HomeMy WebLinkAbout042-580-053Z'
042-518-0-053 .93-3486ABPEM
BETTY; _MONTY
2020 BIDWELL 'AVE ,+- CHICO'
.NEW SF j
042 58-O-' 053 93-3656
+'
BETTY; '_ MONTY ".
' 2020 BIDWELL AVE. CHIM
NEW IT
042-580-053 99-289
. LINSCIIEID, ROBERT
2020 BIDWELL, CHICO
CONTR: BOWEN POOLS
NEW SWIMN41NG POOL
0
R 6 EN'TIAL
'- - -- - - 93-3l6 BPEM
042-58-0-053
BETTY, MONTY
2020 BIDWELL AVE, CHICO
NEW SF
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1
OFFICE COPY
Address
GAS
Meter By—Cz,Date
ELECTRIC
Meter By �U�_ Date I
Insulation Certificate
Numbs and Svcct Cary
County Subdivision
Lot Number
Description of Installation
ROOF
Matccial Band Name
Thickness (inches) Tbcm l Resisiance (R -Value)
CEILING
BauorBankctType FIBERGLASS BraadName CERTAINTEED
Thickness (inches) /.2. M=nal Resistance (R -Value)
Loose HI Type INSULSAFE III Brand Name CERTA ��
Convactar's minimum installed weightlft Ib Kutiimum thicimess L -Linc
Manufactu='s installed weight petsquare foot to achcive 7Deimal Resistance (R -Value) 3
EXTERIOR WALL
Material
7hickn= (inches),_
RAISED FLOOR
Materia! FIBERGLASS
•Ihidmess (inches)
SLAB FLOOR
Braad Name
'Atcimal Rrvstance (R -Value) .
Brand Name . CERTAINTEED
Thermal Resistance (R -Value)
Brand Name
Thiclrncss (inches)'Thermal Resistance (R-Vnlur)
1Vidth (inches)
FOUNDATION WALL
MatCrW FIBERGLASS
Thickness (inches)
Declaration
BrandNamc CERTATNT
'rhemial Resistance (R -Value)
I heteby certify ihat the above insulation was installed in the building at the above location inconformance with
the cutrnnt Building Energy Efficiency Stiridards for new iuidential buildings cont�incd infitic 24 of the
California Administrative Codes
Si ffiiium VdTde.
SHASTA INSULATION
udco tI uiw►tnstslla)
SiputW% and jidi
Dua 1
.272441
Licdiie Nianlia
D,ic
V=OK
0 = Not OK
= Not Ready Applicable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s "
1. Zoning Requirements -Setbacks -Easements "
2. Soils; Special MH Support Sketch
3. Sewer; Locatlon-Test-Fall-C/0 Concrete
-4. Water; Location -Teat -Easement Needed (Sketch)
5.•Electri6ity;L6cation-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /%"ft.
/"Net. or/ /'L"ft./ /"LPG
7. Well Clearance & Disconnect -
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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 -Fell -Flex Connector.
8. Water; MH Test -Regulator -Connector
7. Water and Sewer. Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged .
9. Exits; Insp.-Sketch -
10. Cert. of Occupancy -
' t • r� t +
41.
i
r
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s '
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-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/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
t Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.: Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosu res -Pane I boa rds- Ins. to Main in Conduit
.9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
f
1
t
r- h �
V=OK
O = Not OK
- = Not Applicable
= Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
RJESIDENTIAL (Single & Duplex)
CFtg., Main; Soils-Elec. Gro -W' Ftg. Depth
. W, Garage; Soils-Steel-Elec. Grnd; d' Ftg. Depth
4efta., Porches & Decks: Soils -Steel-/ /Fta. Death
6. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Id Downs and Special Anchors
lab; Steel -Wrapped
eOwers-Fireplace Ftg.-Steel
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. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation %
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D. .V.; Test -Fittings & Anchor -Nail Protection
3 J SM 1gj. ower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL Permit OK except #'s
2-fpxture & Transformer Clearance -Ins. Protection
a
23. Elec. Receptacles Spacing -Lights & Switches at Doors
2ize Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26' -Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. -2 --Appliance Circuts in Kitchen & Conductor Size/GFI
28: Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / g& Cu or Al.
Insulated Neutral 0 Yes 0 No
3(K Service -Riser Conductors & Ground -Main Disconnect
3'1: Equip. Clearances Panels -Motors -Mach. Equip.
3Y. Clothes Closet Light -Shower Light -Spa Light
33"Smoke Detector
Date/Initials MECHANICAL Permit OK except #'s
34'A.C. Ducts Insulation & Support
3 . Vent Fan; Exhaust above insulation
3ti'Condensate Drain & Overflow; Size & Grade
3, . Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
36' Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING Plane OK except #'s
alf,sils, Proper Material & Anchors
4 . Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4f. Bearing Walls over Girders & Floor Nailing
49- Draft Stop in Walls (rat proof)
4S. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
49.' Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
4�. 'Hangers -Post Caps -Anchors -Connectors
4,6. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
47., Fireplace Ties or Type A Flue -Fireplace Throat clearance
40/ Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
E Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
.,Property Line Firewall & Ooeninas
S2 Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51�4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
S.,Sidi ng -Nailing' Veneer
/!3/yl`/66,Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
67. Glazing Area -Glass Protection -Skylights -Plastic
89. Shear Walls; Nailing -Bolts
5 . Insu lation-Wal ls-Ceilings
60. Infiltration -Walls -Windows
g�,.r � � r,✓s y
Date/Initials FINAL Plans OK except #'s
JK Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
3. Furnace; Vents -Clearance -Comb. Air -Connector -
)n Garage; Above Floor -Ducts -Meth. Protection
AC Bedroom Exiting
6.5. G.F.I. & Bath Fixtures & Tub Access -Spa
B . Elec. Trim & Subpanel; Breaker Sizes & Labels
`67-Steirs & Rails
.68' Fireplace or Stove; Clearances -Hearth
6eElec. Outlets at Wood Panel; Int. & Ext.
719Ait.Fixt. & Appliance; Grnd :Air Gap -Cooking Clearance
71.sElec. Outlets & Receptacles at Kit. Counter
72,,Ga'rage Fire Door, Swing -Landing -Closer
73-A.C. Duct in Garage -Damper
74. r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
7,5-'Plb., Elec. & Mach. Equip. Listed for Location
.76` Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7,7,lnsulation-Foam-Looked in Attic 0 Yes
7Q} Guard Rails & Deck Construction -Post Caps
79.'Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth
clearance Looked under Floor Yes ./
80. Following instid.; Drive El Yes 0 No; Walks Yes 0 No;
Planters 0 Yes rO-No
Stucco; Brown -Finish
82" A.C. Unit; Disconnect, Electrical, Plumbing
W. Vents Above Roof; Plbg: Appliance-Flreplace:Clearence to
Openings
,-_84. Water Well; Disconnect, Electrical, Plumbing
85, -Exterior Elec. Trim; G.F.I. Receptacle -Underground
88 -Ventilation Throughout House
U -Glass Protection
rrections from Previous Inspections
/L 1 7 IN': Gas Test -Meters Tagged; Gas -Electric
96 -Water & Sewer Connected -C/O to Grade -HD Approval
SK -Energy Compliance Certificate -Other Certificates
Comments at Final:
4h C
_COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SE ICE BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Te ephone ( 16) 538-7541,75 _�RIT IT rOC�
APPLICATION AND PER IT / ( f�
ASSESSOR PARCEL NUMBER
042-580-053
ZONING
R-1
BUILDING PERMIT
OWNER
Mont Bett
TELEPHONE
891-0379
SQ. FT. OCC. BUILDING VALUATION
2,998 R 161 892.00
OWNER'S MAILING ADDRESS
3634 Bell Rd., Chico 95926
713 M 12 843.00
CONTRACTOR'S NAME
Owner
TELEPHONE
230 C 2 0.00
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1,500.00
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $ 179
225.00
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 919.50
ARCHITECT OR ENGINEER Monty Betty
LICENSE NO.
Plan Checking Fee
$ 597.65
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 1,560.15_
20
BidwellAve.,,Chico
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
15 7.00 105.00
Solar or heat pump water heater
23.00
Water piping
1 15.00 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
2 15.00 1 30.00
USE OF STRUCTURE
SFS Duplex ElMobilehome O Other
SPECIFY
Gas piping system 1 5 outlets
1 15.00 15.00
Building sewer
1 15.00 15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New JX Addition ❑ Remodel CIUtilities IDInstallation ❑ Other El
Describe Work: 4 Bedroom Single Family Home
qprinklers
15.0 15.00
PERMIT FEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service (101 OR LISS 200A0RLESS )
1 23.00 23.00
Main Service ( 200A TO 1000A )
46.00
NEW
OR ADDNS.T ( D BEACCGBLDS. )
X 3.5c FT..' 124.88
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
0--r-am a licensed under provisions of Chapter 9, Division 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 e` loyees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ 1.0 `50
D OR
FIXED (RES
Ex. Occup.UT
(OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
111-1'5ave placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 167.88
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
2 15.00 30.0
Cooling
2 25.00 50.0
Hood
6.50 6.5
Ventilation
4.50 22.0
PERMIT FEE
$ 128.50
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit. / / /q //q!
