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058-450-007
053-45-0-007 9�-17490VTT(,jjMH) JACKS, CHERYL A. 2965 MADRE DE ORO PLE (UTIL, MH) ELEC GAS COMP TEST REQ? SUPPORT STRUCTURE REQ? 058-450-007 PERMIT#96-2128 JACKS, Cheryl A. 2965 Madre De Oro, Oroville New le Sii /Fa ij F/NL 058-450-007 PERMIT#96-2366 JACKS, Cheryl 2965 Madre De Oro P1•, Oroville Util for Temp Travel Trlric/zi- 058-450-007 PERMIT #97-2428B JACKS, CHERYL 2965 Madre De Oro Place, Oroville 1st Renewal of 96-2128/SF 058-450-007 PERMIT#98-0656 JACKS, Cheryl 2965 Madre De Oro P1ace,Oroville Add Open Deck & Woodstove/SF 058-450-007 04-0574 LEBO, JOYCE 2965 MADRE DEL ORO, OROVILLE CONT: NORTH WIND BLDRS ADD/SF �. NOTES i t�%27J:RY l000 py'lof C 0.tiAe—G0I0,.l 1—'-0 4 Cycsse , AJ C 4'glogaJ e CA ly C RESIDENTIAL' a ' PERMIT NO.058-450-007' 04-0574 LEBO, JOYCE - 2965 MADRE DEL ORO, OROVILLE CONT: NORTH WIND BLDRS ADD/SF SPECIAL CONDITIONS 11 CHECKED' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r 7 R SI t i l +fl 1 JOB FINALED (Date) Signature J=OK 0 = toot ¢K . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDER LOOR (Plans) OK except #'s i.j, ning-Setbacks-Easements-Flood-Slope 2V Ftg., Main; Soils-Elec. God-/ Y' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Date Stemwalls, Main; Steel -Bloc kouts-Wrapped 6: Stemwalls, Garage; Steel- Blockouts-Wra ed PLUMBING (Permit) OK except #'s Id Downs and Special Anchors . `Slab, Steel -Wrapped AoI46 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date 59. Card B-1 Date Card B-1 Date 60. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Brace Interior/Exterior Wall Panels 24. Fixture & Transformer Clearance -Ins. Protection Insulation -Walls -Ceilings 25. Elec. Receptacles Spacing -Lights & Switches at Doors Infiltration -Wal Is -Windows 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water FINAL (Plans) OK except #'s 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Ext. Steps -Door & Sidelight Protection -Landings 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Smoke Detector 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 32. Service -Riser Conductors & Ground Main Disconnect Bedroom Exiting 33. Equip. Clearances Panels-Motors-Mech. Equip. G.F.I. & Bath Fixtures & Tub Access -Spa 34. Clothes Closet Light -Shower Light -Spa Light Elec. Trim & Subpanel, Breaker Sizes & Labels 35. Smoke Detector Stairs & Rails 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 74. 36. A.C. Ducts Insulation & Support 75. 37. Vent Fan, Exhaust above insulation 76. 38. Condensate Drain & Overflow, Size & Grade 77. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 78. 40. Attic Access & Platform if Furnace in Attic Date Elec. Receptacles in Garage (FF.I.)-Romex Protection Card B-1 Date Card B-1 Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound _ 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing 87. Water Well, Disconnect, Electrical, Plumbing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic y 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040574 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN'' 058-450-007-000 the Business and Pro ions Code, and my license is in full force and effect.` License License Numbe .' �� Site Address: 2965 MADRE DE ORO PL CON ,Class: Dat/Z �D"V Contractor: Map Index: Description: ADDITION 416 p ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JOYCE LEBO to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2965 MADRE DE ORO PLACE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: NORTH WIND BUILDERS pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2085 TEHAMA AVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of (530-533-2755 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: NORTH WIND BUILDERS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2085 TEHAMA AVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 (550) 533-2755 Date: owner: License #: 788-l5 ll,.. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: =/ ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the por Code, for the performance of the work for which this permit Architect: t� sued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carr. r and policy number are: Carrier:�r Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: `[ Applicant: WARNING: Failure is to secure workers'pensation coverage unlawful, and shall subject an employer to criminal penalties and one in addition 0 the cost of hundred thousand dollars provided compensation, damages as provided for in Section 3706 of the Labor � for � —7 ' � �(A ( ` code, interest, and attorney's fees. . i CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County C de and/or I hereby affirm that there is a construction lending agency for the _ _ ResolutiTs! 0 o y- 6 577,�l S3y-7'13Z - ( k. +3 U COUNTY OF BUTTE i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 i 7 County Center Drive • Oroville, CA • (530) 538-7541 I f , CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -�- - r . ro 6e-- . 0."J Giza ► e c�-- /,/ 5,0 c c 0 v--% Date / Inspector G 'L - REV 142 r BUTTE COUNTY LEVEED COMPLAIN Date: Owner: Address: ComplainifViolation Location: TYPE: { } Building { } Health { } Planning COMPLAINT: -RESIDENTIAL F 1058-450-007 PERMIT#96-2366 i` % JACKS, Cheryl '2965 Madre De Oro Pl,Oroville Util for Temp Travel Trlr JOBS FINALED (Date) i. Signature V=OK " O = Not OKNot •=Not Realdyble MOBILE HOMES Date OWLE HOME UTILITIES(Plans) OK except #'s 1. ping Requirements - Setbacks - Easements �2 Seils Special MH Support Sketch Sewer, Location -Test -Fall -C/0 -Concrete Water, Location -Test -Easement Needed (Sketch) Electricity; Locatiori=Clearances-Gmd-/ /Amp -Concrete , �,t�ca O_t-st-Wrap; / /12ft. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns-ConnecdonsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric S. Utility Clearance 7 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date - Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test-Demand-Vake-Connector d 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval. 8. Gas and Electricity Tagged ! 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch j 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 s. Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = NotOK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth RESIDENTIAL (Single & Duplex) Date 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-BlockoutsaNrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 6a. Hold Downs and Special Anchors Fireplace Ties or Type A Flue -Fireplace Throat clearance 7. Slab, Steel -Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Garage Fire Protection Framing 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Property Line Firewall& Openings 11. Water Pipe; Test -Anchors -Regulator -Service Test Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Pienums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Siding -Nailing Veneer 15. Access & Ventilation Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 16. Insulation Glazing Area -Glass Protection -Skylights -Plastic 59. Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Infiltration -Walls -Windows 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 63. 22. Gas Pipe; Sixe & Anchors 64. Smoke Detector Date Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection Card B-1 Date Card B-1 Date Bedroom Exiting Card B-1 Date Card B-1 Date G.F.I. & Bath Fixtures & Tub Access -Spa ELECTRICAL (Permit) OK except #'s 68. 23. Fixture & Transformer Clearance -Ins. Protection 69. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 70. 25. Size Boxes & No. of Conductors Stapled 71. 26. Romex Installed Close to Edge of Studs & C.J. 72. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 73. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 74. 29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 75. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 76. 31. Service -Riser Conductors & Ground -Main Disconect 77. 32. Equip. Clearances Panels -Motors -Meth. Epuip. 78. 33. Clothes Closet Light -Shower Light -Spa Light 79. 34. Smoke Detector 80. Guard rails & Deck Construction -Post Caps Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Card B-1 Date Card B-1 Date Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Card B-1 Date Card B-1 Date Stucco Brown -Finish MECHANICAL (Permit) OK except #'s 84. 35. A.C. Ducts Insulation & Support 85. 36. Vent Fan, Exhaust above insulation 86. 37. Condensate Drain & Overflow, Size & Grade 87. 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 88. 39. Attic Access & Platform if Furnace in Attic 89. Glass Protection 90. Corrections from Previous Inspections Date Gas Test -Meters Tagged, Gas -Electric Card B-1 Date Card B-1 Date Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall& Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: :5 r A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 G *may, ,�. *• ,� � Y r vl: :L. %4 uj T7,�7.,•. '. �.i Ct .. �y �4 LLW4y •lE Date Inspecto REV 10/92 � `•�_'..�:nix:: `—T COUNTY OF BUTTE - - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES "+ 1469 Humboldt Road, Chico, CA - (916) 891-2751 ;4' 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,'. OWNER PERMIT NO. :5 r A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 G *may, ,�. *• ,� � Y r vl: :L. %4 uj T7,�7.,•. '. �.i Ct .. �y �4 LLW4y •lE Date Inspecto REV 10/92 — 7NIU-a7 AP# CDF FIRE SAFE REQUIREMENTS o c�o�� �� J'"6' PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width o#feet shall be added to curves of 50-100 feet radius; 2 feet to dose from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 I:T � — 7NIU-a7 AP# CDF FIRE SAFE REQUIREMENTS o c�o�� �� J'"6' PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width o#feet shall be added to curves of 50-100 feet radius; 2 feet to dose from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 r" y AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space ] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [5Q 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 ST,- q�sb -TS?t� AN PERMIT # NAME Other Requirements ( ] If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 a 2'-8" MN. 1 I 1 FIN. A, 4 I _mus--.--_----�+� CJZAf%E 1 I 1 1 1 I I 1 1 -1 -4 1 _I—._ (2) 2"X fOP PLAZ HEADER 211x4" MIN. 5CLm 8L1<Ci RE01D a 5fAV" XW5 (ORIENT FACE f0 SEEM}') II 1 1 APA MW 5I iA"Z 518" MN. II i AM FV fO ONE Ma. NAI. WhH i 1 8d CCMMON GK GALV. WX MALS a 611 O.C. /YANG FOGS, AN7121 O.C. IN FELD VOLMI! 5W5 Af CORNERS *V CONMF5 K NNS & WMV 5 MN. 1/ 211 OAA ANCHOR XV5 MH 9" MN, EMBEDMENTAf PAM 0114M PON15 Favo M wiH 1800# MN. CAPAm ( 5iMP50N HD7A IV5A, 01 E01K) L� 2"X 5CLE PLAtt r 514" PLYWOOD f&G 5XR. OR -� 2"X MLV5LL, NAA. 9fAlH. 5FEA1H. a 6" O.G. -------- ------------------------------------------ ------ ----------------------------------------- J L___ 1 J 101Mas&nior 14" Ma imu ------------------------I—� ------------ — ----- ------ —J ALTERNATE BRACED TALL PANEL NOTES: 1. Floor framing consists of dimensional lumber. 2. Simpson SSTB anchor bolt with coupling at double mudsill and threaded anchor rod for connection to coupling and holdown. 3. 94 Rebar, continuous at top and bottom of stemwall. Additional rebar may be required by manufacture of holdown. BLJITTE C0UN ~ith the details 4. In the first story of a two-story building, each braced wall panel stad'ha be to accordance wshown. Except that the plywood sheathing shall be provided on both fac tie dltwn devi'IceVu�p to c�N�city shall not be less than 3000 pounds. Nailing to be staggered for sheathing, applied to,tkPI -fa ROVED 5. Alternate Braced Wall Panel's cannot be used: on the second floor of two - story buildings (U.B.C. 2326.11.4). For Single Story Buildings with Raised Floor (With noted modifications for two story buildings) rT----- -----T'1 II 1 1� 1 II 1 I 1 1 01 1 I I I 1 Its Ii ii '1 II I Ids ii �1 1 I I e I I 1 fi fi 1 I 1 1 1 1 1 1 iwteo_ t-jo 101Mas&nior 14" Ma imu ------------------------I—� ------------ — ----- ------ —J ALTERNATE BRACED TALL PANEL NOTES: 1. Floor framing consists of dimensional lumber. 2. Simpson SSTB anchor bolt with coupling at double mudsill and threaded anchor rod for connection to coupling and holdown. 3. 94 Rebar, continuous at top and bottom of stemwall. Additional rebar may be required by manufacture of holdown. BLJITTE C0UN ~ith the details 4. In the first story of a two-story building, each braced wall panel stad'ha be to accordance wshown. Except that the plywood sheathing shall be provided on both fac tie dltwn devi'IceVu�p to c�N�city shall not be less than 3000 pounds. Nailing to be staggered for sheathing, applied to,tkPI -fa ROVED 5. Alternate Braced Wall Panel's cannot be used: on the second floor of two - story buildings (U.B.C. 2326.11.4). For Single Story Buildings with Raised Floor (With noted modifications for two story buildings) r 20 2326.5.4.5 = . Unusually Shaped Buildings - Continued • An unusually shaped building, by definition; will occur where construction of portions of a floor level are vertically offset and cannot be tied or lapped -.together in an approved mannen Section aj ie capped or bed in approved fashion Offset diaphragm TABLE OF CONTENTS TOC ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 Project Address........ GRANITE RIDGE ******* --------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -TOC User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- TABLE OF CONTENTS ----------------- Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10 i3UILIDING CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ------------------ Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 Project Address........ GRANITE RIDGE ******* --------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type........ .... Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 416 sf Single Family Detached Addition Alone Front Facing 180 deg (S) 0.56 2 Raised Floor 24.8 % of floor area 0.5 Btu/hr-sf-F 0.63 9.5 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments ------------ Wall ------- Wood -------- R-17.8 -------- R-0 ------- R-17.8 ------- ------------------------ 0.065 Roof Wood R-30 R-0 R-30 0.035 Attic SlabEdge n/a R-0 R-0 F2=0.760 Door n/a R-0 R-n/a R-0 0.330 FENESTRATION ------------ Over- Area U- Exterior hang/ Orientation (sf) Factor SHGC Shading Fins Location/Comments ---------------- Door Front (S) ----- ------ 40.0 0.500 ------ 0.650 -------- Standard ----- -------------------------- Yes Wood/Hinged/SC=0.88 Wind Front (S) 6.