97)dmm m I T- Vfr mcc 7kik t2l�l 6 _ (Z rima , COUNTY OF BUTTE DEPARTMENT OF DfVEIENT SERVICES -BUILDING DIVISION *10�; ` a .V. 7,COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 533-7541 PERMIT APPLICATIONDATA SHEET OWNER:! JZASSESSOR PARCEL ER: W 3 70 — � l -% Proposed Building Use: Building Inspector: Date: At time of permit application, was advised the following data must be su mitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .--------------------------------------------------------'c---------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------- ''---------------------------- ❑3. Complete,plans, 3/4 sets, signed by the preparer of plans. --------- -------------------------- 04. Engineered plans, 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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Haz ous Material Fonm. ------------------------------------------------------------ ------------ 09 actured�Home �data and installation instructions including Tie Down Specificitions ------------------- s of $ ��. UV ��L--------------------------------------------------------------------------- — R — Impact fees as shown on the attached schedule.----------------------------------------------------------------- /T�7 ornia Department of Forestry plan approval/fees.------------------------- jr ----------------------- ------------------------------- j V r3 - . Flo a evation certificate. ---------------------------------------------------------------------------------------- anitation and plot plan approvalC� Health Department. ---------------- ---____ ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: __________________________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------- ------------ 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 7 anufactured Home utility clearance. ---------------------------------------------------------------------------- xisting violations d/or expired permits. -- ----------- F=` �'� ---` ��P.G�!�----- ZZ -0-3 UQ 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- (Date) E130. Other: ------- Whe ou issue the p i t `Qmcess follows ❑ Mail to owner, ❑Mail to contractor. elephone `t 3 and hold for pickup at office. Fj Deliver with inspecto-. Applicant: Dae. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Othe Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: n actor eeper, owner, was advised of the above required data by ❑ phone, ❑ mail^Building Division counter, by 4N Date: �-g'7 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: G1 12 Q OA/ �_ Date: -L3 .9 7 Plans approved by: Date: _ Sets of plans on hold in lan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of D velopment Services, Building Division. �.....-k�r�: $ w :',♦^.�L.t3 4 � 1, r e :�'Yr�'wa, .,�� �...s:....�v�v:,."�j+.*"sv.—�.r„sr�---'-''.w --,. f�•w �.ww1- ...—^. w—...." .. - ..i"1s-. ~itil COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE:CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER � ' �7't-��Zl �// A.P. # �� PROPOSED BUILDING USE S� DATE' J REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ............. $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... • $ -- Revised Plan Checking Fee ..... $ SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES. (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754.1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / _ % 7 (/ ✓ ZONING IC y BUILDING PERMIT W ONER ( f rr [/ TELEPHONE %/– flv SO, Fr, O C. BU:LDI G VALUATION OWNE4R MAIUNG ADDRESS /� o�i� p� � l GD Ocy O CONI CTO R'S NAM TELEPHONE ' / i" , 3�2-3023 CONTRACTORS MAILING ADDRESS / 7 S' ////� T71 T,; «- CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ i L ARCH CT Og ENGI LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ .Q WIWIN ADOR S J'} �� Energy Plan Checking Fee $ c2 3 . Cly) $ PERMIT FEE $ , (j LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water hea%r 00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition( Remodel f� Utilities ❑ Installation ❑ Other O Describe Work: / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".0.' oa uss 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 Main Service 200A TO 1000A 46.00NEW CONST. owELUNG occUF. OR ADDNS. ( a ACC.BLOS.310-5 so Np .Eglp MULTI.OUTLET 97.50 PowER APPARATIs 8 SINGLE 011rLET CIR. Ex. Occup. OUTLET OR FD(TURES 2O (9 1•00 BAL @ .50 Ex. Occup. OFlxL,TeETS RESID.)A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ i> 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. O 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 person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner O Contractor ❑ 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 Fee $ -�— Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ C) I HA2. D. FEES IMP D CDF PARCEL PO 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. By Date PERMIT EXPIRES ON (Dare) Receipt No. 'NHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number: ZZ 1-7 lei at the location of 4 3 PCV - Assessor Parcel Number: n44 O- 33C) - CD for the construction of an addition for S�41Ulrin vjoo " 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. t Property Owner: Address: f`',i (r• G r t- o PhoneNumber:`% Date: �Z / 'Z� 7 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 is1 started or (b) if the structure has been damaged; and is being "restored, before the damage occurred. t. NOTE: Documentation may be required to substantiate cost. - j • r 1 76- 2zS 3--3-7� PERMIT NO. 6176-75B,TP.E' M i P G�C&iiP41,;;7 � ��,�c?; "' E •j 1 M ,gyp ✓! D� �I�O �'� S L �� 5 MH UTIL. 'r 6,45 'f'ERMIT NO. 4 V PERMIT EXPIRES P WNER Patrick Phillips L) t Q Ld/J%3 �6a % �O ,I,oNTR. owner �lS i"10CATION (A.P. 40-33-17 SIS Paseo Companeros, app. 500' S. of Fair St., Chico 4 cSC,eL✓E!✓ o.--1!/.�TC'TS 7-7-a <- Temp. Power Pole ©A S Called PG&E Te4p. Elec. Serv. Z /�. Ok, Called PG&E _/ emp. Gas Serv. X— , Called PG&E ©� �'-o.JEX Pti,07F— Oe T jos ALL r �, X TO: Building Department FROM: Environmental Health I RE: Sewage and/or Water Clearance 4 I 'a-�� c 1 �n ll� s seo ,..� KP os Lo o -33. ! 7 `OWNER LOCATION SAP NUMBER Has been approved for: 4• SOEVIAGE DISPOSAL: t% WATER SUPPLY: Sanitarian Date I ell T COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS' BUILDING INSPECTION RECORD Stucco Mesh Scratch i Brown Finish Interior Lath Door Closer Final BUILDING BUILDING (Cont'd) Grd. Fault Pr PLUMBING Setback -.� Cooling Firewall-9,Soil Piping Under roun Forms Permanent Parapets 1st Floor Main Bldg. Restroom Finish' 2nd Floor Footings/- -26 Windows 3rd Floor Stemwal I/ Sidin (o s To out ` ,9' "% Slab gO- ' '` Roof Sheathing - / (7 _ZWater Pi in �- Piers-� ��--� Roofing ti Sewer Garage Fdn. Vents Fixtures Footings Garage Vents rte• Water Htr. Stemwa11 Slab t!o Prov. for physically •handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Pi ing Temp. Gas & Test_, Slab Final v Sanitation Patio FIREPLACE Final — - Footin s Footing- , ELECTRICAL Masonry Walls Throat *S�Uii7 /VO`F- Rough Reinf. Steel r Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framina 3 "16 " % (v Test "I I,- Water Htr. Stucco Mesh Scratch i Brown Finish Interior Lath Door Closer Final Subpanels MECHANICXL Grd. Fault Pr Heating Service Cooling Temp. Pole Ducts Under roun Ventilation Permanent Final \ Final DATE ��� "� REMARKS OR CORRECTIONS FT 6- � � Ivas? BE /,mss �'eG T� /—,;2 /�- ��� FI ZE•A4,4CF, FTG- ;qo.,0_/ z A40®#4'S* 0_kF,4g_ 47- i`ik EP1/9Ck, Prnvp vv o ,¢ F_j8/1, 7— d>4 4 r o� ,v 7— u �_%NrJ B41SS OA/ k",41- Oj ;� ;hweir D��r !-= oA- MTE oC�� ®" ksa4csrso!7 moi, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive UrovOle, California 95965 176 Telephone: 534-4541 APPLICATION AND PERMIT M 7-5 44 1C/ BUILDING Owner • SQ. FT. OCC. BUILDING VALUATION Mailing Address S' E �J� CIS, 0 C� / .2 CD l0 c- T lephonee No ontractor Fireplace `jd� Total Valuation p d Mailing Address Permit Fee Telephone No. Plan Checking Fee &/or Penalty Permit Fee o o( Building Address s�� S PLUMBING No. @ FEE E -S PERMIT FILING FEE J$3.00 0 Each Trap 1.50 J Repair drainage or vent piping 1.50 l L` O Water piping 1.50 J Each gas wate ater or vent 1.50 A. P. No._ Zoning & Planning Gas piping system 1 - 5 outlets 1.5U 15-0 Each additional outlet 30 F s W S it 'o Fire De Fire Zone EQA Parking Parcel Parce a Plans Declaration p 60' Use Permit R/W Impro ents Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. Plans Recd o arcel Approval Plans Approval Permit Fee $� NEW IRL ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL ND. @ FEE PERMIT FILING FEE J$3.00 IS, () Main service ;000V OR 0 AMP ORLESS5.00' Main service EA. ADD•L too AMP 2.50 ; Single Family Duplex ❑ Mobil Home ❑ Others ❑ 60 Main service 1100EAMP OR LESS 25.00 Main service// EA. ADO'L too AMP 1.00 NEW CONS.OR ADDNST %ACCLBLDGS.DWELINGCC7 &) 22,*q ft S 7C, .A14 NEW CONSTR. MUTI-OUTLET NON-RESID, (L BRANCH CIRCUITS) 2.50ea NEW CONST R. POWER APPARATUS NON -R ESID. (SINGLE OUd TLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BALM FIXED Ex. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of iWo kmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 ©O Heating 8 Cooling Ventilation Hood 2.00 le— , m Permit Fee $ no $ �� 1 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 renrecentativec rt tho e, . nt„ of In-- — , TOTAL PERMIT FEE ...y v w crawl upull IIIC above-mentioned property for inspection purposes. ate7�— Signature of Perfmi�tee or Agent Receipt No.�� White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 'd. DIRECTOR 0 P BLIC WORKS B Datel L', V 71 wilding pernit expires Date,