X Date / _
Signature of AID cant Owne ontractor ❑ Agent
An OSHA per it is required for excavations over 5"0" deev and demolition or
construction of structures over 3 stories in heigh*
• �'
Receipt No. LIZ_ t
__ DEIMOD-API-LICA
-,ota '• M. .LtiGL
W ITE• .D.S.-b.l!. CANARYAS
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
ocC
CONST. TYPE
TOTAL FEE $2,117.53
HAZ.
I D. FEES
IMP
I FLOOD
A
I CDF I PARCEL I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic ab ve f r which fees have been paid.
I CTOR OF PUBLIC WORKS /
8y a e /Date/ /f/0
PERMIT EXPIRES ON 7 `T
IDetel
COUNTY OF BUTTE
BUILDING'JI,VISION M
DEPARTMENT OF DEVELOPM, ENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
i
OWNER ! PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. / , /e
Datej ( Inspector
r
REV 10/92
COUNTY OF BUTTE
t: BUILDING DIVISION
' DEPARTMENT OF DEVELOPMENT SERVICES ,:
4.
1469. Humboldt Road, Chico, CA - • (916) 891,=2751;'' k.
7 County Center Drive, Oroville, CA - j916)-538=7541:
747- Elliott Road, Paradise, CA - (916) 872-6307 -
CORRECTION NOTICE,,", ri
O NER PE MIT<NO: tnn
A routine inspection indicates that the following violations of Butte County Ordinances exist at '
yr the above address and should be corrected. Please notify this office when correction of work;iF
5
k' is completed. If you have any questions pertaining to this matter; or need additional explanation;" _-
please contact this office immediately. R`r3 x
3 �:,��� I (� C l'�.� •fid � �.
ir 1C.4 C. � P
_ v a
„C /l of L
+ .." f�'�"•
`S•' -`tom
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t
Date Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541.
a 747 Elliott Road, Paradise, CA - (916) 872 -6307 -
CORRECTION NOTICE
OWNER / PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at -,
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation, ?,
Date // Inspector
REV 10/9
bow
10711
U
COI�NTYOF BUTTE yDEPARTMENT:O�DEVELOPIIAEN SERVI ES -BUILDING DIVISION
p7COUNTYCENTERDRIVE-OROVILLE,�CALIFORNIA95965 HONE(916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER�.✓ p�-G f� :`'�^�. A. P. No LIZ ' �U - sg
Proposed Building Use Jr— /VO j .,ti`S/ _ Building Inspector G Date /,o S3
At time of permit application, I was: advised the following data must be submitted prior to permit processing and/or issuance:
,.J t • 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). ... .
obilehome data and manufacturer's installation instructions, 2 sets. ...........
eesof$_sS�/.4� . ................
61. Impact fees as shown on attached schedules y � ............ �
4
r
lifornia Department of Forestry plan approval/fees A...........od elevation letter (100 year flood) by California Engineer........nitation and •plot plan approval Health Department . ............
y of Chico plumbing permit. ........................................._ �S��E%
16. Plot plan and business license approval from City of Biggs/Gridley. .............
v,.17. Planning approval for (A) Use: 4 (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .....
19. Driveway permit (construction approval required prior to occupancy). .. ',.. .
' 20. Pre -inspection for required. .. oB�ild g nspeon �� (Date)
* 21. Contractor's license information. No., Name Style, Classification).
22: Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner Mail to owner . .
4. Recorded copy of Agricultural Acknowledgement -Statement . ..................
25. Letter of signature authorization . .......................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... }
27. "Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..................:...................... .
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ...................................... i
32. Plan check list . ......................................................
33.
.34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
r/ Telephone 1%5 /- 0375and hold for pickup at A/ t c office. Deliver with inspector.
Other
Parcel Creation
Acreage "' / Applicant '//1 Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. x Air Pollution 7Date"
Copy of plans sent Health Dept. Fire Dept. Other • Date By
The following data must be submitted prior to permit ' uance: (Circle new item not checked above).
1. Index permit for above items No. -
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _mail Co r y —Date
Plans checked by Date Plans approved bye Date f�
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUN= OF BL -r -6M - DE?AR=-rL OF PUBLIC WCRKS - Bu==G Di=cx
7 CC'JMr7: CM47-M-7. oRilr"-- ORGV-L:.Lz, =Z-F-ECINE (916)5287341
LB ---N;G US DAITZ
:PCS=, BU—.L
DAT
4�School Distric Fees 4 L
( paid at Diztricz Of _ce') .........................
2. Sae= -4-2! Fees I ; t-1
(paid at Building De -da --,-,=en
Res-idential .. ..........
Amt.
Cz=e=Ial(per sq.ft-)
/3.. Urban Area Fees
(paid at Buill-4imig Deparm'=�enc
Resident. (per =it)—: 04
uaizs amt.
sq. 46t. amt.
Fees -
(pa:id at Diss c= Offfcs) .......................
5. Dra:.=%Ze Dis-1-7-iLcz Fees
(Comr--= Land- Develonme-t)
......................
SVI I L)12 2 S3
6- Other
7. Other
tl=e of per -=Lit applicat"Lon, 1 was advised the above fees are requirc-Ld.to be paid 9
6 rt-
-,issuance o:ff the p e --=.t c
PT-ZCMT
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COUNTY OF g
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM NOVBUILDING DEUTTTE
(One Form Per Building) U 9 ft
School District c:, V S Building Dep ment No.
A.P.Number�� J�� Jurisdiction City EV -County
Property Owner yam/
Property Location/Address 20 Z_ 0 i [_.- v"t G�11 C-0
Subdivison
Residential Development
Commercial/Industrial
ing
No.o Living. ::MHI
Units
New
Lot No.
Sq. Footage 07(F
r
Addition (Group R)
Sq. Footage
Addition
(Floor Plans reviewed by School District Personnel)
District Identification No. TI 01 (DJ
(Including Exterior
Roofed Areas)
9z
'//, Date 9
_Q Schoiil'Districtceitifies that_zt-w dpLZI—
(Applicant)
(03%1
S) (Phone Number)
� 1 /IAC') I oa_�S"9�a 6
(City) (State) (Zip Code)
prequirementsC by payment of $
has complied with the of Resolution No. 'Y �� a
representing �9�� square feet.
School
�(jf Li
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools. I . , _., —
Representative
Paid by Check Number
Bank Number
Paid by Cash
2 LuIJ
r;
Date /// 94 3
Remarks:. � �7<tfL � r7Z G�G�/
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
Ofd
ti
-.-�--s-�R°:+7'�@yley4gPs�bT•^+o+rl?!a`"�r`�, ""'7]„ss'."'�y,T"_'rv,��•.,y, -„_.' o �`^r"_��.. �f ��`�4RaM��nl�fji�` •�i'•�l`r{�'74.t'��'i.wri ;.ari. _,. ,.'i;ri-S� .
5R "0�r ..an ; 40;
BUTTE COU 'TY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School Districty �� G n. Building Department No. C 16 C r
u r.
A.P. Number -1 Z ~ Jurisdiction 0 City County
Property.Owner / % o�+ P`i✓j /JCO`%'l7 J
Property Location/Address 20 2- O iy /✓�Z.. ��/l �'�
Subdivison Lot No. r
Residential Development 0 - Sq. Footage g 6 0
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial 0 Sq. Footage
New Addition (Including Exterior
Roofed Areas)
I
_
nta a I
(�� �z/ 5.3
Date
Building Department Represl
( loo �Ia"rviewed by School District Personnel)
District Identification No. -9,110)3,9,
y)3,9,
w
`
r—J&nSchool District certifies that
(Applicant)
343 -
8'91--037
(Street Address)
(Phone Number)
(City)
(State)
(Zip Code)
has complied with the requirements of Resolution No.
S �� vr� g-�.3by payment of $ 9. DD
ai g(� 0
representing square feet.
Z(0,
,
School District Representative
Date, /
Paid by Check Number Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district)
r
0
feeformmkl (4/92)
Z�if'1 "M'V.��'�VTMfa It� To: -,��. \ili`%'r{!�S-. ,�: wfN l-f"'lv w+_•"�.—y`-�.r l"i.. lM..�.t *�-� ��+ rL (^ ^ I1
1 �/ 1T'S` . � �IY'•:t�.V�+'i�^l� �1�Ty-1 �.4!' i,,,M"'+`.ivl�•-. 1 rr,..��� � .,^ � �,�^ .a
! BUTTE COUNTY PARRS DEVELOPMENT FSE CERTIFICATION FORM
C�HI'CCO AREA RECREATION AND PARK DISTRICT
Assessor Parcel Number(s) Z J U e
Property Owner Al 10 ev 1 ,� o_ 0"i -c-7
Project Location/Address 2_0 ej t✓ 0 z a e CG/ L O
Subdivision Lot Number(s) Z
Residential Development: (check one)
ZNew Development _Alteration/Addition _Mobilehome(s) _Non -Residential
to Residential
Total Number of Dwelling Units
Comment:
rartment Rdpresentative Date
Chico Area Recreation and Park District(CARD) certifies that
/I{oylyc./ 1!ge ru 6`11-0617
(Applicant Name) (Phone Number)
!�3( 5q &y %ani
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Butte Co.'Resolution No. 90-1400 by
payment for dwelling units @ $1,189 for total payment of $ /�"�/• �U
/
CARD��r entativ ' -Date
PAID BY CHECK NO. REMARKS:
BANK NO.