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Front (S) 6.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Back (N) 6.0 0.500 0.680 Standard Yes Vinyl/Fixed/SC=0.88 Wind Back (N) 9.0 0.500 0.610 Standard None Vinyl/Slider/SC=0.88 Wind Back (N) 12.0 0.500 0.610 Standard Yes Vinyl/Slider/SC=0.88 Wind Right (E) 12.0 0.500 0.610 Standard None Vinyl/Slider/SC=0.88 Wind Right (E) 12.0 0.500 0.610 Standard None Vinyl/Slider/SC=0.88 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R - ----------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 ------------------------------------------------------ I MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- Equipment Type ------------ Furnace NoCooling HVAC SYSTEMS ------------ Refrigerant Tested Minimum Charge and Duct Duct Duct Efficiency Airflow Location R -value Leakage 0.630 AFUE n/a None R-n/a n/a 10.00 SEER No None R-n/a n/a ACCA Manual Thermostat D Type n/a Setback n/a Setback SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Natural Vent Area or Vent Height. This building does not have a cooling system installed. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... JOYCE LEBO Date.,.01/28/04 20:37:00 ------- ------------------------------------------------------ MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- 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 Modeling Assumptions section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... JOYCE LEBO Name.... Barry Rubanoff Company. OWNER/BUILDER Company. Barry Rubanoff Address. Address. P.O. Box 1123 Berry Creek, CA 95916 Phone... Phone... 530-589-4102 License. Signed.. Signed..'LIN 4W (date) (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R --------------------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 Project Address........ GRANITE RIDGE *******--------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Barry Rubanoff P.O. Box 1123 Berry Creek, CA 95916 530-589-4102 Climate Zone........... 11 Building Permit # Plan Check / Date Field Check/ Date --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-LEBO Note: 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 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 manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R ------------------------------------------------------------------------------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 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 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). LIGHTING MEASURES ----------------- Design- Enforce- er ment 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures i are IC (insulation cover) approved. �/ COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 Project Address........ GRANITE RIDGE ******* --------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------- MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM C -2R I User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design ---------- Margin = = Space Heating.......... 23.92 21.05 ---------- _ 2.87 = = Space Cooling.......... 19.24 21.29 -2.05 = = Total 43.16 42.34 0.82 = _ *** ----------------------------------------------------------------- ----------------------------------------------------------------- Water Heating not calculated GENERAL INFORMATION Conditioned Floor Area..... 416 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... 0.56 Number of Building Stories. 2 Weather Data Type.......... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Raised Floor 1 3936 cf 0 sf 24.8 % of floor area 0.5 Btu/hr-sf-F 0.63 9.5 ft COMPUTER METHOD SUMMARY Page 8 C -2R ------------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- Zone Type -------------- HOUSE Residence Surface HOUSE - New 1 wall 2 Wall 3 Wall "4 Wall 5 Roof 7 Door BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond.- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit ------------ ----------------------- ----- -------- --------- 416 3936 0.56 Yes Setback 2.0 Standard No (S) 2 OPAQUE SURFACES (S) 3 Area U- --------------- Insul Act Wind Solar Form 3 Location/ (sf) ------ factor ----- R-val ----- Azm --- Tilt ---- Gains ----- Reference ------------ Comments ---------------- 204 0.065 17.8 180 90 Yes W.19.2X6.16 12.0 128 0.065 17.8 270 90 Yes W.19.2X6.16 0.500 215 0.065 17.8 0 90 Yes W.19.2X6.16 0.610 232 0.065 17.8 90 90 Yes W.19.2X6.16 256 0.035 30 n/a 0 Yes R.30.2X8.24 Attic 14 0.330 0 0 90 Yes None Surface ------------ HOUSE - New 6 S1abEdge Orientation HOUSE - New 0.650 1 Door Front (S) 2 Wind Front (S) 3 Wind Front (S) 4 Wind Back (N) 5 Wind Back (N) 6 Wind Back (N) 7 Wind Right (E) 8 Wind Right (E) PERIMETER LOSSES ---------------- Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments 48 0.760 R-0 No FENESTRATION SURFACES. --------------------- Exterior Area U- Act Shade (sf) factor SHGC Azm Tilt Type Location/Comments ----- ----- ----- --- ---- -------- ------------------------ 40.0 0.500 0.650 180 90 Standard Wood/Hinged/SC=0.88 6.0 0.500 0.610 180 90 Standard Vinyl/Slider/SC=0.88 6.0 0.500 0.610 180 90 Standard Vinyl/Slider/SC=0.88 6.0 0.500 0.680 0 90 Standard Vinyl/Fixed/SC=0.88 9.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 12.0 0.500 0.610 0 90 Standard Vinyl/Slider/SC=0.88 12.0 0.500 0.610 90 90 Standard Vinyl/Slider/SC=0.88 12.0 0.500 0.610 90 90 Standard Vinyl/Slider/SC=0.88 COMPUTER METHOD SUMMARY Page 9 C -2R - ---------------------------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- HVAC SYSTEMS Refrigerant Area Tested ACOA System Left Rght Duct Manual Duct Type ------------- Efficiency Airflow Location R -value Surface ----------- (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - New ----- ----- ----- ---- ---- ---- ---- ---- ---- --------- ---- ---- 1 Door 40.0 6.0 6.67 4.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 6.0 2.0 3.0 1.5 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 6.0 2.0 3.0 1.5 0.25 n/a 'n/a n/a n/a n/a n/a n/a n/a 4 Window 6.0 2.0 3.0 4.0 0.25 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 12.0 4.0 3.0 1.5 0.25 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Natural Vent Area or Vent Height. This building does not have a cooling system installed. REMARKS Refrigerant Tested ACOA System Minimum Charge and Duct Duct Duct Manual Duct Type ------------- Efficiency Airflow Location R -value Leakage D Eff HOUSE ------------------------------- ------- --------- -------- ---- 0.630 AFUE n/a None R-n/a n/a n/a 1.000 _Furnace NoCooling 10.00 SEER No None R-n/a n/a n/a 1.000 SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Natural Vent Area or Vent Height. This building does not have a cooling system installed. REMARKS HVAC SIZING Page 10 HVAC - ------------- Project Title.......... JOYCE LEBO Date..01/28/04 20:37:00 Project Address........ GRANITE RIDGE ******* --------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by.Enercomp, Inc. ---------------------------------------------------------------- MICROPAS6 v6.01 File-LEBO Wth-CTZ11S92 Program -HVAC SIZING I User#-MP2246 User -Barry Rubanoff Run-LEBO ------------------------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 416 sf Volume ..................... 3936 cf Front Orientation.......... Front Facing 180 deg (S) Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range...... ....... 37 F Interior Shading Used...... Yes Exterior Shading Used...... No Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY 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, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designers responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description --------------------------------- (Btuh) (Btuh) ----------- Opaque Conduction and Solar...... 4046 ----------- 1776 Glazing Conduction ............... 2060 1339 Glazing Solar .................... n/a 2054 Infiltration ..................... 2239 919 Internal Gain .................... n/a 1176 Ducts ............................ 0 0 Sensible Load .................... 8345 7264 Latent Load ...................... n/a 1453 Minimum Total Load ----------- 8345 ----------- 8717 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, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designers responsibility to consider all factors when selecting the HVAC equipment. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. 'BP040574 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 058-450-007-000 the Business and Pro ions Code, and my license is in full force and effect. /,a, License Class. /� License Numbe . Site Address: 2965 MADRE DE ORO PL CON Dat Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADDITION (416) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JOYCE. LEBO to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2965 MADRE DE ORO PLACE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will dothe work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: NORTH WIND BUILDERS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2085 TEHAMA AVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of (530-533-2755 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: NORTH WIND BUILDERS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2085 TEHAMA AVE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 (530) 533-2755 Date: Owner: License #: 788 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the por Code, for the performance of the work for which this permit ko� Architect: issued. I have and will maintain workers' compensation insurance, as Engineer:. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance ca� and policy number are: Carrier:::_� Total Square Ft: 0 S. F. , Policy #: Valuation: $0.00 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r - Date: Applicant: WARNING: Failure to secure workers' pensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor % % code, interest, and attorney's fees. (� S ->--t G CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County r; de and/or I hereby affirm that there is a construction lending agency for the _ performance of the work fo r which this permit is issued (Sec 3097 Civ.) Re_solu_ t_i _ s _ rk in ' b e for which fees_ have been paid. r Name: By: ✓� Date: PERMIT EXPIRES Address: ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent ofn owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official or cume o Butte County. I hereby authorize representatives of B,[ufteLLCounI t enter upon the above mentioned property for inspection p ses. Print Name: ✓„ G Signature: Date:74 ❑ Owner ontractor 0 Agent for Owner ❑ Agent for Contractor 9 ! 16 Jo GE W t L.t_ tBe-WG L -re rao Nj A-rry s ►'� I KE 12,c�G ei2-s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 &A14OW N -W 5112,104 Leb I PERMIT NO. 'Ona4os74 DATE: APN: WSJ! ZONING: � • �� NEAREST C OSS ST CT/LOT# uu 99 �, "TI�V SITE ADDRESS: CITY, ZP: OWNER NAME: �-6 PHONE: O STREET ADDRESS: J FAX: CITY, ZIP: E -MU APPLICANT NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: E-MAIL• CONTRACTOR NAME: PHONE o1 533 •.2755 STREET ADDRESS: D All FAX -•K -e_ CfTY. ZIP: --- E-MAIL LICENSE NUMBEFt LICENSE TYPE ARCHIT C /ENGINEER NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E.WL: DESCRIPTI N OR SCOPE OF WORK: r� — e Z ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: S IV D'W LC Notes: 15� •q8 Application Received by: J�� Date: 311/04 Receipt number: Amount Received: 3g5o 45 579.1 4o COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION OWNER: LF0L1 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ASSESSOR PARCEL NUMBER o 593. 4-5e> • o0 7 Proposed Building Use: A OD i T + p til (4 1 Q Counter Technician: �- _Date: 3 f • n4 Ite s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to lapply. 1. Site plans,3 r 4 sets, signed by the preparer of the plans. 2. Complete Vans,n3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plant3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. .�% 6. Energy compliance design and supporting documentation in duplicate. r, 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in r duplicate. ' ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 'Q 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag, Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... 20. Erosion Control Plan Required......................................................................... ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ i 23. California Department of Fore§tryy plan approval Cl•p'aaid. rysemt,�y�a�►s�.���. �,.A _ • f • 04� f d 24. Planning approval (A) Use:U1L (B)Parking: (C) Parcel Check: �-3- D t- � ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................. .................................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance....................................................�...... ❑ -35. Existing violations and/or expired permits .............................................:.... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone -15 512) 5S and hold for pickup. I have been inform d of the Bove items a d req en s o ning.a•bg perm . Applicant: Date: 1. Index permit application or the above items nu a d: L Pla Check Letter 2. Additional items required �`J eontr� r, esigner, owner, was advised of the above data p one, ❑ mail, ❑ counter Date: / Fctor3ligner, owner, was advised of the above data by ❑ p o er, b Date: Ptans reviewed by: A Date: Plans approved by: Date: Structural reviewed Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E. . use cruly Piot Pian Attachad Raw Plan AtwcAa�_ Sam to S.D. I,� /knc,G-Tf—o /�,.