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Home My WebLink About056-310-016056 '31O=016% PIKE,. DONALD 93-2011 .5 BPEM 5625:HhADWATERS RD, FOREST.'9ANCH CONTR: ED FINNEY .NEW SF opo� A of3(odl(�� 15 056-31-0-016 93-1Q6 PIKE, DONALD 5625 HEADWATERS RD, FR.-: AGRICULTURAL EXEMPTION PERMIT TOOLS, FEED 11 C.� M r- w; Sm: f NTIAL 056-31-0-016 93-2015 BPEM PIKE, DONALD 5625 HEADWATERS RD, FOREST RANCH I CONTR: ED FINNEY NEW SF OFFICE COPY I ' Address �✓ c I GAS, Meter By Dater ELECTRIC + Meter By- Date OFFICE COPY"'-"' ,� ' C AddressZ_f L6� I GAS ? `Meter By Date` ELECTRIC Meter By - Date f-243 JOB FINALgD (Date) 419nature ......... o OFFICE COPY I ' Address �✓ c I GAS, Meter By Dater ELECTRIC + Meter By- Date OFFICE COPY"'-"' ,� ' C AddressZ_f L6� I GAS ? `Meter By Date` ELECTRIC Meter By - Date f-243 JOB FINALgD (Date) 419nature ......... I V=OK O = Not OK Not Readyable MOBILE HOMES - Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete " 4. Water; Location -Teat -Easement Needed (Sketch) - 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials 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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh ` 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness 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 -Pane I boa rds- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test t 1 r V'K OK O = Not OK - = Not Applicable = Not Ready DateDate/Ini�M h RESIDENTIAL (Single & Duplex) 3. Ftg., Garltgal: S ils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., P s & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Ste =Wrapped 8. - i eplace Ftg.-Steel V.; Fell -Fitting -Test -2 Way C/O -Sewer Test ibe-bT-Gas Pipe; Size -Anchors - yard gas piping: size -test Ulwge—r Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pian ms & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulatio Date/Initials PLUMBING Permit O xce t #'a 16. Water Htr.; V -Access -Combustion Air -Baffle (f7—)Water Pipe Anchor -N otection 8..W.V.; - fittings & Anchor -Nail Protection 9 Shower Pan;es First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 4L_ 21. Gas Pipe; Size & Anchors _HI A4 UQ Transformer at Doors 24`-�ze Bo es & No. of Condu`cf rs-Stapled 25. stalled Close to of Studs & qui round made up w/Mach. Fastne W 2teeXppliance Circuts in Kitchen & Conductor Size/GFI 28. ireize ga. Uu or Al-A.U. WOre Size / / ga. 2 . I -Oven Circ. / / ga. C or Al. [)Yes ❑ No ecUs 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32 othes Closet Light -Shower Light -Spa Light oke Detector. Date/Initials MECH ICAL it OK except #'s -?M qA- (SOX-CADUMnsulation &SuDoort 3§,J16nt Fan; ExhaL%14bove insulation . Condensate Drain & Overflow; Size & Grade 7. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ljk%8. Attic Access & Platform if Furnance in Attic Date/Initials S-*SqroperjbWerial & Anchors }--2t—q y alts t Nailing, Spacing & Bracing -Plates -Sound ring Wells over Girders & loor Nailing If raft Stop in Walls (ret ofl Fire StopsQu reiIG�'in�+Stairs-Chasee TM I ceders & BeaMSi28 & o Date/Initials FRAMING (Continued) it-Rftr. ties -Purl Ties or Ty&Ac Attic Access; Siz?A Romex Protection -Draft Stop -Ina. Baffles 49. Bd in or Exiting Do I Hgt. & Dirfiewons Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ex -One 3' -Check Garage -3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection p �� 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date/Initials FIN lana OK except #'a Ex eps-Door & Sidelight Protection -Landings ft--Setector Furnace Vents -Clearance Comb. Air-Connector- InsaeffJage; Above Floor -Ducts -Mach. Protection 65"G & Bath Fixtures & F,IeE. Trim & Subpanel; Breaker es & LaIals or Stove; 7t7—Kit.Fixt. & Appliance: Grnd.