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041-420-051
,elf r"41 -42L51 1 28-0.0 41--42 51 2442790B,P,E,j (new'singil ami -- Ag ELempXjon - Permit (hay storage & cow shelter BOWEN; Bernard' (relocate ropAne w�r ht , 0,D. Carr O4l,4201O51-°1 05-1875' ----�' BOWBN,8ERDJAIUD 3920 HIDDEN VALLEY 8I). 6ROVILLE ~ ' Cont: DONALD CA1kR DECK (OPEN) ' \ ' � � / \ k ' � / . ^ .~ ' � � � ^ BOWEN; Bernard' (relocate ropAne w�r ht , 0,D. Carr O4l,4201O51-°1 05-1875' ----�' BOWBN,8ERDJAIUD 3920 HIDDEN VALLEY 8I). 6ROVILLE ~ ' Cont: DONALD CA1kR DECK (OPEN) NOTES RESIDENTIAL 2-q,� PERMIT NO. D 2,4c�` `' �� 041-420-051 05-1855 BOWEN, BERNARD 3.920 HIDDEN VALLEY RD, OROVILLE Cont: DONALD CARR " DE K (OPEN) .;.:;.. i t xti 1 - a jt Y. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER E I JOB FINALED (Date) ti : Signature s �M t t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER E I JOB FINALED (Date) ti : Signature J=OK 0= Not OK . = Not Applicable MOBILE HOMES . =Not Readyeady Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector° 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Stze-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 0. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 MISCELLANEOUS )ate DEC , OVERS, CARPORTS, GARAGES (Plans) OK except #'s Zo ing Requirements -Setbacks -Easements A-Tootings: Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date X; Ts'- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 d=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test - 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11.Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.-, Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 89. Ventilation Throughout House Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meeh. Equip. _ 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82.' Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive 0 Yes O NaMalks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e 4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:' (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051855 u. v. v..,w ..y , w,,... ... �..., ra LICENSED CONTRACTORS DECLARATION I hereby 'affirm under penalty. of perjury that I am licensed under Issued Date: 08/04/2005 APN: 041-420-051-000 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. Site Address: 3920 HIDDEN VALLEY RD BTV License Class : License Number: Map Index: Date: Contractor: Description: OPEN DECK (527) 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 Business and Professions Code: Any city or county'which requires a Owner: BOWEN BERNARD B & PATRICIA 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 signed statement that he or she is licensed pursuant to the provisions of 3920 HIDDEN VALLEY RD the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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 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).): , • (J ❑ 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: BOWEN BERNARD B & PATRICIA A 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 3920 HIDDEN VALLEY RD sale. If however, the building or improvements are sold within one OROVILLE, CA 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 95965 sale.). / l3 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DONALD W CARR pursuant to the Contractors' State License Law.). 1301 BENNETT RD ❑ I am Exempt under Article 3�heBusisand Professions Code / PARADISE, CA Date: y U� owne • 95969 530-877-6094 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 326847 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 527 S.F. I certify that in the performance of the work for which this permit is Valuation: $5,270.00 issued, I shall not employ any person in any manner so as to Census Code: 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: Applica l: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 6,C), C �/'J � / � /� ,.y>�n � hundred thousand dollars ($100,000), in addition to the cost of (/fj„U compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. � � /�w� i ,I� �J �/�� GU CONSTRUCTION LENDING AGENCY This permit is ereeb-)y/issueedd under pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Res?lutionsV7 do work indicated ove or which fees have been paid. / performance BY Date: Name: PERMIT EXPIRES ON: [J Address: Date ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 official form or do me of Butte County. I hereby authorize represen es of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: r�/eAJ0e0 � ® p9�.0 J Signatur / Date: Owner ElContractor ❑ Agent for Owner EllAgent for Contractor u. v. v..,w ..y , w,,... ... �..., ra 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 Website: www.buttecounty.net/dds *PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last Name It Firs me �D Address cJ� A c— City O d State Zi division Name 744erlrl Phone94 _ '.6-92 92 Fax t__ E-mail CSL , l0011A Date A proved: APPLICANT NAME CONTRACTOR Name It Address &4:n City A c— S ate/+ Zi6 77 Phon division Name 744erlrl Fax E-mail t__ Lic. # ' Gj 1, Cla APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone division Name 744erlrl Fax E-mail Lot # State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail M&A III Ron For office use only: AP# ZC7 —per'-/ Zoning g2& I Flood Zone SRA 1A No I Occ. T pe Const. division Name 744erlrl Map Book 2 Z Page!JA 17V q7 Lot # Plan er Date A proved: OVER FOR SU`I3 ITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # LOCATION AP# ZC7 —per'-/ PrAddress I 9620 Ci Cross Stre WORKER'S COMPENSATION Policy Number C6M Carrier 3-)n _ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount:y Bldg Pa- SRA Receipt #: #: Sheriff q3�% d SMIP 1 ,C (00 Other Date: ,� V Total REV 2-24-05 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 1N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 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. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 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). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). - 0 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval to occupancy). ❑ 6. prior Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: V `(� +Cl `t �- ASSESSOR PARCEL NUMBER ��U Proposed Building Use: G -QiY� �i Permit Technician: Date: ? U Items regaired in order to ap ly for a permit. All boxes MUST be checked OR marked NA in oror to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. -56 ?. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 3. Letter from Engineer or Architect for truss design review. ❑ 3. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. Wo 9. 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. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. "❑ 14. Other ,RqlmA'n items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable�p S`r` ❑ 16. Fire Sprinklers.................................................................................1.......... .bl 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑/ . Erosion Control Plan Required.. "*""''*'***'''*'*'''*'*''*'*'' equired................................................................. Fees as shown on the attached Schedule of Fees Due Sheet......................... . . . . . ❑ 1. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs... ............................ ❑ California Department of Forest plan approval 0 paid. Sent by: .... ,24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:..... ❑ Contact Land Development about _ Improvements, _ Drainage ........................ 7 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... Cl 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. --� ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 036. Other: &7 ❑ 37. Other: J When issued Telephone' and hold for pickup. I have been i for ed of the abqy.Q items and requirements for obtaining a building permit. Applica _ Date: -7 1 d 1. Index permit application for the above items numbered: Plan Check Le ter 2. AdditionI items re Contractor, designer owner was advised of the above data by phone, ❑ mail, ❑ counter, b Date: Contractor, designer, o er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: -Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note trar sfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPROSED BUILDING USE z 1. BUILDING PERMIT FEES �2:lood 'Due ..................... elevation review... --- Additional plan checking Fee.... $ 2 SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$_ Units Commercial (sq. ftg.)..... X $0.03 = $_ Sq. Ftg. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5 RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6 SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7 WATER TENDER FEES BATTALION # $200.00 (paid a^t—B— 1Bmat ding -Division) 8 SMIP (tT J 9. OTHER 11). OTHER 11. OTHER A.P.#6A--1D6.a!'1 — DATE l RECEIPT # DATE REC. At time ofpermit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may bechanged dur' the plan check' g process. APPLICANT DATE /I:v� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days. from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Public Works t t e C o u n t y o f B u b 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive .� �oo :.t l�l Oroville. CA 95965 a �5 (530) 538-7266 ��bC WOF (FAA 538-7171 National Pollutant Discharge Elimination. System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THA11d 9 ACREI Project Description: Project Location andlor Parcel Number: r 9 2QL-� r DI`76,c� lJfi / �Y /C.�• >Q ,n4 l— 4 26 — 0 S/ By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buil&outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County Department of Developnent S'erwces 7 County Center Drive Oroville, Ca 95965 (530) 538-7601 Telephone (530) 538-1785 Facsimile )BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended- plans mendedplans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other. required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: ,/�,egjA2D �.� �� � APN: _C241 — q ZZ) — d .r-,_ 2 Building site address: Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE yY �^ TO:r Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attechod Flcos Man Attachad Sent to B.D. / Owner Location AP#� Plan Approved for: Sewage Disposal Waters Su"-ppl Public Private Well Clearance for dwelling. Other ��LZ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 14 --iq -,�- Date COULD NOT MAIL COPY OF FINAL TO OWNER AS THIS HOME WAS NEVER FINALED. 12/31/96 ks) on Property Present Address of Building(s): 1. 2. 3. 4. County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 Phone (916) 538-7339 FOR COUNTY USE Assigned Address 1. :?7-5 A //'r 2. � 3. 4. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 SUSAN NEHER 3920 HIDDEN VALLEY RD OROV.ILLE, CA 95965 N 041-42-0-051 98-2682 P R'BOWEN, Bernard 3920 Hidden Valley Road, Oroville (relocate propane wtr htr) D. Carr AIX COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 2' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 140. (Rev. 12/96) APPLICATION AND PERMIT 1 1. ASSESSOR PARCEL NUMBER yl - / ZONING BUILDINGPERMIT owN R TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER // /.,/ ."Ar Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS I u / C G' Jam, V4114?, I+ Energy Plan Checking Fee $ $ D4n ✓, PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF [D uplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 C TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑'Installation ❑ Other ❑ " 1 % Describe Work: K .4- -,e- _/% ,y� v�,SJ r etc Gas piping system 1 - 5 outlets 15.00 t Building sewer 15.00 Mobile Home I S I G I IN @20.00 PERMIT FEE $ (- ELECTRICAL PERMIT Filing Feel 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. NOS � /_ t0 / -;- OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier -7 l.O 4( , �a Policy Number (The above sections need not be completed ff the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith -comply with those provisions. X .�, / > �� /���/. 1i/�'.'+_-Date Signature" -of Applicant - ❑ Owner E3 -Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. eLOS. 3.5¢Fr: LPN N.RESID MULTI.Ou QUI @7,50 TS APPARATUS a SINGLE OUTLET CIR. 20 OCCU OUTLET OR FIXTURES BA0 ® I .00 Ex. Occup. oFUTLEmD g.,6.OE,p 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 3 HAZ - 0 FEES IMP - FLOOD - — -- cDF --- FARDEL _ PD HD ISSUE, V This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date / / Date ReceiptNo. 7 C- U 14/40 WHITE-D.D.S.-131.0` CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 417� REAMIT No (Rev. 12/96) APPLICATION AND PERMIT ?