HomeMy WebLinkAbout041-080-07417'08-74- 73-90
41-08-74 407-91E
CARR, Ralph
CARR, Ralph 3833 Royal Mtn Rd, Oroville
3853 Royal.Mountalh Rd, Oroville
(elec/w6ll) -A&-LtaaLiqn Permit
(horse barn)
.JI -'08-71
9�2-1908 BPEM
41-08-74
CARR, Ralph
0 Rd�? Orovi le
383� Royal M untain
new sf
-74-2836
(-04-1 -ogo-074 '14-�136
L S
EEFELDT,'TIM
3S33,R0YAL.M0LJNTAIN,PD;
OROVILLE
Cont: oWNER
250 GAL PROPANE TANK
-4%
�04-311.7
(474
-LDT
Rf): ORO
�S
.�3 RCjYAI,.Mt!'N
OWNER
ov
C.'AS IANIF-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOLTR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED A T TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
CONTRACTOR
Last Name..,�
r-- Aj-hou�* g -
Addres!� 693 ROYAt— M6(,,_r,-bVW
Pn
Cit, vtb-
'tPA—
State
I zj
Phone , zj
.�ft 530 t
'ax
-
53 01 04 2
E-mail 72 �e f-1-8 <? (f
Planner
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name.
r-- Aj-hou�* g -
Address
SRA
city
�
State
Zip
Phone
Map Book
Fax
E-mail
Planner
1-1c. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECTIENGINEER
Name
Flood Zone
Address
SRA
Ci ty
�
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State Ucense Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
Flood Zone
Address
SRA
Chy
�
State
Zip
-Phone
Map Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
X
For office use only:
Zoning
AP#
Flood Zone
P rty Address
`�fi33
SRA
Cross Street
Nyclle
�
Occ.
I Type Const
Subdivision Name
Map Book
Page
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERA41T
NO.
)// — 12 Y3
BIN #
Description or Scope of Work:
D7hs4411a4a QEY?qI/c
Sq. Footage
0 Structure Built without Permits
11 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a pen -nit has not been issued mill 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. Ile 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
refimdable.
Received by—P Amount C - Bldg
SRA
Receipt#: 4 Sheriff
Cls� SMIP
I
) 7w -
Date: er
� ?-,,i T'o't a I I I
LOCATION
AP#
080 0-7
P rty Address
`�fi33
Rav�
Cross Street
Nyclle
�
WORKER'S COMPENSATION
Policy Number
Carrier
Fif —hiring anyone ot'her than license contractors, a certificate of wo r's
ompensation mustbe shown at the time of permit issuance.
c comp
LENDING AGENCY
Name
Address
Description or Scope of Work:
D7hs4411a4a QEY?qI/c
Sq. Footage
0 Structure Built without Permits
11 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a pen -nit has not been issued mill 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. Ile 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
refimdable.
Received by—P Amount C - Bldg
SRA
Receipt#: 4 Sheriff
Cls� SMIP
I
) 7w -
Date: er
� ?-,,i T'o't a I I I
Ell
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED, ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
0 2. Complete plans, 3 or4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
E] 3. Engineered truss details and layouts in duplicate (if required). No faxesl
El 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
E3 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
13 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
El 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
13 8. Flood Elevation Certificate, wet -.stamped and signed, in duplicate (if required).
E3 9. Site plan and business license approval from the City of Biggs.
10. Letter of intent for non-residential buildings.
11. Detached Accessory Building Form filled out by the owner (if required).
E3 12. Hazardous Material Form (for Commercial Buildings only).
11 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
E3 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required).
0 2. Impact Fees.
E3 3. California Department of Forestry plan approval (if required).
11 4. NPDES Fonn.
0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
E3 6. Contractors license information. (Number, Name Style, Classification).
0 7. Worker's Compensation Carrier and Policy Number.
0 8. Owner -Builder Verification (if required).
0 9. Letter of Signature authorization (if required).
r_1 10. Recorded copy of Agdcultural Acknowledgment Statement.
11 11. El Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new applicafion, plans and fees will be required.
REQUEST FOR FEE REFUNDS
meTunas can oniy be made upon written request by the person who paid the fee. The request must be made within two
years from the -date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
K\FORMSSUILDING F0RMS\131dgApp1SUbRqmts.doc Page 2 of 2 REV 7-27-04
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.netkcids
PERMIT NO.
SP042836
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/28/2004 APN: 041-080-074-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 3833 ROYAL MOUNTAIN RD 13TV
Date: Contractor
Map Index:
Description: INSTALLATION OF PROPANE TANK 250
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
GAL.
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: TIM LEEFELDT
signed statement that he or she is licensed pursuant to the provisions of
3833 ROYAL MOUNTIAN RD
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
OROVILLE CA
she is exempt therefrom and the basis for the alleged exemption. Any
95965
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).):
0 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: TIM LEEFELDT
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
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
r1,
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.).
1 am Exempt under Article 3 of the Bu lode
Date: Owner: ��a,
WORKERS'COMPENSATION D06PATION
I hereby affirm under penalty of perjury one of the following declarations:
License #:
(3 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
1 have and will maintain workers' compensation insurance. as
Engineer.
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carder:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
r
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith compl ith th ye provisions.
y W, 0
Date:
Applicant:
WARNING: Failure to secure wnrkersi Lpensation coverag'e 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.
04
CONSTRUCTION LENDING AGENCY —
T h i sfuet it ispereby issued und thijapplicable provisions of the Bijft(- County CodA and/or
I hereby affirm that there is a construction lending agency for the
Re. Zons,0 do work indiroate abo to ich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
0
1/10M
Name:
I V _ __ -1, Date:
015 -
Address:
PERMIT EXPIRES ON:
III (Date)
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.
(3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct. and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date:
13 Contractor Q Agent for Owner 0 Agent for Contractor
..
��
!
�
�
1 ..
+
4
`
I
BUTTE COUNTY PERMIT NO.
0 0 DEPARTMENT OF DEVELOPMENT SERVICES BP043117
0 0
BUILDING PERMIT
0 24 HOUR INSPECTION #: (530) 538-7630 (OROVILLE) (530) 891-2834 (CHICO)
: - . - f 0 OFFICE#: (530) 538-7541 FAM (530)538-2140
0 Or . 1 0 WEBSITE: www.buttecounty.nishcIds
UK I
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of parjury that I am licensed under
Provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code. and my license is in full force and
effect.
License Class: — License Number:
Date: Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.6
Business and Professions Code: Any city or county which requires a
permit to construct. alter. Improve. demolish. or repair any structure. prior
to its Issuance, also requ�res the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil perially of not more than five hundred dollars ($600).):
0 1. as owner of the property, or my employees with wages as their
�ole compensation. will do the work, and the structure is not
intended or offered for sale (Sec. 7044. Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon. and who does
Such work himself or herself or through his or her own employees.
provided that such improvements are not intended or offered for
sale. it however. the building or Improvements are sold within one
year of completion, the owner -builder .111 have the burden of
proving that he or she did not build or improve for the purpose of
sale).
:. as .—a, of the properly, am exclusively contracting with
icensed contractors to construct the project (Sec. 7044. Business
and Professions Code. The Contractors' State License La. does
not ap�ly to an owner of property who builds or improves thereon.
, d who contracts for such projects Win a contractors) licensed
an
pursuant to the Contractors' State License Law.).
E3 I am Exempt under Article 3 of the Businesp and
Deil.:146.&� Owner: 1AA 11 kr�
WORIKERS'COMPENSATION DEGLAKAI 1UN
I hereby affirm under penalty of perjury we 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 3700 the Labor Code. for the performance Of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Policy M
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 the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 10Z 2do-11 i I
Applicant:
%.in
WARNING: Failure to secure workers co pensation 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
I hereby affirm that there is a construction lending agency for the
Performance of the work for which this permit Is Issued (Sec 3097 CIv.)
Address:
Issued Date: 10126/2004 AP��041 �-080-074-000
Site Address: 3833 ROYAL MOUNTAIN RD BTV
Map Index:
Description: GAS LINE
QVVII-) 6 e 50.
Owner: LA . MAJA-
3833 ROYAL MOUNTAIN ROAD
OROVILLE, CA
95965
Applicant eAR-F
3833 ROYAL MOUNTAIN ROAD
OROVILLE, CA
�95965
Contractor:
License M
Architect:
Engineer:
Total Square Fit: 0 S. F.
Valuation: $0.00
Census Code:
41;iiciss 655. — I r./,* A -
do work Indicated above for which fees have been paid.
Date: 10 -.2 4 - 10+
0 1 hereby carlily 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.
0 Attached are copies of the required E.P.A. no!ification forms.
I hereby certify that I have mad INS application. that the above information is correct. and that I am the owner 0, the duly authorized agent of the Owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official to" d nt of B It C ly. I here y -
authorize representatives of Butte Coynty to a , bole mentioned properly for inspection purposes/
Print Name� Signature: 7me
Date
0 Contractor 0 Agent for Owner 0 Agent for Contractor
_41.
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.net1dids
PERMIT NO.
BP043117
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 10/26/2004 APN: 041-080-074-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 3833 ROYAL MOUNTAIN RD BTV
Date: Contractor.
Map Index:
Description: GAS LINE
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt -from the
Contractors' State License Law for the following reason (Sec. 7031.5
qA ,-, eletI6
Business and Professions Code: Any city or county which requires a
�Jel_g
Owner: =
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
3833 ROYAL MOUNTAIN ROAD
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
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
95965
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
LI 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
Applicant:
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
3833 ROYAL MOUNTAIN ROAD
such work himself or herself or through his or her own employees,
OROVILLE, CA
provided that such improvements are not intended or offered for
95965
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
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.).
1 am Exempt under Article 3 of the Business and rofes * Code
Date: JOIZ6/0�. Owner. ydu�5
License #:
WORKERS'COMPENSATION DECLAR14TION
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
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
13 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and poJicy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
Census Code:
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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/0
Date:
Applicant:
WARNING: Failure to se, ipensation 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.
14n/
CONSTRUCTION LENDING AGENCY
This permiti hereby'ssu d under the applicable provisions of the Bijtte County Coda.?nrttor
I hereby affirm that there is a construction lending agency for the
4,
Resolution do work ind�i.at.d above for which fees have been paid.
performance of the %vork for which this permit is issued (Sec 3097 Civ.)
10 -
Name:
Bv:C:q41X__ Date: .2
PER IT XPIRES ON: 06
(J,
Address:
I (Date)
E3 I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
13 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct. and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte I hereby
authorize representatives of Butte County to e 0 bove mentioned property for inspection purposes K
4
*Cnty.
e- -1
vv\, -eel
Print Name: Signature:
Date:
13 Contractor 13 Agent for Owner 13 Agent for Contractor
"Of
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
APPLICANTNAME
OWNER
Last Name
1. t e- &,Zr&
e--11 7
irst me
Ea..^_
Address
city
city
'6
State
Zip
Phone
4
4-zb V 2 -
jFax
E-mail TL
-e e -:F,8 (z (f a- P-7-4 Le�,k - AvW—
APPLICANTNAME
CONTRACTOR
Name
e--11 7
Address
Zip
city
Fax
State
Zip
-Phon
Address
-Fa
E-mail
1-ic. #
Class
APPLICANTNAME
ARCHITEg ENGINEER
Name
city
Address
Zip
city
Fax
State
Zip
Phone
Address
Fax
E-mail
State License Number
APPLICANTNAME
Name
Address
city
Stat
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning Flood Zone SRA Yes No
Occ.
Type Const.
Subdivision Name Map
Book
I Page
Lot #
Planner
I Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BPZ:)4 3? 1
BIN #
LOCATION
AP# 4�> 9' - 4>7 +
Propert,Lkddress
-153-3 Qe'� 1.4-ro )azj
City
Cross Street
_j
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of workers
compensation must be shown at the time of permit issuance.
LENDING AGENCY
-Name
Address
KAFORMSMILDING FORMS\BldgAppiSubRqmts.doc Page 1 of 2
Description or Scope of Work:
45z^ ja a
Sq. Footage
0 Structure Built without Permits
0 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.