-Air Gap -beaglho CleaWn—ce 71!1E4et—O tlets & Receptacle it. unter 7 . a re Door, Sw -Lan g -CI 7 . uct in Garage -Damper . Wtr. Htr.; Vents -Clearance -Comb. Air -Connector - l. In e; Above Floor -Mach. Protection 75'1r1b., Mach. Equip. Listed for L on 76.' e�„Aeceptaclea in Garage; (G. .. -Romex P�ction 7f ns Ion -Foam -Looked in Attic ea rd Rails & Deck Construction -Poe s Fdn. V9pts & Crawl Hole Door-Dra age & rth ance Looked under FI LwTes W.'Following instld.; DriveLINo; Walks 13 Yes No; Planters ❑ Yes o $2►K . Un' • Disconnect, El?al, Plumbing 8 Above Roof; PI - Appliance -Fl Oce. -Clearance to penings Water Well; Disconnect, Elec Plumbing r Elec. Trim; G.F.. eceptacle-Underground 8 . Ventil on Throughout House las Protection 8 rrectio rom Previous Inspections ' 89. Comments at 9jt.�`Water & Sewer Connected-OWto Grade -HD Approval ,6—l'6nerav Compliance CertificatemOther Certificates COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION ANG PERMIT PERMIT NO. 93-2015 ASSESSOR PARCEL NUMBER z>SL - 310 - 6 YONIt::G TM5 BUILDING PERMIT OWNER KE TELEPHONE 345-6079 SO. FT. OCC. BUILDING VALUATION 1701 R 91,854 ING ADDRESS OWNER'S MAILING PO BOX 517, FOREST RANCH 95942 484 M 8,712 CONTRACTOR'S NAME EDFIO TELEPHONE 343-3325 66 COV 858 252 OPEN 1,764 CDNA *S MAILING ADDRESS 5615 HEADWATERS RD, FOREST RANCH X1=95942 Fireplace A 1,500 CONSTRUCTION LENDER TEHAMA COUNTY BANK UNKNOWN Total Valuation $ 104,688 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS 2iAWS MAIN ST RED BLUFF CA 96080 Permit Fee $ 615.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 307.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5625 HEADWATERS RD, FOREST RANCH Permit fee $ 957.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 45.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7,00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF MK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 1 5 00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New iXR Addition iJ Remodel ❑ Utilities O Installation Ci Other ❑ Describe work: IRORM SP _ Permit Fee $ 94.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW 1 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 ;Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. (ACC. BLDGS. 3.64 sq 76.50 NEW CONSTR ULT' -OUTLET NON -RES --,BRANCH CIRC ITS @ 5.00 POWER APPARATUStr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 Ex. Occup. OUTLETS ((RESID )HEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 15.00 Permit Fee $ 125.00 - 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. fX 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 FiIingFee 15.00 Heating 9.00 Cooling 9,QQ LHood 6.50 Ventilation 4 4.50 18.00 Permit Fee $ 51,QQ 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 liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in consegt� a of the granting of this permit. X (/ Date 6' 2Y '93 Signature of Applicant ❑ 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 S Energy Inspection Fee $ 40 00 occ CONST TYPE TOTAL FEES 1 267.50 HAz 1 OFEES IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI CT OF PU LIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. ORKS Z n� >^ Receipt No. ,]may - '`7 / S V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE ,BUILDING DIVISION DEPARTMENT OF DEVELOPIW'tNT SERVICES 1. 1469 Humboldt Road, Chico, CA - (916):891;-2751 7 County Center Drive, Oroville, CAC "(916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 •a CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addr and should be corrected. Please notify this offic4ihen correction of work is complet f you have any questions pertaining to this matter, or need additional explanation', pleas ontact this office immediately. AA 4 AA /11-, , :, f , , / S-16" / z4 --dA V ,T I Date Inspector L/ REV 10/9 Is COUNTY OF BUTTE BUILDING DIVISION k DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (9161538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE P(gA' V'Erowh 111q1q I?3—0015 O ��/,��J_I� PERMIT NO. GWM"�er�iec L ind�ca es that the following violations of Butte County Ordinances exist at dia atimm address and should be corrected. Please notify this office when correction of work is ikaed.If ve any questions pertaining to this matter, or need additional explanation, this office immediately. ^+ I �MXA.J� I LA44) nKlne r Permit No. ENERGY CER.TIF'ICAT ION 5625 Headwaters. Rorest Ranch Ca/. — A.P. No. LOCATION I)ESCRlPTlOH OF INSULATION HOOF tiaterial _ 'rhickness(incites) EX'l'F.ftIOR WALL Ilat er la 1FIBERGLASS BATTS '1'1►l.ckuess(incl)ee) 32" Brand Name Thermal Resistance (R Value)- _ Brand Name MANVIL'L'E-SCFiULLER ____�_ Thermal Resistance(R Value) R15, CE.I IJNG BATTS_ Brand Name MANVILLE-SCHUI,_L' Balt or Blan!