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040-640-006
7 3-7-7 1- 040- r44�4(0 95-19S@ BPEM BIRGOYNE, Olin & Brenda 44 New Foster Place , Ch i (new single family) 040-640-006 03-0411 BENTLY, CRAIG - 44 NEW FOSTER, CHICO CONT: ROBT HILL & ASSOC POOL -MASTER #506-97 040-640-006 04-2025 BENTLEY 44 NEW FOSTER PL,�C� v / _ 4.jL Cont: OWN �po C T POOL HOUSE E a IDENTIAL 040-04-0-071 �,95-1998 BPEM j,k6'q,rGOYNE, Olin f"tfenda New'Foster� Place, Chico (new single family) (0 -(q A&V A GAS Meter By ELECTRIC Meter By— Date -JOB FINALED r - Signature OFFICE COPY L�q A*u Address GAS Meter By— Date ELECTRIC Meter By Date OFFICE COPY &(VIU &S &/1 Address 7rK1 / 4 /Z'Z- GAS Meter By ELECTRIC Meter By— Date -JOB FINALED r - Signature I V �OK 0 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/0 Concrete 4. Water; Local ion -Test- Ease men I Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L-ft. / P'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. Footin6s; Size-Spacing-MarriagE Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector� 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cent. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 MISCELLANEOUS i�ffia 01� Date -DECKS,,POVERS, CARPORTJC; RAGES �(Plans)01( except #'s - _.,,,4,-,2!o_ning R29pirements-Setbac f_'E�_ents ings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors e7 WW � m�ils-Anchors-Studs-Rftrs-Trusses 14--Ti-ding; Nail i ng -Veneer -Stucco- Mesh 10. Roqj,�,Shthg-Roofing \141*fxt.; Steps-Doors-Landinqs 1-7 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PO,OLS (Plans) OK except #'s 1. Setba c ks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI _-6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 6-1 Date Card B-1 Date Card B-11' Date Card B-1 V OK 0 Not OK Not Applicable Not Ready W RESIDENTIAL (Single & Duplex) Date LIND . OOR (Plans) OK except #'s 114EfZ UK- Kzor -setbacks-Easements-Flood-Slop6 -P'j_6V" :!,-Ftg_.A"in; Soils-Elec. Grnd.-/ /" Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped J,-STe-mwalls, Garage; Steel-Blockouts-Wrapped 6a. HQld Downs and Special Anchors V/jPJS1r' 7LL6b; Steel -Wrapped 0"'8. Pp��irepiace Ftg.-Steel ()-qf 4,."D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ik-water Pipe; Test -Anchor -Regulator -Service Test -1-1-fluctric: Underaround --1- �.' ums & Ducts; Clearance -Materia I -Su pport- Ins. -44--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples LS_Acces� & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 41 Date Card B-1 Date -f4*MBING (Permit),OK except #'s Water Htr.: Vent -Access -Combustion Air -Baffle -- - ------- - ---- - ------------ ater Pipe: Te I & Anchor -Nail Protection D.W �..V.: Test -Fittings & Anchor -Nail Protection -Tub Access hcwer Pan: Test. First Floor _v16 -Test Tub & Shower. Second Floor -Tub Access Pipe: Size & Anchors ---- ---- --- Card-B-1-- AV7 ------- - - ------- ----------------- Dale Card B-1 Card B-1 Date ELECTRICAL (Permit) OK except 4's I re & Transformer Clearance -Ins. Protection --- - -------- ------- ec acles Spacing -Lights & Switches at Doors -- - -- — - ------- - ------------ ze Boxes & No. of Cond uctors-Sta pled ----------- — ------------- Romex Installed Close to Edge of Studs & C.J. - --------- - -------------- Equip. Ground made up w! Mech. Fastners-Bon d Gas & Water ppliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------------------ ubfeed Wire Size I / ga. Cu or AI-A.C. Wire Size ga. Cu I -- ------ -- a e irc. /5 ICuo, -6ven rc. in u lated Neui.ral-- b --- 0__Yes______0 No ------------------- --XL-Service-Riser Conductors & Ground -Main Disconnect ----------- — ----------------------------- -8 �.quip. Clearances Panel s- Motors- Mech. Equip. ----------- ---------------------------------- -------------------- - __ ___ - _. 3V-'Crothes -Closet- Light - Showe r -Li -g ht -Spa Light -- ----------- 3A_&ovu" -Detector - I --------------- ------------- - ------------------------------------ -Dat Card B-1 Date Card B-1 (4 - ----------------------------------------------- Date Card B -I Date - Card B-1 Date MECH_A.W1t_AL (Permit) OK except 4's latio n & Sup port ve'�E2� �__-,_�Xhausl above insulation o d t Drain & Overflow: Size & Grade ------------------- ?n?��os�T ............................................. ....... ,T-oru_��-Yent: Access -Comb. Air -Return Air Vent- 115 outlet -------------- -Access - & - Platform-if-Furnance in -Att-ic ------------------------ - -------- -------------------------------------------------------- '�a�e Card B- I Date Card B-1 --------------------------------- --------------------------------- Date Card B-1 Date Card B-1 Date FRAV'2 L(T (Plans) OK except 4's 34,00�Sils, Proper Material & Anchors ------- ---------- ......................................... ..................... 4j,.W'alls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------- . - . ----------------------------------------- _44- Bea Walls over Girders & Floor Nailing ---------------------------------------------------------- in Walls (rat proof) ------------- ------- 4 ire tops: Furred Ceilings -Stairs -Chases -Tub 4_i��,e`ad, rs & Beam -Size & Bearing Date ,WMING (Continued) i Hangers -Post Caps -Anchors -Connect Clqg,,-Joist-Rftr. ties-Purlin-roof Bra Ing. ir�ce Ties or Type A FI ue-Fi replace 75 -oat clearance ccess: Size & Romex Protection- Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing I ________.__"_Propert Line Firewall & Openings oors-One 3' -Check Garage -3rd Story, 2 Exits �i�Staifs: Width -Head room -Rise- Run-Landi ng- Fire Protection . plyVjoed on Roof Overhang -Attic Vents -Rafter Outriggers 6&.1'91ding- Nailing Veneer --+1a-ttuc esh-Drip Screed -Fd. Vents-UnderfIr. Access I . APazing Area -Glass Protection -Skyl ights-Plast ic 58. S,4ar Walls: Nailing -Bolts 5einsoation-Walls-Ceilings at -on Walls -Windows L" --- t Z 2 C (AAq#CL-,d 7? D a I e SW 4 4_�� -C-a- -rd-B - _1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN!.L,4Kns) OK except 11's K-Exi,%teps-Door & Sidelight Protection -Landings i;-S`r,�oTe Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - I G Ab ve Floor-Ducts-Mech. Protection ------------------ 2L"4_11 �22_1_ Exiting Fixtures & Tub Access -Spa Trim & Subpanel: Breaker Sizes & Labels -67--Stairs & Rails d�_<.1e_p_1ac__ecr_Stove: Clearances -Hearth ----------- Outlets at Wood Panel: Int. & Ext. & Appliance: Grnd.-Air Gap -Cooking Clearance CQ�'��__q-tlets & Receptacles at Kit. Counter ------------ U ._�V(Sarage_Fire Door: Swing -Land i ng -Closer _E� A.C..awct in Garage -Damper - -------------- I t r. r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location arage: (G.F.I.)-Romex Protection Receptacles in G —�nsulation-Foam-Looked in Attic 0-Y95- --------- _-77 Guard -Rails & Deck -Const ruct ion -Post Caps �9. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth ------Clearance Looked under Floor C1 Yes -9.9--Following instld'- Drive 0 Yes ID No: Walks 0 Yes 0 No; Planters 0 Yes 0 No S co: Brown -Finish �fuc 8 A.C. Uoit: Disconnect, Electrical, Plumbing - ----- - ---- Roof: Plbg.-Appliance-Fireplace.-Clearance to � g� p p ter \WWelli I� a isconnect, Electrical, Plumbing _- -------------- 85. Exterior Elec. Trim; G.F.I. Receptacle- Underground 8_&'Ientil ion T roughout House ------------------- ------- - 7-- ---ection -------------- VW5 V - -tE-Z,- __ ec ' I - ions - from Previous Inspections Gas IT -Meters Tagged: Gas -Electric ---------- ater & Sewer Connected -C/O to Grade -HD Approval Complian C_�rtificate Other Certificates Date i-45�q&-CarWli-T Date Card B-1 Date Date Card B-1 ---------------- Date Card B-1 Date Card B-1 Comments at Final: D( Q COU.NTI(PFBUTTE- DEPARTMENT OF 13EVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 — No. I APPLICATION AND PERMIT q6 -/Ae _ ASSESSOR PARCEL NUMBER o4o-oo-071 ZONING SR1 BUILDINGPERMIT "1/1' OWNER BURGOYNE, OLIN & BRENDA 1342-2408 TELEPHONE SQ. Fr. OCC. BUILDING VALUATIO�T — OWNEWS MAIUNG ADDRESS Pn BOX 99?1. CNIC.0 99927 .2-1 _51D oo CONTRACTOR'S NAME OWNER NE M, 0 _<7 6 CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNWOWN Total Valuation $ UENDER'S MAILING ADDRESS —Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ T;L 0, —Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3REERWAX, CHICO PERMITFEE $ 44 NEW FOSTER PLACE, PLUMBINGPERMIT Filigg Fee 20.00 Each Trap 1:?� 7.00 get 00 LOT NO. SUBDrVISION'SNA E ICHAMBERgm PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Water piping 15.00 j -00 Each gas water heater or vent 15.00 342.00 15.00 —Gas piping system 1 - 5 outlets I K. Building sewer 15.00 TYPE OF WORK New CK Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: 3 BEDROOM SF Mobile Home— I S I G I W 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Feel 2 0:0 0 600V 92 UE:: Main Service ( �..A 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 19 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WEW-C—ONST. DWELLING OCCUP. SQ. OR ADDNS. &.ACC. BUDS. 3.50_n. NEW CONST LTI-OUTLET NON-RESID. BRMAUNCH CIRCUITS 97.50 ,POWFR APPARATUS N SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIX7TURES 20 @ 1.00 I&AL 9 .50 Ex. Occup. f FIXED APPLNS OR k OUTLETS (RES6.) EA 5.00 Temporary Service 23.00 7-3.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 4�% Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workeis' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 3 PERMITFEE $ P71. 90 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature licant - 0 Owner 0 Contractor 0 Agent AnOSH Xfftoltis required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. J)r - Mobile Home Installation Fee Is Energy Inspection Fee Is 11 , 4 00 IZC� A R-1 T. rfPE VIS a TO AL FEE$ /96,5,_5,6 HAZ. I D. FEES IMP _�CDF CEL I PID I HD I ];;SUE �_F P= A101`1011 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 4Ad ffl-C.