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant
Pink --CARD
park.fee (form revised 11/90)
•4 �� �} 1 s
Yellow --Butte Co. Building Dept. 3
Goldenrod --City of Chico Building Dept.
CITY OF CHICO APPLICATION PERMIT
DATE OF APPLICATION
COUNTY AP. NO.
PERMIT NO.
PROJECT ADORE 441 MAIN STREET/P.O. BOX 3420
PHONE (916) 895-4891
' � ` _i'3
O� � _ �Q O _ � �
.572(3
ZOZ
LOT BLOCK SUBDIVISION // ZONING
OCCUPANCY RES. UNITS MASTER PLAN
PLAN NO.
O11
I, C�.JU CA (1 Orie.
(
OWNER: Ity., PHONE: �^ ( _ O3^� ^ VALUATION USE/VAR.
NO. STORIES TYPE CONST. BLDG. USE PARKING SPACE AREA SO. FT.
OWNER'S ADDRESS:
LESSEE:
PHONE:
BLDG. USE/DESCRIPTION OF WORK'
LESSEE'S ADDRESS:
l., t) C.� 4 r,
!V t ` ADW scxp � GOUaC
CONTRACTOR:
O tDu N G u
CITY NE
LIC. No� SI
Goa A
(l t� - Z - 1
COMRACTO DRERESS;
IM�IIO AD "
PHONE:
A�RC►�eTSE �ERNGINEER
STATE
LICENSE:
A. -N �S RMS RS OR
Pt E:
*AN OSHA
LITIONN OORRCOONIS STRUCTTION OFSTRUCR)RES OVER
3 STORIES IN HEIGHT.
LICENSED CONTRACTORS DECLARATION
PROCESSING
I hereby affirm that I em licensed under the provisions of Chapter 9 (commencing with
PLUMBING PERMIT
OTY. FEE —
SUMMARY OF FEES
Acct. Not.
FIXTURE TRAP
Section 7000) of Division 3 of the Business and Professions Code, and my license Is In
fun fa
force and effect.
BUILDING P/C
10-478
License Uc. Number
BUILDING SEWER
WATER HEATER AND/OR VENT
4 —
I
GRADING PLAN CHECK
i0.478
Date Contractor
GAS SYSTEM
SS APPLICATION 8
31-487
OWNER -BUILDER DECLARATION
INSTAL. ALTER REPAIR WATER PIPE
I h affirm that I em exempt
hereby mpl horn Ura Connector's License Lew for the following
OFFSITE IMPR. P/C
10.474
reason (Sec. 7031.5, Business and Professions Cade: Any city or county which requires
ANTI-SYPHON/BACKFLOW PREVENTOR
e permit to construct, after. Improve, demolish, or repair any structure, prior to Its Issuance,
SEWER MAIN EXTENSION
ENERGY P/C (EST.)
10-478
also requires Me i=tor such permit to file a signed statement that he Is licensed
pursuant m the provisions of the Contractor's License Law (Chapter 9 (commencing with
Section Merefrom70001 o n hebbasis for the of the
exemProfessions Anyvioole�eof Seor ecctionn t he 7031.5 by
for
TOTAL PLUMBING FEES
'-'
TOTAL FEES PAYABLE AT
appficent a permit sugects the applicant to a civil penalty of not more Men five
M
hundred (S500),I:
TIME OF APPLICATION
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the stricture Is not Intended or offered for sale (Sec. 7044, Business
ELECTRICAL PERMIT
PROCESSING
OTY. FEE
and Professions Code: The Contractors License Law does not apply to an owner of prop-
SERVICE/SUBPANEL
BUILDING PERMIT
_
10 425 -
arty who builds a Improves thereon, and who does such work himself or through his own
employees. Mat Improvements
CIRCUITS
provided such are not Intended or offered for sale. If, how
the
PLUMBING PERMIT
10.42530 -
ever, buildingor improvement is sold within one year of completion, the owner -builder
will have Me brden of proving that he did not build a Improve for the purpose of sale.)
RECEIPT, SWITCH OTHER OUTLET
POWER APPARATUS
ELECTRICAL PERMIT
10425
I, as owner of Me properlyam exclusively contracting with licensed contractors to
the Business
APPLIANCE
MECHANICAL PERMIT
1od25
project (Sec. 7044, and Professions Code: The Connector's
License law does notto an owner of property who builds or Improves thereon, and
who contracts fa
SIGNS '
GRADING PERMIT
10 425
euchsprojects with a contractor(s) licensed pursuant to the Connector's
License Law.].
NEW RESIDENTIAL .025X
❑ 1 am exempt under Sec. B. 8 P. C. for this reason
TEMP POWER
STREET FACILITY IMPROVEMENT FEE
29-485
SEWER TRUNK LINE
30-488
Date �O -2L i� Owner
o�y
TOTAL ELECTRICAL FEES
SEWER WPCP
31-487
WORKERS' COMPENSATI DECLARATION ��
I hereby affirm that I have a certificate of sent to seH•Inaure, or'9"cedficete of
PROCESSING
SEWER MAIN
32-488 "
Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
MECHANICAL PERMIT
OTY. FEE
PARK FEES
41-478
Policy No. Company
❑ Certified copy is hereby furnished.
MECH EXHAUST - HOOD/DUCT
PARK FEES
44-478
❑ Certified copy Is filed with the city building inspection division.
VENT FAN SINGLE DUCT
COOLING
STORM DRAIN
28-493
Date Applicant
HEATING
IN -LIEU (STREET)
25-497
CERTIFICATE OF EXEMPTION FROM WORKERS'
WOODSTOVE "
COMPENSATION INSURANCE
ALLEY IMPR.
25-498
rrhIs section need not be completed If the permit Is for one hundred dollars (S1G0) or
ENG. INSP. FEES
10-474
1 certify that M Me performance of the work for which this permit Is Issued, I shelf not
employ cry In any manner so as t become subject to the Workers' Compensation
L. %
PLAN MAINTENANCE FEE
10481
ws of C la. _
Date 1 n 7 es =1 Applicant ✓
TOTAL MECHANICAL FEES
S !1 p \�L,
10 478 1
NOTICE TO APPLICANT: Kafter makingthfeCertltool yousfhouldbow.
DEPT. APPROVALS REO.:
Qu: F( I.Le.
0
M
subject to e Workers' Compensation provlelons the labor Cade' you must forthwith
candy with such Ms Is be
n �.b...
provisions or permsitar deemed revoked.
G
❑HEALTH ❑ PLANNING ❑ARB O
ENG. O SCHOOL ❑FIRE
�"�
CONSTRUCTION LENDING AGENCY
O —
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit Is issued (See. 3097, Civ. C.
O OTHER
`t Q L
Larders Name
AP= BY
THIS APPLICATION
larder's Address
___.
BECOAES A PBW
TOTAL FEES PAYABLE AT
I certify that I have read this application and state that the above Information Is correct.
X
- WHEN VALIWTED.
TIME OF PERMIT ISSUANCE O CASH JCHECK
I agree to comply with an city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
SIGNATURE OF A P (CANT OR AGE
property 1"apes purposes.
OWNER CON ACTOR O AGENT p BY:
VALIDATION
DATE
9/93 1M
THIS PERMIT EXPIRES YYTTHIN 180 DAYS FROM THE VALIDATION DATE SHOULD WORK NOT BE COMMENCED
PERMITTEE COPY
Return to DPW AGRICULTURALST,A'1'EMENT OF' ACXNOW` EDGE2.0rr
93�-4 T198
F0 R RESIDENTI:l; DEDELOP'V.NT
p _
`kection 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The
property described herein is. adjacent
I
to
land or included within an area zoned
93-0471981
Fee
5.
for
agricultural purposes, and residents
I
C 00
he ck
Che
of,
this property may be subject to incon-
Recorded I
COUNTY OF BUTTE
vniences or discomfort arising from the
Official Records I
BUILDING DEPT
use
of agricultural chemicals,. including,
County of i
OCT Z93
but.
not limited to herbicides, pesticides,
Butte
and
fertilizers; and from the pursuit
CaI
Candace J. Grubbs
of
agricultural operations including,'
Recorder I
but not limited to cultivation, plowing, , 8:00am 25—Oct-93 I MVTC JR 1
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise,,, and" -odor. Butte County has established agricul-'
tural zones which have as a priority use for productive agricultural, purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or. discomfort from normal, necessary farm operations.
All that real property. situate in the County of Butte, State of California, described ass'
follows:
PARCEL 1 AS SHOWN ON THAT CERTAIN "PARCEL MAP BEING OF .'PARCEL 1
AS SHOWN ON THAT CERTAIN MAP FILED FOR RECORD IN BOOK 113AOF MAPS,
AT PAGES 90, 91 AND 92, BUTTE COUNTY, CALIFORNIA", RECORDED IN THE
OFFICE OF THE RECORDER.OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON JUNE 29, 1992,.IN BOOK 128 OF MAPS, AT PAGES 5 AND 6.
Date: OCTOBER 22, 1993
State of CALIFORNIA
SS.
County of BUTTE )
On this the 22nd
undersigned Notary
PROPERTY MAIMS:"
MUNTY VTTY U
I
day of t CTOBER 19 93 before me, the
Public, personally appeared
MONTY BETTY
�ntnemmutueeuauaewunnmm�nrumm�nmrnmenw® -
OFFICIAL9SEAL
6542
UNARY R. CASEBEER �"" Personally known to me. Proved to me` on the basis
NOTARY PUBLIC - CALIFORNIAN of satisfactory evidence.
