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047-330-034
---r— IT -7 4C , rc Z-33-3 33 ROBERT JESSEE e4/—/F- 30 Raintree Ct.got . 4,, CCouountry Acres Chico PErmit#1961-89 P,E,M(new single family 747-33-"34 -1-143-90B; P E, JESSEE, Robert 3 .-intree. d -Ra 14CtChicb-17, Cofitr;. Sunshine -Pools;;, k�---,(swimminp- 2ool Ni. 4 M I .. ..;- _. _ .� vac _ ti. ...-� • ....rr�../` •. ..-Trw..Y4.� '.wY ..+'�r�.�.-.•.. ti��'^.. . •11�..-.-N�"r- ".Y"M�..-�..+��•'+•r.r.. �4•.r..+�...ry,,.rr�•�I+r�v]yyGti-�•.ti.���-..-' ...J µ� BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 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 horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING _ o S OWNER '' PHONE NO. R19 P, OWNER'S ADDRESS O �cc LOCATION OF BUILDING //9 13 rA e- 2 76 92 -tl' USE OF B=G SIZE OF STRUCTURE t a -'X Z � —40'= _I ESQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDVG ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION d $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 6 l � o FRONT ��-' ' SIDES � /pv"'� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, J will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirefnents in effect at that time and before occupancy. ,J Date `71 01:2 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. 3 7 °�� F409D PAR L ROO G I$SU, Receipt No. ! X V Manager Building Division BYT,'�LHDate White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant - .! _ ��� ic'��„",�.%�-�: `^•Nw�►•;,i�ytk'P�i�t�i`,�;.�`yer;,'.Rrt+�l�.�`•��'-Ni�C"��7w7�J�,�c'�'vti'Ai�i�7��yt�""�j,�`.SC-^�`�s� COUNTY14F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,A,7 COUNTYNTER D�2IVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET l 1 � OWNER: '� r J�JS��- ASSESSOR PARCEL NUMBER: 33� Proposed > uilding Us �. Building Inspector: Date: At tim of permit application, fWas advised the following data must be submitted prior to permit processing -and/or.. issuance: Date Received By 1. All items have been submitted............................................................................................................. 2. Plot plans, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ . 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ 10. Fees of $.......................................................................................................... ❑ 11. Impact Fees as shown on the attached schedule . .......... ....................................................................... ❑ 12. California Department of Forestry Plan Approval/Fees...................................................................... ❑ 13. Flood Elevation Certificate.................................................................................................................. ❑ 14. Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ........................... ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number........................................................:..................... ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) .......................:..................... ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. -.Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits . ....... ........................ :......................................................... ❑ 29: ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check H.C.D. $ ..................... a ❑ 30. Other t;. When you issue the permit, process as follows: LeMail to Owner, ❑ Mail to Contractor. ❑ Telephone and hold for pickup at ---- )office. ❑ Deliver with Inspector. APPlicant� r \. / e. .��•� Date: `V,-2 - Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other. // Date: By: 1. Index permit Application for the above items numbered: V ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Plaris'reviewed byDate: Plans reviewed by: Sets';of.,,plaps on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Yellow Copy - Department of Development Services - Building Division _ Date: Date: ' Date: Date: Date: Date: FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31. 2002 ELEVATION CERTIFICATE Importanta Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION . For kumnce Company. Use:' BUILDING ST, TUADORESS (kGIuQkV ApL. Unit. S jtP s.vtkv RkV Na.1 OR P.O. ROUTE AND BOX NO. -XIC �j IIT V T — CITY STATE tluq.UirirssY6E(!.�•.Rpi0MMi11.NOMf�310OfAe411W11+w1,�aw7..a....ao...n....o..� .... • �iU�t,J (�Cce55vlw, ui i�1 u►TiiUDE&ONGRUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1-1 GPS (TYPH= ( ar-Irl-Nfajr or asllaatsr) LJ NAD 1927 LJ HAD 1963 L( USGS cued Map U Oew SECTION 13 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 91. NFIP OOMar LKTlr NAME & COMMUNITY NUMBER I BZ COUNTY NAME �, .. 89. STATE _ MJI+I w. awrr-%^ I 'o TE I EFFEFTIVEIRl=1/ 6 DATE I „ Z(i I (Zone Ao. use depth d fk*&V) 310. kldede the scute of the Base Flood 19mt1on (BFE) data & base (bbd depth entered in 139. Lj FIS Px& W FIRM L.! Community Determined Uj Other ( ): 52,e. ConnrnQn is 311. kh61 1etheelevation dabuun used for the 130E in 69:Kj NGVD 1929 u NAVD 1988 L.l Other (Describe): 312. is ft buildrrg located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? L.l Yes No Designation Date: - - SECTION C - BUILDING ELEVATION INFORMATION (SURVEY RED) 01.13uild V elevations are based am Drawings* LJeuddirg Under Construction' LjFnished Construction 'A new Bw dm Certificate will be mgjbW when con*urdon of the building is complete. 7-2 &Aft Diagram Number _ t (Select the Wilding diagram most sinAw to the buibirq for which this certificate is being completed - see Pages 6 and T. 6 no diagram acaxatdy represents the building. povide a sketch or pho0ograph.) 3- &%,Am -Zones A14M. AE. AH. A (wdh SM. VE, V1430. V (with SFE). AR. AR/A. ARAE. ARIA14M. ARIAH. ARIAO Canlpleb loam: Citi below s000rdng.to the building diagram specified in Item C2. SUM the datum used. If the datum is different tram the dabum used for#* BFE in Section S. convert the datum to that used br the SM Show field measurements and daUn conversion cdouldaL Un,ms s povided or ft Comments of Section 0 or Sectlon (3. as appropriaft to document the datum oonvefsion. 1 Rauch reference nwk \ d Does the rderence mark used appear on the Yes No 0 a) Top dboftorn'bor (including basement or encfomm) "h . S2 Q 0 . b) Tap d nft higher floor — R (m) . �� Z L f O d 8aliore d lowest horbtontal struc0ur'a! member (V zones only) — MITI) � � �'yE► ��G� O d) AftcW game (top of slab) O e) Iu>wbst elevation d machinery andJcr equipment . Q. k(m) I t O 0 Lowest grade (LAG) \ 01 Z 4A MITI) [ z- ` Q O g) grade (HAG) I o1z• $!Q R(m) ' CIVIL 0 h) No, dpennwwt openkgs (Rood vents) within 1 fL above adjace (trade 1. 