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058-590-031
i __.058--59=0=U3'1 =— = .KENNETH RENFROW '204 YANKEE .VISTA'.DRIVE, OROVILLE SEWAGE DISPOSAL SYSTEM LETTER 6 2 '058-560-031 02-0315 _.REN.I=.ROW,--I<-EN_, 204 YANKEE VISTA DR. Y. H. CONT: THOMAS GROARAKE NEW.] BR SF B07-2541 058-590-031 RESIDENTIAL SFD-Custom/Model PERMIT TO REPLACE EXPIRED PERI' 204 YANKEE VISTA DR KEN RENFROW B07-2646 058-590-031 MISCELLANEOUS Room Addn- First Stry ADD (240) COV(1000) TO Bp07-2541 204 YANKEE VISTA DR RENFROW, KENNETH EUGENE � # 058-59-0-031 93-144, A 5, RENFROW, KENNETH.. ; 204,.YANKEE VISTA,' OROVILLE' AGRICULTURAL EXEMPTION PERMIT TRACTOR, FEED, PIPE i4gafI 7 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 PROJECT INFORMATION Site Address: 204 YANKEE VISTA DR Owner: Permit NO: B07-2646 APN: 058-590-031 RENFROW, KENNETH EUGENE Issued Date: 02/19/2008 By KCG Permit type: MISCELLANEOUS 204 YANKEE VISTA DR Subtype: Room Addn-First Stry CONCOW, CA 95965 Expiration Date: 02/18/2009 Description: ADD (240) COV(1000) TO B07-2541 (530) 534-1517 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: THOMAS M. GROARKE Building Garage Remdl/Addn 4096 BIG BEND RD 240 OROVILLE, CA 95965 Other Porch/Patio Total (530) 533-8758 1 000 1,240 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $186.77 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Room Add -1st Story 250sf $280.15 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $3.16 Total Charged: $969.86 Fees Paid: $969.86 Balance Due: $0.00 Receipt No: B6397 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 02/19/2008 penalty [$500); Please check one of the following: Contractors Signature Date 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be competed if the permit is for one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' / Compensation laws of California, and agree that if I should become subject to the workers' X 02/19/2008 i compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X �zA 4,�02/19/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County, ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr erty owner or am aut rued t act on the property owners behalf. CONSTRUCTION LENDING AGENCY /ht 14oftj 1h . Grp 2/1 9/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner DAgent for Contractor' FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X PROJECT LOCATION AP# S —0 3 f Property Address City i Policy Number Carrier PERMIT NO. BIN # WORKER'S COMPENSATION If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V nJD1nrr,4 kme>m_ IWO 'are,1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Last NameD ;rr Firs a e L /�/1. Mailing Address 20 IV VIA a City State State Cv Zip at !P E-mail Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# S —0 3 f Property Address City i Policy Number Carrier PERMIT NO. BIN # WORKER'S COMPENSATION If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V nJD1nrr,4 kme>m_ IWO 'are,1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name SRA ves No Address Type Const. City / / tate State Zip Phone E-mail Fax E-mail Lic. # Class APPLICANT SIGNATURE X PROJECT LOCATION AP# S —0 3 f Property Address City i Policy Number Carrier PERMIT NO. BIN # WORKER'S COMPENSATION If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V nJD1nrr,4 kme>m_ IWO 'are,1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER y Name SRA ves No Address Type Const. City / / tate State Zip Phone E-mail Fax E-mail State License Number APPLICANT SIGNATURE X PROJECT LOCATION AP# S —0 3 f Property Address City i Policy Number Carrier PERMIT NO. BIN # WORKER'S COMPENSATION If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V nJD1nrr,4 kme>m_ IWO 'are,1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name SRA ves No Address Type Const. City / / tate Zip Pho _3.1 ��, Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# S —0 3 f Property Address City i Policy Number Carrier PERMIT NO. BIN # WORKER'S COMPENSATION If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: V nJD1nrr,4 kme>m_ IWO 'are,1 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA ves No Occ. Type Const. Y�"1-g7 Kenneth E. Renfrow 204 Yankee Vista Drive Yankee Hill, CA 95965 Phone 530-534-1517 December 13, 2007 Butte County Department of Development Services Re. Acquisition of all permits at AP # 058-590-031 I authorize Thomas M. Groarke to act as my agent in securing all necessary and required permits for my building project at the above address. Thank you.. Please direct all future communication involving this matter to: Thomas M. Groarke 4096 Big Bend Road Yankee Hill, CA 95965 Phone: 530-533-8758 lThu Si c 1, Kenneth E. Renfrow Property Owner BUTTE COUNTY FEE SUMMARY County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2646 Job Address: 204 YANKEE VISTA DR Contractor: Printed: 12/26/2007 11:41 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/26/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 0100-450001-4617240-1010 $102.70 12/26/2007 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 12/26/2007 $102.