Received by: 4c?l Amount: .55.— Bldg
SRA
Receipt #: A 12, q,05. -Sheriff
SMIP
Other
Date: Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
0
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
0
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0
3.
Engineered truss details and layouts in duplicate (if required). No faxesl
0
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes'.)
0
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
0
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
0
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0
9.
Site 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 (if required).
0
12.
Hazardous Material Form (for Commercial Buildings only).
—0
-3,—S.anitation-an.d-site-plan-app-rova]JromAhe-En-vironmentaLHeal.th-De.p.artment.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
0
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required).
0
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
El
4.
NPIDES Form.
0
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0
6.
Contractors license information. (Number, Name Style, Classification).
0
7.
Worker's Compensation Carrier and Policy Number.
0
8.
Owner -Builder Verification (if required).
0
9.
Letter of Signature authorization (if required).
11
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
0 Grant Deed, El M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSNBUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 7-27-04
',,,RESIDENTIAL
41-08-74 92-1908 BPEM
CARR, Ralph
3833 Royal Mountain. -Rd, Oroville
new sf
EA p -7/7/9,3
30
JOB FINALE
Signature
endrv-
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (Single
Date UNDERFLOOR (Plans) OK except it"s Date
L---foning-Si�tbacks-Easem2f+s-5�ood-Slope
.,Main; Soils-Elecl(Grn�4" Ftg. Depth
3. Ft�., Garage: Soils-Ste-el-EleJ. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks: Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage: Steel-Blockouts-Wrapped
6a. Hold Downs and Soecial Anchors
7. Slab,
,,.Steel -Wrapped
��ers-Fireplace Ftg.-Steel
O.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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Cleara nce- Mate ria I -Support- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date7,??e.Z'Card B-1 Date Card B-1
Date' Card B-1 Date Card B-1
Date PLLVMING (Permit).OK except ft's
ge WAWI Htr.,, ALW.A-_AcSess-Co mbust ion Air -Baffle K -10W
1�;<ater Pipe: TKt & Anchor -Nail Protection
18. D.W
JaFttings & Anchor -N ctii - - ------------- ---
,*19. Shower Pan; Test, First Floor -Tub Access
------ --*To.-Test Tub & Shower Second Floor -Tub Access ----- ------
-----------
R4. GRa QipQ�.��rs
------- - --
- ------------------
.Date Von z Card B-�� Date Card B-1
l5a7e7,;;��j 6ard B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
1, :'-'
22 R I e & T -Ins. �>
----- - - -------------- Crcitec
��!?sformer Clearance - - ----------------
Vo�5. liec�.Etacles Spacing -Lights & Switches at Doors
L ---- --------------
No. of Cond ucto rs-Sta pled
in
-------------- -- ----------------- &-"?e/,-.
Z/R I I llad Close to Ed - u-�i-u-js-i-6-; ---------------------
';1* 7 ro �e Fastners-Bo*g-&"
.............
__�nd ma
------ ------- --------- -
_.,. V��_ Circuts in Kitchen & Conduct - or Size/G'l;I
'ance
------------ --- -------------- -------- ----------- e4----
-A.C. W S
S ize
i&ed Wire S jlb�a r Al ire ize ga pi
A,
4'
a e rc. ga. 4aor Al -Oven irc.
n
S/I lated Neutral 0 Yes No
evi'-c-e--R-i-s-e-r--C-o-n-d-u--c-to--rs--& --- G_r -o-u-n d M--a-i -n- -D-i _s -c-o-n-n- e- c- _t -------------
-- - - ------------------- --------- - ----------------
-3 1-.- Eq u i p.-Cleara-nces -Panels- Motors- Mech.
-------------- a-,Pt-lothes Closet Light -Shower Light -Spa Light
------------------------
------------- Smoke -Detector - _ -----------------------
- -D-a-t -e ---------- f t�� ------------ - Date Card B-1
Card B-1 0
------------------------------------ -----------
Date �_rd B -I Date Card B-1
Date M�eHANICAL (Permit) OK except O's
Cj01A..C' Ducts Insulation & Su jj�jrt
------------ . .................. e_ -7 ---------------------------------
-@& Vent Fan: Exhaust above insulation
--------------------------------- I ------------ -------------------------
----------- *36._ - cond - ensate Drai - n - & Overflo-w: Size & GradQ/
37. Furnance- 4!�I. Access -Comb. Air nt- 115 outlet
.---! ------------------------ ----------
---------- 38., Atti-c -Access-&. P-latfo-rm-if-Furnance in_Att-ic -----------------------
---------------------------------------
6ate Card B-1
Pt
Dat &
Date ljo --q-Uard B-4AA JO -V Date Card B-1
Date' FRAjd'1N an's) OK except h's
tesils. Proper Material & Anc�n��_ -------------------
3.�nd
C
- - - --------
lls�'t.ds'-_�aili_ng. Spacing &
---- ----------------
------------ -- -------------
/B..,ing Wall s ove r G irders & F I o Pr Pai I !inlg�
p in Walls (rat proof)
- ----------------------------------
s' Furred Ceilings-iLairs
--------- __-Chases-Tub
- - - --- ----------- - -----
& Beam -Size & Ce
& Duplex)
AMING (Continued)
ers-Post Caps-Anchors-Conr
Joist-Rftr. I ies-Pu rlin -root Brac-TrA,ShWAr4of
lace Ties or Type A Flue -Fireplace Throat clearance
Access; Size & Romex Protection -Draft Stop -Ins. 5K:
. Windows or Exiting Doors -Sill Hgt. & Dimensions,
)e Fire Protection Framing 1"'0//
_--_&t-"Property - Line Firewall & Openings
. E
- ------- - 0.0'Doors-Onel-Check Garage -3rd Story, 2 Exits Z-1
S_ rs: Width -Head room -Rise-Run- Landi ng<ire �Pcti�,
ID lialood on R Overhang -Attic Vents -Rafter Outriggers
Siding -Nail* Veneer
-- ---------- 50. 9 ucco Mesh -Drip Screed -Fd. Vents-Uhqq0x_.Aecm
------ azing Area -Glass Protection-RCyhg�htlaslic
ar Walls, Nailing -Bolts
lnsulafion-Walls-Ceilings.. A
------- - ----- 60.- Infiltration -,Walls -Windows
------------------------------
D_a_t 2_ J_T. r d _�: L Date Card)B-1
Date j1e)i-1-Af-Z,ard B-1 I)t4o Date C_a_�d B-1
Date FlUg (Plans) OK except #'s
�ps-Door & Sidelight Prot t�g
S = Detector
50 __ - �_
63. Fumace: V-e�- rearance-Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
------------
----------- 1P___'_'Bedroom Exiting
---------- �_ Kik�& _-_ ; -
. &_�ath Fixtures & Tub Access -Spa
-------------- ___
lec. Trim & Subpanel: Breaker Sizes & Labels
------------------- airs-& Faifs --------
L.a--Firepace or Stove: Clea ra nces- Hearth
---------------------------
L_&��-Elec. Outlets at Wood Panel: Int. & Ext.
---------------------
L,?6. Kt Fi I & Appliance: Grnd.-Air Gap -Cooking Clearance
x
I lec. Ilels & Receptacles at Kit. Counter
---------- ----------------
1��2. 6Garage Fire Door: Swing -Landing -Closer
i��._Duct_in Garage -Damper
------- ---------------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air -Connector -P411-7,
In Garage: Above Floor-Mech. Protection
L-7-8-Pl1b., Elec. & Mech. Equip. Listed for Location
----------------------------------- _.
1_�Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
LZ.;; --1 nsu lation - Foam- Looked in Attic 0 Yes
------------------------------- --------------
78. Gu d R 11 & D ?c� nstruction- Post Caps
------------- ----
Fdn. Ve a Hole Dra i nage&-V�_ood -Earth
Garance Mooke= �cor 0 Yes
80. Following instld.: Drive --- e __$iWo_ZIks L;?e-s 0 No;
Planters El Yes No
-------------------- -------------- - -- - -
ci �.tcuccc: Brown -Finish
Unit: Disconnect, Electrical, Plumbing
- --------------- - ----------
L,ac�Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
----------- __&+.��rA�IL._Disconnect. Electrical, Plumbing
xt_e_rior_Elec._Trim: G.F.I. Receptacle-Unde rg round
1,9eVentilation Throughout House
... .........
------ - ------ -------
------ ---- 4d. -Correct'ions from Previous Inspections
--------------------
-1��Gas Test -meters Tagged: Gas -Electric
&k.- -W__ -a-t --- e-w,er Connected -C/0 to Grade -HD Approval
---------- ---- -------------
9 --- nergy-Compl,i-ance-Certi-ficate.-Other Certificates
r Date Card B-1
DaI2 _,(
----------- --- - ---
Dat A* -2') Card 6:1.,&/ Date Card B-1
---------- -
Date Card B - 1 Date Card B-1
Comments at Final
V OK
0 Not OK
Not Applicbble
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK exceptffs
1. Zoning Req u ire ments-Setbac ks- Ease m ents,
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-ConnectorFISteeI
2. Soils; Special MH Support Sketch
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
4. Water; Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap: 11 /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nail ing-Veneer-Stucco-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements -Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test- Demand -Valve -Connector
1. Set bac ks- Easements
4. Electricity; MH Test-Crossove rs- Brea ke rs-C lea ra nces
2. Soils: Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distances-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 volts-GFI
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries-Term-inals-Listed
9. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10. Cert. of Occupancy
8. Elec.: Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main in Conduit
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES,elans)OK except If's
1. Zoning Req u ire ments-Setbac ks- Ease m ents,
2. Footings; Soils-Size-Depth-Spacing-ConnectorFISteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail ing-Veneer-Stucco-Mesh
10. Roof; Shthg-Roofing
11: Ext.; Steps- Doors-Landi ngs
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Set bac ks- Easements
2. Soils: Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries-Term-inals-Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.: Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
COUNTY OF BUTTE
BOILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
County Center Drive, Oroville, CA - (916) 538J541-
01 747 Elliott Road, Paradise, CA - (916) 872-6307,�
4�
'CORRECTION NOTICE''
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when'co'rrection of wo I rk'-i,
is completed. If you have any questions pertaining to this matter, o�need additional explanation,
Date
REV 1
Inspector
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Roa8, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
0
CORRECTION NOTICE
Ceo E R PERMIT N
e- OLW41 4C
'T
rouluneinspectio indicates that t0h.forilowing violations of Butte County Ordinances exist at�:
the above address and should be corrected. Please notify this office when correction of work �-f,
is completed. If you have any questions pertaining to this matter, or need additional explanation, 7
ple contact this office immediately.
I
A.
Date & Inspector
4".
REV 10/92
19 COUNTY OF BUTTE
-DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) $91-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872.-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
(7
C./C
Date q_.;�9_92---rnspector
REV11/91
I "
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
A routine inspection indicates that the following violations of Butte County Ordirtances exist at
the above address and should be corrected. Please notify this office when conrecdon of wairk
is completed. If you have any questions pertaining to this matter, or need addiflonadezpkwudion�
please contact this office immediately.
%"� 0'-1:11 LA .0 .0 ^1 <
7— tni
f
Nit
Q 0
;L7
Date 'F-3 4) -j I-- Inspector
REV 11/91
W
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA -' (91'6) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
—'w0747 Elliott Road, Paradise, CA - (916) 872-6307
0
CORRECTION NOTICE
V11
�12- -
'OK
OWNER --- —y- PERMIT NO.
A routine inspection indicates � Z owing violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Ar n,,,, �. 1-e -1,P - 0 1) A C (A V% 1� 16 ) ef j
ro r Tri S
/7 -j 4."
"A
4��) S0��aje ea �140A, Ovq -// 11 . a-, elk a"'91
en di I ZA-, C4
Date Inspector 014
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
13;;0 g'
OWNER—""' PERMIT NO.
