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HomeMy WebLinkAbout042-030-0660 742=-03-66' (Recorded Ag Statement) 42-037-66 597-90B,P,E,M MEEKER, Randy _- 615 Crimson Ct, Chicon ( new sf) ' ' . M ti i- -_ - 042-030-066 PERMIT#96=110.1 DIXON & CASTELLANO 615 Crimson Ct., Chico Cont; Adonis Pools 042-030-066 05-2044 LINQUIST, RANDY 615 CRIMSON CT, CHICO Cont: GREENE ROOF REROOF.65 SQ NOTES RESIDENTIAL i PERMIT N0.. 042-030-066 05-2044 LINQUIST, RANDY i 615 CRIMSON CT, CHICO ` Cont: GREENE ROOFING i I REROOF 65 SQ • i - SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER K- - t c, JOB FINALED (D _ l Signature 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. BPO52044 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/02/2005 APN: 042-030-066-000 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: 615 CRIMSON CT CHI License Class : License Number: Map Index: Date: Contractor: Description: REROOF 65 SQ COMP 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: Anycity or county which requires a Owner: LINQUIST FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior C/O LINQUIST RANDY TRUSTEE ETAL to its issuance, also requires the applicant for such permit to file a 615 CRIMSON CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 95973-8792 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 'the structure is not Applicant: LINQUIST FAMILY TRUST intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an C/O LINQUIST RANDY TRUSTEE ETAL owner of property who builds or improves thereon, and who does 615 CRIMSON CT such work himself or herself or through his or her own employees, CHICO, CA 95973-8792 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: BOE ROOFING 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 3126 JOHNNY LANE pursuant to the Contractors' State License Law.). CHICO, CA 95973 ❑ I am Exempt under A. cle s anrd!roo�fs ode (530) 342-4919 �theB �Owner: Date: License #: 820046 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for.the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Total Square Ft: 0 S. F. Carrier: Valuation: $0.00 Policy #: Census Code: O"I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, �( v L/ and agree that if I should become subject to the workers' �- compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of , compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 'CONSTRUCTION LENDING AGENCY This perm'! is -hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu o s to do work in icated, bov or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Z Date: J Name: yl PERMIT EXPIRES ON:4L Address: Dat O; 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. O 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 dbstece-of-" official form or do ment Butte County' I hereby authorize re tatives of Butte County to enter upon the above mentioned property for inspection rposes. Print Name::: y9Vt y. Signature: Date: 12 f> '@ Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor ='OK =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. / /Nat. or/ /" LTJ P LPG 7. Well Clearance S, 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 It'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-ConnectoP 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; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. 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 7. Stab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 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 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. Bdnn. 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. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. 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-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive 0 Yes O No/Walks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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. Fre 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: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 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 K 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. Bdnn. 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. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. 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-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive 0 Yes O No/Walks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52044 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/02/2005 APN: 042-030-066-000 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: 615 CRIMSON CT CHI License Class : License Number: Map Index: Date: Contractor: Description: REROOF 65 SQ COMP 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 Owner: LINQUIST FAMILY TRUST Business and Professions Code: Any'city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior C/O LINQUIST RANDY TRUSTEE ETAL to its issuance, also requires the applicant for such permit to file a 615 CRIMSON CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 95973-8792 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: LINQUIST FAMILY TRUST intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an C/O LINQUIST RANDY TRUSTEE ETAL owner of property who builds or improves thereon, and who does 615 CRIMSON CT such work himself or herself or through his or her own employees, CHICO, CA 95973-8792 i provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: BOE ROOFING 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 3126 JOHNNY LANE pursuant to the Contractors' State License Law.). CHICO, CA 95973 ❑ 1 am Exempt under le azttr de (530) 342-4919 �theiness Owner: Date: License #: 820046 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Total Square Ft: 0 S. F. Carrier: Valuation: $0.00 Policy #: Census Code: 131�'1 certify that in the performance of the work for which this permit is issued, I shall not employ any persons any manner so as to //] F / / # become subject to the workers' compensation laws of California, a, �� `�(/ (� �// 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. _ p S Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code andlor- I hereby affirm that there is a construction lending agency for the o stodowork in icated ov or which fees have been paid.performance of the work for which this permit is issued (Sec 3097 Ci �e..solu Name: Date: V PERMIT EXPIRES ON: Address: V C (Date) O; I 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. ❑ 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 official form or do ment Butte County: I hereby .authorize re tatives of Butte County toenter upon the above mentioned property for inspection rposes. Print Name:liA%3 Signature: Date: Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor I', 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** H OWNER Last' Name =�r,1 F' ame 9 S. City Fax Address i J 5 Z�S--q i -t City Map Book State Zip nJ j Lic:#Z Off` 3 Phon Fax E-mail r �h v a. Goy H APPLICANT NAME CONTRACTOR Name =�r,1 Addjss2 O ►�<J�- City Fax State Z�S--q i -t Phone 31 Z Z Map Book Fax _209 E-mailClass Planner Lic:#Z Off` APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Address Prop W!s Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# L .Z 9.10 O Address Prop W!s City Cross Street WORKER'S COMPENSATION Policy Number Carrier 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: L 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 Amount: Bldg SRA Receipt #: ✓"[ l Sheriff SMIP ��� Other Date: S _ "7, S-0 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 IN 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 calcs 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). ❑ 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 prior to occupancy). ❑ 6. 