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $280.15 DBF Room Addition - First Stor 0010-440001-4210500-1010 $186.77 12/26/2007 $186.77 DBSMIP Residential 1001-0-280-101129B $3.16 Printed By: Alice Mefford 969.86 $467.87 Balance Due: $501.99 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change du=then checking process. Signature:9" Date: 12/26/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municii)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B07-2646 Date: 12/26/2007 Location: 204 YANKEE VISTA DR Parcel Number: 058-590-031 Owner Name: RENFROW, KENNETH EUGENE Phone: (530) 534-1517 Description: ADD (240) COV(1000) TO Bp07-2541 Signature of Applicant: � 1A- Date: 12/26/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B07-2646 Date: 12/26/2007 Location: 204 YANKEE VISTA DR By: AAM Parcel Number: 058-590-031 Sub Type:. Room Addn-First Str Owner Name: RENFROW, KENNETH EUGENE Phone: (530) 534-1517 Description: ADD (240) COV(1000) TO Bp07-2541 ❑ ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 El ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 1:1 ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 ❑ E] PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. f�, Signature of Property Owner: 207, � o/ t_ ADate: 12/26/2007 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 El ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ E] Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ E] Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Z� Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. f�, Signature of Property Owner: 207, � o/ t_ ADate: 12/26/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C cirl. 0 0 CtC �nro'�Y` National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2646 Location: 204 YANKEE VISTA DR Parcel Number: 058-590-031 Owner Name: RENFROW, KENNETH EUGENE Description: ADD (240) COV(1000) TO Bp07-2541 Date: 12/26/2007 By: AAM Sub Type: Room Addn-First Str Phone: (530) 534-1517 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: %j Title: 0-�4 FILE Date: 12/26/2007 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-2646 Date: 12/26/2007 Location: 204 YANKEE VISTA DR By: AAM Parcel Number: 058-590-031 Sub Type: Room Addn-First Str. Owner Name: RENFROW, KENNETH EUGENE Phone: (530) 534-1517 Description: ADD (240) COV(1000) TO Bp07-2541 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division . ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be ma m of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection linea (530) 538-6226, hen the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 12/26/2007 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Firet)revention/protplan/protl)lan.html FILE t TABLE OF CONTENTS TOC Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 Project Address........ 204 YANKEE VISTA DR. ******* YANKEE HILL, CA *v7.10* Documentation Author... ROBERT A. MANGRUM ******* Building Permit Paradise Mechanical 5655 Almond Street Plan Check Date Paradise, CA 95969 530-877-8882 Field C ec Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -TOC User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 6 HVAC SIZING ............... 10 S �LDINGCOU(yTY APPF�p 'i1ESIC),N L �` CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 P t Add 204 YANKEE VISTA DR ******* J_ %..' Jess........ YANKEE HILL, CA *v7.10* Documentation Author... ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 Energy Use (kTDV/sf-yr) MICROPAS7 ENERGY USE SUMMARY Standard Proposed Compliance Design Design Margin Space Heating.......... Building Permit Plan -Check / Date Field Check/ Date MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 Energy Use (kTDV/sf-yr) MICROPAS7 ENERGY USE SUMMARY Standard Proposed Compliance Design Design Margin Space Heating.......... 46.80 37.17 9.63 Space Cooling.......... 24.97 32.84 -7.87 Total 71.77 70.01 1.76 *** Building complies with Computer Performance *** *** Water Heating not calculated *** GENERAL INFORMATION HERS Verification.......... Conditioned Floor Area..... Building Type .............. Construction Type ......... Fuel Type ....... ..... ... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... 