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HomeMy WebLinkAbout040-640-022NOTES RESIDENTIAL PERMITNO 040-640-022 04-2200 POLLAK,DAVE 8 CAROL LEE COURT, CHICO CONT: ADONIS POOLS POOL MASTER 507:01 gv�­ SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALIED (D X/ Signature BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BP042200 BUILDING PERMIT 24 HOUR INSPECTION (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buftecounty.netIdds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Date: 08/13/2004 APN: 040-640-022-000 the Business and Professions Code, and my license is in full force and effect. License Class: Licari Numbeu:7� Site Address: 8 CAROL LEE CT CHI Date: 0--Viractor JI&C 040-::� Map Index: Description: NEW POOL(MASTER # 507-01) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: POLLAK DAVID MICHAEL & DARCY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a MICHELLE signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 883 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that. he or DURHAKCA she is exempt therefrom and the basis for the alleged exemption. Any 95938-0883 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 13 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: POLLAK DAVID MICHAEL & DARCY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, MICHELLE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will ha�e the burden of proving that he or she did not build or improve for the purpose of sale.). 13 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ADONIS POOLS LI I am Exempt under Article 3 of the Business and Professions Code 12 PHEASANT RUN COURT Date: — Owner: CHICO, CA 95973 530-891-1197. . WORKERS'COMPENSATION DECLARATION I 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 License #: 266839 workers' compensation. as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .Er- I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: ins carrier and policy number CarriZp, " , Z_/ 4F Total Square Ft: 0 S.F_ ;;, . _2� Policy 2,59;._ 3— 0 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe7t is hereby issued under the applicable provisions of the Butte County Code Prid/or I hereby affirm that there is a construction lending agency for the this is issued 3097 Civ.). Resolutions todo7 'ng, ted above for which fees have been paid performance of the work for which permit (Sec I I JW By:— Da e. Name: PERMIT I Address: r1late) 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. El Attached are copies of the required E.P.A. notification forms. I hereby certify that I.have firtion. that the above information is correct, and that I am the owner or the [horized-agent-ofiht�-o—�Wn-b�r—t-agree-to comply with read t� p ffi document f B It nt I hereby all county and state laws relatin tobui construction. I acknowledge it is unlawful to alter the substance of an r -Co Id g for authorize repre t6r, es of But County to enter upon the above mentioned property inspection pu Print Name:Z7_�_Z4_ Date: 0 Owner ontractor Q Agent for Owner L3 Agent for Contractor fl—C 4 = oj� 0 = Not OK - = NotAppliGable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Vs Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 1 . Zoning Requ irements-Setba--ks- Easements Decks, Girders and/or Joists- Decking -Bracing -Stairs- Rai Is 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 3. Sewer; Location -Test- Fall-C,'O-Concrete Alum. Awn.; Colu mns-Connections-Splice- Decal- Enclosures 4. Water; Location -Test- Easement Needed (Sketch) Carports; Windows -Doors 5. Electricity; Location-Clearances-Grnd-! /Amp -Concrete Electric 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 7. Well Clearance & Disconnect Siding; Nai ling -Veneer -Stucco- Mesh 8. Utility Clearance Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Land i ngs 12. Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (P lans) OK except #'s Card B- Date Card B-1 1 . Zoning Req uirements-Setba:;ks- Easements CardB-1,W Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test- Regu lator-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 Vs 1 . Zoning Requ i rements-Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists- Decking -Bracing -Stairs- Rai Is 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Colu mns-Connections-Splice- Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nai ling -Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Land i ngs 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLgAPlans) OK except #'s Q_-*Setba�Easements ompa_tion-Structure Stability I &,,Kool �>ucture; Steel -Connections -Thickness Dp ,ad -Men -Lining t4-*r:Iec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Term i nals- Listed ­7-�c.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. PI_4m6.;,,Qir. Test -Water Supply Test 4-'CighAiche -1 12,o,5nclosure; Fencing -Alarms Z?� Date!�E-7-0'T Card B- Date Card B-1 Date�,7-,::�15_ CardB-1,W Date Card B-1 I Uq 4 = OK 0 = Not OK - = NotApplicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1 . Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Sternwalls, Main; Steel- Blockouts-Wrapped 52. Garage Fire Protection Framing -RC Channel 6. Sternwalls, Garage; Steel- Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance- Material -Support- Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. Infiltration -Walls -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date 74. Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled Elec. Receptacles in Garage (F.F.I.)-Romex Protection 27. Romex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or A 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels- Motors- M ech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Exterior Elec. Trim, G.F.I. Receptacle- Underground Card 13�1 -Date Card B-1 Date Ventilation Throughout House 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 95. 40. Aftic Access & Platform if Furnace in Attic Date Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throa�C_Iearance 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 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width- Head room -Rise -Ru n- Landing- Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 59. Glazing Area -Glass Protection-Skyl ig hts- Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection- Land i ngs 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.Fl. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, C learance- 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- Land i ng-Closu re 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.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstId./Drive, 0 Yes Q NoMalks 0 Yes 0 No/Planters 0 Yes El 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042200 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/13/2004 APN: 040-640-022-000 the Business and Professions Code, and my license is in full force and effect. License Class: Lizen Numbe, Site Address: 8 CAROL LEE CT CHI , Date: g���-��(Vactor 10 , _e Map Index: Description: NEW POOL(MASTER # 507-01) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: POLLAK DAVID MICHAEL & DARCY perrnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a MICHELLE signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 883 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or DURHAKCA she is exempt therefrom and the basis for the alleged exemption. Any 95938-0883 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): L3 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: POLLAK DAVID MICHAEL & DARCY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, MICHELLE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). Q 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ADONIS POOLS [3 1 am Exempt under Article 3 of the Business and Professions Code 12 PHEASANT RUN COURT Date: — Owner: CHICO, CA 95973 530-891-1197 WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 13 1 have and will maintain a certificate of consent to self -insure for License 266839 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. .Zr— I have and will maintain workers' compensatio n insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: ins carrier and policy numbeLaw. Carri:;a", Total Square Ft: 0 S. F. c;;, — Policy #: — !2 Q 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodA ;�nrvor I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions to d which fees have been paid. 1 e . -0 �>, e �q D_ performance permit / JFF --- Name: By. � Date: PERMIT EXPIRES ON: ��. � '_7� , 6> ::) ?5ate) Address: 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. U Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 13 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read 'hm' li tion, that the a,bove information is correct, and that I am the owner or the ��auhorize owner. 't-agree-tG-comply with Mpil'= all county and state laws relatin (to struction., I acknowledge it is unlawful to after the substanc, i_. r document of B g " e of an, — .. nty. I hereby authorize repretO es of But County to enter upon the above mentioned property for inspect . o p i n Print Name. Signatu Date: C/— Q Owner ontractor El Agent for Owner Q Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OF APPLICA TION rA CONTRACTOR OWNER Name city e, 9 Address zip��24 Cityc'b j e1_0 laxAffZ 7&� I _. - 1-ic. #WZ'69,� Clas Phone Planner Fax E-mail rA CONTRACTOR Name 4 9: /U2 n Z'15 AC4t!P1 Address .4 �6q city e, 9 Stafi6,: 00 zip��24 Phoneg ,71-,11V 7 laxAffZ 7&� _ E-mail _. - 1-ic. #WZ'69,� Clas ARCHITEC��N�E� Name CAL- BA6,�+MkM Address 1 -3 (GL+ -7 GA-9_t-JEP__ L_Al�,Je_ city C-�4 1 C D State cA I z'p96Cj-Tz Phone,!?)q2, Z4 1-:5& Fax -642 _,gyj 2_ E-mail State lJoense Number (0903 APPLICANT NAME Name A,'DQ)�Jt'��-' POQL� Address 1 -2_ p 0 c 6A �,,4�kj—r V U r,.j (:�7(— city State CA zip 9 65-7 Phone %C1 1191 Fax 1�ej E-mail FSF'office!�g�'.- Zoning Flood Zone SRA I Yes (,<o_'!� Occ. I Type Const. Subdivision Name Map Book i Page Lot # Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATiON AP# Z)W �� C�? Property Address Cross Street - WORKER'S COMPENSATION Po licy Number 00 (0 at L4 Carrier STA -Ce CotAp IWS. F�Af_jD If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at Me time of pennit issuance. LENDING AGENCY Name Address Description or Scope of Work: 'SM I �A M I W 4, 120 (2 (_ Sq. Footage W&LL'Mt2=1 a-5-07 • Structure Built without Permits - - ' • Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I A— D- I -f I Received by: —r7p Amount 1�16 07. /��?�Idg SRA Receipt* Sherfff I L Iwt:� SMIP Date: ------Qther REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications"must be submitted to the Building Division in order to apply forapermit. 17VCOMPLETE SUBMITTALS WTLL NOTBE ACCEPTED. ALLPLANSMUSTBE LEGIBLE AND 17V INK. Residential, New, Remodels, Additions, and Accessory Structures: 0 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! 0 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! 0 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. 2 Engineered truss details and layouts (if required) (7VO FAXES!). 0 5. Letter from Engineer or Architect for truss design review. 0 6. 2 Energy compliance design and supporting documentation. (Note: Not requiredfor additions to mobile or modular homes.) 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 0 8. Detached Accessory Building Form, filled out by the property owner (if required). 