A routine inspection indicates th:lLg violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
ki el q 02 h1pe- &' ) xN es -l— j?"r, A4 C'A " "- �r ,
-4- �6, J34 -/ 1%
Date !7— 2, inspector
REN/ 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 HurnboldtPoadAChico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
060 t/ j I
E), C'� C,- �7 --5 It t, .Ae-,d � ',�
4
Date Inspector
REV 11/9/
t
-A gw
Lalm ly V W
Co f
n orm, ance
Certifi ate :77.
16 1""" 9 I't
T. r 0
2
C
THE UNDERSIGNED MANUFACTURER HEREBY CERT'IFIES that the structural wood produ-cts
Identified below and marked with a collective mark of Am6rican Wood Systems (AWS)
w
ere man-
ufactured in accordance with the specifications indicated below.
77"
ANSI Standard A190.1-1983, f;r Structural Glued Laminated Timber
0
Job Name ..., . WESTERN BUYERS
Job Location
Signature —
Company —
ELK GROVE, CALIFORNIA
Customer's Order No. WR -7247 Date Mfgr's Order No. . 09-01215
3
I�E CASCADE CORP.
Address P. 0. BOX 50
BOISE, -ID 83728
Date
1611MWA
1M. -
IT.1S HEREBY CERTIFIED that the structural glued laminated timber production of the above-named .. .... .... .. .
manufacturer which cardes a collective mark of American Wood Systems'(AWS) is subject to re�ular
... .... audit by American Wood Systems, such audit consisting of the inspection with reasonable freqden
..of the manufacturing process, with adequate sampling to verify the quality of glularn construction and
—the adequacy of glue bond.
4
... .......
tC,
<
by
r '74
SEAL'711
ichael R. O'H all
j4 -2, -
;iMiRICAN MOO SYSTEMS ELATED CDR
PORATION OF AMERICAN PLYWOOD ASSOCIATION'-.'.',...-T��,V�.;?
Owner.
Permit No.
(DUPLICATE) E N E R G Y C E R T I F I C A T 1 0 N
3833 Royal Mountain Road, Oroville. Ca
LOCATION A.P. No.
ROOF
Material
Thickness(inches)
DESCRIPTION OF INSULATION
Brand Name
Thermal Resistance (R. Value)
EXTERIOR WALL
Material FIBERGLASS BATTS Brand Name OWFNS-CORNING
Thickj�esjj -(inches) 6 -4k Thermal Resistance(R Value)
_B.L9
CEILING
Batt or Blanket Type FIBERGLASS BATTS Brand Name ' OWENS-CORNING
. Thickness (inches) 91" & 31" teck Thermal Resistance(R Value) R30
Loose Fill Type - Brand Name
Minimum ThicknesWnches) Number of Bags Wt. per bag lb.
Area covered(ft. ) Thermal Resistance(R Value)
FLOOR, ELEVATED
Material - FIBERGLASS BATTS
Thickness(inches) 6
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
Brand Name QWE�S-CQRNING
Thermal Resistance(R. Value) R19
Brand Name
Thermal Resistance(R. Value)
FOUNDATION WALL "
Material Brand Name
Thickness(inches) Thermal Resistance(K Value)
I hereby certify that the above insulation was installed in the above building
in c.onformance with the State of Californla Energy RequLrements.
LOERKE INSULATION CO., INC. 499150
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
6LW November 19, 1992
DATE
4SIT9URE:':-0F INSTAE�N APPI.ICATOR
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM MAME/OWNER (Ple'ase print) STATE CONTRACTOR'S LICENSE NO.
UNIT,
AIGNA®RKOF10IFNERAL CONTRACTOR /OWNER
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING,
January 1984
RESIDENTIAL PLAN CHECKING GUIDE .8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit
OWNER A.P. # 07" -
GENERAL Plan Checker 4--S_
fZoning requirements: (sideyards and number of permitted living units).
aluation.
Plans signed by designer.
Proper description of work on application.
.Elxisting violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimi!
Setbacks, sideyards, easements, etc.
�A��ther buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,.(noise, CDF, fire sprinklers, -non-comb-
ustible, and foundations).
FAU & FAS road setback.
Building or utilities across lot lines (Record form).
FLOOR PLAN
7 Complete to scale plan with dimensions.
':�Required*windows for light and ventilation (Sec. 1205).
T"�Required windows for second exit (Sec. 1204).
!r Skylights (Chapter 34 & Sec. 5207).
--'Human impact glass (Sec. 5406).
-'Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switch ' es, receptacles, and exterior receptacles for main-
tenance of mechanical equipm�mt_
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment. E9
3".' Garage firewall, door size, and closer (Sec. 503(d)(3)).
f1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
,lumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
fElevandard bracing or engineered design (Table 25V)
U Unusual shape, size, or split level house requiring lateral design.
Cn
C 1
lerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
T
0
Foundation plan complete enough to construct building.
1
Floor construction details complete enough to construct building.
1
ations and wall construction details conplete enough to construct building
0
Roof construction details complete enough to consrruct-building.
ireplace con'struction details and calcs if necessary.
R
after ties or bearing ridge beam.
arage door or porch header sizes.
—S tud heights.
debe soils - special foundation design.
etaining walls requiring design.
R
S
Special inspection-reouired.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
2rStairway details: landings, rise and run, head clearance, handrails
__ Sec. 3306).
" G(uardrail details (Sec. 1711 & 3306(j).
-3—. Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
7
Proper roof pitch for roof convering (Chapter 32).
c
Roof covering type - (fire hazard).
Foam insulation - protection.
8--"36" halls and stairways.
9V Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
-V7 Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
tAttic access and ventilation.(Sec. 3205).
t
nderfloor access and ventilation (Sec. 2516).
mbustion air for fuel burning appliances - L.P.G. requirements.
Nois.e requirements on duplexes.
nergy design.
Flashing at all exterior openings.
DF responsible area requirements.
TO:
FROM:
Building Department
Encroachment Permit Section
RE: Dtiveway Clearance
A414& -r -6r�-
Driveway permit
0AJ1
0 J
Inc at lion AP #
has been issued for the above property.
'date
p
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM COUNTY OF BUTTE
BUILDING DEPT
(One Form Per Building)
School D istrict r z B uilding Dep artment No.
A.P. Number Jurisdiction C il y County
PropertyOwner
Property Location/Address _Mt a -AD
Subdivison Lot No.
Residential Development r 1-1 Sq. Footage o2a-_74Y
No. of Living MHI Addition (Group R)
Units
Commercial/industrial Sq. Footage
New Addition (Including Excterior
Roofed Areas)
7L
Building Department Reoresentative Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
School District certifies that
(Applicant)
z4?
(Street Address) Number)
(City) (State) (Zip Code)
has dompli� ith the requirements of Resolution No. ,r1'9 by payment of $
representing square feet.
ol District Representative Date
Paid by Check Number Remarks-'
Bank Number
Paid by Cash
If; subsequent to the School District Representative signing this Butte County Schools Impact Fee
bertification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQAj, this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yello\(v. (building department), Pink (school district) feeform.wkl (4/92)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center DrIve - Oroville, Californla 95985 - Telephone., 916,"538-7541
APPLICATION AND PERMIT
PERMIT NO.
92-1,208
A I —,/
_A33E33OR PARCEL NUMB
041-080--74
ZONING
U
BUILDING PERMIT
OWNER
RALPH CARR
TELEPHONE
877-0761
SO.FT. OCC. BUILDING VALUAT 1,61N
9974
199 Ar,
OWNER'S MAILING ADDRESS
3833 ROYAL MT RD OROVILLE 95966
907 M
CONTRACTOR'S NAME
OWNER
TELEPHONE
450 C
5,850
CONTRACTOR'S MAILING ADDRESS
171 1
3,078
Fireplace !AA "t
I
1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
149,550
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 772.5Q
ARCHITECT OR ENGINEER _TT�7s
E NO.
Plan Checking Fee ..$
386.25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 20.OQ
Penalty
$
BUILDING ADDRESS
3833 ROYAL MT ROA OROVILLE
Permit fee
_$ 1193.75
PLUMBING -PERMIT
FilingFee 1 15.00
Each Trap
11 5-00160.00
Solar or heat pump water heater
20.0020.0O
LOT NO.
SU BDIVISION NAME --]PARCEL
MAP
Water piping
7-00 7 -nn I
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFE� DuplexM Mobilehome[:] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00 15.00
Mobile Home ISFGTW_F_
i
@ 15.00
TYPE OF WORK
NewyL. AdditionD Remodelo Utilities[] InstallationE Other E]
Describe work: SF 3 BDRM
i I
Permit Fee
$ 117.00
Contractor
ELECTRICAL PERMIT
1
Fi I i ng Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1 OOOA)
—DWELLIN—G--OCCUP.&)
37.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License Ao. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST.
OR A ACC. SLOGS.
DONS.
3.64 q.ft] 111 _39
N E N 5T R1
. W C; 0 S.., MUL T"OUTLET
N N -RE BRANCH CIRCUITS)
@ 5 -001
(POWER APPARATU
SINGLE OUTLET CISR.&)
Ex. Occup(OUTLETS OR FIXTURES
20(-)760
dAL 0 46k:1
OCCUP. FIXED APPLNS. '"
Ex. OUTLETS I RESIO.) EA.)
1 3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
*15.00
Permit Fee
$ T2 6. 5
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
1 ] The permit is for $100.00 (valuation) or less.
F-1 I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating
9! 00
HEAT PW
Cooling
Hood
1 6-50
Ventilation
—
Permit Fee
$ 47.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County Ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against,
all liabilities, judgments, costs, and expenses which may in any way accrue
of this permit.
6 , 3 -a
Date Zr--
Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 40.00
OCC
CONST TYPE
[TOTAL FEE $ 1524.10
H
_�q
��
IMP
OD
I ;F . LO�
COF
IP
D ISSUE iolo
11100,
This permit is hereby issued und� er the
sions of the Butte County Code and/or
work indic20�ab�ov�,Aj4lhich fees
E PUBLIC
_0
0"-
?"Y ,o/, 0,
PE11W7—L-0_f1RLrS_—Erate
AIM—L/
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. I I 6R69 PC FEE 471-95# 117361 1410.851/'
WHITE-D.P.W., YELLOW-ASStSSOR. PINK -INSPECTOR. I1tLDE..0D-.P11LICA.T / 1 1?0 il
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7,County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
7 "PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
U
BUILDING PERMIT
OWNER
R,4 /A/ 22M
TELF—PHONE
R -0-7(
77 01
SQ. FT. BUILDING VALUATION
7
7
Fitupiace I IN 7: 1�510
Ow R*1 MAILING AD REIS
iCONTRACTOR'S NA
0 uj/�) -e
ITELEPHONE
ONT-R-ACTOR'S MAILING ADDRESS
1C
CONSTRUCTION LENOER
UNKNOWN
Total Vabiation
Filing Fee___
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
Penalty I-' $
Permit fee $
PLUMBING PERMIT FilingF 1- 715.00
LENCER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ILICENSE NO.
ARCHITE�T OR ENGINEER'S MAILING ADDRESS
NK
BUILDING ADDRESS
0 913-3 (<0VA /V� Ko Q&)
Each Trap 5.001/"4./)0
ar 9(hL t pum��.wg
-Sol ter �eater 20.00j,�_
LOT NO.
------
UBOIVISION NAME
Is
PARCEL MAP
I
er p— 00
Wat iping 7.
. as water heater or vent 7.00
Each q
USE OF STRUCTURE
-SF ouplexF� Mobilehome_F�
SPECIFY
Gas piping system -1 - 5 outlets 5.00 V!Vt0--
Building sewer 15.00,15,60
Mobile Home -1 S I G 15.00
TYPE OF WORK
NewR AdditionL_J RemodelEl' Utilities',L_ InstallationE. Other!El
Describe.work:
r -
Permit Fee $
Contractor //-7/70
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.56TI
200A OR LESS
Main service 200A TO 1000A) 37.501
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License 4o. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and thib structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting' with licensed cuntiact-
ors. (Sec. 7044)
r�l I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. ( OWELL-ING O�fl&.&) I � 1/1, -3
OR ADONS. ACC.BLOGS.