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..... Not Required 240 sf Single Family Detached Addition Alone Propane Front Facing 120 deg (SE) 0.2 1 FullYear Slab On Grade 1 1920 cf 240 sf 30 % of floor area 0.34 Btu/hr-sf-F 0.32 8 ft CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 Floor Area Zone Type (sf) ADD - New (Added) Residence 240 BUILDING ZONE INFORMATION # of # of Cond- Thermo- Vent Vent Verified Volume Dwell Peop- it- stat Height Area Leakage or (cf) Units le ioned Type (ft) (sf) Housewrap 1920 0.20 0.8 Yes NoSetback 2.0 Standard No OPAQUE SURFACES b Window U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments ADD - New (Added) 2.0 0.0 3.0 3.0 2 Door 40.0 6.0 6.6 2.0 1 Wall Wood 80 0.102 13 0 120 90 Yes IV.9 A3 front 2 Wall Wood 120 0.102 13 0 210 90 Yes IV.9 A3 left 3 Wall Wood 80 0.102 13 0 300 90 Yes IV.9 A3 back 4 Roof wood 240 0.025 38 0 n/a 0 Yes IV.1 A18 attic PERIMETER LOSSES Appendix Length F2 Insul Solar IV Location/ Surface (ft) Factor R-val Gains Reference Comments ADD - New (Added) 5 SlabEdge 44 0.730 R-0 No IV.26 Al FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ADD - New (Added) 1 Wind Front (SE) 16.0 0.350 0.320 120 90 Standard F1/Vinyl/Wood Operable L 2 Door Left (SW) 40.0 0.340 0.320 210 90 Standard L2/Vinyl/Wood Patio Door 3 Wind Back (NW) 16.0 0.350 0.320 300 90 Standard B3/Vinyl/Wood Operable L OVERHANGS Window Overhang Area Left Right Surface (sf) Width Height Depth Height Extension Extension ADD - New (Added) 1 Window 16.0 4.0 4.0 2.0 0.0 3.0 3.0 2 Door 40.0 6.0 6.6 2.0 3.0 3.0 3.0 3 Window 16.0 4.0 4.0 2.0 0.0 3.0 3.0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 SLAB SURFACES Area Slab Type (sf) ADD - New (Added) Standard Slab 240 HVAC SYSTEMS Verified Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type Systems Efficiency EER or TXV Airflow Draw Capacity ADD - New (Added) Wood 1 0.780 AFUE n/a n/a n/a n/a n/a NoCooling 1 13.00 SEER No No No No No HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) ADD - New (Added) Wood 5379 n/a n/a n/a NoCooling n/a 3898 4705 n/a Sizing Location............ OROVILLE RS Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F System Duct Type Location ADD - New (Added) Wood None NoCooling None DUCT SYSTEMS Verified Verified Verified Duct Duct Surface Buried R -value Leakage Area Ducts R-n/a n/a n/a n/a R-n/a n/a n/a n/a CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 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 a wood space heating system. This building does not have a cooling system installed. c us:.� CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 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. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... THOMAS M. GROARKE Name.... ROBERT A. MANGRUM Company. Company. Paradise Mechanical Address. 4096 BIG BEND RD. Address. 5655 Almond Street YANKEE HILL, CA 95965 Paradise, CA 95969 Phone... (530) 533-858 Phone... 530-877-8882 License. #477149 Signed.. /Z -'VSigned.. - (date ate ENFORCEMENT AGENCY 4/ Name.... Title... Agency.. Phone... Signed.. ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 6 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 Project Address........ 204 YANKEE VISTA DR. ******* Documentation Author... Climate Zone...... Compliance Method. YANKEE HILL, CA ROBERT A. MANGRUM Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 11 MICROPAS7 v7.10 for *v7.10* ******* 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). 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 De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or Building Permit Plan Check Date Fie C ec Date 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). 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 De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 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) V/ *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire / opening of the firebox ✓ __ b. Outside air intake with damper and control, flue / damper and control 2. No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 / meets requirements specified in ACM Residential Manual ✓ —� 150(g): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.30, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R 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 MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 7 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 3. Exterior doors and windows weatherstripped; all joints / and penetrations caulked and sealed ✓ _ SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES De- En- sign- force n/a er ment 110-113: HVAC equipment, water heaters, showerheads and / faucets certified by the Energy Commission ✓ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA 150(1): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line 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 R12 or greater ✓ 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value 3. The following piping is insulated according to Table 150-A B _ or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B ✓_ 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to ✓/ Table 150-B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 psi,/ meet requirements of Table 123-A ✓ 5. Insulation must be protected from damage, including that cone / to sunlight, moisture, equipment maintenance and wind ✓ 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space 7. Solar water -heating systems/collectors are certified by tie Solar Rating and Certification Corporation ✓ _ *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. 