0 9. Sanitation and site plan approval from the Environmental Health Department. 0 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stgmped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: 0 1 . 3 Site Plans, signed by the preparer. NO GRAPHPAPEW! 13 2. 2 Data sheets and installation instruction manual. 0 3. 2 Marriage line information. 13 4. 2 Floor plans. 13 5. 2 Engineered Tie Downs'or Foundation plans. El 6. Sanitation and site plan approval from the Environmental Health Department. o 7. 2 Flood Elevation. Certificate, wet -stamped and signed (if required). Commercial, New, Additions. and Remodels: 1:1 1 . 4 Site Plans, signed by the preparer. NO GRAPH PAPER! 0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. 0 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). 0 4. Letter from Engineer or Architect for truss design review. 0 5. 2 Energy compliance design and supporting documentation (if required). 11 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). o 7. Statement of Intent for Non -heated and A/C (if required). 1:1 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be st..gWed and wet-sig—ned by the engipeer. 11 9. Letter of intent. 13 10. Hazardous Material Form. 11 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmtS.doC Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 1 7 County en er Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 2 OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: 7p, Z, a�K Counter Technician: Date: Items required in order to apply for aper 'it, All boxes- IWUST be' checked OR marked NA in -order to apply. 1 . Site plans, 3 or 4 sets, signed b� the *preparer of the'plans, 0 2. Complete plans, 3 or 4 sets signed by the preparer of the plans. 3. Engineered plans, 3 or 4 seis, 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. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and iupporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 8. Manufactured homes: (A) Data �heets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frid plans, all in duplicate. f 0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in tr�iplicate. All of these must be stamped and wet-sioned bv the enginee . 0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 0 11. Site plan and business license'approval from the City of Biggs. 0 .12. Letter of intent for non-residential buildings. 0 13. Detached Accessory Building Form filled out by the owner. 0 14. Hazardous Material Form. 1 11 V . 15. Sanitation and site plan aippro� I at from the Environmental Health Department in GPM= 0 Orovi'lle, as applicable, 0 16. Other I I Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 17. Fire Sprinklers 0 18. Agricultural Buffer clearance aqd site plan approval from the Ag Commissioner's office 0 19. Soils Report and/or Engineered Foundation required. 0 20. Erosion Control Plan Required.1 0 21. Fees as shown on the attached Schedule of Fees Due Sheet. 0 22. City of Chic rmit. I - 25--C-alTiornia Department of Forestrgy plan approval 0 24. Planning approval for (A) Use: 12r.- (B)Parking: _ vi/eq A - Li �-���mprovemenis, urainage. P"' 26. NPIDES Form 0 27. Encroachment Permit for driveway fiom the Public Works Dept. (construction approval prior to occupancy), 0 28. Pre -Inspection for I required. 1;- 29. Contractor's license informatio6. (Number, Name Style, Classification). T1_ 30. Worker's Coinpensation Carrie and Policy Number. 0 31. Owner -Builder Verification Given to owner, - Mailed to owner). 0 32. Letter of Signature authorizatioii. 0 33. Recorded copy of Agricultural �.cknowledgment Statement. 0 34., Manufactured home utility clearalrice. 0 35. Existing violations and/or expireld permits. 0 36. Deed Restriction. i I - 0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D, $ 0 38. Other: 0 39. Other: When issued Telephone and hold for pickup. I have been informe f t;he �abOove an'd requirements 7aii ng- Ing permit. Applicant: Date: I EXPI F ATION k, Applica ions for w * a permit has not been' issued will expire one year aft6r date of application. In order to renew action on an application after expiration, a ne pplication, plans and fees �ill be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written rejest by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two year's from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I 06ginal-Applicant E.H. USE ONLY Rol Plan Attachad Roar F%n Anachad Sam to G.D. I I TO: Building Department FROM: Environmental Health SUBJECT: Sanitatiorf Clearance 7 - Owner Location AP# Plan Approved for: Sewage Disposal c,— Water Supply: Public Private Well Clearance for — dwelling. Other r7N Hold final for: Final clearance O.K. for: NOTE: Environmental- Healt' Specia-list Date 8/96 N Date: rE PLAN REVIEW APPLICATION I AP# Parcel Size: Owners Name: Owner s Address: Situs A�dress: _3� /,�A_ Proposed Use: Residential [I New Single Family Res' ential F1 Single Family Addition Mobile Home Residential Accessory i, PO VC Permanent Second Dwe ling Temporary Mobile Home (Aunt Minnie)' Temporary Travel Trailer Multi -family 11 1 Non-residential E] Single Family Remodel New Commercial Commercial Addition El Commercial Remodel New Industrial Industrial Addition Industrial Remodel Other R Septic - Well R Agricultural Exempt Building R Other: Brief Explanation (if necessary): M DO NOT WRITE BELOW TFIIS LINE DEVELOPMENT SER PYCES INFORMATION (For Staff Use) 18'A�proved Conditionally Approved El Resolve Problems Prior to Approval Site Pla,4�tamped Approved' By Date V Page I of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: F1 Snow Load Area: n Land Conservation Act Minimum Acreage: Verify residence can be built per contract Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and -requirements) F] Expansive Soils (Test for expansive soils and if verified proper foundation design required) D SRA - (CDF to determine specific requirements) 1 00-YeAr Flood Plain: (See attached) Flood Zone: - A-0 Flood Panel No.: aoo 7CO57 oc Index Date: Sacramento River Reclamation District (Approval must be obtained from the cd1ifc(mfaTk cla-ma-dion Board) Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) Ej North Chico Specific Plan (See Development Fees Section and attached standards and requirements) E] Chapman/Mulberry (See attached standards and requirements) E] Cohasset Area (See attached standards and requirements) El Grading Zone (See attached handout) Use Requires: F� Use Permit El Minor Use Permit El Administrative Permit El Minor Variance D Variance ------------------------------------------------------------------------------------------------------------------- El Detached Building Use Form El Encroachment -Permit El Agricultural Worker Affidavit El Agricultural Acknowledgement Statement Zoning:_A- - Applicable Building Setbacks: Setbacks drawn on site Plan, CDFapproval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear 5- 1 Height Waterway N/A N/A N/A Setbacks drawn on site Plan, CDFapproval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount 'Pormula F] Fire School* Parks/Recreation Roads' Sheriff Drainage NCSP/CSA 87 Chico Urban Area —Road, Thermalito Impact Other ------------------------ 7 -------- — --------------- ------------------------------------------------------------------ Subdivision Map Special Fees El Water, Tender El Road Improvement F-1 North Oroville Area Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of Ahe building permit. Parcel Created By F-1 Deeds: Date of Creation:' Legal Access Provided: No El Yes Deed of Reference: Legal Access Required El No Yes Parcel Frontage on Publicly Maintained Road: El No 0 Yes, Road Name: Complies with County Standards for Deed Creation:[] No Yes 'Coniments. Parcel Deemed to be legal El Verify Legal Parcel Verify Legal Access ElProvide Deed of Creation n Obtain a Certificate of Compliance F1 Obtain a Merger 11 'Obtain a Lot Line Adjustment El Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). El Construct road to: � El Meet Parcel size required by zone F1 Meet current Enviro=ental Health Department requirements I PaRe 3 of 5 A Subdivision May/Parcel Mai): Map Date of Recording: Lot. Book: �e _Page.: 3 F-1 Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions F� Comply with the following Conditions of Approval: . E] Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 F-1 Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for instaliation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. Ej Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. Provide an erosion control plan for building and land disturbance. 'The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. El In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. El Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." Ej Engineered foundations are required. Class A roofs are required. El Property owners responsible for roa 101 x PaLye 4 of 5 F -I Summary of Specific Requirements: This information provided in t.his summary is based on the application information and on the best av of review. ailable data at the time C:V-arrys\Building Permit Site Plan Reviewl.doc 1�11/&-770- �'WOVOO Department C o u n I N J. Michael Crump, Director of Public o f B U t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Proij ect Descriptiow Project Location and/or Parcel Number: By signing bel6w,'I,- the project ol%M'er/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land -and"that I, therefore, do' not need to apply for a Construction Storm Water Permit from the State.of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of Califomia Regional Water Quality Control Board for a project that disturbs one acre.or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: C;?Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5112/04 f NIOTES RESIDENTIAL 040-640-022 PERMIT NO. - POLLAk, n A, 02-2264 I lu CAROL LEE CT., CHICO CONT: DOUG IMHOFF NEW SINGLE FAMILY W/GARAGE orf F 44 SPECU rzri CHECKED BY SRA FLOOD C,ERTIFICATE,REQ. FIRE SPRINKLERS REQ. EMS SPECIAL INSPECTION IT VERIFY USE PERMIT CONDITIONS' SUB -STANDARD HOUSING LETTER .7 OFFICE COPY Address 'ddress GA�S, Date i Meter By E C LECTRI M M t r B� Date# t r By V_ I 1/1 C.,;:�TA V' :t IM A t n tn. JOB FINALED (Dat Signature. COUNTY OF BUTTE BUILDING DIVISION ...... DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (630) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE ER PERMIT A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. (1 OWNER COUNTY OF BUTTE BUILDING DIVISION ... DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive - Ciroville, CA - (530) 538-7541 CORRECTION NOTICE 22�1-1 PERMIT A routine inspection in6icates that the following violations of butte county Ordinances exist at the a ' bove address ag.d'-s-hould be corrected. Please notice this office when correction of work is completed If diu have any questions pertaining to this matter, or need additional explanation, please con)i ct this office immediately. L/ Lee y COUNTY OF BUTTE BU111DING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive 9 Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT �O. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is .Lcompleted. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. nc.v IV17C COUNTY OF BUTTE BUILDING DIVIS1614 DEPARTMENT OF DEVELOPMENT SEOVICES 411 Main Street. * Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT 1�10. A routine inspection indicates that the following violations of butte county Ordinances exist at the a ' bove address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 =-oK- 0 Not OK NotApplicable Not Ready RESIDENTIAL (Single & DupI Date UNDEFfPLQ6R (Plans) OK except #'s ajp,,Soils-Elec. Grnd.