(et Type FIB12GI'A�� Thermal Resistan_c_e(It_V tue)R38_ 'I'I�.ickness( inches) Brand Name :- - - i.00ge f' 1.1 i "Type_ ; _ -- tll.ninnim 'l'Hlcknea@(Inches) Number of Thermal Baga Wt. per beg 35^ tV• Resistance(It Value)__ Area coverines ) FLOOR, iiLEIIATED FIBERGLASS BATTS Brand Name MANVILLE-SCHUL_L' ER tia t e r is 1 cl►ickness(Lneltee)_ 60° Thermal Restatence(R Value) R1_9 _ FLOOR, SLAB Material ,rit teknes s (inches) Width (I.nches ) FOUNDAT ION WALL Material__ 'l'hickneos(i„ches) Brand Name Thermal Resistance(R Value)_ - Brand Name -- Thermal. Resi'stance(R Value)_ I Ikereby certify tl►at the above insula tion was installed in the above building In confoniience with Lite State of Californle Energy Requirements. I.OI.A11(l-:. INSULATION CO., INC.. _- 499150 IRtt t1A11E/01Jtl[ R STATE CONTRACTORS LICENSE NO. February 212 1994 SIC 'CURE OF INSTAL kkjoH APPLLCATOR DATE I Hereby,certify the above inaulation and all required items as shown on the Hu I.ldIiig ,I)epartntent approved plane and attecltinents Have been inetalled as re(lcilred I)y the State of California Energy Requirements. All equipment, devices and materials are of uality prescribed or are lflcally approved by the State of California. __STATE'CONTRACTORt LICENSE NO. F1 1 AtW OWNER (Please print)'- - 00 '�10 SIGN IRE OF (IENE l.^ COIITRACTOR OWNER DATE 'fll'(S CERTIFICATE tnIST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL IIiSI'EC'JA0N APPROVAI. AND A COPY SIIAI.1. BE POSTEI) WITHIN THE BUTA-DI.NC . .January 1964 '"M" v-'a"�"*�+4'e�'►''�,t•.�y.,-`fi'i7"Y%`,5 i-5''+"�;�.+5•{,-ti.' "--ts¢+..,�;�... .�.n-..t•. �a i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO_" 7 COUNTY CENTER DRIVE - OROVILLE; (?:l� IFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER A I D A. P. No. (0)540— 31 of to Proposed Building Use Building Inspector Date G,-.jg Q1 At time of permit application, I was -advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by pi'eparer 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. ......` t 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. ........... i , Fees of $ . ........... . ............ 1. Impact fees as shown on attached schedu . �rC�f1Q4�.S.. ............ . 12. California Department of Forestry plan app . ....................... . 13. Flood elevation letter (100 year flood by California Engineer. ................ : : 14. 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. ............. 17. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ... . 20. Pre -inspection for P'�=on red; required. .. c� B�;I ing Inspe r (Date) 21. Contractor's license information. (No., Name Styled Classification) . ............. 22. Certificate of Workmans Compensation Insurance . ......................... 13. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building' use . ............................... ......;.- 2B. .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 re4uirements. ............... 31. Existing violations/expired permits . ............................--------- —�-./. • � - �: �:e�� . _ _ i..:. ,��•�%%moi When you issue the permit, process as follows: Mail fo owner.