! 3.54 sq.ft.
.
NEW CONbTF;L �AU I- T 1. 0 U T L I- T
NON RES D. BRANCH CIRCUITS) 5.00
(POWER APPARATUS.&)
--.14GLE OUTLET CIR
Ex. OCCUP(OUT.LETS OR FIXTURES 20 @ 76d
RAL 6 46,1
FIXED APPLNS. OR I
Ex. Occup. OUTL.ETS_ I RESID.) EA.1 1 3.001
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I dec;1are under penalty of perjury (check one):
F -I The permit is for $100.00 (valuation) or less.
r—I I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certif icate
of Consent to Self -Insure.
7i 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FilingFee 15.00
Heating I I 9-Od
Cool ing A
Hood 6.50 0
Venti lation
1p: ermit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purpose
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date 1,3
Signature of Applicant Owner 0 Contractor Eli Agent FI
An OSHA iDermit is required for excavations over 5'0" deep and demoliti t
ion of structures over 3 stories in height. Y/r "NOU
Mobile Home Installation Fee
Energy Inspection, Fee
I C SITYPE I
TO
A/ TAL FEE $ .5.24'.
HAZ !_0 FEES IMP FLOOOTCOF PARCE- 1. -;7'
:;7.UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
�z � DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES - Date
Receipt NO. PC I-ee—_s 2173 ���117361
WHITE-D.P.W.. YELL.OW-ASSF.550R. PINK-INSPECTOP. GOLDENROD-APPI. I CANT
// / q1D
-3
52c)
� �b
TO Building Department
FROM: Environmental Health
SUBJECT: Sani*tation Clearance
(A
Owner Location AP#
Plan App, roved for: Sewage Disposal
Hold final for:
Final clearance O.K. for:
Clearance for bed room mobile Other
NOTE * * *
Sa.hitarisin,
Water Supply /-J(--
Water Supply
Water Supply
Date
COUNTY OF BUTTE .0-NIIIIIII-PARTMENT OF PUBLIC W0AR)':* BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT
OWNER. WlqI4�7?1 11
Proposed Building Use
APPLICATION DATA SHEET
Building Inspector
.,A. P
N o. 6 .1// -
Date
At time of permit apphcation, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans ..............
5. Hazardous Material Form . ...............
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome d manufactur r's installation instructions, _2, set�,/ .........
10. F e s of $ 4099;9�9;4 . . ... / ...........
W 11. Impact fees as shown on attached schedule . .............................. Z_ /IK7--
12. California Department of Forestry plan approval/fees .........................
b a) f - mia Engineer ...................
Flood elevation letter (100 year flood
14. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: .. ........
18. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). gre�4�sp-ecb-on- r-ecluestf
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner _, Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . .................. ZZ=
25. Letter of signature authorization .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
-41. Exis ing violations/expired permits . ......................................
. Plan check list
&033.
34.
Whcyou issue the ermit, proci�sp as follows: Mail. to a er. Mail to contractor.
Telephone 77 07(0/and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation -3
Acreage A p p I i c a D a t e
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. - Other Date By
The following data must be submitted prior to permit.' s ce: iF.. e n%terrhrjot chY" b
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner. was advised of above required data by
_ phone - mail Counter by Date
Contractor, designer, owner, w dvised of above required data by _ phone - mail - Counter by Date
Plans checked by Date Plans approved by Dat
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF
BUTTE
DEPARIMENT
OF PUBLIC WORKS
BUILDING DIVISION
7 AUNTY CENTER
DRIVE
— OROVILLE,
CALIFORNIA 95965
— TELEPHONE (916)5387541
J T__ 0 7z�
0114NER A. P.. NO. oz// 09L
PROPOSED BUILDING USE SF DATE
-DATE REC
1. School.Distric Fee s
'(paid at District -Office) ...... 7Z,7
.....................
Z. Sheriff tees
(paid at Building Department)
Residential X
unit amt.
Commercia'l(per sq.ft.) x
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
'Residential (per unit) x =$
# units amt.
Commerical(per sq.ft.) x ' =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7.. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit. I
APPLICANT DATE 45'�
COUNTY OF BUTTE Dep ' artment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property.Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building'permit. No building permit'
will, be .'issued until' this verification is received.
I personally.plan to provide the major -labor and materials.for construction of
the proposed property improvement (yes or no)
2 1 (have/have not) signed an application for a building permit
for the proposed work.
-3% 1 have contracted with the following person
construction:
Name
Address
(firm) to provide the proposed
City
Phone Contractors License No.
4. 1 plan to provide.portions.of this work, but I have hired the.following person
to coordinate, supervise, and provide the major'work:
Name
Address City
Phone Contractors License No.
5.. -I-will.provide some of the work but-I.have-contracted .(hired.) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social er
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety -Code. .
This verification must be completed and returned to our- office before we are per-
mitted to issue the permit.
t,q DPW
AGRICULTURAL STATEMENT OF ACKNOI&EDGEMENT
Section 26-8.1 of the Butte
requires this acknowledgement
prior to issuance of a building
FOR RESIDENTIAL DEVELOPMENT
County Code
be . recorded
permit.
J Z - 3 0 13 1
11.00
11.00
xx 3
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive 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 fh-at nedl .:progie�rty. -situate in the County of Butte, State of *California, described as
follows:
Date: ';7— 1—'d�;�2_ PROPERTY OWNERS:
W
Al,aw
State of On this the _L4 day of 19(;b,, before me, the
U SS. undersigned Notary Publicg;7'pertgn-ally appeared�
County of CAPI>_
FREM L HASKETT
So t T)
WTARY PUBUC-CAUFOMA El Per nally known me." lroved to me on the basis
B-tt. C'. of satisfactory evidence.
My C'M. M
a to be the personV) whose name(/)
subscribed to the within instrument and acknowledged that hr---
exeGuted the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
F__ L _______7
Present A.P. No. Z
Notary Public
�5
3
The
property described herein is adjacent
92-030137'1 Rec Fee
to
land or included within an area zoned
I Check
for
agricultural purposes, and residents
Recorded I
of
this property may be subject to incon-
Official RecordB I
veniences or discomfort arising from the
County of- I
use
of agricultural chemicals, including,
Butte I
but
not limited to herbicides, pesticides,
Candace J. Grubbi3 I
and
fertilizers; and from the pursuit
Recorder I
of
agricultural operations including,
8: 46am 7 -Jul -92 I PUBL
but
not limited to cultivation, plowing,
spraying, pruning, and harvesting which
11.00
11.00
xx 3
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive 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 fh-at nedl .:progie�rty. -situate in the County of Butte, State of *California, described as
follows:
Date: ';7— 1—'d�;�2_ PROPERTY OWNERS:
W
Al,aw
State of On this the _L4 day of 19(;b,, before me, the
U SS. undersigned Notary Publicg;7'pertgn-ally appeared�
County of CAPI>_
FREM L HASKETT
So t T)
WTARY PUBUC-CAUFOMA El Per nally known me." lroved to me on the basis
B-tt. C'. of satisfactory evidence.
My C'M. M
a to be the personV) whose name(/)
subscribed to the within instrument and acknowledged that hr---
exeGuted the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
F__ L _______7
Present A.P. No. Z
Notary Public
�5
3
'9 2 -3 0 13 7
Order No. 3-157726
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I:
BEING A PORTION OF THE NORTHWEST QUARTER OF SECTION -10, TOWNSHIP 21 NORTH,
RANGE 3 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE WEST LINE OF SAID NORTHWEST QUARTER OF SECTION
10, WHICH POINT BEARS NORTH 0 DEG. 11' 53" EAST, 222.90 FEET FROM THE
SOUTHWEST CORNER THEREOF; THENCE ALONG SAID WEST LINE NORTH 0 DEG. 11, 53"
EAST, 240.00 FEET; THENCE LEAVING SAID LINE NORTH 89 DEG. 171 40" EAST,
1758.10 FEET TO THE CENTERLINE OF A 60.00 FOOT ROAD EASEMENT; THENCE ALONG
SAID CENTERLINE SOUTH 3 DEG. 12' 59" WEST, 198.'58 FEET; THENCE SOUTH 7 DEG.
11' 26" WEST, 42.26 FEET; THENCE LEAVING SAID CENTERLINE SOUTH 89 DEG. 17'
40" WEST, 1742.50 FEET TO THE POINT OF BEGINNING.
AP NO. 041-080-074
PARCEL II:
• NON -EXCLUSIVE -EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER
• STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON%EITHER SIDE OF A
LINE BEGINNING AT A POINT ON THE SOUTH' LINE OF THE NORTH HALF OF THE
SOUTHWEST QUARTER OF SECTION 10, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. &
M., WHICH POINT BEARS NORTH 89 DEG. 07' 32" EAST, 1600.67 FEET FROM THE
SOUTHWEST CORNER THEREOF; THENCE FROM SAID POINT OF'BEGINNING NORTH 8 DEG.
02' 06" EAST, 402.41 FEET; THENCE NORTH 15 DEG. 02' 39" WEST, 232.04 FEET;
THENCE NORTH 31 DEG. 29' 51" EAST, 204.49 FEET; THENCE NORTH 01 DEG. 58,
49" WEST, 290.24 FEET; THENCE NORTH 7 DEG. 11' 26" EAST, 497.74 FEET;
THENCE NORTH 3 DEG. 12' 59" EAST, 258.15 FEET TO THE CENTERLINE OF A 60.00
FOOT ROAD EASEMENT.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I,
DESCRIBED ABOVE.
PARCEL III:
A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER
A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A
LINE BEGINNING AT A POINT ON THE NORTH LINE OF THE SAID SOUTHWEST QUARTER
OF SECTION 3, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH POINT
BEARS NORTH 89 DEG. 34' 57" EAST, 1102.02 FEET FROM THE NORTHWEST CORNER
THEREOF; THENCE FROM SAID POINT OF BEGINNING ALONG THE FOLLOWING COURSES
AND DISTANCES: SOUTH 19 DEG. 04' 33" WEST, 110.65 FEET; SOUTH 27 DEG. 12'
33" WEST, 446.79 FEET; SOUTH 34 DEG. 171 55" WEST, 577.16 FEET; SOUTH 33
DEG. 52' 53" WEST, 335.85 FEET; SOUTH 36 DEG. 02' 47" EAST, 329.37 FEET;
SOUTH 2 DEG. 14' 48" WEST, 795.78 FEET; SOUTH 24 DEG. 331 55" WEST, 577.24
FEET; SOUTH 11 DEG. 27' 15" WEST, 386.85 FEET; SOUTH 4 DEG. 531 45" EAST,
(Continued)
92-3 0 13 7
Order No. 3-157726
391.26 FEET; SOUTH 13 DEG. 481 15" EAST, 229.95 FEET; SOUTH 4 DEG. 411
00" WEST, 404.29 FEET; SOUTH 10 DEG. 17' 52" EAST, 204.30 FEET; SOUTH
9 DEG. 15' 23" WEST, 133.38 FEET; SOUTH 20 DEG. 12' 22" EAST, 97.05
FEET; NORTH 25 DEG. 12' 31" EAST, 161.59 FEET; NORTH 36 DEG. 17' 38"
EAST, 388.88 FEET; NORTH 14 DEG. 48' 41" EAST, 180.57 FEET; NORTH 70
DEG. 59- 11" EAST, 98.63 FEET; NORTH 26 DEG. 34' 34" EAST, 92.33 FEET;
NORTH 14 DEG. 50' 57" EAST, 126.88 FEET; NORTH 81 DEG. 431 52" EAST,
70.95 FEET; SOUTH 56 DEG. 211 46" EAST, 115.05 FEET; SOUTH 12 DEG. 58,
54" EAST, 198.12 FEET; SOUTH 38 DEG. 41' 24" EAST, 449.55 FEET; SOUTH
58 DEG. 55' 39" EAST, 158.89 FEET; THENCE SOUTH 65 DEG. 19' 31" EAST,
213.60 FEET; THENCE SOUTH 37 DEG. 321 01" EAST, 214.79 FEET; SOUTH 59
DEG. 34' 41" EAST, 233.61 FEET; SOUTH 38 DEG. 12' 11" EAST, 265.53
FEET; SOUTH 75 DEG. 241 06" EAST, 422.94 FEET; NORTH 89 DEG. 451 07"�
EAST, 680.36 FEET; SOUTH 72 DEG. 55' 57" EAST, 471.70 FEET; SOUTH 9.-,
DEG. 37' 43" WEST, 102.57 FEET; SOUTH 44 DEG. 19' 08" WEST, 147.67
FEET; SOUTH 2 DEG,. 471 56" WEST, 167.37 FEET; SOUTH 69 DEG. 17' 54"
EAST, 167.91 FEET; AND SOUTH 54 DEG. 361 54" E�kST, 391.61 FEET TO(THEl.'