- Date I III PERMIT EIPIRIE'SION Z_0114?&Z f , (Date) 0,3 Z�gz / Receipt No. J 7OT5-3 je e- 14,-71 — 12- fL �(2 '51 I WHITE-D.D.S.-B.D. CANARY1ASSEASOR PINK -INSPECTOR GCrLDENRCID-Al M COUN;[Y OF4�BUTTE BUILDIRG-DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-�541 747 Elliott Road, Paradise, CA - (916) 872-6307 COARECTION NOTICE 5--1 ivs OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation please contact this office immediately. j Wbo,'(z li(oT 0-1v Pe VIJ 51 D ate -Li � '� () �' (-.I— Inspector REV 10/92 . ' - ' N, 4, - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-..6307 CORRECTION NOTICE OWNER PERMIT NO.' A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date V-.) Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES CL) 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 CORRE6T"IO'N NOTICE 6uInkay"—If— q�s-lifg OWNER PERMIT No. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address a*n� should be corrected. Pleaae notify this office when correction of work is completed. If you have any questions pertaininil to this matter, or need additional explanation,-'� pleja contact this office immediately. IS I T 00�tz , � '� --0-- q c k K. -W, I P,4!7T) �� Date Inspector REV 10/92 COUNTY OF BUTTE - 19 BUILDING ENVISION 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 -'h "'N CORRECTION NOTICE OWNER PERMIT NO. '!�-j 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, e e contact this office immediately. 0 IZ,41;4S �A -MA Date 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 74.Tbliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTI OE 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. 5'/'V'-:�-,/A z2ou'a Ur .a 13/t- /A/7/f 171 oe rolF41 5 Date inspect-or..—U �qk:� -1. REV 10/92 j INSULATION CERTIFICATE Gus Bur'goyne ----------- -------------------- New Foster Place Chico. NUMBER, AND STREET CITY ..Butte COUNTY SUBDIVISION' LOTNUMBER DESCRIPTION OF INSULATION 1. ROOF MATERIAL THICKNESS (INCHES) 2. CEILING BATT OR BLANKET TYPE Batts BRAND NAME THERMAL RESISTANCE (R -VALUE) BRANDNAME Certainteed THICKNESS (INCHES 12 THERMAL RESISTANCE (R -VALUE) 38 LOOSE FILL TYPE Insul-Safe' III BRANDNAME Certainteed CONTRACTOR'S MIN INSTALLED WEIGHTIM 665 B MINIMUM THICKNESS 15f 2-1- _(INCHES) MANUFACTURER'S INSTALLED WEIGHT PER SQUARE FOOT TO ACHIEVE THERMAL RESISTANCE 38 3. EXTERIORWALL FRAME TYPE Wood MATERIAL Insul-S.afe III THICKNESS (INCHES) 3j EXTERIORFOAM SHEATHING MATERIAL THICKNESS (INCHE 4. RAISED FLOOR MATERIAL THICKNESS (INCHES) 5. SLAB FLOOR MATERIAL THICKNESS (INCHES) PERIMETER INSULATIONDEPTH (INCHES) S. FOUNDATION WALL' MATERIAL BRANDNAME Certainteed TH I ERMAL RESISTANCE (R -VALUE) 15 BRAND NAME THERMAL RESISTANCE (R -VALUE) BRAND NAME THERMAL RESISTANCE (R -VALUE) BRAND NAME THERMAL RESISTANCE (R -VALUE)_ BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R -VALUE) DECLARATION I HEREBY CERTIFY THAT THE ABOVE INSULATION, WAS INSTALLED 114 THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE CURRENT ENERGY EFFICIENCY STANDARDS FOR RESIDENTIAL BUILDINGS (TITLE 24, PART 6. CALIFORNIA CODE OF REGULATIONS) AS INDICATED ON THE CERTIFICATE OF COMPLIANCE, WHERE APPLICABLE.. 3/18/96 DATE 2, 3 ITEM WS f a.� tct-4� DAN HANSEN . BRANCH MANAGER O.B.- 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally pmforming their own work. If your work is being performed by someone other than yoursel& you may protect yourself from possible liability if that person ' applies for the proper permifin his or her name. Contractors am 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 &mily, and the work (Including materials and other costs) is S300 o;..more for the entire prqjecct� 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 andFederal Governments as an employer and you are subjecr to several obLigatiorLs'including state and federal income tax withholding, federal social security tax workers compensation insuz—Ancr, disability insuranc_- costs, and unemployment compensation contributions. 0 The're may be finaicial risks for you if you do not carry out these obligations, and these risks are especiall�v serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the I . nternal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Departinent of Benefir Payments and the Division of Industrial Accidents. , U: the structure is intended for sale. properry owners who are not licensed contractors are adlowed to perform their work personally or through their own e ' mploye-cs. without a licensed contractor or subcontractor, only under limited conditions. A frequent pmctice of uzllic--nsed 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 pernuts are not required -to be signed by property owners unless they are performing their own work personally Information about licensed contractors =v be obtained by contracting the Contractors State License Board in vour community or at 1020 N Street. Sa cramento, CA. 958 1�. Please complete the -Owner Builder Verific:ition" on the reverse side of this form so that we can*confirm that you are aware of these marters. The building permit will not be issued until the verification is returned. Sin6crely. T KEchacl C. Viciia. C.B.O. Manager. Building Inspection NCITE* This Owner -B I uilder Infor=rjon is required by SeCtion 19830 of the California Health and Safety Code. Attention Property 0%�,Me-. An "owner -builder" building permit has been applied for in your name and bearing your signature. please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materWs for construction of the proposed property improvement: YIESM NO[ I 2. 1 HAVE[4 HAVENOTI ]signed an application for a building permit for the proposed work - 3. 1 have contracted with the following person (fim) to provide the proposed construction: NANKE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of ihis work, but I have hired the fbllowing�`p7erson to coordinate, supervise, and provide the major work ADDRESS: C=: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work�ut I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNEPQ . 00A) G, SOCLkL SECURXIY NU-MBER: - � DATE: '�- - / 7 - ?-S- NOTE: This owner -Builder Verification is required by Section 19331 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- COUNTYOF BUTTE - DEPARTMENTOFE)EVELbPM ENT SERVICES -BUILDING DIVISION OWNER 7COUNTYCENTER DRIVE. - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET A. P. No. 0 4 0 -(-)Q10 - 0 Proposed Building Use t5�A& je� 3 &d- Building Inspector �j -fJt&Am 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 All-ftems have,�been sIJ6mittQ: .................................... 2 Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energ Design Compliance and supporting documentation .. .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome data d m nufacturer's installation instructions sets . ..... &J�0� on.. .13 P. 10. Fees of 11. Impact fees as shown on attached schedule . ...................... 12. California Department of Forestry plan approval/fees . ....... i ......... 14 AA �A .11:x � ... k 13. Reod-sleyatie.. 11 " California Engineer. . .-T 14. Sanitation and plot plan approval 0� Health Department. i ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: -0� 18. Conta t Land Developmentabout (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). '16r�!AsWctI6 20. Pre inspection for required. to Building Inspector (Date) 21,.- Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance ........................... I 1 -.0% 2Z3. Owne Builder Verification (Given to owner_, Mail to owner ) ............ 24 Recorded copy of Agricultural Acknowledgement Statement . .................. 95. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road . ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning.area and frontaipe uire�mets..���... 0 Plan check list . .................................. ................... 33. 4:" g ! I I 34. 1 PAZWZ222iM ( Wh ou issue the permit, process as follows: Mail to owner.' Mail to contractor. Telephone 3qZ-,2Y0%, - and hold for pickup at C10 Co office. Deliver with inspector. Other Parcel Creation Date Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pol Copy of plans sent Health Dept. _ Fire Dept. �,Other The following data must be submitted prior to permit i!�suance:,,((��rclaqnefhf item 1. Index permit for above items No. 2. Additional items required: tion Date - Date - By_ Contractor, designerj owner, was advised of above required data by _ phone - mail -Counter by _ Date Contractor, designer, owner w dvised of above require5,data by Plans checked by . ��r , , 9s a _ phone - mail Counter by - Date / 4LS, Date A- .17 Plans approved by - Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works /0/1 -7/�5` F Ii USE OM y Hot ITui Attached Floor I'Lui Atiacht-d Sent to B.D. TO: Building Department FROM: Environmental Health SUBJ��T: Sanitation Clearance e SD u ra ml I--XQ 0 ��Su) I Location AP# Plan Approved for: Sewage Disposal Clearance for Z!:>_ bed roo m Other Hold final for Final clearance O.K. for: NOTE: r onmental He%afth Specialist 8/92 Water SLIpply: PUblic Private Well_A,,,,I— LI t Date COUNTY OF BUTTE - DEPARTMOT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVI LLE CA 95963 - TELEPHONE (916)'538-7541 �4 PROPOSED BUILDING USE C" 6), C) SCHOOL DISTRICT Fm -(Paid at District Office) ......................... 2. SHER.IFF FEES (paid at Building Department) Residential ...... x 0 0 unit amt. Commercial (sqft) X sq.ft. amt. 3. URBANAREAFEES I �-&w zw (paid at Building Department)v- Residential (per unit) x =$ # units amt. Commercial (per sq.ft) X_ sq.ft. amt. 4- RECREATION DISTRICT FEES /7.3 (paid at'District Office) .... 5. DRAINAGE DISTRICT FEES - (Contact Land Development Division) .......... 