—Mail-to-contr-actor. Y Telephone 3 q4 -&o? °I and hold for pickup at., office. Deliver with inspector. TT Other Parcel Creation Acreage Applicant _1 `�' `- - t ` ��- Date ` e 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 by _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date - Sets of plans on hold in P File'cabinet AP folder . Copy - Department of Public Works 12 277 50 4.0 00 0' 0 'o 13-47-50 9-57-50 + 94.00 + 1.25-00 + .51 -00 + 1-227.50 '4 1 40 cs� E m It t ./, . 115.00 + 615-00- + 307-50 + c".0 + 9 11 - 5&--* 1 15.00 + 45.00 + 7.00 + 7.00 + 5.00 + 15-00 94-00- 0-00 15.00 + 7.6-50 1'5 - 00 125.06 0 - 00 15.00 9.00 9.00..+. 10..00. + 51 - 0 0 .*.1 9-57-50 + 94.00 + 1.25-00 + .51 -00 + 1-227.50 '4 1 40 cs� E m G.H. USE ONLY Hot PLm Aunchcd Floor Pbn Atlach.d scot to B.U.1.."cl��l� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Clearance for_? bedroom lid home. Other Hold final for: Final clearance O.K. for: NOTE: L/a /A/- , // / Environmental Health Specialist 8/92 Water Supply: Public Private Well 7 6 -9 Date W COUNTY OF BU=L - DEPARM'M= OF PUBLIC WCRS,S - BU.LLDING DIVISION 7 COUNTY =" ZR DRIVE - OROVILLE, CaL.IFORNL4 95965 - Te=HONE (916)5387541 :POSED BUIZ.D IVG USE 5, F - A.P. NC. DATE 1. School. Dist -4 c Fees (paid at District Office) 30V/ She_--iif Fees' (MC � ... . (paid at Building Department) Residential ......... Z unit , amt. Com-ercial(per sq -ft.) Z ' sq.ft. amt. k2V3 Urban Area Fees U x - (paid at Building Department Residential (per unit) .x 4 units amt. Commerical per sq . f t.) Z �� sq.ft. amt. L*4. Rel=eation Distr-pct Fees (paid at Dist:i.ct Office) .......................... 5. Drainage Dist --.-'c-- Fees (Contact Land Development) G. Other 7. Other DATE REC time "of permit application,. I was advised the above fees are required to be paid pr�-- issuance of the permit. MICANT DATE -4-- 2e-9-3 t CERTIFICATE OF COMPLIANCE: RESIDENTIAL' Page 1 CF -1R Project Title ........... The Pike Residence Date........ 07/05/93 Project Address........ 5625 Headwaters Road Forest Ranch Documentation Author... Marty Runnells Building Permit Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS4 v4.01 File -93150B Wth-CTZllS92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case GENERAL INFORMATION Conditioned Floor Area..... 1701 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 90 deg (E) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor (Package E) BUILDING SHELL INSULATION Component Insulation Assembly Type R -value U -Value Location/Comments Wall 1R=13^ __ Door R-0 Roof R=38] Floor R-,191 Orientation Window Front (E) Window Front (E) Door Left (S) Window Left (S) Window Back (W) Door Back (W) Window Back (W) Door Back (W) Window Right (N) Window Right (N) Skylight Front (E) Skylight Left (S) 0.089 FRONT, LEFT, TO GARAGE, BACK, RIGHT KNEE WALL 0.330 FRONT 0.025 TO ATTIC, VAULTED 0.037 RAISED FLOOR FENESTRATION Over - Area U- # of Interior Exterior hang/ Framing (sf) Value Panes Shading Shading Fins Type 14.0 0.500 2 63.5�57 2 X17: 2 1 2 44.5 0.5001/ 2 20:0 0.570tt// 2 37.5. 0.500 ✓ 2 20.0 0.570/ 2 55.0 0.500 ✓ 2 5.0 0.500 ✓ 2 4.0 0.55011 2 4.0 0.550,/ 2 Drapes.Std None None Vinyl Drapes.Std None Yes Vinyl Drapes.Std BLDG SHADE Yes Glz<50o Drapes.Std None None Vinyl Drapes.Std None Yes Vinyl Drapes.Std None None Wood Drapes.Std None None Vinyl Drapes.Std None Yes Wood Drapes.Std None Yes Vinyl Drapes.Std BLDG SHADE Yes Vinyl None None None Vinyl None None Nome Vinyl 4 u iV'040 NJ..: CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title......... The Pike Residence Date........ 07/05/93 MICROPAS4 v4.01 File -93150B Wth-CTZllS92 Program -FORM CF -1R FuserJ#-MP1333 User -Energy Calculation.Svcs. Run -1701 S.F. Res.- Base Case Tvne Exposed InteriorHorz Yes InteriorVert Yes Equipment Type Gas AirCond Tank Type Storage THERMAL MASS Area Thickness (sf) (in) Location/Comments 13 1.0 32 1.0 HVAC SYSTEMS WOODSTOVE SURROUND WOODSTOVE SURROUND Minimum Duct Duct Efficiency Location R -value 0.805 AFUE Attic R-4.2 10.20`SEER Attic R-4.2 WATER HEATING SYSTEMS Heater Type Gas Thermostat Type Setback Setback Number in Energy Distribution Type System Factor Standard 1 .60 EF SPECIAL FEATURES/REMARKS-• Tank External Size Insulation (gal) R -value 40 R- 12 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... The Pike Residence Date........ 07/05/93 MICROPAS4 v4.01 File -93150B Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Mr. & Mrs. Pike Name.... Company. Company. Address .