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 R IDENTIAL �. 042-030-066 PERMIT#96-1101 DIXON & CASTELLANO . 615 Crimson Ct., Chico Cont; Adonis Pools = t New Pri Swimming Pool iy L 1 JOB FINALED (Date) Signature V=OK O = Not OK Not '=Not Ready b�e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location-TestVVrap; / / L'ft. / /Nat. or/ /"L°ft./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector POOLS Plans OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances etbacks-Easements 5. Drain; MH Test -Fall -Flex Connector oils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector - - ool Structure; Steel -Connections -Thickness Dea en -Linin 7. Water and Sewer Connected -C/O to Grade -HD Approval e-IMT-eptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged . lec.;jool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. OeoEle-c., E;gclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch i!E7'ec�ng; Metal w/6 -Circulating Equip. -Heater 11. Cert of Occupancy 4!15ec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Boxes-Enclosures-Panelboards-Ins. to Main in Conduit T--0-4imlth2artment Approval 1&K-mb.; Cir. Test -Water Supply Test 7% DateG " (, Card B-1 Date Card B-1 Date r? _4fo Card B-1 Date Card B-1 vs L MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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 etbacks-Easements oils; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness Dea en -Linin e-IMT-eptacles and Lighting, Distance-GFI . lec.;jool Lighting; 15 Volts-GFI OeoEle-c., E;gclosures; Conduit Entries -Terminals -Listed i!E7'ec�ng; Metal w/6 -Circulating Equip. -Heater 4!15ec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit T--0-4imlth2artment Approval 1&K-mb.; Cir. Test -Water Supply Test 7% DateG " (, Card B-1 Date Card B-1 Date r? _4fo Card B-1 Date Card B-1 vs L 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Bfockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection -------- -------- ----------------- ------- --- - --- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access ----------------- - ------------- ---------------------- 20. -Test -Tub Tub & -Shower.-Second-Floor-Tub Access --------------------------------------------- ------ -- - - 21. Gas Pipe: Size & Anchors - ---------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- ---- - - -------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except rr's 22. Fixture & Transformer Clearance - Ins. Protection -------------------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- - ---- ------ - - --------------- - ------------------ ---------- 24. Size Boxes & No. of Conductors -Stapled ------------ - ----------------------------------------------- ------- -- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------- -- ...... 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------------- 27. ------------------ ----------------- 27. 2 Appliance Circuits in Kitchen_ & Conductor Size,GFI -----------------... --- --- -- 28. Subteed Wire Size ga Cu or AI-A.C. Wire Size - ga. Cu or At ------------------- 29. Range Circ. ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - - ------------------------------ --------------- .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------- - --_..... -... . .. . ....... 31. Equip Clearances Panels-Motors-Mech. Equip. -------------- ---------------- --- ------------------ ------- ------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- --------------- - ------------ ---------- --- ........ I..... ... . . . 33. Smoke Detector ---- -- - - - -------------- ....... ...... ....... ..... .. Date Card B-1 Date Card B-1 ----------------- _..._. ............ .-.....-----... .- ....... ... ... . Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) DK except a's 34. A.C. Ducts Insulation & Support - --------------....-- --------------_....._..._--- ........... ... ... .. .... .. 35. Vent Fan: Exhaust above insulation -------- -- - --------- .. ... .. 36. Conden=ate Drain &Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - ------ .._... .. ..... ... . 38 Attic Access & Platform it Furnance in Attic ------ ---- - - --- .-. --- _ .. ....... .. . . .. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39 Sils. Proper Material & Anchors 40. Walls Studs-Naihng. Spacing .& Bracmg-Plates-Sound . ............. 41. Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) ...... . ---- ... _ .. ._.. 43. Fire Stops: Furred Ced ngs-Stags-Chases-Tub 44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -------------------- 49. -- Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ------------------------ 50. - Garage Fire Protection Framing ----------------------------------- 51. Property Line Firewall & Openings _ _ 52. _ Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Width -Headroom -Rise -Run -Landing -Fire Protection 54. _Stairs: plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ---------------- -------------- 56. ------ - Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------- --------------------------------------- ----------------------------------Date Date - - -------- Card B-1 Date Card B-1 ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings --------------- 62. ------------------------------ Smoke Detector - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------------------- 64. Bedroom Exiting_ .... -- ---.... 65. G.F.I. & Bath Fixtures & Tub Access -Spa --- - 66. ---------------------------- -- - ---------- Elec. Trim & Subpanel: Breaker Sizes & Labels ...... 67. Stairs & Rails ...... 68. .._..------------------------------- - Fireplace or Stove: Clearances Hearth ...... 69. . Elec. Outlets at Wood Panel: Int. & Ext. .------- ----------------- _. 70. --------- Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ....------------------------------------ -- ... ... 71. .... Elec. Outlets & Receptacles at Kit. Counter _ ... ----- -- - -- -------------- --------- 72. Garage Fire Door: Swing -Landing -Closer ...... 73. A.C. Duct in Garage -Damper ........ ----------------------- 74. -- Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. -- In Garage: Above Floor -Meth. Protection -------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location _----------------------------------------- 76. - Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------------------------- ...... ------ 7 . ---------------------------------------------------- Insulation -Foam -Looked in Attic ❑ Yes . ... 