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HomeMy WebLinkAbout061-480-060061-480-060 PERMIT#96-01 5 PIERCE, Michae- cy 5 Truman Journey Way, Berry Creek New Single Family 061-480-060 PERMIT#96-0627 PIERCE, Michael 5 Truman Jodrney Way, Berry Creek Cont; Fox Company Fire Sprinklers/SF 71 �1-11-9117 061-480-060 PERMIT#97-0670 PIERCE, Michael. 5 Truman Journey Way,Berry Creek 1st Renewal BP#96-0155 -060 #98-2033 CAM 5 TIEJ LODIE A Y WA ROV LLE ADONIS NEW-PgL MASTER 503 94 1-48-060 99- 1 I_BPE CAM Melody Orov. Ile ools 5 Truman Jo y, Oroville (newt erfecti ools Y )TVN VZl Z, -(V W. Tvil lwfl -AP V 9 7 -hr .IN mo? � (?,�, �,��� �4;,Z1 ?� �Sd^Z:1 -�- SSI �1�) zn 122 ry 1 >14 -a-crrl CD -V N -z V2 com-tv �Cjo I\Al V-)VMN yc::)l Nkl�-m rcQM �nj CRA --) rn -L" !3 t// /c7TLZU-W7 �-'I - 'I :--'D TP)o X NOTE: "E.B.P." DENOTES EXTERIOR BRACED PANEL PER UBC 1996 2326.11.3.3. 3/8 PLYWOOD CD, CC, STII, WITH 8d NAILS AT 6" CC EDGE NAILED, 12" CC FIELD, ON 2X FRAMING AT 16"CC. AND SOLE PLATE TO JOIST OR BLOCKING WITH 3 16d NAILS PER 16". cd eve <_,_ !A° -to .5(-.. :v ,_o-,, T-02-2'3 �RI�CING -PL A N 'Ll V1L• • "Z.D.C• - UL'l4V1GJ CSA-1•C.KIVA DlUlk,ZL 9'&141`11 CZft UDS. 1`JJ0 2326.11.3.3. 3/8 PLYWOOD CD, CC, STII, WITH 8d NAILS AT FES$/ 6" CC EDGE NAILED, 12" CC FIELD, ON 2X FRAMING AT 16"CC. OQ E AND SOLE PLATE TO JOIST OR BLOCKING WITH 3 16d NAILS PER 16". co L 2 7 all 't 5 v 1i�S.ay. I ,. I. a �o'S.c..v. rn _ ':.: j - - 4►tr ter-- 'Rr'R. �..,-� TQt �T . �\Q* \ I = •- : ter.. ' O 2� 1 Al • r U s f. 3 ol ~i a �, c� _t►w„Q V i 0�1 � rt+.y ciiryr r n (1►Iri1t k poll- 30�• ti 4 s,.. ow �lISCtZIc� /D,�5rzce - a 4 GRAM NC. F R a NIT ::: 9 s- FL. c>2 And' -when recorded mail to: B'git in'g D.ivjision #7 C64i ty.Center Drive Oroville., Ca:.95965 96-03017 96-0030171 Rec Fee I OVE Recorded I Check Official Records I County of I Butte I Candace J. Grubbs I Recorder I 9:12am 24—Jan-96 I PUBL AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT 9.00 3.00 12.00 XX 2 Section 26-8 of the Butte County Code requires 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, 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 propem, situate in the County of Butte, State of California. described as follows: "See attached legal description" Date: / Z PERTY 7.q Michael V. i rce State of California ) County of BUTTE ) f On 1-22-96 before me DENISE TERRIAH personally appeared MICHAEL V. PIERCE P y PP personally known to me (or proved to me on the basis 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. DENISETERRIAFi ops •A,0,,,, Commission # 1073963 Mfr CPS] Notary Public .T Butte County California ° Signature al: My Commission Exp. SEPT. 30, 1999 A.P.# 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 $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m.-,W,00p.m. (Monday - Thursday). OVER �i 96-03017 FA ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF SECTION 5; THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHEAST QUARTER AND ALL OF THE SOUTHEAST QUARTER OF SECTION 6, ALL IN TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B.&M. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT THE SOUTHEAST CORNER OF SECTION 6, TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B.&M.; THENCE ALONG THE SOUTH LINE OF SAID SECTION, SOUTH 850 51' 02" WEST,2689.97 FEET TO THE SOUTH QUARTER CORNER OF SAID SECTION 6; THENCE ALONG THE WEST LINE OF THE SOUTHEAST QUARTER OF SAID SECTION 6, NORTH 000 34' 43" WEST, 1218.50 FEET; THENCE NORTH 860 27' 36" EAST, 2661.07 FEET TO A POINT ON THE EAST LINE OF SAID SECTION 6; THENCE ALONG SAID EAST LINE, SOUTH 010 44' 47" EAST,1188.92 FEET TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM ALL THAT PORTION OF THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF SAID SECTION 5, LYING EAST OF THE QUINCY ROAD AS THE SAME EXISTED JULY 31, 1931. ALSO EXCEPTING THEREFROM ANY PORTION LYING WITHIN THE BOUNDARIES OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO THE COUNTY OF BUTTE, DATED FEBRUARY 15, 1968 AND RECORDED MARCH 15, 1968 IN BOOK "1509" OF OFFICIAL RECORDS, PAGE 571, RECORDS OF BUTTE COUNTY, CALIFORNIA. cav r Ex e END OF DOCUMENT 1 Vs J j me EXKtAlme 7' UJ B 110165 %- N �J 2ND F���L, (�l A Ptf�t�r►M g &' 0? : M C4 I ►�P tt2r�nM / A4' u� - Ilo Ibs Zo o P 01 A P'tt 2 AM l sit' FLaia. JT7 2L.3D' ,L &70 IA -57 3.14 S M41 MowIEMT e 7(1 �0' ►M � 3�. 