Q COUNTY OF BUTTE
=My Commission Expires Mar. 7, 1997 W to be the persVwlithin
whose name!
.........rrrn,nerneerrnnernenunimnn® subscribed to instrument and acknowledged that
executed the same. for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my.hand and official seal..
Present A.P. No.� • �g ��
tary, Public
END OF, DOCUMENT
NOTES,' : I RESIDENTIAL
042-580-053 99-2895
PERMIT NO. _ LiNsc m..ROBERT.
2020 BMWELL, CIICO
CONTR: BOWEN POOLS
NEW SWM*vfl IG POOL
I� f
f
SPECIAL CONDITIONS
M CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
J
w
44
JOB, FINALED ( a )
Signatur
A. i
V= OK
0 =. Not OK
= Not Applicable (MOBILE HOMES
= Not Ready
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
f
MISCELLANEOUS.
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
t
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
4.
Water; Location -Test -Easement Needed (Sketch)
AL (Plans) OK except #'s
VS/bac.'-Easements
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ /'Nat. or/ /"L"ft./ PLPG
Elec.; Receptacles and Lighting, Distance-GFI
7.
Well Clearance & Disconnect
6.
8.
Utility Clearance
lec.; Bonding; Metal w/5' -Circulating Equip. -Heater
t 8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
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 Require ments-Setbacks-Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
f
MISCELLANEOUS.
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
t
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
AL (Plans) OK except #'s
VS/bac.'-Easements
Soi ; Compaction -Structure Stability
ool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 1 Volts-GFI
6.
E c.; Enclosures onduit Entries -Terminals -Listed
7
lec.; Bonding; Metal w/5' -Circulating Equip. -Heater
t 8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit
9. Health Department Approval
10. P b.; Cir. Test -Water Supply Test
2i Light Niche
I
l
Date P Card B-1 Date Card B-1
Date &_I) Card B-1 Date Card B-1
./= OK
0 = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (:
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
46.
1.
Zoning -Setbacks -Easements -Flood -Slope
47.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
48.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel- Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
PLUMBING (Permit) OK except #'s
FINAL (Plans) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Ext. Steps -Door & Sidelight Protection -Landings
18.
Water Pipe; Test & Anchor -Nail Protection
Smoke Detector
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20.
Shower Pan; Test, First Floor -Tub Access
Bedroom Exiting
21.
Test Tub & Shower, Second Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
22.
Gas Pipe; Sixe & Anchors
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
71.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
83.
Stucco Brown -Finish
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B4
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
MECHANICAL (Permit) OK except #'s
86.
35.
A.C. Ducts Insulation & Support
87.
36.
Vent Fan, Exhaust above insulation
88.
37.
Condensate Drain & Overflow, Size & Grade
89.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
90.
39.
Attic Access & Platform if Furnace in Attic
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
Date
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
'ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rffr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instid./Drive l] Yes J No/Walks J Yes J No/Planters J Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
suite C
L A N D O F N AT U RA L W EA L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Re: Building Permit # 99-2895
Expiration Date: 1-13-01
A.P.# 042-580-053
ROBERT LINSCHEID, 2020 BIDWELL AVE,CHICO
With reference to the above subject, our records indicate that your building permit expires on the above date
and your permit falls into one of the category marked below:
[ Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit
fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional
year from the original expiration date. Should you not renew your permit within 30 days of the
expiration date, all work must cease until a new building permit has been issued. For your convenience,
we are enclosing a renewal application form and owner -builder form to be completed and signed by -
you where indicated and returned to this office together with the fee shown. Please return all copies
of the application form.
[ ] No inspections have been made on permit work. Inspections are required to verify code compliance.
We are unable to renew a permit where the work has not been started and inspected prior to permit
expiration. After expiration of your permit, no work may be started until a new permit has been issued.
[ ] A final inspection has not been made on permit work. Final inspection approval is required before
occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until
a final inspection can be made and final approval given. You have 30 days to voluntarily cease
occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you.
If our records are in error or should you have any questions concerning this matter, please contact the
CHTCO office.
Thank you for your prompt attention concerning this matter.
Yrs very truly,
C. Vieira, C.B.O.
•, Building Inspection
MCV:lt
Attachments
CC: BOWEN POOLS
Chico Office - 411 Main Street, Chico-/ 891-2751
ti
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Califgrnia 95965 • Telephone (530) 538- 41�� P MIT NO.
` (Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBa
ZONING ,j
BUILDING PERMIT
OWNER
TELEPHONE
V-7 7
SO, Fr, OCC. BUILDING VALUATION
VAL
19,5000
. OWNERS MAIUNG ADDRESS
Zo,z O
COM 'S NAMETELEPHONE
CONTRACTORS MAILING ADDRESS
'740,5—
CONSTRUCTION LENDER _
Fireplace
LENDER'S MAIUNG ADDRESS
^
Total Valuation $
19.500
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 07.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS i �s ���
/f77•/C
Energy Plan Checking Fee
$
PERMIT FEE
$ 15
LOT NO.
SUBDMSIONSNAME
P E M
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 1t^•i®44o'�f,/ A, G; 71604—
�D O
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S 35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR IES.'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license iss/�iintffu-ll force and effect. c_s'3 3��Z�j
License Class Ce' J 3 12— d% Lic. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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
Main Service 200A TO 1000A
46.00
NEW CONST. DW EWNG OCCUP.
OR ADDNS. 8 ACC. BLD.'.
SO
3.50FT.
N N -ROE ID. MULTI.OUTLET
@7,50
POWER APPARATU.'
a SINGLE ouTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
BAS @ .so
Ex. Occup. Q�it°rs" gESIp,OFRAp
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
P OOL
0.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 5-'7-,+77_= -0Ct.1A/a
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/ .�/�, -
X d 9� �J /P1 • -a moo--- Date �'� �`�� /
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FE - 5
HA2.
�►
D. PEES IM
P c
PD
HD
Issu
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Da�Op/
3
to
ReceiptNo. .J J~
WHITE-D.D.S.-B.D. CANARY-ASSE O PINK -INSPECT GOLDENROD -APPLICANT
� ;. Y..1 -f` 'K'-^r�"r��lr"AY.+.YT�^l ��I�N � .:N;. •�}�'��M'MNTIL'„`•\"�YV'A'1�..�1r'V7`R F.-*...,� ..
i DIE
i
COUNTY OF BUTTE - DEPARTMENT ODELOPMENT SERVICES - BUIL G DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE ) 538-7541 -
PERMIT APPLICA TION DA TA SHEET
OWNER: ( ASSESSORPARCELNUMBER: ( (4a- FLPO- n5_B
Proposed Building Use: &cW Building Inspector: Date: ! 2 - 7 9-QCr
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 --------------------------------------------------------------------------------------
112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
,• J .�r r �
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------- ----,-= -C?l- - -------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must bAhown on plans. ---=- -�
1:15. Engineered truss details and layout in duplicate (required prior to plan eview) No fax s ' = -- T -4- - i�.L••
❑6. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----
❑ 8. Hazardous Material Form.
09. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
0 10. Fees of $�' �`'
-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ----------------------------=----------------------------
13 lood elevation certificate. ----------------------------------------------------------------------------------------
04. Sanitation and plot plan approval Health Department.-------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.----------------------------------------------
1117.
---------------------------------------------
❑17. Planning approval for (A) Use: _ (B) Parking: __________________________
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.-----------------------
1119.
----------------------❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- _
❑20. Pre`inspection for required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
El 22
-----------------------------------❑22 F Workers' Compensation carrier and policy number. ------------------------------------------------------------
El 23
----------------------------------------------------------❑23 r Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
E124.
-------------------------------------
❑24! Letter of signature authorization. w
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
El 26.
-------------------------------------------------❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance.----------------------------------------------------------------=---------- -
❑28. Existing violations and/or expired permits. --------------------- r -----------
El 24. ❑433 •A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ `"' �'C ' _.=.-__- -
❑30. Other:
4- When you issue the permit, process as follows ❑ Mail to owner,
❑Telephone 1. and hold for pickup at
to contractor.
office. 0 Deliver with inspector.
SjCApplicant: / \ +�y"^ � , ,�' Date:'f Z i -
Copy of Haz-Mat form sent ❑ Health Depaitment, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
(Date)
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was adv, sect of the above required data by 11 phone, ❑ mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above reqs data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: // Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ M'V. folder'. ^ Note transfer by: Date:
.-.-
PV
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCELNUMB \ OHO53
ZONING
BUILDING PERMIT
OWNER �O
3LE "ONE 3
SO. FT. OCC. BUILDING VALUATION
500.0t)
OWNERS MAILING ADgr6 Pl- A O 95��3
CONTRACTOR'S ME
TELEPHO���NE —
CONTRACTOR D v &/LL / V. CClAo
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 519 Cep. (9-0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee 20.00
Permit Fee 5 , OD
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ "-
BUILDINGADDRESS I\ Q
Energy Plan Checking Fee $
a
PERMIT FEE S �5
LOT NO.
SUBDNLSIONSNAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Tra 7.00
USEOFSTRUCTURE
SFA Duplex ❑ Mobilehome ❑ Other
SPT
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ j�Remodel �❑ Utilities 0 Installation 13 Other0
Describe Work: t" f`TC`j'C �J 0-0 1 131 500 .V V
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $ 3 (7Q
ELECTRICAL PERMIT Fling Fee 20.00
Main Service z�ow oR ozss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the, Labor Code, for the performance of work for which this permit is Issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. a ACC, eLOS. 3.5¢FT:
N" N-RESID MULTI.OunEr @7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUnET OR FIXTURES @'
SAL @ .50
Ex. Occup. ou�nEDTS AIoIM °ea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
-_�A cm
PERMIT FEE $ �0' (?O
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $o. 55
56 -
HAz.
D. FEES IMP
FL000
COF
PARCEL
pp
HD SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
COUNTY OF BUTTE
Oroville, Califomia
GENERAL CLAIM
CLAIMANT: BOWEN POOLS & RENOVATIONS
ADDRESS: 905 FILBERT AVE.
CITY & STATE: CHICO, CA 95926
DATE OF CLAIM: 1/19/2000
IMPORTANT: SEE INSTRUCTIONS
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
AMOUNT
CTYRT AL ERROR OVER—CHARGEDJAP 042-580-053 BP#99-2895 RECEIPT #
280700, DATED 12/29/99, OWNER: ROBERT LINSCHEID.)
TOTAL AMOUNT COLLECTED $446.55
TOTAL AMOUNT TO BE RETAINED $335.00
TOTAL AMOUNT TO BE REFUNDED $111.55
I
TOTAL
$111.55
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as
stated./ . / ^
Dated this 13 day of \—)i"/, All at L. d 1J/ La , Calif. /\d ([,�
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been rforrned or delivered and that there is a
Budget Appropriation [ ] or Specific Board Approval (] (Check one) for the same.
Dated this 19TH day of JAN , 20 00 at OROVILLE Calif. J�61&6v�
e rtment ad or Authorized Deputy
Dept. Code 440-002Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS
Dept. Code Exp. Code PAYABLE FROM
Dept Code Exp. Code PAYABLE FROM
FUND
FUND
FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB.
GROSS AMT.
FOR BUILDING DIVISION USE:
Receipt Information:
Number:
Date:
Q -g0-700
Issued To: A�
Amount: 7 y 6,�S
Fees Retained:
Processing Fee:
Bldg Filing Fee:
Plbg Filing Fee:
Elec Filing Fee
Mech Filing Fee:
Energy P/C Fee:
Plan Check Fee:
Inspection Fee:
SRA Fee:
Total Amount Retained
TOTAL REFUND DUE
$ '335"ou
$ 111,5s-
REFUND CLAIM APPLICATION
CLAIMANT'S NAME —so w£A" Pd o 2EN0 y*j J-7 0 A S
MAILING ADDRESS �OS t"r-`13�Qr 7q1JE:
ASSESSOR PARCEL #: 0y42, 5-70
RECEIPT NUMBER(S)
Request a refund of fees paid on the above receipt number(s) for the following reasons:
Please refund any applicable fees in the following categories: (Check those. categories
which you wish to have refunded.) - -
( ) Building Permit Fees
( ) SRA Fees (CDF Fire Planning)
Disposition of Plans:
( ) Plans returned to me at counter
( ) Sheriff Fees
( ) Urban Area Fees
( ) Please mail plans to me at above address.
( ) Please dispose of plans.
SIGNATURE
�-
DATE
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
ti.
CHICO UNIFIED SCHOOL DISTRICT BUrLpiCpUIVT.yNoo�U TTE
1163 EAST SEVENTH STREET
CHICO, CALIFORNIA 95928 NOV b 1993
(916)891-3006
C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT
Terms and Conditions for obtaining atGHOOL DEVELOPMENT REFUND
pursuant to C.U.S.D. Resolution No. � 9�.�;�
I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor
Parcel No3���' 5 represented by C.U.S.D. ID No.
for one of the following reasons:
I will not be building a residential unit on this parcel and
I have cancelled my building permit.
Credit for demolition'of an existing residence.(copy of
permit & ` County Appraisal Report attached)
Other `�`_k.A.0 n ��AEA iii �C ;`:� ! �' �. r 6;i t.U'Y) �' (1' i O Q_ �C
Development fee paid
Less administrative fee
Total refund
$ ( d^# �3ypb/ ,eside76 79.9. 0 0
P
Applicant Si nature
�
+� C . 4 � r� � 16,a tj io r�
Pre � Nbime
C�
Date
29/- 63
/00 Addr Phone No.
City/((''Zip
8 ,
School District Repr entative Date
White -applicant, pink -building department, yellow -school district
REFUND.APP
B.S. 43 (2/91)
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District 6;114
A.P. Number ! r % Jurisdiction 0
Property Owner�r r :� �C✓ I^�-j ,
Building Department No.
City =� County
Property Location/Address i-:� ` �� L' C 44 G+'l
Subdivison Lot No.
Residential Development Sq. Footage g ( O
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial 0 = Sq. Foota Le
New Addition (Including Exterior
Roofed Areas)
lop
Building De ment Representative Date
(Floor Plans reviewed b chool District Personnel)
District Identification No.
chool District ce ifies t at
(Applicant)
3(3 Ll 8'9/ -037
(Street Address) (Phone Number)
59 9sgl,-? -h
(City) (State) (Zip Code)
has compli with the requirements of Resolution No. S/g-✓29- 3by payment of $
repre nting a/ ?& 0 square feet.
School District
v %a 93
Date
Paid by Check Number Remarks: 1- E 9 S 'Q 1..1 E
Bank Number 9v -
Paid by Cash i2Qx \SS �-c
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92)
eaua
* of ' "Butte
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: MONTY BETTY
ADDRESS: 3634 BELL RD - -
CITY & STATE: CHICO, CA 95926 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: 111410IN3 ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR- SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
OWNER WOULD LIKE A REFUND DUE TO FINANCIAL PURPOSES.
(BLDG. PERMIT APPL. #93-3486, A.P. #42-58-53,
RECEIPT # 148881 and 148882, DATED 10/22/93,
OWNER' MONTY BETTY).
TOTAL FEES PAID ---------------------------------- $2065.58
RETAIN REFUND PROCESSING FEE--------$ 25.00
RETAIN BLDG. PERMIT FILING FEE ------ $ 20.00
RETAIN PLUMBING PERMIT FILING FEE --- $ 20.00
RETAIN ELECTRICAL PERMIT FILING FEE $ 20.00
RETAIN MECHANICAL PERMIT FILING FEE $ 20.00
AMOUNT RETAINED----------------------------$ 105.00
TOTAL REFUND DUE--------------------------------$ 1960.58
$1960.
58
TOTAL
$1960.
58
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this 1 ...... day of �) 7 • / 19 t! a (.'�p�y
............. ......... !•.Y•.(....Y............ t..../.V.l.1%/.�.�:t!.:....... Calif. ....%/, s!��Y"ff............. ..........
Signature -+.of Cialment
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articlea-4ae ified above h 4 ee pedonned or dr
livered and that there is a Budget Appropriation E] or Specific Board Approval O (Check one) or 0710. _ -
10TH NOVEMBER 93 OROVILLE /%�
Dated thie..................................... day o. ............................. 19....... at .............................. .Calif. ..... ..... .........................................................
ertment Heed or Authorized Deputy
Codd 440-002 ode 4210500 PAyABLEFROM CONSTRUCTION PERMITS
................................................................................ FUND
'.DO NOT WRITE -,-BELOW THIS LINE _ AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB. GROSS AMT:
2020 OR-
C4-
WOULC Z-IkE- Ri!5-1--0AJo 0A..)
'TO
/-79
COUNTY OF BUTTE - DEPARTMENT OF DEVEL NT SERI'IrES - BVO ILDING DIVISION
/ 7 County Center Drive - Oroville, California 5 5 - Telephone (916) 538-7541 P
j O APPLICATION. A PERMIT
ESSOR PARCEL NUMBER- `J :07/ BUILDING PERMIT
OWHER
TELEPHONE -
SO. FT,,OCC. BUILDING VALUATION
�- O
OWNER'S MAILING ADDRESS
3 15L�-Z -- A ?sqF
CONTRACTOR'S NAME
TELEPHONE
/
CONTRACTOR'S MAILING ADDRESS
G Ly �� L • v
CONSTRUCTION LENDER UNKNOWN
N —
Fireplace
Total Valuation S
Fling Fee $ 20.00
LEHDER'S MAILING ADDRESS
S O,
Permit Fee 7
ARCHITECT OR ENGINEER .:
^�
—
LICENSE N0.
Plan Checking Fee $
Energy Plan Checking Fee S 3
ARCHITECT OR ENGWEEWS MAILING ADDRESS
$.
Penalty Lam/
BUILDING ADDRESS_
.202-0 /� U - �'
PERMIT FEE $
PLUMBING PERMIT Fling Fee 20.00
C C
Each Trap le 7.00 t✓�
Solar or heat pump water heater 23.00
-- "- P CEL MAP
LOT N0. SUBDIVISION'S NAME ••-- -- ---
- —J
Water piping 15.00
Each gas water heater or vent 15.00 ,20
USE OF STRUCTURE
SF lLF' Duplex O Mobilehome O Other
as piping ets / 15.00
Building sewer 15.00 1 C7
me Mobile HoS G W @20.00
SPECIFY
TYPE OF WORK
New 13- Addition O Remodel ❑ Utilities ❑ Installation ❑ Other O
PERMIT FEE g
Contractor
escribe Work:
ELECTRICAL PERMIT F ng Fee 20.00
600V OR LESS r.