•,G ASSESSOR PARCEL NUMBER / ^ L ' ' ZONING BUILDING PERMIT G R 2' TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNEg'S MAILING ADDRESS CO C,;R'S NAME TELEPHONE ONTRACTOWS MAILING ADDRESS O T S _ CONSTRUCTION` LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS r ,, /M� I i� Ener Plan Checking Fee Energy $ $ e PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 15- TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities e' Installation ❑ Other ❑ Describe Work:R29:�.1-2c"4ri '�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' full force and effect. License Class Lic. No.�?,y7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Bit Piave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 4 7_,61T.O G �L_, do Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' , omply with those provisions. X _ ate �� �% %�i Signatur of App icant --0 Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200+ TO LuooA 46.00 NEW CONST. DWEwNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. N" N'.RESD. MULTI.OUTLET @7,50 aPs NI.ELLE oPUTL�ETT Ic w. Ex, OCCU OUTLET OR FIXTURES B20 p 1.50 Ex. Occup. GPIXUTEis Ro .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 EE PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 3S HAZ. D, FEES IMP FLOOD CDF PARCEL I PO HD SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON BReceiptNo. applicable provisions Resolutions to do work been paid. �f6 Date O WHITE-D.D.S.-B. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I; d y � I F - 'RESIDENTIAL 41-42-51 2442-90B,P,E,I NEHER, Susan �n dG12 ; I � 3920 �� ., ,. D �-, Oroville ,y (new single family) 3 (/,P i 4 i( 4A IF OFFICE COPY Address GAS j t Meter By Date ELECTRIC k, Meter By Date -.-__j Address I ,i GAS Meter - -� Date ELECTRIC Meter By l Dater V JOB FINALED (Date) Signature J=OK O = Not OR - = Not Applicable s Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s t!Zoning-Setbacks-Easements- od-Slope /tZ.Gtg—_Main; Soils-ElerTr-- aa2lV Ftg. Depth 3. F49--Gerage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth tg., Porches & Decks; Soils-Steel-//Ftg. Depth Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a-FroW Downs and Special Anchors 7. Slab; Steel -Wrapped iers-FiraptaegFtg =Steel 1 .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 0 Gas Pipe; Size -An SD ' Water Pi -Anc Reg tato rvice Test 12. ric; Underground 3. ienums & Ducts; Clearance -Material -Support -Ins. 4. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date yj Card B-1 Date Card B-1 - Date Card B-1 Date PLUMBING (Permit) OK except #'s 7 p•6' Water Htr.; Vent -Access -Combustion Air -Baffle CN'Water Pipe; Test & Anchor -Nail Protection P.W.V.; Test -Fittings & Anchor -Nail Protection 9. Shower Pan; Test, First Floor -Tub Access 0. Test Tub & Shower, Second Floor -Tub Access V. Gas Pipe; Size & Anchors Date Card B-1 Z41t Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s Fixture & Transformer Clearance -Ins. Protection 3 Elec. Receptacles Spacing -Lights & Switches at Doors (Size Boxes & No. of Conductors -Stapled S..Romex Installed Close to Edge of Studs & C.J. 6,�96. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28: Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 0 Service -Riser Conductors & Ground -Main Disconnect (quip. Clearances Panels-Motors-Mech. Equip. 2. Clothes Closet Light -Shower Light -Spa Light 6, 33. Smoke Detector Date// Card B-1. Date Card B-1 Dat Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s L_34!.C. Ducts Insulation & Support /36'Vent Fan: Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Z/ Q�ard B-1 Date Card B-1 Date I Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s S' s, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing LZ42. Draft Stop in Walls (rat proof) 3. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4. Headers & Beam -Size & Bearing Date fRAMING (Continued) Hangers -Post Caps -Anchors -Connectors ng. Joist-Rftr. ties-Purlin—roof Brac- rfr-"s,-Shthng.-R ng.' Fireplace Ties or Type A Flue -Fireplace Throat clearance k-418- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 9. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -56--garage-" Protection Framing 51 44operty.-Line Firewall & Openings Ext. Doors -One T -Check Garage -3rd Story, 2 Exits . Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic, 458-9'qpr Walls; Nailing -Bolts Insulation -Walls -Ceilings /I.' id - jb'• e nfiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date I FINA lans OK except #'s Fect'Steps-Door & Sidelight Protection -Landings Above Floor-Ducts-Mech. Protection Fixtures & Tub ,66-Elec. TAfn & Subpanel: Breaker Sizes & Labels ,68 irSplaa-or Stove; Clearances -Hearth lec. jDallets at Wood Panel: Int. & Ext. 7JYRit.F& Appliance; Grnd.-Air Gap -Cooking Clearance pec. Outlets & Receptacles at Kit. Counter e oor; Swing -Landing -Closer �..qAaruct in Garage -Damper Ptr. Htr.; nts-Clearance-Comb. Air-Connector-P.R.V. '71n ge; Above Floor-Mech. Protection 7t5�.Ib,,EWb,.&Mech. Equip. Listed for Location lec eceptacles in Garage; (G.F.I.)-Romex Protection nsula ' -Foam-Looked in Attic 0 Yes 7uar ails & Deck Construction -Post Caps 7 . dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Once Looked under Floor_ ❑ Yes A -following instld.; Drive O Yes ❑ No; Walks 0 Yes ❑ No; Planters ❑ Yes O No 8 . n -Finish Unit; Disconnect, Electrical, Plumbing 8 is Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 84. -Water I; isconnect, Electrical, Plumbing xteri lec. Trim; G.F.I. Receptacle -Underground eDtitation Throughout House from Previous I P: t -Meters Tagged; Gas -Electric 0. Wat Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date - / Card B-1 Date Card B-1 Date Card B-' Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=OK r O = Not OK Not ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses _. 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing . 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Pane I boards- 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 owner: i Puru►l.l: Nc►. / L r U E N F R C Y C E,R T I.F I C A T I u N 3920 Hidden Val ley_.Road, OrOyllle, Ca. LOCATION DESCtt1P1'LUN OF INSUTAT1.0" ROOF Materiel _ .