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 ✓ _ MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 8 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause / reductions in the cross-sectional area of the ducts ✓ 3. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with / mastic and draw bands ✓ 4. Exhaust fan systems have back draft or automatic dampers -5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers _ "6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause / degradation of the material ✓� 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric 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) 118(i): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES n/a 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, De- En- sign- force er ment MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 9 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high / efficacy luminaires o/ 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility -rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically / or have an always on option ✓ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified air tight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) 150(k)7: Lighting for parking lots for 8 or more vehicles shall— have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall / have lighting that complies with Sec. 130, 131, and 146 ✓ 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) HVAC SIZING HVAC Page 10 Project Title.......... RENFROW ADDITION Date..12/13/07 15:16:04 P t Add******* rojec ress........ 204 YANKEE VISTA DR. YANKEE HILL, CA *v7.10* Documentation Author... ROBERT A. MANGRUM ******* Paradise Mechanical 5655 Almond Street Paradise, CA 95969 530-877-8882 Climate Zone 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-GROARKEI Wth-CTZ11S05 Program -HVAC SIZING User#-MP1342 User -Paradise Mechanical Run-GROARKEI TITLE 24 2278 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 240 sf 1920 cf Front Facing OROVILLE RS 39.5 degrees 25 F 70 F 102 F 75 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction and Solar..... Infiltration ..................... Internal Gain .................... Ducts............................ Sensible Load .................... Latent Load ...................... 120 deg (SE) Heating Cooling (Btu/hr) (Btu/hr) 3461 1112 1116 1976 802 306 n/a 504 0 0 5379 3898 n/a 806 Minimum Total Load 5379 4705 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 designer's responsibility to consider all factors when selecting the HVAC equipment. COUNTY OF BUTTE - DEPARTMENT ,Oµ DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,TCalifornia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) �► APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O 3$ ZONINJ BUILDING PERMIT OWNER RENFROW REN TELEPM,ONE 534-5102 SO. FT. OCC. BUILDING VALUATION g00 @ 54.00 43 200.00 OWNERS MAILING ADDRESS 0 YANKEE VISTA DR. YANKEE HILL CA 95965 CONTRACTOR'S NATELEPHONE R'S THOMAS GROARAKE 533-8758 CONTRACTORS MAIUNG ADDRESS 12735 CONCOW RD. YANKEE HILL, CA 95965 CONSTRUCTION LENDER Fireplace 1 1,500,00 LENDER'S MAIUNG ADDRESS Total Valuation $ 44 700.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 362.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 235.62 BUILDINGADDRESS 204 YANKEE VISTA DR. YANKEE HILL CA 95965 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $641..12 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 41 7.0028.00 Solar or heat pump water heater 23.00 Water piping 15-0015.00 Each as water heater or vent 1 5.00 5 . 00 TYPE OF WORK New N Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW 1 BR SF Gas piping system 1 - 5 outlets 15-0015.00 Building sewer 15.00 5.00 Mobile Home ISI GI W @20.00 PERMIT FEE $108.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA 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 i 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. ❑ I 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 TO 46.00 W:L200A CCU000A NEW CONST. DWELLING OCCUP. OR ( 3.5{;F°: CONST. MUL�Tcou�rLSEr NON-RESIo. @7.50 OWER APPARATUS 8 PSINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.11„L ZD @ 1.00 o .50 Ex. Occup. ourELErsRFSISo.OF.