Main Service ( 200A OR LESS ) 23.00 2:3
Main Service ( 200ATO1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO.
OR ADONS. S & ACC. BLDS. ) 3.50 so
NEW CONST. MULTI -OUTLET
•NON•RESID. ( BRANCH CIRCUITS ) @7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and m license is in full force and effect.
y
license No.,JG ,;?%_�-7 S Classification AR /
O I, as the owner, or my employeeswithwages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. , Business and Professions Code
POWER APPARATUS
( 8 SINGLE OUTLET CIR. )
L. a +.0500
Ex. Occup. ( OUTLET OR FI%TURES ) B2
Ex. Occup. ( UT ED (RESIDPPUNS. OR ). 5.00
OUTLETS IRESID.1 EA.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
forthis reason
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
PERMIT FEE $
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating 3 L'
Cooling i.
Hood 6.50 6 =�
Ventilation
PERMIT FEE $ `�BA
such provisions or this permit will be revoked.
Contractor
1 certify.that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
Mobile Home Installation Fee $
Energy Inspection Fee 1 17, 53 $
occ
col+sr. TYPE
TOTAL FEE $ - �
HA2. D. FEES
I MP I TO
I COF
I =L I PO
HD
I ISSUE
County in consequence of the granting of this permit. n
�--- C.'
Date �?
Sof Applicant Ow r Eg-Contractor O Agent /
inature
An OSHA �ermit is required for excavations over 5"0" deep and demolition or
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
construction of structures over 3 stories in height.
By Date
PERMIT EXPIRES ON
/Dem(
�/
19 j a' // / �� 5 I� G �;
Receipt No. �? �• � '�� � �
WHITE -D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
RESIDENTIAL PLAN CCKIft GUIDE , 8/91
(S. F. , '-DUPLEX & MISC. ONLY)
Bldg. Permit #__
014NERg=\i -�'j'Y A.P. #
Plan Checker
�GEER '
�oning requirements: (sideyards and number of permitted living units).
L' Valuation. Gv112I2EC-Ml�
lans signed"by designer.
Proper description of work on application.
f� Existing violations on property.
®cor
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
eded notice of violation.
PLOT •PLAN
1���mplete parcel size and dimensions.
�! Setbacks, sideyards, easements, etc.
_17-70rther buildings or structures.
rading, fills, drainage.
Flood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers., non-comb-
ustible, and foundations).
FAU & FAS road setback.
Building or utilities across lot lines (Record form).
FLOOR AN
mplete to scale plan with dimensions.
�� equired windows for light and ventilation (Sec. 1205_).
3'/ Required windows for second exit (Sec. 1204).
cy ig is (Chapter; 34, & Sec% 5207) .
. man impact glass (sec.' 5406)..
�. Required room sizes, ceiling heights (Sec. 1207).
-`�'GFC s in baths, garage, kitchen,, and exterior outlets (Article 210-8).
ight fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
9. c tions of water heater, heating and cooling equipment, other electrical
as equipment.
1 age firewall, door size, -and closer (Sec. 503(d)(3)).
1 3'0" exterior exit door (sec. 3304 (f).
1XSmio-ke
place and.wood stove location, alcoves, and clearance.
13detector's (Sec. 1210)
lee.,Plumbing Plumbin fixtures, water closet clearances.and shower size.
STRUCTURAL DETAILS -
Standard bracing -or engineered design (Table 25V)
27-7usual shape, size, or split level house requiring lateral design:
terestory requiring balloon framing and/or engineering.
story building requiring engineered calculations a d
Foundation plan complete enough to construct building.vc� GG V
1&.___111i'5or construction details complete enough to construct building.
7. Elevations and.wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
Yireplace construction details and calcs if necessary.
19,: R ter ties or bearing ridge. beam.
14 -Z. --Ga. door or porch header'sizes.
1 S2tud heights.
15*
Adobe soils - special foundation design.
Retaining walls requiring design.
. Special Inspection required..
8/91
RESIDENTIAL PLAN-GEECKING GUIDE
MISCELLANEOUS ITEMS TO.LOOK OUT FOR A_
tairway•details: landings, rise and run, head clearance, handrails
(Sec 3306).
. guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
-exterior plaster - weep screeds (Sec. 4706). '
Xt� roper roof pitch for roof convering (Chapter 32).
( Roof covering type - (fire hazard).
m insulation - protection.
80-�36" halls and stairways.
ea over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
exits on three-story dwellings (sec. 3303 & see Mezannines = 1716).
1 Attic access and ventilation (Sec. 3205).
1.rfloor access and ventilation (Sec. 2516).
1 . Combustion air for fuel burning appliances - L.P.G. requirements.
t e requirements on duplexes.
1 VEnergy design.
ashing at all exterior openings.
-responsible area requirements.
//-'�-'--C? �;
3
Mo �-cy '1v CA U_' f? tL
(— �4--R -S'
NorthW4
.ENGINEERING
Civil Engineers • Planners • Surveyors
October 20, 1993
County of Butte
Building Department
7 County Center Drive
Oroville, CA. 95965
Re: Residence
Bidwell Avenue, Chico, CA.
AP No. 42-58-53
Gentlemen:
I have investigated the flooding potential of the above referenced
building site. The recently adopted flood insurance rate map
indicates that this site lies within a special flood hazard area
inundated by 100 -year flood from Chico Creek. The base flood
elevation has been approximated for this particular area based on
an analysis prepared by the F.E.M.A. consultant and provided to us
by the Butte County Department of Public Works. It should be noted
that the consultant's analysis was based upon "the best available
information at this time,, which included the U.S.G.S. quad sheets
and is not a final design.
Based on linear interpolation of the F.E.M.A. consultant's cross
sections, the 100 -year flood elevation is 165.6, U.S.G.S. The
finish floor elevation of the residence shall be above the 100 -year
flood elevation. Elevations can be established from a TBM, north
rim of a -sewer manhole located near the southeast corner of the
parcel, elevation 168.32, U.S.G.S.
I trust this provides the information necessary to process the
permit, however, please feel free to contact me should you have any
questions.
9(7j But JE
A PpRODIIVO �E�N►
WP12:BIDWELLI
Very Truly Yours,
Mark Adams
RCE 34257 Exp. 9-30-95
20 DECLARATION DRIVE
CHICO, CALIFORNIA 95926
916-893-1600
Point System Summary: Climate Zone 11
1. Ceiling Insulation
2. Wall Insulation
or
U -value 10.0651
Point Scores
3. Raised Floor Insulation or
R -value 191 U -value (0.037)
4. Slab Edge Insulation or
R -value 101 F2 factor [0.751
S. Infiltration Any Ducts in Unconditioned Space? ( Y / N ) [Y]
S. Fenestration Heat LossCr �� _�
yj>e u -value [o. 1 Total Fenes. (161 � sum 1.6
7. Fenestration Heat Galt'
-
-43
AFUE or HSPF
% Fenestration
SCshade open
Eff. % Fenes. Shade Eff. Ratio
0.83; 2+ story: 0.881
North x
77
= ,, Si.
Effective SEER
East 2 x
South 3.7 x
0.81; 2+ story: 0.871
-2
R-30
West 2, G. x
-1
z r C_-21
i�-
Skylight m x
0
[121
[None[
Overhangs? ( Y / N )
I ' •.v
.61
Energy F r.
Ext. InIs. R -value
Auwtiauy Input
R-0
-14 -9
S. Interior Thermal Mass
�
or
-1
R-19
% Exp. Stab 1201
Int Masa/CFA
R-30
9. Exterior wall Mass
10. Heating System
11. Cooling System
12 Water Heating
System 1
He S r O pe
System 2 _ 4
Heater Type %,
1. Ceiling Insulation
Ext Wats Mans
X
-
-43
AFUE or HSPF
Duct Eft. 11 story:
Effective AFUE
[78% or i
0.83; 2+ story: 0.881
or HSPF
X
SEER(10.01
Duct Effie. 11 story:
Effective SEER
'tom
0.81; 2+ story: 0.871
-2
R-30
• (2 t Y
-1
En y Factor
Ext Ins. R -value
Auxiiiary Input
0
[121
[None[
O
I ' •.v
.61
Energy F r.
Ext. InIs. R -value
Auwtiauy Input
R-0
Number of stones
-43
R -value
One _
Two
TTiree`-
R-0
-74
-48
.27
R-19
-5
-4
-2
R-30
.1
-1
0
R-38
0
0
0
2. Wall Insulation
.71
Number of stones
.61
R -value
Single-
Singte-
R-0
-14 -9
Family
Family
PAILb-
R-0
-72 -57
-43
R-11
-7 -6
-4
R-13
-5 -4
-3
R-15
-4 •3
.2
R-19
0 0
0
R-21
1 1
1
3. Raised
Floor Insulation
1.01
.91
Iasttiatfon In Floor
.76
.71
Number of stones
.61
R -value
One Two
Three
R-0
-14 -9
-5
R-11
-3 -2
-1
R-19
0 0
0
R-30
2 1
to
4. Slab Edge Insulation
Number of Stones
Zonal Control
Adjustment (01
7-9
V
Zo Control
Adjusufnent 101
Distributionr
IsTDi l
Dismoution
Point Total: ?