�v�7 �elj459 Address . E��r �9AL Phone... 3 5-�c 74 Phone... License. Signed.. Signed.. date ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. date DOCUMENTATION AUTHOR Marty Runnells Energy Calculation Svcs. 1907 Mangrove Ave. Ste D Chico, California 95926 (916) 894-8466 / 246-9522 (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The Pike Residence Date........ 07/05/93 Project Address........ 5625 Headwaters Road Forest Ranch Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS4 v4.01 File -93150B Wth-CTZllS92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case Lowrise residential buildings 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 noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete -raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. a A 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ✓ 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. ,I,,4 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 4 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b..Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. ./ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF-iR Project Title..... ... The Pike Residence Date........ 07/05/93 MICROPAS4 v4.01 File -93150B Wth-CTZllS92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. �/ COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... The Pike Residence Date........ 07/05/93 Pro'ect Address 5625 H d ........ ea waters Road Forest Ranch Documentation Author... Marty Runnells Company.......... .... Energy Calculation Svcs. Telephone .............. (9.16) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11- Plan 1 P an Check Date Field Check Date MICROPAS4 v4.01 File -93150B Wth-CTZllS92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case Zone Type HOUSE Residence Energy Use (kBtu/sf-yr) MICROPAS4 ENERGY USE SUMMARY Standard Design Proposed Compliance Design Margin Space Heating.......... 13.19 13.47 -0.28 Space Cooling.......... 14.38 15.66 -1.28 Water Heating.......... 13.08 11.49 1.59 Total 40.65 40.62 0.03 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Is Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... Floor Area (sf) 1701 sf Single Family Detached New Front Facing 90 deg (E) 1 1 ReducedYear Raised Floor 1 16152 cf 1701 sf 1701 sf 0 sf 17.5 % of FA 9.5 ft BUILDING ZONE INFORMATION Volume (cf) # of Dwell Cond- Units itioned (Package E) Thermostat Type 1701 16152 1.00 Yes Setback Vent Special Height Vent Area (ft) (sf) 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... The Pike Residence Date........ 07/05/93 MICROPAS4 v4.01 File -93150B Wth-CTZllS92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 415 0.089 R-13 90 90 Yes None FRONT 2 Door 20 0.330 R-0 90 90 Yes None FRONT 3 Wall 184 0.089 R-13 180 90 Yes None LEFT 4 Wall 159 0.089 R-13 180 90 No None TO GARAGE 5 Wall 390 0.089 R-13 270 90 Yes None BACK 6 Wall 213 0.089 R-13 0 90 Yes None RIGHT 7 Wall 70 0.089 R-13 0 90 Yes None KNEE WALL 8 Roof 300 0.025 R-38 0 0 Yes None TO ATTIC 9 Roof 461 0.025 R-38 90 14 Yes None VAULTED 10 Roof 465 0.025 R-38 270 14 Yes None VAULTED 11 Roof 284 0.025 R-38 180 14 Yes None VAULTED 12 Roof 228 0.025 R-38 0 14 Yes None VAULTED 13 Floor 1701 0.037 R-19 0 0 No None RAISED FLOOR FENESTRATION SURFACES Sc Sc Interior Area # of Frame Open U- Act Glass Int Shade Surface (sf) Panes Type Type value Azm Tilt Only Shade Description HOUSE 1 Window 14.0 2 Vinyl Slider 0.50 90 90 0.88 0.78 Drapes.Std 2 Window 4.5 2 Vinyl Slider 0.50 90 90 0.88 0.78 Drapes.Std 3 Window 37.5 2 Vinyl Slider 0.50 90 90 0.88 0.78 Drapes.Std 4 Window 12.5 2 Vinyl Slider 0.50 90 90 0.88 0.78 Drapes.Std 5 Window 4.5 2 Vinyl Slider 0.50 90 