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 11,QQ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 41.50 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 - Date /L�///1 a Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent ��T"�" 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 1$46.,00 cc R9 NST. TYPE TO AL FEE $,907,/62 HAZ. I D. YfES I D D PV EL I PD HD G E 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 ate PERMIT EXPIRES ON `7 2f Q� Dee Receipt No. _E= WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT T SERVICES -BUILDING DIVISION ' 7 County Center Drive, Oroville) CA;96965 Phone (530)538-7541 Fax (530)538-2140 .. PERMIT APKIMTION DATA SHEET OWNER:ASSESSOR PARCEL NUMBER Proposed Building Use: (V ISl Counter Technician: Date: Items required in order to apply for a permit. All boxes.MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3 Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! , 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation ' structions, (B) Marriage line information, (C) Floor Plan, 0 D) Tie dawn or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundatio plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 4: Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items. 1� Fees as shown on the attached Schedule of Fees Due Sheet.. 4. FM p.T on Y Statement of Intent for Non -heated and A/C Buildings ................................... Sanitation and plot plan approval from the Environmental Health Department in O ((.j. 3 _v Z ❑ 17. City of Chico Plumbing permit......................................................................... ' �18. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 19. Planning approval for (A) Use: D y(B)Parking: (C) Parcel Check: ` — 2 2-O-.-0� r❑�20,. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... W. . 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). AIA ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)...... ............... i❑ 26. Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... a �— ❑ 28. Manufactured home utility clearance................................................................ ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. - I have been informed of the above items and requirements for obtaining a building permit. Ap icant: , �",*- C DD te: I ©:Z 1. Index permit application for the above items numbered: IU V Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above d to by ❑ phone, El mail , ❑count by Date: _ Plans reviewed by: ny_e Date: ( -0 Plans approved by: (% Date: , Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division r �# -� �} i FT0: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Plan Attached \, Floor PILn Attached ` Sent to B.D. — 1% O'L_ nll-� rJ Qty �-{j `'� LL UAPS sq -sq--3! Owner Location AP Plan Approved for: Sewage Dispos Water Supp Pu is Private Well Clearance for dwelling. Other !!�nj J,�zfy'r, "uwo Y�404 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date . f , COUNTY OF BUTTE DEPARTMENT OF DEVELOI�MENt SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER 6rl nr1QUJ A.P. # -ate' �C1 _ C / PROPOSED BUILDING USE �� T DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ _ --Revised Plan Checking Fee ................................. $ � 2. SCHOOL DISTRICT FEES �_JM an r Q11 / (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. -x-=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. &LICANT / !� qT E Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) AND WHEN RECORDED N AIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY -CENTER DRIVE OROVILLE, CA 95%5 IIIIIIIIIIIIIIIIIIIIIIIIIitIIIIIII Recorded I REC FEE 13.00 Official Records I COPIES 2,00 County Of i BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Alyce 10:49AM 02 -Apr -2002 I Page 1 of s' AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort 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, ping, 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: or Date �� 2U LI PROPERTY OWNERS: State of California County of California On ay I+ before me, UP og. X /A/io I- hirA Q -H personally appeared Ti✓N1F, LA AF . . /iry F/lp ��/ Personally known to me (or proved to me on the bans of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal ,- n w RUDY A. RINDLISBACHER () COMM. # 1311041 Signature ! c Seal: (�} NOTARY PUBUTTE COUNTY BLIC-CALIFORNIA ii COMM. EXP. JULY 26, 2005 z' A.P. #� 85-40910 ` DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Being a portion of the Nortt-west quarter of Section 3, Township 21 North, Range 4 East, M.D.B. & �M., and being more particularly described as follows: The Easterly 1/3 of the following described parcel: BEGI1,24 G at the North one-quarter corner of said Section 3, said point being marked by a 1 1/2 inch iron pipe and brass cap in a rock round; thence following the Noz#lerly boundary line of said Norttaaest quarter.of Section 3, South 880 54' 30" West for a distance of 1263.78 feet to the Northerly corner of that certain Quit Claim Deed conveyed to Robert F. parker Sr,.,. recorded July 31, 1964, in Book 1327 -of t1le Oficial Records of Butte