78. ---...-------------------------------------------- Guard Rads & Deck Construction -Post Caps 79. -- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. -------------------------- -- Followinginstid.,. Drive C Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------------------------ 81. - Stucc... ....--.... --------------------------- ... ... 82 ... ... --------- A C Unit: Disconnect. Electrical, Plumbing ... ....--- .....----------------- ---------- -- ----- 83. Vents Above Roof: PIbg.-App liance- Fireplace. -Clearance to . . . .. ........."_ Openings _........---------------------- ----- 84 Water Well: Disconnect. Electrical, Plumbing 8-5 Exterior Elec. Trim: G.F.I. Receptacle -Underground . ..... ..... - ----- 86 ------------------------------- Ventilation Throughout House ---- 87 ---------------- Glass Protection 88. ---------------- -- --------- Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric 90. -------------------------------------- Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------- 91 Energy Compliance Certificate -Other Certificates ------------------------------------ . ... . .. . . . ..... ....... - ---- -- - -------------------- Date Card B-1Date Card B-1 . ----- _._------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: X I` COUNTY OF BUTTE - DEPARTMENT OF DEVELbPMENT SERVICES - BUILDING DIVISION !� 7 County Center Drive - Oroville, 641ifornia-95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 4�0--1.1©I ASSESSOR PARCEL NUMBER 042-030-066 ZONING SR1 BU I LD I NG P ER M IT OWNER DIXON - CASTELLANO TELEPHONE 891-1569 SQ. FT. OCC. BUILDING VALUATION 32,000 OWNER'S MAILING ADDRESS 619 CRIMSON CT CONTRACTOR'S NAME ADONTS POOLS & SPAS TELEPHONE 891-1197 CONTRACTORS MAILING ADDRESS 19 PHEASANT RTIN CT Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 297700 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00XXX Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 615 CRIMSON CT, CHICO PERMITFEE $ 340.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO.SUBDN131oN'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL; SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER 94-504 Mobile Home I S I GI W 1 @20.00 PERMITFEE $ 500 Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �% /'+ /' p License Class Lic. No. r�C CG [�8�/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLAS. ) SD. 3.5Q FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER NGL APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 �� 50 Ex. Occup. (ouTLEEDTs RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 1 30.0 PERMITFEE $ 50,0 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. ff,I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatioryu�su�gjlce cr ier oli- bar are: Carrier ��, ���� � MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 o California, and agree that if I should become subject to the worker ' com o prows of section 3700 of the Labor Code, I shall fort Ith c with pr ision _ p Date S=p2-0 —Z�o S1g Applicant - ❑ Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3,stories height. Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 425.00 HAZ. I D. FEES IMP FLOOD COF PARCEL PD HD SU This permit is hereby issued under Code and/or ofUButte)for inwhich fees have By PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. 5 2 l 9fO Date So 512 F, (Date) siin Receipt No. �qY 7� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMEN OF D V L A `MENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ti PERMIT APPLICATION DATA SHEET OWNER 1 xr( Proposed Building Use A. P. No. Oya'036-000 Building Inspector�, Date 5 - 0 1(0 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot.plans, 3/4 sets, signed by preparer of plans. .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $................................ ...... . 11. Impact fees as shown on attached schedule. ...................... "�...... . 12. California Department of Forestry plan approval/fees.................. .... . 13. ood elevation letter (100 year flojJ by_California Engineer. ......... `.... .. . Sanitation and plot plan approval �-ywe9• Health Department. ........�....� 15. 'City of Chico plumbing permit. ........ i 16. ,Plot plan and business license approval from City of Biggs/Gridley. ......... . . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... . 19. Driveway permit (construction approval required prior to occupancy).P ..... . reanspedion reqJ­e-sr' 20. Pre -inspection for required. . to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ... . �0; ............................ 26. Copy of recorded deed of parcel creati. -6 fight of way to a public road. ..... LI / 27. Letter of intent on building use. ..... `. v . ?7 .......................... tf 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list. ....... . "6 F-Qfld. Kai Qd�� 34. When you issue the permit, process as follows: Mail oAner. Mail to contractor. Telephone - and hold for pickup at office. Deliver with inspector. Other Parcel Creation q Acreage Applica 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 1. Index permit for above items No. _ 2. Additional items required: permit issuance: (Circle new item not checked above). ractor esigner, owner, was advised of above required data by phone _ mail Counter by � Date S Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by i Date Plans approved by G t 2 G a,,/ S Date 5-Z5=.. � Sets of plans on hold in - File cabinet AP folder Copy - Department of Public Works 7 J E.H. USE ONLY Plot Plan AC�cLad �S Plow Plan Amnched Seat to B.D. TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# 'Plan Approved for: Sewage Disposal Water Supply:Public Private Well Clearance for bedroom mobile home. Other 5Cvi•w 7 �o / Hold final for: Final clearance O.K. for: NOTE: Environ ental Health Xpecialist Date 8/92 A,— PCP RESIDENTIAL E 4 X03`-66�- --� - - 597-90B,P,E,M 0 r MEEKER, Randy rt + 615 Crimson Ct, Chico (new sf) I •I R i ('t.SSIe/Rlaa ro Cy/��GrZ Ta %3Ay r OFFICE COPY .� Address 'G GAS ` Meter BY -4 Date r w ELECTRIC Meter By Date OFPY FICE CO Address_ 13 rCiof"'"90^j C6� 0" '(o C� GAS t Meter By Date - ELECTRIC �s�3, 1 Niter By Date j ! �06.gmx va/y. G 1, L vL4q OFFICE COPY 1 s• Addressai)s 'C�/Nis��/• Gt GAS J 'Meter By Date jl ELECTRIC ` Meter By Date JOB FINALE �b Signature i.ti J=OK O=Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH. Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"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 1 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 #'r, 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: Connectors } Shthg.-Rig.-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- Enclosures-Panel 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 W 1 , 1 'J. OK °' O=Not OK - = Not Applicable RESIDENTIAL (; = Not Ready Date UND LOOK Plans OK except #'s • zo -Setbacks-Easements- od-Slope t Main; Soils-Elec. .