R-0 0 0 0 S. Infiltration (Duct Air Leakage)
R-5 6 4 2 Ducts to Unconditioned Space 0
R-7 7 4 2 No Duos in Unconditioned Soave 3
6. Fenestration Heat Loss
7. Fenestration Heat Gain (baseo on Shaoe ENecttveness Rato)
Eh
Fen-
sm-
Iron
.87
or
more
Nam,
.67 .52
to to
.66 .66
.51
or
less
East
.87 .67 .S2
or to to
more .86 .66
.51
or
less
.87
or
more
South
.67 32
to to
.86 .66
U -value
Wast
.87 .67 S2
or to to
more .86 .66
.51
or
less
Skylight
.61 .66
or or
more las
18%
-5
-4
.3
Total
1.31
1.21
1.11
1.01
.91
.81
.76
.71
.66
.61
.56
.51
.46
.41
.36
.35
Pemem
or
to
to
to
to
to
to
to
to
to
to
to
to
to
to
or
Fenestrdflon more
130
1.20
1.10
1.00
.90
.80
.75
70
65
.60
55
.50
45
40
less
SOY.
-100
-76
-09
-02
-55
-48
-41
-38
-34
-31
-27
-24
-20
-17
-13
-10
407.
-77
-58
-52
-47
.41
-36
-30
-27
-25
-22
-19
-16
-13
-11
-8
-5
35%
-06
49
-44
-39
-34
-29
-25
-22
.20
.17
•15
-12
-10
-7
.5
-3
3011.
-54
40
-36
-31
-27
-23
-19
-17
-15
-13
-11
-8
-6
-4
-2
0
28%
-50
-36
-32
-28
-25
-21
-17
-15
-13
-11
-9
.7
.5
.3
-1
1
2611.
-45
.33
-29
-25
-22
-18
-14
-13
-11
•9
-7
-5
-4
-2
0
2
24%
-41
-29
-26
-22
-19
-16
-12
-11
-9
.7
-0
-4
-2
•1
1
3
2211.
-36
-25
-22
-19
-16
-13
-10
-8
•7
•5
-4
.2.
.1
1
2
4
20%
-31
-22
-19
-16
-13
-11
-8
-6
-5
•4
.2
.1
1
2
3
5
18%
-27
-18
-16
-13
-11
-8
-0
-t
•3
-2
-1
1
2
3
4
6
16%
-22
-14
-12
•-10
-8
-6
-3
-2
-1
0
1
2
3
4
6
7
14%
-18
.11
.9
-7
-5
•3
.1
0
1
2
3
4
5
6
7
8
12%
-13
-7
-6
4
-2
-1
1
2
3
4
4
5
6
7
8
9
107:
-0
-t
.2
-1
1
2
9
4
5
5
6
7
8
8
9
10
8%
-1
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
7. Fenestration Heat Gain (baseo on Shaoe ENecttveness Rato)
Eh
Fen-
sm-
Iron
.87
or
more
Nam,
.67 .52
to to
.66 .66
.51
or
less
East
.87 .67 .S2
or to to
more .86 .66
.51
or
less
.87
or
more
South
.67 32
to to
.86 .66
.51
or
lass
Wast
.87 .67 S2
or to to
more .86 .66
.51
or
less
Skylight
.61 .66
or or
more las
18%
-5
-4
.3
-2
-21
-20
-15
-12
-26
-23
-16
-12
-36
•32
-23
-16
-75
-50
16%
-4
-4
.2
.1
-18
-16
•13
•10
-21
.19
-13
-9
-31
•27
-19
-14
-65
-44
14%
-4
-3
•2
-1
-14
-13
.11
•8
.16
.14
-10
-7
-26
-23
-16
-11
-55
-38
12%
•3
-2
•1
-1
-11
-10
-8
-6
-12
-10
-7
-4
-21
.18
.13
.8
.46
.31
11%
-2
-2
-1
0
-10
-9
-7
.6
.10
-8
-5
-3
•19
-16
-11
•7
.41
-28
107.
-2
-2
•1
0
-8
-8
-6
•5
-8
-7
-4
-2
-16
-14
-9
-6
-37
-25
9%
'-2
-1
-1
0
-7
-7
.5
-4
.6
.5
-3
•1
-14
-12
-8
-5
-32
-22
8%
-1
-1
-1
0
-6
.5
-4
.4
.4
-4
.2
0
•11
•10
-6
-4
-28
-19
701.
.1
-1
0
0
-5
-4
.4
.3
.3
.3
-1
0
-10
-8
-5
-3
•24
-17
6%
-1
-1
0
0
-4
-4
-3
-2
.2
-2
•1
0
-8
-7
-4
-2
-20
.14
5%
-1
0
0
0
-3
-3
-2
-2
.2
•1
0
0
-6
-5
-3
-1
-16
•12
41/.
0
0
0
0
-2
2
-1
-1
i
-1
0
1
.4
-d
2
0
-12
-10
3%
0
0
0
0
-1
•1
-1
0
0
0
0
1
•2
-2
0
1
-9
-7
2%
0
0
0
1
0
'9
0
0
0
-2
1
1
0
0
1
2
-6
-5
1%
1
1
1
1
1
1
1
1
0
0
0
0
1
1
2
2
-3
-2
0%
1
1
1
1
1
1
1
1
0
0
0
0
3
3
3
3
0
0
8. Interior Thermal Mass
'Houses
Exterior
Single-
Method A
(Slab -on -grade
Construction Only)
Petsem
Family
One
Mass
Two
Three
Excused
Ston
0
Stones
Stones
0
3
.3
2
.2
7
-1
4
10
9
2
6
-1
12
-1
7
20
14
12
9
0
17
0
10
30
18
1
11
1
21
1
.
40
23
3
14
2
24
1
14
50
1
4
0
3
85%
2
7.2.
60
4
5
2
3
1
2
7.8
70
8
6
5
4
3
2
95%
80
8.0
8
9
5
5
3
2
90
8.7
9
13
6
9
3
4
100
AC
10
Effective AFUE or HSPF
6
-5
4
(AFUE or HSPF x duet efficiency)
more
Effective
Method
B
-17
Sum of 1.6
-7
Int
Gas
Slab Roor
Pkg
Raised Floar
-24
Mau
-4
Stories
16
AFUE
Stones
HP
or
/CFA
One
Two Three
One
Two
Three
0.0
-11
-8
-6
-1
-1
One Story House
0
0.1
-10
-7
-6
0
0
2.9
0
0.3
-9
-6
-5
1
1
407.
1
0.5
-8
-5
.4
2
2
-10
2
1.0
-0
-3
.1
4
4
-7
5
1.5
-4
.1
1
6
6
-2
6
20
-2
2
4
8
8
0
8
Z5
1
3
5
9
9
5
9
3.0
3
'6 •
5
11
10
13
10
4.0
4
6
7
13
13
7.6
13
5.0
4
6
8
14
14
8.7
14
8.0
5
7
9
15
15
Two or Three Story
15
7.0
7
8
10
16
16
2.9
16
8.0
8
9
11
18
17
40%
17
9. Exterior Wail Thermal Mass
'Houses
Exterior
Single-
Single-
Muni
Wall
Family
Family
Family
Mass
Detached
Attacted
-25 or
0.00
0
0
0
0.20
3
3
2
0.40
7
5
4
0.60
9
8
6
0.80
12
10
7
1.00
14
12
9
1.20
17
13
10
1.40
18
14
11
1.60
21
17
13
1.80
23
18
14
200
24
19
14
10. Heating -System
'Houses
with Ducts (R4.2)
Water Meam►g
Owl
SEER
Poem Store
Houses With Ducts (R4.2)
Sum of 7-9
.30
-17
Soin
Pctg
-25 or
-24 to
Sum
of 1-6
+6 to
16 or
Gas
Spirt
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
NsPF NsPF
less
-15
-5
+5
+15
more
787.
6.8
6.6
0
0
0
0
0
0
WY.
7.0
6.8
1
1
1
1
0
0
85%
7.4
7.2.
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
95%
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
AC
AC
Effective AFUE or HSPF
-15
-5
+5
(AFUE or HSPF x duet efficiency)
more
Effective
.4
.6
-17
Sum of 1.6
-7
5.0
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-6
KsPF NSF
less
-15
-5 •
+5
+15 mom
One Story House
0
0
0
0
0
.8.1
33%
2.9
Z8
-62-
-53
-44
-34
-25
-16
407.
3.5
3.4
-40
-34
-28
-22
-16
-10
507.
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5.1
-0
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%
6.1
5.9
6
5
4
3
2
1
80%
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or Three Story
House
-3
0
7.0
6.8
-11
33%
2.9
Z8
-69
-58
48
-37
-26
-15
40%
3.5
3.4
-46
-39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
69%
6.0
5.8
0
0
0
0
0
0
707.
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
907.