6. SIZA FIRE INSPECTION AND PLAN CHECK - $89.00 ...... (paid at Building Department) 4LA� 7. OTHER A.P. DATE REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 7f� U_n rTr"L Attention Property Owner: An "owner-bufldee' 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 budding permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed prope, ty improvement: YES [,J"- NO[ f 2. 1. HAVE[--j"'FHAVE NOT[ ] signed an application for a building permit for the proposed work. 3. 1 have contracted with the. following person (firm) to provide the proposed construction: NAMEE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAMIE: ADDRESS: CITY:— PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide*the work indicated: NAMEE I ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:- - DATE: 9 -/2 -9 -s - 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 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specifiedL For your protection, you should be aware that as "owner-bufldee' you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners. u nless they are personaRy 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 profegsing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin'cerel Nficha4l C. Vieira, C.B.O. mana�er, Building inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 'A BUTTE COUNTY PARKS DEVELOPHENT FEE CERTIFICATION FORK CHICO AREA RECREATION AND PARK DISTRICT. Assessoi�Parcel Number(s) 'Property Owner 4.. 6umeco'- Project Location/Address Subdivision Qkm/*� Lot Number(s) Residential Development: (check one) New Development Alteration/Addition Mobilehom'e(s) Non -Residential to Residential Total Number of Dwellifig Units Comment: Building Department Representative tate Chico Area Recreation and Park District(CARD) certifies -that I . (Applicant Name) V (Phone Number) 0. (Street Address) Ch i Co cl.? 7 (City) (State) (Zip* Code) has complied with the requirements of Butte Co. . Resolution No. 90-140 by payment for dwelling units @ $1,189.for total payment of S CARD Representative PAID BY CHECK NO. - BANK NO. 0 PAID BY CASH U, _N RECEIPT NO. _qq1)U REMARKS: Distribution: White --Applicant Pink --CARD park -fee (form revised 11/90) lo- I q- 99 Date Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. t M , 7 %UTTE COUNTY SCHOOLS I PACT'FEE CERTIFICATION FORM M (One Form Per Building) A-0 School District Building Department No. A.P. Number 640 -OLI 0 -0-41 Jurisdiction: City County Property Owner ,Property Location/Address * . . ZV��aU, 14LA WO Subdivison —Lot No. -Residential Development Sq. Footage No. of Living MHI Addition �G_roup R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) gh Building Department Re 'resentative p Datel (Floor Plans reviewed by S�hool District Personnel) District Identification No. School District certifies that Ln (Ap$Iicdht) P, f eet Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. payment of $ by representing square feet. AB 2926 FULL MITIGATION $ School District Representative '41 Date Paid by Check-#- Remarks: Bank Number Paid by Cash IT, SUDsequeni to tner-bcnooi uistrict Kepresentative signing tnis uutte uounty bcnoois impact f-ee Certification Form, to"chool District is notified by the applicable Local Planning Agency that this project is being reviewed un4pr 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), Pih�k (school district) feeformmkl (11/94)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538141 - APPLICATION AND PERMIT a0 If"3IL ASSESSORPAR EL V jr %..001 0-71 ZOIT BUILDI NGPERMIT % OWNE� TELEPHONE 391-2-YOR SO. Fr. OCC. BUILDING VALUATION 00 OWNERS MM3 66Y 52-0-00 - TELEPHONE 56�_- AA -1 1-0. 1.99 . 0o CONTRACTORS NAME 5-7 (4 AA - ( I : 366. 0 0 CONTRACTORS MoUUNG ADDRESS Fireplace )tq- 1600 .09 UNKNOWN Total valuation $14 z , 0 0 CONSTRUCTION LENDER - Filing Fee 20.00 LENDER'S MAILING ADDRESS Permit Fee Co?). 50 $7 00 LICENSE NO. Plan Checking Fee 520. 3 �5 $ :5 1'9 - 0 6 - ARCHITECT OR ENGINEER Energy Plan Checking Fee $ 2-3 - Oo OR ENGINEERS -1U- ADDRESS ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ PERMITFEE S BUILDINGADDRIESS PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 15jqC6 LOT N( S 4S NAME 1 �7 Fff Solar or heat pump water heater 23.00 Water piping 15.00 15"06 USEOFSTRUCTURE Each gas water heater or vent 15.00 10. Duplex 0 Mobilehome 0 Other Gas piping system 1 - 5 outlets 15-00 SPECIFf SF )( Building sewler 15.00 00 TYPE OF WORK Mobile Home ISI GI W1 20.00 NewX1 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 13 1 PERMIT cf, 0 0 &:&Utn-c� - Describe Work: Contractor ELECTRICAL PERMIT Fifinq Fee 20.00 ( Go OR LESS Main Service- 2000VA OR LESS 23.00 ?A�00 200A TO 1000A Main Service ( 46.00 NEW CONST. _U_5W_E__ OCCUP* G. if q,-73 OA AODNS. , Aff BLDS, 3.50FT. LICENSED CONTRACTOR'S DECLARATION _17EW CONST MULTI-OUTL&T WANCH CIRCUITS C@7.50 I hereby affirm under penalty of perjury that I am licens ed under provisions of Chapter NON-FIESID. OWE&AP=US 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 1prIN. 0 CIA. 20 1.00 and my license is in full force and effect. Ex. Occup. OUTLET OR FIXTURES @ BAL Q .50 License Class Lic. No. FIXED APPLINS OR Ex. Occup. OUTLETS (AES16.) EA 5.00 OWN - UILDER DECLARATION Temporary Service 23.00 2233-00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Mobile Home Facilities 20.00 [3 1, as owner of the property, or my employees with wages as their sole compensation, Misc. Wiring 23.00 do the work. and the structure is not intended or offered for sale. will 0 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project PERMITFEE S 0 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION -MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating zo-on 1 have and will maintain a certificate of consent to self -insure for workers' Cooling 30.00 compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 (0-5b 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. PERMITIFFIF S My workers' compensation insurance carrier and policy number are: Contractor Carrier Mobile Home Installation Policy Number (The above sections need not be completed it the permit is for work of a valuation Energy nspection Fee/y.5b.5(ol $ 14h, -ob- of one hundred dollars ($100) or less.) for this is issued, I shall CUT )? TOTAL $ 0 I certify that in the performance of the work which permit -FEE I not employ any person in any manner so as to become subject to workers' E HAF 0. FEES (�511 PO 7/1"SSU compensation laws of California. and agree that if I should become subject to the ie��l workers' compensation provisions of section 3700 of the Labor Code, I shall This permit is hereby issded upder me applic�ble provisions forthwith comply with those provisions. of the Butte County Code and/or Resolutions to do work Date indicated above for which fees have been paid. X Signature of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 50" deep and demolition or construction By Date of structures over 3 stories in height. 6 ff,5� e (/S- PERMITEXPIRESON I ReceiptNo. / WwiTF:.n n q -FA o- ANARY-ASSESSOR PINK -INSPECTOR GOLDEN 800 -APPLICANT (Date) Reture to: AGRI XLTLTRAL STATEMENT OF ACKNOWLEDGE mr-,NT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents �40T COMPARED WITH of this property may be subject to inconveniences or ORIGINAL DOCUMENT discomfort arising from. the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and BUTTE COUqY RECORDER fertilizers; and from the pursuit of agricultural operations SERIALNO. including, but not li . mited to cultivation, plowing, spraying, RECORDED AT THE REQUEST OF 11"IlD VALLEY TITLE COMPANY pruning, and harvesting which occasionally generate DAfE RECORDED, rg't dust,smoke, noise, and odor. Butte County has established T i W"I E:&., 8 1995 agricultural zones which have. as a priority use for productive Siriculmral purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. ' All that real property situate in the County of Butte, State of California, described as follows: See attached legal description Date: Oct- 11, 1995 - PROPERTY OWNERS: State of Califomia - County of Butte 1995 On Oct- 11, beforeme, W. J. Golling pMonally appeared Olin G. Burgoyne and Brenda F. Borgoyne personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instnnnent and acknowledged to me that he/she/they executed the same in his[her/their authorized capacity(ies), an��t by histher/their signature(s) on the instrument,'the person(s), or the entit u -Wf of which the person(s) acted,� �cuted the instrument. WrrNMS my and, official seal. OFFICIAL SEAL 973603 4;i Vi J. GOLLING Cn Y'PUBLIC - CALIFORNIA (A 0' N�OTAR 4X COUNTY OF BUTTE Signature Seal: f-�Mrnlsslon Expiros Sept. 20, 1996 i� ....... ...... — A.P. # ORDER NO. BU -148737 BG DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL,I: LOT 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CHAMBERS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 3, 1994, IN BOOK 130 OF MAPS, AT PAGE(S) 94 THRU 96. RESERVING THEREFROM AN EASEMENT FOR INGRESS AND EGRESS AS SHOWN ON SAID MAP. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET' FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED MAY 12, 1994, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 94-20505 AND AMENDMENT RECORDED OCT08ER 9, 1995, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 95-34543, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. PARCEL II: AN EASEMENT FOR INGRESS AND EGRESS OVER LOTS 1 THRU 5 AND 7 THRU 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CHAMBERS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 3, 1994, IN BOOK 130 OF MAPS, AT PAGE(S) 94 THRU 96. PARCEL III: AN EASEMENT FOR ACCESS TO MAINTENANCE AND CARE OF AND TESTING OF FIRE PROTECTION FACILITIES AND PUBLIC UTILITIES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: A PORTION OF LOT 2 OF THE REVISED MAP OF THE SECOND SUBDIVISION OF THE J. F. ENTLER RANCH, ACCORDING TO THAT CERTAIN MAP THEREOF, WHICH WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, FEBRUARY 15, 1915, IN BOOK 8 OF MAPS, AT PAGE(S).2, BUTTE COUNTY RECORDS, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE MOST NORTHERLY CORNER OF SAID LOT 2, SAID POINT OF COMMENCEMENT BEING ON THE NORTHWESTERLY LINE OF SPEEDWAY LANE; THENCE SOUTH 28 DEG. 101 0011 EAST ALONG THE NORTHEASTERLY LINE OF CONTINUED ORDER NO. BU -148737 BG PARCEL III: CONTINUED SAID LOT 2, A DISTANCE OF 50.23 FEET TO A POINT ON THE SOUTHEASTERLY LINE OF SPEEDWAY LANE AND THE TRUE POINT OF BEGINNING; THENCE CONTINUING ALONG SAID NORTHEASTERLY LINE OF SAID LOT 2, SOUTH 28 DEG. 10' 00" EAST, A DISTANCE OF 176.14 FEET TO THE SOUTHWEST CORNER OF LOT 9 OF CHAMBERS SUBDIVISION AS SHOWN ON THE MAP THEREOF, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 130 OF MAPS, AT PAGE(S) 94 THRU 96, BUTTE COUNTY RECORDS; THENCE LEAVING SAID NORTHEASTERLY LINE OF SAID LOT 2, SOUTH 61 DEG. 50' 00" WEST, A DISTANCE OF 7.50 FEET; THENCE NORTH 28 DEG. 101 0011 WEST AND PARALLEL TO SAID NORTHEASTERLY LINE OF SAID LOT 2, A DISTANCE OF 73.12 FEET; THENCE NORTH �4 DEG. 51' 57"' WEST, A DISTANCE OF 26.10 FEET; THENCE NORTH 28 DEG. 10' 00" WEST AND PARALLEL TO SAID NORTHEASTERLY LINE OF SAID. LOT 2, A DISTANCE OF 79.46 FEET TO A POINT ON SAID SOUTHEASTERLY LINE OF SPEEDWAY LANE; THENCE ALONG SAID SOUTHEASTERLY LINE OF SPEEDWAY LANE, NORTH 67 DEG. 19' 00" EAST, A DISTANCE OF 15.07 FEET TO THE POINT OF BEGINNING. PARCEL -IV: AN EASEMENT FOR ACCESS TO MAINTENANCE AND CARE OF AND TESTING OF FIRE PROTECTION FACILITIES AND PUBLIC UTILITIES OVER THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING AT THE MOST WESTERLY CORNER OF LOT 9 OF CHAMBERS SUBDIVISION AS SHOWN ON THAT MAP THEREOF RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 130 OF MAPS, AT PAGE(S) 94 THRU 96, BUTTE COUNTY RECORDS, SAID POINT OF COMMENCEMENT ALSO LYING ON THE SOUTHERLY RIGHT OF WAY LINE OF SPEEDWAY LANE; THENCE SOUTH 28 DEG. 101 0011 EAST ALONG THE SOUTHWESTERLY LINE OF SAID LOT 9, A DISTANCE OF 73.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE LEAVING SAID SOUTHWESTERLY LINE OF SAID LOT 9, SOUTH 44 DEG. 51' 57" EAST, A DISTANCE OF 26.10 FEET; THENCE SOUTH 28 DEG. 101 00" EAST AND PARALLEL TO SAID SOUTHWESTERLY LINE, A DISTANCE OF 53.12 FEET; THENCE NORTH 61 DEG. 50' 00" EAST, A DISTANCE OF 12.50 FEET; THENCE SOUTH 28 DEG. 101 0011 EAST, A DISTANCE OF 20.00 FEET TO A POINT ON THE SOUTHEASTERLY LINE OF SAID LOT 9; THENCE ALONG SAID SOUTHEASTERLY LINE OF SAID LOT 9, SOUTH 61 DEG. 50' 0011 WEST, A DISTANCE OF 20.00 FEET TO THE MOST SOUTHERLY CORNER OF SAID LOT 9;- THENCE NORTH 28 DEG. 101 0011 WEST ALONG THE SOUTHWESTERLY LINE OF SAID LOT 9, A' DISTANCE OF 98.12 FEET TO THE POINT OF BEGINNING. CONTINUED ORDER NO. BU -148737 BG DESCRIPTION -'CONTINUED PARCEL V: AN EASEMENT FOR ACCESS TO MAINTENANCE AND CARE OF AND TESTING OF FIRE PROTECTION FACILITIES AND PUBLIC UTILITIES OVER THE FOLLOWING ,DESCRIBED PARCEL OF LAND: THE SOUTHEASTERLY 12.00 FEET OF LOT 9 OF THE CHAMBERS SUBDIVISION AS SHOWN ON THE MAP THEREOF, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 130 OF MAPS, AT PAGE(S) 94 THRU 96, BUTTE COUNTY RECORDS. 0 'ET- 2,'�q ppESS. 7pE-,q72E'0 SILL W1 11-4"'b x lo \o/l/Ai rzi, OF SPOC"-ES A/JID UOIA37S NAT0M GRAPE SC-PLE: )/�Ll'. = )' 32 14 R EBAR- -3;Z " 0 - C COAMAJ1005 (0kJE/?b-)PP/AJIs) Z'q r-,FeAR 3;Z. DETI�CHED GRRPGF FDUN)f),q 0 IV D E -jP I L ODE N �--4 h)EW RX'STIE-Q, PLACE, CNIC0, Cq 0 ()L) 70YA)E OCT 16 195 16:32.916-E393-1525 I P. 2/-3 afts No ELEVATION CERTIFICATE FEDERAL EMBAGENCY MANAGEMENT AGENCY NATONAL FLOOD INSURANCric PRoGRAM ATTENTION: Use at this cortificaW -- not provide a waiver 01 the flood insurance pJrdWe requiremAnl, 'I his form is used only to provide elevation information necessary to ensure compliance with RPPIWAble Community floudplain management ordinances, to daterftne the Proper in3urarrca prantium: rare, an" to support 2 request for a Lett6r of Mido Arnihicimant c(R,)viaiori (LOMA or LOMR). lfMr=#Om Im 00i"PlOung IHII 10111171168" be f0ttrid on the following piqlos. 69CTION A PROPERTY WFORMATioN FM NAME ENDA BURGOYNE ?OR MURANCE MUPANY U69 PO W cy Numa;;_ STAfih7 ADORESS (WhAM244� UFA, SuftArKLW 84. Numbw) OA P.O. ROUTe AM am rjumkwa cowmy- NAr. NUMUA 44 NEW -FOSTER PLACE OTMIA 9=RIFnCN ILW wid Me& Numbm, QW-) A.P. No. 004-040-071 CHICU CA SECTION 8 FLOOD INSURANCE RATE MAp W -um) INFORMATION Provide the following from the proper FIRM (See Instructions): 7. Inclicwe the elevarlon claturin system used on the FIRM Wr Saco Flood Elevations (CIFE). KXNGVO '29 '__ 01rier (describe on back) 8. For ZW" A or V, where no SFE ia provided an the FIRM. and the LummunitY hu OsItattfignod a EIFE few th15 building site, indicate thscbmmuWs OFEd 1 1@01 -L-11 toot NCVD (or other FIRM dalum-see Section a, item 7), SECTION C BUILDINQ ELEVATION INFORMATION I - U" Ina Elevation Certificate Instructions, i the diagriarn number from Me diagrams found on Pagor, S and 6 that best dozscribos the subject buildi: 's reference ng vel_ 2(a). FIRM Zones Al -A30. AE, AN. and A (WIM OFE). The WA of the reference 1001 1100t from ft selected diagram is at an elevation -fLl 12 101- 7115J fact NGVD (of other FIRM datum. -see Section hg, item 7). (b). FIRM Z0114S V1 -V30, Vli� and V (with 8FE). The bottom of the lowtirw horizontal suLCturaj member of the faforenco (oval from Itia tielecleadi2Cram, isa?an elevation of I I I I I LJ lost NG -VD (or other FIRM datum -see saCtion b, Itern 7). ic), FIRM Zone A (without BFE). The hour used as tno tolerance ievai from the 1.0140cled diagreirn is i —.:—Jeet above -'of below 13 (cheek one) ft higbo6i grade adAwnt to itte building, (d), FIRM Zone AO. The floct used 22 the 1`01'Greme lOvOl from the selected diagram is L —1!. 1 ..'feet above —_ or below (chock Otte) th� highost grade adjacent to the buildirici.. It no flood depth number is.1vailable, ic the building's lowest floor (tafandncu level) elevated in accordancie with the community's floodolain Management ordItiance? C2 Yes :': No '__ I.Ynknown - 3. Indicate me elevation 0400M System 'iced in datermining the 4bove (uturvriGe level elevations: "N NGV0 129 - .. Other (0(*cribo under rornments an Page 2). (NOTE.- if the 010yation datum utidd in measut*V Me elevations h; diiiarent thar? that used oft, the f-7RM Isoo Section B. Rem 7L ition corivurt, (he eWallOns 10 Me datuM SyVQM used on tho FiRM and show rht) Wfilfdrsign Oquatvn unillor Comments on Pigs, 2J 4. Elevation reference mark used awairu on FIRM: C] Yes 141 No (See Insyuctions on Page 4) S. The reforenco level alov�ation is based on: 0 actual construction I construi:fion drawings (NOTE. Use of construaiur drawings is owy valid it the NWIding does 'lot Y01' h4ve the tolaronce lev&l 11vor in piace, in whict? Case this cellificate will only be valid tat ffis bwAdinq duf;nq I& course ofconotruction. Wx be fKulrad anca comiluction is complete.) 6. The elevation of tho lowest grade immadiattly adidut"It 10 the buIldJAC is! -toot NGV0 (or other FIRM datuill-sue Section 8, Item 7). ' SECTION 0- COMMUNITY INKRUATION 1. It me C=Munity official responsible for vorifYing b�ildimg elevations, Swcifies that Me tolerance level indicated in $ection C, item I is not the 'lowest 11001"414 06finod in the community'3 floodplai(i managerriont dioinance, tht) elevation of the building's `IQWO�L floor'as definud by the orainanceis: I 1 1 i I '-L1 foot NGYD (of otter FIRM UdIum-see Soction 8, Item 7). 2. DMn at the sion W constniceon or oubet*MW improvement FEA4A Fwm 81 -31, MAY 93 RERAW ALL PREMOUS EDMCvQ $ff RMAM SIDE FCA Car-MNtiAyJCN Odaher 1"3 CERT 3 SECTION E CERYW"TION This cWmlian io to be :�gned by a land *wveyor. engineer, or ar&48cl who is authorized by otate or local law to curL4 akwation I"I'amuffm wNn the Glovallo Watmallon for Zom A I—A30. AE, AM, A (with 8FE).V1 —V30,Vr;, and V (with BFE) is requited. COMMW* afficiab who am authorized by local law or ordnarme to provide floodplain MWAgament information. nray also sign the 0000don, In ft coo of Zones AO afid A (without a FEMA of community issued OFE), a building offtai. a p(operty ownar. at an ownees reptaeontative nW aW akn the CWiliw1jan. Reference level diagram 6,7*W a - Distinguishing Feature&-4ftha cerdlieris unable 10 certify to breakaway/tiori.breakaw, anclasure size, location at servicing equipment, area use. wall ownfts, dr unlintstied arozi Featura(s). then Pot the F Wouded in the certiftation under Comments below. The diagf�im numoer, sactian C. item i, must alill ba arilomd. f camW foat me Iromialion in Sodlotiv Band Can M4 ceitifica(d rWv5entsn2yiwtanajjS to inlarP101 ft d2t.2 4 lundwWatomean AdW $9018MOnt maybe PurahoWe by fine ot imprwrimentundv 18 uS, Co Uw Y do, Sac Wn 10 W Nd. 29113 WILLTAM J. DINSMORE R.C.E. U29113 WTIFIER's NAME UCeNU NJMAEA tar AMV Sea)) CIVIL ENGINE414 ROLLS, ANDERS04 & R LLS I FIX,, T= COMPANV HAUC 965 FIR STREET CHICO CA crry STATG ZIP 101 -3 14-j�T Z C00166 SWUld ba made of MM Cadfleate for: 1) community official, 2) insuronce agent/company, and 3) building 4wrier. COMMENTS., — . ON UAB A V 20kas zQW24 Wrth am 01LES, The diagramr. aowe Musitato the points. at which the OlevaQn3 3houirl uts meuburecl in A Zoms and V Zones, ElevallonS lot all A Zones should bo meamed at the top ot the raforetwe level 1100r. ElQYAIi*A2 fat all V Zono3 sh*uld be mea5ui ad PAI ttiv bottom ot tria lowasi rionzontal struetural mornoor, CERT 4 octobel- 1990 965 FIR STREET - CHICO, CALIFORNIA 95928 . 