-/ Ftg. Depth "�tg,rdarpg6�, Soils-Steel-Elec. bind.41 Q_/" Ftg. Depth &f��Zrches & Decks; Soils -Steel-/' /" Ftg. Depth %e"S1teFdwaIIs, Main; Steel-Blockouts-Wrar)Ded and Special Anchors ,91-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 -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date /-6'7 Card B-1 Ijh�l Date Card B-1 Date Card 13-1,�� Date Card B-1 Date PLUM_UiNG (P�erm' it) OK except #s -UP-Wateff-I-Itr.; Vent -Access -Combustion Air Baffle dAe"Water,Piwj-Test & Anchor -Nail Protection J�._9,%W�Test Fittings & Anchor -Nail Protection -3W Zethower Pan; Test, First Floor -Tub Access 012' Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC�KAL (Permit) OK except #'s 2*-'Fiyjdre &-Transformer Clearance -ins. Protection A4.�E joe.-Receptacles Spacing -Lights & Switches at Doors 25-Sizejl��srl No._gf-Conductors Stapled 2Z_+<rpe'S� IngaII66 Close to Edge of Studs & C.J. qu- . und made up w/Mech Fasteners -Bond Gas & Water ?2!�,ance Circuits in O—r-hen,& Conductor Size GFI 3U-§2�fded Wire Size/Q AI-A.C. Wire Size/ Lga Cu or A 31—Ranqe Circle/ /qa Cu or -W -Oven Circ. / All Insulated Neutral 3.Ws- Q No 32. Servic6-Riser Conductors & Ground Main Disconnect 59--rQ-4-6learances Panels-Motors-Mech. Equip. 9*-9rothes Closet Light -Shower Light -Spa Light 414\smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECYAKRICAL (Permit) OK except #'s . A. . ucts Insulation& Support 3 . Vent Fap,-E—.haust above insulation 3Er �d2psate Drain & Overflow, Size & Grade 39--pp'wee—vent Access -Comb. Ait-Return Air Vent 115 Outlet ttac Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM!WjPe.rmit) OK except #Is 4i,-'§ij*Piroper Materials & Anc-iors 4 a,11s Studs -Nailing Spacing & Braces -Plates -Sound 4 .,��ea �_ills over Girders & Floor Nailing 154,brdWtop iDWaills (rat proo-) 4,%-.Prre §�ors, Furred Ceilings -Stairs -Chasers -Tubs 4&_Atfaders & Beams -Size & Bearing M Date FRAMINGIContihued) 4Z-'C1jpq5J6ist-Rj.tr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. . . place-T�ie or Type A Flue-Fi replace Throat Elearance LQ`�'Attccess: Size & Romex Protection- Draft Stop -Ins. Baffles �;,�drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Ga�m-Fire rotection Framing -RC Channel 53_flrcpe�y�ine Firewall & Openings �4. oors-One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom- Rise- Run- Landing -Fire Protection 56. Plywoog/n Roof overhang -Attic Vents -Rafter Outriggers 4 57. 50..,StuccqWsh- 5a_.GR!!Gnq SigOlf-INail�ng Veneer Drip Screed -Fd. Vents-Underfir. Access Area -Glass Protection-Skvliahts-Plastic 60. Shear Walls; Nailing -Bolts 61. Brgc6lnterior/Exterior Wall Panels, Date Card Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL41ans) OK except #Is Ue-'E29' Sleps-Door & Sideliqht Protection-Landincis l2fff!.r,Ke; Above Floor-Ducts-Mech.,p4tection Q741"qed'room Exiting _= :;�� Z81' G.F. 1. & Bath Fixtureq4 T07R-ccess-Spad 69. Elec. Trim & SubpanelBreaker-816s"g-Labels 70. Stairs& Rails 14 --'Fireplace or Stove, Clearance -Hearth 72. E�w. Outlets at Wood Panel, Int. & Ext. JA8-'KjiAY,t. & A pliance; Ground -Air -Gap -Cooking Ele�arance Outlets & Receptacles at Kit. Counter -45-*'Garage Fire Door; Swing- Landing -Closure 76. A.CJQ�wbt in Garage -Damper q2__Wfr- Htr.; Vents -Clearance -Comb. Air Connector-RR.V. in.0aragg; Above Floor- Mech.'Protection & Mech. Equip. Listed for Location Z9eoll5lece9eceptacles in Garage (FFI.)-Romex Protection 80,-6sulation-Foam-Lo6ked in Attic 81. Gua5,:�ails & Deck Construction- Post Caps (?_.Fid -n VBents & Crawl Hole Door Drainage & Wood -Earth Cjearance Looked under Floor 0 Yes 88'.o`Following lnstld./Drivegd� VsEl No/Walks @40<5 No/Planters F�VeQ No Electrical- Plumbing 85-17ent�Ab6ve Roof, Plbg-Appliance-Fireplace-Clearance to Openings Disconnect, Electrical, Plumbing 88�_Exterior Elec. Trim, G.F.I. Receptacle -Underground 8 nt* on Throughout House lass.�rotection 9!:A�ons from Previous inspections 9S-d'as Tes .I:Neters Tagged, Gas -Electric 93. W*�r& Sewer Connected -C/0 to Grade -HD Approval §4-*'E'nwg Compliance Certificate -Other Certificates rV' 9T�Address Posted 1 96. Fire Sprinkle", Date Z-/,7-0 ?Card B-1 Date Card B-1 Date'7_1�-V Card B-1 Date Card B-1 Date Card R-1 Date Card B-1 Comments at Final: 4 = ov. 0 = Not OK = NotApplicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #s 1 . Zoning Requ i rements-Setbacks- Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer; Location Jest- Fal I -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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date 8. Card B-1 Date Card B-1 Date 9. Health Department Approval Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Req u irements-Setbacks- Easements Light Niche 2. Footings; Size-Spaci ng- Marriage Line Enclosure; Fencing -Alarms 3. Gas; MH Test- Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector Card B-1 Date Card B-1 6. Water; MH Test- Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1 . Zoning Requ irements-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 ft 1 . Zoning Requ i rements-Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg- Frg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except ft 1 . Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Con nections-Th ickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GIFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M�nufacturer Insulation Fact Sheet This is CertainTeed Corporation lnsulSafe114ii Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZO NTAL OPEN BLOW i CertainTeed C11 - , -- The following thermal performances ar� achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal olpen blow application:' R -VALUE BAGS PER 1000 SQ. FT. . , I MAXIMUMt SQ. FT. PER B G MINIMUM WEIGH!- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 10 .11 00 sq. ft of net area:, Contents of bag should not cover more than: (sq.1ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than. (in.) 60 36.5 1 27 0.986 22 49 29.6 34 0.800 1872 44 26-A 38 0.712 163/4 38 22.8 44 0.615 - 143/4 30 18.0 56 0.485 12 26. 15.5 65 0.418 1072 22 13.1 77 0.353 9 19. 11.1 go 0.301 71/4 13 7.7 1 129 0.209 5Y2 11 6.6 1 .151 0.179 4 1/4 I I R -values are determined in accordance with ASTM C 687 and 518. Complies with ASTM C 764 as Type I insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the foll6wing thermal performances are achieved at the thicknesses, weights and coverages specified. ,What you should know about R' -Values. The chart shows the R -Value of this insulat ' ion. R 'means resistance to heat flow. The higher the R - Value, the greater the insullatin ' power. C8m"pare in"sulation R -Values before you buy. 9 1 There are other factors to consider. The amount oftinsulation you need depends mainly on the climate you live in. Also, your f6el savings from insulation will depend upon the climate, the type and size of your house, the ambunt of insulation al'rbady in your house, and your fuel use patterns and family size. If you buy too much. insul'a'tion, it will. cost you more than what you'll n' fuel. save 0 To get the marked R -Value, it is� essential that this insulation be installed properly. 0 BAGS PER MAXIMUM" MINIMUM WEIGHT- R -VALUE 1000 SQ. FT. SQ. FT. PER BXG POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Eags per Contents of b1lig Weigl�t per sq. ft. of Should not be Thermal Resistance 1000 sq. ft I shou d not cover talle ins insulation should less than: (R) of: *ot net area: more than: (s4l ft.) t not be less than: (lbs.) (in.) 29 35.8 28 0.967 774 22 27.2 37 0.733 P2. 16 19.8 51 0.533 4 15 17.9 56 0.483 3% 14 17.3 58 0.467 3'/2 ,What you should know about R' -Values. The chart shows the R -Value of this insulat ' ion. R 'means resistance to heat flow. The higher the R - Value, the greater the insullatin ' power. C8m"pare in"sulation R -Values before you buy. 9 1 There are other factors to consider. The amount oftinsulation you need depends mainly on the climate you live in. Also, your f6el savings from insulation will depend upon the climate, the type and size of your house, the ambunt of insulation al'rbady in your house, and your fuel use patterns and family size. If you buy too much. insul'a'tion, it will. cost you more than what you'll n' fuel. save 0 To get the marked R -Value, it is� essential that this insulation be installed properly. 0 is CertainTeed M InsulSafe'4 Builders S,taternent Fiber Glass Blowing Insulation ho�-'� ConS+-- (An I lacl<.) C9 (0 q 14 IS Homeowner Name Jobsite Name 1. Lee C+ I Ch HoDw.Address h i'cL � r)s-(_Jah'cn ----'1-8 -6T�, Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft of net area: Contents of bag should not cover more than: (sq. ft) Weight per sq. ft. of. installed insulation should not be less than: Obs.) Should not be less than:1 (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/z 44 26.4 38 0.712 163/4 38 22.8 44 0.615 141/4 30 18.0 56 0.485 12 26 15.5 65 0.418 1 OV2 13.1 77 0.353 9 __22 19 11.1 90 0.301 7% 13 7.7 129 1 0.209 1 51/2 11 6.6 151 1 0.179 1 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with-tfie chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF 0 SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company @2002 CertainTeed Corporation 1/02 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (V) BAGS USED BATTS/ROLLS (V) 114 CEILINGS L I a y" Y" V1_ WALLS FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with-tfie chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF 0 SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company @2002 CertainTeed Corporation 1/02 �M/2003 16:03 5303431124 WESTERNWOODS) EWP PAGE 01/01 ... VA\ IMAM% APAIGVVIIIIIE /C ificate of Conformance erti Certificate- 054079 THIS IS TO CERTIFY that the glued laminated timber products identified With a collective mark of Engineered Wood Systems (EWS) were manufactured. in accordance with the applicable standards and associated specifications indicated below: ANSI Standard All 90.1 -1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing —Standard Specifications For Structural Glued Laminated Timber Cif,Softwood Species 'IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood*Systems (EWS) Quality Assurance Program. Routine audits include inspection of the . manufacturing process and evaluation of the in -plant OA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. V H .. �ILTA111111141,r W 0 0,0"#*.4 go 00 so Z I SEAL —1:E do 1� low C003 00 -0y _4 Thomas G. Williamson Executive Vice President ENGINEERED VvVOD SYSTEMS Is a related corporation of. APA —THE ENGIN�ERED WOOD ASSOCIATION 7011 South 19(h Street - P.O. Box 11700 - Tacarna. WA 00411-0700 Telephone: (253) 565-0600 - Fax NUMOef: (253) 565-7265 T�v .- INTER -DEPARTMENTAL MEMORANDUM TO: - - BUILDING DIVSION, ��OVILLE FROM: --Yz� , ENVIR. HEALTH, CHICO 7- P- 4011 DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: WELL: AP#:e*24 - ADDRESS/LOCATION:.��� Comments: GL/memos/releasehold COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 (Rev. 12/96) 1 � 1. APPLICATION AND PERMIT 10 J�� ASSESSOR PARCEL NUMBER 040-640-092 ZONING Sr. - I BUILDINGPERMIT OWNER P 1�a�� DIVID TELEPHONE . I 221 _L 221 SQ. Fr. OCC. BUILDING VALUATION 3010 R3 162,540.00 OWNERS M2AI, . s 1 P-0- BOX 8837 DURHAM, CA 9-59--28- - 1337 24 066. 