63(. F� �1 Vin. 03.- K e tZ = 3.11-1 K L_ L--32- Vh = 3 t. b5 "f =2.5M _ (v. 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S-- J. 11 f-5— D. /35Xf3/.12 0 9 2- '23,' W On fiz)CG�$��) =� v�2 3 bay• Sc t%auts- gal b L�06WNS � z_�Z'� � I��� c� � 5vtAP5oU wtT ZZ A-6 Nom -S 5113 Ic, I y t f/7 LAIliZAL kWWVsts c Q :s7 j Foo R. m FcQcG- Fzg"An :LEVT "15" (�LtWWYD W Cl� �S KI QK I � Ao c ac.)aA,& t9 RESIDENTIAL J97-676 061-480-060 PERMIT#96-0155 ' PIERCE, Michael 'S Truman Journey Way, Berry Creek New Single Family NOTE : DO NOT FINAL UNTIh FOR REVISED ENERGY IS PAID JOE`FINALED (Date) Signature r 2 s 7 V=OK 0 = Not OKNot .. Applicable Not R aMOBILE HOMES 9 Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap; / /'L'ft. / /Nat. or/ NL'ft./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance = 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand Valve -Connector 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/0 to Grade -HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 11. Cert of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 t 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.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability , 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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/5' 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 d=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UND LOOR (Plans) OK except q's 41 Zo 'ng -Setbacks -Easements- lood-Slope 0!4tg., Main; Soils-Elec. d.-(�44" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftq,.,rches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped Allliers;Fireplace Ftg.-Steel 4k -15 -W -V.; Fall -Fitting -Test -2 Way C/O -Sewer Tes 10. OF s Pipe; Size -Anchors - rd gas pipet Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. P' ms & Ducts; Clearance -Material -Support -Ins. G' rs-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date O Card B-1 Date Card B-1 Da Card 135Date Card B-1 Date PLUMBING (Permit),OK except n's .e''WaHtr.: Vent -Access -Combustion Air -Baffle ----------- - - - - ipe; Test & Anchor -Nal Protection W.V.: Test -Fittings &Anchor -Nail Protection --------------- 1 hower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access --------- - - - - - - -------------------- -- Pipe: Size &Anchors -------------- ------ -------------------------------------------------------------------------- Date Card B-1 Date Card B_1 --------------------------------------------------- ------ Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except a's Fixture & Transformer Clearance -Ins. Protection --------------- Ele eceptacfes Spacing -Lights & Switches at Doors WS -------- ---- -------------------------------- ---------- =--- - --- - ----------------------------------------- e Boxes & No. of Conductors -Stapled ---------------------------------------------------- .._ _.- -- ex Installed Close to Edge of Studs & C.J. ------------ - --------------------------------- 19 quip. Ground made up wrMech. Fastners-Bond Gas & Water ----------- -- ----------------------------------------._..---- -------- --- --- -- 7 Appliance Circuts in Kitchen & Conductor SizejGFI - ------------------------------ ----------------- --- --- .. _P'te. Subfeed Wire Sizer r ga. Cu or AI -A.0 Wire Size • ' ga. Cu or At ----------------- .. 