WESTERLY LINE OF CLARK ROAD.
comp. --r)=
Ex. crn
END OF DOCUMENT
C-3
': to
14�� . - ., , - 3 -
To Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
oc"
Owner Locit n' P#
ifin
Plan Approved for: Sewage Disposal Water Supply�
Hold final for:
Final clearance O.'K. for:
an
Water Supply _
Water Supply
Other -ay,-n Wilk 0�0
4e.)
Sanitariafij
Da e
I -IT
r
PW
OFFICE CdPy
Address
."oog
ate-.�.
ELECTRI'C
Meter By. Date
_�W
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, falifornV 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
41-08-74
ZONING
U
BUILDING PERMIT
OWNER
Ralph Carr
TELEPHONE
877-0761
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2210 Thornburg Rd. Paradise 95969
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
—JuWW-1�—OWN
Fireplace
CONSTRUCTION LENDER
Total Valuation 1$
Filing Fee
$ 10.00
LENDER*S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
3833 Royal Mountain Rd. Oroville
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
UBDIVISION NAME
1
PARCEL MAP
Water piping
5.00
Each clas water heater or vent
5.00
USE OF STRUCTURE
SF [:1 DuplexF� Mobilehomer-1 Other elec
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
_r__1
Mobile Home S I G I Wy
10-00e
TYPE OF WORK
New R AdditionE] R emode I [] Utilities 0 Installation[] 'Other KX
Describe work: elec for well
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10,()0
Main service EA. ADD -L 100 AMP
2.50 2,50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the'Business
and Professions Code and my license is in full force akd effect.
1
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ( ACC. BLDGS.
21/20sqft
NEW CONSTR MULTI -OUTLET
NON*RESI.. BRANCH CIRCUITS
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. OCCUP( OUTLETS OR FIXTURES
120 @ 50C 1
BAL@ 30C
FIXED APPL OR
Ex. Occup. OUTLETS I RENSSI'D.) EA.)
2.00
—
Temporary service
10.00
Mobile Home Facilities
15.00
-
Misc. Wiring
15-00 15.00
pre insp.
15,00
Permit Fee
$ 52.50
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
KI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all i liabilities, judgments, costs, and expenses which may in any way accrue
again # id C t , * con quence of the granting of this permit.
,�,i s a I oun y I
X-� Date ZI-14 /1
<Ignature Applicant - OwnerK Contractor El Agent 0
f
An CISHA permit is requir ed for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
C NST TYPE
TOTAL FEE $ 52.50
HAZ
I
I CUA
PARK
I SCHL
I FLD
I PAR
JPDJHD
1��
Th's permit is riereby issued under
sions oi the Butte County Code and/or
work indicated ab ve for which fees
DIRECTOR OF P(ML IC
7
By ( lz,] ��
PERMIT EXPIRES"Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 83473-52.50
WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY'6F BUTTE
N T-
DEPARTIVIE 'OF PUBLIt WORKS
196 Memorial Way, thico — Phone: 891'-2.7-51,
7 County Center Driv(4 Orovi Ile — Phone: 538-7541
747 E I I iott R'oad, P�aradl i se — Phone: 872-6307
46
CORRECTJON NOTICE
"16 7 -
OWN E R PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1�' I' C
Date Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville.Califorrfia 95965 - Telephone: 916/538-7541
. . 0 � APPLICATION AND PERMIT
PERMIT NO'
ASSESSOR PARCEL NUMBER
41-08-74
ZONING
U
%
BUILDING PERMIT r
OW N ER
Ralph Carr
TELEPHONE
877-0761
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2210 Thornburg Rd. Paradise 95969
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
3833 Royal Mountain Rd. Oroville
Permit fee
$
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
UBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each clas water heater or vent
5.00
USE OF STRUCTURE
SF'E1 DuplexE] Mobilehomen Other elec
SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New n Addition 0 Remodel[:] UtilitiesO Installation[] Other
Describe work: elec for well
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
main service 6001 OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD -L 100 AMP
2.50 2_50 1
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR AODNS. ACC. BLDGS.
21/20sq ft
NEW CONSTPL MULT'_OUTLET
...RES
" , BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
0@50C
SAL@ 30t-
OCCUP. FIXED APPLNS. OR %
Ex. OUTLETS (RESIO.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15-00 15.00
prp insp-
15.00
Permit Fee
$ 52, 50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you beco e subject
to the W. C. provisions of the Labor Code, you must forthwith complymwith such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
u y in co quence of the granting of this permit.
M I I
Date
Iri 9..ture lo*'f 11Appl i cant — OwnerK ContractorEl Agent 1:1
An OSHA permit is required for excavations over 5'0" deep and demolition 0 r construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CO ST TYPE
TOTAL FEE $ 52.50
HA2
CUA
I
PAR
I PO
HD
This permit is hereby issued under the applicable provi-
sions oi the Butte County Code and/or resolutions to do
work indicated ab for which fees have been paid.
?—T—
P -T S
(471I/RF PTMLIC WOR
By Date I—
P RMIT EXPIRES Date --1-2
Receipt No. 83473-52.50
WMITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
I','
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califo�nia 95965 - Telephone: 916.'*538-7541 4�
APPLICATION &PJD PERMIT
MIV
ASSESSOR PARCEL NUMBEPVC:Mb
4 1 - U?'J f2 .1
ZONV/
BUILDING PERMIT -
OWNERJ VLL
_17 _I
, 1
SQ. FT. OCC. BUILDING VALUATION
.A)
OWN M IN& ADD ESS
len
CONT �,CT
olwr_�_ f1611
TEL.ERHONE
oe�
CONVIRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Total Valuation $
Filing Fee
S 10.00
LENDER's MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
ILICENSE NO.
Plan Checking Fee
$
Plan Checking Fee
$
ARCHITECT OR ENGINEER's MAILING ADDRESS _rEnergy
Penalty
$
EIUILQ44G_AOE��S 41-A)
Jeo Y4 -L-
Permit fee
$
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF El Duplexf-1 Mobiiehomef_� Oth r EL -1 52
SPECI FrY
Gas piping system 1 - 5 outlets
5.00
Building sewer
.00
Mobile Home S
110-500 e
TYPE OF WORK
NewF� AdditionO RemodelE] Utilitie4& InstallationF—I Othero
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 1101 OR LESS
100 AMP OR LESS
10.00 1-41-1
Main service EA. ADD -L 100 AMP
2.50 IZXV
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (c�ec'k one):
0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
0 1, as the owner. or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed %.UIILICXL;L-
ors. (Sec. 7044)
Fj I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ACDNS. ACC. BLDGS._
2/2(csqft
NF� CON,STIL 11ULTI-OUTLE
.,_.E, 0 �ITS)
N RA14CH CIRCU
2.50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUP( OUTLETS OR rIXTURES
20G50C
6-1-0 30q
!PPLNS. OR I
Ex. Occup. O'U"T'L'E, S (RESIO.) EA.)
_
2.00
- Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15-00 /10
)VE", -4;
/<_a d
_r
Permit Fee'
Contractor
s _57-W S��
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for S100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
F-� I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cool ing
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner E] Contractor [J Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or co nstruct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE$
HA Z
I CUA
PARK
I SCHL
I FL.
I PAR
P.
HD
ISSUE
Th;s permit is nereby issued under
si�ns oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the appiicable provi-
resolutions to do
have been paid.
WORKS
Date
,12J,25
Receipt No. 9,59 —
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT
COUNTY,6if BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder," building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will b issued until this verification is received.
7
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes owmftet) VFF
2. 1 (have/hsv4i-"t) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. .1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
/ S
igned:
Property Owner
Social Security" Numbei
Date , 4: --�— 75. , / a,
NOTE: This Owne * r -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT.OF.PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENT4�1`1 DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER <-I'd -L"41 /q 61�4 /2-- -
use W 6 (- L- f�LE- C --
At time of permit application, I was advised the following data must be submitted prior'to permit processing. and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8, Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ..... I ..............................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
.17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may lo�e required. Contact Land Development Section DPW
1 Q Driveway permit (construction approval required prior to occupancy)
-Inspec. request to -
id_/15e,2�05. 'Pre -Inspection 'for, required Pre
Building Inspector -2 ()__91 (Date)
21. Contractor's license information (No., Name Style, Classification)
22. Certificate of Workmans Compensation Insurance ..................
23. Owner- Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy'of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
Wh�e"nu issue the permi Droce s as follows: — Mai er. _Mcail to contractor.
Telephone 767 and hold for pickup at AqTolff ice. —Del.ive( w/inspector.
Other
A p p I i c, aA4�z t e
01
Copy of Haz-Mat form sent —Health Dept. Fire Dept. ----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. —Other— Date— By
The following data must be sul5mitted,&' t
lk ��m i.t.jp nQe:...(C.ir le new item not checked above).
1. Index permit for above items No*
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone ___rna i.1 —counter by—date
Contractor, designer, owner, was advised of above required data by—phone —mal [—counter by— date
Plans checked by Date Plans approved by Date
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
PRE -INSPECTION
OWNER:*
--5ATE
LOCATION: RD -0. P #
CONTRACTOR: klzl& IQ- ZONING
-------------
PRE-INSPECTION.FOR:-U/E, &,L c --
DATE TO INSPECTOR
PERMIT HISTORY:
----------
NONE
AS
----------
FOLLOWS:_ Zjj��' t�Z
2 � .0 � 7
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE: _,01V69
TENNANT:
OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
0 HEATED -COOLED
PERSON CONTACTED
OTHER COMMENTS: AA,
ACTION RECOMMENDED:
EHI-f SSUE 0 HOLD FOR
OTHER:
BY DATE
COUNTY OF BUTTE - �EPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLIt, 'C/�LIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
-7z- ao
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
housefarm implements, hay, grain, poultry, livestock, orother horticulutral products. This structureshall not
be a place of human habitation or a place of employment where agriculturai products are processed, treated,
or packaged, nor shall it be a place, used by the public.
ASSESSOR PARCEL NO. 0.q I _ 0 60 _ 0-74_
ZONING
OWNER
PHONE NO.
52 '7
OWNER's ADDRESS
LOCATION OF BUILDING
3, P: 3 -3 A: 7k J
USE OF BU I LDING
SIZE OF STRUCTURE
x 36, SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE — OTHER (Specify)
TYPE OF SIDING
ROOFCOVERING
FLOOR TYPE
1�7,4 :5 o.,.,l r&—
'4
ESTIMATED COST 9,F CC�NSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: '�– I I
FRONT. SIDES REAR Is—
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date . :� Z
Permit Fee - $25.00
Receipt No. 6�9z'3 -
Signature of Owne
The above described AG Building is exempt from a building permit.
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
LOOD
F_ I P�RCEJL
1 ;;� R
Director of Public Works
By A-- Date
COUNTY OF BUTTE - DEP MENT.OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAWFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER &90� CLUD, A. P. No. 0 41 - Q W - 0-74
F ' -
Proposed Building Use N-6- U�MPT Building Inspector Date 6-5-96
At time of permit application, I was advised.the following data must be submitted prior to permit processing and/or issuance:
__Z1. All ite'ms have been submitted.
- 2. Plot plans in duplicate/triplicate, signed by preparer of plans.