00 CONTRACTORS NAME rInna TmHOFF TELEPHONE _U ; 674 C 8,762.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation .$1q9_1AR_00 ARCHITECT OR ENGINEER LICENSE Nu. Filing Fee $ 20.00 Permit Fee $ 975.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 634.10 BUILDING AD SS U CAROL LEE CDT-. !I G141GO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1652.60 LOT NO. 6 S NAME UBDrVtSIONS T.74TWTMS PAR CEL MAP I I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 10 Duplex 0 Mobilehome 0 Other SPECIFY -Each Trap 16 7.00 112. OC Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New K, Addition 0 Remodel 13 Utilities 0 Installation 0 Other 0 Describe Work: NEW STNGLE FAMILY (4RR) W/GARAGE Gas piping system I - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 192.00 ELECTRICAL PERMIT Filing Fee 20-00 Main Service R. 's: 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages astheir sole compensation, ill do the work, and the structure is?not intended or offered for sale. 01111W111s 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the pertormance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Er, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the w r s cc ensation provisions of section 3700 of the Labor Code, I shall or fo wit C with those provisions. X Date 19)0) Si6nature," 0,"Owner 0 Contractor 0 Agent f Al�'plicant An OSHA permit is required for excavations over 5'0" deep and demolition or constru7/*on ot structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. D*:�ff .00CUP. so 152. 1f OR ADDNS. C S. 3.50FT. =.O.ONST M '0 - ID &. CVR.U. @7.50 OWE.RAP.PARATU &PSIN. 0 CS1 R. Ex. Occu OUTLET OR FDcrURES 20 @ 1.00 BAL @ .50. Ex. Occup. EA, .=PPLNS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 195.15 MECHANICAL PERMIT Filing Fee 20.00 Heating 20.00 Cooling 29.00 Hood 6.50-. 6.50 Ventilation 9.00 gas ve-jilat+a1i stove PERMIT FE $ 5,50 Mobile Home Installation Fee $ Energy Inspection Fee $ C)C) Occ R3 CONST. TYPE VN TO LFEE $21181. HAZ.rD. MP FLOOD I CDF I PARCEL � HD 4e ISSUE This permit is he e y issued under the e V is, of the Butte County Code and/or Resolutions indicated above for which fees have B y 1 EXPIRES ON applicable provisions to do work been paid. 9 � -1 D4te 2 ( (D. k) ReceiptNo. W/. 91 WHITE-D.D.S.-B.D.- CANARY -ASSESSOR PINKI*PECTOR G,0LDENROD-Aff1CAENT± ,Z? / (P IQ -�-- COUNTY OF BUTTE -DEPARTMENT OFDEV8LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA '95965 Phone (530)538-7541 F�x (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: P&UQJ(, bCVVtd ASSESSOV, PARCEL NUMBER 0k/0_(0(10_CPA Proposed Building Use: Y 6 �"dFL494-0n S Counter Technician: U40 Date: ?- lcl-oa — Items required in order to apply for a permit. All boxes NWST be checked OR marked NA in order to apply. 20�0 �Plot plans, 305 4 sets, signed by the preparer of the plans. 3'2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. E9010o'Engineered plans, 3 or 4 sets, with wet signature on plans XNiD 2 sets of stamped and signed calculations. W�4,,Rngineerecl truss details and layouts in duplicate. No faxes! .p2ko5. Energy compliance design and supporting documentation in duplicate. 46. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or 01A foundation plans, all in duplicate. fAwl Ot �7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed 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. 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Date Received By 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 needed to issue'the permit. (May require dditional la v . ew p ceipt of the following items.) 'k / . y o t .. ... wn on the attached Schedule of Fees Due Sheet ... .... .... ........... §(<Fees as s44 0 -r- Statement of Intent for Non -heated and A/C Buildings ................................. .. ....... -V? 16. Sanitation and plot plan approval from the Environmental Health Department in 0 17. City of Chico Plumbing permit ........................................................................ 0 18. California Department of Forestry plan approval 0 paid. Sent -by: ...................... 0 19. Planning approval for (A) Use:' 01 K (B)Parking: (C) Parcel Check: 8_0 P- Contact Land Development about 0 Improvements, 0 Drainage ............................... 21. Encroachment Permit . for driveway from the Public Works Dept. (construction approval prior to occupancy). 0 22. Pre -Inspection for I required ................ 0 23. Contractor's license information. (Number, Name Style, Classification) ...................... 0�k,Worker's Compensation Carrier and Policy Number .............................................. �. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) ..................... W_ Letter of Signature authorization .................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... to - - �_ I I , 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 to H.C.D. 0 3 1. Other: Y -When issued Telephone 3Q 1 - _9 3 81 and hold for pickup. I have been infor e a d requirements for obtaining a buildi g permit. 'YApplicant: Date: 1. Index permit application for the above'items numbered: n h e 2. Additional items required Contractor, designer, owner, was advised of the above data by 0 phone, 0 rdail, D'countlby Date: Contractor, designer, owner, was advised.,of the above data by 0 phone, 0 mail, 0 counter, by Date: Plans reviewed by: Date: Plans approved by: ����Date: 4C) Structural reviewed Date: Structural approved by: —Date: Note transfer by: Date: j7)-%,7)_7_ '�elldYv: Buff6ingWiyis-ion E.M. USE ONLY Ile, la� Act Plan Anachad Flow Man AThad, —C-- Saw to B.D. TO: Building Department FROM: Environsnental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other final for: 0. K. for: NOTE: 8/96 * _'- ' P, OWNER COUN'tY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTEk DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PROPOSED BUUDING USE 111�� BUILDING PERMIT FEES --Balance Due ..................... I .................................... $ 1�0 --Additional Fees Due ......... I ................................... $ --Additional Fees Due ......... I ................................... $ Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES C" (paid at District Office) (,a (,I U(. LK3r.sHERIFF FEES (paid at Building Division) Residential ............................ ......... — x $360.00 s- —:3(a 0 Units Commercial (sq. ft.) ...................... x $0.03 $ Sq. it. 6r URBAN AREA FEES -?—o /G Residential .................. x 62 Amt. A.P. # C" 6 -to Vo DATE I -OX RECEIPT # 3611&1-0 T-1 r. DATE REC. W Commercial (Sq. ft.) ........... I.. Sq. ft. x Amt. =$ I 4L 5. RECREATION DIS I RICTII FEES 6. THERMALITO DRAINA I GE DISTRICT FEES $5 10.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES Battalion $200.00 (paid at Building Dl'ivision) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Pivision) 10. OTHER At time of permit application, I w may be changed during* leplan/ %_4PPLICA'NT Pursuant to GovernmEnt Code Section imposed on your project. You have 90 items during which you may protest. I Original - Building Div. 2nd Copy - Appli( I the above fees are required to be paid prior to issuance of the building permit. These fees process. WDATE 0 2, )20, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been is from the date of approval of the project or from the imposition of the above mentioned requirements for a protest are specified in Government Code Section 66020(a). 3rd Copy - Owner (Rev. 6/00) c6 46 7- m . V-Cxc , -1 . K 1A FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B, No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31. 2002 ELEVATION* CERTIFICATE Important Read the Instructlons on pages I - 7. SECTION A-. PROPERTY OWNER INFORMATION �-F0r.IhsuMftM.GoMPan)�Use!-- N BUILDING OWNER'S NAME JPbI!cyr tunIJbfr.%*-,...�..-­ (IncludIMApt., unit, suits and/or Bldg. No.) OR P.O'. ROUTE AND BOX NO. tCbrnpsrrfKAICNurnbeo4: BUILDING STREET ADDRESS I Iz o t- L&ar (:: � 1-1 CITY STATE ZIP CODE PROPERTY DESCRIPTION (Lot and Block Nurpbers, Tax Nurnb9r, Legal D ,,Paroal ascri on, etc.) 0 *?L0 — 64- 6, - Q 4 - T BUILDING USE (e.g., Residential, Non-mide.ndal, Addition, Accessory, air-. Use C;omments section it necessary.) LATrTUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM; SOURCE: I GPS (Type): or: "NAD 1927*-:' �Ll NAD41983 El USGS Quad Map Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & C21AMUNITY NUMB ��J 13�. COUNTY NAME 13. STATE f5t)-r-r6- c'_00 J r,4 IAI 60 A ' . 1'.. . ..' _. To -rra- . ... I - 1 1 <1_416 114. MAP AND PANEL I d!). ZSUN-IA tso. rimm EmumA 9) NUMBER OAT . . EFFECTIVE/REVISi!�DATE 2N S) (Zone AO, use depth of floodin - .60 . . .. Tj. .. . ?_ 17-, �0600/7- 0-r/ I 1 0" '' 810. Indicate the source of the Bdso F166d'Eler�aUoh (BFE) data - or base flood gepth entered In B9, Other (Describe): 6 A4 "6-"T- `L�1.00m' ',nl [Determ nod FIS Profile . .... .. BI 1. Indicate the eleVatloh'daturn -used fbrthe-BFE ln.6 �'NZ 1929 Other (Describe): NAVD 1988 Area (OPA)? �_j Yes S V'. 812. Is the building located Ina Coastal BarderResourc System (CBRS) area or0therMse Protected Designation Date: SECTION -C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevatons are based on: AConstn ' idon DrawIngs* �_JBullcflng Under Construction* I—IFinish . ed Construction *A new Elevation Certificate wIII.b6 required when construction of the building Is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is beqng completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elwations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO Complete items C3&4 below according to the building diagram specified In Item C2. State the datum used. If the datum is different from the datum us6d'f6r'thi'BFE In"Sed6h 13,6orivert the datum. to thafus6d.for.66 BFE.. Show field me . asurements and datum conversion calmdation. '!)se.the space proyided.or the Comments area of Section 0 or SectIon G,'as appropriate, to document the datum conversion. Datum ConveralonitCornTents :..13 0 T coy A) M - -r-k Z-7— F Elevation reference mark used the elevation reference mark used appear on the FIRM? as No -! t, 1.1P -, 1. 1. �' _Z fL Q a) TOP of bottom floor Ohd ng sernent or end 6*stiri), 112- .(m) Q 6) To p of n I g�`h;*6­r: flo' o' r, -z-fL(m) ESSI-01� 0 c) Bottom of lowest horizontal structural, mom fL(m) ber.(V ;ones only) C1 d) Attached garag6#op'of slab*� '7- -L 2. fL(m) % • a) Lowest elevation of machinery and/or equipment servicing.th.e. building fL(m) • 0 Lowest adjacent grade (LAG) fL (m) No. • g) Highest adjacent grade (HAG) Q fL (m) • h) No. of permanent openings (flood vents) within I fL'ab&e -adjacent grade • I) Total area of all permanent openings (flood vents) In C3h sq'.* In. (sq. cm) SECTION D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION - This certification Is to be signed and sealed by a land surveyor,.engineer, or architect authorized by law to cert* elevation information. / certfly that the informatfon In Sections A, 8, and C on. this cerdficate represents my best efforts to interpret the data available. / understand'that any false statement may be punlshebl b fine or Imprisonment under 18 U. S. Code, * Sectfon 1001. CERTIFIER'S NAME ;Fo r5 5tz-r c14 qc'. L ---e- jp� LICENSE NUMBER. COMPANY NAME '5167?)r,4 a)6fr7 SQ72V6rY)A)4 ADDRESS CITY STATE e.