7.8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20
17
14
11
8
4
Zonal Control Adjustment
System Type
Resistance
6
4
3
2
1
0
Other
3
3
2
1
1
0
11. Cooling System
v
'Houses
with Ducts (R4.2)
Water Meam►g
Owl
SEER
Poem Store
low
Sum of 7-9
.30
-17
Soin
Pctg
-25 or
-24 to
-14 to
-4 to
+6 to
16 or
AC
AC
less
-15
-5
+5
.15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
120
11.6
8
6
5
3
1
0
13.0
12.6
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
0.80
2
Effective SEER
3
(SEER x duet efficiency)
N
0.91
Eft SEER
-12
Sum of 7-9
Spin
PGtg
-25 or
-24 to
-14 to
-4 to
+6 to
16 or
AC
AC
less
-15
-5
+5
.15
more
One Story House
.4
.6
-17
.12
-7
5.0
4.9
-29
-23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
-7
-6
-4
.3
-1
0
8.0
7.8
-1
0
0
0
0
0
.8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0
12.0
11.6
15
12
9
6
2
0
13.0
12.6
18
/4
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three
Story House
5.0
4.9
-35
-27
-20
-13
•5
0
6.0
5.8
-21
-17
•12
-0
-3
0
7.0
6.8
-11
A
-7
-4
-2
0
8.0
7.8
-4
-3
-20
-1
.1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
1Z0
11.6
13
10
7
5
2
0
13.0
126
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11
7
3
0
Ad junment for No Tank Insulation
Hunner of Water Hum
Water Heater Tvoe One Two
SG50 -2 .5
SG75 -3 -6
SE •5 -0
HP .2 l
Hare Stra Adjustment
Masa size (112)
Subtotal
lets
low
Water Meam►g
Owl
to
Poem Store
low
1499
.30
-17
•5
.25
-14
.4
-20
-11
.3
-15
-9
.3
-10
-6
.2 .
.5
3
.1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
u
4
House Size Adjustment
SG50
AG
House We (t121
Subtotal
1500
2000
Water Hating
to
or
Pont Score
1999
mora
30
0
3
-3
0
2
-20
0
2
-15
0
1
-10
0
1
.5
0
0
0
0
0
5
0
0
10
0
-1
15
0
.1
20
0
.2
25
0
-2
Zonal Conal Adjustment
All 6 5 4 2 1 0
17- Water Heating
One water Heater - No Au dOwT Cn dfb
Oitanbtaron syst.m2
Rstae Svstenn
water cumsa Eww STD HWR Pipeo Amerr Demd
Neater Tvoet Zones Factor POU 11w Ctrl
SG50
AG
QM
0
3
1
-9
-5
0
0.63
5
8
6
-4
0
5
0.73
8
11
9
0
4
8
SG75
N
M48
-2
1
-1
-12
-7
-2
am
3
6
5
-S
-1
4
ase
7
10
8
-1
3
7
SE
All
0.87
-20
-12
-17
-41
32
-19
0.93
-17
-0
-13
38
-20
-16
IG
N
0.80
2
5
3
IE
N
0.91
-21
-12
HP
6.11.13.15
1.90
4
7
5
-5
-1
4
Two 'Maur Heatsss - No AIDdQar7 Credits
SG50
N
am
.7
.4
.6
-17
.12
-7
0.63
1,>
5
3
-0
-4
1
6
10
8
.2
2
7
SG75
N
0.48
.12
-0
-11
-22
-17
-12
am
.1
3
0
-11
-0
-1
0.68
8
9
7
.4
1
8
SE
N
0.87
.22
-u
-19
-46
.35
-22
0.91
.16
.7
-12
-39
-28
-15
;G
N
0.80
.4
.1
.3
IE
N
0.93
-21
-12
HP
6-11.13.15
1.80
.1
3
1
-10
-6
0
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lownse residential buildings subject to the Standards must contain, thoe measures regardless of the compliance
aporoacn used. Items marked with an asterisk (-) may be superseded by more•stnngent compliance requirements
listed on the Cenihcate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all Dances as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
• §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
• §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
§150(d): Minimum R-13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 20 pemvinci.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestration Products, Exterior Doors and Infnitration/Exfiltration Controls
a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products nave label with certified Lf -value, and infiltration certification.
Q Exterior doors and windows weatherstnpped: all joints and penetrations caulked and sealed.
§150(g): Vapor bamers mandatory in Climate Zones 14 and 16 only.
§150(1): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2 No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenonexterior insulation (R-16 or greater).
2 First 5 feet of pipes closest to water heater tank non-recirculatinb systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 5VF insulated.
S. Piping insulated between heating source and indirect hot water tank.
• §150(m): Ducts and Fans
1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated
to a minimum instafleo value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave backdraft or automatic dampers
3. Gravity venviatino systems serving conditioned space have either automatic or readily accessible.
manually operateo bamDers..
§114: Pool and Spa Heating Systems and Equipment
1. System is cernfieo wttn 78% thermal efficiency, on -orf switch, weatherproof operating instructions.
no electric resistance neating and no bifot light.
2 System is installed with:
a. At least 36' ciee between filter ano heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system nas a rectionai inlets ano a circulation Dump time switch.
§115: Gas-iireo centrai furnace. pool neater, spa neater or household coowno appliance have no
continuously bunng phot light. (Exception: Non-eiectncal cooking appliance with pilot < 150 StWtv.)
Lighting Measures
§ 150(kl: 40 lumenswah or ereater for general lighting in kitchens and moms with water closets: and
recessed cenino fixtures iC (insmation coven approved.
COMPLIANCE STATEMENT
DESIGNER I ENFORCEMENT
This certificate of compliance lists the building features and performance specifications needed to compty-with Title 24, Pans 1 and 6, of
the California Code of Regulations, and the administrative regtdations to implement them. Thfs certificate has been signed by the
individual with overall design responsibility. When oris certificate of compliance is submitted for a she building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special FeatlueyRemarks section.
Designer or Owner (per Business A Professions code)
Name: ffln) /I✓ -'
Ttde/Firm:�-
Address:
Telephone: q/6"
Lip.
i=gr�a,ret (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signatureistamp) (date i
Documentation Author.
Name:
Tide/Firm:
Address:
Telephone:
(signature)
(date)
Certificate of Compliance: Residential _ Climate Zone 11
d
Z02 --c T111swa .u.. AVE
project Address
Documentation Author Telephone
BuiidX;;raitit
Checked B y � � Date�Dates
Enforeernent Att=cv Use Only
FENESTRATION
Shading Devices
-Eenestration Area Type interior Exterior Overhang Framing Type
Orientation (sf) (single, double) (roller blind. eke.) (tthKtOlcreM eta) (Yes/no) (meu&wood)
North P91—
North
RLNorth C.
East ( )_1 11
East ( )
South
South
West ( )ILY U,
West
Skylight....... 109_
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc) (Sf) (inches) LOcation/DCScriotion (kitchen. bath. etc.)
A&
1 HVAC SYSTEMS Minimum Duct
Type (furnace. air Efficiency Location Duct Heat Pump
conditioner. heist putnv) (AFUE,SEER.HSPF) (attic, etc.) R -Valle Thermostat Tyne (split or nkg)
IIOT NVATER SYSTEMS Tank
R Value
SvStem T (storage as. etc.) Caoacitv Number Enerpy Factor Ext. Tank Tns _ _i}i ctrl hnri.,.,
SPECIAL FEATURES/REMARKS
Fenestration
BUILDING DATA
Conditioned Floor Area Z?qNumber of Stories
Slab/Raised Floorg Number of -Units
Single Family Detached (SFD) [ J Addition Alone
�
I l Single Family Attached (SFA) [ J Existing Btiilding
[ J Multi -Family (NM [ J Existing -Plus -Addition
Area °/k,
North
East Z,
4.
west South -
Total
B UII.DING SHELL INSULATION
Component Insulation Locai;iom1cotnments
Type R -Value ($one- to garage. D3trL eta)
FENESTRATION
Shading Devices
-Eenestration Area Type interior Exterior Overhang Framing Type
Orientation (sf) (single, double) (roller blind. eke.) (tthKtOlcreM eta) (Yes/no) (meu&wood)
North P91—
North
RLNorth C.
East ( )_1 11
East ( )
South
South
West ( )ILY U,
West
Skylight....... 109_
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc) (Sf) (inches) LOcation/DCScriotion (kitchen. bath. etc.)
A&
1 HVAC SYSTEMS Minimum Duct
Type (furnace. air Efficiency Location Duct Heat Pump
conditioner. heist putnv) (AFUE,SEER.HSPF) (attic, etc.) R -Valle Thermostat Tyne (split or nkg)
IIOT NVATER SYSTEMS Tank
R Value
SvStem T (storage as. etc.) Caoacitv Number Enerpy Factor Ext. Tank Tns _ _i}i ctrl hnri.,.,
SPECIAL FEATURES/REMARKS
DATE:
PERMIT
ASSESSORS PARCEL #: Y2—
S (5
v
OWNER'S NAME.^'
FEES: Amount::and-Pur.pose-
REVISED PLAN CHECK: $
BALANCE: OF* FEES $
ADDITIONAL_ FEES'r $
REINSPECTION:FEE: $
SHERIFF' FEE $
CHICO URBAN- AREA. FEE:
THERMALITO/NO..ORO TRAFFIC: $
OROVILLE_ AREA. TRAFFIC: $'
COPIES $
IF BALANCE: OF' FEES: OR ADDITIONAL_ VALUATION:
VALUATION .$
ADDITIONAL..VALUATION: $
(check.one) /
COUNTY: l
CITY: OF BIGGS.:
CITY OF GRIDLEY:
. ( check-. one )
RESIDENTIAL:
COMMERCIAL:
,u� W� � .�u.,�. ,
�,�n��.�� �.�� w��..,,�.. �.,-1�,. ��,L. a, .� �.. �..
I � I
__