-/) Ftg. Depth F!g., Garage; Soils-Steel-Elec. Grnd.-)%i" Ftg. Depth g. rches & Decks; Soils -Steel-/ /Ftg. Depth G to ails, Main; Steel-Blockouts-Wrapped . temwalls, Garage; Steel-Blockouts-Wrapped 6a. lJold Downs and Special Anchors 91."Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel L9,_D-VfV.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date 4. Zc(-C,o Card B-1 M a Date 8 • /-`7) Card B -t OS -1 'Date A - 10 AriCard B-1 Date Card B-1 Date PLU BING Permit OK except #'s 0/ -� J-9 1 ater Htr.; Vent- ccess- s ' e r1 1, = b nter Pine Anrhnr-N4 Prnte -e'f A / c % ga 7rA 1 V.; Fittings & Anchor 'I PI4)tec ' n Shower Pan; Test, First Floor -Tub Access rCG y ^/1 0 est Tub & Shower, Second Floor -Tub Access h" Gas Pipe; Size & Anchors Date % - S - `VCard B-1 '✓ Date a Date /1Card 8-1 (_5, Date Date ELkCTRICAL (Permit) OK except #'s - fpCard B-1 C --AJ tr1--Card B-1 C/I `] t, W( ture & Transformer . Clearance -I PAMOA 23. Elec. Receptacles Spacing -Lights Switches at Doors 2 Si a Boxes & No. of Conductors -Stapled 2. omex Installed Close to Edge of Studs & C.J., -�j quip. Ground made up w/Meth. Fastners- a & Water 2 . Appliance Circuts in Kitchen & Conductor Size/GFI 2V Subfeed ire Size -12.1 ga. Cu o&A.C. Wire Size 14 / ga. Cu 099 10 -FaG+ 2 Range Circ. /1' ga. Cu o<&90ven Circ. / / ga. Cu or Al. Insulated Neutral O Yes Wo 36,,Service-Riser Conductors & Ground -Main Disconnect 3VEj6uip. Clearances Panels-Motors-Mech. Equip. 3 . lothes Closet Light -Shower Light -Spa Light �J Smoke Detector Date - O Card B-1 Dateey , 4s Card B-1 Date Card B-1 C S Date •7 i 1,0 Card B-1 C. S >„ Date ME ANICAL (Permit) OK except #'s 4. C. Ducts Insulation & Support -417,1 Went Fan; Exhaust above insulation Q , JWondensate Drain & Overflow; Size & Grade 37. rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet , / y. -r7 (JWttic Access & Platform if Furnance in Attic Date 9J Card B-1 C- Date 1 9, 9tard B-1 c5 Date !2�/3142 Card B-1 Date �i �M Card B-1 dip Date I tRAP41NG Plans) OK except #'s Sils, Proper Material &Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4J! Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) _ B Fjre Stops; Furred Ceilings-Stair)s-Chases-Tub / faHeaders & Beam -Size & &—aOT), id Jw J, (i(„ (NOTE: An entry must be mac I ingle & Duplex) Date ' FRAMING (Continued) 4'er ngers-Post Caps -Anchors -Connectors 2 Ing. Joist-Rftr. ties -Pu rlin—roof Brac-Truss-Shthng.-Rfng. . Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles �Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing -53. Property Line Firewall & Openings 151 Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits •§3, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. plyvood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer St cco Mesh -Drip Screed -Fd. Vents-Underfir. Access Glazing Area -Glass Protection -Skylights -Plastic. ear Walls; Nailing -Bolts 7 Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - Date `�� 9-4� Card B-1 Gs eJ Date .90 Card B-1 Date ° Card B-1 G Date - =' -7-Card B-1 Date FIN Plans OK except #'s Steps -Door & Sidelight Protection -Landings 6!r -Smoke Detector 1 08'Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ¢ . -room Exiting F.I. & Bath Fixtures & Tub Access -Spa { Elec. Trim & Sub -panel; Breaker Sizes & Labels 677 -Stirs & Rails iJ&e."Frwace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. w5ko.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counters 2. 9,erage Fire Door; Swing -Landing -Closer .2 C -ED L-A Af S UT A . Duct in Garage -Damper . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection J!:± b., Elec. & Mech. Equip. Listed for Location 6. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic CKes 7&-6uard Rails & Deck Construction -Post Caps . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under FI oE35cAS❑ fi?Following instld.; DriverT Yes O No; Walks Ys, ❑ No; Planters 0 Yes No Aeltucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing ,85"Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings `6:: -toter Well; Disconnect, Electrical, Plumbing i3eE5rior Elec. Trimgn ; G.F.I. Receptacle -Underground . V tilation Throughout House ss Protection Corre ions from Previous InspLetions �i! •Qo9#Apemeters Tagged; -Electric 6L ,18 •0,0 W r & Sewer Connected -C/O to Grade -HD Approval Energy compliance Certificate -Other Certificates Date 7_14 -fo 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 each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville- Phone: 53$-7541- 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE EC/LC�Z .597- 9'y 0 N5R 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 rrection of work is completed. If you have any question pertaining to this mat r, or need additional explanation, please contact this office immediately. 'J). U-_ _ _ _ ' ..j Date Inspector I_t Ir COUNTY OF BUTTE �• DEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi,l le — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Xrokek- OWNER �• 1; 0 'ERMIT 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 ma4er, or need additional explanation, please contact this office immediately. Nee e) Fite AL&,�- W4L, L pRou, ` Jaime o,c Date Inspector COUNTY OF BUTTE DEPARTMENT 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 4 CORRECTION NOTICE S cl-) T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 Date 7 / / _. / v Inspector • Adll� t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS v 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER 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. .n 8 k ro from a oma, nArAe yr 7- - 90!!0 C ,zflnecirnin) or __11 AX F%L� Recessed �i hrs "'�! /i'P" Can Re6r)0..J jZ9�- 5,0 rJ [ _r lor- 194.(— , �+ C41? Lam''AV- GX / o T3 —7 - 7, Inspector COUNTY OF BUTTE DEPARTMENT 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 OWNER PERMIT Nf 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. FM F6,�1�3 A.)A,1-Yce-5 /a use grc.L /< C ar co i� 0 �•� �'�- DQE �'C Cd/,o � :� � o �. Coy cc�'r�o�l %?.�-- A L5Oiut- QC.eo I't,9L ( 1S�L/dr.E - Date Inspector' — - COUNTY OF BUTTE DEPARTMENT 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 S97 - qU OWNER 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 _71 -ter, or need additional explanation, please contact this office immediately. ,-A- O`- / Date ti' Inspector__ _ i 2-,1990 e-CDu . old fig.. 'rhe h�rne I.o.c fled:cit �.�5 Cry m son_C and - uJasy.._.d:es� gni �o� �h-��u:�._c�6 , �-:e1�►.� cl�.�pa��.�. - r - �, ' � ,, .. � .. i 4 �`.,� y 1l i T.,i� .� •� i 9,^ �. �� r('j )�^i +•..J{� ?