� IPL Owner Location AP# Plan Approved for: Sewage Disposal_ Clearance for' dwelling. Other Water Supply: Public PrivatQ Wel Hold final for: Final clearance O.K. for: . r NOTE: )A�r Environmental Health Specialist Date 8/96 COUNTY OF BUTTE • ti• DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY.CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # o58 •4-50 • bb 7 PROPROSED BUILDING USE AD D I TI o.0 DATE 3 - RECEIPT •RECEIPT # DATE C. 1. UILDING PERMIT FEES --- Balance Due ..................... $ q -2!v . I 017t --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ I �OOL DISTRICT FEES O�20y ► �–LE G r{ (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ffg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5' RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE �89:9d (paid at Building Division) 152.96 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER 395645 3-1-o4- At .1•oYF- At time of permit application, I was vis=ro a ove fees are required to be paid prior to issuance of the permit. These fees may be changed lan- ec s. APPLICANT I DATE`— Pursuant to Government Code Section 66020, you are hp{e6y notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREl Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and, that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb I acre or more of land. I am aware that submitting fal and/or inaccurate information may result in revocation of grading and/o3,othe�r pe ii s or�otsanctions provided by law. -BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �' (� (One form per Building) v• -on School District Or<W1446 101,61 Building Department No. A.P. Number Jurisdiction: city County Property Owner A- 1 /0 Property Location/Address Subdivision, Lot No. Resident61 Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) I ........................................................................ ! ....................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (including Exterior Roofed Areas) 16 Buildi-nq Department Represent 46yid Date District Identification No. 040180 112 Un i o)1 LJIA,.School District certifies that C) (Street Address) (City) has complied with the requirements of Resolution No. representing School District Representative square feet. Paid by Check # &)/ A— Remarks: (State) U (Applicant) Ku i &-w'i c 53-5— Z.-75 ) kA�pc6- (Phone Number) (Zip Code) /OS -90 by payment of $ 2926 FULL MM N $ (! 4- 0 Date No dc : You may protist the Imposition of the fees identified above by submitting a written protest to the District. In compliance with Goverimme Coa Section 66020(a), within 90 days from the date fees are paid. Facture tosubmit adnwlywrlMnprotist will'prohibit you from challenging the Imposition of the fees In any court action. ff, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certillication Form, the School District Is nodlNd bythe applicable Local Planning Agency that this project Is being revilowed under the California EnvironmenW Quality Act (CEQA), this p ao c I may be subject to additional school ftei!to fully ~a. No Impact on the school dWbkft schools. . White (applicant), Yellow (building department), Pink (school district) feeforni.xis (10/03)dm.m r RESIDENTIAL F058-45-0-007 ` JACKS, CHERYL A. 2965 MADRE DE ORO PLACE, OROVILLE r0,AA4 -4 Of d r ey -1-0 �% v/ T lici . F " JOB FINALED (Date) ISignature 4a 1-12e V OK -O = Not OK NotApplicable-e 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) MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Date Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Shthg.-Rfg: Bracing 6. Gas; Location -Test -Wrap; / tUft. / /Nat. or/ /"L"ft./ /LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Can of Occupancy 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=QK O = Not OK = Not Applicable Not Ready RESIDENTIAL = Date N ERFLOOR (Plans) OK except ft's Zoning -Setbacks -Easements -Flo -Slop 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth �5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wra pped 6a. Hold Downs and Special Anchors 7. ab; Steel -Wrapped Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1 . F. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation_ 16. Insulation Date Card B-1 Date!% Card B-1 Date )' Card B-1 Date Card B-1 Date PLUMBI (Permit) OK except tr's at tr.: Vent -Access -Combustion Air -Baffle ------ a Pipe: Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection -------- ------ f P --- - Floor -Tub Access -------- -- 20. Test &Shower. Second Floor -Tub Access--------,- as ---------------------------------------------------------- as Pipe: Size & Anchors ------ --- ------------- - ----- - ----------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------- - 23. Elec. Receptacles Spacing -Lights Switches at Doors 24. Siz xes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C ------ -- Equi Ground ma rMech. Fastners nd Gas & W -. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ubfeed Wire Size ga. Cu or AI-A.C Wire Size ga Cu or At ------ ------------ --- -- - --- -- rc r ' ga. Cu or AI -Oven Circ. ga. Cu or At Insulated Neutral ❑ Yes ❑ No - ---- ---- - -- -- - ------ - --------- -- ---- -- _Riser Conductors & Ground -Main Disconnect -------------- 31:__Eg Clearances Panels-Motors-Mech. Equip hes Closet L ght_Shower.L Light--S-pa Light ---- - - - ------ - - - moke Detector Date; 1''i%9Card B -t /N7 Date Card B-1 ....................................... .- -------- Date Card B-1 Date Card B -i Date MECHANICAL (Permit) OK except P'S n &Support ------- ------------- ............... .... .... ... ... .. .... ent F xhaust above insulation --------------------- - ..... ...... ........ .. e Dram & Overflow: Size & Grade urnance-Vent: Access -Comb. Air -Return Au vent -115 Dauer ss & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Cad B-1 Date Card B-1 Date FRA NG (Plans) OK except O's . Sils roper Material & Anchors _..... ... _ . ails tuds-Nailing. Spacing & Bracing -Plates -Sound ...... ...... anng Walls over Girders & Floor Nailing Draft Stop m Walls (rat proof) - 4�3�. re Stops: Furred Cedmgs-Stairs-Chases-Tub fY4. Headers & Beam -Size & Bearing s�• Single & Duplex) Date FRAMING (Continued) Hangers -Bost Caps-Anchors-ConnectorsJ g. Joist-Rftr. ties-Purlin-roof Brac-Truss-Sh g.- g. ----------- ---- ------ re clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles s or Exiting Doors -Sill Hgt. & Dimensions ttriftraTeion Framing -----------------°-rhS�kYne-Frr2wa11 & Openings 32-- Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53-9 ise-Run-Landing-Fire Protection ------------- ------------- ----------- -- -- ----------- plywood opWoof Overhang -Attic Vents -Rafter Outriggers -Nailing Veneer S s -Drip Screed -Fd. Vents-Underflr. Access ------------ ------- - - 49 lazing Area_Glass Protection -Skylights -Plastic 58. S "-alls:_Nailing-Bolts -------------------------- Insulation -Wal -Ceilings _ - - 60.-Infiltration_Walls_Windows---^ - Dateb� Card B_t Date -- Card B-1 Date Z Card 1 Date Card B-1 Date FINA fans) OK except a's Ext. e! -Door & Sidelight Protection -Landings —_ moke rector -------- - --- - — rnace: Vents -Clearance -Comb. Air -Connector - In age: Above Floor-Ducts-Mech. Protection edroo sting - ---------------------------- .F.I. ath Fixtures & Tub Access -Spa rim & Subpanel Breaker Sizes & Labels ----------------------- Stairs & Rails _ace or Stove: -Clearances -Hearth rf Elec. Outlets at Wood Panel: Int. & Ext. rt.Fi Appliance Grnd.-Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter -- -- --- -- --- --- --------nding_Closer ----- 7Damper ...... _-. .....--------------------------------------- Wtr. Htr.. Vents -Clearance -Comb. Air-Connector-P.R.V. ere. � ove - Floor-Mech. Protection __ r5. Plb.. Elec. & Mech. Equip Listed for Location tion ...... .... - ---------------------- ------- -- .F.1.)-Romex Protection --- ------------------------------------------ 7 am- ooed in Attic ❑Yes Gua 13 &Deck Construction -Post Caps ------ -- UIW�Fdn. Vents & Crawl Hole Door -Drama a od-Earth Clearance Looked under Floor --9 . --- -- - -- ----- -------- 80. Following instI Dave es o: Walks ❑ Yes o: Planters ❑ Yes NN ........... 2 --------- -- --------- CIT. ITUCCO is . __Fnh---------------------- --- ----------- A --- - --- A -- t. Electrical. Plumbing . ... ... ... - --------------------------- Abov Roof. Plbg.-Appliance-Fireplace.-Clearance to Op s ater w O sconnect. Electrical. Plumbing --Y-j�� -- -- xter r Elec Trim: G F.I Receptacle -Underground . .- .. ..-.-------------------------------------- Ventilation Throughout House ��. .. - -------------------------- �et7�Glass Protection 88 C on Om Previous Inspections Ga vteters Tagged: Gas:Electric 90 E�rgy r Connected-C'0' to Grade -HD Approval Compliance Certificate -Other Certificates - -- -- - --------------------- Date �]/< (�$ Card B-1 Date Card-B_t-- --- --- - Date98 Card - - -- C 8 -t ��r' . Date Card -B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE ITO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING 058-450-007 FR20 BUILDING PERMIT OWNER CHERYL A JACKS TELEPHONE SQ. FT. OCC. BUILDING VALUATI N 320 R 17,280 OWNERS MAILING ADDRESS 2935 MADRE DE ORO PLACE OROVILLE 21 0 147 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 17.427 Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 189.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 199-89 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2965 MADRE DE ORO PERMITFEE $ 354.85 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 4 7.00 28.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 15,00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15-00 15.00 TYPE OF WORK New 13,E Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 ?K10tYfY RrmnM M Mobile Home I S I GI W 1 920.00 PERMITFEE S 108.00 Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I( affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) s0. 3.50-. 11.20 NEW CCONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 / POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 Ex. Occup. (OUTLETSPRESD.FIXED APUNIS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 54.90 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating WALL FURNACE 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 41-90 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallR_3 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date ^� _ J:Dature -/b/Owner ❑ Contractor ❑ Agent An OSHA pe itis requireiWor excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 Occ CONST. TYPE VN TOTAL FEE $ 604. 55 HAZ. _ D. FEES X IMP ;( FLOOD X CDF X PARCEL PD HD X X X SSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON W applicable provisions Resolutions to do work been paid. % p Dateg / 7 (Data) / Receipt No. _ Q (e �, WHITE-D.D.S.-B. D. A A -ASSE SO K -INSPECTOR OLDENROD-APPLICANT cog es COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 1 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-751� /(D —PJPERM NO. APPLICATION AND PERMIT ��L�(' ASSESSOR PARC t`5pjv��p' ZONINF./2/'f'/� BUILDING PERMIT OWNER Vl NE SO. FT. OCC. BUILDING VALUATION a o S vo COMRACiO 'S NAME _ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation $ Filing Fee $ r20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER � LICENSE NO. Plan Checking Fee $ j ipa- Energy Plan Checking Fee $ a ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $&aA35C�-aS� PLUMBING PERMIT Fling Fee 20.00 — Each Trap 41 7.00 29. 6U LOT NO. SUBDIVISIONS NAME PA CEL MAP Solar or heat pump water heater 23.00 Water piping 15.,00 S-uo USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 'ScA Gas piping system 1 - 5 outlets OD 15.00 ISU� sewer 15.00 (� TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ (v 1 Describe Work: l — — Mobile Home S G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee i 20:00 — Main Service ( zoon oA mss ) 23.006 Main Service 200A TO I000A. ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURI OR ADD is. ( a ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH TS ) 97.50 POWER APPARATUS 1 (a SINGLE OUTLET CIA. / I _ Ex. Occup. ( OUTLET OR FIXTURES ) i eA2` 0 1.00 Ex. Occup. OUTLETS D.OR 5.00 j Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 5 , Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 9 20.00 Heating 1,3 Cooling — Hood 6.50 S j' Ventilation PERMITFEE $ f, Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspectio Fee $ Lgj.(� —C5 1 CON T. rr E TOTAL FEEo I De,VJ IVI FLOOD F pAR HD GsuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON me applicable provisions Resolutions to do work been paid. Date_ (Date) ReceiptNo. o E))S^ WHITE-O.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER�1 P. No. C15 g'• �cSC7 - OD % Proposed Building Use 3 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted........................................ . 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form............................................. -L 6. Energy Design Compliance and supporting documentation . ................ 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... . Engineered truss details and layout in duplicate (required_ p(ior-.to_plan check). 9. Mobilehom d a anufacturer's installation instructions, 2 sets. .......... . Fees of $ �� •� . .......... . .................. - S- 1. Impact fees as shown on attached schedule. ....... ... . .................. 12. California Department of Forestry plan approval/ a ..................... 13. Flood elevation letter (100 year flog) by �I�'fo-rnia Engineer. ................ . �14. Sanitation and plot plan approval ( ( QVU9 Health Department. / _ 6 ............ 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: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre-inspection for anra"sperm'°"'�Q� ��- required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement. ................ 25. Letter of signature authorization........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use.......................................... 28. Mobilehome utility clearance. ........................... ............... 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits....................................... 32. Plan chea list. ........ 33. 34. When you issue the t rocess as follows: Mall to ow er. Mail to contractor. Telephon nd hold for pickup at U office. Deliver with inspector. Other Parcel Creation Acreage Applicant (� Date % % Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per rance: w item not checked above). 