90 0.88 0.78 Drapes.Std 6 Window 4.5 2 Vinyl Slider '0.50 90 90 0.88 0.78 Drapes.Std 7 Door 17.0 2 Glz<50% Hinged 0.57 180 90 0.88 0.78 Drapes.Std 8 Window 12.5 2 Vinyl Slider 0.50 180 90 0.88 0.78 Drapes.Std 9 Window 24.0 2 Vinyl Slider 0.50 270 90 0.88 0.78 Drapes.Std 10 Window 16.0 2 Vinyl Slider 0.50 270 90 0.88 0.78 Drapes.Std 11 Window 4.5 2 Vinyl Slider 0.50 270 90 0.88 0.78 Drapes.Std 12 Door 20.0 2 Wood Hinged 0.57 270 90 0.88 0.78 Drapes.Std 13 Window 37.5 2 Vinyl Slider 0.50 270 90 0.88 0.78 Drapes.Std 14 Door 20.0 2 Wood Hinged 0.57 270 90 0.88 0.78 Drapes.Std 15 Window 16.0 2 Vinyl Slider 0.50 0 90 0.88 0.78 Drapes.Std 16 Window 32.0 2 Vinyl Slider 0.50 0 90 0.88. 0.78 Drapes.Std 17 Window 7.0 2 Vinyl Slider 0.50 0 90 0.88 0.78 Drapes.Std 18 Window 5.0. 2 Vinyl Slider 0.50 0 90 0.88 0.78 Drapes. -Std 19 Skylight 4.0 2 Vinyl Fixed 0.55 90 14 0.88 0.88 None 20 Skylight 4.0 2 Vinyl Fixed 0.55 180 14 0.88 0.88 None COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... The Pike Residence Date........ 07/05/93 MICROPAS4 v4.01 File -93150B Wth-CTZllS92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case Surface HOUSE 2 Window 3 Window 4 Window 5 Window 6 Window 7 Door 9 Window 10 Window 11 Window 14 Door 15 Window 16 Window 17 Window 18 Window Mass Type OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 4.5 1.5 37.5 5 12.5 5 4.5 3 4.5 3 17.0 6.67 24.0 4 16.0 4 4.5 3 20.0 6.67 16.0 4 32.04 7.0 3.5 5.0 1 HOUSE 1 InteriorHorz 2 InteriorVert n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Surface HOUSE 7 Door 18 Window Area Thick (sf) (in) 9 0 n/a n/a n/a 1.5 0 n/a n/a n/a 1.5 0 n/a n/a n/a 1.5 0 n/a n/a n/a 1.5 0 n/a n/a n/a 22 0 n/a n/a n/a 1.5 0 n/a n/a n/a 1.5 0 n/a n/a n/a 1.5 0 n/a n/a n/a 11 3 n/a n/a n/a 7.5 3 n/a n/a n/a 1.5 2 n/a n/a n/a 1.5 0 n/a n/a n/a 4 0 n/a n/a n/a EXTERIOR SHADING Area Shading (sf) Type 17.0 BLDG SHADE 5.0 BLDG SHADE THERMAL MASS Heat Conduct- Surface Cap ivity R -value 13 1.0 24.0 32 1.0 24.0 0.67 R-0.0 0.67 R-0.0 HVAC SYSTEMS n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a SC of Ext Shade 0.20 0.20 Location/Comments WOODSTOVE SURROUND WOODSTOVE SURROUND Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Gas AirCond 0.805 AFUE Attic R-4.2 0.830 10.20 SEER Attic R-4.2 0.810 COMPUTER METHOD SUMMARY Page -.4. C -2R Project Title.......... The Pike Residence Date........ 07/05/93 MICROPAS4 v4.01 File -93150B Wth-CTZ11S92 Program-FORM.0-2R User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res, -,Base Case Tank Type 1 'Storage WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation.. Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .60 •``40 R-12 SPECIAL FEATURES/REMARKS All windows shall be Vinyl,. Low -E with a minumim 1/2 inch air space between panes. HVAC SIZING Page 1 HVAC Project Title.......... The Pike Residence Date........ 07/05/93 Project Address........ 5625 Headwaters Road Forest Ranch Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Field Check Date MICR0PAS4 v4.01 File -931508 Wth-CTZllS92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Svcs. Run -1701 S.F. Res.- Base Case GENERAL INFORMATION Floor Area ................. Volume.. .. ........... Front Orientation.......... Sizing Location............ Latitude... .... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range.. ...... Interior Shading Used Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 1701 sf 16152 cf Front Facing 90 deg (E) PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Sensible Load .................... 27404 22723 Latent Load...................... n/a 4545 Minimum Total Load 27404 27268 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 9610 4240 Glazing Conduction ............... 6116 3211 Glazing Solar .................... n/a 8335 Infiltration ..................... 9187 2772 Internal Gain ..................... n/a 2100 Ducts ............................ 2491 2066 Sensible Load .................... 