29. Range Circ. r ' ga. Cu o A Oven Circ. r r ga. Cu or Al. InsulaYd Neutral Yes Ate- o 30. rvice-Riser Conductors &Ground -Ma+ sconnect --- --- ---- --------------- -- - -- -- -- -------------- 31. Equip Clearances Panels-Motors-Mech. -_ . . _ ... 3 o es Closet Light -Shower Light -Spa Light. - - 3 moke Detector Date Card B -t Date Card B-1 Dat _ Card B-1 Date Card B-1 Date MECHA ICAL (Permit) OK except a's 3 A.C. Ducts Insulation & Support -- - -- - ......... ... Vent Fan: Exhaust above insulation 36. Condensate Dram & Overflow: Size & Grade - 3Z FLK --.. ss - t --om r -Return Air V -115 outlet. �3�" Attic Access & Platform if Furnance in Attic ...... ....1/- --- .. ------ ------- --- - --- - - -. Date Card B-1 Date Card B-1 Date Card B -t Date Card B-1 Date FRAWNG (Plans) OK except P's s. Proper Material & Anchors ...... .*:Headers ... _ ... Studs -Nailing. Spacing & Bracing -Plates -Sound ....... .. .. . ............ _.. ...... ng Walls over Girders & Floor Nailing Stop in Walls (rat proof) Stops: Furred Ceilings -Stairs -Chases -Tub & Beam -Size & Bearing Date RAMING (Continued) a ers-Post Caps -Anchors -Connectors ------- CIng. Joist -f ries-Purlin-roof Brac-Truss-Shthng.-Rfng. 4a/Firept ru Ties or Type A Flue -Fireplace Throat clearance ---- SAB A c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 59 -Garage -Fife Protection Framing --------------------------------- 54-Rceperty Line Firewall & Openings . xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywT&J ood on Roof Overhang -Attic Vents -Rafter Outriggers -------- _ _(_ _Siding -Nailing_ Veneer -- -- ---- 5 ip Screed -Fd. Vents-Underflr. Access __l rea-Glass Protection -Skylights -Plastic ---------------. Shear Wall ilin olIV& - — ------------ -- f 59. Insulati -W s- eilings 60. Infiltration -Walls -Windows Dat Card B-1 Date — Card B-1 ..: Dat 2 g Card B-1 Date Card B-1 Date FJNAL (Plans) OK except a's 61. xt. Steps -Door & Sidelight Protection -Landings —_ ---- ------------------- _ Smoke etector 62,. -,Furnace: raVents-Clearance-Comb. eFlAir=Con Protection In Garage: Above Floor-Ducts-Mech. Protection --edroom Exiting X63—G.F.I. & Bath Fixtures & Tub Access -Spa I .Trim & Subpanel; Breaker Sizes & Labels --------------------- ......... ----- --- ------------- ----- — Stags &Rails ------ ----------------------------------- it place or Stove: Clearances -Hearth Elec. Outlets at Wood Panel; Int. &Ext. ---- - — - ------------------------------ K t.F'xt & Appliance: Grnd.-Air Gap -Cooking Clearance ----- - -- --- ---------- --- Elec. Outlets & Receptacles at Kit. Counter 7� rarer e Fire Door: Swing—Landing—Closer Duct in Garage -Damper 4. Wtr. Htr.: --------------Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage_ Above Floor-Mech. Protection ...... - . - ---- . Plb.. Elec. & Mech. Equip. Listed for Location -lec. Receptacles in Garage: (G.F.I.)-Romex Protection .. - --------------- - --------------- - - - — - — T I lation-Foam-Looked in Attic ❑Yes --------------------------- - - - — - uard Rads & Deck Construction -Post Caps__ -- ------------------------- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ es_ .. ... ... ... ... -- - --- - --- --- ---- -- /��ollowing instld\ Dr w Yes No: Walks ❑ Yes V Plantes ❑ Yes - -- - - -- - - -- ------ -- ------------------------ ucco: Brown -Finish _ ._.. .