• Y• ly r ,`tib '�_�. � `^sn ` _ �+�t•t . i _ ... w !! _,, .. � � = � �_ _.. r .. s .. .. _ti �. �..._ �_ t .. __ Owner + �r Permit No. ENERGY CERTIFICATION LOCATION A.P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL THICKNESS EXTERIOR WALL MATERIAL FIBERGLASS THICKNESS Cgp fl—tol CEILING BRAND NAME THERMAL RES. BRAND NAME CERTAINTEED THERMAL RES. 19 BATT OR BLANKET TYPEtIglQk�RAND NAME CERTAINTEED. THICKNESS tO`f THERMAL RES. '30 LOOSE FILLTYPE INSUL-S.AFE IIIBRAND NAME CERTAINTEED THICKNESS sZ o & THERMAL RES. FLOOR,ELEVATED MATERIAL FIBERGLASS THICKNESS FLOOR, SLAB MATERIAL THICKNESS WIDTH FOUNDATION WALL MATERIAL THICKNESS BRAND NAME CERTAINTEED THERMAL RES. BRAND NAME THERMAL RES. BRAND NAME THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM NAME OWNER STATE CONTR. LICENSE NO. I hereby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equ' devices and materials are of the quality prescribed or spe ifical a proved"by the State of Calif. ------- ------- -- --- ,4 it ?45 --------------------------- FIRM /OWN (PLEA PRINT) STATE CONTRACTOR'S LICENSE NO. S GNATU OF GENERAL,CONTRACTOR OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-'Droville$ California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. V ASSESdOR PARCEL NUMBER . f _ _ 66 ZONIrJG _ BUILDING PERMIT OWNER TELEPHONE 343-4941 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRESS 6 Ranier Lane Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE 603 V 6,030.00 CONTRACTOR'S MAILING ADDRESS Fireplace 1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ • Filing Fee $ 10,00 LENDER'S MAILING ACCREss Chico Permit Fee $530.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 2_ .2 Energy Plan Checking Fee 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 34.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME Rosewood/`^ PARCEL MAP Water piping 5.00 5,00 Each Qas water heater or vent 5.00 O USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 9.00 Mobile Home S G W 10.00e TYPE OF WORK New ® Addition ❑ Remodei ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ Permit Fee $64.00 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 I declare under penalty of perjury (check one): _DFNON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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.ai New CONSTAR.� 2�zQsgft 96.00 OUTLET MULTI -OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE -OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20050a SALO 30 FIXED 11 Ex. DCCUp. OUTLETS PR RESID IEA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring Permit Fee $128.50 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. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 2 100,000 BTU 2 6.00-./1 Z<100 Cooling 2 3 Ton 2 6.00 12.00 Hood Down 3.00 3.00 Ventilation 4 3.00 1 12.00 Permit Fee $ 49.00 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, indemni and keep harmless the County of Butte against all liabilities, judg nts, o s, and expenses which may in any way accrue against un n c s ue a of the granting of this permit. X Date Signature of A plicant - Ownc Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" dee tion or construct- ion of structures over 3 stories in heightt..� �( Mobile Home Installation Fee $ Energy Inspection Fee $3,0 nn C 4C/ON�ST, TYPE W4 T AL FEE $1,09 .25 HAzJCtXV4 sCHy ✓/ FLD PAR PD IssuE ✓ Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date( -`'q -y^?o 4t- Ll ` f Receipt No. WNITC-D.P.W.. YELLOW -AS -1 P T LO EN RO D -APPLICANT ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ...... ZONING DWN H'S wlgl i. �s�u c C Tq ACTOR• AM CONTR ACTOR _'S ILING CONS;UCTION L - DER LENDER' ILING A I l na. aITECT O NGINEE !Y111 ARCHHIITt&r OR ENGINEER -S TAILING ADDRESS ILDING LdT NO. I SiT�•Gy V IMON'N AME PERMIT NO. 5R„ 1 BUILDING PERMIT TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION ) Y3- yyN I 3000 A _ 1 o & c;o o ELEPHON UNKNOWN 45f4f -'® 0 PARCEL MAP USE OF STRUCTURE SF L Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New Addition ❑ Remodel ❑ - Utilities ❑ Installation[] Other ❑ Describe work: Fireplace IvIttuawl/o.00 ' Total Valuat is Tq NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS POWER APPARATUS S (SINGLE OUTLET CIR. Filing Fee $ Temporary service 10.00 Permit Fee $ Permit Fee 0,5-b Plan Checking Fee $ MECHANICAL PERMIT 2 Energy Plan Checking Fee $ Hood dam✓✓ani / Penalty $ 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 Mobile Home Installation Fee Permit fee $ 11 6 - 7 PLUMBING PERMIT Filing Fee 10.00 Each Trap ovr 2.00 .3 Solar or heat pump water heater 20.00 $ Water piping 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 o c e OR ADDNS. ( ACC. SLOGS. ,g Q NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS POWER APPARATUS S (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) Temporary service Mobile Home Facilities Misc. Wiring 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. Notjjjjjjce 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 Heating I(V0-JI/; 10.00 Cooling 2 ,� 7.�/ Hood dam✓✓ani Ventilation permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction and hereby authorize representatives of the County of Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE $ 107 -- Filing Fee 10.00 , 10.00 C) o� 2.50 Z e '/20sg ft 2.50 ea 20Le90e eALO 30¢ 2.00 10.00 15.00 15.00 $ k Filing Fee 10.00 11 6 /2- iZ Z 3.00 � 712, ovr o.� I $ Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE SS --2-5- 1 also agree to Ave,i mnify and keep harmless the County of Butte against all I' tie udg n , costs, and expenses which may in any way accrue HAz CUA PARK SCHL FLD PAR PD HD Issue a �ai ou t i on quence of the granting of this permit. Th;s permit is Hereby issued under the applicable provi- Date sions of the Butte COUnty Code and/or resolutions to do Signaru of Applicant - Owner Contractor E]Agent❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or cons+ruct- DIRECTOR OF PUBLIC WORKS ion of structures over3 stories in height. Receipt No. 3-6'k - -770 By - PERMIT PERMIT EXPIRES Date _ ...-- - ... ........., ... .._-.... .. +•....•.nern+no .:nncu Pnn_�PeIfA�/-r Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use -�✓ 54= Building Inspector !�/ C'kxc Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer of plans .. -ngineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installatiar�data including manufacturer's installation instructions. 10 Fees of $ .. ...... :....................... Chico Urban Area fees paid ..-../.Jj. . Par fees pa{d..................................................:. 3:1a) - 0 3. G(/ School District fees paid ............ 4 Sanitation approval from GfiF CO Health Department I ` Q o 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of r (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 ................................... 6. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 4 - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit ' suance: (Circle new item not checked above); 1. Index permit for above items No. ' v 2. Additional items required: ` 4 Contractor, desig er, owner, as advised of above required data by hone�nail_counter by -date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by �LAC_ Date � � TPPlans approved by Date_e4--3" -Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: * Environmental Health SUBJECT: Sanitation Clearance Owner j Location AP# Plan Approved for: Sewaqe Disposal `'' Water Supplyc= z Hold final for: Water Supply Final clearance O.R. for: Clearance for a -P.