___ Thickness (lncl�ee)_____ EgTER70R WALL. , Material_ Fiberglass Th ickness(lnchee) 64t' _._ CEILING.. Batt or Blanket Type F ibe121-ass Com' W Thickness(lnches)_ __ Loose Fill Type IJl)e!Ulil5j —__— Minimum Tlitcknee@(Inches) 16" Area covered(fi.2) 1348 FLOOR, ELEVATED Hater In I U Thlcknese(Inchee)_ 6�" FLOOR. SLAB Material _ -- Thicknese(inches) W1dth(luches) gOUNpATION WALL - A. P. No. Brand Name Thermal Resistance (R Value) Brand Name_ Owens-CQrnl 'rl►ermal Resletance(R Valise) R19 Brand Hame_0wenc-Cnrj0n '1'liennal Resletance(R Value) R38 Brand Name__(1wPns-f o rn 1 nn Number of Rage 27 Nt. per beg 35 ,lb. Thermal Resletance(R Value) Brand Name Owens-Corning Thermal Reetstauce(R Value) R19__� Brand Name 'I'1►ermal Reslstance(R Value) material Brand Name Thlckileee(incl�ee) Thermal Reslstance(It I hereby certify ti►at tl►e above insula tion was installed in the above but1dill in conformance with the State of Callfornla gnarly Requirements: Loerke insuluLlon (:u,—. FI NAME OWNER SICNAp RE OP INSTAI.I.A'1'I APPI.ICA'1'OR 449 STATE CONTRACTOR'S LICENSE NO. Decembl�r '13, 1990 DATE I hereby certify the above Ine►,lation and all reyisired items as shown on the Building Department approved plane 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 epeclfically approved by the State of California. � FIRM NAME OWNER (Please print) STATE COK[RA(:TOR S LICENSE N0. SIGNATURE of IIENFRAI. COIIrItAC1'ORJOWNF.R DATE TIII9 CERTIFicKrE tius-r uE oN FILE WITHTHE BUILDING DEPARMLKr PRIOR To FINAL. INSP8(7rION APPROVAL. AND A COPY 311ALL BE P09'rrl) WITIIIN THE BUILDI.NO. � Icu►uery 1984 COUNTY OF BUTTE DEPARTMEAT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538;7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER 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 w Date .�_` 2 Inspector X, __ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 -.,.CORRECTION NOTICE �5v IT N0. 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 arnz F F F ti l f t;• YSpAK..,,...✓' Date L/—�� �� Inspector i . r.. .a.Q�� ..,..�+�47.�;;.� „-Fr& .,�'+ .. r r�� R rnsc �. -. _.. +' {.. _ �.� .� r :' •�1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ; r 7 County Center Drive, Orovi Ile — Phone: 538-7541 !I 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE w G EE�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. l/i A J iF — n f �Lf �•� ������/n �.� l Zr / S R �� � n P O /,Ja 114 o ' y r Date g 3 Inspecty i 4 s� +jam _ .a: Date g 3 Inspecty ✓`�,,,. T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND.PERMIT , U ASSESSOR PARCEL NUMBER 41-42-91 ZONING ARMH3 BUILDING PERMIT ' OWNER ANWilvINAtelff TELEPHONE S0. FT. OCC. BUILDING VA'LIOWTION 1874 R 74960 ADDRESS 4aradi--e 95967 9460 C NT A O NA TELEPHONE ' C N ACTOR'S MAILING ADDRESS F i replace 1000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 185420 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 ADDRES_ j LpAt a , G Permit fee $ 611-50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 16.00 Solar or heat pump water heater 20.00 LOT NO. Ll SUBDIVISION NAME Clear Crk Sub PARCEL MAFS Water piping 5.00 5.UU Each qas water heater or vent 5.00 USE OF STRUCTURE SF E2 Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New[X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 BR _ Permit Fee $ 36.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2,50 2.50 CONTRACTORS LICENSE LAW 1 declare under enact of (check . penalty perjury 1ur Y (econe): ❑ 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.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sat,on, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. I 21/2Qsgft 46.85 NEW RESID, BRANCH NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) OUTLET CIR, EX, Occup OUTLETS OR FIXTURES 20050t SALP 30 FIXED PR Ex.-Occup.- OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $69.35 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Imo' I shall not employ any person in any manner so as to become subject yam` 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 Filing Fee 10.00 Heating 11 6.UU Dual Pak Cooling 1 Hood 3.00 3.00 Ventilation 2 3.001 6,00 permit Fee $ 31,00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Xanr� Date 7 c (� �YJ �f Signature of Applicant — Owner56 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" de p and de ion or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspec ion Fee $ 30.00 CONST PE v TOTAL FEE 77.85 HAz I — CUA _ PARK SCHL L PAR Po HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ' Leyy` '� Cy Receipt No. —' WNIYC-D.P.W., TEL LOW -ASS lSgOR, PINK -INSPECT GOLDENROD -APPLICANT o 0a 0q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIDm AND PERMIT ASSESSOR PA CEL`U7PZ ^�-I �lG zD '"tv /3 rah BUILDING PERMIT WNERS USf�A/ ,V5 A/ E NC/ /V / � TELEPHONE 73 SO. FT. OC BUILDING VALUATION OWNER' MIDI LING ADDRESS� /t� �- (�/j �(J CONTRACTOR'S NA TELEPHONE , CONTRA OR'S MAILING ADDRESS Fireplace (] Q CONSTRUCTION LENDER UNKNOWN Total Valuation $ Z LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 3ql�v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ f/ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C �A Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT N SUBDIVISIONNAME /Z (f -Ile -11-111 <; PARCEL MAP Water piping 5.00 O l% Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 (% Building sewer 5.00 �Q Mobile Home S G W 0.00e TYPE OF WORK New[r Addition ❑ QRemodel[Utilities ❑ Installation[] Other ❑ Describe work: !�*//cif'/ Permit Fee $570 r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR 1100 AMP ORLESS10.00 ,0t/��jj Main service EA. ADD'L 100 AMP 2,50 at� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.✓!c OR AODNS. ( ACC. BLDGS. 1 , iosgft NEW CONSTRULT'-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 0200 eALa3o70¢ FIXED APLNS. EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Q 1961AL Coolin g / rOV Hood 3.00 a Ventilation 119. J 3.p r� 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 or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity 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. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ or d occ CONSTTYPE TOTAL FEE $ S HAz I CUA I PARK I SCHL I FLD I PAR PD I HO I ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ipt No. -D.P.W., ELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r vL l� z 1 S l� L, c c N,A i I I OFFICER'S SIGNATURE AND EMPLOYEE NUMBER REVIE CR -3 I ORIGINAL - RAI COPY TO: Building Department ' FROM: Encroachment Permit Section+' 'a RE: Driveway Clearance UoLLsci owner location AP # Driveway permit �V ' has been issued for the above property. nLuabaf / 1p -Joo D sign re date '+P4iu .r'l COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET t ,1�n Permit No. / / OWNEF. �� M G S � V /y /(/ �H Cay- A. P. No. f � �417- �S Proposed Building Use Building Inspector Date % �6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED :41All items have been submitted . .................................... 2 1 t plans i uplica ioicate, signed by preparer of plans. Complete plans in duplicate/triplicate, signed by preparer. of pla��G"• 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........ .................................. ees of $ �� Chico Urban Area fees... .. aid .................................. p Park fees aid ................................................ *o1 District ees paid .............. 790 02A anitation 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 DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to i Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... W2 190 Letter of signature authorization i ✓ Lev — .,-✓-wQ_ `• Zen u issue the permit, process as follows: Mail wner. Y Mail to contractor. Telephone o and hold for pickup at office. Deliver w/ilaspector. ' Other x Applicants 2,.- .Date ZA�� 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 bw submitt d i r to mi ' uance: Circl item not checked above). jr 1. Index permit for above items No. =� 1 2. Additional items required: N 14&0 P 60A) TP SAO,) �our� /ate D �G►N�a�.�o "' U /L DIµJ 6 444 , I°fet_ /H Al A ' -90 u( SaS Cont actor, designer; owner was advised of above required data by�one_�naiI—counter bye.`., ..date Contractor designer owner as advised of above required data by phone—ma ll—counter by date t t' s P n checked by Date Plans approved by— Date Sets of plans on hold in ��File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locatio „�.,,. AP# Plan Approved for: Sewaqe Disposal Water Supply h Fold final for: Final clearance O.R. for: Clearance for .3 bedroom made home. Other NOTE * * * Water Supply Water Supply Date Sanitarian TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location ( fOUI - Plan Approved for: Hold final for: Sewaqe Disposal 1v Water Supply 2I Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** Date Sanitarian COUTITY OF 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 be issued until this verification is received. personally plan to provide the major labor and materials for construction of the proposed property improvement yes or no) X 2. Ihave have not) signed an application for a building permit fore proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ c1ity— Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address - City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: 'Name Address . Phone Type of Work �(' Signed Property Owner Cln. Social Security Number Ir Date-� D 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. 5/89 RESIDENTIAL PLAN.CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER .� A.P. # GENERAL 4! NEZoning requirements: (sideyards Valuation. &3Plans signed by designer. Energy Design and Compliance. Existing violations on property. Items on data sheet. and number of permitted living units). PLOT PLAN *.-Other parcel size and dimensions. etbacks, sideyards, easements,•etc. buildings or structures. Grading, fills, drainage.. Flood hazard. Special conditions oncreation map or compliance document. f FAU & FAS road setback: FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance .of mechanical equipment. Locations of water heater, heating and.cooling equipment, other electrical or . gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(T)). h - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and Smoke detectors (Sec. 1210). clearance. STRUCTURAL DETAILS Foundation plan complete enough to construct building': Floor construction details complete enough to construct building. levations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR building. Stairway details: landings,.rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL- PLAN.CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). /Proper roof pitch for roof covering (Chapter 32). / "6of covering type - (fire hazard). Jafter ties or bearing ridge beam. arage door or porch header sizes. Adequate bracing. 6' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ,Awo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 8�ttic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). ,ombustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. a ----unusual shape, size, or split level house requiring lateral design. el.Flashing at all exterior openings. ,/ ,Siad -T NorthStar Engineering Civil Engineers • Planners • Surveyors February 5, 1986 County of Butte Department of Public Works 7 County Center Drive Oroville, CA 95965 Re:Clear Creel: Subdivision - Preliminary Soils Report Gentlemen: In.accordance with the request of Mr. William Nichols, our firm has conducted a preliminary soils investigation for the reference project. Prior to development, the site consisted of open grass lands with scattered oak, trees. The easterly boundary of the property follows Clear Creel; with Clark Road being the most westerly boundary. Along Clear Creel: is a relatively low area that was once a flood plain. Near the center of the property is a slight bluff rising towards the west with the westerly portion of the property being approximately eight feet higher. The project site has two distinct soil types on the surface with a common soil type below. The entire area is underlain by a cemented Tuscan formation. This formation is very hard and as such makes an excellent base for construction. The surface soil on the easterly. bluff area is a shallow Pentz Clay loam to a depth of approximately 12 inches. The surface soil on the lower area is a.Vina Loam, shallow phase. Soil depths vary, but are generally greater than seven feet with some cobbles below four feet. The insignificant amounts of clayey material in these soil types generally assure good drainage and.a negligible amount of expansion and contraction. Eased on our findings, and in accordance with accepted building practices, the soil should adequately support normal residential foundation loads of no greater than 1500 pounds per square foot. Uniform settlement should be insignificant if the soil is prepared correctly (i.e., 1. Fills constructed in layers less than 8 inches thick and compacted to 90% relative compaction and free of organic matter. 