- 3. Complete plans in duplicate/triplicate, signed by preparer-of plans.
- 4. Complete engineered plans and calcs, with Wet signature on plans.
- 5. Hazardous Material Form.
- 6. Energy Design Compliance and supporting douumentation.
- 7. Statement of Intent for Non -Heated and AC Buildings.
- 8. Engineered truss details and layout in duplicate (required prior to plan check).
- 9. Mobilehome installation data including manufacturer's installation
instructions.
- 10. Fees of $
- 11. Chico Urban Area fees paid.
- 12. Park fees paid.
- 13. School District fees paid.
- 14. Sanitation approval from Health Department.
- 15. City of Chico plumbing permit.
- 16. Plot plan and business license approval from City of
(see City for other requirements)
-17. Planning approval for (A) Use: (B) Parking:
- 18. Improvements may be required. Contact Land. Development Section of DPW.
- 19. Driveway permit (construction approval required prior to occupancy).
- 20. Pre -Inspection for required.
-21. Contractor's license information (No., Name Style, Classification).
-22. Certificate of Workmans Compensation Insurance.
-23. Owner -Builder Verification (Given to owner 0, Mail to owner 0).
-24. Recorded copy of Agricultural Acknowledgment Statement.
-25. Letter of signature authorization.
-26.
-27.
When you issue�the permit, process as follows: Mai I to owner.
Te I ephone 13-"- 0 -7 6. 1 and he'd for piekup at :)J" off ice
Other
Mail to contractor.
—Del.iver w/inspector.
D a t e,�!
Appl icano&,-,�
1�0
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES
Chico . . . . 196 Memorial Way
Phone: 891-2751
Hours: 8:00 a.m. - 12:00 a.m.
Oroville . . . 7 County Center Drive.
Phone: 538-7541
Hours: 8:00 a.m. - 5:00 p.m.
Parad i se . . . 747 Elliott Road
Phone: 872-6307
Hours: 8:00 a.m. - 12:00 a.m.
HEALTH DEPARTMENT OFFICES
Chico . . . . 196 Memorial Way
Phone: 891-2727
Hours: 8:00 a.m. - 9:00 a.m.
Orovi I le . . . 7 County Center Drive
Phone: 538-7281
Hours: 8:00 a.m. -- 10:00 a.m.
Paradise . . . 747 Elliott Road
Phone: 872-6308
Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT —.7 County Center Drive, Oroville —'Phone: 538-7601
— Hours: 10:00 a.m. - 3:00 p.m.
Original — Applicant
-:�Z:' 'I 0� COUNTY OF BUTTE,,aDEPART'g_EN "T'OF,PUBLIC WORKS BUILDING DIVISION
7 COLINTYZE R TELEPHONE: 916/5.38-7541
,N,Tgh DRIVE - 0 OVILLE ��kIFORNIA 95965
PERMIT APPLICATION , DATA SHEET Permit No.
-74
OWNER, .12a 0,(014 (a R Q A. P. No. ---t
Proposed Building Use &6- LY-Vm QT Building Inspector Date 6-5-90
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ............................................... .........
10. Fees of $ . . ........................
11. Chico Urban Area fees paid .......................................
—12. Park fees paid ....................................................
—13. School District fees paid ..............
14. Sanitation approval from Health Department
15 . City of Chico plumbing permit .....................................
16. Plot plan and business license approval froTn City of
(see City for other requirements)
17. Planning approval for (A) Use:— . (B) Parking: . ......
18. Improvements may be required. Contact Lana bevelopTent Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request to
. Building Inspector (Date)
21. Contractor's license -information (No., Name Style, Classification)
22. Certificate of WQrkm�ns Compensation Insurance ....... **''***
23. Owner -Builder Verification (Given to owner 0,,rmalil to owner 0) ..... X"
24. Recorded 'cop"�'of' Aig"ricbltural Acknowledgment Statement .........
25. Letter of signature authorization ....................................
26.
27.
When you issue the permit, process as fol -lows: Mail to owner. —Mail to contractor.
Telephone
office. —Del.iver w/inspector.
Other
A p p I i c a In t 0-1,- 1) a t e
Copy of Haz-Mat form sent —Health Dept. —Fire.Dept. -----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. Other— Date— By
The following data must be submitted prior to permit issuance:_(Circle new it t h
inm no c ecked above).
1. Index permit for above items No. C_
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mail ---counter�6y -.date S -Z
Contractor, designer, owner, was advised of above required data by —phone _rna I I —counter by— date
Plans checked by Date-, Plans approved by t-1 Date
A, -
Sets -of plans on hold in —File cabinet AP-Jold'er
Copy—DPW
COUNTY OF BUTTE - DEPART!-�ENT OF PUBLIC WORKS
7 County . Centdf-6rive, C�oville, CA 95965
Ralph W. Carr
2210 Thornbury Road
Paradise, CA 95969
With reference to the above subject:
" Attached is:
PHONE: 916-538-7541.
DATE June 11, 1990
RE: Permit application #73-90 for
agricultural exemption
A.P. # 41-08-74
Application for permit Mobilehome Utilities Installation Sheet
Building Plans M6bilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
L__&Ve need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,'Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed owner -Builder Verification form.
Recorded copy of deed showing 60' right of way to a public road
Recorded copy of agricultural acknowledgement statement.
ETHER Parcel was created in December 1971 at a time when Butte County required a
Parcel -map or a 60' right of way to a public road.
Should you have any questions concerning the above, please contact this office..
JFG/aj
Yours very truly,
William Cheff
Director of Public Works
C�F
.i;.fGlander
8u
Chief Building Inspector
"4;� COUNTY OF BUTTE DI PARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROV LE, ',ALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTUIiAL IWING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows-: kr itural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO. 0-41-060- 0-74
ZONING
OWNER I
PHONE NO.
—0'7
OWN ER'S ADDRESS
,;2, -,�, I - ---
LOCATION OF BUILDING
3,?:3 3
-/Y-e,
USE OF BUILDING
SIZE OF STRUCTURE
x SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME —)�— STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOFCOVERING
FLOOR TYPE
1,;-7,4 so..,I rr-
14 SWM�
ESTIMATED COST 9,F CONSTRUCTION
$
AG Bui I din gsshal I comply with the buil.ding front, side, and rear yard requixe-mdats, of the applicable County
Ordinances as follows:
I FRONT .--SIDES
REAR I
AG Buildings shall be a minimum of five,(5) feet f rom any septic tankor, leiacb fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum.of 6,feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Publi ' c Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date 4�
Permit Fee - $25.00
ReceiptNo. 669Z3
Signature of Owner
The above described AG Building is exempt from a building permit.
Lhite - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
FLOOD I PARCEL I P.137-7 I ISSUE I
ROOFING
I - I . .
Director of Public Works
By�
Date
COUNTY OF BUTTE- DEPARTI�ENT OF PUBLIC WORKS
7 County Cenre-r"11rive, Oroville, CA 95965
Ralph W. Carr
2210 Thornbury Road
Paradise,'CA 95969
With reference to the above subject:
PHONE: 916-538 7541.
DATE June 11, 1990
RE:' Permit application #73�90 for
agricultural exemption
A.P. # 41-08-74
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans 'bilehome Installation Information Sheet
Mo
Engr. Calds Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
L--Xyde need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statemen . t.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPWT
sets of plans in accordance with the changes marked in red.
Sanitation approval.from Butte County Health'Department at:
196 Memorial Way,'Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
__ZLXRecorded copy of deed showing 60' right of way to a public road
Recorded copy of agricultural acknowledgement statement.
_JXDTHER Parcel was created in December 1971 at a time when Butte County required a
Parcel map or a 60' right-of.way to a public road.
Should you have any questions concerning the above, please contact this office.
JFG/aJ
Yours very truly,
William Cheff
Director of Public Works
F. Glander
C�F - f Gla
u
Chief Building Inspector
-1
T
Pregnancy -related servicep- -ipclude care i
first of the month duT*ing'9vTiich the pregr
days after the pregnancy
You will receive a restricted -services Med
F1 Is not legally present -in the United
from the Immigration an�d*Naturalizatio
Lacks documentary proof from the IMMJ
satisfactory immigration status for M(
F1 Has been admitted to the United State
of time.
Has been legalized in accordance wi
Immigration and Nationality Act and
blind or disabled.
Applied for full benefits but has bee
services restricted to emergency med
benefits are denied; restricted servi,
This action is reqi1ired by Section 14001
and California Code of Regulations, Title
... I - .. I
91
Se-ing the
norrh state siace 1929
Vern E. Drane
County Manager
Authorized Agent for
Ticor Title Insurance
Company of California
0 Main Office
500 Wall St.
P.0 Box 5173
Chico, CA 95927
(916) 894-2612
(916) 533-2553
(916) 877-5734
(916) 846-4583
FAX (916) 894-0713
:MR. AND MRS. RALPH CARR
o2210 Thornburg Road
oParadise, CA 95969
0 Oroville
1835 Robinson St.
P.O. Box 811
Oroville, CA 95965
�916) 533-2414
AX (916) 533-1589
0 Paradise
6440 Skyway
P.O. Box 490
Paradise, CA 95967
�916) 877-6262
AX (916) 872-5129
Date: October 27, 1989
0 Gridley
650 Kentucky St.
P.O. Box 949
Gridley, CA 95948
�916) 846-4005
-AX (916) 846-0584
In reply please refer to:
office
I Chico
Order #
KJD 1-2-1474-��
Any recorded documents to which you may be entitled, and your policy of title insurance, if not enclosed, will follow under
separate cover.
In the event your deed was recorded after the first day of March, we suggest that you list your property with the County
Assessor in order that you may receive future tax -bills promptly. First installment of taxes becomes delinquent . on December 10
and the second installment on April 10.
We appreciate your business. If at any time in the future we may be able to assist you or your friends in any way, we shall be
pleased to have you indicate your preference for BIDWELL TITLE & ESCROW COMPANY.
We enclose the following checked items:
El Check
El Note Original
El Note Copy
El Payment Book
El Escrow Statement
El Final Settlement Statement
BTE-IOF-22 (10M 8/89)
Sincerely yours,
BIDWELL TITLE & ESCROW COMPANY
Wanda Fellion -- Policy Typist
0 Fire Insurance Policy No.
El Bill of Sale
91 Title Policy - J4007196
El
D
E-1
CAT.-,�O.� NNO1459
`-TO CA (7-881 ALTA Owner's Policy (i987)/CLTA Siandard, Coverage Policy - 1988
Wf
..7
Schedule A
Agent's
Order No.: 2-147493
1. Name of Insured:
RALPH CARR MAJA CARR
DAVID R. BARBARA DIANE -M. BARBARA
2. The estate or interest in the land which is covered by this policy is bmDsdmpWc
A Fee as to Parcel I and an Easement as to Parcels II and III
3. Title to the estate or interest in the land is vested in:
RALPH CARR and MJA CARR,
husband and wife as as Joint Tenants
§kjTa
DW*:��f,�611 tl'f gi.
, � 0 kcy *1 -PF
007196
$
October B, B 8-9
35.000 -An
at 8:00 a.m. - $ 260.nn
1. Name of Insured:
RALPH CARR MAJA CARR
DAVID R. BARBARA DIANE -M. BARBARA
2. The estate or interest in the land which is covered by this policy is bmDsdmpWc
A Fee as to Parcel I and an Easement as to Parcels II and III
3. Title to the estate or interest in the land is vested in:
RALPH CARR and MJA CARR,
husband and wife as as Joint Tenants
CAT. NO. NNO1448
'TO 3289 8 17-88) CLTA Standard Coverage Policy - 1988
Policy No. J4007196
Order No. 2-147493
Schedule B
This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses)
which arise by reason of:
Part I
All matters set forth in paragraphs numbered 1 (one) to 7 (seven) inclusive on the inside cover sheet of this policy under
the heading of Schedule 8 Part 1.