- bedroom a home. NOTE * * * Sanitari Water Supply Other Certificate of Compliance: Residential 6105 Documentation 0 Climate Zone 11 677-20 Building Permit #' 4-K 3 -/9-4o Che&ed By / Date Pnforarnent Agency Use Only BUILDING DATA Glass ea % Glass North .'Z S •3 C ditioned Floor Area Sne5 Number of Stories East_ \2lwrtaist d Floor Number of •Units �_ South row .s [ ] Single Family Detached (SFD) [ ] Addition Alone West Z ,¢ (] Single Family Attached (SFA) [ ] Existing Building Skylight_ (] Multi -Family (Nff) [ ] Existing -Plus -Addition Total `Z2. g 13• BUILDING SHELL INSULATION. Component Insulation Locatilon/Comments Type R -Value (attic, to fiarage, cipicel, etc.) Wall ..............• WALL S / O Wall ..............-- 2� Roof ............. Roof ........ . Floor ............. Floor....r ... Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation, S sin double)(Tolley blind, etc. (shadescreen, etc.) echo) (metaMwood) _ . North Wf 166.2S L %� 1� _ p C"ML North ( ) East (1�i •: East ( ) South ( r Sou th West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness ' (slab/exposed, tile, etc.) S inches Location/Description kitchen, bath, etc. 540w 34 eAft* HVAC SYSTEMS Minimum Duct Type (furnace, air Efficienc)Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,H PF) (attic, etc.) R -Value (Btuh) (or approved equal) s --7a Maximum Furnace Heating Output: Btuh i HOT WATER SYSTEMS' Tank' hanufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) Sr` G -AQ SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) . syst- m i Unit Size (sQ 1199 I ' SEER 1700 2200 2700 Ssumet ducts In attic) to 2199 Stm of 7.10 or more 0 :-24 to -14 to -4 b +6 to 16 or -15 -5 +5 .+I5 more -12 -10 -8 '-6 -4 -7 -6 -5 -4 -3 -4 -4 -3 -2 -2 -3 -3 -2 -2 -1 0 0 0 0 0 3 3 2 2 1. 6 5 4 3 2 9 7 6 4 3 j 13 11 9. 7 5 17 14 12 9 6 Effective SEER 5 .3 EER xduct eMclency) .2 Stan of 710 b' _ 5 2 4 1 ,24 to -1410 -4 b +610 16 or -15 -5 +5 +15 more -25 -21 -17 43 -9 -11. -9 -7 -6 4 , 4 -4 -3 -2 -2 . 0 0 0 0 0 1 8 .6 5 4 3 114 -12 9 7 5 1 19 16 13 10 7 ,. 23 19 15 12 8 26 22 18 . 14 9 29 24 20 15 10 at Control Adjustment 9 1 8 7 6 4 3 !ooling System Installed 4 .4 -4 -3 -2 -2 3. 2 2 2 1 Inlly Detached and Attached Fuini aystem Summary: Climate Gone A i Unit Size (sQ 1199 120 0 1700 2200 2700 or ,) �ess b 1699 to 2199 to 2699 or more 0 0 0. 0 0 12 8 6 5 4 8 5 4 3 3 '5 3 3 2 2, :8_ 5 4 3 3 X37 -24 -18 -15 -12 -1 -1 -1 0 0 118 -12 -9 -7 -6 [25 -16 -12 -10' -8 118 .--12 MASS -9 ?7 -6 '. 5 .3 -2 .2 -2 b' _ 5 2 4 1 3 1 2 1 8 -19 -14 -11 -9 0 5 4 3 3 0 -6 -5 4 -3 �amlty (individual 95% units) 0% ' Unit Size (sQ 0.4 199 700 1200 1700 2200 �x b to to or Ss 1199 1699 2199 more 0 0 0 0 0 14 7 5 4 3 9 5 3 2 2 :9 4 3 2 2 '9 5 32 3.1, 2 45 -23 -15 -11 .9 2 1 1 0 0 223 -12 -8 -6 -5 -25 -13 .8 -6 -5 23 -12 -8 .---6 29 -5 1-8 -4 -3 -2 2 ! 6 3 2 1 1 1.-0 56 0 0 0.9 30 -15 _ -10 -8 _o -6 18 9 6 4 4 �8 -4 -3. -2 -2 Fuini aystem Summary: Climate Gone A SCORE CARD Measures Interior Mass/CFA Point Scores 1. Ceiling Insulation -3 or TT.x I MSS 2. Wall Insulation R -value [381 R•g U -value [0.0301 l or T R -value [ 111 . U -value [0.098] 3. Raised Floor Insulation -I- or 11.7-.C-4.2) J_rPe,.d .1_b) soup R -value [ 191 U -value [0.037] l TYPE I MASS WIMC • 4.2. Se: exposed slab) R -value [OJ F2 factor [0.771 0% 5% 10% 15% 20% 25% 30% 35%,4C% p 45%. 50% 55% 60% 65t 70% 75% 80% 85% 90% 95% 100% 105% 110%. 115% 120% 125• 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 2.5 2.7 2.9 3.1, 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 30% 0.3 0.5 0.6 0.7 0.8 0.9 1 1.2 1.4 1.6 1.8 2 2.2 24 21 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 40%. 0.7 0.9 1.1 1.1 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2 2.2 22 24 24 26 28 2.8 2.8 3 3 3.2 3.2 3.4 3.5 3.6 3.7 3.8 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 50%. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 9.4 3.6 3.8 4 4 42 4.3 4.4 4.5 4.6 4.7 4.9 5.1 5.3 5.5 5.7 59 Zonal Control? ( Y / N) SEER [9.5] Duct Efficiency [0.74] _�� Effective SEER [7.03) 13. Water Heating Type [SGl Credit [none] Point Total: 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 23 2.S 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 61 63 65% 1.1 ` 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 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 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80%' 85%. "1.4 1.4 1.6 1.7 1.8 1.9 2 2.1 2.2 2.3 2.4 2.5 26 2.7 2.8 2.9 3 3.3 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 90%. 1.5 1.7 2 • 2.2 2.4 26 2.8 3 3.1 3.2 3.3 3.4 3.5 3.6 3.8 3.8 4 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 5.1 52 54 5.6 59 6.1 63 65 67 95%. 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 53 5.4 55 5.6 5.7 5.8 5.9 6 6.2 6.2 6.4 6.4 66 66 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 6.7 6.9 7 105% 1.8 2 22 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110%. 115% 1.9 2 2.1 2.2 2.3 2.4 2.5 2.6 27 2.8 29 3 3.1 3.2 3.3 3.4 3.8 3.6 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.1 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5 6 5.9 6 6.2 6.4 6.6 6.8 7 7.2 125% im ! 1 2.1 2.3 25 2.8 3 3.2 3.4 3.8 3.0 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.2 6.3 6.5 6.5 6.7 6.7 6.9 7 7.1 7.2 7.3 7.4 Fuini aystem Summary: Climate Gone A SCORE CARD Measures Point Scores 1. Ceiling Insulation -3 or 2 2. Wall Insulation R -value [381 R•g U -value [0.0301 l or T R -value [ 111 U -value [0.098] 3. Raised Floor Insulation -I- or soup R -value [ 191 U -value [0.037] 4. Slab Edge Insulation 103- or R -value [OJ F2 factor [0.771 5. Infiltration Standard p 6. GlassHeatLoss y 3 �) +4 �- Type [double) U -value [0.651 4o Total Glass 1161 Sum 1-6 7. Shading (Shade Open) a. North % Glass 5.3 x SC Eff. % Glass b. East c. South x - -- x d. West= e. Skylight x x 8. Shading.(Shade Closed) • ,� :, ::, a. North % Glass 5.3 x SC 1 (� Eff. % Glass Ll - = 3, A' �n b. East South � x c. x �_ = 2- 37 d. West x_ 1 1 s �) e. Skylight x 1-7:2 _ 1: - 9. Interior Thermal Mass TYPE 1 MASS AREA InteriorNtsslCFA' COND. FLOOR AREA 10. Exterior Wall Mass Q_ TYPE 2 MASS AREA _ $ Q _ Exterior Wall Mass ND. L OR AREA Sum? -10 11. Heating System • % 2 x . _ -4- S Zonal Control? ( Y / N) SE or HSPF Duct Efficiency 10.781 Effective SE or 12. Cooling System [0 g76 x HSP� _ F [0.5615. 151 . -t- Z- Zonal Control? ( Y / N) SEER [9.5] Duct Efficiency [0.74] _�� Effective SEER [7.03) 13. Water Heating Type [SGl Credit [none] Point Total: 1. Ceiling Insulation Number of stories Slab Floor Insulation in Floor Number of stories Number of stories R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -02 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 Number of stories Slab Floor Insulation in Floor Single- Single - Number of stories -11 -7 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value f' 0.40 95 46 30 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 •0.02 19 14 10 0.00' 24 18 12 3. Raised Floor Insulation Number of stories Slab Floor Insulation in Floor One Two Three Number of stories -11 -7 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value One Two Three r - --- 0.60 . -144 -70 -46 i 0.50 -120 -58 -38 f' 0.40 95 46 30 ' 0.30 -69 -34 .22 0.20 .