2. Undisturbed native soils free of organic matter.). 377 Connors Court, Suite B Chico, CA 95926 (916) 893-1600 County of Butte February.5, 1986 Page 2 Differential settlement should be insignificant if structures are constructed .to bear on one soil strata only. Foundations which bear on multiple soil stratas (i.e., a portion on the cemented Tuscan formation and a portion on the Vina Loam) should be designed accordingly. The following note will be placed on the Final Map; "Buildings located near the toe' of -the bluff may require a soils report and engineered foundation design. At this time, we are requesting a waiver for a formal soils report for this subdivision. Very truly yours, NORTHSTAR ENGINEERING Mark- Adams RCE 34257, Exp. 9-30-87 Vol, � .N®rthStar- S�"� ENGINE ERING Civil Engineers • Planners • Surveyors TO: PROJECT: t( 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 TRANSMITTING THE FOLLOWING: Job No. Date Attn. ✓ Herewith Personal Delivery Separate cover STATUS: Preliminary In Progress Final MESSAGE: 1015 Approval Information Checking Your use Files Processing Review -comment As requested . J C.C. TO Signed BUTTE COUNTY SCHOOLS DEVELOPMJNT'FEE CERTIFICATION FORM (One Form per Building) A.P. Number y/-�l2-�� Building Department No. School Districttom(,% (� City D County [8 Jurisdiction Property Owner Project Location/Address 3 rJ ZQ 10 0 Al L.IA U E,4 AD d Subdivision t Lot Number _ Residential Development: ) Sq. Footage ( � %4 # of.Living MHI Addition (Group R) Units Commercial/Industrial: New Department Representative Sq. Footage Addition (Including Exterior Roofed Areas) /6 /5 7' _-) Date ******************************************************************* (Floor Plans reviewed by.School District Personnel) District Id No. /.5-77 School District certifies that P'72 - G 5109 (Applicant Name) (Phone Number) (Street Address) /y torDUAL (City) (State) (Zip Code) has complied with the requirements of Resolution No.%-� by the payment of $ v� �,�.� • �`T representing A? square I feet . f School District Representative Date PAID BY CHECK NO. /0 0?.1— REMARKS: BANK NO 9D PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) NortbStar ENGINEERING Civil Engineers Planners • Surveyors August 26, 1990 County of Butte Building Department 7 County Center Drive Oroville, CA. 95965 Re: Clark Road & Hidden Valley Road AP No. 41-42-51 Gentlemen: The residential building site proposed for the above referenced parcel is not located near the toe of the bluff where differential settlement may be a problem and therefore should not require a soils report or engineered foundation. I trust this provides the information necessary to process the permit, however, please feel free to contact me should you have any questions. Very Truly Yours, NORTHSTAR ENGINEERING Mark Adams RCE 34257 Exp. 9-30-91 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 79 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 90-37 f FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 90-037179 ;.� R e c F e e for agricultural purposes, and residents Check of this property may be subject to incon- Recorded veniences or discomfort arising from theOfficial Records _- use of agricultural chemicals, including,. �+ � County of but not Limited to herbicides, pesticides, Butte < and fertilizers; and from the pursuit r Candace J Grubbs ; 5.00 5c00. of agricultural operations including, Recorder' but not limited to cultivation, plowing, ti 10:07am 29 -Aug -90 X spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and codor. 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described. as follows: PARCEL I, "CLEAR CREFX SUBDIVISION" ADDRESS: 3920 HIDDEN VALLEY ROAD, OROVILLE, CA 95965 Date: 5-29-90 State of CALIF. ) County of BUTTE ) PROPER OWNERS:/ JAMES L. SUSAN NEHER On this the 29th day of AUGUST , 19 90 , before me, SS. the undersigned Notary Public, personally appeared **JAMES L. NFIM AND SUSAN NEMER** ElPersonally known to me. ® Proved to me on the basis of satisfactory evidence. DAVID HALKOLA to be the person(s) whose names) are NOThRy PUBLIC CAUFORNIA P Butte County subscribed to the within instrument and acknowledged that they My'commission arch22 issi1fes executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my han icia seal. Present A.PN/Z A ^ �/ E�® ®F; ®®������. _ Notary Public` DAVID HALKOLA COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. ��fJ Agricultural building is defined as follows: Agricultural 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 P RCEL NO. � — — 5 ZONINGT1 J 1� M O ER PHON J� OWPER6ADDS Q 4 �Q &/I. Po(\a . ! SC-� OA 9 9lo LOCATION OF BUILDING. Cie,) V USE OF ILDING 17 ly S© roc L ail cS be, 1. lt^ (°J 1f^o 0 w s SIZE OF STRICTURE ' X ' D SO. FT. ' TYPE OF CONSTRUCTION: WOOD FRAME ._>LSTEEL CONCRETE OTHER (Specify) TYPE OF SM ROOF COVER FLOOR PE ESTIMATED COST OF CONSTRUCTION v j„�,l \c—, AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: `�°^" �� REAR FRONT SIDES 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 floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23.feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall 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, 1 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 FS- 9,7' %(( Permit Fee - $25.00 Signature of Owner >>LLL►.. ::g- yw, The above described AG Building is exempt from a building permit. FLOOD PARCELf P.D. / ROOFING ISSUE Receipt No. �m / � Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTi'§EYNrt,OF*PUBLIC WORKS - BUILDING DIVISION f 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985 - TELEPHONE: 918/538-7541 yPERMIT APPLIGAVON-bATA SHEET --°¢'- Permit No.,�- OWNER �(S ,�''l/E' �'l C� A P. o. Proposed Building Use4 a un Building Inspector Date U � Z9:0 At time of ermit 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 i'n duplicate/triplicate, signed by preparex�of plans .. 4,, Complete engineered plans and calcs, with wet signae 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 $ y ........................ 