Pan 11
1. General and Special County taxes for the fiscal year 1989-90, including possible
personal property taxes, now a lien, but not yet due or payable.
2. Supplemental taxes for the fiscal year 1988-89 assessed pursuant to the provisions of
Chapter 3.5 (commencing with Section 75) of the Revenue and Taxation Code of the
State of California
First Installment : $Not available
Second Installment: $Not available
Event Date : Not available
Bill No. : 990-097-016
3. The lien of supplemental taxes, if any, assessed pursuant to the provisions of
Chapter 3.5 (commencing with Section 75) of the Revenue and Taxation Code of the
State of California.
4. Right of Way for the purpose stated herein and incidental purposes
Granted to : Valley Counties Power Company,
a corporation
For : Pole line -
Recorded on : December 15, 1902
Recorded in : Book 69 of Deeds, at page 115
Butte County Records
The exact location of the above Right of Way is not clearly defined of record.
5. Right of Way for the purpose stated herein and incidental purposes
Granted to : Pacific Gas And Electric Company,
a California corporation
For : Pole line
Recorded on : December 15, 1948
Recorded in : Book 491 of Butte County Official
Records, at page 293
The exact location of the above Right of Way is not clearly defined of record.
(Continued)
CAT. NO. N�01450
TO 3291 8 (7-88)
Policy No. J4007196
order No. 2-147493
Schedule B (Continued)
6. Easemnt for the purpose stated herein and incidental purposes
Reserved by : Compark, a California Corporation
For : Roadand public utility purposes
Recorded on : December 31, IL970
Recorded in : Book 1652 of Butte County Official
Records, at page 143 and other
documents of record
Affects : Easterly 30 feet
7. TEF44S, CONDITIONS AND PROVISIONS of an Agreement e
Relating to : Road Maintenance
Executed by : M. Spencer Clark, et al
Recorded on : December 20, 1971
Recorded in : Book 1721 of Butte County Official
Records, at page 591
and
Rerecorded on : February 7, 1972
Rerecorded in : Book 1733 of Butte County Official
Records, at page 680 to add Legal
Description
Affects Parcel III herein.
& A Deed of Trust to secure an original indebtedness in the amount stated therein:
Dated
Trustor : David R. Barbara and Diane M. Barbara
Trustee : Central Valley Security Company,
a California corporation
Beneficiary : Sacramento Savings & Loan Association,
a corporation
Amount : $20,000.00
Recorded on : June 13, 1988
Recorded in : Butte County Official Records
Serial No. 88-18688
The amount due, terms and conditions of the indebtedness should be determined by
contacting the owner of the debt.
(Continued)
C�Y. NO. N�CI1450
TO 3291 B (7-88)
Schedule B (Continued)
Policy No. J4007196
Order No. 2-147493
9. A Deed of Trust to secure an original indebtedness in the amount stated therein:
Dated : October 6, 1989
Trustor : Ralph Carr and Maja Carr,
husband and wife
Trustee : Bidwell Title And Escrow Ccnipany,
a corporation
Beneficiary : David R. Barbara and Diane M. Barbara,
husband and wife
Amount : $6,000.00
Recorded on : October 1-9,.1989
Recorded in : Butte County Official Records
Serial No. 89-40640
The amount due, terms and conditions of the indebtedness should be determined by
contacting the owner of the debt.
Order No. 2-147493
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I:
BEING A PORTION OF THE NORTHWEST QUARTER OF SECTION 10, TOWNSHIP 21 NORTH,
RANGE 3 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE WEST LINE OF SAID NORTHWEST QUARTER OF SECTION
10, WHICH POINT BEARS NORTH 0 DEG. 11' 53" EAST, 222.90 FEET FROM THE
SOUTHWEST CORNER THEREOF; THENCE ALONG SAID WEST LINE NORTH 0 DEG. 11' 53"
EAST, 240.00 FEET; THENCE LEAVING SAID LINE NORTH 89 DEG. 171 40" EAST,
1758.10 FEET TO THE CENTERLINE OF A 60.00 FOOTROAD EASEMENT; THENCE ALONG
SAID CENTERLINE SOUTH 3 DEG. 12' 59" WEST, 198.58 FEET; THENCE SOUTH 7 DEG.
11' 26" WEST, 42.26 FEET; THENCE LEAVING SAID CENTERLINE SOUTH 89 DEG. 17'
40" WEST, 1742.50 FEET TO THE POINT OF BEGINNING.
PARCEL- _II:
• NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES -AND PUBLIC�UTILITY PURPOSES OVER
• STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A
LINE BEGINNING AT A POINT ON THE SOUTH LINE OF THE NORTH HALF OF THE'
SOUTHWEST QUARTER OF SECTION 10, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. &
M., WHICH POINT BEARS NORTH 89 DEG. 07' 32" EAST, 1600.67 FEET FROM THE
SOUTHWEST CORNER THEREOF; THENCE FROM SAID POINT OF BEGINNING NORTH 8 DEG.
02' 06" EAST, 402.41 FEET; THENCE NORTH 15 DEG. 021 39" WEST, 232.04 FEET;
THENCE NORTH 31 DEG. 29' 51" EAST, 204.49 FEET; THENCE NORTH 01 DEG. 58'
49"WEST, 290.24 FEET; THENCE NORTH 7 DEG. 111 26" EAST, 497.74 FEET;
THENCE NORTH 3 DEG. 12' 59" EAST, 258.15 FEET TO THE CENTERLINE OF A 60.00
FOOT ROAD EASEMENT.
EXCEPTING THEREFROM ALL THAT PORTION -LYING WITHIN THE BOUNDS OF PARCEL I,
DESCRIBED ABOVE.
<Z -PARCEL III:
• NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER
• STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A
LINE BEGINNING AT A POINT ON THE NORTH LINE OF THE SAID SOUTHWEST QUARTER
OF SECTION 3, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH POINT
BEARS NORTH 89 DEG. 34' 57" EAST, 1102.02 FEET FROM THE NORTHWEST CORNER
THEREOF; THENCE FROM SAID POINT OF BEGINNING ALONG THE FOLLOWING COURSES
AND DISTANCES: SOUTH 19 DEG. 041 33" WEST, 110.65 FEET; SOUTH 27 DEG. --12'
33" WEST, 446.79 FEET; SOUTH 34 DEG. 17' 55" WEST, 577.16 FEET; SOUTH 33
DEG. 52' 53" WEST, 335.85 FEET; SOUTH 36 DEG. 021 47" EAST, 329.37 FEET;
SOUTH 2 DEG. 14' 48" WEST, 795.78 FEET; SOUTH 24 DEG. 33' 55" WEST, 577.24
FEET; SOUTH 11 DEG. 271 1511 WEST, 386.85 FEET; SOUTH 4 DEG. 53' 45" EAST,
391.26 FEET; SOUTH 13 DEG. 481 15" EAST, 229.95 FEET; SOUTH 4 DEG. 41, 00"
WEST, 404.29 FEET; SOUTH 10 DEG. 17' 52" EAST, 204.30 FEET; SOUTH 9 DEG.
(Continued)
Order No. 2-147493
15' 23" WEST, 133.38 FEET; SOUTH 20 DEG. 12' 22" EAST, 97.05 FEET;
NORTH 25 DEG. 12' 31" EAST, 161.59 FEET; NORTH 36 DEG. 17' 38" EAST,
388.88 FEET; NORTH 14 DEG. 481 41" EAST, 180.57 FEET; NORTH 70 DEG.
590 11" EAST, 98.63 FEET; NORTH 26 DEG. 341 34" EAST, 92.33 FEET;
NORTH 14 DEG. 50' 57" EAST, 126.88 FEET; NORTH 81 DEG. 43' 52" EAST, -
70.95 FEET; SOUTH 56 DEG. 211 46" EAST, 115.05 FEET; SOUTH 12 DEG. 58,
54" EAST, 198.12 FEET; SOUTH 38 DEG. 41' 24" EAST, 449.55 FEET; SOUTH
58 DEG. 55' 39" EAST, 158.89 FEET; THENCE SOUTH 65 DEG. 19' 31" EAST,
213.60 FEET; THENCE SOUTH 37 DEG. 321 01" EAST, 214.79 FEET; SOUTH 59
DEG. 34' 41" EAST, 233.61 FEET; SOUTH 38 DEG. 121 11" EAST, 265.53
FEET; SOUTH 75 DEG. 241 06" EAST, 422.94 FEET; NORTH 89 DEG. 45' 07"
EAST, 680.36 FEET; SOUTH 72 DEG. 55' 57" EAST, 471.70 FEET; SOUTH 9
DEG. 37' 43" WEST, 102.57 FEET; SOUTH 44 DEG. 191 08" WEST, 147.67
FEET; SOUTH 2 DEG. 47' 56" WEST, 167�37 FEET; SOUTH 69 DEG. 171 54"
EAST, 167.91 FEET; AND SOUTH 54 DEG. 361 54" EAST, 391.61 FEET TO THE
WESTERLY LINE OF CLARK ROAD.
AP No. 041-080-074
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W-F4�! s PMaWo- may not be a survey ot the land depictect
TRAP&.1sr
,iereo, 1, You should not rely Upon it f,)-, any Purpose other
�han orientation to th�� g6neral locaftn (,,;, !.he parcel 01- par
ldc-d- BIDWELL MLE & E.SCROW CO., expressl�
,e�s dep;
7.Nsdalms alliv Nabday'or aiieged ;',-)SS or.,janjage whicrma-
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-APOOVED
Butte Count�
Heal
Eny1ronmental
Date
O O BBQ
• _ - - Raised Pool r O � � •
5,000 Gal
O
------------ --� -- ------ i `
0 ' �
Q� mace
s ----------- --0 HW
Stub U i tove Garage
- -- ----------- - 28'-0" x 33'-6°
2
0 I `
i
N Riding Ring '
_ �_ n 50' x 90'I It .�
Proposed. 2" Gas Line ° ' `
Proposed Stub -Up
Proposed Propane Tank
.0 o
110' F _ �s �� :�• _
Y ' Se a W/ }
Generator
O (E) PGE Pole
64' 4 i
s 3833 Royal Mounta-in.Rd.
Site Plan 9/26%04 4
A SCALE 1/32". 1'-0" -
I
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
-2
- R-30
-2
-1
-1
R-38
0
0
0
U -value
8
6
4
0.50
-176
-84
-54
0.30
-102
-49
-32
0.10
-26
-13
-8
0.08
-18
-9
-6.
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
R -value
R-0
R-11
R-19
R-30
U -value
- 0.60
0.50
0.40
0.30
0.20
0.10
0.08
0.06
0.04
0.02
0.00
Insulation In Floor
Single-
Single -
Number of stories
-58
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
1
10
5
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
R -value
R-0
R-11
R-19
R-30
U -value
- 0.60
0.50
0.40
0.30
0.20
0.10
0.08
0.06
0.04
0.02
0.00
Insulation In Floor
-70
-46
Number of stories
-58
One
Two
Three
-17
-8
-5
-3
-2
-1
0
0
0
3
1
1
-144
-70
-46
-120
-58
-38
-95
-46
30
-69
-34
-22
-43
-21
-14
-17
-8
-5
-11
-6
-4
-6
-3
-2
-1
0
0
4
2
1
10
5
3
Controlled Ventilation Crawlspace
-4
-3 -1
Number of stories
-1
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
-2
-2
4. Slab Edge Insulation
• Number of Stories
R -value One Two Three
R-0 0 0 0
R-5 8 5 2
R-7 8 6 3
F2 factor
- 0.90
-4
-3 -1
0.80
-1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
5. Inriltration (Air Leakage)
Specification Points
Standard' 0
6. Glass Heat Loss
Total
Single-
Slab Floor
Raised Floor
- Effective Percent Glass
U -value
Stories
Percent
Mass
(percent glass x SC)
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
•7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14.