-43 -21 14 0.10 -17 -8 -5 0.08 -11 -6 -4 _ 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace '�; 5'S?'. �• Yom_ ' ii1 s,; +µms lq ' r S. Infiltration (Air Leakage) Y -, i+Spe':j c tan 'r '` a Points Standard 0 6. Glass Heat Loss Total Number of stories Slab Floor R -value One Two Three R-0 -11 -7 -5 R-5 4 4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation less 50 Number of Stories ' R -value One Two Three R-0 0 10- 0 R-5 8 5 2 R-7 8 6 134- F2 factor -29 -19 0.90 4, --3 -1 0.80 -1 _1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 '�; 5'S?'. �• Yom_ ' ii1 s,; +µms lq ' r S. Infiltration (Air Leakage) Y -, i+Spe':j c tan 'r '` a Points Standard 0 6. Glass Heat Loss Total 0 Slab Floor ' Mass U -value (percent glass x SC) Percent . Stories .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 -0 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 it 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) 0 Slab Floor EtYecure Percent Clays Mass EReeuve Percent Class (percent glass x SC) 1 Effective Stories (percent glass x SC) /CFA Effective Two %Glass North East %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 -1 -9 1 �B. Shading (Shade Closed) 0 Slab Floor EtYecure Percent Clays Mass 3 (percent glass x SC) 1 Effective Stories 4 /CFA One Two %Glass North East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na '11 :7.- -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 • -17 , -23 -21.. -56 7 -4 --14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 3 7 8 10 9. Interior Thermal Mass Interior 0 Slab Floor Raised Floor Mass 3 Stories 1 0.40 Stories 4 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 it 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 '10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Single - Wall Family Family Mub Mass Detached Attached - Family 0.00 0 0 0 0.20 3 2 1 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 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 _ Sum of 1.6 _ - -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 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to :4 to +610 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 Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject Loft Standards must contain these masures regardl= of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requuemems listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features notedshall 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. DESCR MON I DESIGNER I ENFORCEMFNr I 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 than 03rb• water vapor transmission rate no greater than 2.0 permlunch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(0: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed 10 limit air leakage. b. Doors and windows certified. c. Doors and windows wead wrstripped: all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards: §2-5352(d): Installation of Fireplaces 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 bumming gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 12-5352(h) and 2.5315: Setback dwr nasta: on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2.5314(c): Gas -fated space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters• showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a- On/off switch on heater. b. Weatherproof instruction plate on heater. e- Plumbed to allow for solar, 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT 'This certificate of compliance lists th^ building feamn% and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptcr 2. Subchapter 4. Article I of the Califomia 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 any subsequent purcimser of the building. Designer Name: TukJFum: Address: Telephone tic. 0: (signature) (date) Documentation Author Name: Tak/Firm Address: Building O Name: Enforcement Agency Name: Agcnry: Tekphorw i ^,o�E3Slp:,� S AO���g t'IIL P-�SIDEI�IG� R. C. E. s42-It ^P 9'i cP M® N Reg. Expires 9-30-91 No.C34257 ® ' BY: DATE: 3, - L3.90 �Tq C/Vl�- a,�Q NorthStar 20 Declaration Drive JOB NO: Q 3Z j OF C�����P' Engineering Chico, CA 95926 PAGE: OF 4- (916) 893-1600 Civil Engineers • Planners -.Surveyors. 4 C. 7, � L 1$5. 4 c + 2 Z-'> + I I•, = 3a1 . Pt,F Arr« o�-rE��►cx Z- � -1 I v L .11 4,-3 1,,] - DISE Ox I Z r>r MUNTY A Pvm%ROVr= ..---2'-`� @ 24 D.C• QPr_TE{zc.-_L�.L_.. �F_.-._. Z), 6, Q IL-" ot.• CJS I.�I PSr • M ISG. 2 PSr v-1?SF 24, of-: 19.5 4..1S) --341'z5 PAF_ U -1•z15 53.1 ..1!J z _.... _ .. - .. _ 5 -� 130 �... _1.4 °L 1. _ .!r43 :_ _ E �o% 14.. __ -:. I ✓ Spam = �cpFESSIp,� S .(�Y . 4,0 � �� •�, M �IL� �S I D Er.l G� R. C. E. '�42�"}' �Q' Iq 4-1 Reg. Expu-es 9-30-91 � No.C34257 332'1(2 •'�) (3.5) 4Z BY: d-F�SL (IL� DA3 - 23 90 DATE: J�q CI Vt\- a,��" NorthStar 20 Declaration Drive JOB NO: ¢3Z j OF CtAk Engineering Chico, CA 95926 PAGE: 2 OF 4- (916) 893-1600 Civil Engineers • Planners • Surveyors 19.5 4..1S) --341'z5 PAF_ U -1•z15 53.1 ..1!J z _.... _ .. - .. _ 5 -� 130 �... _1.4 °L 1. _ .!r43 :_ _ E �o% 14.. __ -:. I ✓ Spam = i-15 E 4- x. 12 u F- J� I 33Z I CZ•'�) . � Iq 4-1 9 4 I' G-5) 332'1(2 •'�) (3.5) 4Z d-F�SL (IL� `.. q,4,v i-15 E 4- x. 12 u F- J� I R. C. E. °257 Reg. Expires 9-30-91 BY: N! a DATE: 3 - 23 90 JOB NO: PAGE: OF 4 �c,0`ESSIp,,✓ S 4,0 Fc Q) ire N ;"rn No.C34257 NOW �rq CIvt\- •� N®rthStar OF CA Engineering Civil Engineers • Planners • Surveyors I`'I E%EIL�t2 �S I DEIJ G� 6n1 GLIr'1�►� GQULT 20 Declaration Drive Chico, CA 95926 (916) 893-1600 PEEP -M G� C�P��l� E I .. .. SPP►_-��.=.2.2..5...._.____----�- -- - .._ _. 24.E _ y 2 _-..IS+S) _-_ 49q P_LF 49� i.Zz'5i sslz,s(.i•5� 410 ( 2,7-5 -1:2- = 31!003 I# � 31000 (la ISE; A 55tZ:5� I•S� .. � _ ISS __ ._•�•.I l� L LIu1--r0-Ir'1 FSM I �� _ (�r-1 �! Dca ���,M • !�f / Zo P/e0l//s 6— C6 C7.7 /�- = gti to I . °✓� I rJ z s.= 13�_ ._..�. .l�.l•5.. 1�3 USE F x 14. DFI ..W I rox 14 EFr��T I ��. � zC: �Fr�� ►Jorma-+�� F E 3,3, �q S R. C. E. Qj Reg. Expires 9-30-91 it o No. C34257 BY: NI a IVI DATE: OBNO: '¢3Z1 o sTOF CAUF�P��P . PAGE: 4 OF 4- M�� P—�SIDEh1Gl: ® lol5 G�Ir'i�� G�U�T ®NNO NorthStar 20 Declaration Drive Engineering Chico, CA 95926 Civil Engineers • Planners • Surveyors (916) 893-1600 ILI TGA F P,4 M I , r Q- �I =.. vo 230• �I•`�i , r-1 z 11 7A� 12. Zo+IS, l4 = 4 _..:1.4 ca . PLF 14-0 L _-)4.� L Z 4 .-1 I Tor _ -100. CIL ) TdTPc1 USE Co.- 4 IAF 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 5 -' ! C) OWNER SAN b `� A.P. # 9-2- - 03 - 6 GENERAL Zoning requirements: (sideyards and number of permitted living units). ,Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. Items on -data sheet., PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on -creation map or compliance document. FAU & FAS road'setback. t, FLOOR PLAN Complete to scale plan with dimensions. _2.. Required windows for, light and ventilation (Sec.'1205). ,3: Required windows for second exit (Sec. 1204). , Skylights (Chapter 34 & Sec. 5207). Human impact'°glass (Sec. 5406).