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 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ,ICkup at office. Deliver w. /inspector. Other Applicant al, ' .Date Copy of Haz-Mat form sent Health Dept. , Fire Dept. _Air Pollution -Date Copy of plans sent ----Health Dept. _Fire Dept Other Date By The following data must be submitted prior to permit ,issuance: (Circle new item not checked above)... 1. Index permit for above items No.t 2. Additional items required: ,a Contractor, designer, owner, was advised of above required data by phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by ' phone_mall_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW .GbN1,i.. 1. Ceiling Insulation Insulation In Floor -64 Single- Number of stories Family R -value One Two Three ' R-0 -103 -49 -02 R-19 -8 -4 .2 R -=+n -2 -1 -1 R-38 • 0 0 0 U -value -114 -76 0.50 -91 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 Insulation In Floor -64 Single- Single - Number of stories Family Family Multi- , R -value Detached Attached Family R-0 -68 -51 -34 I R-11 0 0 0 t R-13 2 2 1 ' R-19 8 6 4 U -value 1 1 0.80 -153 -114 -76 0.50 -91 -68 -46 i 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 =5 0.08 i 3. Raised Floor Insulation -6 j Insulation In Floor -64 Number of stories Total Number of stories One ( R -value One Two Three R-0 -17 -8 -5 . R-11 -3 -2 -1 R19 0 0 0 ' R-30 3 1 1 U -value -10 Number of Stories 40 l_._.----- 0.60 . -144 -70 Three 0.50 ' -120 -58 -36 0.40 -95 46 2 j 0.30- -69 34 3 0.20 -43 -21 14 0.10 -17 -8 =5 0.08 -11 -6 -4 0.06 - -6 -3 _ - 0.04 -1 0 ..0.- 0•- 0.02 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -69 -64 Number of stories Total R -value One Two Three R-0 -11 -7 `=5 R-5 -4 -4 - 3 R-11 -2 -2 -2 RA 9 -1 -2 -2 4. Slab Edge Insulation -39 - -10 Number of Stories 40 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -4 4 12 0.90 - -4 -0 -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. Infiltration (Air Leakage) Specification Points .a . Standard 0 ' . 6. Glass Heat Loss -69 -64 na Total Percent Glass -55 na -35 U -value (percent glass x SC) Percent Effective ' .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 .19 •1n .a 5 11 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 -01 -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 1 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) -69 -64 na - -Effective Percent Glass -55 na -35 -50 (percent glass x SC) na Effective ' -37 na -26 %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 3.5 2 5 /B. Shading (Shade Closed) Effective Percent Glass (percent Stan x SC) %Gctive tess North 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 -3 5 -2 4 -1 3 0 2 1 1 1 0 2 na . not allowed East South West Skylight -48 -69 -64 na -42 -59 -55 na -35 -50 -46 na -29 -40 -37 na -26 -36 -33 na -23 -31 -29 -74 -20 -27 -25 -65 -17 -23 -21•. -56 -14 -19 -18 -47 -11 -15 -14 -38 -9 -11 -10 -30 -6 -8 -7 -23 -4 -5 -4 -16 -1 -2 -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family SID60S Mutt Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 -R -5 3 .1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -0 .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 An 3 R 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 it 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 1-6 Wall Family Family Mutt Mass Detached Attached Family 0.00 0 0 .0 1 0.20 3 2 1 i 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11-. . 1.80 10 12 12 200 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 Sum of 1-6 f SEER One -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 75 +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 2 3 1 i 2 1 Effective SE or HSPF 7 10 6 5 9 7 (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -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 f SEER One -5 -4 -4 -3 (assumet ducts In attic) Two+ 3 3 Stir of 7-10 2 2 1 -75 rr .24 to r 14 to -4 to +6 to 16 or SEER less -15 1. •6 +5 +15 more 8.0 -14 -12 -10 -8 -6-4 Water 8.5 -9 -7 .6 -5 -4. -3 I i o.; 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 3 1 i 2 1 10.5 11.0 7 10 6 5 9 7 4 6 4 3 i' -. 120 .15 13 11 9 7 5 11.0 7n 1.4 12 9 6 65% POU `17 � 5 4 3 .3 SE EKedive SEER -37 -24 -18 -15 (SEER xduct efficiency) 1.7 Solar -1 Soo of 7-10 .1 0 0 Effective -25 or •24 to .14 to -4 to +610 16 (x 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 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 ' 20 15 10 Zonal Control 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 "P.2 KNSS 4 Single -Family detached and Attached t Unit Size (sQ Water i 199 02M 71700 2200 2700 Heater Credit or • 10 to to , or . Type. Type loss 1699 2199 2699 more SG None 0 i i` 0 0.. 0 0 or Solar 12 ' 1 8 6 5 4 HP -HWR 9 5 4 3 3 50% WSB 5 3 3 2 2 65% POU 8 5 4 3 .3 SE None -37 -24 -18 -15 -12 1.7 Solar -1 -1 .1 0 0 3.2 HWR -18 -12 -9 -7 -6 4.6 WSB... -25 -16 -12 -10 -8 0.6 POU -18 _-12 -9 2 -6 IG None -5 -3 -2 -2 -2 3.5 Solar 7 . 5 4 3 2 5 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 24 Solar 8 5 4 3 3 3.9 POU -10 -6 -5 -4 -3 , 5.4 Multi -Family (individual units) 0.5 0.7 0.9 1.1 I Unit Size (sQ 1.6 1.8 Water 2.2 699 700 1200 1700 2200 Heater Credit or to to to or Type Type loss 1199; 1699 2199 y more SG None 0 0 0 0 0 j or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 5.1 WSB 9 4 3 2 2 1.1 POU 9 5- 3 2 2 SE None -45 -23 -15 ' -11 -9 4 Solar 2 1 -1 r 0 0 5.3 HWR -23 -12 -8 -6 '-5 1.1 WSB -25 -13 -8 -6 _ .5 --e4U 28 __23 _ -12 -8__._ -6 ' -5 IG None -8 -4 -3 .2 ; -2 5.6 Solar 6 3 2 1 1 _ POU 1. = 0 0 0 0 IE None -30 -15 -10 --8 -8 --6 - 4.4 Solar 18 9 6 4 4` 5.9 POU -8 4 -3 '-2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation R) U _ or R -value [38) U -value [0.030] 2. Wall Insulation or R -value 141] U -value [0.098] 3. Raised Floor Insulation (CJ or R -value 19] U -value [0.037] 4. Slab Edge Insulation or R -value 101 F2 factor 10.771 S.