1A O A Total area d al pwm uw t openings (flood vents) in C3h hi . in. (Sq. cm) AUF SECTION O - SURVEYM ENGINEER. OR ARCHITECT CERTIFICATION This emtifrcation Is to be signed and sealed by a land surveyor. engkheer. or architect aul horiaed by law to certlf3r elevation information. I cerci Y OW fire ktom can in Sect km A, A and C on Urs cwdfrca(e represents PW best efforts to irterpre( fire data avarTabfe. 1 urderstand'Unl any /afse stafeaxW maybe prnh* We by fine or knpdsorvnent under 18 U.S. (ode. SecSon 1001. CHtTiFIER'S NMAE r� �• �-2�.Nr? 1� LICENSE NUMBER � � c .�� �l � e� • TITLE COMPANY NAME G C� �� <_ E�r,1>7•eex� lliee.Oey Fu�ineeri►n� ADORESS . _ _ - _ CT! �� _ STATE r ZIP COOE IWT: in these spacM copy the canspooding kitbrrristion from Sactlon A. :. Facltl#i+aposCamparry CJa� ,.:.... - i STREET ADDRESS (kCkm rq Act.. Unit,Sdh, andMr Bldg. OR P.O. ROUTE AND BOX NO. ' PofAq ' i'it '. t,;..,Y .1• i tR >. np14r �v...�' s�' . STATE ZJP CODE : Cbmoam.NAIC:Numher_ SECTION D - SURVEYOR. ENGINEERS OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of ft EWvalon C& f K -.ft for (1) coirxtxaiity drsdl. (2) insurance agewcompaany. and (3) bimck g owner: COMMENTS- .� WP5, dAA&M ' ci bAtnr 1 wi ShyTs y'T iL"— 5i+.e. LI Chedk here if attechunents SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (IMTHOUT.BFE) For Zone IVO andne ZoA (wBhout BEET. completem Items E1 ftmo E3. K the Sevaton Certllicafe Is iKerrded for use as sgoplod g #lb nmdm bra LOMA orLOeR-F, Section C must be corr#e0ad , E1. Buil ft MV= hkriiber _ \ (seW the buidng diagram rnog *low to the b A& for Mich this c erdficke is being completed SM pages 6 and T. If no diagram accurately represents the buiidirg. provide a sketdi or photograph.) E2 The lop d the bctbnn boor 0mkrding basement or endosure) d the building is L -=t -- I tt.(m) u. j="Uh(cm) 0 above or L -j below (check ane) the highest a*mt grade. E3. For Zone IVO a*- no flood depth nurnber is available. Is the top of the bottom floor elevated In accordance with the Conxrxnity'S floodplain management ordinance? L Yes L) No ( 1 Lk*wwn. The local official mud Certify this klbm dm In Section G. ' SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CER I IFICAT ION The property owner or owns authorized representative who conpletes Sections A. B, and E for Zone A (without a FEMA- issued or cormn nity4ssued SM or Zone AO must sign here. PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SKMTURE DATE TEtFPHONE COMMENTS _- 1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTKMW4 Tho bol *&W who B au ftnind by law or aidnanoe b adi nk i ter the corm nlVa floodplain managwrient ordinance Can complete Ssdons A, B, C (or E). and G d if hb 8madm C&ftate. Conhplete the applicable Nanr(a) and sign below Gt. L J Ths Ulfaeiaflon fn Section C was bw m from other doarmenfatbn that has been signed and embossed by a licensed surveyor. engiieer. Orarditd who IS aurlhorized by state a baat.law b Car* elevation in1bmmtion. (IndicA9 the source and date of the elevation data in the Cornmenfa area below.) G2. A aamsnily mcal completed S9dion E for a building located in Zone A (without a FEAAA-Issued or CormxNly-iasued BFE) or Zom AO. G3. ),,- J The *dm*V I dm.. m fon (fb m G4 -G9) is povided for cmvmx ity Soodpteb rtrarrapemetrt gspossik. S.n: .+.c+ ... .s.�w•K.i1� �'• . � aMryy.�'.�.H' 1 ` i - : !i ry. �';i( } �� %'K ... � ��.• r-1 � , � .r�y ♦a{kJ�>Ifa{ plrYi�• y1' f.i�1 '• i..1•A� 'f'� Chea heilb If ,..s,...s:.r:•AF'pl'APFC At I ORPV" LC .... ... Fr11TTf1�lC.>•� t;;. SCALE 1"=60' CURVE TABLE CURVE LENGTH RADIUS1 DELTA C11 117.30 50.00 34.24'55 C21 15.50 20.00 44.24'24 NOTES 1. FINISHED' FLOOR EXISTING HOUSE = 194.02 2. FINISHED FLOOR PROPOSED AG. BUILDING = 193.0 3. HIGHEST ADJACENT GRADE = 192.86 4. LOWEST ADJACENT GRADE = 192.67 5, BASE FLOOD ELEVATION = 193.0'. 6. ZONING: SR -1 ti kn 0 N 0 fi APPROXIMATE 100 YEAR FLOOD ZONE A LIMIT EXISTING LEACH I AREA & SEPTIC TANK B.S.L. SITE PLAN QQAFESSio A FOR ROBERT AND TER) JESSEE #30 RAIN TREE COURT b�c'z CHICO, CA 95973 m 2 APN: 047-330-034 BY CIVIC- �Q FEENEY ENGINEERING 1250 EAST AVE., SUITE 10 ,f �A��F�� CHICO, CA 95926 MAY 20, 2002 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 Robert & Teri Jessee 30 Raintree Ct, Chico CA 95973 RE: Ag Exempt Permit A.P. # 047-330-034 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: April 15,2002 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet .Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation.. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of .50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: see attached Should you have any questions concerning the above, please contact of this office. +Maner y t , COPY. Vieira, C.B.O. MCV:ahb uilding Inspection N1 A portion of your property is within F.E.M.A. flood hazard zone A. Please have a licensed civil engineer establish the limits of the flood hazard zone on your property, and provide a detailed, dimensioned, plot plan drawn to scale showing the location of your proposed ag. exempt building out of the flood hazard zone. If the structure is to be constructed in the flood hazard zone, an ag. exempt permit is not allowed, and complete plans and permits are required. RES TIAL 47-33-34 1143-90B,P,E JESSEE, Robert ! j 30 Raintree Ct, Chico Contr: Sunshine Pools (swimming pool/sf) i 4•. JOB FINALED (Date) Signature J=OK O=Not OK' , = Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L" ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card 8-1 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 Date Card B-1 Date POOL Plansl'OK except #'s %�%/Pool Structure; Steel;� ctions'Thickness V Dead Men -Lin' ' Pool 6. � Elec.;Enclosures; Condntries-Terminals-Listed T ; Bon ing; Metal w/5'-Circulati Equip er '8. .; Grounding; Equip. w/ ' irculating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. H h Department Approvy umb.; Cir. T pt - -Supply Uet-� _f'9 -Ls f o kzbnl-- Date(n-fS'QD Card B-1 Date 6,21-9d Card B-1 O .. Date 5- -,.) 3-97) Card B-1 U f7 Date Card B-1 'J OK O = Not OK = Not Applicable ' = Not Ready RESIDENTIAL.' (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card 8-1 41. Bearing Walls over Girders & Floor Nailing • Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 !