27404 22723 Latent Load...................... n/a 4545 Minimum Total Load 27404 27268 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX &.MISC. ONLY) p�, Bldg. Permit # OWNER .� i A.P. # (S(, — 3Z Plan Checker GENERAL tR oning requirements: (sideyards and number of permitted living units). aluation. lans signed by designer. roper description of work on application. xisting violations on property. tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ecorded notice of violation. PLOT PLAN P.FAU mplete parcel size and dimensions. tbacks, sideyards, easements, etc. her buildings or structures. ading, fills, drainage. ood hazard. ecial conditions on creation map, tible, and foundations). & FAS road setback. (noise, CDF, fire sprinklers, non -comb- . Building or utilities across lot lines (Record form). PT .r)OP PT AM Complete to scale plan with dimension's. Required I windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204) Skylights (Chapter 34 & Sec. 5207.). J3uman impact glass (Sec. 5406). •, Required room sizes, ceiling heights (Sec.•12075. GF-2Is in baths, garage, kitchen, and exterior -,outlets (Article 2210-8),,. Light fixtures,..switches, receptacles, and exterior,rece`ptacles for main - r tenance of mechanical-equipme 1I Locations of water heater, eating and cooling equipment, other electrical' gas equipment. Drage firewall, door size, and closer (Sec. 503(d)(3)). d - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stovellocation,. alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. q' ee story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge beam. Ca�age door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building 8/91 RESIDENTIAL PLAN,CHECKING GUIDE ,MISCELLANEOUS ITEMS TO LOOK OUT FOR i Stairway details: landings, rise and run, head clearance, handrails ec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). -terior plaster - weep screeds (Sec. 4706). oper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes. Energy design. lashing at all exterior openings. . CDF responsible area requirements. U�� Fcet�.`n t� DPW AGRICITLTURAL STATEMMT OF ACIMOWLEDGE`'I IT FOR RESIDEYnAL _DE`IELOP-MF-qT Section 26-8.1 of the Butte County Code -. requires this acknowledgement be recorded prior to issuance of a building permit. I The property described herein is adjacent 93-0281421 Rec Fee 8.00 i to land or included within an area zoned I Cash 8.00 for agricultural purposes, and residents Recorded I of 'this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers;' and from the pursuit Recorder I of agricultural operations including, 11:40am 2 -Jul -93 I PUBL XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones' which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from.normal, necessary farm operations. All that real property. situate i/n� the County of Butte, State of California, :described as follows: 'JS� — 310- 0/47 - 2 , 4S 5 W0 w n/ 0,1V T74.4r ns.e ri4'.,•✓. P4P-cEZ A1.460, uFDo.eG�t� /N rNE o c-.o� c E o� TI -,/E �Ez•D.eLL'� c.c r�l� :79TH of �fJLiFD�i✓iq p^/ N�jy�,g�� 8 /y7� ji✓ f3adx 68' of �HoS. A`TPA6e(S� �9 gND ?d e: PROPERTY OWNERS: G. POKE to of ) On this the day of 19 , before me, the SS. undersigned Notary Public, personally appeared my of ) t A. P.- No. _] Personally known to me. F1 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. IN WIT�N SS WHEREOF, I hereunto set my hand and official seal. Notary Public State of California All-purpose Acknowledgment County of Butte ) On June 30 1993 ) Notary Public, personal) before me Elizabeth A Ridley Y appeared Donald G Pike and Sharon D personally known to me Pike subscribed to the within (nst roved and to me onbasisOfaisfacto authorized to the within and that by his/her/their Signature(s) on ry evidence) to be the person(s) whose name(s) is/are a which the acknowledgedto me that he/she/they executed the same in his/her/their person(s) acted, executed the instrument. () the instrument the person(s), or the entity upon behalf WITNESS my hand and official seal. ^l E AL NOTARY. SEAL BETH A. RIDLEY utrlic — C Jiicrnia SignatureTTE COUNTY Expires OCT 14.1994 — f Optional No v (Seal) �' use only. Certificate attached tothe document ot: Name of Document Date of Document _ Capacity of Signer or Resld ❑ Individual ❑ Guar dianiConsery Number of. Page s 1 ❑ General Partnehs) ator ❑ Attorney in F Name of Person(s) or en ' ❑limited Partner(s) y act ❑ Corporate -------- Officer being represented Officer Titles _ ❑ Other _= DA 192 1192 ��~Si+'��15r�V,�+" `"5h Z �� p'k�.rain+'K.'