1. Index permit for above items No. 2. Additional items required: Z2,( Ze�� Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, o ner, was advised of above required data by _ phone _ mail C unter by _ Date Plans checked by Date A0 -!2 Plans approved by Date L Sets of plans on hold in File cabinet AP folder kN6� / ✓qr Copy - Department of Public WorksQ TO: Building, Department FROM: Environmental Health SUBJECT: Sanitation. Clearance . Ut/ ' Plot Plm At4o6ed Poor Plan Amohed Sent to B.D. 9 — z / -S�� tv / 1� ci/ri— /Pi -,&_ L� '-rlop- -7� – 0 Z— caner Location AP# Plan Approved for: Sewage Disposal if"' Water Supply: Public Private Well Clearance for �— bedroom mobile home. Pyr or kvc�-,%� Hold final for: Final clearance O.K. for: NOTE: /v�j / Environmental Health Specialist R/Q1) 2 7- �--6' Date Y� TO: Building, Department FROM: Environmental Health SUBJECT: Sanitation. Clearance . Ut/ ' Plot Plm At4o6ed Poor Plan Amohed Sent to B.D. 9 — z / -S�� tv / 1� ci/ri— /Pi -,&_ L� '-rlop- -7� – 0 Z— caner Location AP# Plan Approved for: Sewage Disposal if"' Water Supply: Public Private Well Clearance for �— bedroom mobile home. Pyr or kvc�-,%� Hold final for: Final clearance O.K. for: NOTE: /v�j / Environmental Health Specialist R/Q1) 2 7- �--6' Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER A.P. # PROPOSED BUILDING USE DATE REC. # 1. SCHOOL DISTRICT FEES (paid at District Office) .A ti�iln)2. SHERIFF FEES (pa atBuildin� Residential...... x =$ unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$_ sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) J; 6. SRA FIRE INSPECTION AND PLAN CHECK $89.UO (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) DATE REC — , kl-� 0 (6&W 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please. complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. '1. personally plan to provide the major labor and materials for construction of the proposed property improvement: YES] NO[ ]. I HAVE ] HAVE NOT[ ] YE ed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: 4 lanoI K -1 -013 -Mm CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: person to PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: . SOCIAL SECURITY NUMBER: DATE: % /? / NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER -:; Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect - yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department' of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Si &rel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. an `/MEAL-.- war_ - :A `I^ _ a"L1 RAL AND ? _A -' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: 19161538-7541 FAX: (916) 538-2140 10/7/96 CHERYL JACKS 2965 MADRE DE ORO PLACE OROVILLE, CA 95966 " Re: B.P.#96-2128 A.P.# 58-450-007 With reference to the above subject, -attached is: [ ] Plan Check List [ ] *Red Marked Calculations [ ) Red Marked Plans [X ] Other 'Action Required: [ ] Comply With Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, LINDA SEXTON Permit Applicant: ' CHERYL JACKS Permit Number: 96=2128 Assessor Parcel Number: 58-450-007 Date: ' 10%7/96 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. AFTER.SPEAKING WITH YOU ON THE PHONE. THIS MORING, ANN BRANDEL, MIKE VIEIRA, AND I AGREED TO INCLUDE THE KITCHEN AREA IN THE LIVING ROOM SQUARE FOOTAGE, THEREFORE, IF YOU REDUCE THE SIZE OF YOUR CLOSET, YOU SHOULD COMPLY WITH THE 220 SQUARE FOOT MINIMUM. 2. PLEASE CALL ME CONCERNING YOUR ENERGY CALCULATIONS. If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Thursday. LINDA SEXTON BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District rm 1 Building Department No. A.P. Number (j� - �— �� Jurisdiction: City 12/ County /10-00,5 PropertyOwner Property Location/Address aC► 10� (�h.(� �-P�2 , I otau! Subdivison Lot No. Residential Development Sq. Footagea-� No. of Living MHI Addition (Group R) Units Commercial/Industrial �1J��`j�i f16 0 Sq. Footage New Addition (Including Exterior -- oofed yeas) uilding Department epresentative Date (Floor Plans reviewed by School District Personnel) Identificatio 97UU�56 ✓1 wo O) / �hSchool District certifies that licant) (Phone Number) (City) (State) (Zip Code)�j Q 6 V has complied wit the requirements of Resolution No.©' 9� by payment of representing square feet. AB 2926 r _,.I- . School District Rep Paid by Check # Bank Number _ Paid by Cash Certification Foran, the School Districi• is being reviewed under the California Remarks: ling this Butte County applicable Cola White (applicant), Yellow (building department), Pink (school district) 'CEOA), this p qtr Ctrs-sc ool: Date pact ree that this project 'be-SWWec.t to feeform.wkt (11/94)dmm September 24, 1996 Cheryl Jacks -2965 Madre De Oro Place Oroville,. Ca 95965 DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7601 FAX: (916) 538-7785 Re; Temporary Trailer During Construction Permit for AP# 058-450-007, Parcel located on_ the northwest corner of Granite Ridge Road and Madre De Oro Place at 2965 Madre De Oro Place, Oroville. Dear Mrs. Jacks, Your request for a temporary use of a travel trailer during the construction of the home located at the above referenced parcel number on property zoned FR -20 (Foothill Recreational, 20 acre minimum) has been approved pursuant to Butte County Code Section 24-300, subject to the following conditions: That the occupant has secured a building permit for a residence 2. Sewage / waste water from the self-contained travel trailer must be disposed of at an approved dump station. 3. That before six (6) months have elapsed from the date of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence. 4. That the house must be completed within the one (1) year period and the trailer- dwelling railerdwelling must be abandoned. 5. That a mobile home utilities and installation permit be obtained from the -Butte County Department of Development Services, Building Division. 6. Applicant shall comply with all other applicable State and local statutes, ordinances, and regulations. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday, at 916-538-7601. Very truly yours, William Farrel Director of Development Services ` arry Painter Planning Technician cc: Building Division, Department of Development Services ort �� _ vc �.� -"e7— v7" S% d ( f (.• j.c _ / r� ,_ s c.,L REVIEWED BY d -�, BUTTE CO. FIRE DEFT. , CALIF. DEPT. Cif FORESTRY _ _ ❑ approved as submitted � _ ,� „yc� _ - i� apprcvQd with c:�;�ditit�r�s S I per attached si^.eet f/j ( _ I �ii(pfl3iltr^ Date J Q I. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALt_ EASI=MENTS. A SETBACK OF D F i, FROM THE SIDE AND 3� FT. FROM THE REAR PROPERTY LINES AND. i — FT, FROM THE ROAD CENTERLINE SHALL BE -CLEAR OF S"u'F3�ICTDRES AND E&�llIPMiENT EXCEPT FOR A 2 FT.. C��E OVERHANG;- ' .3 CDF FIRE SAFE REQUIREMENTS 96 -fW. Jas eq§Y(_, AP# PERMIT # N E Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. V] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [\A 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-_,rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves. of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical.curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot 1 traffis lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--, '_4 s ()2 AP # PERMIT # NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than.800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�) 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [X] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements. below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 AP �T#J PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves AME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 0 LINDA SEXTON - PLAN CHECKER tteEat -_ - - :A I^ _ _ ^.i 4 "UR.4L %A/EAL-.-4 ANS ? = - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 10/02/96 TELEPHONE: (916) 538.7541 FAX: (916) 538-2140 CHERYL A. JACKS 2965 -MADRE DE ORO -PLACE - - = OROVILLE, CA 95966 Re: B.P.#96-2128 A.P.# 058-450-007 With reference to the above subject, -attached is: Plan Check List ( ) Red Marked Calculations [ ] Red Marked Plans- lans[X] [X1Other 'Action -Required: ( ] Comply With Plan Check List ( ] Resubmit Plans with Revisions As Required [ ] Return Ail Original Materials and Revised Plans to the Building Department ( X) Other Should you have any questions, please phone number listed above. contact this office at the address or Sincerely, LINDA SEXTON - PLAN CHECKER Permit Applicant: JACKS Assessor Parcel Number: 58-450-007 Permit Number: 96-2128 Date: 10/02/96 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specIftcationr and calculations as follows: I CANNOT GET IN TOUCH WITH YOU AS THE -PHONE NUMBER I HAVE, 283-5773 IS DISCONNECTED. PHASE 1 OF YOUR PLANS MUST COMPLY WITH THE MINIMUM REQUIREMENTS FOR AN EFFICIENCY DWELLING. THE LIVING ROOM OF THIS PHASE MUST BE A MINIMUM OF 220 SQUARE FEE. (SECTION 310.7,-1994 U.B.C.) YOUR LIVING ROOM IS ONLY 159.5 SQUARE FEE. IT MIGHT BE MORE COST-EFFECTIVE FOR YOU TO DO THAN TWO. THE ENTIRE HOUSE IN ONE PERMIT RATHER .: PLEASE CALL ME AT YOUR CONVENIENCE. If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1: 00 P.M. and 4:00 P.M., Monday through Thursday. LINDA SEXTON LAND DEVELOPMENT ENVIRONMENTAL BUILDING / HEALTH j- PERMIT CLEARANCE Building Permit No. KA* -M AG u c 14 r r 1<1A4 OWNERS! -J,,./1 A.P. NAME: ",P (i%''i�i(iC.l v/ NUMBER: PRINT LAST NAME FWT ; COUNTY `L�ONING (� DESIGNATION: !-2. Z O FLOOD ZONE: X FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: Grs.r+n rw 02404o Cp✓r) MAP INFORMATION: DATE OF RECORDING 2 L9 72 LOT 3 BOOK 4 PAGE &* 7 COMPLIANCE WITH. OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES >— NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED, 1. Maintain a 50 ft. building setback from centerline of roads _ 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22 23 24. 25 'AIO IWN013A30 ONV1 311f18 30 AiNI100 9661 1 £ I n r a3A1333a LD 7/96 C:\WPS I TORMS.K\BLDGPERM.CLR And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 P 2 3.1996.._-._.-_. ... NOT COMPARED WITTY ORIGINAL DOCUMENT 96-035159 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires .this acknowledgment tote: recorded prior to issuance of a building permit. The property described herein is adjacent to land or .included within an area 'zotied for' agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the' use of agricultural chemicals, including. but not limited to herbicides, pesticides, and fertilizers. and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, ,smoke. noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California, described as follows: Date: �' — _ ! p PROPERTY OWNERS: State of California ) County of ) Odd t„�,-He_ before me, . personally appeared (In e—r'(*(_. Hnn known to me (or proved to me on the'basis of satisfactory evidence) to be the person within instrument and acknowledged to me that he/&they executed the same in is/ that by his/4}/their signature on the instrument, the person or the entity upon executed the instrument. WITNESS my hand and official seal iignature personaliv whose name($&are subscribed to the their authorized capacity(ies), and be the person(acted, A.P.# 0�5 & 4� ®- 00 �Rt� NOTE TO RECORDER: DO NOT RECORD THIS SIDE tvI / �ir"'�'li. �Z Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must -sign -in- the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). h� OVER bS1- Pt DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, .COUNTY OF BUTTE, DESCRIBED.AS FOLLOWS: PARCEL 3, AS SHOWN ON.THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 9, 1972, IN BOOK 41 OF MAPS AT PACE(S)-7. pARCSI' 22= A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER.A'STRIP OF LAND LYING 30 FEET ON. EACH SIDE OF -"THE FOLLOWING DESCRIBED CENTERLINE; BEGINNING AT THE..SOUTHWEST•CORNER OF THE.ABOVE DESCRIBED PARCEL I, THENCE EAST AND PARALLEL WITH 'THR.NORTHERLY. BOUNDARY LINE OF THE NORTHEAST QUARTER OF THE -SOUTHWEST QUARTER OF SECTION -20, TOWNSHIP 22 NORTH; RANGE 4 EAST, ASTERLY � M:D:B:-- A 'M:• -To` A-• POINT' ON ..THE. E BOUNDARY LINE THE SECTION SOUTHWEST QUARTER OF SAID '20 AND THE END OF SAID LINE. EXCEPTING THEREFROM ALL THAT PORTION..LYING WITHIN .THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL SIT - A NON-EXCVERA ,RIP O NT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.0o..FEET IN. WIDTH, ON EACH SIDE OF THE FOLLOWING DESCRIBED LYING 30.00 FEET CENTERI;INB: COMMENCING AT THE CENTER OF SECTION 20, TOWNSHIP 22 NORTH, RANGE 4 EAST' M.D.B.. & M.; THENCE ALONG'THE EAST AND WEST CENTERLINE OF BEGINNING THEREOF, SOUTH 83 DEG. 25� 12" WEST, 413.96 FEET TO THE TRUE POINT .FOR THE HEREIN-DESCRZBED..LINEJ THENCE --FROM SAID TRUE POINT OF BEGINNING THE FOLLOWING BEARINGS AND DISTANCES: NORTH 9 DEG. 04r 49" WEST, 159.99 FEETJ'THENCE'NORTH'3 DEG. 381 13" 198.45 FEET; THENCE NORTH 25 DEC. 381 08" EAST, '192.75 FEET EAST, NORTH 11 DEG. 14' 2811 EAST 218.96 FEET; THENCE NORTH 12 DEG.HECE 51, 59" WEST, 233.56 FEET; THENCE NORTH 33 DEG. 25' 2111 WEST, 215.44 FEET; THENCE NORTH 9 DEG. -401 DEG. 01" WEST, 72.64 FEET; THENCE SOUTH $5 249 00' 0011 EAST, 247.05 FEET;.THENCE NORTH 5 -DEG'. 00' Op" BAST _48 FEET TO THE CENTERLINE OF JORDAN HILL ROAD, A COUNTY ROAD. P z Zy- A NON-EXCLUSIVE EASEMEN A STRIP OF LAND 60.00 T FOR ROAD AND PUBLIC UTILITY P FEET IN WIDTH, LYING 30.00 FEET URPOSES OVER OF THE FOLLOWING DESCRIBED CENTERLINE: ON EACH SIDE COMMENCING AT THE CENTER 1 NORTH, RANGE 4 EAST.4 CORNER op. SEC'j'ION 20 CENTERLINE OF SAID ' M.D.B.MDB& M., THENCE ALONG THE TOWNSHIP 22 FEET TO THE SECTION 20, SOUTH 83 DEG. 25�2�EAST AND WEST CENTERLINE; THENCE POINT OF ..BEGINNING FO THE FEIWEST 413.96 SEVEN COURSES: SOFROX SAID TRUE POINT OF BEGINNING DESCRIBED DEC' 06� 13„ EAST TH 9 DEG: 0411 4911 EAST , THE FOLLOWING FEET' 199TH • 310.37 � i S0. • 40.00 FEET; SOUTH EAST 7 DEG. Y9. 52„ v'd'H 22 DEG. 24!._41y, 12 10 FEET; SOUTH 6 DEG. 176.13 1'ET; SOUTH 9. DEAST-270.31 423" DEG. 06' 2511 O1 0411 NORTHEAST 1 EAST, 77.72 FEET TO A POINT ONS 157.97 FEET; SOUTH 20 OF THE /4 OF THE SOUTHWEST 1/4 OF SAID SE HE ZO LINE OF THE HEREIN DESCRIBED CENTERLIpg� � AND THE END EXCEPT PARCELIIG THEREFROM .ALL THAT: DESCRIBED H 1�ORTION LYING , WITHIN THE BOUNDS OF HEREIN.