� _ZIP CODE SIGNATURE. DATE;tL6 o2TELEPHONE il 7., P;=MA Pmm Al_'11 Acir. QQ' Al;=Df Pr0P.qr-.0,in;: POP r.r)N-nNl IA'nr)N PF:PI Ar.r-.R Al I PPPvr')i Is, ;:nMrvLq IMPORTANT:...In these *spac:6s, copy the correspondlng;lnformation from.Section : ..F6RIh'surance Company.lise: BUILDING STREET ADDRESS- (Induding Apt., Unit, Suits; and/or,Bldg. No.) OR P.O. ROUTE AND BOX NO. (:PbIIcWNumbeP CITY STATE Zip CODE Company.rNAIC'Number . ...... ... . . . .... .... D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides.of.thIs Ele.vado.n.Cerlifficate for (1) community official, (2) Insurance agent/company, and (3) building owner. COM�". 7 3L)TTa- 00' ON'Tr 2-7-E-, OAJ /�-T 6 Et 6' �>74. t -S or- -Z 13, 4V 7 �.+ r Check here if attachments SEC71ON E - BUILDING ELEVATIBN ZOtMATION (SURVEY NOT REQUIRED) FOR ZONE AID and ZONE A (WITHOUT BFE) For Zone AO..and Zone. k(without.BFIE).-complete Items Elthrough E3. If the Elevation Certfficate is intended for use as supporting inthrmatfon thr a LOMA or LOMR-f� El. Building Diagram Number (Select the building diagram most similar to. the building for which this certificate is being completed see pages 6 and 7., If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the'bbtt6 'M'*..fi.o'ci(�(includirig.basemont or enclosure) of the building Is ft.(m) 1_1_11n.(cm) 1-1 above or 1-1 below (check one) thiJhIgh�0iadlbcent grade.. E3. For Zone AO o . n . ty:.If no R . ood depth number is available, Is the.top of the bottom floor elevated In accordance wfth the community's floodplalni-hohd�6�fidht"6edih6i�db?[L.'IYds'"LLINo �Lj Unknown.. The local official must certify this information in Section G. SECTION F - PROPERTY., OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or communi"ued BFE) or Zone AO -must sign here. - PROPERTY OWNER'S OR OWNER'S -AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 1_1 Check here if attachments SECTION G COMMUNITY INFORMATION (OP11ONAL) The local official who authorized by law or ordIn66ce toi'administer the commuhItys floodplaln management ordinance can complete Sections A B, C (or E),-- and -G , of this Elevation CerthIcate. Complete the applicable Item(s) and sign below. � " '' * "' 2 ' `:` ` ­;�' �6i' , I " " I" " �:, * , " n6bo''n that has been signed and embossed by a licensed surveyor. Gi.L--ITh6infbrmadon.ln'.Sddon-C.wait'tak6ri, m9therclocume engineer, or.archfted who Is allthoilzk by state or local law to certify elevation Information. (indicate the source and date of the '-In " "Comments . area , below.) elevation d ta Pe G2. [—I A. oommunfty official complaied Section E for a building located in Zone A (without a FEMA-4asued or community -issued BFE) or Zone AO. G3.1 I The following information (Items G4 -G9) Is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This perTft'has - been Issuadjort �_j New Constructlon...,.,�_j Substantial Improvement G8. EIevat[6nofa:a-bul1i Icr;yestflbor (including baserrie6t ft.(m) Datum: .. _) of the building is: G9. BFE or (in ione.AO) depp" -.of. flooding at the. building slte'lS'-. ft. (m) Datum: . . . : ; I . . 3 .. " 7 - LOCAL OFFICIAL'S NAME ..... ... TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE, COMMENTS 1-1 Check here if attachments PFP1 Ar.r-.R Al I PPs=\1ioi i.q r-nmr)mq October 1, 2002 David Pollak P.O. Box 883 Durham, CA 95938 Department -of Develdifnent Services Ruilding Division " i 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX t Assessor Parcel Number: 040-640-022 Building Permit Number: 02-2264 Thank you for submitting the plans for your building project. The plans have been reviewed and approved, and the plan examiner's comments are listed below. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1 - Your Parcel map requires that your finished floor be at 212.15 feet in elevation. Please provide a benchmark at the site and a letter to us stating the location and elevation of the benchmark. STRUCTURAL COMMENTS: None If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Lin�da Simpson Plans Examiner 1 of I School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Property Location/Address 4 Subdivision Lot No. 6� ................................................................................................................... Residential Development Sq. Footage 30/.;0 No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection!', ................................................................................................................ I Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) 1013, �,q Date 11-loor Plans reviewed by School District Personnel) )-�)o ;7 q7 -- District Identification No. 12 45 7D School District certifies that (10 i�- (Applicant) -0 (Street Address) (City) has complied with the requirements of Resolution No. representing WO --squarefeet. School District (Phone Number) � 4�1 (State) (Zip Code) by payment of $ 11AB 2926 $ [FULL MITIGATION $ t) -z Date Paid by Check # - Rernarks: Notice: You may protest the imposition of the fees identified above by submitting a wri"en protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition �f the fees in any court action. If, subsequent to the School District Representative signing this'sutte County S . c hools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm BUTTE COUNTY PARKS DEVELOPlagrT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Oqo 69efl-, Assessor Parcel Number(s) Property Owner kC04— z Ck 7?/V Project Location/Address Subdivision Lot Number(s) Residential Development: (check one) XNew Development Alteration/Addition Mobilehome(s) Non -Residential to Residential Total Number of Dwelling Units Comment: Buio"n4o'p-artment Representative' Da'te T certif Chi,C6, AY&a R6c�ea'tiqn and Paik-'Di!dtrl�6t�(_CARD i:es tf�'at 3Q grto)— (Applicant Name) (Phone Number) 0* (Street Address) (� t �,t W, �, �Jf 3 (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 $ CARD Representaalve PAID BY CHECK NO.. REMARKS: BANK NO. Qn-147-7 PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD Lpark.fec (form revised 11/90) 0111,101e)-_ - Date 11/14/0-1 #8190 11:31AM �VWTGTAL $1189.00 Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 25-Mov-2002 2002-0064323 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT I FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included -within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconVenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 0,74; 1C 7'k1*4 4 s/ d - v 11,44-c.e Date // -'� o �— , State of California k, ounty of oulfi? On // -J6- -&t, - personally appeared 'J�) i� I known to me (or proved to me on to the within instrument and a( capacity(i 01 and that by his/Vk the person(s acted, executed the V WITNESS'my hand and official; 11 - -/77 Signatur A. P. # 0 Z?' 0'e-1 0 - 0,4y 0 - C) Z 4 / 023 PR70PE N at o' -V me, lasis of satisfactory evidence) to be the perso - whose name X, i vledged to me that he/s /t ey executed tl resame in his/ M signatureVon the instrument, the person Vfo r the entity upon ,personally subscribed authorized If of which Seal: ;@JILL M. CONNER 0 COMM. # 1335899 0 NOTARY PUBLIC-CALIFdRNIAG) BUTTE COUNTY 0 COMM. EXP. DEC 21 2005'A 1OWNER BUILDER INFORI ATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. I For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such. a permit. Building permits!are not required to be siped by property owners unless they are personally performing their own work. If your work is -being performed by someone other than yourself. you may protect yourself from possible liability if that person a ies for the proper permit in his or her name. Contractors e required bylaw to be licensed land bonded by the State of California and to have a businew license from the city or co They are also required by law to put their license number on all permits for which they apply- Ifyou plan to do Y, Our own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: if you employ or otherwise engage any persons other than your immediate family. and the work (indluding materials and other costs) is SjOO or more for the entire project, and such persons are not licensed as contractors or subcontractors. then y6u may be an employer. If you are an employe� I r, 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. + 'Mere may be financial 'risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workeris compensation insurance. + For more specific information about your obligations under Federal Law, contract the Internal * Revenue Service (and, if you wish. the U.S. Slall 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 intend I ed for sale, property owners who are not licensed contractors are allowed to perform their work personally or throughi their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licermied contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N St�eet, Sacramento, CA. 95814. Please complete the "0%y'ner 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. NOM r/8 is rely. (7� &1__1 Mkoel C. Vidira, C.B.O. Manliger, Building Inspection Information Is required by Section 19830 of the CaWornia Health and Safety We - OVER OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your signature. Please complete and r ' eturn this information at your earliest opportunity to avoid unne.cessary dday in processing and issuing your building permiL No building permit will be issued until this verificationIs received. 1. 1 personally pJan to provide labor and materials for construction of the proposed property inT(Ovement : YES �4,ioor . 2. 1 HAVE J21 HAVE NOT 0 signed an application for a building permit for the proposed work 3. 1 have contrgoted with *e f4lowing person (firm) to provide the proposed construction: 4. NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO.' I plan to provide portions of this work, supervise, and provide the major work: NAME: but I have hired the following person to coordinate, 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: ADDRESS PHONE TYPE OY WORK NAME SIGNED: PROPERTYO SOCIALSECL MNUIMIRER: DATE: D2_ IVOTE. 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 TO: PLANNIM – LARRY PAIRM RMW ID CHIOD ENV HEAL11f 'I i APPROVEE) CONOMONALLY APPROVED -�4,R!E RMIT CLEARANCE Permit 4. r2-- -"2�2-t, � 1 Ge^e,-al rl-MOrM,76017 AP$: 0 A Y-0- & yo-ozz' Parcel Acreage:--LL5Ae— Owners Name: Owners Address: Building Site Address: L C1 RESOLVE PR08LEMS PRIOR rO APPROVa AUG 2 1 Date: L,C-- Emee-at 117fomlabb,7 Permit Type: F� Agriculture Building E] Commercial C] Industrial 0 2n d DwellIng Mul ti -Family >2 units per parcel Zone District: I:—S 2 — General Plan: Use Permit: Parcel is in: . nd Conservation Agreement L2fj NO L_j Yes, check use Minimum Acreage: Nitrate Action Plan No yes Violation Area No Yes Specific Plan D4 No Lj Yes C] Chico D2N Enterprise Zone S No E] Yes, check use Floodplain No [] yes Zone: No F-1 Yes Watershed Protection Zone Proposed Use Complies With: Gener al P I Ian Zoning Pr000sed Use Recuires: 1 C3 use Permit El Minor Use Permit Administrative Permit Mobile Ho . me eSFD 0 Residential Accessory SS�epoac M(Well 0 Other Date of Zoning Ordinance: Development Agreement: Variance: Commerciall Industrial/Multi-Family Uses: - Parking: Parking Requirements are OK as Shown Other Landscaping: LaIndscaping Requirements are OK as Shown Cther I Road and Drainage Improvements Required: No r-1 Yes Agalicable Setbacksm 0 [] Cohasset Panel Number: 01's 112) L C3 Accessory Building use Zoning Code street & Highways Fire Prevention Subdivision Man Front' ,Side 5,'d_e street Rear �nvirotimerital Health Issues* . I Septic Permit Review: Well Permit Review: Land Development Review Parcel Created by: C3 Deeds a Map Agriculture Affidavit Required C3 No C] Yes Designated Well Site C] No C] Yes Drainage Plan (Com/Ind/Multi) E] No C] Yes Date of Creation: Legal Access Provided: Deed Reference: Legal Access Required: Parcel Frontage on Publicly Maintained Road: E] No [3 Yes, Road Name: Complies with County Standards for Deed Creation: C] No C3 Yes A--InTi C�7:3 Date of Reaxdng: Lot: Conditions That Must be Met Prior to issuance of Permit: Verify Legal Parcel Verif y Legal Access 0 No C3 yes C3 No C3 yeS Block: Book: Page: Comply with condition no. of conditions of approval for the Obtain a Certificate of Compliance (See Planning Division for application). F] Provide Creation Deed [I construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). FI Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). r-1 Construct road to El Other 3eneral Comments: IS3 El meet Parcel size required by zone 0 Meet current EHD requirement. 