� APPLICATCOM-01'ERMIT ASSESSOR PARCEL NUMBER —33-34 ZONING _ BUILDING PERMIT OWNER Rohprt TELEPHONE 343-3950 SO. FT. OCC. BUILDING V ,UTION Est. Pool 15 000.00 OWNER'S MAILING ADDRESS 30 Raintree Ct., Chico 95926 CONTRACTOR'S NAME Sunshine Pools TELEPHONE 345-4254 CONTRACTOR'S MAILING ADDRESS 705 Lawn Dr., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 15 000,00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 110.50 ARCHITECT OR ENGINEER Cal Bachman LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ .50 PLUMBING PERMIT Filing Fee 10.00 30 Rain Tree Ct. , Chico Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. 4 SUBDIVISION NAME Country Acres PARCEL MAP Water piping 1 5.00 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New yjq Addition❑ Remodel❑ Utilities Installation[] Other Describe work: Swimming Pool 16 x 32 _ Master 500-88 Permit Fee $15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and effect. License No.357.79 Classification C—s3Ex. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) yz2sgft OR ADDNS. 1 ACC. SLOGS. / NEW CONSTRMULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES AL0 eAL@30 FIXED PR \ Ex. Occup. OUTLETS IRESID.IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Pool Electricli 15.00 1 15.00 Permit Fee $25.00 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 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' ities, judgments, sts, and expenses which may in any way accrue ag in aid Co ty on quence of the granting of this permit. �,17 _20 X Date / Signature d1f Applicant — Owner10 Contractor �f 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 $ occ CONST TYPE TOTAL FEE ALSCHL HAz CLIA PARK —^r77 FAD PA PD HD V1 ssuE This permit is nereby 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. RE F PUBLIC WORKS By PE MIT EXPIRES Date — or Receipt No. /5-2 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Irlit— _ r 2 '�ra+"/y:r(1(� tG^,.+a�r•7Yt"r J, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION } ' 7 COUNTY CENTER DRIVE - OROVILLEewsA}'F-. NI 5965 - TELEPHONE: 916/538-7541 . s c... PERMIT APPLICATION DATA SHEET _ Permit No. ` J OWNER 9_10,4o:�A r—, .ice C�fiP A. P. No. Proposed Building Use �5,� 0/ B.uildingalnspector/ t1 Date At time of permit application, I was advised the following data must be submitted prior to permit processing"and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 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 ....................................... N 12. Park fees paid .................................................... 13. School District fees paid ............. . Sanitation approval from �r-f�= 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 j: 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner.. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant Date 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). S 1. Index permit for above items No. 2. Additional items required: 1' Contractor, designer, owner, was advised of above required data by_phone--nail counter by :..date Contractor, designer, owner, was advised of above required data by—phone _mail ounter by— date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date TO. Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance P-0be4-t JL-srC= g 20 9A0vTre-e GT_ Y7 -3j 3y -' Owner Location AP# Plan Approved for: Sewaqe Disposal -�% Water Supply Hold final for: Water Supply Final clearance O.K. for:- Water Supply Clearance for bedroom mobile home. Other NOTE * * * Sanitarian. Date u�rr•4 - PAgTMENT OF PUBLIC WORKS PE • A 33 E-• OwN EI OWN CONT d T CONS LEND ARCH COUNTY OF BUTTE - DE Ama NO. 7 County Center Drive - Oroville, Califomia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,R PARCEL N MBER L �. 33 -3 ZONING SA - ) BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION lrd Solar or heat pump water heater Water piping '_3g_P_AAI1fING ADDRESS CS %�dl..(VR SUBDIVISION NAME ACTOR'S MI-_ TELEPMJNE I �/'. Each gas water heater or vent ACT R' MAILING AOOR ESS �� S-SL•b Fireplace RUCTION LENDER UNKNOWN Total Valuation 5 Filing Fee S 10.00 Building sewer ;R'3 MAILING ADDRESS Permit Fee $ TFELT OR ENGINEER /`fFLA LICENSE NO. Plan Checking Fee $ �•' Energy Plan Checking Fee $ ► 5')D— lb ELECTRICAL PERMIT ARCHITECT OR ENGINEER'S MAIL ADDRESS Penalty 3u1LOING ADDRESS Permit fee PLUMBING PERMIT /r Each Trap Solar or heat pump water heater Water piping LO O. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent :>J �/r¢'/ �j_J Gas piping system 1 - 5 outlets USE OF STRUCTURE Building sewer - SF [ Duplex ❑ Mobilehome❑ Other SPECIFY Mobile Home S I G I W TYPE OF WORK Newq Addition❑ Remodel❑ Utilities6 CtherlZ Permit Fee ?Installation❑ Describe work: S w JM ^ r^' S ef!4 LS XL_ Contractor 5')D— lb ELECTRICAL PERMIT - Main service 600V OR LESS 100 AMP OR LESS Main service EA. AOO'L 100 AMP CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP-&) OR AODNS. ACC. BLOGS. I declare u der penalty of perjury (check one): NEW CONSTR-7—UL-7-1-OUTLET NON.RE SID BRANCH CIRCQ ITS I am. licensed under provisions of Chapt. 9, Div. 3 of the 3usiness POWERAPPARATUS R\ SING LE OUTLET CIR. / and Professions Code ands y license is in full force and effect. q EX. OCCUp�OU.TLETS OR FIXTURES License No. t*C Classification ��� FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.) EA.I ❑ I, as the owner, or my employees with wages as their sole compen- sation. will do the work,and the structure Is not intended cc offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities ❑ I, as the owner, am exclusively contracting with licensed contract-Misc. Wiring `�a Chi ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Permit Fee for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. Heating ❑I have placed on file with the County of Butte Building Cepartment a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. I shall not employ any person in any manner so as to becorre subject Hood to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you becor.,e subject Permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked: Mobile Home Installation Fee 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 Energy Inspection Fee S 10.00 Filing Fee 10.00 10.00 2.50 '/z¢Sgft 2.50 ea 2.00 10.00 15.00 15.00 S $ ZS Filing Fee 10.00 _ 3.000 I S S S to building construction, and hereby authorize representatives of the County OT occ CONST TYPE %/� �J • Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE S / / f I also agree. to save, indemnify and keep harmless the County of Bue against HAz CUA PARK FLO I PAR PO HO rIssuE all liabi ' I s, judgments, costs, and expenses which may in any way accrue ag st said Coun i o quence o the granting of this permit. �—c0 This permit is nerepy Issuea unser the applicable prove X Date < sions of the Butte County Code and/or resolutions to do Signature of nor ❑ Contractor Agent ❑ work indicated above for which fees have been paid. Applicant - 0 ion DIRECTOR OF PUBLIC WORKS An OSsfruemitover 3 iced for excavations over 5'0" deep and demolition xconstruct- oftu (�-3 By Date - 1 3 8'q .Z S�,b t $_-LLtids Y" 6e— / 2.V4 L!b o e� PERMIT NO. .1961 gqBWiz, M doubles � �Mfil S�d�-S OG ` WsMRCJW• �// /�V PERMIT EXPIRES OWNER ROBERT JESSEE CONTR. owner ASSESSOR PARCEL 47-33-34. r LOCATION 30 Raintree Ct, Chico SFr (C.EE1FC--R-= \ 3a-d�- L I,eJ t Temp. Power Pole Called PG&E o1 .Temp. Elec. Service Called PG&E Temp. Gas Service / ' %1 _ S' -e7 Called PG&E JOB FINALED (Date) / pe— Signature Signature 'Owner: Permit No. ENERG',Y-C ERTIFICA,T ION J�aintres Court Chico Ca. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness (incites) EXTERIOR WALL Material Fiberglass Batts Thicknese(inches) 3 5/8" Brand Name Thermal Resistance (R Value)__, Brand Name Owens -Coaling Thermal Resistance(it Value) R13 CEILING Batt or Blanket Type Fiberglass Batts Brand Name_QwPQR-rnrniny Thickness( inches) 12" Thermal Reaiatance(R Wile) R38 _ Loose Fill Type Fiberglass Brand Name awpag-rnrain9 Minimum Thicknes$(Inches) 16" Number of Bags 13 Wt -.per bag. `� 1b. Arco covered(ft.1l) 638 Thermal Resistance(R Value) R38 FLOOR, ELEVATED Material Fiberalgss Batts Thickness (inches) 61" - FLOOR, SLAB Material Thickness(inches) Width(inchea) .. FOUNDATION WALL Haterial Thickne@a (inclAes) Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name Thermal Reeistance(R Value) Brand Name Thermal Resistance(R Value)�_�,_ I hereby certify that the above insulation was installed in the above building in confottiaance With the State of Califoirn'10 Energy Requirement@, Loerke Insulation Co. 499150 --- FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. j, 6Z,�, November 30, 1989 SIGMA -URE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed a@ required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are ,pacifically approved by Lite State of California. STATE CONTRACTOR'S LICENSE NO. ATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL. INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE % DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89172751 7 County Center Drive, Orovi Ile — Phone -*'538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Sc ggc-e 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. It you have any question pertaining to this �mma I te r eed additional explanation, please contact this office immediately. ,o r .4 AAL 11, /I . Z--' V A n . I- A .r .. Inspector j4�-'— Date V 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: 8'12-6307 CORRECTION NOTICE SS6-7 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 matt or need additional explanation, please contact this office immediately. Inspector r.<L G. 11 -/ U.1 V"� lb � /��•�/ �' ��r A `ice � Date—Z — ` ? - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone:.891-2751 3' • ~7 County Center Drive, Orovi Ile —.Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.6307 r' CORRECTION NOTICE OWN -61 PERMIT 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. Inspector 4 Date �. .; _ � — �,-...-Tn „•�. �'�..a^+,�•��c+�=r-�YCr-�'t�t�r�+•a�,s-`kr'ti::, .-,,,�"yye�ryi�^r?':.:a`5i 1' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial•Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —.Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE i OWNER( -/PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r f t L9 Inspector--' V Date t w F COUNTY OF BUTTE _. DEPARTMENT OF PUBLIC WORKS i . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —"Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTIONNOTICE 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 cor tion of work is completed. If you have any question pertaining to this matteror need additional explanation, please contact this office 'Immediately. Q It �-vu�awo�E� Inspector Date a = OK 'D = Not OK ' = Not Readyable MOBILE HOMES f MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete -- 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connect" ' Shthg.-Rfg.-Bracing �_4 5. Electricity; Location-Clearances-Grnd.-/ - / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. ' 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -61 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 , r Date .Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GF1 10. Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B? Date Card -131 Date Card -B1 Date - I 1 • r1 --or i /1 0 = N-otOK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UN RFLOOR (Plans) OK except #'s Date F MING (Continued) . Z ning-Setbacks;-Easements-Flood-Slope 46 H gers-Post Caps -Anchors -Connectors Ftg., gn; Soils-Steel-Elec. Grnd.-//P /" Ftg. Depth . Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Garage; Soils -Steel -//W-/" Ftg. Depth . Fi place Ties or Type A Flue -Fireplace Throat Clearance !f•1A'�q /XFtg-., ., Porches & Decks; Soils -Steel-/ Z-/"Ftg. Depth . At • ess; Size & Romex Protection -Draft Stop -Ins. Baffles temwalls, Main; Steel-Blockouts-Wrapped Windows or Exiting Doors -Sill Hgt. & Dimensions temwalls, Garage; Steel-Blockouts-Wrapped . Garage Fire Protection Framing 7. lab; Steel -Wrapped y Line Firewall & Openings iers .-Steel QQICM. Doors -One 3' -Check Garage -3rd story, 2 exits DM.V.; Fall -Fittings -Test -2 way C/O -Sewer Test . S • s; W -Headroom-Rise-Run-Landing-Fire Protection 1. as Pipe; Size -Anchors . Ply od on Roof Overhang -Attic Vents -Rafter Outriggers ater Pipe; Test -Anchors -Regulator -Service Test 5 . 