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
Single-
Slab Floor
Raised Floor
- Effective Percent Glass
Family
Stories
Muff
Mass
(percent glass x SC)
Attached
Effective
One
Two
Three
One
Two
%Glass
North
East
South :West
Skylight
18
5
1
4
1
na
16•
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
2
0
0
1
0
3
1
-1
-1
-1
-1
2
0
-1
-2
-4
-2
0
na = not allowed
8
10
11
11
IB. Shading (Shade Closed)
4
7
Effective Percent Glass
11
12
12
(percent
alas x SC)
8
9
11
12
12
6.0
5
%Glass
Norte East
Sotto
West
Slgrbpht
18
-14
-48
-69
-64 _
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
"-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10.
-30
4
-1
-6
-8
-7
-23
3
0
- -4
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na . not allowed
.-6
-2
.
{ -2
3.6
Solar..
9. Interior Thermal Mass
Interior
Single-
Slab Floor
Raised Floor
Mass
Family
Stories
Muff
Mass
Stories
Attached
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
it
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
Sum of 14
Wall
Family
Family
Muff
Mass
Detached
Attached
Family
0.00
0
0
0
0.20
0.40
3
5
2
4
1
3
0.60
8
6
4
0.80
1.00
10
13
8
10
5
7
1.20
13
12
8
1.40
12
13
9
1.60
10
13
11.. .
1.80
10
12
12
2.00
10
11
13
11. Heating System
SE or KSPF
(assumes ducts In attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Syst,,m
SEER
(assume; duets In attic)
Stn of 7-10
-25 or -24 to r14 to
-4 b
Sum of 14
16 or
SEER
less
-15 ( 45
-25 or -24 to -14 to -4 to
+6 to
16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
. 20
18 "
, 15
13
11
8
17 i 14
'n
12
Effective SE or HSPF
6
0
(SE or
HSPF x duct
efficiency)
-18
Effective -25 or -24 to •14 io
4 to +6 io 16 or
SE HSPF
less
-15
-5
+5
+15 more
0.30
275
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67-"
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5-
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Syst,,m
SEER
(assume; duets In attic)
Stn of 7-10
Zonal Coatrol Adjustment
10 8 7 6 4 3
No Cooling System Installed
_Stories
One -5 4 -4 -3 -2 2
Two + 3 3 2 2 2 1
Single -Family IJetached and Attached
-25 or -24 to r14 to
-4 b
+6 to
16 or
SEER
less
-15 ( 45
+S
+15
more
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
-3
7..
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
20
17 i 14
'n
12
9
6
0
0
Effective SEER
HWR
-18
-12
(SEER )suet efficiency)
-7
-6
35%
Svm of 7-10
-25.
-16
Effective -2S or
'-24 to -14 b
-410
+61D
16 or
SEER
less
•15 •5
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11. -9
-7
-6
-4
6.6
-5
4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
-10.
10.0
22
19 16
13
10
7
-Family (individual units)
11.0
26
23 19
15
12
8
Water
12.0
30
26 22
18
14
9
Heater
13.0
33
29 24
20
15
10
Zonal Coatrol Adjustment
10 8 7 6 4 3
No Cooling System Installed
_Stories
One -5 4 -4 -3 -2 2
Two + 3 3 2 2 2 1
Single -Family IJetached and Attached
or
Unit Size (sQ
Water
;199 12M
'1700
2200
2700
Heater Uedit
or
- to
to
to
or
Type
Type
less. 1699
2199
2699
more
SG
None
0
' 0.
0..
0
0
or
I
Solar
12
'' 8.
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
24
-18
-15
-12
Solar
-1
-1
-1
0
0
0%
HWR
-18
-12
-9
-7
-6
35%
WSB..
-25.
-16
--12
-10'
-8
70%
POU
--1_8
=12
-9
-7
-6
• IG
None
_5
-3
-2
-2
-2
1.3
•
Solar
7
5-
-4
3
2
i
POU
.3-
2
1
1
1
I IE
None
-28
-19 "
-14
-11
-9
0.2
Solar
8
5
4
3
3
1.6
POU
-10.
-6
-5
-4
-3
3.1
Multi
-Family (individual units)
3.7
4
4.2
4.4
Unit Size (6l�45.
4.8
Water
5.2
699
700
1200
700
2200•
Heater
Ciao
or
15
to
to
or ,
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
00
or
Solar
14
- 7
5
4.
i3
HP
HWR
_ 9
5
3
2
2
2.8
WSB
9
4
3
2
2
4.3
POU
9
.5
3
2
2
SE
None
45
-23
-15
-11
-9
1.7
Solar
2
1
1
0
0-
3.2
HWR
--23
-12
-8
-6
-5
4.7
WSB
-25
-13
-8
•6
-5
SM
P% __23
1.1
_ -12
8_
1.7
-5
IG
None
-8
-4
-3
.-6
-2
.
{ -2
3.6
Solar..
6
'3
2
1
r 1
S.1
POU
1
0
0
0
0_
IE
None-
-90
-15
_
-10
-8
-6
24
Solar
18
9
6
4
4
3.9
POU -
. -8..�
-d-3
4.7
-2
-2
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. _ Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
fry , e. Skylight
I): - Inferior Thermal Mass
10. Exterior Wall Mass
a �.
11 Heating System
(Zonal Control? ( Y / N )
12. Cooling System t'
Zonal Control? ( Y / N )
13. Water Heating
Measures
3o or
R -'value 1381 U -value [0.030]
1 ` 1 Or
R-value[11 U -value [0.098]
R_19 or
W-vilueIf9] U -value [0.037]
or
R -value [0]
F2 factor [0.77]
Standard
Interior Mass/CFA
l
Type [double]
U -value [0.65]
% Total Glass [ 161
% Is
t TTPL 2 MASS
Eff. % Glass
X
=
,
V ��
X
,
Il.r.er.rl
le•cpet.d61Pf.b)
t TYPE
1
MASS
(UIMC + 4.2•
ie;
exposed _ slab)
0%
5%
10%
15%
20%
2S%.30%
35%
40%.45%
5014
55%
60%
6514
70%
75%
80%
BSY.
9o%
95%
100% 105% 110Y. 116% 120% 125`
oY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
to-/.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
23
2.5
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
S
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
S6
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
401/.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
SS
5.7
5.9
SM
0.9
1.1
1.3
1.5
1.7
1.9
21
23
2.5
27
3
32
U.
3.6
3.8
4
4.2
4.4
4.6
4.8
S.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
S.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
S.3
S.5
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.6
2
22
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
2.3
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
S.3
5.5
5.7
5.9
6.1
6.3
6.5
eOY.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
e5%
1.4
1.7
1.9
2.1
2.3
2S
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
S
5.2
54
5.6
5.9
6.1
6.3
65
67
90%'
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
66
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
2.5
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
55
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.6
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
so
7
1107.
1.9
2.1
2.3
2.5
2.7
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
A6
6.8
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.S
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
50
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
2.5
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. _ Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
fry , e. Skylight
I): - Inferior Thermal Mass
10. Exterior Wall Mass
a �.
11 Heating System
(Zonal Control? ( Y / N )
12. Cooling System t'
Zonal Control? ( Y / N )
13. Water Heating
Measures
3o or
R -'value 1381 U -value [0.030]
1 ` 1 Or
R-value[11 U -value [0.098]
R_19 or
W-vilueIf9] U -value [0.037]
% Glass Sc Eff. % Glass
-� X
X
X
TYPE 1 MASS AREA B
InteriorNnss/CFA COND. FLOOR AREA
TYPE 2 MASS AREA = $
Exterior Wall Mass ND. L OR AREA
'7,
X �3 -
SE or HSPF Duct Efficiency [0.78] Effective SE or
[0.72//61.6] HSPF [0.54/5.15]
X - Vy
SEER 19.5 Duct Efficiency [0.74] Effective SEER [7.03]
Type [SG] Credit [none)
Point Scores
0 r7
Sum 1-6
O
Point Total: 10000V
or
R -value [0]
F2 factor [0.77]
Standard
l
Type [double]
U -value [0.65]
% Total Glass [ 161
% Is
SC
Eff. % Glass
X
=
,
V ��
X
% Glass Sc Eff. % Glass
-� X
X
X
TYPE 1 MASS AREA B
InteriorNnss/CFA COND. FLOOR AREA
TYPE 2 MASS AREA = $
Exterior Wall Mass ND. L OR AREA
'7,
X �3 -
SE or HSPF Duct Efficiency [0.78] Effective SE or
[0.72//61.6] HSPF [0.54/5.15]
X - Vy
SEER 19.5 Duct Efficiency [0.74] Effective SEER [7.03]
Type [SG] Credit [none)
Point Scores
0 r7
Sum 1-6
O
Point Total: 10000V
I'
Certificate of Compliance: Residential Climate Zone 11
Project Title
Building Permit # / J
Project Address Z15 � -
Checked By / Datc-
Documentationocumentation Author Telephone Enforce ment Agency Use Only
BUILDING DATA Glass Area 95 Glass
North
Conditioned Floor Area 7 Number of Stories a East
Sla ai ed Floor' Number of :Units �_ SouthZ4 42-
S1n_Je Family Detached (SFD) (] AdditionAlone West
[ ] Single Family Attached (SFA) (] Existing Building Skylight iZ —
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total /
BUILDING SHELL INSULATION
Component Insulation Locaflon/Comments S/ Z
Type R -Value (attic..to Gen.t�iaal, etc.)
wall .............. C/ l `7
wall ..............
Roof .............
Roof .............
Floor .............
Floor ............. O
Slab Edge.....
GLAZING Shading Devices
Glaring Area Glass Type Interior Exterior Overhang Framing Type
Orientation SO (singlk double) ober blind. etc. (shadescreen, etc. eshtometaUwood)
North ( )_
North ( )
East
East ( ) -
South
Sou th ( )
West
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (SD (inches) Location/Description (kitchen, bath. etc.)
HVAC SYSTEMS Minimum Duct
Type (futmace, air - Efficiency Location Duct Output Manufacturer / Model #
condit'oner, heat um) (SE, SEER.HSPF) (attic, etc.) R -Value tuh or approvedequal)
a ire -
Maximum Furnace Heating Output:
HOT WATER SYSTEMS - ,,._
Btuh
Manufacturer/Model #
62 a
10
I
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lownse residential building& iubjt= to the Standards must contain these me uza regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by mote stringent compliance tequuements listed
on the Certificate of Compliance. When this checklist is incorporated into the permit doeumeets. the feattires noted shall
be considered by all parties as binding minimum component perfomunce specifications for the mandatory. measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIMON I DESIGNER I ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted avenge.
§2-5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R-1 I weighted average (toes riot apply to
exterior mass walls).
6
2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor
transmission rate no greater than 2.0 permfurch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: InfiltrationiExftltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage -
b, Doors and windows certified.
c. Doors and windows weathersuipped: all pints and penetrations caulked and sealed.
62-5352(e): Special infiltration barrier installed to comply with 12.5351 meets CEC quality
standards.
§2.5352(d): Installation of Fireplaces
I. Masonry and factory -built fireplaces have:
a Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
e. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations.
§2-5352(h) and 2-5315: Setback themrosm on all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
62-5316(b): Exhaust systems have damper controls.
§2-5314(e): Gas -rued space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(1): Water heave insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(Fxception 1): Pipe insulation on steam and ream condensate return & recirculating
piping.
§2.5318(d): Swimming Pool Heating
1. System has:
a. Onloff switch on heater.
b. Weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(x): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the Wdiog featin es and performance specifications needed to comply with
Mile 24. Chapter 2-53 and Title 20. Chaptex2. Subchapter4. Article l of the Califorida Administrative code. Ttds
certificate has beat signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Name:
rkwmt:
Address: -
Telephone:
Lie. #:
(signature) (date)
Documentation Author
Building Owner
. Mame:
TitleJFrm:
Address:
Telephone:
AG2!X� //3��
(signature) (date)
Enforcement Agency
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Name. Name:
TttWFum: Agency:
Address: Teicome: