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047-200-072
J 1 _ _ -.... _. y� T.... '�R^�r ..'�.+V'r`�.�•`�fyJr., ,-- S r'-""�._ ._ ..--�.�r. _� �Y .`_� � -v .. .-'-��.i__ ....-_-� �- �....�rrr.-..-.r.-�..i--+ter....._ .. _ -..r ---" _ ..i'_ �-L`.•.�_ -. 47=20-72 ' MARTIN' &DEBORAH M;� STIDHAM:• y t -15395 Reese Rd, Chico " �• • ..•.,., •Perm1t#25-90A(Asi:icultural Bldg'Exemp for,, horse -stable/shed) ` t►- 47-20-72 1993-91B, P,eE ;M STIDHAM, Martin & Deborah 4665 Wildhorse Hollow, Chico (new' sf)a -047-200-072 ,,,PERMIT#9,4-1281 SHEARER; Bob 4665`Wildhorse Hollow;,Chic6 / - - Add Covered •Patio '& Gas-Line/SF 7 047-200-072 +. �` " ' * •�'"' 042442 MANCINL MARK; 4665 WILDHORSE HOLLOW'.. Cont�Rb 'tRT HILL' & ASSO :POOL MSTR#01-506 1308=1'564�rQ 47-200-072 MISCELLAUS P ovtaic Sys Grnd INE & TOWER (20KW, GRID TIED) HORSE HOLLOW MONCEAU, PE 6 V3-0�-15 0q7 ,10TO T,10To • 01"7"^ 1"7 M NOTES RESIDENTIAL t 47-200-072 04-2442 PERMIT N0. —, .. � _ MANCINI, MARK 4665 WILDHORSE HOLLOW, CHICO i Cont: ROBERT HILL & ASSOC POOL MSTR#01-506 ! i t y IZA�I II SPECIAL COMMONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t JOB FINALED (Date) L- • �� a Signature CHECKED BY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.butte�county.netWds PERMIT NO. BP042442 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 08/25/2004 APN• 047_200-072-000 the Business and Professions Code, and my license is in full force and License/Class: (S• -C: License Number: 3i% 1 Site Address: 4665 WILDHORSE HOLLOW CHI Date: OI Contractor: Map Index: Description: POOL MASTER (01-505) OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 i Business and Professions Code: Any city or county which requires a Owner: MARK MANCINI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ' 4665 WILDHORSE HOLLOW signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95972 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).): �,. Q,A- �✓l��ria�(R� ❑ 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 (Sec. 7044, Business and Professions Applicant: MARK MANCINI• Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for .' t 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 and Professions Code. The Contractors' State License Law does Contractor: HILL & ASSOCIATES, ROBERT T. not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed ' pursuant to the Contractors' State License Law.). s". 199 E. SHASTA AVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code r CHICO, CA 95973 530-891-4280 Date: Owner: RHill@Sunset.net License #: 377409 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 Architect: / is issued. Engineer: u I 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 e. insurance carrier and policy number are: f' Carrier. , T, -,r rJ M4 Total Sq are Ft: 0 S. F. P, Valuation: $0.00, Census Code: Policy #: 222 -•0 ❑ I certify that in the performance of the work for which this permit is ` issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 1P7 IRA WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one r 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. /o CONSTRUCTION LENDING AGENCY This permit is'hereby issued iunder thwapplicable provisiorrs orthe•BiAte C;rwnty, Coda ?nriibF.� Resoluti ns to o work indicated for which fees have been paid. I hereby affirm that there is a construction lending agency for the 963e performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Jo Name: t' PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and, 2.5534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. fir,,• ❑ 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 substanceof official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: Signature: Date: �l 2f 0 4- •r ❑ Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor Y^t-.elle' s tc-z t J=OK 0 = Not OK , . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements POO (Plans) OK except #'s 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 3_015co' Structure; Steel -Connections -Thickness Dead Men -Lining 4. Water; Location -Test -Easement Needed (Sketch) l 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete c.; Bonding; Metal w/5' -Circulating Equip. -Heater 6. 'Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'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 e 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 Zate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i'Date POO (Plans) OK except #'s Se acks-Easements ,j ,Compaction -Structure Stability 3_015co' Structure; Steel -Connections -Thickness Dead Men -Lining 4. ec.; Receptacles and Lighting, Distance-GFI l . Elec. Pool Lighting; 15 Volts-GFI 6. c.; Enclosures; Conduit Entries -Terminals -Listed c.; Bonding; Metal w/5' -Circulating Equip. -Heater "( Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. HeplK Department Approval 1 mb.; Cir. Test -Water Supply Test t Niche a ` Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = 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. 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- Bloc kouts-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 -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 FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Date 52. Card B-1 Date Card B-1 Date 53. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 17. Water Htr.; Vent -Access -Combustion Air Baffle Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 18. Water Pipe; Test & Anchor -Nail Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 19. D.W.V.; Test Fittings & Anchor -Nail Protection Siding -Nailing Veneer 20. Shower Pan; Test, First Floor -Tub Access Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 21. Test Tub & Shower, Second Floor -Tub Access Glazing Area -Glass Protection -Skylights -Plastic 22. Gas Pipe; Sixe & Anchors Shear Walls; Nailing -Bolts 23. Fire Sprinkler; Test Brace Interior/Exterior Wall Panels 62. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection FINAL (Plans) OK except #'s 25. Elec. Receptacles Spacing -Lights & Switches at Doors Ext. Steps -Door & Sidelight Protection -Landings 26. Size Boxes & No. of Conductors Stapled Smoke Detector 27. Romex Installed Close to Edge of Studs & C.J. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Bedroom Exiting 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI G.F.I. & Bath Fixtures & Tub Access -Spa 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Elec. Trim & Subpanel, Breaker Sizes & Labels 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No Stairs & Rails 32. Service -Riser Conductors & Ground Main Disconnect Fireplace or Stove, Clearance -Hearth 33. Equip. Clearances Panels-Motors-Mech. Equip. Elec. Outlets at Wood Panel, Int. & Ext. 34. Clothes Closet Light -Shower Light -Spa Light Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 35. Smoke Detector Elec. Outlets & Receptacles at Kit. Counter 75. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 78. 36. A.C. Ducts Insulation & Support 79. 37. Vent Fan, Exhaust above insulation 80. 38. Condensate Drain & Overflow, Size & Grade 81. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 82. 40. Attic Access & Platform if Furnace in Attic Date Clearance Looked under Floor 0 Yes Card B-1 Date Card B-1 Date Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -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-Mech. 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 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042"2 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/25/2004 APN: 047-200-072-000 the Business and Professions Code, and my license is in full force and effect. g7 License Class : R—c-, License Number: - 40� Site Address: 4665 WILDHORSE HOLLOW CHI Date: 812* Contractor. & IL Map Index: Description: POOL MASTER (01-505) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MARK MANCINI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4665 WILDHORSE HOLLOW signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95972 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MARK MANCINI Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. 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 and Professions Code. The Contractors' State License Law does Contractor:. HILL 8r ASSOCIATES, ROBERT T. not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 199 E. SHASTA AVE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 530-891-4280 Date: Owner: RHill@Sunset.net License M 377409 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 Architect: issued. Engineer: 211";s 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: Carrier: S rJ Ny% Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply those provisions. 4W I( 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 aftomey's fees. AWin-4'7. �Z- CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nft/or I hereby affirm that there is a construction lending agency for the Resolutions to o work indicatedo e for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O 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 substanceof official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos . Print Name: 9d3",T- Signature: Date: L(0 Q- ❑ Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor i Y 1 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 OF APPLICATION "PLEASE PRINT CLEARLY" OWNER' Last Name A .`l irst Name Address City State CA, Zip �Trf 7 2 - Phone Phone Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Cd Address Ot SRA City Ca o - State CA Zip Phone (: ��^ Fax E-mail ` Uc. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Cd Address SRA City INo State Zrp ,Phone Book Fax E-mail ` State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name c 4jvl�_ c� Cd Address SRA City INo State Trp Phone Book Fax E-mail ` APPLICANT SIGNATURE X For office use only: Zoning 7 1 Flood_ Zone Cross Street.. t SRA Yes INo Occ. Type Const Subdivision Name Map Book Page F Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS i PERMIT N o BP BIN # . LOCATION AN Property Address 4-u&6 - Law t4o 2& 4_—A(ieA_ City C 0 Cross Street.. t ❑ Proposed Change of Occupancy ' WORKER'S COMPENSATION Policy Number . die 2- Carrier 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 F. . Address Description or, Scope of Work: - Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy ' (Note previous use): ` EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on . an application after expiration, a new application, plans and fee will be required. _ . ' - 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 iio construction work has been done. Filing fees, plan check fees for work_ plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt # , Sheriff SMIP Date Other i Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order tv apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. _ ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. t ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FABS!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION :AFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6.16-04 y t r � �.-..+-�� ' �.-+�•..",'•i+•' 3-.-. �,s^ :. ...-� .tih.,.l7+xi<r+-„iii ':.:�, �:.+ � •'-'r•S'... .+`.},',.,,�'..:'"i'i"�".s;�:�n.'+�.._�- -_ 3 :. . s, _ v _, . -_. .. ��+ ...:,d^�•fA4.a'i. ftp. ,�. �R. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �` ! �f 1 r l ASSESSOR PARCEL NUMBER (A I ' �G ' Proposed Building Use: Q62)) 5�) Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of yhese must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Ceilificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 1 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20.. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: 61L� (B)Parking: (C) Parcel Check: 25. Contact Land Development about _ Improvements, _ Drainage ......................... �7> 26. NPDES Form............................................................................................ ✓❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :.................... ......... 033. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ { 36. Deed Restriction........................................................................................ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: cin , 'lam/ /) When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building*permit. Applicant:-f%p-t.� Date: �" 1. Index permit application for the above items n mbered: Plan Check Le er 2. al items required ' Contract , designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: or, designer, owner, was advised of theove data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: (� i Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division ? E.H. USE ONLY Piot Plpo Attached S Hoar Plan Attached Sent to 8.D. TO: ' Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 072, Owner Location AP# Plan Approved for: Sewage Disposal >c� Water Supply: Public Private Well X Clearance for dwelling. Othertl Hold final for: Final clearance O.K. for: NOTE: e If Environmental Health Specialist Date 8/96 � r ' SITE PLAN REVIEW APPLICATION Date: a AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: aAl) CAI" -Al ' I f - t Owners Address: ���,�� i c� �� /'/ a%c� C� �-i�0 /A, 7� Telephone No.: . o`'I�KX `'�Q S 50 G Situs Address:, ' ok Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential Accessory Pa. 4., ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial. Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) .� Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By DateO� f Page" 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) in Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: aool C ©3 j 0.p Index Date: c6-0/00 ❑ Sacramento River Reclamation District (Approval must be obtained from the California keclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A — / o ' P, 6N, Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 112D, Side Side Street Rear Z 5 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 U Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ----------------------------=------------------------------------------------------- ------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑ No ❑ Yes 12 Parcel Deemed to be legal ❑ Verify Legal Parcel *❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa IsK Paize 4 of 5 El Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:V,a rys\Building Permit Site Plan Reviewl.doc Page 5 of 5 0 Department. C o u n t y J. Michael Crump, Director t of Public o f" B u t t ., Works LAND DEVELOPMENT DIVISION Storm Water Management Program .7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACREI Project Description: IvC(A-1I Project Location and/or Parcel Number: _ 4= = 2 ad ` 6 -7'2 - By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board: I am aware that submitting -false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of -grading and/or other permits or other... sanctions provided by law. Signed: Title: Date: T(L Wo 4 - Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please' complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESrA NO[• ]. 2. I HAVE[ -A HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY• .PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have, hired the following 'person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE' TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license -number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 of more for the entire project, and such persons are not licensed as contractors or subcontractors, then you fimay be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, f}' Michail C. Vieira, C.B.O. Manager, Building Inspection t NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER IDENTIA AAA 06WIVS !ihvU;U ami •pi".5 '47.20-721_ - 'W, prrcl% %'.vk4j 10 haws a well i99-3—qjB- , p I t�b- STIDHAM, MaIrtin Deborah 4665 Wildhors'e �Hollowq Chico (new sf) ot 15;- —,7 e ee,'l lit. - A- 1'4 2 ' 4r. 'lt J. L) J OFFICE COPY• Address Q;jkUr!5C 14 of lo.0 GAS Meter By Date ELECTRIC Meter By k4e-6 Date OFFICE COPY Address GAS Meter By Dat ELECTRIC Date Meter By A J013 FINAL t.; -j - Signature 9, I mum DIES_ 0 thafth6 products iclenti'ii'edAelow and on Nos. attached sheets :are marked with I t e Collective Marik!of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) 4ii and were manufactured in conformance with applicable provisions of American Nation�l Standard .ANSIM - ITC 'A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has i \\3TE OF TIM A,\ beer'a't:o.urplant 'in which planti has a quality con'trol system approved by the InspectionBureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION I and inspected periodically b y such Bureau. The manufacture of these members complies with the manufacturing!.and fabricatin' gprovisions of Chapter 25 of the Uniform Building Code. Martin Stidham -------------- JOB NA' ME: tTc (acloress #4665) Parcel #6 Wildhorse Hollow, Reece Rd., Chico, CA 95926 JOB LOCATION, IER"::,III C, F I C ATE 0 0 N F-0 R -;II1 :A C E 24F -V4, WP Glue, Arch ADD, Indy j,Jr ,F Q i, Ifi' 146: A/ T, C: HEREB Y':' ....CERTIFIESthat the said company at its S'aid plant is lic'en"i6d by the AMff R'ICAN'l NSTITUTE. OF TIMBER CONSTRUCTION to theAltC M ik''jin:: use Collective a respect .of products which complyk;;�.ith applicable provisions of said Standard, that the adequac*y'"o"ili�e''quali ty Control system in effect'at said plant is periodically inspected and verified by the I nsOe6tio-ii 136'reau of -AIFn .11A1nFP(:w(, Alf A All IFA T/ V'.-,767 9, I mum DIES_ 0 thafth6 products iclenti'ii'edAelow and on Nos. attached sheets :are marked with I t e Collective Marik!of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) 4ii and were manufactured in conformance with applicable provisions of American Nation�l Standard .ANSIM - ITC 'A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has i beer'a't:o.urplant 'in which planti has a quality con'trol system approved by the InspectionBureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION I and inspected periodically b y such Bureau. The manufacture of these members complies with the manufacturing!.and fabricatin' gprovisions of Chapter 25 of the Uniform Building Code. Martin Stidham JOB NA' ME: (acloress #4665) Parcel #6 Wildhorse Hollow, Reece Rd., Chico, CA 95926 JOB LOCATION, P0#685- 4-18-91 CUSTOMER'S ORDER NO. DATE - MFGR'S ORDER NO, 8864-D 24F -V4, WP Glue, Arch ADD, Indy j,Jr SIC#NAT LIRE f. COMPANY Americao Lama nator.-, Q TITLE Quality Cgntrol.'- ADDRESS 'POB 99, Swisshme, QRO�ATE 5-3-91 A/ T, C: HEREB Y':' ....CERTIFIESthat the said company at its S'aid plant is lic'en"i6d by the AMff R'ICAN'l NSTITUTE. OF TIMBER CONSTRUCTION to theAltC M ik''jin:: use Collective a respect .of products which complyk;;�.ith applicable provisions of said Standard, that the adequac*y'"o"ili�e''quali ty Control system in effect'at said plant is periodically inspected and verified by the I nsOe6tio-ii 136'reau of the;AMER'ICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company• is capable of complying with applicable manufacturin§'-pnd testing provisi�ns of said Standard. in respect of produ'cts manufactured at said plant. Conformanc6 with the Standard lin respect f.Specif ic'or o particu a a particular product is the sole responsibility of the manufacturer; AITC" g S 6arantee hereunder being that We' 'said company is qualified to e produce a produ'ct me ting the saia,Standard d 'Bureau. a n I at.'its plant is pericidi'Cally inspected and verified by the AITC Inspection Spec AITC Cerlificale No. 74257 AMERICAN INSTITUTE OF -TIMBER CONSTRUCTIO4 - RECEIVED MAY 0 71391; KEL 0 1983 AMERICAN INSTITUTE OF TIM aA TC FORM ci� CA .. . � � w� . x �A�3`•i��`jw♦ � ..� a ��!.rh•��s1,Y!�.',R,�. r� } d" ; Ovaer Permit lQo.`OSl7 ao ENERGY CERTI FI CATI ON - !