following along the line County, California, at page 631; thence as described in said Quit Claim Deed, South 10 59' 09" West for a distance of 1316.86 feet to the Southwest corner of that certain Quit Claim Deed conveyed to.Robert F. parker Sr. recorded July 24, 1964, in Book 1326 of the Official Records of Butte County, California, at page 537; thence following along said Quit Clair line Easterly for a distance of 1286.36 feet to a the North and South centerline of said Section 3• point in line following along said North and South centerline, North 1°n001 09"saidQEastClafor n a distance of 1316.66 feet to the point of beginning. PARCEL II: An easement extending from the Northerly line of the above described Parcel, Northwesterly across a portion of the Southwest quarter of Section 34, Township 22 North, Range 4 East, M.D.B. & M., to State Highway 70, assaid easement is more particularly described in that certain Deed to Gladys S. Graaf, et al, dated June 89 1965; and recorded July 23, 1965, in Book 1382, of Official Records, at Page 635. PARCEL III: An easement extending from the Easterly line of the above described Parcel, Southeasterly to a point in the Easterly line of said Section 3,' as said easement is more particularly described in that certain Deed to Gladys S. Graaf, et al, dated .June 8, 1965, and recorded July 23, 1965, in Book 1382, of Official Records, at Page 635. SUBJECT TO the condition that grantees, their successors and assigns bears one- sixteenth.of the maintenance charge of the above referred to road easements as said maintenance charge is more particularly set forth in Road Maintenance Agreement recorded July 23, 1965, in Book 1382 of Official Records, at page 638. PARCEL TV! ,A right of way for road purposes over the following described parcel of land: All that portion of Sections 3 and 4 in Township 21 North, Range 4 East, M.D.B. & �M., described as follows: (continued) vp 8s-40910 PARCEL IV: (continued) BEGIPNUZ at the most Easterly corner of Lot 8 of Yankee Hill Acres Subdivision, which Mao was filed in the Office of the Recorder of the County of Butte, State of California, on June 21, 1957, in Book 22 of Maps, at. paces 33 and 34; thence Forth 58° 19' Ilest alcrg the Northeasterly ;� line of said Lot 8, a distance Of 675.65 reet to a point at the most Northerly corner of said Lot 8; thence North 40° 26' East a distance of 60.71 feet to a point at the most westerly corner of said Lot 9, a distance of 670.59 feet to a point at the most Southerly corner of said. Lot 9; thence South 350 40' West a distance of 60.14 feet to the point of beginning. PARCEL V: A right of way for road purposes over a strip of land 60. feet wide, lying adjacent to and Easterly and. Southerly of the following deserioea line: BEGINNING at the most Easterly corner of Lot 8, according to that certain Map entitled, "YA\'FSH HILL ACRES", which Map was filed in the Office of the Recorder of the County of Butte, State of California, June 21, 1957, in Book 22 of Maps, at pages 33 and 34; thence North 350 40' East along the Southeasterly line of said Yankee Hill Acres, a distance of 1335.14 feet; thence .Forth 880 54' 30" East to a. point on the West, line of Lot 3 in Section 3, TL—mshi_o 21 North, Range 4 East, M.D.B. & M., and the end of said line. PARCEL VI: A right of way. for road purposes over a strip of land 60 feet wide, the -centerline - of which is described as follows: BEGINNING at the Southeast corner of Lot 4 in Section 3, Township 21 North, Range 4 East, M.D.B. & M.; thence West along the South line of said Lot 4, to a point on the Southeasterly line of said Yankee Hill Acres Subdivisi centerline. on and the end of said (I . Said rights of way are for the benefit of and appurtenant to the property described above and shall inure to the benefit of aid may be used by all persons who may hereafter become the owners of said appurtenant property or an thereof. y parts or portions ... END OF DOCUMENT - ....... .. 10-009, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM f (One form per Building) School District / ! I�. I Building Department No. A.P. Number �i-�V.q� ` Q'r Jurisdiction: City County Property Chnmer Property Location/Address" Subdivision Lot No. ............................................................................................................... Residential Development Sq. Footage No of iving Mobile Home Addition/ *Supplemental to (Group R) Unit's Installation i Conversion Permit # L-* . (No foundation Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date imoor runs reviewed Dy- scnooi uistnct District Identification No. 2 Q 1 O 1 l -�'t�f/yj{'�School District certifies that.. V ,. Zoe Vjs�, (Street Address) i V I I has complied with the requirements of Resolution No. representiy�g r�IJO square feet. School District Representative by Check # Remarks: 1. (State) (Aja cant) 53�f �" SIoZ (Phone Number) Q (Zip Code)y`��,�, b 7 0 by payment of $ LJit v�rl IFABi2926$ FULL MITIGATI s v Z. Date q�--� U>e-il Z LIN L_-1- W� � A�1 t &M��1 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any courtaction. If,•subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)777 BUILDING- DIVISION COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CAI;kANI'A 65965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 111 \ E 7 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASS SSO PARCE L NO J ©� ZONING OWNER PHONE N09/2� m �5 3% 3i5- OWNER'S ADDRESS (��( 7�� LOCATION OF BUILDING Zoo \1/+1v1 --EE 05TA DG- o1,LD 6A So S/o4� APPnX M lj9 P149LC-� L USE OF BUILDING . iS-- L& n -J alIZ-)=Ac -1-6 112— 11 12 0 SIZE OF STRUCTURE ' ' X —� .LCL SO. FT. TYPE OF CONSTRUCTION: / WOOD FRAME STEEL CONCRETE V OTHER (Specify) TYPE OF SIDING �/ ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 2,, AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: SS ' b ' ,,`` ( FRONT SIDES REAR V AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements i effect at th t tim and before occupancy. Date Signature of Owner Permit Fee - $60.00 Receipt No. 1415`13" 1 The above described AG Building is exempt from a building permjt. FLOO PAC P.D. ROOFING ISSUE Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant "Ttr1^'�.�+�"M+.r1�v-�'^"1./k-.�7"`-r.�'_•y.:^«.•"'r-s"f� .7''..V«-' - ��ry' S -••.---T^-ryywyl.��1H._�.-.�Yv.�..la,�r'`'7*�.'�V «'1'k,-^.fes'-`ri+w"rY""� r .��Mt+^^4^'�y`.5�.:.r". �-..r-1.', r�ti- '1,- COUNTYOF BUTTE - DEPARTMENTOFDEVELOPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE- OROVjLLE, CALIF0R49 965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 9 OWNER Proposed Building Use 4 Z i ZL-1_ I)07 Building Inspector Date ��o At time of per application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have beerf submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3.. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ............ �........ . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... ., 9. Mobilehome data and manufacturer's installation instructions, 2 sets. r.......... 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). .. .. .. . uest 20. Pie -inspection for required. . to Build n9 nspeon ctor (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 _) ............ 24b 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 . ..................... :.................. 1 30. Documentation of 50% subdivision developed or (A) Road improvements completed % and (B) Parcel meets zoning area and frontage requirements . ............... I 31. Existing violations/expired permits. ...... . . 32. Plan check list . ...................................................... i 33. s 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other fParcel Creation ` Acreage Applicant &h±LjDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Da -e Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Dates Plans checked by Date Plans approved by Date ` Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 18-B County Center Drive El 1469 Humboldt Road Oroville, CA 95965 Chico, CA 95928 (916)538-7282 (916)891-2727 FAX (916) 538-2165 FAX (916) 895-6512 June 28, 1995 Kenneth E. Renfrow 204 Yankee Vista Drive P.O. Box 4057 Oroville, CA 95965 ,guff¢ Co LAND OF NATURAL WEALTH AND BEAU.'' DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ® 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 0 747 Elliott Road Paradise, CA 95969 (916)872-6308 RE: Lack of connection to required sewage -,disposal system at 204 Yankee Vista Drive; AP#�0-58-590-03.1 Dear Mr. Renfrow: This is a courtesy notice to notify you that you are in violation of California Health and Safety Code Section 17920.3 and Butte County Code, as follows, at the above -referenced location. Thank you for allowing a routine inspection of your premises. As you know, your mobile home is connected to an improper and unapproved sewage disposal system. Obtain a sewage application permit within 30 days from our office. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement when voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions to present an acceptable plan for abatement or corrective actions to be taken by you. If you have any questions regarding this letter, please contact me at the above listed address or telephone number between 8:00 - 10:00 a.m. Monday through Thursday. Sincerely, Jeome C. Tarmann, E.H.S. II h/mm/renfrow ision of Environmental Health t A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FA -X#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 204 YANKEE VISTA DR Owner: Pennit NO: B07-2541 APN: 058-590-031 KEN RENFROW Issued Date: 12/14/2007 By KEJ Permit type: RESIDENTIAL 204 YANKEE VISTA DR Subtype: SFD-Custom/Model YANKEE