2 C e r -r C-Ct,,J Cj77 S 144:4 LL_ C_ 10 S T L 0, r-�, AT LO—r Mo r-) T A rJ I V--, U --p L CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title .......... The Pollock.Residence Date..07/30/02 12:28:07 Project Address ........ -C _h_ 1 Tco *v6.01* Documentation Author ... Marty Runnells h_ull��ina' P it Energy Calculation Services C>�� 1907 Mangrove Avenue, Suite E 'PT-anCheck / Dat Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone ........... 11 Compliance Method ...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal GENERAL INFORMATION Conditioned Floor Area ..... 3010 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units. .. 1 Number of Stories .......... 1 Floor Construction Type ... : Slab On Grade Glazing Percentage ......... 16.9 *1 of floor area Average Glazing U -factor ... 0.38 Btu/hr-sf-F Average Glazing SHGC ....... 0.39 Average Ceiling Height ..... 9.6 ft BUILDING SHELL INSULATION Component Frame Cavitv Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments Wall n/a R-19 R-n/a R-19 0.065 PLAN FRONT, LEFT BACK, BACK -LEFT BACK -RIGHT, RIGHT KNEE WALL Door n/a R-0 R-n/a R-0 0.330 ENTRY, TO GARAGE Wall Wood R-17.8 R-0 R-17.8 0.061 GARAGE WALL Roof n/a R-38 R-n/a R-38 0.025 TO ATTIC SlabEdge n/a R-0 R-n/a F2=0.760 TO EXTERIOR SlabEdge n/a R-0 R-n/a F2=0.500 TO EXTERIOR FENESTRATION Over - Area U_ Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins Window Front (W) 30.0 0.350 0.340 Standard Standard None Window Front (W) 8.0 0.340 0.380 Standard Sta ard Yes Door Window Front (W) Front (W) 24.0 8.0 0.550 0.340 0.650 Standar 0.380 S t andV*, "S'.19 . ;$*a rd Yes Yes Window Front (W) 30.0 0.350 0.340 n a Stand&r'V None Window Front (W) 16.0 0.350 0.340 S t-andard n a d None .Window Window Left (N) Left (N) 10.0 6.0 0.340 0.350 0.380 S �,t ME IR . ai 0.340 Stand�,k nd A a None None Window Back (E) 3.2 0.340 0.380 Stand&,rd, Standard None Window Back (E) 25.0 0.340 0.380 Standla�d Standard None Window Back (E) 45.0 0.35,0 0.340 Standard Standard None CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title .......... The Pollock Residence Date..07/30/02 12:28:07 MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation' Servic Run -3010 SF Res.- Submittal FENESTRATION Over - Area U_ Interior Exterior hang/ Ori entation (sf) Factor SHGC Shading Shading Fins Door Back (SE) 18.0 0.550 0.650 Standard Standard Yes window Back (SE) 4.0 0.340 0.380 Standard Standard Yes Window Left (NE) 17.5. 0.350 0.340 Standard Standard Yes Window Left (NE) 5.3 0.340 0.380 Standard Standard Yes Window Back (E) 22.5. 0.340 0.380 Standard Standard Yes Window Back (E) 6.8 0.340 0.380 Standard Standard Yes Window Back (SE) 17.5 0.350 0.340 Standard Standard Yes .Window Back (SE) 5.3 0.340 0.380 Standard Standard Yes Door Back (SE) 18.0 0.550 0.650 Standard Standard Yes Window Back (SE) 4.0 0.340 0.380 Standard Standard Yes Window Back (E) 18.0 0.350 0.340 Standard Standard Yes Window Back (E) 36.0 0.340 0.380 Standard Standard Yes Window Back (E) 18.0 0.350 0.340 Standard Standard Yes Window Back (E) 18.0 0.340 0.380 Standard Standard Yes Window Back (E) 30.0 0.350 0.340 Standard Standard Yes Window Back (E) 30.0 0.350 0.340 Standard Standard None Window Right (S) 20.0 0.350 0.340 Standard Standard None Window Right (S) 12.0 0.350 0.340 Standard Standard None Skylight Horz 4.0 0.940 0.730 None None None SLAB SURFACES Area Slab Type (sf) Standard Slab 3010 HVAC SYSTEMS Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type Efficiency Airflow Location R -value Leakage D Type Gas 0.800 AFUE n/a Attic R-4.2 No No Setback ACSplit 13.00 SEER No Attic R-4.2 No No Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Large Gas Standard 1 n/a 75 R-0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title .......... The Pollock Residence Date..07/30/02 12:28:07 MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation' Servic Run -3010 SF Res.- Submittal System Large WATER HEATING SYSTEMS DETAIL Standby Recovery Rated Loss Efficiency Input Fraction Internal Tank Insulation Pilot R -value Light .76 n/a .036 R-n/a 0 SPECIAL FEATURES AND MODELING ASSUMPTIONS Items in this section should be documented on the plans, installed to manufacturer and CEC specifications, and verified -during plan check and field inspection. This building incorporates non-standard Water Heating System REMARKS I n CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 4 CF -1R Project Title .......... The Pollock.Residence Date..07/30/02 12:28:07 MICROPAS6 v6:01 File -02329S Wth_CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name .... Gregory A. Peitz Company. Architect Address. 383 Rio Lindo Chico,'CA 95926 Phone..'. 530-894-5719 Li cense- Signed. (d��46e�_ ENFORCEMENT AGENCY Name .... Title ... Agency.. Phone ... Signed. (dateT_ DOCUMENTATION AUTHOR Name .... Marty Runnells Company. Energy Calculation Services Address. 1907 Mangrove Avenue, Suite E Chico, CA 95926 Phone ... 530-894-8466 Signed. . /Z 3 f OZ— �aa�e 0 AANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title .......... The Pollock Residence Date..07/30/02 12:25:20 Project Address ........ I ----I Documentation Author ... Climate Zone ........... Compliance Method ...... Chico *v6.01* Marty Runnells Energy Calculation Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 11 MTCROPAS6 v6.01 for 2001 Standards Building Permi Plan Check / Date Field Check/ Date by Enercomp, Inc. MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal Note; Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. when this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory meacsures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill'insulation manufacturer's labeled R -Value. *ISO(c): Minimum R-13 wall insulation In wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. ISOM: Slab edge insulation - water absorption.rate no greater than, 0.3%,.water vapor transmission rate no greater than 2.0 P/A perm./inch.. - 118:'Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior 'Doors and, Infiltration/ Exfiltration Controls - 1. Doors and windows between conditioned and unconditioned spaces designed to linit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor'barriers mandatory in Climate Zones 14 and 16 WIA only. 150(f)- Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. ' PJIA 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas lJogs 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. MANDATORY MEASURES CHECKLISt: RESIDENTIAL Page 2 MF -1R Project Title .......... ThelPollock Residence Date..07/30/02 12:25:20 MICROPAS6 v6.01 File' -02329S Wth-CTZ11S92 Program -FORM MF -IR User#-MP1333 User-Energ� Calculation Servic Run -3010 SF Res.- Submittal SPACE CONDITIONINGJWATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by thelCommission. 1Z 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. 1.50(i); Setback thermostatlon all applicable heating and/or cooling systems. I 150(j): Pipe and Tank insuiation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must b6 externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes I closest to water heater tank, non� recirculating systems,.insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 co�nbined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system pipingibelow 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m) : Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed levell of R-4.2 or enclosed entirely in conditioned space.10penings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets thelapplicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inchl, the combination of mastic and either mesh or tape shall be used� Building cavities shall not be used for conveying conditionedlair. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes Unless such tape is used in combination with mastic and drawbandsd 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating s�stems serving conditioned space have either automatic or readily accessible, manually operated dampers. I 1.1� 114: Pool and Spa Heating Systems and Equipment 1. 'System is certified with 78 -Is thermal efficiency, on-off switch, weatherproof 6perating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 incheslof pipe between filter and heater for future solar heating. b. Cover.for outdcor bools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115': Gas-fired central furnaces, pool heaters, spa heaters or household cooking applialces have no continuously burning AANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Project Title .......... The Pollock Residence Date..07/30/02 12:25:20 MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User-Er�ergy Calculation Servic Run -3010 SF Res.- Submittal pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). LIGHTING MEASURES Design- Enforce- er ment 150(k)l: Luminaires for general lighting in kitchens shall have ].amps -with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 1SO(k)2: Rooms with a shower or bathtub must have either at leastone luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 1SO(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title .......... The Pollock Residence Date..07/30/02 12:25:20 Prolect Address Chico *v6.01* Documentation Author ... Marty Runnells Energy Calculation Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 Climate Zone ........... 11 Compliance Method ...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal MICROPAS6 ENERGY USE Building Permit # Plan Check / Date Field Check/ Date Compliance Method ...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal MICROPAS6 ENERGY USE SUMMARY Vent Energy Use Standard Proposed Compliance .(kBtu/sf-yr) Design Design Margin Space Heating. 20.37 19.02 1.35 Space Cooling ........... 9.95 - 9.05 0.90 Water Heating .......... 9.47 11.72 -2.25 Total 39.79 39.79 0.00 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 ......... Slab -On -Grade Area .......... Glazing Percentage ......... Average Glazing U -factor ... Average Glazing SHGC ....... Average Ceiling Height ..... 