� 7 CP � (��24�1� LOCATION -- DESCRIPTION OF ll�SL'LATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. "I EXTERIOR WALL. MATERIAL FI RASS BRAID NAME CE Tfl':TrrI1 THICKNESS THERMAL RES. - CEILING BATT OR BLANKET TYPE-FiberglasllRA1;D NAME CEpJAit:Ti£D THICKNESS /212- " THERMAL RES. -/6r- 3 LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR,ELEVATED MATERIAL FIBEiGLASS BRAND NAME AERTAINTEED THICKNESS THERMAL RES. - / FLOOR, SLAB MATERIAL THICKNESS WIDTH-. BRAND NAME THERMAL RES. FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION'WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.' HAWKINS INDUS RIES INC. ;u 6 22 18 4 FIRM NAME 0 STATE CONTR. LLCENSE 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 equipment, devices and mat eria]F are of the qua]i:c'Fcrik.d or are specifically approved by the State of Calif. (I'l,l:A`;l: 1'!`. I';7'; `'! .,•1 I: • : . 1 !. . `1] r.!;A J 1'1,1. ul �111s celt*ificate must 1 I'1' j , ! ,e.!'l: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, C4 - (916) 891-2751- x,<;., f7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE {'` a9P-3 �i TOWNER PERKIFr NO - MIT 0 Daf6 .4 REV 11/91 "m- '-5 54- e j2-5 r L o e- '4V'P6 62 0 Inspector A routine in action indicates that the following violations of Butte County OrdInancesel&talt the ab address and should be corrected. Please notify this office when coffecfim at mm- rn :d. If you have any questions pertaining to th' .matter, c yp�tqct th s i imm doly. c� 7d additi:nge or xpb7o 'm ,9 . � � I t dod r VV 40 A -z" lie- A A MIT 0 Daf6 .4 REV 11/91 "m- '-5 54- e j2-5 r L o e- '4V'P6 62 0 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 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 eed additional explanation, please contact this office immediately. 'tel u- l o- A^- c e r 4- . t��O sG 10 /o� 5i�0 S T /V V C4 ICJG p/ l..t vI-9X r r iof Gva i / 'f ' U 4e- / d I; VO//✓G �o V a o5�, I / a f o�� r-,tG D (i -,e. .) A. 4 (AJ f o A-" 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 HERMIT 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. Date /'2' r Inspector Zm �, !�7 e ' � W A -rt e74 t Date V 9 Inspector - 1 -F. r. COUNTY OF BUTTE ;. DEPARTMENT OF PUBLIC WORKS a ... 196 Memorial Way, Chico --Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' � t3 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance .A a3 exist at the above address and should be corrected. Please notify this office , when correctio f work is completed. If you have any question pertaining to this rt matter, or eed additional explanation, please contact this office immediately. W A -rt e74 t Date V 9 Inspector - 1 -F. COUNTY OF BUTTE �I t 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 t 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 V matter, or need additional explanation, please contact this office immediately. 11n� r -& R r Date ���'71 Inspectori9�� %I 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: / P L" ft. / /"Nat. or/ /" L" ItJ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; 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 t 1. Setbacks -Easements ' 2. Soils; Compaction -Structure Stability 'ti 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Po41.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 y Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. /t Y l=OKE O=Not OK - =,Not App-4cable = Not Ready t9 RESIDENTIAL (Single & Duplex) Date UND L OR (-Plans) OK'except #'s f. -2o, 6n -setbacks -Easements -Flood -Slope Main; Soils-Elec. Grnd--/ " Ftg. Depth Ft ., Garage; Soils-Steel-Elec. Grnd.-//jl:�Ftg. Depth Ft orches & Decks; Soils-Steel-44Ftg. Depth to,p4alls, Main; Steel -Bloc kouts-Wra pped t walls, Garage; Steel-Blockouts-Wrapped Hold DP2ns and Special Anchors 7. Sla eel -Wrapped rs-Fireplace Ftg e g--ZO % D.W.V.; Fall-Fi g Tes Way C/O -Sewer Test 10. UF. as Pipe; Size -A chors - yard gas piping: size -test 16,4ater Pipe; T nchor-Regulator-Service Test 12. Electric; Underground 13. Pienums Ducts; Clearance -Mater' -Support-Ins. ZO'Q'j eq Gir s Sills -Anchor Botts -J -Vents ri 15. Access & Ventilation 16. Insulation Date gf'7-171 Card B-1 Date 2 20 Q/ Card B-1 .: Date 4/ Card -1 -ate Card B-1 Date PLUMB"( Permit) O xceot-#'s �(l-- 1 a H_(_riTfR%iccasfCo soon Ai a-- --- -------- L'!( r Pipe; T �= - o ail t' D.W.V. T - iltjja s & An Nail P ion --- ---------- - ---------------- Sh r Pan; Test, First Floor -Tub ccess 1�est Tub & Shower. -- Second Floor -Tub Access -- -- ------------------- ----------------- 24.aae•-Pipe_Size & Anchors ------------------------------------------------------------------ -- Date -(� Card B-1 Date Card B-1 --�----�--------- -A#--------------------C-rd (1--/1-9( Card B-1 !4 Date Card B-1 Date ELECTRICAL (P rmit) OK except M's - 22. Fi re ransformer Clearance -Ins. Protection ---- --------rmer pe ranee------- -tion------------------ EI . Recepta Spacing- is & Switches oors ----- ------------ ---- -------- - - ---r�/ Size _ s & No. of nductor t ------ - - -- -- - - -- - - -- 0 5 Installed Close to Edge of Studs & C.J. ----------------- --- - - - -- - - f Studs -- - --- - ---- --- -- --- -- -- --- ---- -- ------ ip. Ground made up w/Mech. Fastners-Bond & er ------------------------------------------------------------------&----------- 2 pliance Circuts in Kitchen_ & Conductor Size/GFI Subfeed Wire Size i r ga Cu or AI-A.C. Size 9/ ga ,% .1 or AI -------------- -- -- - ------------------------------------- Range Circ IN ga. �r AJ Oven Circ. / / ga. Cu or Al. I ulated Neutral Yes ❑ No., Ser --- ---vice-R ser Conductors & Gr d -Main Disconnect ----------------------------- ----------- ------------------------------------------------------------------- 31. Equip. Cl e rances Panels-Motors-Mech. Equip. ----- -- - -- -- - ---- --- -- - - - - lo s Closet Light -Shower Light -Spa Light moke Detector Date i b ,Z5 Card B-1 S-� --Date /1--/!_y'/ - Card B-1 - ------------------------------------------ - Date -L Q Card B-1 jt/3 Date Card B-1 Date MEC ICAL (Permit) OK except a's A. ucts Insulation & Support ----- --f------ -- ---------------------------------- ----- -- - - -C- ent Fan: Exhaust above insulation ->�1-- --- -------------- ------------------------------ Drain 36densate & Overflow: Size & Grade - 3Q. F ance-Vent: Access -Comb Air -Return Air Vent -115 outlet --------------- --- - ---------------------- cces -- -- . -----turn-- _. Attic -Access-&- Platform if Furnance in Attic ------ IOU -1, --------------------- ----------------------------------------- Date IOU- , R (- Card B_1 L/� -- Date - Card B-1 - ----------------------------------- Date/;X- _____------ Date � I (� Card B-1 Date Card B-1 Date FRA (Plans) OK except p's r ' 3 s. Proper Ma�t_erjot-& An_c _ s / alls Studs-N3Rng. Sp ing & Br ing- es Sold ,. -- - 41. Beari ails over Girders & Floor Nailing - - - ------------------------------------------- ---------- t Stop in Walls (rat proof) - `------- ---- --- - - -- �- --�--- ----------------- n.-Ire ---------------- ire Stops: Furred Ceilings -St res ClfSse -T -- -- ---- ----------------- ------ - ------------------- Headers & Beam -Size & Bearing Date -/FRAMING (Continued) . • _ge=PostCaps-Anchors-Connectors _C Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. -Fir ace Ties or Type A Flue -Fireplace Throat clearance A c Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 1 - -- rage Fire Protection Framing _ - xtP perty Line Firewall & Openings �` Doors -One 3' -Check Garage -3rd Story, 2 Exits - -- --- 3( airs: Width -Headroom -Rise -Run -Landing -Fire Protection 5e wood on Roof Overhang -Attic Vents -Rafter Outriggers SiOng-Nailing Veneer Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic 5 . Sh ails; Nailing -Bolts %3r1- sulation-Walls-Ceilings 6 . Infilirr'-n-Walls-Windows Date -( Card B-1 ��- Date Card B-1 Date -/ -71 C B-1 Date Card B-1 Date FIN (Plans) OK except k's Sidelig otection-Landings ------------- ------ urna ee; VCents-Clearance-Comb. Air -Connector - In ge: Above Floor-Ducts-Mech. Protection -------------- A- e m Exiting - --- ath Fixtures & Tub Access -Spa ------------ -- ---- = ---- le rim & Subpanel; Breaker Sizes & Labels taus & Rails J� -- re e -- or Stove: Clearances -Hearth a - --- ------Clea------ 64.,Rf OtV7iets at Wood Panel: Int. & Ext. &Appliance; Grnd -Air Gap -Cooking Clearance 7AolglepeOutlets & Receptacles at Kit. Counter lef-- i arage Fire Door; Swing Landin -C X_ _ _ Damper .Wtr. Htr; encs -Clearance -Comb. Air-Connector-P.R.V. 2 - In ge: Above Floor-Mech. Protection -- ------- ---- ---------- 7 Mech. Equip. Listed for Location 7-. Elec. -e ptacles in Garage: (G.F.I.)-Romex Pro n 7- s n -Foam -Looked in Attic es ------------------- 7 --rd-Rails & Deck Construction -Post Caps 2--1n Vents yawl Hole Door -Drainage & od-Earth Clea a Looked under Floor es is ollowing instld.: Drive ❑ Yes O No: Walks 0 Yes ❑ No: Pla ters Yes 0 No isconnect. Electrical, Plumbing --- entvAbove Roof: Plbg.-Appliance-Fireplace.-Clearance to �( ------- -----d at ell; Disconnect. Electrical, Plumbing - --- -- ---- - ------••--- xter' ec. Trim; G.F.I. Receptacle -Underground - - - -- ---- iS e tion Throughout House -------- 80. Glalion - -- -�--�-/--`8r ---------------- 3"oections from --P-r-e-v-i-o-u-s- -Inspections - - --------------- -Meters Tagged; Gas -Electric -------------- ---- — ----------- 1 �$ 9 ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate Certificates -Other -- - -----DateJLCard B LDate --- - --Xf'j: Card B-1 /j� DateDat----------------�r----------- % rd B-1 Date Card B-1 Date - Card B-1 J -- -- - Comments at Final:- - - - - - ---- 1 w' 1 .._i7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller''California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 7-2- A-40 BUILDING PERMI OWNER w, t ` TELEPHONE SQ. FT. I OCC. BUILDING VALUATION CON ONE CONTRACTOR'S MAILING AOORF-55 Fireplace ' A 1 500.00 Contractor ELECTRICAL PERMIT CONSTRUCTION LENDER UNKNOWN Total Valuation $102,923.60 10.00 10.00 Main service EA. ADD'L 100 AMP Filing Fee $ NEW CONST. ( ACCDWELBLDGS,LING CCUP.t4\ OR ADDNS. // '0.00 LENDER'S MAILING ADDRESS 103h__.O�o_�am Rl vrl _ . Qr.oville ___ __ __ _ Perm.;! Foe $ $453.00 /POWER APPARATUS &) l SINGLE OUTLET CIR. Contractor ARCHITECT OR L,a ;WEEP, LICENSE No• Plan Che;;kln Fee g $226.50 FIXED APLNS.Ex. Occup. OUTLETS P(RESID )REA.7 Energy Plan Checking Fee n _ $ 15.00 10.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS 9857 T,ntt Rd T)iirhqm 95938 Penalty $ I SCHVJ Misc. Wiring BUILDING ADDRESS Permit fee $ 704.50 - PERMIT Filing Fee 10.00 6 5PLUMBING Each Tra 01 2.00 20.00 Solar or eat pump water heater 1 20.00 ZO LOT O. SUBDIVISION NAME PARCELMAP L -'-S Water piping 5.00 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFK1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5,00 Mobile HomeI S G W 10.00 ea TYPE OF WORK NewPQ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Two Story New Single Family A 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 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai s said County in conseq,uwce of the granting of this per it. t X Date Signature of Applicant - OwnerX Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep=�►,t4/on o lce ion of structures over 3 stories in height. jjjj// V Receipt No. 93749 $281.50 PC// WXITE-D.P.W., YELLOW-ASeE99aR, PINK -INSPECTOR. 00LDENR0D-APP1ICANT /L1/ y- '7I Permit Fee $449-.- /r-'0 i Contractor $75.00 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 1 2.50 `2,50 NEW CONST. ( ACCDWELBLDGS,LING CCUP.t4\ OR ADDNS. // V ��,Osq ft 52. 50 A NEW NMULTI*OUTLON.R ESI. CONSTR BRANCH CIRCTITS 2.50 ea Permit Fee /POWER APPARATUS &) l SINGLE OUTLET CIR. Contractor Ex. Occu p OUTLETS OR FIXTURES z0 ®a0s DAL030 Energy Inspection Fee FIXED APLNS.Ex. Occup. OUTLETS P(RESID )REA.7 2.00 . C(7VE /�`� Temporary service 10.00 Mobile Home Facilities 15.00 I SCHVJ Misc. Wiring 15.00 F= P ) HD - Permit Fee $75.00 Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 116.00 6.00 Split System All E1 c Cooling 1 6.00 6.00 Hood 1 3.00 3.00 Venti lation Permit Fee $ 25.00 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $30.00 . C(7VE /�`� TOT L SiE q a g/ � HAZ. I CUA PARK I SCHVJ DF I PA P ) HD ISSLyE This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date 1P T EXPIRES Date Y � ` COUNTY OF BUTTE-tEPARTMENT-OF'UBLIC WORKS - BUILDING DIVISION _ E• t % IF�,N � 7'COUNTY CENTER 'DRIVE - OROVILLE, LIF /RNIA 95965 - TELEPHONE: 916/538-7541 • MIT APPLIC i ON DATA SHEET s Permit No. OWNER _S4 h a n,• A. P. No. 4/7 d� G� Proposed Building Use ��T, Building InspectorIF Date 6 X?^JI At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buil 8. Engineered truss details and layout in duplicat re r t 9. Mobilehome installation data including ac on instructions ..... . �'. .... 11aFeesof $ . Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... — 13. 0 k LD School District fees paid .............. Y Sanitation approval from R,,44 -e Health Department S� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City.of (see City for other requirements) % I 17. Planning approval for (A) Use: • (B) Parking: . 18. Improvements may be required. Contact Land Development Section DPW r 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. ❑) ..... —� Recorded copy of Agricultural Acknowledgment Statement ......... - -� 25. Letter of signature authorization . `. . 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 35e2 -2Z(29 and hold for pickup at office. Deliver w/inspector. Other / Applicant,"Date A0/ 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 pri to permit iss ance: Pcircle new item not checked abovt). 1. Index permit for above items No. - 2, Additional items required: f Contractor, designer o . , was advised of above required data by_phone_naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mai I—counter by date Plans checked by Date kA, Pl�cys, p pd by Date /- Sets of plans on hold in File cabinet AP folder Copy—DPW halo_ �K/ TO -Bud-ldina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply � Final clearance O.R. for: . Water Supply Clearance for bedrooms home. Other NOTE Sanitarian Oats .� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. fa 7 County Center Drive - OrovIlld, Callfornla 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT ASSESSOR PARCEL UMBER _ _ p ZONING BUILDING PERMIT OWNER /t ` I� I TELEPHONE - Q S0. FT. OCC. BUILDING ° s 9so2os VALUATION OWNER'S MAILING ADDRESS 5 Loch ,{11 04 028 62 CONTRACTOR'S NAME TELEPHONE . / �O CONTRACTOR'S MAILING ADDRESS Fireplace CONS RU TION LENDER UNKNOWN Total Valuation $ c — 23 Filing Fee $ -.Q.QQ LENDER'S MAILING ADDRESS 0 0� V OroV11 Fee $ -.f -3 00 ARCHITECT OR L �'J��P. �ICENSE i�",j/\\\\\ NO. Plan Che. ;;;ng Fee $ .�O Energy Plan Checking Fee $ ARCH I F CT OR ENLW'S A CQi 55 IN ADDRESS Penalt $ y BUILDING DDRE 3 f? /10#00 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 8Z O Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S— Each qas water heater or vent 5.00 USE OF STRUCTURE. SFJ% Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 S -- Mobile Home IS EG7W I b0.00 ea TYPE OF WORK New% Addition❑ Remodel[] Utilities[-] Installation[] Other ❑ Describe work: �.» S40r5/ S,F Permit Fee $ &660 Contractor ELECTRICAL PERMIT FiiingFee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 ��tt �V ©� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNS. ( ACCLBLDGS.-L%/$ tr) 1/20sq it NEW CONSTR MULTI—OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR.tr ) Ex. Occup(OUTLETS OR FIXTURES 20060t eAL(730 FIXED APPLNS Ex. Occup. OUTLETS RESID 1REA.) 2.00 Temporary service Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ SOO 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 -- Cooling & Hood 3.00 O Ventilation Permit Feer--------- -- --- $ O O _ B- Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstHAZ. all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3 �� occ i CONST TYPE TOTAL FEE $ 87 / -S:r CUA PARK SCHL FLD CDF PAR PD i HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date _ PERMIT EXPIRES Date Receipt No. Pla, i�1C � n � V °.� -- .. ..._.------ ._ ., �.__ _ .,... 91p251:05 mJ 91-v"105' I Rec Fee 1 Check �• 00 Recorded I �• 00 Official Records I County of 1 Butte I Candace J. Grubbs I Recorder 9:08am 21 -Jun -91 I XX 2 Recording requested by Mid Valley Title Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including; but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the, County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: 6/ 19/91 PROPERTY OWNERS: nrl L MARTIN R. STIDMAN State of California,. ) On this the 19 day of June ) SS. me, the undersigned Notary Public, County of Butte ) M Martin R. Stidman , 19 91 , before personally appeared °F ti OFFICIAI.SF�AL Personally known to me. A(yl Proved to me on the basis DEE PALMER of satisfactory evidence. NOTARY PUBPALMELfFORNIA to be the person(s) whose names) are subscribed to BUTTE COUNTY the within instrument and acknowledged that he C4C IF0Vk My Comm. Expires April 26. 1994 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set In hand and official seal. a Dee Palmer Notary Public Present A.P. No. 47-gn-n-72 4 I/ V DESCRIPTION 91 -25 105 ALL THAT CERTAIN REAL /PROPERTY SITUATE IN THE STATE OF CALI.FORNIA,.COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF LOTS 1 AND 2 OF THE NORTHWEST QUARTER AND THE EAST HALF OF THE NORTHWEST "QUARTER AND THE NORTHEAST QUARTER OF SECTION 7, TOWNSHIP 23 NORTH, RANGE 1 EAST, M.D.B. & M., AND FURTHER DESCRIBED.AS FOLLOWS: BEGINNING AT. A POINT LYING SO -02-21E A DISTANCE OF 1587.27 FEET AND N89 -28-58E A. DISTANCE OF 1714.58 FEET FROM THE NORTHWEST CORNER OF SAID SECTION 7; THENCE N89 -28-54E A DISTANCE OF 1681.74 FEET TO A POINT LYING NO -02-21W A DISTANCE OF 30.00 FEET FROM A 1/2" REBAR TAGGED RCE 22836; THENCE SO -02-21E A DISTANCE OF 1071.07 FEET TO THE CENTER EAST -WEST QUARTER SECTION LINE OF SECTION 7, AND A 1/2" REBAR TAGGED RCE 22836; THENCE S89 -20-35W A DISTANCE OF 877.24 FEET TO THE ACCEPTED CENTER OF SECTION 7, TAGGED RCE 22836; THENCE S89 -37-21W 804.51 FEET TO A 1/2" REBAR RCE 22836; THENCE NO -02-21W A DISTANCE OF 1071.21 FEET TO THE POINT OF BEGINNING. RESERVING THEREFROM AND GRANTING HEREWITH AN EASEMENT FOR ACCESS, DRAINAGE AND UTILITIES AND INCIDENTAL PURPOSES, SIXTY FEET IN -- WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: :BEGINNING AT A POINT LYING SO -02-21E A DISTANCE OF 1587.27 FEET `AND N89 -28-54E A DISTANCE OF 30.00 FEET -FROM THE NORTHWEST CORNER OF SAID SECTION 7; THENCE N89 -28-54E A DISTANCE OF 3924.58 FEET TO A POINT "A"; TOGETHER WITH All EASEMENT FOR A CUL-DE-SAC 50.00 FEET IN RADIUS WITH THE CENTER POINT BEING POINT "A" NOTED ABOVE. PARCEL II: AN EASEMENT FOR ACCESS, DRAINAGE AND UTILITIES AND INCIDENTAL PURPOSES, SIXTY FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT LYING SO -02-21E A DISTANCE OF 1587.27 FEET AND N89 -28-54E A DISTANCE OF 30.00 FEET FROM THE NORTHWEST CORNER OF SAID SECTION 7; THENCE N89 -28-54E A DISTANCE OF 3924.58 FEET TO'A POINT "A"; TOGETHER WITH AN EASEMENT FOR A CUL-DE-SAC 50.00 FEET IN RADIUS WITH.THE CENTER POINT BEING POINT "A" NOTED ABOVE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. END OF DOCUMENT !n ril 0 co Z LL O0 0 W ...,.. .-•...-4•'r."+•-., np^5 P""%H♦'+l ;F -^.WY*+"'4.y�... r•. }/Y....-,., .-". N:,H'fi ; i� Si� c.iC���`�?' �•• �`•i' l.y"_. at�R,b ,(�"`.7X!•n �+T' 4.7'y .'9'f"6A . `IC+� h' Y Hr t "Y e+Et�l fi i.\ JM• r.. BUTTE COUNTY SCHOOLS DEVELOPMENT�FEE CERTIFICATION FORM - (.On,e Form„per Building) , A.P. Number �� Building•6p* artment No,. 'School District (�, City D' County Jurisdiction Property Owner Project Location/Address Subdivision Lot Number f Residential Development:, a;e�� Sq. Footag # ,of Living MHI � .Addition ( Group R) . _ Units eY•i e 4 �9ry ,Commercial/Industrial: O Sq. Footage ' New Addition (I'ncluding Exterior Roofed Areas) Building � 1 tm nt Representative -Da e r (Floor --Plans reviewed by School District -Personnel) District "Id No. I��T to 0 School District certifies that F:.j pldcant Name) (Phone Number) Street Address City ate has complied with -the requirements of Resolution No. v (Zip Code � lq --q o by the payment ;of $ �aoZlf�%3. representing C;�11915square feet: District Representative. Date PAID BY CHECK NO. - :i -BANK NO �� 7 PAID BY CASH R+ N.. 'This 'Certification is valid only. upon the issuance - . of a.Butte County/City of Chico Building Permit �.. prior to 8/5/91. _ Building. Permits issued on or after •- )_ 8/5/91 are subject,to re -certification -and additional - _� _ school fees of.$1.00 per.square foot of assessable space. white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8./88) „ .r I i / Y r RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit #IW V OWNER ST v m m A.P. # 447-%0-%Z GENE L Plan Checker 4K-- V1 . Zoning requirements.: (sideyards and number of permitted living units). �y,arluation. 3�ns signed by designer. - 4. Proper description of work on application. Exi g violations on property. (§- Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). eco notice of violation. PLOT PLAN !11�'-�"(omplete parcel size and dimensions. ibacks, sideyards, easements, etc. 3!/. r% her buildings or structures. �/4. grading, fills, drainage. ° 4" Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- \Bui ible, and foundations). 7. & FAS road setback. ' 8. ing or utilities across lot lines (Record form). FLOOR PLAN 1. 6"m' p1 te_to scale plan with dimensions. 2. equlred windows'fo�r light eand �ntilat ion. (Sec. 1205). Required windows for second exit (Sec. 1204). 1g is (Chapter 34 & Sec. 5207). i 54'�Iuman impact glass (Sec. 5406). uire oom sizes, ceiling ,heights •(Sec. •1207).. 7.. GF n.baths, garage, kitchen, and exterior outlets (Art•icle 210=8). ght fixtures, switches, receptacles, and exterior receptacles for tenance of mechanical equipment. main - Locations of water heater, heating and cooling equipment, other electrical gas, equipment. 1 ge firewall, door size, and closer (Sec. 503(d)(3)). exterior exit door (sec. 3304 (f). eplace and wood stove location, alcoves, and clearance. 1 Smoke etectors (Sec. 1210). 1 umbing fixtures, water closet clearances and shower size. ,,,�p�,Q , ST,RUCTURAL DETAILS 1!/CTStandard bracin or engineered desi le 25V) 3�nusual shape, siz evel house requiring lateral design. �oundation plan complete enough to construct building. ,000r construction details complete enough to construct building. 5��!� E1��_vations and wall construction details complete enough to construct building. 64 --goof construction details complete enough to construct building. construction deta' nd ecessary: r ties or bearin ridge beam. 9 a ge door or porch header sizes. 1 tud heights. 1 . Adobe soils - special foundation design. a2 aining walls requiring design. mal Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS -TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). 3- Brick or stone veneer (Chapter 30). for plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof overing type ward). r j. insulation - protection. 36" halls and stairways. n area over garage - complete 1 -hour separation required on garage side i luding supporting walls and posts, etc. I is on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 tic access and ventilation (Sec. 3205). or access and ventilation (Sec. 2516). tjnderfl Co stion air for fuel burning appliances - L.P.G. requirements. equirements on duplexes. 1 rgy design. 1 Flashing at all exterior openings. I airs-ible area requirements. 0 S�4EVFT_ Ri r7.Q 12-OCIF Ps F I -L- zo PS F I R. C. E.,34257 ]Reg- Expires 9-80-91 4---6c, ---------- - v F- 13.51 :57, 116 4- 1544-S 5 44:S 4- I t 24 F -q 3 (--i LU L&H 5445 F Fei1- P 1 V -) C. -I s dUTTP- COUNTY alllLbINO bEMRTMEN PPROV 9" 0 �. LkERDt, I 9-tilT oF. 6,1&;?' j _ _ .. - - �___..._ �__..- __ lit -• _D¢1�?_._P�r�c�a. -f�?F _�� � F.I�r1 i _•�F_ Cal�t� � ._.___._.___.__-_- _--______..____._._. ,..._ _ -F5PsFI`3 4I _8�_a �r l_IZ - --- ... . its '� ��F�SS �a No. C col zoo _ ._ 3� �.—__".-_•237_--P�P� S.�i°�I ��i---------��-'`p E� �? CI:� � _ PosTS.--- I08 4NaiL- _:� 17r�of: SEIStr11L I,akD: - 51.1-1PStil _SI_ZgZ @__p�N NDI2- — --ra !oF�.�3c�')=_3�co--'—_L-�/?�a./caP-�'��'`------------; Reg. Expires.9••SO-91 ` `IUB �G_�lrr---------- ----- - ----- - --- .�`._._..____._..____. 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(A A,ricej AtJc ov �L� P^ E s sFE�- ��.— BUTTE COUNTY RECORDER SERIAL NO. 9/-o7S/DJr RECORDED AT THE REQUEST OF MID VALLEY TITLE COMPANY DATE RECORDED: TIME: 8:00,1M JUN m 21 1991 91 _025105 Recording requested by Mid Valley Title Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, -plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke,'noise, and odor. Butte County has established agricultural zones Which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the. County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: 6/ 19/91 PROPERTY OWNERS: MPRfINR. STIDNIMiLfAM State of California:. ) On this the 19 day of June 19 91 before SS. me, the undersigned Notary Public, personally appeared County of Butte ) Martin R. Stidman pLO-ti ®FFICIALSEAL / Personally known to me. % I Proved to me on the basis r CtsLIC6 of satisfactoryevidence. 41.1 41.1 �n NOTARY PUBLIC - CALIFORNIA to be the person(s) whose p ) names ) are subscribed to BUTTE COUNTY the within instrument and acknowledged that he cq(IFORN" MY.Comm. Expires April 26, 1994 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set m hand and official seal. Dee Palmer Notary Public Present A.P. No. a7 -,)p -n-72 DESCRIPTION /// ALL THAT CERTAIN REAL /PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• A PORTION OF LOTS 1 AND 2 OF THE NORTHWEST QUARTER AND THE EAST HALF OF THE NORTHWEST QUARTER AND THE NORTHEAST QUARTER OF SECTION 7, TOWNSHIP 23 NORTH, RANGE 1 EAST, M.D.B. & M., AND FURTHER DESCRIBED AS FOLLOWS: BEGINNING AT. A POINT LYING SO -02-21E A. DISTANCE OF 1587.27 FEET AND N89 -28-58E A DISTANCE OF 1714.58 FEET FROM THE NORTHWEST CORNER OF SAID SECTION 7; THENCE N89 -28-54E A DISTANCE OF 1681.74 FEET TO A POINT LYING NO -02-21W A DISTANCE OF 30.00 FEET FROM A 1/2" REBAR TAGGED RCE 22836; THENCE SO -02-21E A DISTANCE OF 1071.07 FEET TO THE CENTER EAST -WEST QUARTER SECTION LINE OF SECTION 7, AND A 1/2" REBAR TAGGED RCE 22836; THENCE S89 -20-35W A DISTANCE OF 877.24 FEET TO THE ACCEPTED CENTER OF SECTION 7, TAGGED RCE 22836; THENCE S89 -37-21W 804.51 FEET TO A 1/2" REBAR RCE 22836; THENCE NO -02-21W A DISTANCE OF 1071.21 FEET TO THE POINT OF BEGINNING. RESERVING THEREFROM AND GRANTING HEREWITH AN EASEMENT FOR ACCESS, DRAINAGE AND UTILITIES AND INCIDENTAL PURPOSES, SIXTY FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: :BEGINNING AT A POINT LYING SO -02-21E A DISTANCE OF -1587.27 FEET `AND N89 -28-54E A DISTANCE OF 30.00 FEET FROM THE NORTHWEST CORNER OF SAID SECTION 7; THENCE N89 -28-54E A DISTANCE OF 3924.58 FEET TO A POINT "A"; TOGETHER WITH All EASEMENT FOR A CUL-DE-SAC 50.00 FEET IN RADIUS WITH THE CENTER POINT BEING POINT "A" NOTED ABOVE. PARCEL II: AN EASEMENT FOR ACCESS, DRAINAGE AND UTILITIES AND INCIDENTAL PURPOSES, SIXTY FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT LYING SO -02-21E A DISTANCE OF 1587.27 FEET AND N89 -28-54E A DISTANCE OF 30.00 FEET FROM THE NORTHWEST CORNER OF SAID SECTION 7; THENCE N89 -28-54E A DISTANCE OF 3924.58 FEET TOA POINT "A"; TOGETHER WITH AN EASEMENT FOR A CUL-DE-SAC 50.00 FEET IN RADIUS WITH_THE CENTER POINT BEING POINT "A" NOTED ABOVE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories " R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. O.C6 -11 -5 4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single- " - - 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 .. U -value -14 - 0.80 -153 -114 -76 0.50 -91 -68 -06 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 0 - ` Insulation In Floor - - ^ 2 Number of stories - R -value One Two Three -2 -2 R-19 -1 -2 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -14 - -- - ----0.60 . -144 -70 -46 0.50 -120 -58 38 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 0 Number of stories One _ Two Three 2 Percent 0.40 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 50 -Number of Stories R -value One Two - --Three "R-0 _ -0 --* 0. =_ _ 0. 37 -26 -14 R-7 8 - 6 3- -• - F2 factor -29 -19 0.90. _`- - -4 -:3 ,_ _ice --0.80 , _._-.1 w ;. _ • -1 - - -� 0 -. 0.70 2 2 1 0.60 6 4 2 0.50 9 6 -3 0.40 12 _ __8 _-. -4 -- 5. Infiltration (Air Leakage) Specification 'Points Standard 0 6. Glass Heat Loss Total 0 Slab Floor 0 1 Raised Floor U -value 2 Percent 0.40 5 .51 to AT to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 _ -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 10 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 . 5 7 10 13 16 19 10 3 9 11 14. 17 19 9 -1 10 13 15 17 20 8 - - 2 12 14 16 18 20 M 7. Shading (Shade Open) ---Effective Percent Glass (percent glass x SC) Effective %Glass North East South .West Skylight 18 5 9. Interior Thermal Mass Interior 0 Slab Floor 0 1 Raised Floor Mass. 2 Stories 0.40 5 Stories 3 /CFA One Two • Three One T Three 0.0 �' -8 -5 -4 -2 10 .1 0.1 -8 ;5 3 -1 0 0 0.3 -7 .-4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 - 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 =1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 -6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 1 6.0 5 8 10 12 13 13 1 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 ss 10. Exterior Wall Thermal Ma Exterior Single- . Single - Wall Family Family Multi Mass Detected Attached Family 0.00 0 0 0 1 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 20.72 3 200 10 11 13 -4 11. Heating System 16 14 4 .4 1 2 2 4 5 1 1 na na SE or KSPF 12 _ 3 _ 3 -.5 _ 5 2 na ' - _ -(assumes ducts In attic) 11 10 3 2 3 3 5 5 2 2 .:na 1 _ Sum of 1.6 9 2 3 5 2 2 -25 or -24 to -14 to -4 to +6 to 16 or { 8 2 3 5 2 2 SE HSPF less -15 -5 +5 +15 more 7 6 1 1 3• 3- 4 4- 2 2 20.72 3 6.60 0 0 0 0 0 0_ 5 ,-- 2 -4 2 3 0.75 : 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 4 0 2 3 1 3 0.85 7.79 13 11 10 8 7 5 3 0 1 2 -1-- 3 0.90 8.25 -17 15 13 11 9 7 2 0 < 1 0 3 0.95 8.71 20 18 - 15 13 11 8 1 0 .1 -1 -2 -1 -4 1 -2 2 0 Effective SE or HSPF ' -8 _ POU Effeitive SEER _7 -6 IG None (SE or HSPF x duct efficiency) na = not allowed .. I Solar 7 5 .4 S(;n of 7-10 2 Effective -25 or -24 to -14 b :4 to +6 to 16 or Effective -25 or -24 to -14 to -410 +6 b 16 or SEER SE HSPF less -15 5 +5 +15 more -15 5 +5 +15 more 5.0 -30 --030 _. 