HILL, CA Expiration Date: 12/13/2008 Description: PERMIT TO REPLACE EXPIRED P (530) 534-1517 Occupancy: Zoning: FR5 Contractor pa _ J315 Applicant: Square Footage: THOMAS GROARAKE THOMAS GROARKE Building Garage Remdl/Addn 4096 BIG BEND RD OROVILLE, CA 95965 Other Porch/Patio Total (530)533-8758 FEE INFORMATION Total Charged: $0.00 Fees Paid: $0.00 Balance Due: $0.00 Receipt No: LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License THOMAS GROARAKE / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X 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 12/14/2007 [$500]; Please check one of the following: Contractors Signature Date ❑ 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements ❑I A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. ve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by e,,..AS.cOWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED TRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be competed if the permit is or ons a hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS d'11�,CrS UED, 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' X 12/14/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 12/14/2007 1 hereby certify that I have read this application and state that theabove information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. 1 hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the owner a d to ners behalf. property, or authorizeact on the property ow /1 S m. C PDA R k 12/14/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR: Agent for Owner ❑Agent for Contract FILE COPY �`' Lenders Address City State Zip Ip p+: ► O . ,00u7- t LFSi FL 1/. Scalee N /y / '-O'l- aO T H FA-�r .SLE V, ^- A . P - if •/ - A/ - // KEN .SER ADW !�'�7. K. ��7g��� /O �• V V .l Q�ecem t or- �vo7 NOcis UA°'rd PCU+� O BUTTE COMi� 0 v x cvCli Ab . I IV iw- ab 2R .Q Z. 0( t o 4� ._ s O O \ : '44 •. U-1 x cvCli Ab . I IV iw- ab 2R I , , .Q Z. �. t ._ s O O \ : '44 •. U-1 Q U I , , .Q Z. �. t s I , , �. t I , , /i 46�i fD F cf alt �ro�ss o C. OA VF 41A9 r Cd 1,4 _:....... ._ I; f) cFAA 6- t'_ '.. Jiff',•'/fir /�� .t' ;/'' / � � • iJv:. adet r, ye qooJ�O( Son r • s S/►'� ePAT r rdew O 01. tw oor �.. C..- _..... _._..__._._._..__._...._._........_.....__.__.... Ll I !- ._.._.........__. _ �.__.....-•-- _ -j .��/fir y �' .1� �-' t��s�s lit— cc, 1 S� �° • -� v c, `j APee MeA ARM ee { .,".dis.`�aser lr�A-g7 1A4 . �G r,rid / p 90 po-S o Doz.T o i` Cv 0 A ea m A t---- W -- 3- /4oc) NAILS T-��--- mTX'E 04 ,41 L "x Aa'an'Apr,h�l�s. 4'-0" O.C. W StMfSCA 13 P 2, 'j'y re 4G r m sA embed and )Ne, J -' -foo J, -'j-1 �. c , 3. 2 eoDP.Ses -4111fe bar ;tl -fvo it A I , J ` &y rek- / 't • 3.g� p„4Li �ttLs ,RA -moi,r = . Sigee.+toc k +yp) 4"y/a''1)F . C. +- P 6l �A ptRS a4 a n 406 F e l f to and er-1 a y.yh Ph Ole Df oaf f Pis P d?y •,dc x6 -OF: C el i �i � ei °e spl S+s u be -2 yg Ffle.7� hl� C4 Rd (A): Sl M. 5vn USy/a. .1 =j-ol I�t1 � )1 � faC e cif=all 2''\J/ +i es G- 3 f, 1/ S ack Cd n c l'r VOL. FRA MTN& DETAIL. 20,F p' " BUTTE COUNTY BUILDING DWIS."O'N, F sou: w+ �.0 Xg �. •` � Sld�ny t�por %C�Pr f ,f C I -YO _ � w Sr�pfson B f' w�tsh�►-- � r l� xl� "f�►� s C -t7 r) pc -?o /NTo 1vf7ufrq c. So i L- .�/vr� for Yew ler, ry w .90 H y,\yrP U/Sf� lJr/ v -c C14 �T7e-1 Dtooh b .' IADAVI Ih- CrOoA S33 �'IS8 01 Q Iczzl x� o I I I... _4 �t----- p ---- nrnov �Q �.a v ,�5 _4 �t----- p ---- nrnov 1 s' -C �Q U A i 100 o � M -d � 1 p y a o p O Y La 4'� � Q 1 s' -C �Q U A i 100 1 s' -C mi IN J I i �Q U A i mi IN J I i �Q mi IN J I i E6 C. i t VAN. o S2 -Cie \u ZZ UJ � L 1 I - t - 1 I r t" N OTE: PROPERTY OWNER 15 RESPONSIBLE FOR DETERMINING LOCATIONS OF PROPERTY LINES AND EASEMENTS AND MAINTAINING REQUIRED SETBACKS FROM PROPERTY LINES AND EASEMENTS. A SURVEY MAY BE REQUIRED 11- FDETERMINED DETERMINEDNECESSARY BY THE BUILDING OFFICIAL. NOTE t SITE CONDITIONS I SHOWN FOLLOWING HESITE ENGINEERING MAY BE REQUIRED IF ANY OF THE ED CONDITIONS ARE OBSERVED AND PLANS: EXCESSIVE SLOPES • EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS • ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS .& THE 2001 CBC, CMC, CPC, ,2004 CEC, AND 2005 ,CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE JURISDICTION APPLY TO THIS 'PROJECT. u 0 _Z z 000of I Ota r I �1r 0 s m (, �+ CSI r Ix Ie. 1 < y� Y 1` 16l 1!! Qa r V► T` tj tLL d V Jdd V r 1 9�•9t�Er I " o ��t R &�07 -;26 BUTTE coin ti Sit's SLIOElk CLOSET JAI.. WAVES 4 Nn ir 4i ea 5 TA 0f` Akl 1 4 -13 —n��- - • .� cr �a is = nk ealm 0 cy, -1-1--0 Wl4\oyCl4T FEY- NoftT"eAsr CLFM �y Y7.- . ..... JA -=ZL // -fOds. - -rWe.. ER; EAVES I FRONT ELE.-VAT'100 REN F Row POE lktCbUSTRL4TI6N • .404 YANICva, vtsTi4 go. Ywker mu cA 4s% Apt tA st SCALE V44w goo If• 1 pRiVA�E 'bR ki Yr S �•-�RAICOR s�SEPTIC 5'Jn WELL 106 t)poSEpi5%ALQ1140 0604• �'• Butth CounD ronmentat Heafth �t W; I Vt%TA 'A YANkEE hot GN Oil