- RESIDENTIAL PLAN CHECKING GUIDE j SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: Cc. c kg BUILDINGP ER: /Zr 611 PLAN CHECKER:!j l /�Z- 7 A. P. NUMBER: � � � 1-6 Zoning requirements: (side yards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. Fte parcel size and dimensions. s, side yards, easements, etc. uildings or structures. , fills and/or drainage. zard. conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). & F.A.S. road setback. or utilities across lot lines (Record form). Complete to scale plan with dimensions. Required windows for.light and ventilation (Section 1203). " Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 3'0" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three 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 building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and talc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Headcr size. Sheetrock nailing inspection required? July 1996 3.2 yffSCELLANEOUS EMMS TO LOOK OUT O Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete I -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. .Noise requirements on duplexes. ,-A5 Energy design. } Flashing at all exterior openings. C.D.F. responsible area requirements. OV-7126TO- 7-7- - 7 lie /77 J D July 1996 3.3 -+tT•;ff"�yj "l'j"` 4 �SN�+.'pi rS•°"s-nzi .n � � }� �r,.,_-'ay�s:..s ' :a.�r" :,;_ r .:. rt'i '^r' : �,'*-t. '�•s±:,�g'fA�"rt4!:�.,j�.�i �- j ^wx ,' ..- -,• ` . a , . � .r : . t .. _ .. 058-450-007.:.•, PERMIT #97-2428B JACKS,-CHERYL 2965 Madre De Oro .Place, Oroville # 1st Renewal of 96-2128/SF 1 � f _ t 4 • A ,i t t - It . FlF J • ti / 1� .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION, ''- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-450-007 ZONING rR 20 - BUILDING PERMIT OWNER WHERY1 JACKS (�j (�� TELEPHONE SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS 2935 PfADRE DE ORO PLACE OROVILI E ' CONTRACTOR'S NAME MMER TELEPHONE J ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 r� x' Fee 1/2 ORIGINAL- $ 94.50 ARCHITECT OR ENGINEERS MAILING ADDRESS .!`lan Checkin Fee $ BUILDINGADDRESS7Q175 ;1J '�",ADRE Dj, ORO PLACE �.�nergy,Plan Checking Fee $ PFermit CF.�VILLi I PERMIT•�EELOT NO. SUBDIVISION'S NAME PARCE1PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTUREach SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Trap 7.00 olar or heat pump water heater 23.00 Water piping y 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities$❑ Installation ❑ Other ❑ Describe Work: RENEWAL OF B.P.7196-2128 V� Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 EOOV OR LES9 Main,:Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions C apter 9 (commencing with Section 7000) of Division 3 of the Business and Professl s Code, and my license is in full.•force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION 'r I hereby affirm under penalty of perjury that I am exempt from the Contr ctors License Law for the following reason: _EV as owner of the property, or my employees with wages as their sole com ensation, will do the work, and the structure is not intended or offered for sale ❑ I, as owner of the property, am exclusively contracting with licensed contractors to constructtthe project. ❑ I am exempt under Sec. ..,._Business.apd Professions-. de:for, this - reason Main Service ( 200A TO 1000A 46.00 NEW CONST.DWELUNG OCCUP. so. - OR ADONS. ( OTACCBLDs. 3.5QFT. 0 NEW CONST. NON-RESID. MULTI -OUTLET 97.50 OWER APPARATUS 8 PSINGLE OUTLET C.. Ex. Occup. OUTLET OR FIXTURES 20QI. BAl 550 0 FIXED APPLNS. OR Ex. Occup. ourl> rs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .PERMIT FEE' ;$,.- .. �. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure or workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have And will maintain workers' compensation insurance, as required=by Section 3700 of the Labor Code, for the performance of work for which this per mit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 'O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / / Date/�/= Signature of Applicant - Q^ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 114 Rn HAZ. I D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ' By PERMIT EXPIRES ON 1(1/1538 Dale Receipt No. -1 ���-- WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 59 —XQ esr ASSESSOR PARCEL NUMBER 058-450-007 ZONING FR 20 BUILDING PERMIT OWNER CHERYL JACKS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS "AILING ADDRESS2935MADRE DE ORO PLACE OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 1 2 ORIGINAL $ 94.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2965 MADRE DE ORO PLACE Ener Plan Checking Energy g Fee $ OROVILLE, $ PERMIT FEE $ LOTNO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RENEWAL OF B.P.#96-2128 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HomeS G W 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LEss 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force Slad effect.POWER License Class LIC. NO. WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ERS' COMPENSATION DECLARATION 1 hereby affirm nder penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDs. 3.50FT; NEW CONST. MULTI.OUTLETUI NON•RESID. ANC @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 R 5.00 Ex. Occup. D E�°TSA �o.1E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th a provisi s. p X ,1 Date ` 0 " / nature of A licant - ner ❑ Contractor ❑ Agent An OSHA per i s required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutio s to do work indicated o e for whic f have be id. /� Q By PERMIT EXPIRES ON 101598 Date Receipt No.73 WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESNO ❑ 2. I HAVE HAVE NOT 11 signed an application for a building permit for the proposed work. 3. I have c ntracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: _(�L/ SOCIAL SECURITY NUMBER: DATE: i l — / 0 — NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER a ., OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. if you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and; if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your comr munity or at 1020 N Street, Sacramento, CA: 953114. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, % Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE: This Owner -Builder In is required by Section 19830 of the California Health and Safety Code- OVER ode OVER #., COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER- -2c( 2g PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If y ull ave any questions pertaining to this matter, or need additional explanation, please contact his office immediately., 1 Date REV f -ate ,r,.,.�r.�,�.,,,.._,�,..—...,,,.=•l+.+.^✓s•✓*a�..�s�.1 ..��.- ... .V: rw.r�.' w•.r'y.J7'�'.• asK,v, COUNTY OF BUTTE BUILDING DIVISION -DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 'r. CORRECTION NOTICE OWN R PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r the above address and should be corrected. please notify this office when correction of work is completed. f you have any questions pertaining to this matter, or need additional explanatioril. please co ct this office immediately. / Y L C Glot Dater1922 Inspector REV 1 �I �'..- 2":.Y_}.. _' •� �� C+' f f . ` COUNTY OF BUTTE BUILDING` DIVISION EPARTMENT OF DEVELOPMENT. SERVICES 411 Main Street, Chico, CA'-.(916) 891-2751 7 County Center Drive; Oroville, CA - (916) 538-7541 CORRECTION NOTICE ` 9 % - 11!/07 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addriss and should be corrected. Please notify this office when correction of work ii completed. If you have any question's pertaining to this matter, or need additional explanation, please"contai ct this office immediately. 1 0 iJa REV 10192 f REV 10192 COUNTY OF BUTTE BUILDING DIVISION • DEPARTMENT OF DEVELOPMENT SERVICES ` 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 4 CORRECTION NOTICE �Ae OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter or need additional explanation, please contact his office immediately. 0/r7�Sl, it,/'_A- /�Y�Y ` -e All n L.A Pt—. o �. Date Inspector � l a REV 10/92 a Insulation Qertificate Ja S BUILDING OWNER - Gl e j-4 ( A c.i BUILDING PERMIT # BUILDING LOCATION o2 -I �-A a re - Description,,of Installation ROOF Material Thickness Brand N, Thermal CEILING .Batt or Blanket Type Brand Name Thickness Cutches) Thermal Resistance. (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weighdft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material WI_ t 1 f Brand Name Thickness (inches) .. Thermal Resistance (R -Value) o RAISEO'FLOOR - Material�? P Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) f FOUNDATION WAS. Material 'Thickness (inches) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code General Co tr for (Budder) License Number / ( Date CCj' Signature and Title () Brand Name ij 1U-AQMAN' - Thermal Resistance (R -Value) Brand Name Thermal Resi Brand Name Thermal Res Sub.Contractor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTEDWITHIN THE BUILDING. JANUARY 1993 xyW V CLAIMANT: ADDRESS: CITY & STATE: COUNTY OF BUTTE Oroville, California GENERAL CLAIM CHERYL JACKS 2935 MADRE DE ORO PLACE OROVILLE, CA 95965 DATE OF CLAIM: 9/23/96 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.' SEE INSTRUCTIONS ON REVERSE SIDF DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT A.P.#58-45-07, B.P.#96-1749 & 96-1750, RECEIPT#202414 DATED 7/31/9 OWNER: CHERYL A. JACKS TOTAL AMOUNT PAID........................................$309.00 RETAIN REFUND PROCESSING FEE ..................$ 25.00 RETAIN PLBG & ELEC FILING FEE ..................$ 40.00 RETAIN BLDG FILING FEE ..........................$ 20.00 TOTAL AMOUNT RETAINED..... .. .$ 85.00 .. ... .. ... ............... AMOUNT TO BE REFUNDED... .. TOTAL $224 00 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 23RD day of SEPT 19-26 at OROVTT,T,R Calif. Signatur Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or ar, icle p cified above a been performed or delivered and that there is a Budget Appropriation [ I or Specific Board Approval [ I (Check one) fo the Dated this 23 day of SEPT , 19- 96 at OROVILLE , Calif. Depa tment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FR M CONSTRUCTION PERMITS FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. n FOR BUILDING DIVISION USE: S,eAS Receipt Information: Number: Date. Issued To: 0 Amount: $ Fees Retained: U71L / f� Processing Fee: $ O "Bldg Filing Fee $ k/P//l bg Filing Fee $ �/E1 ec Filing Fee $ cZo-oel Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ • a� Total Amount Retained $ c.2 a do TOTAL REFUND DUE $ REFUND CLAIM APPLICATION CLAIMANT'S NAME C 'A e,e, / MAILING ADDRESS 9 3-5— ASSESSOR PARCEL # PERMIT RECEIPT NUMBER (S) Request a refund of fees paid on the above receipt number(s) for the following/ reasons: J E L ; !/�CG( y-r� /o ��� � i or�.c�.� G/wP��ic� .S/25 C/ l;,, oe,/, i Glc' Lj cryy�, Please refund any applicable fees in the following categories (Check those categories which you wish to have refunded.) [� Building Permit Fees 06�6SEeriff Fees (W<5�—SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE DATE %� TABLE OF CONTENTS TOC Project Title.... JACKS: Phase I Date......... 09/18/96 Project Address........ Madre De Oro Place ******* Oroville, CA. 95966 *v4.50* Documentation Author... Wayne Dailey ******* Building Permit # P.O. Box 5771 Plan Check / Date Oroville, CA 95966 916-534-0300 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -TOC User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM P -2R ................. 6 FORM C -3R .................. 14 HVAC SIZING ............... 17 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... JACKS: Phase I Date........ 09/18/96 Project Address........ Madre De Oro Place ******* Oroville, CA. 95966 *v4.50* Documentation*Author... Wayne Dailey ******* Building Permit # P.O. Box 5771 Oroville, CA 95966 916-534-0300 Climate Zone 11 Plan Check / Date Field Check/ Date Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM CF -1R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -value.... 320 sf Single Family Detached New Cardinal - N,E,S,W 1 1 Raised Floor 21.3 0 of floor area 0.73 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Assembly Type Type R -value R -value U -Value Location/Comments Wall Wood R-17.8 R-0 0.061 Exterior wall Door n/a R-0 R-n/a 0.330 Entry door Roof Wood R-11 R-21* 0.029 Vent.Attic.Spc Floor Wood R-19 R-0 0.037 Vent.Crawl.Spc FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Door Front (N) 40.0 0.720 2 Drapes.Std None None Metal Window Left (E) 22.0 0.750 2 Drapes.Std None None Metal Window Back (S) 6.0 0.750 2 Drapes.Std None None Metal HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Furnace 0.630 AFUE None R-0 Setback NoCooling 10.00 SEER None R-0 Setback CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 .Program -FORM CF -1R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg Tank Type WATER HEATING SYSTEMS Number Tank in Energy Size Heater Type Distribution Type System Factor (gal) External Insulation R -value Instantaneou Gas PointOfUse 1 0.76 RE n/a R-n/a SPECIAL-FEATURES/REMARKS This is a multiple orientation building with no orientation restrictions. This printout is for the front facing North. Point of Use: Water heating unit must be located not more than 8' horizontal distance from each hot water fixture. . CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM CF -1R User#-MP1829 User -EH Run-.19.19.30.dbl.ig.wg 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.... Jacks Name.... Company. Owner/Builder Company. Address. Madre De Oro Place Address. Oroville,-CA. 95966 Phone... Phone... License. . Signed.. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Wayne Dailey P.O. Box 5771 Oroville, CA 95.966 916-534-0300 c (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... JACKS: Phase I Date........ 09/18/96 d ******* Project Ad ress........ Madre De Oro Place Oroville, CA. 95966 *v4.50* Documentation Author... Wayne Dailey ******* P.O. Box 5771 Oroville, CA 916-534-0300 Climate Zone........... 11 Compliance Method...... MICROPAS4 v4. 95966 Building Permit # Plan Check / Date Field Check/ Date 50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM MF -1R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg 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. R-30 150(b): Loose fill insulation manufacturers labeled R -Value. Yes *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). R-19 *.150(d): Minimum R -13 -raised floor insulation in framed floors; minimum R-8 in concrete raised floors. R-19 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. N/A 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. Yes 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. Yes 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/A 150(f): Special"'infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. Yes 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. N/A MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM MF -1R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg 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. Yes 150(i): Setback thermostat on all applicable heating systems. Yes 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. Yes *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. Yes 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 780-. 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. Yes 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.). Yes LIGHTING MEASURES 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. Design- Enforce- er ment Yes POINT SYSTEM Page 6 P -2R Project Title.......... JACKS: Phase I Date........ 09/18/96 Project Address........ Madre De Oro Place ******* Oroville, CA. 95966 *v4.50* Documentation Author... Wayne Dailey ******* Building Permit # P.O. Box 5771 Oroville, CA 95966 916-534-0300 Cl' t Z 11 Plan Check / Date Field Check/ Date ima a one........... Compliance Method...... MICROPAS4 v4.5.0 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM P -2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg MICROPAS4 POINT SYSTEM SUMMARY Energy Use Points Space Heating.......... -4 Space Cooling.......... 0 Water Heating.......... 21 North Total 17 Space Heating.......... -4 Space Cooling.......... -3 Water Heating.......... 21 East Total 14 Space Heating.......... -4 Space Cooling.......... -6 Water Heating.......... 21 South Total 11 Space Heating.......... -4 Space Cooling.......... -8 Water Heating.......... 21 West Total 9 *** Building complies with Point System *** POINT SYSTEM Page 7 P -2R Project'Title .......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM P -2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg GENERAL INFORMATION Conditioned Floor Area..... Building Type .........:.... Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 320 sf Single Family Detached New Cardinal - N,E,S,W 1 1 Raised Floor 1 2560 cf 320 sf 0 sf 21.3 0 of floor area 0.73 Btu/hr-sf-F 8 ft GLAZING Orientation Glass Area o Glass a. North 40.0 12.500 b. East 22.0 6.881-o c. South 6.0 1.880 d. West 0.0 0.000 e. Skylight 0.0 0.000 Total 68.0 21.250 SPECIAL FEATURES/REMARKS This is a multiple.orientation building with no orientation restrictions. This printout is for the front facing North. 0 POINT SYSTEM Page 8 P -2R Project Title.......... JACKS: Phase I Date........ 09/18/96 I. 2. 3. 4. 5. 6. 7. 8. 9. MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM P -2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg SCORE CARD Measure Ceiling Insulation (U -Value) Cooling 10.000 SEER x 0.029 Wall Insulation (U -Value) 12. 0.061 Raised Floor Insulation (U -Value) External 0.037. Slab Edge Insulation (F2 Factor) Energy 0.000 Infiltration - Ducts in Unconditioned Space No Fenestration Heat Loss (U -Value) 0.732 at 21.250 Fenestration Heat Gain n/a R-n/a n/a SC Effective Shade n/a . Fenes- Shade o Fenes- Effective- tration Open tration ness Ratio North 12.50o x 0.766 = 9.580 0.860 East. 6.880 x0.766 = 5.270-o 0.860 South 1.880 x 0.766 = 1.440-o 0.860 West 0.000 x 0.000 = 0.00 0.000 Skylight 0.00% x 0.000 = 0.00% 0.000 Interior Thermal Mass (Mass/Area) 0.000 Exterior Wall Mass (Mass/Area) 0.000 Equipment Duct Efficiency Efficiency Points 0 1 0 0 3 -7 Sum 1-6 -3 Effective Zonal Efficiency Control 10. Heating 0.630 AFUE x 1.000 = 0.630 AFUE No -2 -3 0 3 0 -1 0 Sum 7-9 -3 -1 11. Cooling 10.000 SEER x 1.000 = 10.000 SEER No 12. Water Heating Tank External Energy Size Insulation Tank Type Heater Type Factor (gal) R -value Distribution Type 1. See Below n/a n/a n/a R-n/a n/a 2..See Below n/a n/a n/a R-n/a n/a North Point Total: 3 21 17 POINT SYSTEM Page 9 P -2R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM P -2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg SCORE CARD Measure Points 1. Ceiling Insulation (U -Value) 1.000 0.029 2. Wall Insulation (U -Value) Cooling 10.000 SEER x 0.061 3. Raised Floor Insulation (U -Value) - 0.037 4. Slab Edge Insulation (F2 Factor) External 0.000 5. Infiltration - Ducts in Unconditioned Space No 6. Fenestration Heat Loss (U -Value) 0.732 at 21.250 7. Fenestration Heat Gain n/a n/a R-n/a SC Effective Shade n/a 0 Fenes- Shade 0 Fenes- Effective- tration Open tration ness Ratio North 0.000 x 0.000 = 0.000 0.000 East 12.500 x 0.766 = 9.580 0.860 South 6.880 x 0.766 = 5.270 0.860 West 1.880 x 0.766 = 1.440 0.860 Skylight 0.000 x 0.000 = 0.000 0.000 8. Interior Thermal Mass (Mass/Area) 0.000 9. Exterior Wall Mass (Mass/Area) 0.000 Equipment Duct Effective Zonal Efficiency Efficiency Efficiency Control 10. Heating 0.630 AFUE x 1.000 = 0.630 AFUE 11. Cooling 10.000 SEER x 1.000 = 10.000 SEER 12. Water Heating Tank External Energy Size Insulation Tank Type Heater Type Factor (gal) R -value 1. See Below n/a n/a n/a R-n/a 2. See Below n/a n/a n/a R-n/a No No Cel 1 0 0 3 -7 Sum 1-6 1 -8 -1 1 0 -1 0 Sum 7- 9 Distribution Type -3 W -1 5 n/a n/a 21 East Point Total: 14 POINT SYSTEM Page 10 P -2R Project Title........., JACKS: Phase I. Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM P -2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg SCORE CARD 10. Heating 0.630 AFUE x 1.000 Measure Points .1. Ceiling Insulation (U -Value) 1.000 0.029 0 2. Wall Insulation (U -Value) 0.061 1 3. Raised Floor Insulation (U -Value) Energy 0.037 0 4. Slab Edge Insulation (F2 Factor) (gal) 0.000 0 5. Infiltration - Ducts in Unconditioned Space No 3 6. Fenestration Heat Loss (U -Value) 0.732 at 21.2.50 -7 Sum 1-6 7. Fenestration Heat Gain SC Effective Shade 0 Fenes- Shade o Fenes- Effective- tration Open tration ness Ratio North 1.88% x 0.766 = 1.440 0.860 1 East 0.00% x 0.000 = 0.000 0.000 1 South 12.500 x 0.766 = 9.580 0.860 -6 West 6.880 x 0.766 = 5.270 0.860 -6 Skylight 0.000 x 0.000 = 0.000 0.000 0 8. Interior Thermal Mass (Mass/Area) 0.000 -1 9. Exterior Wall Mass (Mass/Area) 0.000 0 Sum 7-9 Equipment Duct Effective Zonal Efficiency Efficiency Efficiency Control 10. Heating 0.630 AFUE x 1.000 = 0.630 AFUE 11. Cooling 10.000 SEER x 1.000 = 10.000 SEER 12. Water.Heating Tank External Energy Size Insulation Tank Type Heater Type Factor (gal) R -value 1. See Below n/a n/a n/a' R-n/a 2. See Below n/a n/a n/a R-n/a No MSE Distribution Type n/a n/a South Point Total': -3 -11 -1 5 21 POINT SYSTEM Page 11 P -2R Project Title.......... JACKS: Phase I Date........ 09/18/96 1. 2. 3. 4. 5. 6. 7. MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM P -2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg SCORE CARD Measure Points Ceiling Insulation (U -value) 0.029 Wall Insulation (U -Value) 0.061 Raised Floor Insulation (U -Value) 0.037 Slab Edge Insulation (F2 Factor) 0.000 Infiltration - Ducts in Unconditioned Space No Fenestration Heat Loss (U -Value) 0.732 at 21.250 Fenestration Heat Gain SC Effective Shade . Fenes- Shade . Fenes- Effective- tration Open tration ness Ratio North 6.880-. x 0.766 = East 1.880-o x 0.766 = South 0.000-0 x.0.000 = West 12.50. x 0.766 = Skylight 0.00. x 0.000 = 8. Interior Thermal Mass (Mass/Area) 9. Exterior Wall Mass (Mass/Area) Equipment Duct Efficiency Efficiency 0 1 0 0 3 -7 Sum 1-6 -3 5.270-a 0.860 0 1.44. 0.860 1 0.00. 0.000 0 9.58. 0.860 -13 0.00. 0.000 0 -1 0 'Sum 7-9 Effective Zonal Efficiency Control 10. Heating 0.630 AFUE x 1.000 = 0.630 AFUE 11. Cooling 10.000 SEER x 1.000 = 10.000 SEER 12. Water Heating Tank External Energy Size Insulation Tank Type Heater Type Factor (gal) R -value 1. See Below n/a n/a n/a R-n/a 2. See Below n/a n/a n/a R-n/a No No Distribution Type -13 -1 F1 n/a n/a 21 West Point Total: 9 POINT SYSTEM Page 12 P -2R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM P -2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg BUILDING ZONE INFORMATION Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area .Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 320 2560 1.00 Yes Setback 2.0 n/a OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 128 0.061 17.8 0 90 Yes WM.19.2X6.16 Exterior wall 2 Wall 160 0.061 17.8 90 90 Yes WM.19.2X6.16 Exterior wall 3 Wall 128 0.061 17.8 180 90 Yes WM.19.2X6.16 Exterior wall 4 Wall 140 0.061 17.8 270 90 Yes WM.19.2X6.16 Exterior wall 5 Door 20 0.330 0 270 90 Yes None Entry door 6 Roof 320 0.029 32 n/a 0 Yes RM.30.2X4.24 Vent.Attic.Spc 7 Floor 320 0.037 19 n/a 0 No FC.19.2X8.16 Vent.Crawl.Spc FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE 1 Door 40.0 2 Metal Slider 0.720 0 90 0.88 0.78 Drapes.Std 2 Window 16.0 2 Metal Slider 0.750 90 90 0.88 0.78 Drapes.Std 3 Window 6.0 2 Metal Slider 0.750 90 90 0.88 0.78 Drapes.Std 4 Window 6.0 2 Metal Slider 0.750 180 90 0.88 0.78 Drapes.Std HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.630 AFUE None R-0 1.000 NoCooling 10.00 SEER None R-0 1.000 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value 1 Instantan Gas PointOfUse 1 n/a n/a R-n/a POINT SYSTEM Page 13 P -2R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program-FORMP-2R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg System WATER HEATING SYSTEMS DETAIL Recovery Efficiency Standby Rated Loss Input Fraction Internal Tank Insulation Pilot R -value Light 1 Instantan 0.76 n/a n/a R- n/a 500 SPECIAL FEATURES/REMARKS This is a multiple orientation building with no orientation restrictions., This printout is for the front facing North. Point of Use: Water heating unit must be located not more than 8 feet horizontal distance from each fixture. 1 CONSTRUCTION ASSEMBLY Page 14 3R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM 3R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg Parallel Path Method Reference Name WM.19.2X6.16 Description .... Mas. Wall R-19 2x6 16oc Type ........... Wall R -Value ........ 17.8 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.061 = 16.47 hr-sf-F/Btu Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. HORZ.LAP.MAS 0.50 in. Horz. Masonite siding or egual 0.68 0.68 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. PLY.0.38 0.375 in plywood 0.47 0.47 4c. BATT.R19 R-19 batt insul (cavity = 5.5 in) 17.80 -- 4f. FIR.2X6 2x6 fir -- 5.45 5. GYP.0.50 0.50 in gypsum or plaster board 0.45: 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 20.31 7.95 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 20.31 x 0.85) + (1 / 7.95 x 0.15) = 0.061 Btu/hr-sf-F Total R -Value: 1 / 0.061 = 16.47 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 15 3R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM 3R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg Parallel Path Method Reference Name . RM.30.2X4.24 Description .... Metal Roof R-30 2x4 24oc Type ........... Roof R -Value ........ 32 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 24,inches on center Framing Frac.. 0.07 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. METAL.ROOF Metal roofing 0.00 0.00 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. PLY.0.50 0.50 in plywood 0.62 0.62 4. AIR.RF.3.50 3.5 in & greater air space: heat flow up 0.80 0.80 5. BATT.R21.0 R-21 batt insul (cavity > 5.5 in) 21.00 21.00 6c. BATT.RII.0 R-11 batt insul (cavity > 3.5 in) 11.00 -- 6f. FIR.2X4 2x4 fir -- . 3.46 7. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.RF Inside air film: heat flow straight up 0.61 0.61 Total Unadjusted R -Values 34.71 27.18 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 34.71 x 0.93) + (1 / 27.18 x 0.07) = 0.029 Btu/hr-sf-F Total R -Value: 1 / 0.029 = 34.05 hr-sf-F/Btu d CONSTRUCTION ASSEMBLY Page 16 3R Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -FORM 3R User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg Parallel Path Method Reference Name . FC.19.2X8.16 Description .... Floor Crwl R-19 2x8 16oc Type ........... Floor R -Value ........ 19 Hr-sf-F/Btu Framing Material ..... FIR.2X8 Type ......... Wood Description .. 2x8 fir Spacing ...... 16 inches on center Framing Frac.. 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS . •Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. CRAWLSPACE Effective R -value of vented crawlspace 6.00 6.00 2c. BATT..R19.0 R-19 batt insul (cavity > 5.5 in) 19.00 -- 2f. FIR.2X8 2x8 fir -- 7.18 3. PLY.0.63 0.625 in plywood 0.78 0.78 4. CARPET Carpet & pad 2.08 2.08 I. FILM.IN.FLR Inside air film: heat flow down 0.92 0.92 Total Unadjusted R -Values 28.95 17.13 FRAMING ADJUSTMENT CALCULATION - Cavity Framing Total U -Value: (1 / 28.95 x 0.90) + (1 / 17.13 x 0:10) = 0.037 Btu/hr-sf-F Total R -Value: 1 / 0.037 = 27.08 hr-sf-F/Btu HVAC SIZING Page 17 HVAC Project Title.......... JACKS: Phase I Date........ 09/18/96 Project Address........ Madre De Oro Place******* Oroville, CA. 95966 *v4.50* Documentation Author... Wayne Dailey ******* Building Permit # Climate Zone.......... Compliance Method...... P.O. Box 5771 Oroville, CA 95966 916-534-0300 11 Plan Check / Date Field Check/ Date MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -HVAC SIZING User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg 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....... 320 sf 2560 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY 0 deg (N) Heating Cooling Description (Btuh) (Btuh) Opaque Conduction.and Solar...... 2463 1416 Glazing Conduction ............... 1992 1295 Glazing Solar .................... n/a 1837 Infiltration ..................... 1456 598 Internal Gain .................... n/a 1650 Ducts............................ 0 0 Sensible Load .................... 