2.75_ -64:56 _:A7_:_-38._ --30..:, 1B. Shading(Shade -13 Closed) 6.0 na 3.41 -45 -39 -34 -29 -24 .18 -11 -9 -7 5 -4 6.6 _ .. 0.40 3.67 -34 30 -26 -22 -18 -14 - - -- -- 2 7.0 0 0 0 0.50 4.58 -•-10 -9 -8 '-7 -5 -4---- 0 Effective Percent .4mrcentVan X Glass SQ_ • _" 0.56 5.13 0 0 0 0 - -0 0 j ._5.. __5 ._4 ...3.- 3 2_..: Etfetxive = `+- �_ _0.60.5.50 0.70 •6.42 17 - 15 .13 .r l 9 7. 7.33 25 -22 --~---• - %Glass NoM -East - --S"-Welt - ' Skyfght -0.80 _ 19 ._:'76 ._13 - 10'.. -0.90 --8.25 -32 28 '24 20 " 17 •�13 - 18 - -14 --48�- 69--. 64 �a_- .. 1.00 9.17- 37 32 28 = 24 ' 19 15 r = 16 -----12 ---42 - _ 59 -55 _ -. na 12 14'_- 10 �35< .. -50 -46 na .:,..ZonalContro1Adjustment�• ,.. � 13.0 . _ -8 ' _29 .40 - 37. na _ " 11 • -7 _ -26 36 -M __ . na.. System Type _ _ ` 10 -6 - -23 31 -- -29 - -74 ``= Resistance 10 9 7 �. 6 �4 3 _ ___9 t -5. :_720 -_.:-27-_-.-25 4 -65_--- '-•Other.%;;7-, :6 _ 5 4 ,_3 2 2 8 _5 .. _ 17 23 �_-21:;-__-56_� 24 _ _ 7 -4 -14 -19 -.-18 =47 - _ - 6 --'3 -11' "•15 -_ -14 -38 _ -5 2_ ---9---. - -10,.-30 - ---- 4 __r -6 -8 -7 .. -23 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 1 1 ^ 1 1 1 4' - 0 2 3 4 3 0 28 na • not allowed_ 32 3.5 3.7 3.9 4.1 12. Cooling System SEER (assume( duets In attic) Sim of 7.10 Zonal Control Adjustment -25 or -24 to P14 to -410 +6 to 16 or SEER less •15 i -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 . 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3' =- 120 15 13 11 9 7 5 -12 20 17 14 12 9 , -13.0 -7 1 WSB . -25 -116 -12 _6 -8 _ POU Effeitive SEER _7 -6 IG None (SEER )rauct efficiency) -2 .. I Solar 7 5 .4 S(;n of 7-10 2 _ . POU Effective -25 or -24 to -14 to -410 +6 b 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 5 -4 6.6 -5 _ -4 -4 -3 .. -2 2 7.0 0 0 0 0 0 0 8.0 9 8�` 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed SC Eff. o �ilass j -•-Stories North t� , L/ X ' One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 d. West Single -Family Detached and Attached (1.2.ui14.4.2( (carpet.d slab) tUnit Size (sQ -.e. -Skylight _ - Water ii99 .1200' '1700 2200 2700 Heater Credit or Ito to to , or _ Type Type less. .1699 2199 2699 more SG None 0 0 0. 0 0. or Solar 12 `` 8 6 5 4 - HP - -HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 •3 SE None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB . -25 -116 -12 -10 -8 _ POU --18 ___712 -9 _7 -6 IG None 5 .3 -2 -2 -2 .. I Solar 7 5 .4 3 2 _ . POU �3.= 2 1. _�.1 ,___. 1.__.. it None -28 .19 -14 .11 .9 Solar 8 5 4 33 0.6 _ POU -10-. .6-- -.5 - ..4-3 i Multi -Family (individual units) 1.9 2.1 UnrtSlze(sf) 25 2.7 Water 699 700 1200 1700 22W - Heater Credit or = In --- to - to or -Type Type less ' 1199 1699 2199 more SG None -0. 0 0 0 0 1 - -" or. - Solar 14 ,' : 7" -S 4 -3 HP .?HWR 9�- S 3 2 -2 WSB 9 4 •3 2 2 POU -None 5 3 2. 2 . SE _9 .45 - 23 -15 -11 -9. .. -Solar ---2--_.1 ---1 - 0 0 -HWR = =23---12 --g---6 -- -.5 - WSB -25 .. -13 -8 -6 -5 _ _EQU _23 12 -8- _-.3 24 -5 IG None -8 4 -3 .p- 2 Solar .. 6 . - 3 2 1 Ji 4.1 ._ POU ._.-1 0 _0_-_ 4.S 0 �- IE None 30 -15 -10 -8 --6 Solar 18 91( 6 4 4 POU -8 :.-4 -3 -2 -2 Interior Mass/CFA t TYPE 2 PASS i % Glass SC Eff. o �ilass - North t� , L/ X ' - - - i b. ^ East_._.._. .Z ...1-x - --- --c. South - d. West - (1.2.ui14.4.2( (carpet.d slab) -.e. -Skylight _ - - -"x - _.:-O _ -'tX 9. Interior Thermal Mass • = _ � • 4 TYPE 1 MASS WINC a 4.2, Le: exposed slab) - _ t Exterior all Ma ND. FLOOR AREA - v Sum -10 ` 0% 5% 1096 15% 20Y. 259:, 30% 35% 40% 45Y. 50% 55% 60% . 6566 70% 75% 80% 85Y. 90% 95% 100% 105% 110Y. 115% 12011. 125`; OY. 0 0.2 0.4 0.6 -9.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.1 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 -. 27 . 29 . 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 WY. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 23 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 M. 1.2 1.4 1.6 1.8 2 22 25 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 so 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 27 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% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 S.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.f 63 65 67 90%" 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 , 4.6 4.6 S 5.2 5.4 S.6 S.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 3 3.2 3A 3.6 3.8 4 4.2 4.4' 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8' 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3' 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 29 '&1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.83 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58- 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 2.5 2.8 3 3.2 3.4 3.8 .3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point system Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. - Infiltration - � - 6. Glass Heat Loss 7. Shading (Shade Open) , a. North b. East c. South d. West e. Skylight Measures P.3 or R -value [381 U -value (0.030) le - 19 or R -value ( i I U -value [0.098] or R -value 1191 - U -value [0.037] Point Scores D Or R -value [OJ F2 factor [0.77] Standard _ - • 0 - �3 L{ Type [double) - _U -value [0.65] %Total Glass (161 a Zs SC _ Eff. % Glass - 7 X -7� t Z. _ .. r7� x = 3►�/ - 3 ---- X = a 8. Shading (Shade Closed) i % Glass SC Eff. o �ilass North t� , L/ X Or R -value [OJ F2 factor [0.77] Standard _ - • 0 - �3 L{ Type [double) - _U -value [0.65] %Total Glass (161 a Zs SC _ Eff. % Glass - 7 X -7� t Z. _ .. r7� x = 3►�/ - 3 ---- X = a 8. Shading (Shade Closed) % Glass SC Eff. o �ilass North t� , L/ X _ I - - - - i b. ^ East_._.._. .Z ...1-x - --- --c. South - d. West -.e. -Skylight _ - - -"x - _.:-O _ -'tX 9. Interior Thermal Mass • = _ � • TYPE 1 MASS AREA = - $ - 10. Exterior Wall Mass - Lite j COND. FLOOR AREA _ TYPE 2 MASS AREA --�� - _ t Exterior all Ma ND. FLOOR AREA - v Sum -10 ` 11. Heating System ; D _ is - Zonal Control (Y -/N)- 12. Cooling System SE or HSPF - 'Duct lcien 0 78 ,�Fo_r_-ry [ . 1-= Effective SE or (0.7Z/6. Y : VHSPF (0:5615.15 f q. ;4 :p:- �' �' -.. I" I. Zonal Control? ( Y / N) SEER 19.5 Duct Efficiency [0.74] Effective SEER [7.03] , Water Heating` i _ Type 1SGl' Credit [none] Point Total: / Certificate of Compliance: Residential Climate Zone 11 Project Tide tt l � c I CLO W' Building P '/it # - �j Project Address — /Ijj��jj�j� _ Xt` `.— 1-11 1 _ e-y�SF `i- / / Cbedced By / Data . Documentation Author Telephone Entonxinent Agency Use Only BUILDING DATA - 211 [ J Single Family Attached (F )_ [ J stin -Z� North Glass 2 95 Glass t Conditioned Floor Area Number of Stories East Slab 'sed Floor. Number of .Units South i Ingle Family Detached (SFD) : [ [ ] Addition Alone West � 0 -_ - ' S A Ext ild' B Skylight �- g u ung _ [ J Multi -Family (MF) - [ ] Existing -Plus -Addition -- -- Total BUILDING SHELL INSULATION- { Component Insulation Locaflon/Commernts Type R -Value (antic, to garage, r�iaal, etc.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. —'j�- Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind. etc.) (shadescreen, etc.) (yes/no) (metallwood) t _ North ( ) 19 y P t- �. North (. ) East East ( ) South South ( ) West ( ) West ( ) Skylight....... O THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SE, SEER.HSPF) (attic, etc.) R -Value tuh or approved equal) s •- 1 Gf •t'• J � e Maximum Fumace Heating Output: Btuh I i• HOT SYSTEMS Tank Manufacturer/Model # System T (storage as, etc.) Capacity (or equal) S PPeaRQVFP 4 P, A44 -)(— SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R v _ _ NOTE: tawrise residential buildings subject to the Standards must contain these measures regardless of the compliance _ approach used. Items marked with an astcrU (•) may be superseded by more stringent compliance requirements fisted on the Certificate of Compliance. When flus checklist is Incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component perfomumce spexificauerts for the marndatory measures - — - whether they arc shown elsewhere in the documents or on this checklist only. DFSCUMON — DESIGNER ENFORCEMENT - - - -- - Building Envelope Measures - _ - -- -- - - �- §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(bk Loose fun insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to exterior mass walls). ' §2-5352(kk Slab edge insulation - water absorption rate no greater than 0.3%. water vapor' transmission rate no greater than 2.0 perm/inch. 62-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: tafltration/ExfiltrationControls - " a. Doors and windows bctwarrconditioned and uncorub'tioncdsyaeesdesigned to limit air— - lnkage b. Doors and windows certified. e Doors and windows weatherstripped. an joints and penetrations caulked and sealed 52-5352(e)- Special infiltration barrier installed to comply with 02-5351 meets CEC quality standards. §2-5352(dk Installation of Fireplaces 1. Mastery and factory -built fireplaces have a. Tight fitting, 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. HVAC red Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(b) and 2-5315: Setback themmosu: on all applicable heating systems. §2-5316(ak Ducts eoncwcted, installed and insulated per Chapter 10, 1976 LJMC. §2-5316(bk Exhaust systems have damper controls. §2-5314(e): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352" Water beater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): first 5 fou 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(dk Swimming Pool Hwting ' ' - 1. System has: _ a. On/off switch on heater. b. weatherproof instruction plate on heater. e Plumbed to aliow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures ' §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(e): 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 the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Cliaptrir2. Subchrpter4. 