.v`,�-�A:!'hth`'n*""'r".."•"`y„Sys+,��.+f'rt^""5';r,,,�_:,,'yyT" s��„v��Cv�-..r+w..�r�•x . rye.•• „p,., ,�Y.K.-.•.r c � BUTTE COUNTY SCHOOLS -IMPACT FEE CERTIFICATION FORM (One Form Pei, Building) School District L.Az tb " Building Department No. A.P. Number Jurisdiction City V6 County Property Owner. PI/ Property Location/Address Subdivison Residential Development Commercial/Industrial F 0 No. of. Living MHI Units New Lot No. Sq. Footage / r76 Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) ,.District Identification -No: dco School District certifies that ,.eet Address} Ms1!%'I�/'O (State) has complied withtherequirements of Resolution No. Sa�— representing square feet. School District Representative Paid by Check Number Remarks:. Bank Number Paid by Cash (Applicant) (Phone Number) (Zip by payment of $ 61wll�7,3 — Date zy If, subsequent to -the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicatile Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) _1 OR-OVILLE;.CALIFORNIA . GENERAL CLAIM .CLAIMANTt Donald and Sharon. Pike ADDRESS: P 0 Box 517 CITY & STATE: Forest Ranch CA 95942 IMPORTANT:. 7/27/93 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund -portion of fees due to clerical error. (Bldg Permit Appin. #93-2015; A.P. #056-310-016, Receipt #141124, dated 6/28/93). I Total fees paid --- =------------- --------- $1347.50 ' Fees should have.been--------------------- $1267.50 ------------------ - Total refund due--------------------- 80.00 80 00 i - i i i - i i i i i TOTAL $80,00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. 77 p2 Dated this ......J..i.�l. ........... day of . ✓... G ............... 19 3.P et �Alili;' .......... coli[. -,� %:zl...G f./ :.. t:...�4.:.:C .: ........ Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation[] or Specific Board Approval 0 (Check one) for the a e. Dated this 27th,;,day of Jul}/ 19 93 at Oroville , Calif. Department Head or Authorized Deputy Dept* 440-002 Exp. 4210500 Const Permits Code ............................................ Code ................................................PAYABLE FROM ......................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 9Slz - Zo eerN000l -Ao Po 80x sl7 �y 2 4 AP-s� Gt �✓ ;,--v c/�- w EX CS r, � � 4i '"� .qtr h _ ,r 2. .i• _ 'T , op Z• K W � ►i r •-L- �` 0 P l '� ' I 1 ♦r I'� V -ad FN F • �F ` � ?L. (p V r fl /v(:W� !� EX CS r, � � 4i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �-' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 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 horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL NO. ZONING Aq 056— 310 — Z> OWNER^^ 1/O Lp PHONEf3.5_�079 OWNER'S ADDRESS o. 3ox 5 / 7 Z9& -Sr P4*Jc Al , C4 95 9 4Z LOCATION OF BUILDING 3b 2S t��ow�gTses �s2E�T �2�3.Jc Fl , CA USE OF BUILDING SIZE OF STRUCTURE �% ZQ X 2 = �o7y So. T. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDINGROOF COVERING FLOOR TYPE cvc0D G+cMP Go Nc+zE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:j /010 �� ld FRONT SIDES 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 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 6' 28-9 Signature of Owner Permit Fee -`6- J- 5C, •CCS Receipt No. % i- ! X45 The above described AG Building is exempt from a building permit. White - DPW. Yellow - Assessor, Pink - 8.1., Goldenrod - Applicant FLO PAP.D. RC / ROOFI ISSUE Director of Public Works