'ling Veneer 12.,Electric; Underground B ` tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ,Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. G!paing Are ass Protecti kylights-Plastic ar Walls; Nailing -Bolts g DWN5r&5- 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15.Insulation (i`E Iy,0 8--/7 ation-Walls-Clg. nfiltration-Walls-Wndws Card -Bt Date S7/7 M Card -61 Date q- 2,a Card -B1 5K Date 4 JB Card -B1 Date Card -B1' Date (0- Card -B1 Date Card -B1 Date Card -B1 Date �/] Date P UMBINQ (Permit). OK except #'s 3teT Ht. Vent -Access -Combustion Air -Baffle Date FIN (Plans) OK except #'s Wa ipe; Test & Anchors -Nail Protection . EA- Steps -Door & Sidelight Protection -Landings .; Test-Fttngs & Anchors -Nail Protection . Spoke Detector hower Pan; Test, First Floor -Tub Access . Furn c ,Vents -Clearance -Comb. Air-Connector- I ge; Above Floor -Ducts -Mach. Protection 29-rUI Fab & Shower, 2nd Floor -Tub Access — 21. Gas Pipe; Size & Anchors 6WB room Exiting 4-534—p1. & Bath Fixtures & Tub Access -Spa Aff. Ejpd'yrim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -B1 Date 67--§$aif's & Rails Card -B1 Date Card -B1 Date 66'Firg0ace or Stove; Clearances -Hearth Date ELEC ICAL (Permit) OK except #'s . Outlets at Wood Panel; Int. & Ext. Aeolixture & Transformer Clearance -Ins. Protection _ lyYFixt. & Appliance; Grnd. -Air Gap -Cooking Clearance eceptacles Spacing -Lights & Switches at Doors _Pec. Outlets &Receptacles at Kit. Counter igp,goxes & No. of Conductors -Stapled . Garage Fire Door; Swing -Landing -Closer U114-ornex Installed Close to Edge of Studs & C.J. . Duct in Garage -Damper 26. ' . Ground made up w/Mach. Fasteners -Bond Gas & Water . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Irage; Above Floor-Mech. Protection • Appliance Circuts in Kitchen &Conductor Size/G.F.I. p „ Elec. &Mech. Equip. Listed for Location 28. Su Wire Size /� / ga. Cu AI C. Wire Size / /ga. Cu or AlA or E!W. Receptacles in Garage; (G.F.I.)-R96ex Protec. 29. Range Circ. / / gnu I -Oven Circ. / / ga. Cu or AI. Insujated Neutral No 7pTn tion -Foam -Looked in Attic Yes 751et_parf Rails & Deck Construction -Post Caps 3 rvice-Riser Conductors & Ground -Main Disconnect100'F-dn. Vents & Crawl Hole Door -Drainage & Wood -Earl Cladrance Looked der FI r ❑ Yes 31 yjp. Clearances Panels-Motors-Mech. Equip. 3 Igth'es Closet Light -Shower Light -Spa Light de'. Foll wing instl riv s ❑ No; Walks ❑ s ❑ No; P ers ❑ s ❑ o 3 moke Detector tucco, -Finish 11 Card- Date/D-36-s Card -131 Date nit; Disconnect, Ele tric I, Plumbing Card -B1 Date Card -B1 Date. Ve Above Roof; PIbg.-Appliance-Firep 1. -Clearance to O rnngs. Date MEC NICAL (Permit) OK except #'s ater Well; Disconnect, Electrical, Plumbing Ducts Insulation & Support r Elec. Trim; G.F.I. Receptacle -Underground e an; Exhaust above insulationelation throughout House ndensate Drain & Overflow; Size & Grade e7. GIZ Protecti 37. nace-Vent; Access -Comb. Air -Return Air Vent -115 outlet rectio from Previous Inpections 38. Mic Access & Platform if Furnace in Attic 8T. Gas T t -Meters Tagged; Gas -Electric 90. r & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -61 Date/0 - Card -61 Date offing Certificate Card -B1 Date Card -B1 Date Card -B ate I -q 4,d Card -B1 Date Card -B -'Date)-[8 -4- Card -Bl Date Date FRAM (Plans) OK except #'s i ro er Material & An _ Card -B1 Date Card -B1 Date Is to ai ing, Spacing & Bracing -Plates -Sound Comments at Final: 40"Bearinq Walls over Girders & Floor Nailing C42_)DrajyStop in Walls (rat proof) ire§Iaps; Furred Ceilings -Stairs -Chases -Tub 46-4Hf ader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - DEPARTMENTOFPUBLIC WORKS 7 County Center Drive - Oroville, California 96965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER IT N0. ASSESSOR PARCEL NUMBER G7 — 3 73 ZONING 5 le BUILDING PE IT OWN O �� �� TELEPHONE , SO. FT. OCC. BUIL ING VALUATION D© OWNER'S MAILING ADDRESS 207 5� A& CONT 11,,,R,ACTOR'S AMEt s (JI_(/ l �Y(7 4S/ ✓V TELEPHONE Q O CONTRACTOR'S MAILING ADDRESS • Fireplace /[ .t o Z) CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 170 , 6 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee - $ D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (f );)6 a Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 41 Ie-Olkli- Cr ,1_5 --S Z� Water piping ` 5.00 A, D Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other—Building SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Home S I G I W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ! Describe work: c h19 -7 - pr,1 k ke,, Permit Fee $ psp Contractor ELECTRICAL PERMIT Fil' gFee 13.,00. Main service 1000V OR 0 AMP ORSLES ba 10.00 t, dw 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 (, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt .under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o , OR ADONS. ACC. BLDGS. /:2sgft NEW CONSTR U TI -OUTLET 2.50ea NON.RE51D .BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES SA 030 FIXED . OR EX. DCCUp. OUTLETS (RESTS (R ESI D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring15.00 We ro'v Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating " DO'J417 4 S &--_0 y 0-10 'j 1• S Cooling T Hood 3.00 Ventilation IT3a-o Permit Fee $ , Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of� Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities— judgments, cos and expenses which may in any way accrue agai ounty 'n -o a nce of the granting of this permit. i.- e,- g`9 Date ignatur f Applicant — wner ❑ 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 $ Zj , 0 -� TOTAL PERMIT FEE $ , Occup. 3 CONST.TYPC JSVHOL F O PARC PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC BY PER T EXPIRES Date_.-_ the applicable provi• resolutions to do fees have been paid. WORKS at P, a'Lr��(� I / e 301 fj ipt No. �� ( . g Q �%(� .'. W.. YELLOW-ASSGSSOII. PINK -INSPECTOR. GOLD OD -APPLICANT + j -;_,. _+, ..T}.;;-+_ f .,,•. �,1,�.+.x'�,Fr.A��i.i �'i, ;,xl..c :3�j ,��tar,'•. �'F; cw'�rj'?''d�`j#t1j''ry'r{r-"meq` �`i/iry"`-yAciyj'¢rrer�y�,1�7t''++cl-+a•.r.ciY',-`F`r'F'r'i:•�:�`:'T�'tS�.!H7"�'�tat*'!"`+'•'Y►•^" , �" � i � ago-..3�• . COUNTY OF BUTTE - DEPARTME T OF PUBLIC WORKS - BUILDING DIVISION _ 7 COUNTY CENTER DRIVE-- OROVILLE, CALIFORNIA 95965 --.TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET H Permit No. f OWNER � o.r •�- - �-� cC✓� x,•. A. P. No.' -2 3 3 Proposed Building Use - _ / Building Inspector 11221 Date 4_4g S79 a At time of permit application, I was„advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED - All items have been submitted. ........ ... ' 2 -Plot plans in Quolricat /triplicate, signed by preparer of plans........ _40 3. Complete plans in p Icaa /triplicate, signed by preparer of plans .. 4. Complete engineered --plans and calcs,-with wet signature on plans .. +. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and -AC Buildings .............. T Engineered truss detailsland'layout in duplicate,(required prior to plan check) ”. 