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 purdiaser of the building. Designer Building Owner No= Name: Tttie/R: TitWFim - Telephone: Telephone: Lic. #: (sitnatum) Documentation Author Name: Titic/Fu Addn=: (date) (signature) Enforcement Agency Name: Ateney: Telephone: (date) 16�ys Re�s� COUNTY OF BUTTE-: DEPARTMENT. OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVTeg, CALIFORNIA 95965 - TELEPHONE: (916) 538-751 / Z AGRICULTURAL BUILDING EXEMPTION PERMIT b PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shalkit be a place used by the public. ASSESSOR PARCEL NO. „ �/� -72- / 2- ZONING 4`10 1® OWNER \ �1 PHONE NO. (lt4 V� 1\ OWNER' ADDRESS) 5 O I Std '" AAg 3 o LOCATION OF BUILDING X\ \ JJ � Y-1 Onvoyo)(.� USE OF BUILDING 1^ SIZE OF STRUCTURE X SQ. FT. --�(D' __ TYPE OF CONSTRUCTION: WOOD FRAME---,)LSTEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE TI -11 r, Co 1 ESTIMATED COST OF CONSTRUCTION $aoco ,AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County 'Ordinances as follows: JA mfr &,-- �S FRONT -•-K SIDES REAR AG Buildings shall be a minimum of five (5) feet.f'rom any septic tank or leach fields.' AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 0-q0 Signature of Owner OL" 2kue Permit Fee - $25.00 Receipt No. SS 76-4. The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD I PARCEL P.D. ROOF G ISSUE Director of Public Works By Date 3-S -.fo r COUNTY7OF BUi 7 COUNTY CE _ 1 ARTMEN ' PERMIT OWNER .} [/ Proposed Building Use BUILDING DIVISION tDF_�PUBL• IC WORKS - 'h� ONE: 916/538 7541 icnANIA 95965 - TELEPHv s;.. ...` 4`N,DATA SHEET Building I Permit No. -7Z A. P. No. Date At time of pe it application, -1-was advised the following data must be submitted prior to permit pr nd/or issuance: DATE RECEIVED }�pPROVED ` All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and-calcs, with wet signature on plans .: 5. Hazardous Material Form .................... :..................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ` 20. Pre -Inspection for required ... B ienrequest1OildngIs(Date) Ap 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. y 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 ate.,_E2-'70 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (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---naiI—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW RESIDENTIAL 047-200-072 PERMIT#95-1281 1 SHEARER, Bob } { 4665.Wildhorse Hollow, Chico . Add"Covered Patio &.Gas Line/SF reg Sjv- v l2 G 5 -- JOB JOB FINALED (Dat) —��— Signature J=OK O = Not OK = Not Applicable • MOBILE HOMES j Not Ready Read 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: / P1 ft. / /"Nat. or/ P'L'•ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC ,COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Hing Requirements -Setbacks -Easements . 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.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -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 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL' (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-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 ti'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 & Shower, --- Second Floor -Tub Access --------------------------- ------------------- 21. Gas Pipe: Size & Anchors ---------------------------------------- --- --------------------------- Date Card B-1 DateCard B-1 ------------------------------------- --- ----------- -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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. - -------------------------------- --------------- Equip. Ground made up w/Mech. 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 AI -------------------------------------------------------------------- -- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- --------- E1_Yes______0_No Service-Riser Conductors & Ground -Main Disconnect ------------------------------------------- -- -------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------ ----- --------------------------- ----- - -- -- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 ----------------------------- - ----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. -.A. -C.- Ducts Insulation & Support -------------- ----------------- ------------------------- ------ -- - --- - - - --- ---- 35. Vent Fan: Exhaust above insulation ----------------I---------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---- --------------------------------- --- -- --- -- -- -- - --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ---- ------------------------------------------- 38. Attic Access & Platform if Furnance in Attic -------------------------------------- ---- ------------------------------------- Date Card B-1 Date Card B-1 - ----------- - - -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - - - -- ----...----------------------------------------------------------- 40. Walls Studs -Nailing. Spacing -& Bracing -Plates -Sound -------------- 41. Bearing Walls over Girders & Floor Nailing --- -- --------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ---- - -- - ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ ------------------------------------------ 44. Headers & Beam -Size & Bearing >inigle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------------------ 54. 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 Card B-1 Date Card B-1 ---------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61.- Ext. Steps -Door & Sidelight Protection -Landings ---------------------- -- - 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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. ---------- - 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-Mech. 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-Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes . - - - - --- - -- ------------------------------------ 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ .No; Planters ❑ Yes Cl No ----------------------- ------------- ------ 81. Stucco. Brown -Finish - - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing ------- ------•-------------------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ---------- -------------- 84. Water Water Well; Disconnect, Electrical, Plumbing ------------------------------ 85. 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: �f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZDANG 40 f BUILDING PERMIT OWNER 'ROB SHARES TELEPHONE 896-1505 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 466S WILD HORSE HOILOW, CHIC0 95926 408 5,304 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Fling Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $153.00 HA MA PLUMBINGPERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED PATIO & GAS LINE Mobile Home T§TG W @20.00 PERMITFEE $ 35.0 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service "0 OR LESS ( 2ooA OR LESS 23.00 Main Service ( 200A TO I000A ) 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Ok 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 NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPAOURATUS ) 8 TLET CIR. OUTLET OR FIXTURES Ex. Occup. () � I.00 BAL L 50 Ex. Occup. OUTLEEDTS (RESID.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date �� � Signalure of Applicant - Owne–r-0 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ coNsr. TYPE TOTAL FEE $ 188.00 AZ, I D. FEES IMP FA DF PARCEL PD HDS 50 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hich fees have been paid. By Dae PERMITEXPIRESON (Date) Receipt No. WHITE-D.D.S.-B.D. CANA •ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY -,OF BUTTE- BUILDING UTTE BUILDING DIVISION DEPARTMENT OF ;DEVELOPMENT SERVICES. 1469 Humboldt Road, Chico;'CA'�-j91$) 7 County Center Drive, Oroville, CA - (9,16) 538-7541 - 747 Elliott Road, Paradise, -CA - (916) 872 6307' CORRECTION NOTICE. OWNER' • PERMIT NO..'w 3 A routine inspection indicates that the following violations, of Butte County Ordinances exist at '' G 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 :t office immediately. h.^ } / _71:TT-r •ro3 Date'' ' Inspector REV 10/92{ - Date'' ' Inspector REV 10/92{ E.H. USE ONLY Plot Plan AMwW _45� Floor Plan Attached Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other /Z `X 3 V' r`oy17 �lX S9 .a Hold final for: Final clearance O.K. for: NOTE: Environ ntal Health pecialist Date 8/92 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other /Z `X 3 V' r`oy17 �lX S9 .a Hold final for: Final clearance O.K. for: NOTE: Environ ntal Health pecialist Date 8/92 yy`.'J``if, ►�Afi }"1r►� � �1 FlG i !� 1 "ti�*:s COUNTYOF BUTTE - DEP,ARTMENT'OF DEVELOPMENT SERVICES.- BUILDING DIVIS(011 ,. 7 COUNTY CENTER DRI VE - OROVILLE, CALIFORJI1 95965 - TELEPHONE (916) 538-7541 • ..:J I -:�„,T„PERMIT APPLICATION DATA SHEET OWNER F A P. No. a47 -cgoo=z 7c Proposed wlding Use ir 6 � � Buildingzlospector Date t -� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECENED 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....................... `• 1 od elevation letter (100 year flood) by California Engineer . .................. . Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ...................................... . . 16. Plot plan and business license approval from City of Biggs/Gridley. t 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,e4nspedion'requ� 20. Pre -inspection for required. . to Building Inspector (Date) 24. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ - { 24. Recorded copy of Agricultural Acknowledgement Statement . .................. r 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 . ..................................... t. . ' 32. Plan check list. 33. 34 When.You issue the permit, process as follows: Mail to ow er. Mail to contractor. , J,-," Telephone and hold for pickup at � f C 0 office. De'iver with inspector. Other c Parcel Creation Acreage Applicant Date 4o'l 1 G S Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance:,(Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter _ Date Contractor, designer, owner, was advised of above required data by _phone _mail unt by _Date Plans checked.by Date Plans approved by Date Copy _ Sets of plans on hold in File cabinet Department of Public Works �QS , AP folder �� ' � ' � ' �— --- -----~'----�----------'- ' -'' � -- '— QS�L���L��\� _MTL_RoonrAV4**nP- _ -' ----' ----' — _ _ _ -- - �� VI -7777 /I pf EP, n a FV 0 Z7 stl. _ -V .- rn 0 WILIf1NoRSE WeLLaw —LANE ---- ------1 � _.— --- 2 Irl D1Tl 3bI6T NNr+(oKrsG ♦ZI � 10�. ---- --- - — - a I Z>r v x 14 R>,Fztczs 7ON'rc-O cthTRns OR E �M iOR Coa,cn FIR V k$lx1�I %k4X1'1, 1� . •--FIR R�nM'-- -- - ------Fla-R�+h^------- 4----�OIV C.RLT1i✓._S�-P. .._-----.... .,_.. _ . . .._v./ `u w6U�67 �rvIRE 0.EINF0/1t61M� - S� 1F_ V•% tiwf, LaD682 ,V/T. ' 109PA6'0.C, AV -0 � - Z+(.x14,. IZftr. nr 6k$:111 Pr,, � d� 6x1,Y9' Fie P6sT � "� l2� GoNGas'f`E SLgl3 V '�"' cBs cc w/ bxr, wIR'G L..� 111111���"�" Sc.nLE s A ' - 1. _ I _ 31 t bf plans and spe-ctficatlaAs k+�t bn the jab at all times and it is -unlawful — - e any changes or alterations on same witK' -- MA-Written-permission-from-the-D�artw�ierii?-.---_- -WoAwCpunty-�. NOVAll laaterlals . _ 1�1Lorkrx�anshi with Recognized Good Prcdtices and of -"uallty prescribed --for the pecified se in tine Uniform Building Plumbi & I National Electrical C,ode.--Mechanical odesand 0- 411 (,�N�ftTs._�Nl.. .V' MIRC Dgwoon4fi ., 10 Fep. Se NI SsOsI L TANK f y z T � 0 y ?� 3 BUTTE COUNTY BU`L 6 G: DEPARTMENT Opiq-ov 5C-„ L -C 33z _ I Building Permit Number:' OwnerName: Residential Construction l egbnirements IMPORTANT This set of plans and specifications T_v1ZJST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be m accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical_, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A ,Post Flood Elevation Certificate will also be required. Note. We will normally accept the following as compliance with the flood elevation requirements 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation„ plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that wilt permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name; f , ) i Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. ElThe following Parcel snap requirements shall be met: All structures and equipment including overhangs shall be clear of all casements. A setback of feet Erom the side and feet ifrom the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. ���/ ,I '.�;,�:.�-v' �`"r� .z� - • ._..suitecoun -� AND BEAUTY SAND OF NATURAL V��EAL H DEPARTMENT ENT OF DEVELOPMENT SERVICES - % COUNTY CENTER DRIVE? OROVIL! E, CALIFORNIA 95965-3397 TELEPHONE. (530) 53G 7541 FAX- (530) 539-2940 October 5, 1999 Re. Swimming pool Safety � a�e�t In Butte County ����z�tcat��llt of�. � �99� Effective Date® January To Whom It May Concern, In December of 1997, just prior to the effective date of the Swimming fool Safety Act, (see back. page) we initiated a letter of explanation, and a rnaili g to all pool contractorsconcerning co$ pl e with �e t and how wording of the Act itself, a number of questions have ariseue to the poor n g will occur in quite County, grad are to enforce it, We have revised our letter to describehow enforcement again conducting a ma:11ing to notify pool contractors. This revised letter should clarify several common questions or problems concerning our enforcement of the Swhnming Pool Safety Act including: ion was 1. In our review of legislative considerations, we discovered to den t when o f was umedtthat a conforming to allow exit alarms on doors providing direct ac p perimeter fence was already in place. However, �nclosu� es ere awh® hrentirely surrou ds the O'Pc>Ol Or parcel enclosure, and unless the resadenc� s orae side of an pool, installation of exit alarms alone does not constitute pp compliance- The ompliance- l he 1994 Uniform Building Code, Appendix endix Chapter 4, Division 1, and the 1997 Uniform cL Building Code, Appends Chapter 4, Division 1, specifically allow the use 4f char g link 1/� as pool barrier material. In Butte County we will continue to allow the use of 11 gage, 2- n a materia of Other �g Pool Safc�' Act will be considered �le� G mesh, chain link fencing as pool barrierall case by case basis, based upon the req di rern for clan acation prior to installation. 3. All access gates through the enclosure shall open away from rhes ab®ve the ool, andb his lf- clesing with a sclf-l�tQhing device placed no lower than 69 inr includes lige gates foP vehicle access, Should you'have further questions concerning this matter, please contact this office at the address or phone number listed above. Sincerely, is ael C. ieira, C.13.0, R„i1dinL7Insl)ection Cd jFO HEA,`?I AND SAFETY CODE SECTION 115920-115927 115920. SWDY51ING POOL SAFETY ACT 115921. As used in this article the following tem have the following meanings: a) "Swimming pool" or "pool" rums any structure intended for swi.mw�ing or owl bathing that t ntais water over lg inches deep. 'Swimming pool" Includes in -ground and abovegound structures and includes, brit is not Mel to, hot tubs, sem, portable spas, and non-portable wading pools. b)'Public swimming poor, m a swimming, pool operated for use of the general public with or without charge, or for the of tlic me rrs and guests of a private club. Public svirimr tg pool does not include aimmiing pool luted on the grounds of a private single-fa_ntaly homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" mews a manually or power -operated safety pool coven Olaf tweets all of the performance standards or(h6 American Society for `T'e�_g and Materias (ASTM), in compliance with standard x'1346-91. e) 'Exit slams" means duces that make audible, contirmous alarm sounds when any door or window, that permits accesss from the residence to the pool area tbat is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be corrected to the electrical wirrIng of the building, 115922. Commencing January 1, 1998, except as provided in Sm on 116923, whenever a construddon permit is issued for con uction of a new��,rning pool at a private single-fLrnily home it shill be equipped with at least one of the following safety features, a) The pool @hall be isolated from ams to a home by an encloses tit Meets the requirements of Section 115923. b) The pool sb:ll be equipped with an approved safety pool cover. c) The residence shall be equipped with exdt alarms on those doors providing direct ams to the pool° d) All doors providing direct access from the home to the swimming pool dill be gipped th a mW -Closing, Smlf- latebing dM with a release mechanism placed no lower that 54 inches above the fly. c) Other ani of protection, if the depee of protection worded is ell to or greater Lban that afforded by any of the devices Set foxes in sibdivisions a) to d), inchzsive, as detzrmined by the building officia1 of the diction issuing the applicable baUding pmt Any ord9nance governing child access to pools adopted by a politi.cal subdiv on on or before January 1, 1997, is presumed to Ford protection that is ell to or greater that afforded by am of the dices set forth in subdivisions a) to d), inclusive. 116923. An enclosure sball have all or the following characteristics; a) Any ams gates through the enclose open away Lrom the swimming lel, and are stelff=closing with a self -latching, duce placed no lower ffian 60 inches above the ground. b) A minimum height of 60 fficbes. c) A maximum vertical clearance f m the ground to the bottom of the encloses of two inches. d) Gaps or voids, if any, do not allow passage of a sphere equal. to or greater that four Inches in diameter. e) An outside. s ce firm of protrusions, cavities, or other physical charadmistics that would serve.m handholds or footholds that could enable a old below the age of five years to club over. 115924. Any person entarinng into an agr=merrt to build a swimming pool shall give the consumer notices of the requirements of Minis mole. 10925. The regtlemennts of this mole shall not aPPlY to any of the following; a) Public Lmm—Ing Pools. b) Hot tubs or spas with looking safety covers dist comply with the American Society for Te5ting al5-EmergMcY perfonnmce Specification (A -STM -ES 13-89). C) Any pool, Wath the j ° • `ctaon of any polity subdivision that adopts an ordinance for swLrn 'na, l safety that includes requirem is that are at list B stangent as this article- d) An apartment complex,, or a€ry residential setting ether that a single-family home. 115926. This mole dces not apply to any facility regulated by the State Department of Social Services even if the facility is also t sed es the private residence of the operator. Pool emery in those facilities sh-all bt regulated ptrt .t to remotions adopted thereof by the State DeparMent of Social Services. '115927. NotMffistaxnding any other provision of law, this article stall not I--- subject to Rather modification or interpretationby any regulatory agency of the state, tbi.s modilfication or interpretation by any regulatory agency of the state, this authorityority °ovi g reserves p� g 4A l00% t „�; ,a, o�� a� prdvided for in sv,�liv6Si0n (e) of Section 114922 and subdivision (c) of Section 115924. CYF�bd.'u'y!Y 6rd y 64J SlIb�S 9 /�\ �a �� � . � /) ���