5911 6796 Latent Load ...................... n/a 1359 Minimum Total Load 5911 .8155 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. 9 HVAC SIZING Page 18 HVAC Project Title...... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -HVAC SIZING User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg 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....... Description 320 sf 2560 cf Front Facing 90 deg OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 2463 .1416 Glazing Conduction ............... 1992 1295 Glazing Solar.. ................... n/a 3113 Infiltration ..................... 1456 598 Internal Gain .................... n/a 1650 Ducts............................ 0 0 Sensible Load.. ................. 5911 8071 Latent Load ...................... n/a 1614 Minimum Total Load 5911 9685 (E) 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. J HVAC SIZING Page 19 HVAC Project Title.......... JACKS: Phase I Date. ...... 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -HVAC SIZING User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg 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....... 320 sf 2560 cf Front Facing 180 deg (S) OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY 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...... 2463 1416 Glazing Conduction ............... 1992 1295 Glazing Solar .................... n/a 2280 Infiltration ..................... 1456 598 Internal Gain .................... n/a .1650 Ducts............................ 0 0 Sensible Load .................... 5911 7239 Latent Load ...................... n/a 1448 Minimum Total Load 5911 8686 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. r J HVAC SIZING Page 20 HVAC Project Title.......... JACKS: Phase I Date........ 09/18/96 MICROPAS4 v4.50 File-JACKSI Wth-CTZ11S92 Program -HVAC SIZING User#-MP1829 User -EH Run-19.19.30.dbl.ig.wg 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....... 320 sf 2560 cf. Front Facing 270 deg OROVILLE RS 39.5 degrees 30 F 70'F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btuh) (Btuh) (W) Opaque Conduction and Solar...... 2463 1416 Glazing Conduction ............... 1992 1295. Glazing Solar .................... n/a 2826 Infiltration ..................... 1456 598 Internal Gain .................... n/a 1650 Ducts............................ 0 0 Sensible Load .................... 5911 7784 Latent Load ...................... n/a 1557 Minimum Total Load 5911 9341 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. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-450-007 FR2 ZONING BUILDING PERMIT OWNER CHERYL A JACKS TELEPHONE 283-577 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' 220 2ND ST QUINCY, CONTRACTOR'S NAME JIM DAILY TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS MADRE DF ORO PLACE, PERMITFEE . $2965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CJ( Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑ Describe Work: - Mobile Home @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 9_3 00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADON ( a BLDS. ) SO. 3.5{t Fr. T. MULTI-TI.OUTLET NEW CONST. NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATOIfTLET US ) a SINGLE CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .SO Ex. Occup. ( OUFIXED APLNS. TLETS(RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 go 0 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: .❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those rovisions. X Date I" 31� Signature of A plicant -?�O n r ❑ Contractor ❑ Agent An OSHA perils required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 166.00 HA2. I D. FEES P FLOOD-173F-nJ PD Ho ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. �(1 z/VJ V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT --.. ._ .�---• .raw+.+•.• Pjy%� `�..• ry..pl.. '•LTi;-.y„.r�i � � �os7nax,1l Tow+iK:w"T.ry»-•4y:;.J},y'•�1""n,.-r. ...-. .,,.. ,_. �KVOLONTY& BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541, OWNER L Proposed Building Use PERMIT APPLICATION DATA SHEET r 4- k A.P.-No. Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1 DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. • �19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4'sets, signed by preparer''of plans . ......................... . Complete plans' 3/4 sets, signed by preparer of plans. ...................... Engineered plansand calcs, 3/4 sets, with wet signature on plans . ............. `• s Hazardous Material Form. .......... 3 .................. . Energy Design Compliance and supporting documentation. .................. . Statement of Intent for Non -Heated and A/C Buildings. ....../............... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule. ....... California Department of Forestry plan approval/fees.�0. !�?/il `>b?... •8-� I - Rim G �� 6 Flood elevation letter (100 year flo�d)_,j.97lAf�rnia Engineer. .. . Sanitation and plot plan approval VV//'Oo rr Health Department.W9-1)19(. it X City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about. (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. re rff- Pre-inspection for required. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner Mail to owner _ ) ............ 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 ofjegal•access...................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............ .. . Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the pe t, rocess as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office..R Deliver with inspector. Other Parcel Creation Acreage Applicant gX64.ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Potion Date V 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 File cabinet AP folder Copy - Department of Public Works �� - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION '` -- 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMKT NO. APPLICATION AND PERMIT 9_�` /7S ASSESSOR PARCEL NUMBER 058-450-007 ZONING FR20 BUILDING PERMIT OWNER KEN C14FRYT A JACKS TELEPHONE 283-5773 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 220 2ND ST QUINCY, 95971 CONTRACTOR'S NAME OWNER OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2965 MADRE DE ORO PLACE PERMITFEE $ 43.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel P Utilities ❑ Installation ❑ Other ❑ Describe Work: % 1p -�� 7`1q Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNID ( 8 ACC. BUDS. ) SD 3.SQ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APOUTLET PARATUS CIR. ) 8 Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL Q .SO Ex. Occup. (oFIXEEDTs PUNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ... 9// Date �' �/ 1 w Signature of Wlicant - ❑ I,,60ner ❑ Contractor ❑ Agent An OSHA per ' is required f xcavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ nn Energy Inspection Fee $ OCC CONST. TYPE FEE $ JA3.00 HAZ. 1 D. FEES IMP • FLOOD I CDF PARCEJ PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 202414 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -...N....rr..s+. ,,,,.. .tf/.J.e ��-�:iM�7J7,�r� � ...o1.q..��..+.� ..y. r.i^awr r... ren•.. .i w e v -w ...-�.y�_,� .COUNTYOF BUTTE-'DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER �sle r ,4 �Cl Gf'SJ . No. Proposed Building Use 3 � Building Inspector Date Y (o j r At time of permit application/I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED_-01BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... ' 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. N 5. Hazardous Material Form . ............................................ l 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 manufactureris installation instructions, 2 sets. . t 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 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: . ......... 18. Contact Land Development about. (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for P`Bu"�ng Inspector ctor required. . to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) .. ............. . 22. Certificate of Workmans Compensation Insurance . ............ I ............. 23. 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 . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :............ ..... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ................ 31. Existing violations/expired permits . ...............................: . 32. Pla .check list� 33.e 4_)O uj � .... pe e 34. When you issue the permit, process as follows: A Mail to owner. Mail to contractor. Telephone and hold for I31ckdp at office. Deliver with inspector. Other Parcel Creation Acreage Applicant 6X�' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. AirZP.�llution Da 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 File cabinet AP folder Copy - Department of Public Works 'A i \ 0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CEN I,T,ER DRIVE, ORR%OVILLEE CA 95965 TELEPHONE (916) 538-7541 ( _In0 " V / ✓ / {J G( a IS S A. P. # PROPOSED BUILDING USE DATE / �REC. # DATE REC V 1. SCHOOL DISTRICT FEES ir6 C/C h , om Y S (paid at District Office) SHERIFF FEES (paid at Building .ivi 'on) Residential...... l x _$_ A�� unit amt. Commercial (sq. ft.) . x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq. ft.) .. x = $_ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) INSPECTION AND PLAN CHECK 0 (paid at Building Division) 7.?j879. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER 010 61 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES((] NO[ ]. 2. I HAVE[x] HAVE NOT[ ] sign/ed an application for a ,building permit for the proposed work. 3. I have; contracted with the following person (firm) to provide the .proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: , SOCIAL SECURITY NUMBER:_ DATE: % — J / -6 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. RESIDENTIAL 058-450-007 PERMIT#98-0656 JACKS; Cheryl PERMIT NO .2965 -Madre -De _Oro Place,Oroville Add Open Deck & Woodstove/SF q� PERMIT EXI, ' ' _ _ _ _ _ - � � � 9 OWNER '7_ CONTR. ASSESSOR PARCEL LOCATION r H Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK O = Not OK Notble • = t Applicable NoReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 9. Siding; Nailing -Veneer -Stucco -Mesh 1. Zoning Requirements - Setbacks - Easements 10. Roof; Shthg-Roofing 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer, Locabort-Test•Fall-CAD-Concrete Card B-1 Date Card B-1 4. Water, Location -Test -Easement Needed (Sketch MOBILE HOME INSTALLATION (Plans) OK except #'s 5. Electricity: Location-Clearances-Gmd-/ /Amp -Concrete 1. Zoning Requirements- Setbacks Easements 6. Gas; Location -Test -Wrap; / /1 -IL / /NaL or/ / L'tt./ /LPG 2. Footings; Sime -,Spacing -Marriage Line 7. Well Clearance & Disconnect ISCELLANEOUS Date DEC VERS, CARPOR AGE8 lana OK except #'s Requirements -Setbacks -Easements " ngs; Soils-Sine-D.epthSpacing-ConnectwsSteel t4becks. Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beamsfiftre.-Connectovs Shthg.-lifg.-Bracing 5. Alum..Awn.; Columns-ConnectionsSplice-Decal-Encbsures 6. Carports; Windows -Doors 7. Electric S. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Sime -,Spacing -Marriage Line 3. Gas; MH Test )emandVaNe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date DEC VERS, CARPOR AGE8 lana OK except #'s Requirements -Setbacks -Easements " ngs; Soils-Sine-D.epthSpacing-ConnectwsSteel t4becks. Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beamsfiftre.-Connectovs Shthg.-lifg.-Bracing 5. Alum..Awn.; Columns-ConnectionsSplice-Decal-Encbsures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -lendings 12. Braced Wall.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptades and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Caro B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / p Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. FIg. Porches & Decks; SoilsSteel-/ / Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 6a. Hold Downs and Special Anchors 7. Slab, SteelaNrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plats) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. -Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT $- ASSESSOR PARCEL NUMBER 058-450-007 ZONING BUILDING PERMIT OWNER JACKS, CHERYL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2965 MADRE DE ORO PLACE 160 1120 CONTRACTOR'S NAME OWNER TELEPHONE ' 3-8684 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME ' Energy Plan Checking Fee $ PERMIT FEE $ 97.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)k Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK AND WOODSTOVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Ca20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service EOOV OR LESS 200A .,LESS23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Pow License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( g ACC. BUDS. 3.50FT; NEW CONST. MUCI CI�CUT @7.50 NON-RESID. ER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES BAL Q'.00 AFIPLNS Ex. Occup. ouTLEETS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisiThis X Date= / S �_ Signature of9p,licant ner ❑ Contractor ❑ Agent An OSHA perm'i is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 3 P Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 97.00 HAZ. D. FEES _ IMP FLOOD CDF PARCEL PD HD ISS permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 9� PERMIT EXPIRES ON Z Dade Receipt No —100�1,-0 WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT (P /JC ) t.t+t A a � �'{ : � zMw:!^�h�:ayR �"�' 4x*••r.,;,,•w� . -SCO NT (I ---FST BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL A ER: Proposed Building Use: _ / I � Building Inspector: Date: — �- At time of permit application, I was advised the following data must be submitted prior to permit processing an or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed bydhe preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 05. Engineered truss details and layout.in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and'supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. -------------------------------------- ---------------------------------- 09. Manufactured Home data and installation instructions including Tie Down Specifications.