916 895-1422 90* *44111111, R0115, r4i -1- & f-7011.9 CIVIL ENGINEERS October 12, 1995 Butte County Building Department 1469 Humboldt Road Chico, CA 95928 SUBJECT. GUS BURGOYNE A.P. NO. 004-410-071 Gentlemen: A temporary benchmark has been set on the subject site at finished floor elevation of 207.5 as shown on the Final Map of Chambers Subdivision. Sincerely, ROLLS, ANDERSON & ROLLS William.Dinsmore R.C.E. 29113 Registration Expires: 03/31/99 E:\PROJECTS\95113BD\BENCHMRK 965 FIR STREET - CHICO, CALIFORNIA 95928 - 916 895-1422 40* ev Idef son Roffs CIVIL ENGINEERS' October 16, 1995 Butte County Building Department 1469 Humboldt Road Chico, CA 95928 SUBJECT. GUS BURGOYNE A.P. NO. 004-410-071 Gentlemen: This letter is an addendum to our letter written to you dated October 12, 1995. To further clarify that letter, the benchmark referred to was set on a 2"X 2" hub set on the subject lot. o. 29113 E:\PROJECTS\95113BD\BENCHMRK.002 Sincerely, ROLLS, ANDERSON & ROLLS William Dinsmore R.C.E. 29113 Registration Expires: 03/31/99 V/ LAND DEVELOPMENT BUILDING PERMIT CLEARANCE Building Permit ft. OWNERS A.P. NAME:_ 1=1 4111W &L"Id NUMBER: PFUNT LAST NAWJ1RF4Y COUNTY ZONING 5 P, I DESIGNATION: FLOOD ZONE: An FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: 1000, RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS _ OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION. YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT. 0- 'Aj0-V Fc-Yre,-L 104 (PV7-) BOOK PAGE .94 -N COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a -70 ft.building setback from right-of-"/centerlilne of 45- SAC -X3. Maintain a 100 ft. leachfield setback from all existing we Ils. �WMaintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. �—'6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. 8. Connect to a public sewer system. Automatic fire suppr ession sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installa tion of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fisk & Game at 916-355-7010. 13. A traff ic mitigation f ee f or each new or additional living unit shall be paid. Pay the amount of $ in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be anwig to the Plarnzkg Dhdska. as stated 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the',Seisrhic Zone 3 requirements of the Uniform Building Code. 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County Code. X18. 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. 19. If any cultural resources are encountered during ground disturbing activities, all vyork shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. X 20. PA--,," gTfl-6-,rr- r- itc (Li ry / m t9tz-d vt5 114e "T- r-45e�- tr Piro-g'r LILL P611M IT 1,S5v 2 IN rdl� ,5UjSr,2jVLSjoo,L 570'"G INN -006 QDWT(Luc--F/0N..c)F 22. IN 6 "L)Nlo jo,000 6AL- Mw . PoOL 1A)Z a(LA-FT-11M C -F 0 X23. No T6 ', 1� I fq) 57 14 P -Lo ()rL 12i; LEV, �Z 0 7, S 1 . 24 . 25. NO IWMQUA313 aW 3W9 A0,1414noo S661 Z Z 9AV (13AI303H LD -8/95 - C:\WPS I TORMS. K\BLDGPERM. CLR CERTIFICATE OF -COMPLIANCE: RESIDENTIAL Pageg Date. Project Title .......... Project Address ........ Bui ding P Documentation Author ... JIM PETERSON Jim Peterson Company ................ Plan Check Date Telephone .............. (916) 343-7250 iield Checkl Date Compliance Method ...... MICROPAS4-by Enercomp, Inc. ----------------- Climate Zone ........... MICROPAS4 v4.01 File-BURGOYNE Wth-CTZ11S92 Program -FORM CF�1R User#-MP0400 User -Jim Peterison Run -HOUSE ---------------------------------- ----------------------------- - -------------- T GENERALIINFORMA. ION 2279'sf Conditioned Floor�Area ...... Single Family Detached Building Type ...... ''****** Construction Type ......... New Building Front Orientation. -Front Facing 30 deg (NE) Number of Dwelling Units ... i Number of Stories .......... 1 lab On Grade (Package D) Floor Construction Type .... S BUILDING SHELL 114SULATION -7 --- -------------------- Component Insulation Assembly Type R -value' U -Value Location/Comments -------------------- ---------- --- ---- --- *7 ---------------- -------------- Wall 0.0-78 Roof �R - 3 0.029 R�O 0.720 SlabEdge -0 0.900 SlabEdge R FENESTRATION ---------- Orientation ----- ------- ----- Window Front (NE) Window - Left (SE) Door Back (SW) Window Back (SW) Window Right (NW) Skylight Front (NE) Type ------------ SlabOnGrade SlabOnGrade Now Area (sf 74.0 32.0 106' * 0 48.0 20.0 16.0 over - U_ # of Interior Exterior hang/ Framing Value Panes Shading Shading Fins Type --- 0.510 0.510 0.510 0.510 0.510 0.820 - 2 --------- Blinds -Lt ---- None --- Yes Vinyl 2 Blinds.Lt None Yes Vinyl 2 Blinds.Lt None Yes Vinyl 2 Blinds.Lt None Yej'0'6 Vinyl 2 Blinds.Lt None es Vinyl 2 None None Metal Exposed --- -------- - No Yes V THERMAL MASS ------------ N4 Area Thicknes-s:� 0 (sf) (in),ji 3sw� c V i Comments ------ ------ VIC IL Fo v- e r e d ------------ 1858 3.5 f�, 421 3.5 Covered N CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title .......... Date ........ 08/16/95 MICROPAS4 V4.01 File-BURGOYNE Wth-CTZ11S92 Program -FORM CF -1R User#-MP0400 User -Jim Peterson Run -HOUSE -------------------------------------------------------------------------- HVAC SYSTEMS Minimum - Duct Duct Thermostat Equipment Type Efficiency Location R -value Type --------------- ------------ Furnace 70.800 AF_UE ---- 7 -------- Attic ------- R-4.2 ------------ Setback ACSplit 1C1L1..00�SE,E*R Attic R-4.2 Setback Tank Type STo'raqe WATER HEATING SYSTEMS --------------------- Number in Energy Heater Type Distribution Type System Factor ---------------- ------------------- ------ -------- Gas--------.Standard 1 O..544 -EF SPECIAL FEATURES/REMARKS ------------------------ Tank External Size Insulation (gal) ----- R -value ---------- - 12 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title .......... Date ........ 08/16/95 MICROPAS4 v4.01 File-BURGOYNE Wth-CTZ11S92 Program -FORM CF -1R User#-MP0400 User -Jim Peterson Run -HOUSE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code 'of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, - any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name .... JIM PETERSON Company. Address. 341 BROADWAY #207 CHICO.CA. 95928 one ... (916),343-7250 - License. DOCUMENTATION AUTHOR Name .... JIM PETERSON Company. Jim Peterson Address. 341 Broadway #207 Chico,, California 95928 Phone.... (916) 343-7250 Signed... 'Signed (d��e) rNFORCEMENT AGENCY Name.... Title ... Agency.. Phone ... Signed. . (date) Aj- 8 - ((0 (date) MANDATORY MEASURES CHECKL'IST: RESIDENTIAL Page 1 MF 1R Project Title .......... Date ........ 08/16/95 Proje'ct Address ........ Documentation Author ... Company ................ Telephone .............. JIM PETERSON Jim Peterson (916) 343-7250 Building Permit # Plan Check / Date Compliance Method ...... MICROPAS4 by Enercomp, Inc. .1 __ - ' Field Check/ Date Climate Zone ........... MICROPAS4 v4.01 File-BURGOYNE Wth-CTZ11S92 Program -FORM MF -1R User#-MP0400 User -Jim Peterson Run -HOUSE ------------------------------------------------------------------------------ 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 binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). Minimum R-13 raised floor insulation in framed floors- Design- Enforce- er ment minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 1116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls .a. Door's and windows between conditioned and unconditioned .spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior do ' ors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): -Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances' and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. 7 , 11� MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project.Title .......... Date ........ 08/16495 Wth-CTZ11S92 Program -FORM MF -1R MICROPAS4 v4.01 File-BURGOYNE User#-MP0400 User -Jim Peterson Run -HOUSE ------------------------------------------------------------------------------- SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES ------------------ 7 ------------ : -------------------------------- Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation .1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated .(R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4.'Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. --3 -.-Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor -pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES ----------------- Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. COMPUT . ER METHOD SUMMARY Page 1 C72R,__ Project Title .......... Date ........ 08/16/95 --------------------- Project Address ........ . Documentation Author ... JIM PETERSON Building Permit # Company ................ Jim Peterson Plan Check / Date Telephone .............. (916) 343-7250 Compliance Method ...... MICROPAS4 by Enercomp, Inc. Field Check/ Date ClimateZone ........... MICROPAS4 v4.01 File-BURGOYNE Wth-CTZ11S92 Program -FORM C -2R -HOUSE User#7MP0400 User -Jim Peterson Run --------------------------------------------------------------------------------- MICROPAS4 -------------------------- ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design -7 -------- Margin ---------- ----------------------- ---------- Space Heating .......... 15.22 11.65 3.57 Space Cooling .......... 10.27 13.11 -2.84 Water Heating .......... 10.99 10.81 -------- 0.18 ------ Total -------- 36.,48 35.57 0.91 Building complies with Computer Performance GENERAL INFORMATION ------------------- Conditioned Floor Area ..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units ... Number of Building Stories. Weather Data Type .......... Floor Construction Type .... Number of Building Zones ... Conditioned Volume ......... Footprint Area ............. Ground Floor Area .......... Slab -On -Grade Area ......... Glazing Percentage ......... Average Ceiling Height ...... 