3010 sf Single Family Detached New Front Facing 270 deg (W) 1 1 ReducedYear Slab On Grade 1 28810 cf 3010 sf 16.9 % of floor area 0.38 Btu/hr-sf-F 0.39 9.6 ft BUILDING ZONE INFORMATION Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Zone Type (sf) (cf) Units itioned Type (ft) (sf) Credit HOUSE Residence 3010 28810 1.00 Yes Setback 2.0 Standard No COMPUTER METHOD SUMMARY Page 2 C -2R Project Title .......... The Pollock Residence Date..07/30/02 12:25:20 MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal OPAQUE SURFACES Area U_ Insul Act -, Solar Form 3 Location/ Surface (sf) factor R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 507 0.065 19 270 90 Yes None PLAN FRONT 2 Door 48 0.330 0 270 90 Yes None ENTRY 3 Wall 342 0.065 19 0 90 Yes None LEFT 4 Wall 746 .0.065 19 90 .90 Yes None BACK 5 Wall 43 0.065 19 45 90 Yes None BACK -LEFT 6 Wall 120 0.065 19 135 90 Yes None BACK -RIGHT 7 Wall 543 0.065 19 180 90 Yes None RIGHT 8 Wall 404 0.065 19 270 90 Yes None KNEE WALL 9 Wall 630 0.061 17.8 270 90 No WALL.R19.GAR GARAGE WALL 10 Door 18 0.330 0 270 90 No None TO GARAGE 11 Roof 3006 0.025 38 n/a 0 Yes None TO ATTIC PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE 12 SlabEdge 257 0.760 R-0 No TO EXTERIOR 13 SlabEdge 12 0.500 R-0 No TO EXTERIOR FENESTRATION SURFACES Area U_ Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC HOUSE 1 Window Front (W) 30.0 0.350 0.340 270 90 Standard/0.76 Standard/0.68 2 Window Front (W) 8.0 0.340 0.380 270 90 Standard/0.76 Standard/0.68 3 Door Front (W) 24.0 0.550 0.650 270 90 Standard/0.76 Standard/0.68 4 Window Front (W) 8.0 0.340 0.380 270 90 Standard/0.76 Standard/0.68 5 Window Front (W) 30.0 0.350 0.340 270 90 Standard/0.76 Standard/0.68 6 Window Front (W) 16.0 0.350 0.340 270 90 Standard/0.76 Standard/0.68 7 Window Left (N) 10.0 0.340 0.380 0 90 Standard/0.76 Standard/0.68 8 Window Left (N) 6.0 0.350 0.340 0 90 Standard/0.76 Standard/0.68 9 Window Back (E) 3.2 0.340 0.380 90 90 Standard/0.76 Standard/0.68 10 Window Back (E) 25.0 0.340 0.380 90 90 Standard/0.76 Standard/0.68 11 Window Back (E) 45.0 0.350 0.340 90 90 Standard/0.76 Standard/0.68 12 Door Back (SE) 18.0 0.550 0.650 135 90 Standard/0.76 Standard/0.68 13 Window Back (SE) 4.0 0.340 0.380 135 90 Standard/0.76 Standard/0.68 14 Window Left (NE) 17.5 0.350 0.340 45 90 Standard/0.76 Standard/0.68 15 Window Left (NE) 5.3'0.340 0.380 45 90 Standard/0.76 Standard/0.68 16 Window Back (E) 22.5 0.340 0.380 90 90 Standard/0.76 Standard/0.68 17 Window Back (E) 6.8 0.340 0.380 90 90 Standard/0.76 Standard/0.68 18 Window Back (SE) 17.5 0.350 0.340 135 90 Standard/0.76 Standard/0.68 19 Window Back (SE) 5.3 0.340 0.380 135 90 Standard/0.76 Standard/0.68 20 Door Back (SE) 18.0 0.550 0.650 135 90 Standard/0.76 Standard/0.68 21 Window Back (SE) 4.0 0.340 0.380 135 90 Standard/0.76 Standard/0.68 22 Window Back (E) 18.0 0.350 0.340 90 90 Standard/0.76 Standard/0.68 23 Window Back (E) 36.0 0.340 0.380 90 90 Standard/0.76 Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title .......... The Pollock Residence Date..07/30/02 12:25:20 MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM C -2R 'User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal FENESTRATION SURFACES Area U_ Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC 24 Window Back (E) 18.0 0.350 0.340 90 90 Standard/0.76 Standard/0.68 25 Window Back (E) 18.0 0.340 0.380 90 90 Standard/0.76 Standard/0.68 26 Window Back (E) 30.0 0.350 0.340 90 90 Standard/0.76 Standard/0.68 27 Window Back (E-) 30.0 0.350 0.340' 90 90 Standard/0.76 Standard/0.68 28 Window Right (S) 20.0 0.350 0.340 180 90 Standard/0.76 Standard/0.68 29 Window Right (S) 12.0 0.350 0.340 180 90 Standard/0.76 Standard/0.68 30 Skylight Horz 4.0 0.940 0.730 270 0 None/1 None/1 OVERHANGS AND SIDE FINS -Window- - Overhang -Left Fin- -Right Fin - Area Left Rght Surfac . e (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 2 Window 8.0 n/a 8 6 1 n/a n/a n/a n/a n/a n/a n/a n/a 3 Door 24.0 n/a 4 6 1 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window- 8.0 n/a 8 6 1 n/a n/a n/a n/a n/a n/a n/a n/a 12 Door 18.0 n/a 6.67 12 2. n/a n/a n/a n/a n/a n/a n/a n/a 13 Window 4.0 n/a 1.5 12 0 n/a n/a n/a n/a n/a n/a n/a n/a 14 Window 17.5 n/a 5 8 2' n/a n/a n/a n/a n/a n/a n/a n/a 15 Window 5.3 n/a 1.5 8 0 n/a n/a n/a n/a n/a n/a n/a n/a 16 Window 22.5 n/a 5 8 2 n/a n/a n/a n/a n/a n/a n/a n/a 17 Window 6.8 n/a 1.5 8 0 n/a n/a n/a n/a n/a n/a n/a n/a 18 Window 17.5 n/a 5 8 2 n/a n/a n/a n/a n/a n/a n/a n/a 19 Window 5-.3 n/a 1.5 8 0 n/a n/a n/a n/a n/a n/a n/a n/a 20 Door 18.0 n/a 6.67 12 2 n/a n/a n/a n/a n/a n/a n/a n/a 21 Window 4.0 n/a 1.5 12 0 n/a n/a n/a n/a n/a n/a n/a n/a 22 Window 18.0 n/a 6 14 2 n/a n/a n/a n/a n/a n/a n/a n/a 23 Window 36.0 n/a 6 14 2 n/a n/a n/a n/a n/a n/a n/a n/a 24 Window 18.0 n/a 6 14 2 n/a n/a n/a n/a n/a n/a n/a n/a 25 Window 18.0 n/a 1.5 14 0 n/a n/a n/a n/a n/a n/a n/a n/a 26 Window 30.0 n/a 14 2 n/a n/a n/a n/a n/a n/a n/a n/a SLAB SURFACES Area Slab Type (sf) HOUSE Standard Slab 3010 COMPUTER METHOD SUMMARY Page 4 C -2R Project Title .......... The Pollock Residence Date..0.7/30/02 12:25:20 MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -3010 SF Res.- Submittal System Type HOUSE Gas _ACSplit Tank Type 1 Large System 1 Large HVAC SYSTEMS Refrigerant' Tested ACCA Minimum ' Charge and Duct Duct Duct Manual Duct Efficiency Airflow Location R -value Leakage D Eff 0.800 AFUE n/a Attic R-4.2 No No 0.737 13.00 SEER No Attic R-4.2 No No 0.645 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 n/a 75 R-0 WATER HEATING SYSTEMS DETAIL Standby Internal Tank Recovery Rated Loss Insulation Pilot Efficiency Inout Fraction R -value LirTht ..76 n/a .036 R-n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS Items in this section should be documented on the plans, installed to manufacturer and CEC specifications, and verified during plan check and field inspection. This building incorporates non-standard Water Heating System REMARKS 0 0 CONSTRUCTION ASSEMBLY Page 1 3R Pro! Pr-, 17 T i 1- 1 P, MICROPAS6 V6.01 File -02329S Wth_CTZ11S92 Program -FORM 3R User#-MP1333 User -Energy Calculation.Servic Run-3010,SF Res.- Submittal 3 I -7 Sketch of Construction Assembly Parallel Path Method Reference Name . WALL.R19.GAR Description .... Wall R-19 To Garage 16oc Type ........... Wall R -Value ........ 17.8 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 �IST OF CONSTRUCTION COMPONENTS - Material Cavity Frame Name Description R -Value R -Value 0. FILM.IN.WLL Inside.air film: heat sideways 0.68 0.68 I. GYP.O.63 0.625 in gypsum . or plaster board 0,56 0.56 2c. BATT.R19 R-19 batt insul (cavity = 5.5 in) 17.8'0 2f. FIR.2X6 2x6 fir 5.45 3. GYP.O.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0,68 0.68 Total UnadJusted R -Values 20.17 7.82 -'R.AMING ADJUSTMENT CALCULATION Cavity Framing Total )-Factor: (1 20.17 x 0.85), + (1 7.82 x 0.15) '0.061 Btu/hr-sf-F lotal R -Value: 1 0.061 16,30 hr-sf-F/Btu I HVAC SIZING Page 1 HVAC Project Title .......... The Pollock.Residence Date..07/30/02 12:25:20 Pro�ect Address Chico *v6.01* Documentation Author...- Marty Runnells Energy Calculation Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 Climate Zone ........... 11 Compliance Method ...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User-E6ergy Calculation Servic Run -3010 SF Res.- Submittal GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation .......... Sizing Location ............. Latitude .......... :**''**** Winter Outside Design ...... Winter Inside Design ....... Summer Outside Design ...... Summer Inside Design ....... Summer Range ............... Interior Shading Used ...... Exterior Shading Used ...... Overhang.Shading Used ...... Latent Load Fraction ....... Description 3010 sf 28810 cf Front Facing 270 deg CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar ...... Glazing Conduction ................ Glazing Solar ...................... Infiltration ..................... Internal Gain .................... Ducts ............................ Sensible Load .................. Latent Load ...................... Heating Cooling (Btuh) (Btuh) 23336 8187 Building Permit # Plan Chec-R7 Date Field Check/ Date Compliance Method ...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File -02329S Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User-E6ergy Calculation Servic Run -3010 SF Res.- Submittal GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation .......... Sizing Location ............. Latitude .......... :**''**** Winter Outside Design ...... Winter Inside Design ....... Summer Outside Design ...... Summer Inside Design ....... Summer Range ............... Interior Shading Used ...... Exterior Shading Used ...... Overhang.Shading Used ...... Latent Load Fraction ....... Description 3010 sf 28810 cf Front Facing 270 deg CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar ...... Glazing Conduction ................ Glazing Solar ...................... Infiltration ..................... Internal Gain .................... Ducts ............................ Sensible Load .................. Latent Load ...................... Heating Cooling (Btuh) (Btuh) 23336 8187 8225 4591 n/a 8221 18218 5986 n/a 2325 4978 2931 54757 32241 n/a 6448 Minimum Total Load 54757 38689 (W) Note: The loads -shown are only one of the criteria affecting the selection of HVAC equipment. other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin,.etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. IOO.-le>, ---------------- A APPROVEO Butte County C ,,wmurg h . .. . L6 M /5EPTIC 01 5Y5TEM A MIN. A5 PER % BUTT E CO. HEALTH PROPOSED HOUSE NELL CONO. DRIVE — 02. t MA J . . ................ SITE FLAN. - I rl=4ol-o" LOT 6 - LOT GREGORY A. PEITZ WATKINS SUBDIVISION - ARCHITECT for: 383 Rio Lindo Ave. Chico. CA. 95926 (5303 894-5719 DARCY AND DAVID POLLAK 6. CHICO CALIFORNIA Building Permit Number: ® 4— 2 Z O v Owner Name: SPD u o-fL Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0 ZOO Owner Name: Pd I to (C Parcel lies within the State Responsibility Area (SRA). Comply with attached 0 requirements. Fire sprinklers are required in this structure. UMThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of rfeet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. 0 Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. •hti . ��� EU LAND OF NATURAL WEALTH AND BEAUTY -mar *',=.: '' BUILDING DIVISION ,.h ,,,F, �. ,, : , , ; •,, ,: DEPARTMENT OF DEVELOPMENT SERVICES =,:.:�; ! , • .;; ":; "':_r 7 COUNTY CENTER DRIVE? OROVILLE, CALIFORNIA 95965-3397 ` TELEPHONE: (530) M-7541 October 6, 1999 FAY: (53D) 53B-2140 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 1, 1998 To Whom It May Concern, In December of 1997, just prior to the effective date of the Swimming Pool Safety Act, (see back page) we initiated a letter of explanation, and a mailing to all pool contractors in Butte County. Due to the poor wording of the Act itself, a number of questions have arisen concerning compliance with the Act and how etter to describe how enforcement will occur in Butte County, and are to enforce it. We have revised our l again conducting a mailing to notify pool contractors. This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including. 1. In our review of legislative considerations, we discovered that when accommodation was provided to allow exit alarms on doors providing direct access to the pool, it was assumed that a conforming perimeter fence was already in place. However, in many cases there is no pre-existing pool or parcel enclosure, and unless the residence is one side of an enclosure which entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. 2. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Building Code, Appendix Chapter 4, Division 1, specifically allow the use of chain link fencing - as pool barrier material. In Butte County we will continue to allow the use of 11 gage, 2-114 inch mesh, chain link fencing as pool barrier material. Other types of fencing will be considered on a case by case basis, based upon the requirements of the Swimming Pool Safety Act. Please call for clarification prior to installation. All access gates through the enclosure shall open away from the swimming pool, and his self- closing with a self -latching device placed no lower than 60 inches above the gro includes large gazes for vehicle access. Should you have further questions concerning this matter, please contact this office at the address or phone number listed above. Sincerely*MagtrC,oiBuildi�ng C.B.O. Inspection CALIFORNIA HEALTH AND SAFETY CODE SECTION 115920-115927 115920. SWVVRgING POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any stricture intended for swimming or recreational bathing that contains Rater over 18 inches deep. "Swimming pool" includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool Iocated on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTbA), in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the electrical wiring of the building . 115922. Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for construction of a new Swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool d) All doors providing direct access from the home to the swimming pool shall be equipped with a self-closing, self - latching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the budding official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1. 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground,. b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Gaps or voids, if any, do not allow passage of a Sphere equal to or greater that four inches in diameter. e) An outside, surface free of protrusions, cavities, or other physical characteristics that would serve -as handholds or footholds that could enable a child brow the age of five years to climb over. 115924. Any person entering into an agreement to bund a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following; a) Public swimming pools. b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials -Emergency Performance Specification (ASTM ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated punvant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved exchm-mly to local cdons, as provided for in subdivision (e) of Section 114922 and subdivision (c) of Section 115 92 4. 17 I7� 77� 4 ..... ... . I jr 7, =rn C F1 At i,-'� ,Ext:AvAt ION Aft At WED Pr: I c o' N I+';7� 7 ft ow emid �arr� h tD rA AW, a7 `2 IOUIPMElill lid, 4 q Do Leaf *p 'M 6 FL 7 'SeeMMI!'on e 011 BMtd ,4e, Skle 0, dift NG PLAX kn APPROVA L P�NING D1\AS10N,­,.BU1LD1 FL bOgo u �7_ La ndsm n Paidng:- pil oft � [ 7� " " *" �L � ', ' 'f V rI ly �­% PLUMBNG,­' 6A MaCk" IJU -bram ho U it7 r iV .V I IU&URAQ'" -+ # i71 �q� �7 R E` tom Step Ik wp ��',4&11LE*Nblbl`1`00 G X"LtVrER`--_' 01 or colng 17, no& Tyo I4� zl�l Ft I r I 1 itI';A�' 7 vvw IA Isli ...... .. .. Ve. i f 4' NOTE'1­­�,""� I 16 _Q na , _Axy 'Hom 006 I1P itIIrdif pw A orso ft jK MICAL; MMM M ICAWAN ebino ONSTRUCTION-( NOT. -'T �LAN `CHE&EDJ-� 4---­SHALLGoMp 8 rTT JC0 U N 1 qUILDINGDE A 11:, 44 A RD GTCFBEINS' in NuuuA BONDED To POOL OTE. 69VN ii Rk6+OW­ tE HEOU1 ATER NOTE: '00 NOT WATER ACCESS.,.:A, - CAL,13ONDING.-M, �MOTE,f tW 0 'r 9. 7��N -'NOTIE�,"�,.�-:EOUTPMENr,PADIAPPROVEIYI �4,YADDMONAL COST TO OWNEF p II've. "'r . .... .... . -o4 ]M"kt 01i am ZF4 B LItte County�.',' ea 40 NOT b -mom iErfd I W admonal at s NLMA , C T(M I_4� �nselj i 5' WIDE LEACH LINE W/ 12" ROCK, TRENCH 56" MAX DEPTH. 2 r-5 2' T,2 T4 L �--1 1\1CA i, FT OF LFA�1= k � �► _Q MIN. 1200 GAL. SEPTIC TANK PROPOSED HOUSE 2550 PLAN FIN. FLR. EL. _ 215.0' WOOL � I�,DERS "C30:t ffuLuclox-s; P.O. Box 156 Orland, CaliYornia 95963 <530� 899-8988-OYYice <530� 624-7284- Cell License#:833994 f.. SEPTIC TANK AND LEACH LINES TO BE 5' MIN. FROM BLDG. AND PROPERTY LINES, TYP. (N) HELL v N (f-� SCAVE I"=40' -O" J Environmental Health JUN 3 0 2004 Chico, California CONC.. DRIVE APPROVED Butte County E'nvir amental Health Da 8* na I I LOT 1 LOT TWIN PALMS SUBDIVISION FAN r wAu t. 1 f1baL0_ _- 10 20 30 40 50 GRAPHIC SCALE ORIGINAL SCALE: 1" = 30' Assessor's Parcel Number: ® ®®- ®m Q - 00 IQ -O Size (Acres) Owner Name /Address / Phone No. T ro L_ Sb i ^-N Ic H A -N E C.._ I SEG- } kJ&!J, CAI CO . -4q5'-' Site Location s CCS (,tJ y C J /C-0 Zoning General Plan Contact: Name :Rlc,�-- (e.s�,e�� s Pcxx. L,rLDE94, Phone Gz--7;LR� POOL GEN RAI SPA GENERAL DI ION SPECIFICATIONS SPECIFICATIONS, POO L 114SIDS SIZE 1(0 X 3� AREA 49 0 DEPTH I TO SPA TYPE: MDL 0 SHAPE EEF FRORA DIMENSION: N ZWH I T -E, DEPTH: Abnj LINER Aa POOL CAPACITY GALS. COLOR TOTAL GALLONS 10 PUMP 0 LTRA 5 LOU.) SPA JETS TILE dS Tropp MOTOR H.P. lw A R: -ro FILTER C, 3 C Tr lt0r� 32D so. PUMP & MOTOR: venin 1U I IKIC & 0V11kAhAC0 VQOF SKIMMER MODEL U 3 ELECTRICAL: CLOCK: BACKWASH LINE I)JO EXCAVATION: L4 fj OF 1/2" FILL LINE ADECKING uT ANTI SIPHON VALVE MISCELLANEOUS: HEATER SIZE BTU SOLAR GENERAL GASLINE 8 VENTED BY: F SPECIFICATIONS AA :Sr --CA W LIGHT Sj'm 4- CoLotz- SO. FT. POOL SO. FT. PANEL CLOCK lim U• <HALLOEND W POOL OR SPA I t y petoposs'. WAI'w-we'l F -x4 UNLESS OTHERWISE SPECIFIED: I-Oplia 0006e, j POOL ISI SHALLOW TO k DEEP WAra L4 0 f- ADDRESS sr -&A Dalur- I HAVE RECEIVED A COPY OF 0 THIS PLAN AND HEREBY 0-41clo (2A C15912 APPROVE POOL AND IP1 EQUIPMENT LOCATION S -r Lr CROSS STREET ExAKio& WAL-(c-w" C -0-i RES. PHONE 345 -1130 HOSE BUS. PHONE CUSTOM ER'S SIGNAT RE DATE lam= - WELL 9ADI APPROVED Butte County Environmental Health ( �l Date J 3080 Thorntree Drive, Suite 25 Signatum Chico, CA 95973 ELLIS A&E SUPPLIES (530) 899-8988 License #833994 i N! ZMEMEM, Building Permit Number: 0 `t - lR z s - Owner Name: � ylV-kanf--I Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, 0 H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 6)q-(qZs Owner Name: Ej Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. E Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. 0Expansive soil may be encountered on this site. This condition may require the '- foundation to be designed by a California registered engineer or licensed architect. GO ffu ite ?q"t LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION _-=`E`::'°'•'i DEPARTMENT OF DEVELOPMENT SERVICES .%,sti; , ;,; , �; ;,, ; z:;•CALIFORNIA 95965-3397 E .... ,; •,.: .. 7 COUNTY CENTER TELEPHONE- (530536-7541 FAX: (530)536-2140 October 6, 1999 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 1, 1998 To Whom It May Concern, just prior to the effective date of the Swimming Pool Safety Act, (see back page) In December of 1997, j P Due to the poor compliance with the Act and how we initiated a letter of explanation, and a mailing havelar'�sen concerning comp a County- and are wording of the Act itself, a number of questions to enforce it We have revised our letter to describe how enforcement will occur in Butte County, again conducting a mailing to notify pool contractors. This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including: rovided I. 2. In our review of legislative considerations, we discovered that when accommodation was p exit alarms on doors providing direct access to the pool, 1l, it is -assumed pre-existing a pool or to allow perimeter fence was already in place. However, in many oases parcel enclosure, and unless the residence is one side of an enclosure cowhich entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Appendix Chapter 4, Division 1, specifically allow the use of chain link fencing Building Code , App v,,e will continue to allow the use of 11 gage, 2-1/4 inch as pool barrier material. In Butte County of fencing will be considered on a mesh, chain link fencing as pool barrier material. Other typesAct• please call case by case basis, based upon the requirements of the Swimming Pool Safety for clarification prior to installation. the enclosure shall open away from the swimming pool, and be self - All access gates through und. This closing P with a self -latching device laced no lower than 60 inches above the gro includes large gates for vehicle access. ve further questions concerning this matter, please contact this office at the address or phone Should you ha number listed above. v. I. --- , Building Inspection CALIFORNIA HEALTH AND SAFETY CODE SECTION 115920-115927 115920. SWUd M'IING POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water aver 18 inches deep. "Swimming pool" includes in -ground and aboveground structures and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, the use of the members and guests of a private club. Public swimming pool does not include a swimming pool located on the grounds of a private single-family homes. that isolates a swimming pool from access to the home. c) "Enclosure" means a fence, wall, or other barrier d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTM), in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the electrical wiring of the building. - 15922. Commencing January 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for construction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: y requirements of Section 115923. a) The pool shall be isolated from access to a home b an enclosure that meets the b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing dired access to��pooclosing, self= d) All doors providing direct access from the home to the swimming pool Shan be equipped a self - latching device with a release mechanism placed no lower that 54 inches above the floorthat afforded by any of the e} Other means of protection, if the degree of protection afforded is equal to or greater bion issuing the devices set forth in subdivisions a) to d), inclusive, as determined by the building official oft on on or applicable building permit Any ordinance governing child access to pools adopted by a political subdivision devices set before January 1. 1997, is presumed to afford protection that is equal to or greater that afforded by air forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: morin and are self-closing with a self -latching a) Any access gates through the enclosure open away from the swi_ g pool, device placed no lower than 60 inches above the ground. b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Gaps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outsidt surface free of child glow the age other five physio climb that would serve.as handholds or footholds that could enable 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of ties article shall not apply to any of the foIlowing: a) Public swimming pools b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials -Emergency Performance Specificab n (ASTM ES 13-89). 1 safety that c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming poo includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 15926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used 1 1 the private residence s the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to finther modification or interpretation by any of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved regulatory agen cY e:.cltmsircly to local J':risd:ors, as provided for m subdivision (e) of Section 114922 and subdivision (c) of Section 11592 .