---- ------- ------- ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13 eod elevation certificate. ---------------------------------------------------------------------------------------- tation and plot plan approval 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. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------ 0 22. Workers' Compensation carrier and policy number. --------------------------------- -------- 7 ---------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - ------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------. ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. r------------------------------------------------------------ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: r ------------ (Date) When you issue theermit, rocess ollows El Mail to owner, ❑ ail to n, actor. 3- CiT.eYephone and hold for pickup at office. ❑Deliver with inspector. Applicant:/G. ��ate: C�—� S �d �} Copy of Haz-Mat form sent ❑ Health Department, o Fire Department, o Air Pollution Date: By: Copy of plans sent ❑ Health Department, o Fire Department, o Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required dilta by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the ab rewired data by o phone, o mail, ❑ Building Division counter, by Date: Plans reviewed by: i i J� � J Plans approved'by: �— Date: Sets of plans on h60A(PiDtpment CabirieiWaN. ' . folder. Note transfer by: Date: Yellow Copy - Department of Deve Services, Building Division'. TO`�' Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 71-4cK3 Owner Plan Approved for Clearance for Hold Final NOT E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B. Location AP# Sewage Dpis4Lpsal / Water Supply: Public Private Well dwelling. Environmental Health Am Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 0 2• I HAVE, HAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:.:._;; ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CptY: .� PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: _ NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE:t % r Owner -Builder Verification is required by Section J9193I—et79$J2-i"e. California Health and Safety Code. This verification must be completed dad returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: , v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, . workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.lnjormation is required by Section 19830 of the California Health and Safety Code. A COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION + 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/Q6) APPLICATION AND PERMIT ASSESSOR PARCEL MER ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES I If o`^f y^ ` OA!) CONTRACTOR'S NAME HONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'SMAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �J ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF.0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ enation ❑ Other ❑ Describe Work: Q�) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the -property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC 3.5,s OR ADONS. ( 6 ACC. BLDS.UP. 3.5,s5 =R°Ip. MULTI.OUTLET 97.50 POWEPPARATUS 8 SINGLER AOUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @' 00 BA @ .50 Ex. Occup. oFlxs Rus. ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE d� TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PAR EL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT , ' �LECTRI L-A CHANICAL, AND PLUIMBING / CONSI'#UCTION T PLAN CHECKED j _._, _ 'r ``� F SHALL COMPLY QORRENT EDITION OF NEC, UMCJw (� 1_ so Ja c •This set of plans tad . T one M6T bo kept on the lob at all it is unlawfW %a maks abi ct4nges or 41tw tt� on same Rita E: All Ma`„a a t� �lorkmenship Shall $e lam • , written oermission$om the ! - of publin rd9�'lce with cognized Good Practices and Works. CoynW of Butte. 'r\ fgfuanty presgribed for the Speoi9gd u99 the Unitorm Building. PluIDbinB N �[ecDa�tffiv �, AN and the Niuonal XWOU ical COW�7 '..J I ( • L � �~ „'"�::_,,,,�_` _ . j 1. 1 if 1 r QN k A�j Otte - D N, oUtIt ron / 1 Y ' S� ALL STRUCTURES AND EQUIPMENT IN LUDI OVERHANQS SHALL 3E CLEAR OP .4'.1. E40I;?biELI1*0. A SET BACK! OF �S FT. FROG! THE SIDE AND D ' o FT.M THE HEAR PROPERTY LINES AND �7 .5Q FT. FOM THE ROAD CENTERLINE CLEAR OF STRUCTURES AND EQU FOR A 2 FT. EAVE OVW*W4 i. S6p�5 304 SITS C6A- ......_..... 30� A -'u rTt m 7a v u 36" MIN... ti r 48" MAX. '�� ~ li r 9 -4 • ,� o z ,� II 34.E I I I i J/Ni MORAIL NEIGNT vi i i � � 3�o��MIN. STAfR m W I DT4 BUT 7q. m BUILDING D(�F)AFOVEN- P P R0V�FF X � n rn 3 LU, o I i �I �I ,s C r 48" MAX. '�� ~ li r 9 -4 • ,� o z ,� II 34.E I I I i J/Ni MORAIL NEIGNT vi i i � � 3�o��MIN. STAfR m W I DT4 BUT 7q. m BUILDING D(�F)AFOVEN- P P R0V�FF X � COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott -Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed- If y have to this matter, or need additional explanation, Contac is office questions pertaining please cot immediately. i.X 0 -97V A2,1 OOV40_ VTV 4%, 4 i. REVD Inspe t(3#0192 ,�,-(dl) �/ ��� `�4 �s -. _ y _ i ,�,-(dl) �/ ��� `�4 „s 3 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7. County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT�T ASSESSOR PARCEL NUMBER 058-450-007 ZONING �t7 BUILDING PERMIT OWNER CHERYL JACKS 533-8684T ESO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2955 MADRE DE ORO PL CONTRACTOR'S NAME Ol,-INER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit ne 00 $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2955 MADRE DE ORO PL PERMITFEE $ 43.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other T/T SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UTILILTY Mobile Home S G W 920.00 40.00 PERMITFEE $ 50.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 0OR LESS Main Service ( 200A A OR LESS ) 20 23.00 23. 00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: . I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BASO Ex. Occup. ( OUTELETS PLNS..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X (/1 L(%�-� _ Date /0-10- ! 0 — 1 G -_9 to SignaTGre of , icant er ❑ Contractor ❑ Agent An OSHA perm Is required for excavations over 5'0” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 145.00 HA2. FEES IMP FLOOD CDF PARCEL PD HD U _ This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON to applicable provisions Resolutions to do work been paid. Date l 0�4 d 7 p e) Receipt No. 205487 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .�. •.�..;-.'1:;.....'�`-.....r+.+L.-.�f'-�•+i4�'..,f"^►`:`:'�a-I�-"+..+::.i+lE"s`�'�' ,, .z� w.� J .r'+.:,7f`�Sv.��'�-r-�'rx�s,)ye GiY'+ •e► j �MENT COUNTY OF BUTTE -DEPARTMENT OF DEVEL'OSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 • ~ PERMIT APPLICATION DATA SHEET OWNER C459 � Proposed Building Use_ 4 L r, T c lz� Fo rZ T A. P No. d- 7,)-o Building Inspector Date,/ U - O �l At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. ' .......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of,plans. ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet tignature on plans . ............. 5. Hazardaus Material Form . ............................................ 6:.- Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... .9. -Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .................. 11. Impact fees as shown on attached schedule . ..............................T 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood b California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ DY©� 1b. 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: k-'.. 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. _ ff- ): -•. 20. Pre -inspection for required. .. osald �spe for (Date) ' 21. Contractor's license information. (No., Name Style, Classification) . ............... 122. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............. 24. Recorded copy of Agricultural Acknowledgement Statement ................... 25. Letter of signature authorization .M�q1 ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28, Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed_, .s and (B) Parcel meets zoning area and frontage requirements. .......... "" 31. Existing violations/expired permits . ...................................... 32. Plan check list/.................................................... 33. 34. W, he i you issue the�.permit, roce s as follows: Mil to o ner. Mail to contractor..'" Telephon and hold for pickup at office., Deliver with inspector. Other Parcel Creation/j I -11!9 Acreage Applicant �} r a-;'W----Datel� �� .Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Dh e 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 J Plans checked by Date Plans approved by a(9aonlS Date Sets of plans on hold in File cabinet 3 AP folder Copy - Department of Public Works B.H. USE O Plot PI. Aft&.d Fkwr Plan Attao6ed Seat to BA. ze —/ V / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance c3., ��Ys— O7 Owner Location AP# Plan Approved for: Sewage Disposal WaterSup ly: Public Private Well Clearance for. bedroom mobile home. Other % Hold final for: Final clearance O.K. for: NOTE: , /V Environmental Health Specialist Aro,) /a -�a F -b" Date :;x 11 -1 O.B.-1 4• { Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO[ 1. 2. I HAVE[ HAVE NOT[ ] signe an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: / PROPERTY OWNER: SOCIAL SECURITY NUMBER: `, DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other. than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S1nc/brel 1 . c.tt:cj�✓l.� i(.0 �� Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830,of the California Health and Safety Code. t OVER 1 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O S CSO ti ZONING BUILDING PERMIT G` NERC {fid` Z \' C S V TELEPHONE �O G, SO. Fr. OCC. BUILDING VALUATION MAILING ADDRES OWNER'SD ,y.,, n4 ne v z__c ' CONTRACTOR'S NAMETE7.EPNONE a.� CONTRACTORS MAAJNG ADDRESS Fireplace CONSTRUCTION LENDER UN*'OWN Total Valuation b LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee b ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee b Energy Plan Checking Fee b ARCHITECT OR ENGINEERS MAIJNG ADDRESS Penalty $ BULDINGADDRESS PERMITFEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNLSION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other T — SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition--❑ Remodel ❑ Utilities &3/(stallation ❑ Other ❑ Describe Work: Mobile Home S G WI @20.00 q6 PERMITFEE = P6 O Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service800v OR LESS ( 200A OR LESS ) 23.00 - - Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors ' to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. OR AOON ( a BLOB. ) SO. 3.5¢ FT. NEW CONSS T. MULTI-TI.OUTLET NON•RESiD. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I.0 f SAL .50 RR) Ex. Occup. OUTLETS I O DTs PUNS..O.w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT I Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy. Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HA2 compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is otic CONST. TYPE TOTAL FEE $ O. FEES IMP I FLOOD I CDF P I HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. ReceiptNo., U btu (G(' ��, 1 S (,vLi 7; ELECTRICALp_EItANICAL, AND PLUS CONSTRUC"�tON ( NOT PLAN CHECKS") ` SHALL COMPLY WITH CURRENT EDITION .. '-y� OF NEC, UMC AND UPC. I This set of plans and specificaZoD be S a f� kept on the job at all time .. is unla*l to make any e4anges or alte atioon sam6 without I — ` written permission from tAOe partment of Pam N : All Mater4als & Workmanship Shall BelA Works, County of Butte. Ao rdance with Recognized Good Practices and � of a allty Prescribed for the Specified use in tue Uniform Building, Plumbing & MOchomiaw Cod0s and the Nati" Electrical Code. C, l S ° I APPROVED IC Butte County �. n I - Environmental He Ith- SD ALL UCTURES AND EQUIPMENT INCLUDING 1 G- -Q_ � - � . SG ALL NC S SHALL ST CLEAR OF ALL EASEMENT8. -- 7TV A SET CIC OF Z.? FT..FROM THESIDE.ANODate iF.REAR PROPERTY LINES AND --____ BU � CGU ..�t'. FI30M rI LL BL"__ - tore. �g T FROM THEIROAD CENTERLINE SHA Signa Bul ��IC""�R TWO CLEAR F STRUCTURES AND EQUIPMENT q(CEi'i �' pig% 0 FOR A FT. EAVE OVWANG. 2s' s6t�� G FILE 11COPY.,zi 58- �5v- ooh I wv Butte County imnmental geaith igna ,73 ,3 --76� ND Oro Oiqc,�, V. 14- 461,4-1 I ------------ ---------- ALL STRUCTURES AND EQUIPMENT IMCLUDINO OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS, A SET BACK OF —1-0 FT. FROM THE SIDE ANE PT FROM THE REAR PROPERTY LINES AN CLEAPFROM THE ROAD CENTERLINE SHALL Bi OF STRUCTURES AND EQUIPMENT EXCEP cOR A 2 FT SAVE OVERHANG. cpib, -biiEWIED PjUTT-E CO. FIRE - :IRE DEPT- ORESTRY T- ol F C. LIF DEP ci as 0i, approved itll,7 K) ondlitiofls apPrO\fecj w ar attac ed ate signature BUTTECOUNTY BUILDING DIVISION APPROVED 4 6 14 11�q ` 6 F)oo r Pin -n .1ST t%r s aol65 ma.d►^F. Be 00%pl, Conwo ao c flp„$-�.5�-oa7 f p r4 u) v\ 6'1 m; kL PoI s rs horTh W;H�P L;e-'O 7??1F3 53a-�533 =a -76-S- L--1 t5S- L 1 U/II7 R rsto, n 1►Ij BUTTE COUNTY -- - BUILDING DIVISION APPROVED D a b W 03gy o a Y `� 000 o cry � a � � �-�• � jC- O d v -• M C� n N d C� d o ®E ---- ,; > 7 � U aQ 9� W !C t'1 c, M � T � M O U ®E ---- ,; > M O � � � d d O � o � 1 n 0 a -To r .£ 1, �D iX Y o ID., A. Rpn 658-1450-°°7-000 A96S moDRE 1E ORO R-. foncoo brRw n b Li M%ki, 0qf n S norTh WOK $V'j Was �' R--3o--'nyvlai;vR — Roof S3�'533�c�`15� �flSUlffr/�� (�_ lq- I.f-,�xT�ror 6R -ST 19 447, BU -1171r E COUNTY BUILDING DIVISION APPROVED A-vj N N V` 0 CD � 0 s d o 3 S a u�. y N � 0 s d T O � � �- P4 a (% � O S n O N � 0 s d JvYc� ��b o Pro £cT Ap'h 058- 40-001-000 Ag66- Mp-J'-* Vit, ORO PL. ComcouD DI-Asur btj mi Iii. Royi�s .n o hT'h 01'44 A v' ( jEV:S S-30-6'33 -0176T 1.�c�' �SSfg3 Ekc)r;ci t4 AM4 Floor eje,-TT; c;tl !ST Floe' Amp $gAktr t ' �j h DS$' L1SD, 407 aot�5 mx -s Die Dro P( Colicow nort�, Wi�� Ro�l��rs S3o-53 3 -756 47d8/S3 P140o«1 Tt& �iC�tiJ9r� for I��kM►5�10�5T PB �}y s; MPSori Pc 4H Sampson 11.35 F s"Mpson L US Pl o S'mfy.& n of ,MJ Rr,+cf wall NA6I QrAcs c-4til P�f� �!`�� e� TIC o 4 > �cr A If. B rAcC 0911 PkAd - BUILDING ®VISION APPROVED