` Required room sizes, ceiling heights (Sec. 1207). . GFCIs in baths, garage, and exterior outlets (Article 210-8). ,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. I< Garage firewall, door size, and closer (Sec. 503(d)(3)). -- 3'0" exterior exit door (Sec. 3304(e)). ireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS fSCEL undation plan complete enough to construct building. oor construction details complete enough to construct building. evations and wall construction details complete enough to construct building. of construction details complete enough to construct building. replace construction details and talcs if necessary. LANEOUS ITEMS TO LOOK OUT FOR 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). b! Proper roof pitch for roof covering (Chapter 32). .6! Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. I'G -Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). LY. Attic access and ventilation (Sec. 3205). 1-3: Underfloor access and ventilation (Sec. 2516). l,' Combustion air for fuel burning appliances. 1 -If'. -Noise requirements on duplexes. 1:6: Adobe soils - special foundation design. 1� Retaining walls requiring design. ® Unusual shape, size, or split level house requiring lateral design. 19'. Flashing at all exterior openings. .. BUTTE COUNY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) / L r- P �� Y Property Owner hwA y Project Location/Address (0 �� CA /,�,So,.,/ Subdivision 60 j/L{,�/p Q,0 Lot Number(s) a Residential Development: (check one) .;. New Development _Alteration/Addition Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units �/✓/L Comment:. Buil.- Department Representative Mte Chico Area Recreation and Park District(CARD) certifies that r- A w -b" Applicant "3:<I 3 - Phone Number (p ZAa1E2 (Street Address) (City) (State) (Zip Code) has complied with. -the requirements oft ButteyCo. -Reso"lution"No. 89-081_ by payment for_i_ dwelling units @ $722 for total payment of $ 7 2 Z 0-p- ARD Representati Date PAID BY CHECK NO. BANK NO. 9 0 -1 y 17' S a l PAID BY CASH I,11 R RECEIPT NO. park.fee (7/89) M . COUNTY OF BUTTE DEPT. OF PUBLIC WORKS MA 15 1990 n ' BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (On/e Form. per. Building) A.P. Number -d �'"`�"��b� Building Department No.� C School District A"/IC City D County ®' Jurisdiction y' Property Owner Project Location/Address "S'Pri Subdivision �DS�(ap Lot Number Residential Development: sq. Footage 3vroQ # of -Living MHI Addition (Group R) Units Commercial/Industrial: a 0 Sq. Footage New Addition (Including Exterior Roofed Areas) ,,-tBui4lding Department Representative ° DAte (Floor Plans reviewed -by School District Personnel) District Id. Nb. 9kn 0_/ 0 U A,A i I (A School District certifies that '.(Alpplicant Name) (Phone Number) ?con )pr L (Street.Address) Oct G 5 (City') (State) (Zip Code) has complied with the requirements.of Resolution No. by the payment of $ representing 'square feet. 71 School District Representative Date PAID BY CHECK NO.'3D''// REMARKS: BANK NO 9il' %C/71 PAID BY CASH ' white=applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Return to DPW AGRICULTURAL; S'TATE.IENT OF ACnTOWLEDGEPIENT OFFIC)AL RECIQRV�` �r�ru FOR RESIDENTIAL DEVELOPMENT C-11VA3NTy_/,',&.f,,:.. . OR Section 26-8.1 of the Butte County Code requires this acknowledgem&NPVA LCYTIT'R CO be recorded prior to issuance of a building permit. �� 13 8 13 P,j The property described herein is adjacent to land or include L R! within an area zoned for agricultural * purposes, and residents of 1 Lt A _ lt, t, (tt�Ct 'O this property may be subject to inconveniences or discomfort arising Si-21544[ from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California,. described as follows: A portion of Lots 5 and 7 of'Cussick Tract, according to the Official Map thereof, recorded November 27, 2895, in Book 1 of Maps, at Page 48, more particulary described as follows: Lots one thru nine of that certain Subdivision Map entitled "Rosewwood Subdivision" which recorded in the office of the Recorder of the County of Butte State of California, on June 13, 1984 in Book 96, of Maps, at Page A(,4 -a:7 eu Date.. June 11, 1984 a t C C r a 9 C c o co CL m E C O r(J m Q_ a) .n M c C coo Q) `o E a¢ I� co cD 0 0 M STATE OF CALIFOFgfll ,te COUNTY OF DD o June 11, 1984 I Iss. n r^T 11 PROPERTY OWNERS: Az? �-t J Greg L. Webb, President a Partner of Webb Brothers n— before me, the undersigned, a Notary Public in and for said State, personally appeared Gregory L . Webb and personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons who executed the within instrument a t-h.e President and Secretary, on behalf Gregory L. Webb, Inc. the corporation therein named, and acknowledged to me that said corporation executed the within Instrument pursuant to its by- laws or a resolution of its board of directors, said corporation being known WebbY; _ OFFICIAL S1:A I_ �„ to me to be the general partner of "?' r'" RANDY Coy Brothers Construction it o t1OTARY PUBLIC the limited partnership that executed the within instrument, and — CAUfORIJIq c „ i��' COUNTY OF acknowledged to me that such corporation executed the same as •.,.�. BUTTE such partner and that such partnership executed the same. Comm. Ex p. a 1985 I3aeaaIII aaanrraeaarrie1111Baeaaenaa� WITNESS my hand and official seal. eap Baeeeearch eg3eaearj Signature—_Z_ / (This area for official notarial seal) Al befo a me, ublic i and appeared proed to me y e!Uence) e s) i /are su ru ent nd ack-� e/ e xecuted al s&.al. INTERDEP ENITAL NEMURANDU11 From: I'rlsty F{emstal1, Dub:iect: Credit Deposit Check Date: �/do '?� A checI,<: deposited by your de,partrnent has been returned by the bank and cannot be redeposited. A copy of the chl�ch: is inclosed. It I:jil l be charged back to you on 3 credit dePclsit within the , next two weeks. 10lthin the next three workin•a days. please provide the informa— tion as to which funds to charge. if we are not provided with in— formation from you, we will charge the checks to the fund we feel i= correct. You can then verify the credit depo_.it when received and if the fund is incorrect, process a transfer. This procedure has become necess3r'y bec3U;e Of tI)e Iaci:: of r. Sp to this memo b;- some departments and the time invoIved in making follow—up phone calls. If you have any gUestions, please c3i 1 me. r=,33 51.1) ire eE; t P 133 . oo (CUIq f4e-s) i� l a i < ov i oto 1 - THIS CHECK S w °•;TT! Ej!2:T OF THE FOLLOWING INVOICES RANDY MEEKER DATE AMOUNT GEORGIANNE MEEKER IN`s` 8416 CONSTRUCTION ACCT. #6 RAINIER LANE 90-7477 3211 CHICO, CA 95926 r, 1. PAY TO THE ��► �,�- TOTALSIERRA CENTRAL CREDIT UNION ORDER OF A DISCOUNT NET IF INCORRECT PLEASE RETURN. NO R4WECESSAWJ` CHICO NORTH OFFICE 2201 PILLSBURY RO (0-3) CHI,CO. CA 959-2}6 I' r FOR- V I l ISG ,1 MA � � cont vt (�i�C_L) IV 11'0084 1611' 1s 3 2 L 174 7 701:0 L 300804 T R V -c k x ► T IY�'Yp Lnv11-1,yWA) DOLLARS S>JkFIDIENT F DS 7 I ��11 100000 2 Lo 300. r ,y + I, f l , l� I .:r J4 .,. -. ... . ... '. '� ,. 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