2279 sf Single Family Detached New Front Fac ing 30 deg (NE.) FullYear Slab On Grade 1 19880 cf 2279 sf 2279 sf 2279 sf 13 % of FA 8.7 ft (Package D) COMPUTER METHOD SUMMARY Page 2 C -2R Project Title .......... Date ........ 08/16/95 MICROPAS4 v4-01 File-BURGOYNE Wth-CTZ11S92 Program -FORM C -2R User#-MP0400 User -Jim Peterson Run -HOUSE ------------------------------------------------------------------------------ Zone Type -------------- HOUSE Residence BUILDING ZONE INFORMATI-ON ------------------------- Floor # of Vent Special Area. Volume Dwell Cond- Thermostat Height Vent Area (sf)- (cf) Units itioned Type (ft) , (sf) --------- --------- ----- ------- ------------ ------ --------- 2279 ' 19880 1.00 Yes Setback 2.*0. n/a OPAQUE SURFACES Area --------------- U_ Insul Act Solar Form 3 Location/ Surface -------------- (sf) ------ value R-val Azm Tilt Gains ----- ----- Reference Comments HOUSE --- ---- ----- ------------ ---------------- 1 Wall 252 0.078 R-15 30 90 Yes W.15.2X4.16 2 Wall 238 0.078 R-15 30 90 Yes W.15.2X4.16 3 Wall 371 0.078 R-15 120 90 Yes W.15.2X4.16 4 Wall 366 0.078 R-15 210 90 Yes W.15.2X4.16 5 Wall 383 0.078 R-15 300 90 Yes W.15.2X4.16 6 Roof 2279 0.029 R-38 0 0 Yes R.38.2X12.16 PERIMETER LOSSES Length ---------------- F2 Insul Surface ------------ (ft) ------ --------- Factor' R-val Location/Comments HOUSE ------- ---------------------- - 7 SlabEdge 128 0.720'. R-0 8 SlabEdge 64 0.900 R-0 FENESTRATION - - - - - - - - - - SURFACES - - - - - - - 7 - - - - SC SC Interior Area # of Frame Open U_ Act Glass Int Shade Surface ----------- (sf) ----- Panes ----- Type -------- Type ------ value Azm Tilt Only Shade Description HOUSE ----- --- ---- ----- ----- ------------ 1 Window 12.0 2 Vinyl Slider 0.51 30 90 0.88 0.58 Blinds.Lt 2 Window 20.0 2 Vinyl Slider 0,51 30 90 0.88 0.58 Blinds.Lt 3 Window 4.0 2 Vinyl Fixed 0.51 30 90 0*.88 0.58 Blinds.Lt 4 Window 9.0 2 Vinyl Fixed 0.51 30 90 0.88 0.58 Blinds.Lt 5 Window 5.0 2 Vinyl Fixed 0.51 30 90 0.88 0.58 Blinds.Lt 6 Window 20.0 2 Vinyl Fixed 0.51 30 90 0.88 0.58 Blinds.Lt 7 Window 4 , .0 2 Vinyl Fixed 0.51 30 90 0.88 0.58 Blinds.Lt 8 Window 16.0 2 Vinyl Slider 0.51 120 90 0.88 0.58 Blinds.Lt 9' Window 8.0 2 Vinyl Slider 0.51 120. 90 0.88 0.58 Blinds.Lt -10 -Window 8.0 2 Vinyl Slider 0.51 120 90 0.88 0.58 Blinds.Lt 11 Door 20.0 2 Vinyl Slider 0.51 210 90 0.88 0.58-Blinds*.Lt 12 Door. 20.0 2 Vinyl Slider 0.51 210 90 0.88 0.58 Blinds.Lt 13 Door 66.0 2 Vinyl Slider 0.51 210 90 0.88 0.58 Blinds.Lt 14 Window 8.0 2 Vinyl Slider 0.51 210 90 0.88 0.58 Blinds.Lt 15 Window 16.0 2 Vinyl Slider 0.51 210 90 0.88 0.58 Blinds.Lt iu �Vlllduw L V I il y _L COMPUTER METHOD SUMMARY Page 3 C -2R Project Title .......... Date ........ 08/16/95 7 ----- '�MICROPAS4 v4.01 File-BURGOYNE Wth-CTZ11S92 Program -FORM C -2R User#-MP0400 User -Jim Peterson Run -HOUSE ------------------------------------------------------------------------------- FENESTRATION SURFACES Area Mass Type .(Sf) --------------- ------ HOUSE 1 SlabOnGrade 1858 - ..2. SlabOnGrade 421 THERMAL MASS ------------ Thick Heat Conduct- Surface (in) Cap ivity R -value Location/Comments ----- ----- -------- --------- -------------------------- 3.5 28.0 0.98 R-2.0 Covered 3.5 28.0 0.98 R-0.0 Covered SC SC Interior Area # of Frame Open U_ Act Glass Int Shade Surface (sf) Panes Type Type value Azm --- Tilt ---- Only ----- Shade Description. ----- ------------ 17 - Window ----- 16.0 ----- 2 -------- Vinyl ------ Slider ----- 0.51 210 90 0.88 0.58 Blinds.Lt 18 Window 4.0 2 Vinyl Slider 0.51 300 90 0.88 0.58 Blinds.Lt 19 Window 16.0 2 Vinyl S ' lider 0.51 300 90 0.88 0.58 Blinds.Lt. 8.0 2 Metal Fixed 0.82 ' 30 90 0.88 0.88 None 21 Skylight 8.0 2 Metal Fixed 0.82 30 go 0.88 0.88 None OVERHANGS AND SIDE FINS ----------------------- --- Window -- ------ Overhang ----- --- Left Fin --- --- Right Fin -- Area Left Rght Surface (sf) ----- Hght ---- Wdth ----- Dpth Hght ---- ---- Ext --------- Ext Ext ---- Dpth ---- Hght ---- E xt ---- Dpth ---- Hght ---- ----------- HOUSE 1 Window 12.0 7 3.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 20.0 4.0 5.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 4.0 2.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 9.0 2.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a - n/a n/a n/a 5 Window 5..0 2.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a h/a 6 Window 20.0 5.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 4.0 2-.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 8 Window 16.0 4.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 9 Window 8.0 4.0 2.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 10 Window 8.0 4.0 '2.0 2.0 1.5 n/a n/a n/a n/a n/a -n/a n/a n/a.. 1i Door 20.0 6.8 3.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 12 Door 20.0 6.8 3.0' 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 13 Door 66.0 6.8 10.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 14 Window 8.0 2.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 15 Window 16.0 4.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 16 Window 8.0 2.0, 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 17 Window 16.0 4;0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a. n/a 18 Window 4.0 2.0 2.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 19 Window 16.0 2.0 2.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a Area Mass Type .(Sf) --------------- ------ HOUSE 1 SlabOnGrade 1858 - ..2. SlabOnGrade 421 THERMAL MASS ------------ Thick Heat Conduct- Surface (in) Cap ivity R -value Location/Comments ----- ----- -------- --------- -------------------------- 3.5 28.0 0.98 R-2.0 Covered 3.5 28.0 0.98 R-0.0 Covered WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ----------- ------------------- ------ -------- ------ ---------- -1 Storage Gas Standard 1 0.544 -40 R-12 SPECIAL FEATURES/REMARKS ------------------------ .COMPUTER METHOD SUMMARY Page 4 C -2R Project Title .......... Date ........ 08/16/95 MICROPAS4 v4.01 File-BURGOYNE Wt h-CTZ11S92 Program -FORM C -2R User#-MP0400 ----------- 7 ---------------------- User -Jim -------------------------------------------- Peterson Run�-HOUSE HVAC SYSTEMS ------------ Minimum Duct Duct Duct System Type Efficiency ------------ Location ------------- R -value Efficiency ------- ---------- ---------------- HOUSE Furnace 0.800 AFUE Attic R-4.2 0.830 ACSplit 11.00 SEER Attic R-4.2 0.810 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ----------- ------------------- ------ -------- ------ ---------- -1 Storage Gas Standard 1 0.544 -40 R-12 SPECIAL FEATURES/REMARKS ------------------------ kk RESEDENTIAL PLAN CHECKENG GUEDE SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS ONLY . T OWNER: BUILDING PERMIT NUMBER: PLAN CHECKER: �Z_S_ ASSESSOR PARCEL NUMBER: Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact fees, Health, Developer fees, License law, etc.). Recorded notice of violation. / 7 9,F C7 1��-z4r /11 1�x / / � Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, and drainage. Flood hazard. Special conditions on creation map, (noise, C.D.F., fire sprinklers, non-combustible, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). Complete to scale plan with dimensions. . t Required windows for light and ventilation (Section 1205). Requi�ed windows for second exit (Section 1204). Skylights (Chapter 34 &,Section 52,07). Human impact glass (Section 5406). Required room sizes, ceiling heights (Section 1207). G.F.C.I. in baths, garage, kitchen, and exterior'outl6ts *(Article 210-8)z Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment..'' I I I I C L Locations of water heater, heating and cooling equipment, other electrical or gas equipment C' firewail, door size, and closer (Section 503(d)(3) Garage I I - 3'0" exterior exit door (Section 3304 (f). Fireplace and wood stove location, alcoves and clearance. S Smoke detectors (Section 1210). lumbing fixtures, water closet clearances and shower size. Standard bracing or engineered design (Table 25V). Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Pireplace construction details and cals if necessary. TFA'er ties or bearing ridge beam. 6arage door or pwehqFEM sizes. ,Stud heights. 'Adobe soils - special foundation design. 'Retaining walls requiring design. Special Inspection required. May 1995 3.2 RESEDENTUL PLAN CHECKENG GUEDE SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS MISCELLANEOUS 1717EMS TO LOOK OUT FOR: Stairway details: landings, rise and run, head clearance, handrails (Section 3306). Guardrail details (Section 1711 and 33060). Brick or stone veneer (Chapter 30). rior plaster - weep screeds (Section 4706). Proper.roof pitch for roof covering (Chapter 32). covering type - (f= hazard). oam insulation - protection. 36" halls and stairways. Living area over gamge - complete 1 -hour separation required on garage side including supporting walls and posts. exits on three-story dwellings (Section 3303 and see Mezzanines - 1716). Attic access and ventilation (Section 3205). Underfloor access and ventilation (Section 2516). mbustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. Energy design. ashing at all exterior openings.. D.F. responsible am requirements. 4 if# 4 71� �01 T Department of Development Services Building Division .7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and r6tumed to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: �irrmesl L Phone: Mailing'Address -1/-/ Ak IA.) Fos- I -r- V- 6 r. Site Address:' -Wv,c,-j F &sAr�- ekeo, CA 5��j ?S - Assessor's Parcel Number: IA4� W — ao Zone: S f2 - Please answer questions 1- 16, and explain any yes answers for questions 2-14 in *the space provided on page 2 of this form. GENERAL LNFORMLATION: 1. Is there a primary dwelling on the property? Yes 0 No 0 2. Is the structure already built, under construction, or under notice of code violation? Yes 0 NoO 3. Will items produced in this building be offered for sale? Yes F1 No 4. Will the public have access to this building? Yes No 5. Will any advertising, on or off site, be associated with the use of this building? Yes 0 No (3 SITE CONDITIONS:. 