8. Mobilehome installation data including manufacturer's installation -` T instructions :. 9. Fees of 7 C7 =s• .. 10. Chico Urban,Area fees paid ...............r:. y 11. Park fees paid .................... ...... ................. 2. % r School District fees paid ................. 6 -,:PD- 95 ,Sanitation approval from e" Health Department ... — 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of . ' see Cit •. for other requirements)' :. 16. Planning approval for (A) Use: • (B) Parking: 17. Improvements may be required. t1 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .:'.. Pre-Inspec. request to ' Building Inspector (Date),. 206 Date)- 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22: -Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ j3�corded copy of Agricultural Acknowledgment Statement .........,�, Letter of si na ure authorization ..................................... -Fc�o� 26. When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver whnspector.' Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted(Mi r top r issuan ircle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ,11}i tt Contractor, design , owne was advised of above required data b ✓• na" �'L ?7--'6,� g q yl_pho�enl,'=•counter b date , Contractor, designer,, owner, was advised of above required data by—phone —mal l—counter by date pA Plans checked by Date Pla approve by Date 2- Sets of plans on hoId'in File cabinet AP folder Copy—DPW TO Buildinv Department, PROM: Environmental Health SUBJECT:_ Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply _1 Hold final for:. Water Supply. Final clearance O.K. for: Water Supply Clearance for _ 3 bedroom me644pe home. Other NOTE •tea ylzf Ag'iq Sanitarian tD to w'•,.. a..,..ti.+..r. .nv�;..:x.,,.1s.+,�.:....tiv. t...i,,, _�:��.. %"+-^k •:.".v.ww.3 R..<i:.mi�F,....nw ti��r'.' ... r ..._ .. .. __ , r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number //7 '; k4 Building Department No. School District �',� �a' City n .County M#-__JJurisdiction Property Owner -e. s5 -e 2 Project Location/Address] (")a ;-P p li► r L �7 Subdivision ep to warLi Lot Number Residential Development: Sq. Footage of Living �MHI Addition (Group R) a, Units Commercial/Industrial: a Sq. Footage New Addition (•Including Exterior + - Roofed Areas) icy - Building Department Representative s Date �= (Floor"Plans review ed'by School District Personnel) y , t =District Id No.�0 d b _ School District certifies that 3Y3-9s�� .. bt sjv (Applicant Name): ( Phone Number) (Street Address) (City) (State) (Zip Code) � p has complied with the requirements of Resolution No. ,.�b/.2 "OO by the payment of $ �.�iaS ,, 0 y representing square feet. -School Distrifct Representative Date r PAID BY CHECK NO. REMARKS: BANK NO -' 7 / /110 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) • 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX &-MISC. ONLY) p p� 9 Bldg. Permit # OWNER A. P. # 47? GENERAL Zoning requirements: (sideyards and number of permitted. living.units). Valuation. Plans.signed by designer. Energy Design and Compliance. Existing violations on property. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures: Grading, fills, drainage. Flood hazard. Special conditions. on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN . Complete to scale .plan with dimensions.'. �.Iequired equired windows for light and ventilation (Sec. 1205). windows for second exit (Sec. 1204). 4< Skylights (Chapter 34 & Sec. 5207). -Human impact glass (Sec. 5406). /Required room sizes, ceiling heights (Sec. 1207). -7 GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches,; receptacles, and exterior -receptacles for maintenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or equipment, and plumbing fixtures. d'0. rage firewall, door size, and closer (Sec. 503(d)(3)). y- 3'0" exterior exit door (Sec. 3304(e)). �I2i"replace and wood stove location, .alcoves, and clearance. k!. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. ;2 -.—Floor construction details complete enough to construct building. i Elevations and wall construction details complete enough to construct building. 44 Roof construction details complete enough to construct building.. 'S. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR lr---- _Stai'rway details: landings, rise and run, head clearance, handrails (Sec. 3306). ardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). ;5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS.TO.-LOOK OUT FOR (CONY D) f.�Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). ,6'. --Roof covering type - (fire hazard). ,7! Rafter ties or bearing ridge beam. Garage door or porch header sizes. dequate bracing. 4. Living area over garage —complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 42— Attic access and ventilation (Sec. 3205). X13 nderfloor access and ventilation (Sec. 2516). �I4 ombustion air for fuel burning appliances. oise requirements on duplexes. Y .*Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, site, or split level house requiring lateral design. ,of -9. Flashing at all exterior openings. /Tem 5 0yk t*rA sj4E-,t-r (Fte, A9,5r "i-tv Z�T iS IoT 5Eem STo &s iN 7-f E FI_ct:;,D zcrE July 20, 1.989 BACHMAN ASSOCIATES COUNTY OF BUTTE, Department of Building #7 County Center -Drive Oroville, California 95965 ATTN: Jim Glanders RE: FLOOD PLAIN ELEVATION -Robert-&- Teri Jessee ... #30 Raintree Lane, Chico AP# 47-33-34 Dear Ji.m• At the request of Mr. Robert Jessee I made.a topographical survey of the above referenced property. The survey was based'on county datum efere ce no. 1079A, elevation given as 191.82. Based upon the survey and review of the current Flood Insurance Rate Maps., Panel 95, it is my opinion that a:home built with its finish floor at or above elevation_ 194:0.0 will be above the 100 year flood plain. A temporary benchmark was set on the Northeast corner of a concrete P.G. & E. box at the Southwest corner of the property. The elevation of that benchmark is.192.12. Therefore, the finish floor should be 1.88 feet above the temporary benchmark. If. I can answer any further questions, please let me`: --know. Very truly yours, C.W. BACHMAN CWB:trb ENGINEERING • SURVEYING 3012 The Esplanade, Chico, California 95926 • PLANNING DESIGNING • Telephone: (916) 342-4136 (Witness) SfATE OF CALIFORNIA Ss. CvJ.)UNTY OF Butte ra COMMONWEALTH LAND" TITLE INSURANCE COMPANY On July 1, I'JO'J before me,— Victoria A. Duval a Notary Public in and for said State, personally appeared Richard J. Payne personally (known to me) for proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within Instru- ment, as a Witness thereto, who b I eing by me duly sworn, deposes and says: That he resides in Butte County -_ , and that_he_was present and saw Robert F.