- Infiltration Standard 6. Glass Heat Loss Type [double] U -value 10.651 % Total Glass (16] 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North S.a x 66 b. East x - 4(t, c. South x • d. West /• x e. Skylight �_ x = n 8. Shading (Shade Closed) % Glass SC Eff.. % Glass a. North S• 2 x iw _ M b. East / . x c. South x _ d. West x= e. Skylight D x = O 9. Interior Thermal Mass TYPE 1 11ASS AREA = % InteriorNnss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = $ Exterior Wall Mass ND. L OR AREA i 11: Heating System Z �-- x_ _� Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.5615.15] 12.f Cooling System x _ r , Zonal Control? ( Y / N) SEER [9.5] Duct Efficienry (0.741 Effective SEER [7.03] 13. Water Heating 5'(7 Type (SG] Credit [none] Point Scores 7 D 0 -r1 V Point Total. %s � Interior Mass/CFA . "P.2 KNSS 4 1i.7•u7K•..21 t tYPE I MASS (UIMC4.2, ie: exposed - . 0% 5% 101/6 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 69t 70% 75% 80% 65% 90% 95% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 06 0A 11 13 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 1oY. . 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 21 23 25 2.1 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.t; .-4.11 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 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 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 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 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 11.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.6 5.1 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 2.0- 28 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 6 6.2 60% 11.2 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 6.3 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 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 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 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 4.6 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.61.8 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.� 6.612 6 6 e 637: 1.4 1.r 1.! 2.1 P.0 9.6 0:7 0,0 7.1 7.7 75 7s A A7 A4 IR to 5 67 54 56 59 6.1 63' 65' 67 90% " 1.5 1.7 2 2.2 24 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 68 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 5.6 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 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 7 105% 1.8 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 6.8 7 110*1. 1.9 2.1 2.3 2.5 27 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 69` 61- 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 S.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 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 Measures 1. Ceiling Insulation R) U _ or R -value [38) U -value [0.030] 2. Wall Insulation or R -value 141] U -value [0.098] 3. Raised Floor Insulation (CJ or R -value 19] U -value [0.037] 4. Slab Edge Insulation or R -value 101 F2 factor 10.771 S.- Infiltration Standard 6. Glass Heat Loss Type [double] U -value 10.651 % Total Glass (16] 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North S.a x 66 b. East x - 4(t, c. South x • d. West /• x e. Skylight �_ x = n 8. Shading (Shade Closed) % Glass SC Eff.. % Glass a. North S• 2 x iw _ M b. East / . x c. South x _ d. West x= e. Skylight D x = O 9. Interior Thermal Mass TYPE 1 11ASS AREA = % InteriorNnss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = $ Exterior Wall Mass ND. L OR AREA i 11: Heating System Z �-- x_ _� Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.5615.15] 12.f Cooling System x _ r , Zonal Control? ( Y / N) SEER [9.5] Duct Efficienry (0.741 Effective SEER [7.03] 13. Water Heating 5'(7 Type (SG] Credit [none] Point Scores 7 D 0 -r1 V Point Total. %s Certificate of Compliance: Residential Climate Zone 11 Building Permit M a S �a3 Checked By / Date Enforcement Agency Use Only .7 `!17(0 CZafi /711( &YU Documentation Author Telephone Glass Area % Glass BUILDING DATA �� North J2.�_ Conditio Area –�/� f— Number of Stories East– Slab sed Fl Number of :Units South t West amity Detached (SFD) [ ]' Addition -Alone —�-- --— . [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi-Family(MF) [ ] Existing -Plus -Addition Total ;t, 7n /Y. � BUILDING SHELL INSULATION' .'Component Insulation Locannn/Comments Type R -Value (awc, .ca garages. typi-cal, etc.) Wall .............. Wall ............. Roof ............. y Roof ............. � Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single. double) oUer blind, etc.) (shadescreen, etc.) (yes/no) (metd/wood) North North ( ) East ( )_ EastSouLh ( ) Sou thWes t - West ' Skylight....... - THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) L.Ocatiorl/Description (kitchenu bath. etc) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct conditioner, heat pump) (SE. SEER,HSPF) (attic, etc.) R -Value Maximum Fumace Heating Output: . _ HOT WATER SYSTEMS .rte Manufacturer / Model # Btuh �� p Manufacturer/Model # Mandatory Measures Checklist: Residential MF -111 NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the complin+ce approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fisted on the Certificate of Compliance. When this checklist is incorporated into thi permit documents. the feantres noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMEKT . Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). ' 12.5352(k} Slab edge insulation - water absorption rate no greater dun 0.3%. water vapor transmission rate no greater than 2.0 p=Wuxh. §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: Infhlt ation/Exfultration Conirols a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage - b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetration caulked and stake §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fu tplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2.5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2-5315: Setback tuemostat on all applicable heating systems. • 42-5316(a): Ducts cauaucted. installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 12.5352(1): Water heater instdation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return 6c recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. c. 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. 42.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorcxent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEM WT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Mptex 2. Subchapter 4. Article 1 of the California Administrative code, This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to my subsequent pur laser of the building. 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