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes No 7. Is any portion of the structure located closer than 20' to your front property line? Yes No S. Do you plan to add a driveway or modify existing access to a county maintained road? YesEl No 0 9. Will the proposed structure encroach within any recorded easement? Yes 0 No 0 CONSTRUCTION FEATURES: 10. Will this building have insulated floor, wafls� or ceiling? Yes [I No 0 11. Will this building be heated or cooled ? Yes [--] No El 12. Will this building have a water closet/toilet? Yes [9 NoO 13. Will this building have a sink? Yes El No 0 14. Will this building have a water heatei? Yes [-] No ED 15. What type of floor covering,%vill the building have? .6c VK C k+ 16. What type of %vall covering v�ill the bu'i Iding have? 1�kcc� aalk OVER I of2 PROPOSED USE: (check only one box) 1. 0 Residential Storage Shed — I will be sto ring in this building and it will not be used for any other purpose (no bathroom and no beating or cooling 2. 0 Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kepL" A gMee door is Mquired. 3. 0 Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entifely ope - 4. Fj Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed. garage, or carport If you checked #4, please check the uses below which best fit this building GuestHouse Pool House [3 Studio Apartment (:1 In-law quarters Recreation Room 8 Game Room 0 study C1 Library El Bonus Room 0 Playroom' C1 Den 0 Studio C] Artist Studio Hobby Room 0 Craft Room 0 Sewing Room [] Canning Kitchen Music Room [I Family Room 0 Sun Room El Private Offlice Workshop 1 E] Home ()CCUpanCy 2 El Other — Use 1. DesmIx rype or Wc&hop 2 Matbeappsay by d3e Butte Courity PLuming Divisium Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner win contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O--%-ner's Name: Please PrQit O� J 61 �' & Y1 Neu Omner's Signature: Date: 7ZI Vd, 2z 2 of 2 O.B.- I OWNER-BUILLDER VERIFICATION Attention Property Owner. An "owner-buildeebuilding 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. I personally plan to provide the rn�or labor and matefials for construction of the proposed property improvement: YES 13 NO 0 2. 1 HAVE 13 HAVE NOT Ksigned an application for a building permit for the proposed work. 3. 1 have conhwAad with the following person (fam) to provide the proposed construction: NAMIE: ADDRESS: —CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,, supervise, and provide the m4or work NAM9: ADDRESS. CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 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 DATE:— NO M- This Owner-BuiMer Verification Z'Y required by Section 19831 and 19832 of the Cahfornia Beafth and Sqjko Code. This verykation must be conTleted and returned to our oj)ke before we areperm&fed to issue thepermit. OVER I OWNER BUILDER INFORMATION Dam Property Owner. An application for a budIding permit has bwn submitted in your nwn listing yourself as thebuilder of property improvements specified. For your protection, you should be aware that as "owner-bmilder" you are the responsible party ofrecord an such a Permit Building parm are not mquirad to Se, signed by property owners unkm they are Personally perbrming therii own worL If your work is being pez Bd by Some= Other than YOUTRelt 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 busin= licem from the city Or COuntY. 7heY are also re7dred by law to put their license number on all permits for which they apply- . Ifyou. plan to do your own wod; with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protmflon: + Ifyou =Play or otherwise engage, any persom ofl= than your immediate bmily, and the woik (mcluding materials and other costs) is 1300 or more for the entire Project and such persons are not licensed as contractors or mg=ntractors. then you may be an employer. + If you are an employer, YOU must registw with the Sto and Federal Governments as an employer and you are subjea to sevwa obligabong incInding state and Waral in== tax withholding, Weral social s=n-Ay taxes, wo*M COmPensation insm"moe, disability insurm= coA amid unemployment compensation contributions. + 11= may be financial risks fcT you ifyou do not carry out ame, obligations, and these risIm are especially serious with respect to worlmes compensation inguranm + Formore, specffic irfianation abotAyour obligations underFederal lzw� contraa the. internal Reverine Service (andL ifyDU wish, the US. Small Business AdMinkh'ation). For mor -e specific information about your obligations under State Law, contact &a Depuftaent of Benefit Pqments and the Division of industrial Accidents. IffbD struc� is intended for sale, property Owners who are not licensed conhwtors are allowed to pez their Work Personally or through their own employees, without a licensed contractor or mboontr;actor, only under limited conditions. A fttquent practice of unlicensed Persons proftsing to be contractors is to sown an "owner builder" building Permit, WODDOUSlY imPlking d9d the Mparty owner is providing his or her own labor and material personally. Building Permits are, not required to be signed by property owners uinless dwy am performing their own woric personally. Infinmation. about licensed contractors may be, obt&xed by c*nIrac6ng the Cantrad= State, Ikense Board in your Community Or at 1020 N SbWt, Sacramento. CA. 95914. Mem COMPlete- the "Owner BMIder Verificatioe on the mverse side of this form so ftt we can confirm, that you are aware of fime matters The building Permit will not be issued ma the verifir,-ejon isi A 5 ly 0 1( . Vidira, C3.0. Building hispwtion Mr-CIr4An-=ZI�—/0M, NOTE: YIM Owna-BuffdzrWOMM60n rs rcq=ed by Sea*on 19830 of j*e Cahfornk HeaM and S4kty Code- NOTES RESIDENTIAL f,040-640-'006 /63-0411 BENTLY, CRAIG PERMIT NO. _44 NEW FOSTER-CHICO- i COT4: ROBT HILL & ASSOC I I"Ooh-mASTER#506-97 SPECIAL CONDITIONS CHECKED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature C Afl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Ciriciville, California 95965 * Telephone,(530) 538-7541 PERMIT NO. (Rev. ��96) AP . P - LICATIONANDPERMIT 65/M ASSESSOR PARCEL NUMBER 040-640-006 ZONING SR -11 BUILDINGPERMIT OWNER Bentlyt, Craig & Wendy TELEPHONE '899-9724 SQ. Fr. OCC. BUILDING VALUATION FC on� 22,610.06 OWNER'S MAILING ADDRESS 44 New Faster P1, Chien 95028 CONTRACTOR'S NAME Robert Hill & Assoc. TELEPHONE 891-4280 CONTRACTOWS,MAJUNG ADDRESS CONSTRUCTION LENDER I I Fireplace — LENDER'S MAILING ADDRESS Total Valuation $ 22.610.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 234.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 44 New Foster'Rd- P1. Chico Energy . Plan Checking Fee PERMIT FEE $ 277. 0 LOT NO. SUBIDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE.OFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1 -5 - 0 01 5'0 00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Ulilities 0 Installation 0 Other 0 Describe Work: Pool Master # 506-97 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @0120.00 PERMIT FEE $ 35.00 Flood: X 0510C CSA -179 ELECTRICAL PERMIT Filing Fee 20-00 R Main Service .A 'OR UEss 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 1p in full force and effect. License Class' Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Me performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permit is issued. MY workers' compensa on insurance carrier and policy number are: Carrier A/ 0 Policy Number P2171- 01 - 000096 4- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 com P with those provisions. ) � &4" Date X 2/6 �j� Signature of Applicant - 0 Owner 0 Contractor El - 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 46.00 ,NEW CONST DWELLING OCCUR so. OR ADDNS. 3.50FT. . .. .1, IN CONST NOWN-RESID. M.ULTi0.U11`C5nS @7.50 OWER AP=TUS PSINQLE 0 C.. 20 (9 1.00 Ex. Occup. OUTLET OR FIXTURES IBAL @ .50 Ex. Occup. ..FIXED APPLNS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pool Elee. 30.001 PERMIT FEE 50.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 362.00 HAZ D FEES IMP I FLOOD X J7D7F 7PARiCE-L PD. I HD 7 ISS E 7 This permit is hereby issued under of the�Bufte County Code and/or indi6ated)above for Aich fees have 13Y B PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date — 3 7// (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT OK 0 = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Vs 1 . Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3.. Sewer; Location-Test-Fall-C,'O-Concrete 4. Water; Location -Test- Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-! /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ PLPG 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 ft 1 . Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve-Connectcr 4. Electricity; MH Test-Crossovers-Breake,,s-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Gracle-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type- Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1 . Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing- Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #Is 1 . Zoning Requ irements-Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists- Decki ng- Braci ng -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card P-1 Date Card B-1 Date POO (Plans) OK except Vs �.:�b dks-Easements 2'Ws; Compaction -Structure Stability Q,.o1P1 Structure7 Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GF1 6. P(56.; Enclosures; Conduit Entries -Terminals -Listed 7" Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit Cir. Test -Water Supply Test Dat<22UL/7 CardBjeir//l Date Card B-1 Date � I Card B-1 ' - / Date Card B-1 4 = OK 0 = Not OK - = Not Applicable . = Not Ready RESPENTIAL (Single. & Duplex) Date UNDERFLOOR (Plans) OK except Vs 1 . Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Sternwalls, Main; Steel- Blockouts-Wrapped 6. Sternwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall- Fitti ng -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors- Reg ulator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance- Material -Support- Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access& Ventilation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width- Head room -R ise-Run- Land ing- Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 4 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -59. Glazing Area -Glass Protection-Skylig hts- Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 16. Insulation 63. Infiltration-Walls-Witidows 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.; VentLAccess-Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. - Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance- Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & CJ 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Mter 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or Al-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AkOven Circ. / /ga Cu or Al Insulated Neutral 0 Yes ONo 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels- Motors- Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces- Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width- Head room -R ise-Run- Land ing- Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 4 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -59. Glazing Area -Glass Protection-Skylig hts- Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration-Walls-Witidows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector ' 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & T ub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance- Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing- Landi ng -Closure 76. A.C. Duct in Garage -Damper ' 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.Fl.)-Romex Protection 80. 1 nsulation-Foam- Looked in Attic 81. Guard Rails & Deck Construction- Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical- Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive o, Oroville, California 95965 * Telephone (530) 538-7541 (i46v.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-640-006 ZONING 1;1)1-1 BUILDINGPERMIT OWNER Bently,_Craig & ilendy TELEPHONE 09 0 9-924C SO. FT. Occ. BUILDING VALUATION Cont. 22,610.00 OWNERS MALING ADDRESS 4� Npx.-7 P1 Chi co 95928 — CONTRACTORS NAME Robert -Hill & Assoc. TELEPHONE 1891-4280 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation 1$ 22."61 .. 00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 234.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 44 New Foster -Rd- P!, Chi ca Energy Plan Checking Fee $ PERMIT FEE $ 277. 0 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15-0 5.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: Pool �Iaster :h' 506-97 Gas piping syste!!! 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G L@20.00 PERMIT FEE $ 35.00 Flood: X 0510C CSA -179 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ) 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 g* in full force and effect. License Class Lic. No. (161 OWNF-R-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ag, 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' compensa on insurance carrier and policy number are: Carrier QA*, A/ �A Policy Number '277L-01 - 0000504- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 ffr't�with co with those provisions. M�:= X Date Siinatdre of Applicant - 0 bwner 0 Contractor Er'—Aient 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 46.00 NEW CONST. OW:,L.UNG .0CCUP_ so. OR ADDNS. C 3.50FT. NEW CONS '_O ...IDT =H @7.50 0 E.RAP� 6RATUIS PSINW 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 0 " IxED APP . OR Ex. OCCUP. (R=.) E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pool Elec. 30.001 PERMIT FEE $ 50.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 I PERMIT FEiE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. n'PE TOTALFEE$ 362.00 HAZ 7 I D/Ees IMP FLOOD X CDF P7 HD ISSUE This permit is hereby issued under the applicable provisions of thpS%itte Cc n andlor Resolutions to do work in "Cated MuforqiOdhefee, have been paid. tw _ 11�qll �U�7 Date PERMIT EXPIRES ON If, (Da ta) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT E.H. USE ONLY Flat Plan Artachad I—,, - Flow Ffan Attachad san2ta TO: i,iO'Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I-- 11 15 25F2 L?�Z-- V- I * A4��ZaZ—Ek- e2Y22 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: C:V�-// lt�73 E�viro-nmental Health Specialist Date 8196 t COLWTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 4N 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 44 ASSESSOR PARCEL NUMBER046-6��-066��- Proposed Building Use W I U – Counter Technician: (? , 6 , —Date: Z . I I - C) Items required in order i o apply for a permit. All boxes MUST be checked alk marked NA in order to apply. U( 1. . Plot plans, 3 or 4 sets, signed�y the, preparer of the plans. 0 2. Complete plans, 3 or 4 sets, signed by the Ireparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Ene ' compliance design and supporting documentation in duplicate. rgy 0 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 0 7..'Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be staml2ed and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received B 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 0 9. Plot plan and business license approval from the City of Biggs ................................... 0 10. ' Letter of intent for non-residential buildings ...................................................... 0 11. Detached Accessory Building Form filled out by the owner ..................................... 0 12. Hazardous Material Form ............................................................................... 0 13. Other Remaining items peeded to issue the permit. (May require additional plan review upon receipt of the followinj items.) �14. Fees as shown on the attached Schedule of Fees Due Sheet ................................ A,1�5. Statemenlf�of Intent for Non -heated and A/C Buildings .......................... 46 --sanitation and plot plan approval from the Environmental Health Department in U U 0 17. City of Chico�Plumbing permit ......................................................................... 0 18. California Depan-ment of Forestry plan approval 0 paid. Sent. by: ...................... N, 0. 19. Planning appr6vil for (A) Use: C)� K (B)Parking: _(C) Parcel Check: 0 20. Contact Land Develop?A t about 0 Improvements, 0 Drainage ................................. , �n 0 21. Encroachment Permit f6r driveway from the Public Works Dept. (construction approval prior to occupancy). 0 22. Pre -Inspection for required ................ 0 23. Contractor's license information. (Number, Name Style, Classification) ...................... 0 24. Worker's Compensation Carrier and Policy Number ............................................. 0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) ......... * ........... 0 26. Letter of Signature authorization .................................................................... b 2�. Recorded copy of Agricultural Acknowledgment Statement .................................... 0 28. Manufactured home utility clearance ................................................................ 0 29. Existing violations and/or expired permits ......................................................... 0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check 6 H.C.D. $ 0 3 1. Other: When issued Telephone S-eO 14 2 t 0 and hold for pickup. I have been inr e apy s and requirements for obtaining a building permit. Applicant: Date: VIIII63 1. Index permit application for'the above items numbered: Plan Check Letter ,2�Additional items required Contractor, designer, owner, was advised cf the above data by 0 phone, 0 mail, 0 counter, by Date: Contractor, designer, ownfWas advised of the abo�ie data by 0 phone, 0 mail, 0 counter by _Date: Plans reviewed by: Date: Plans approved by: —Date: 0 3 Structural reviewed by: Date: Structural approved by: Date:— f Note transfer by: Date: Yellow: Building Division IPLANNING DIVISION- BUILDING PLAN APPROVAL use: Date: Parking:- Laridscaong: "c\ ev"LA, 0. o.. f e""l -,W ; A,15 fa a L& (r C, -wK e &,-I I -C 1.11!v -a e -t e STRUCTURES AND EQUIPMENT IN`C'LUD'W HANGS SHA�,L BE CLEAR OF ALL EASEMENTS. FT. FROM THE SIDE AND FI THE REAR PROPERTY LINES AND YZI FIR" , I V M THE ROAD CE,�5,IRLINE SHALL BE (40 OF TRUCTURES AND E UIPM R ENT EXCEPT 2 EEO— ic rAA VE: OVERHA N@ Al ?0 bex rief-- J< peol -4� ' -2;t- uw, L coulm -2�71.47' WROWDEPA En. APPROVED 0* -0 gfi* f�� ----F -- L.--6 Ape�� 1. APPROVED Butte County 9Wronmentid Health A. D, D 0 A L C,1.n.'-`.--.., ENVIRONMENTAL HEALTH FEB 0 5 Z."13 ..CH[ CA-- -CAUF-0.SN1k-----.--. A DATE: PERMIT #: ASSESSOR PARCEL #: (D. OWNER'S NAME: FEES (Amount and Purpose): REVISED PLAN CHECK: BALANCE OF FEES: ADDITIONAL FEES: REINSPECTION FEE: SET= FEE: CUA FEE: TUA FEE: CSA 87 TRAFFIC�TEE: WATER TENDER FEE: - $ BATTALION # THERM DRAINAGE FEE IF BALANCE -OF FEES'OR ADDITIONAL VALUATION. U VALUATION: $ ADDITIONAL VAL: $ (Check One) COUNTY (Check One) RECEIPT NUMBER: CITY OF BIGGS RESIDENTIAL COMMERCIAL (S i H 2,- 5 Y�, _ ___ ___ - , , --- . 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