—JeSsee & Teri.L. Jessee ---- , personally known to him — to be the same person S described in and whose names are subscribed to the within and annexed Instrument as - the —Parties thereto- Prersit.-. nnJ,1.1; thesame,and they —acknowledged to said aff iant that they executed the same; and that said all iant subscribed .,Phis name thereto as a Witness. WITNESS myhjn4 aud official sea]. A r", A SigAuture Form 3214 (CA 12-82) 0 F F I C I A L S E A L VICTORIA A. DUVAL NOTARY PUBLIC — CALIFOMIA COUNTY OF BUTTE Comm. Exp. March 29,1992 (This area for official notarial mat) Return t_o DPW AGRICULTURAL STATEMENT CF ACKNOWLEDGEMENT )OR RESIDENTIAL DEVELOPMENT Section 26-8.1. oC the Butte County, Code requires this acknowledgement be recorded prior. to .issuance of a building permit. The property described herein is adjacent 3U 9 11 COU -Tib RECORDER to land or included within an area zoned sMAL NO. 89-r2,5 6 I.or agricultural purposes, and residents FECOADE0 AT TSIE REQUEST OF of this property may be subject to incon- COMMOMWEALTH.TOTLe&ESCROW Co. veniences or discomfort arising from the'®ATERECOR®ED: 7-/o-87 use of agricultural chemicals, including, TIME: 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 tura.1 zones which have odor.. Butte County has estab.l .i tihecl ogr i cu I as a priority use for productive agricultural purposes, :incl resicicn�:; w.i.th.in sa i.d zones and on adjacent property should be prepared to accept such i nc onvc•n i clice or disconfor.m .fr.om normal, necessary farm operations. All that. real property situate in the County follows:, of: Butte, State of Ca.l.:i.fornio, (1vsc-r•i1)e.c1 ar; Lot 4, as shown on that certain Map entitled, "COUNTRY ACRES SUBDIVISION", which Map was recorded in the Office of the Recorder of the County of Butte, State of, California, on March 25, 1977, in Book 58 of Maps, at Pages 25 and 26. Certificate of Correction recorded February 6, 1978 in the.Office of the Recorder, County of Butte, State of California, in Book 2254, at Page 22. Date: July 7, 1989 PROPERTY OWNUS : Robert F. Jessee T ri L.. Jessee Richard J. Payne, Witness State of. ) O.n this the day of 19 before nut, SS. the undersigned Notary Public, personally appeared County of ) El Personally known to me. E]Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that. executed the same for the purposes therein contained . I N W I'I'Nl;titi WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 047-33-0-034-0 Notary Public 1. Ceiling Insulation Detached Attached Family Number of stories -68 -51 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 0.50 -91 -68 0.50 -176 -84 -54 0.30 -102 49 -32 0.10 -26 -13 --8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 t -4 -2 -1 0.02- 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation -58 Single- Single - -3 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 12 8 4 0.80 -153 -114 76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 -4 4 12 3. Raised Floor Insulation -58 -20 Insulation in Floor -3 5 Number of stories 28 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -8 -1 0.60 -i44 -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 Crawispace 4 Number of stories 15 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -3 2 •- Number of Stories 12 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 •2 2 1 0.60 6 4 .2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air leakage) Specification ; points Standard 0 6: Glass Heat Loss Total -14 -48 -69 -64 U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 .00 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17' -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 1014 11 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effectlre Percent Glass (percent glass x SC) Effective -14 -48 -69 -64 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2. na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 2 3 4 3 It. Shading (Shade Closed) Effective Pettit Glass (percent glass x SC) Effective %Glass Norlh East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 ' -29 40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 =23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 .,s -I afi-. r 8.0 7 10 11 13 14 14 9. Interior Thermal Mass SC Interior Slab Floor Raised Floor Mass Stories Stories 7.9 ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 --1 2 4 5 6 7 2.5 0 3 5 7 a7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 20 Exterior Single- Single - 12 9 Wall Family Family MUN Mass Detached Attached Family 0.00 0 0 0 dud efficiency) 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 -410 0.80 10 8 5 less 1.00 13 10 7 +15 1.20 13 12 8 -25 1.40 12 13 9 -9 1.60 10 13 11 -9 1.80 10 12 12 6.6 2.00 - 10 11 13 -3 11. Heating System -2 7.0 0 SE or HSPF 0 0 (assumes ducts in attic) 0 8.0 9 Sum of 1.6 6 5 4 -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 . 11 10 8 7 5 _ 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 29 Effective SE or HSPF 20 (SE or HSPF x duct efficiency) 10 Effective -25 or -24 to -14 b -4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 ' 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13- 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32. 28 24 19 15 Zonal Control Adjustment Water System Type 1!99 ' 12M 1700 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SC Eff. % Glass ® X ,4(o = O 7.9 X I_ = i GJZ I 1.� x . I = •74 SEER x 1 = 3) 30 (assume: ducts In attic) o TYPE 1 MASS Som of 7-10 Interior Mass/CFA -25 or -24 to -14 to -4 b +610 16 or SEER less -15 -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 12.0 15 13 11 9 7 5. 13.0 20 17 14 12 9 6+ Effective SEER (SEER x dud efficiency) Sum of 7-10 Effective -25 or -24 to -14 to -410 +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 • 16 14 12 9 7 5 10.0 22 19 16 • 13 10 7 11.0 26 r.3 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zona: Control Adjustment 10 8 7 6 4 3 No Coaling System Installed Stories One -5 -4 4 -3 -2 -2 Two + 3 3 2 2 2 .1 Single -Family Detached and Attached Unit Size (sQ' Water 1!99 ' 12M 1700 2200 2700 Heater Credit or b 'to to or Type Type kiss 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 -16 -12 -10' -8 POU -18 _ -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 IE None -28_ ___:i9 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (Individual units) Unit Size (sQ Water fug 700 1200 1700 2200 Heater Credit or b to to or Type Type loss 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB . 9 4 3 2 2 POU 9' 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 '-5 WSB -25 -13 -8 -6 -5 POU _-23-12 -8- -6 -5 IG None •8 -4 -3 -2 f -2 Solar 6 3 2 1 1 POU 1 _0 - 0 0 0 IE None -30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 4 -3 ' -2 -2 0. Interior MasslCFA . rrrt: 2 PASS . " . •. . tt.7.umca4.2) 4 TYPE 1 MASS (VIMC i -4.2, Se: exposed slab) (earyeted Slab) - 09Y. 5% 10% 15% 20% 25% 30% 35% 40% 45% 50Y. 55% 60% 69t, 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125- 0y. 0 0.2 0.4 0.6 0.8 1.1 .1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 9.4 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 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 .2.4 2.7 2.9 3.1 3.3 3.5 27 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40YS 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2-4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 509'. .0.9 1.1 1.3 1.5 1.7 1.9 2.1 23 Z5 2.7 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 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6.3 65% ,-1.1 1.3 1.5 1.1 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5- 4.1. 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 709: •1.2 .1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% " 1.3 1.5 1.7 1.9 2.1 . 2.3 2.5 2.7 3 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.1 5.9 6.1 6.3 6.5 809: 1.4• 1.6 '1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 '1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 WY.' 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5- 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9"`3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.1 1.9 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7. 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 . 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD QMe_asurres mL or R -value [381 U -value [0.030] or R -value 111 U -value [0.098] Or R -value 1191 U -value [0.037] "Oft or R -value 101 F2 factor [0.77] 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 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating • Point Scores 7tA L - .(10 Type [double] , U -value [0.65] % Total Glass (161 % Glass SC Eff. % Glass ® X 77 0 x,:_ 6,06 /.IL X - 9 � 5.0 X �7 X % Glass SC Eff. % Glass ® X ,4(o = O 7.9 X I_ = i GJZ I 1.� x . I = •74 5+o - x 1 = 3) 30 X I = -33 o TYPE 1 MASS AREA Interior Mass/CFA COND. FLOOR AREA TYPE 2 MASS AREA _0% Exterior Wall Mass ND. FLOOR AREA • 7 2 X A$ SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7216.61 HSPF [0.56/5.15] (3.9 7. L9 - X .62- = SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] S(v - 0 . 'Type [SG] Credit [none] 0 �- Sum 1.6 1-9- + -Z C) Point Total. e 9 Sum 7-10 +3 2 Rso Certificate of Compliance: Residential - Climate Zone 11 RIAP T T'sssew ' Project Title _ I G.lArt.0 P CA . Documentation Author Telfphone Berrtlit WIL -)-57-69 Checked By / Date Enforcement ARencv Use Onlv BUILDING DATA North Glass Area O % Glass O Condi ' Floor Area 2$b9 Number of Stories 2 Sla ised oor Number of I East South 197 31 -Units ingle Family Detached (SFD) [ ] Addition Alone West 125. � . [ ] Single Family Attached (SFA) [ ] Existing Building Skylight 13.75 [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 364.18 BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. R.- 13 EXT- k Al.LS Roof ............. = - GE 1 Roof ............. �-- Floor ............. g Floor............. -- Slab Edge ..... — GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North (w� O IkeT,� North ( ) East (✓f East ( ) — South ( of (_ _ Sou th ( ) — West West Skylight....... 3,7 THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) Location/Description (kitchen. bath etc.) HVAC SYSTEMS Minimum Duct Type (futnace, air Efficiency Location yDuct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.), -Value (Btuh) (or annroved equal) . 7 2 T -r-1 G 5-,-)g6. -4 CToTA L � B 9 fir' C_ 5.7 G0,., -S12 CT�TM_ Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS ' Tank Manufacturer/Model # System Tvm (storage Pas, etc.) Cat)acity (or anoroved eaual) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) al Mandatory Measures Checklist: Residential MF -1R NOTE: trtwrise residerufal huit<tings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features toted shall be considered by all parties as binding minimum component performance specificatioru for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRJPnON Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, wale vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets 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: Infiltration/Exftltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weathirstripped: all joints and penetrations caulked and scaled. 02-5352(e): Special infiltration barrier installed to comply with 02-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting. closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach akdations. §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or grater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate rciurn & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. ONoff switch on heater. I b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. i 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. i Lighting and Appliance pleasures §2-5352(j): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. I §2.5314(a): Refrigerators, refrigerator -freezers. freezers and nuorucent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the budding features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter4. Article l of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: Titk/F1mt: Address: Telephone Lic. 0: (signature) Documentation Author Name: Titk/Furn Addrt:ss: (date) Building Owner Name: eLe TitklFum Address: R'Q yid fr�i /D e - Telephone a4' -3 — C (signature) (date) Enforcement Agency Name: Agency: Tekowne- !' f Nil I a, ,Ra.• .ww a n azo 01 � a nm.pt�r _M . . _ _ s . '.. T, -w._ art- MrM,- . of ,4r wnM,♦ hNy T. M a'ww'ti.+. .... . i r } { M' I" , r , a 4 ? ; G �. - ;