-- ------------------------- ---- --------------- is2 A Unit: Disconnect. Electrical, Plumbing - - - - - -- ------------------------- ----- Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to n mg s ------------ ------------------------------ i34 W r Well: Disconnect. Electrical, Plumbing for Elec. Trim; G F.I Receptacle -Underground "-"L _.. - - - - -- - - ----- - -- -- ---- ----- d6 ntilation Throughout House ' 87 Glass Protection - - ---------------------- 88 C rrecuons from Previous Inspections 1 S _ s Test -Meters Tagged: Gas -Electric ----------------------------------- 9 Water & Sewer Connected-CrO to Grade -HD Approval 91 Energy.Compli e Cert frcate-Other Certificates __----_--- -- Date�4 ard 8-1 Date -- -- - - Card B-1 ------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final U Ze U In A A/ v Av Z7 c c APPROVED Butte County Cnvironme al Health. Signature .09 v Afor 77. -s COUNTY OF BUTTE- DEPARTMEW OF16EVELOPMENTSERVICES - BUILDING DIVISION `A 7 County Center Drive '- Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT �, -©/s, ASSESSOR PARCEL NUMBER 61-48-060 U ZONING BUILDING PERMIT OWNER MICHAEL PIERCE TELEPHONE SO. FT. OCC. BUILDING VALUATION 82 R 85,428. OWNER'S MAILING ADDRESS 500 CHINESE WALL RD OROVILLE 95966 352 OPEN 2,464. CONTRACTOR'S NAME MICHAEL PIERCE TELEPHONE 158.25 C 2,057 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation $ 89,949. Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 594.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 386.42 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ 1 023.92 r,CREEN, 99916 PLUMBING PERMIT Filing Fee 20.00 Each Trap $ 7,00 56.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 1 23.00 USEOFSTRUCTURE SF dr; Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.001 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New l x Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDRO 2 ,13 T4= Mobile Home S G W @20.00 PERMITFEE $136. OOL Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 91.00 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 i II orce and effect. License Class Lic. No. Z 3 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. ❑ 1, 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 ( 8 ACC. BEDS. ) SO. 3.5Q FT.55.37 NEW CNS. CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWERSINGLE APPARATLET TUS ) 8 OUCIR. Ex. Occup. ( OUTLET OR FD(TURES) 20 @ 1.00 BAL So Ex. Occup. ( OUTLETS APISE ISE o )EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 98.37 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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 15.00 Cooling 15.00 Hood 6.50 6.50 Ventilation PERMITFEE $6.50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation �, I 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' com ensation provisions of section 3700 of the Labor Code, I shall forth c ly w rovisions. Q% X I - -- 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. Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 RO° 3 coy NTVPE TOTAL FEE $ 1,360.79 HAZ.VV X D. FEES IMP X FLOOD X CDF PggggCEL �q X PTT 0 Issu 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. DaW'y (Dat ) Receipt No. 190814 - 495.27 PF V8[!S- 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J TO: _ Builft, g Department FIeOM: Environmental Health SUBJECT: Sanitation Clearance d E.H. USE O Plot Plan AmcLad Floor Plan Mochad �e Sort to B.a — �4x; / to %y1 I C (+A ( (a2c j c3 u i°n< <Y /,"Y Owner / Location Plan Approved for: Sewage Disposal �/ Water Supply: Public _ Clearance for 3 bedroom mobile home. Other Hold fin for: Final ce O.K. for: N Environmental Health Sl Qio� �I-4W6-C-�o AP# Private Well :z 4- on�� �;4— �Aate � Vii•-, ... 7 COUNTYOF BUTTE - DEPARTMEN:TOF'EVELGI 7 COUNTY CENTER DRIVE - OROVILLE;°CALIFORI t. SERVICES - BUILDING DIVISION M IA 95965 - TELEPHONE (916)538-7541 f' PERMIT APPOICATION DATA SHEET it;.k �A Pi e-rc--e - Building A. P. No. 6 /� q? -e)(. D -Building Inspector 40-4 Date /- 2 a -4y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY } 1. All items have been submitted. �f 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineerbd 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. Mobileho to and anufa turer's i tallation instructions, 2 sets. . Fees of 8 S'..5..�....... ................... 1. Impact fees as shown on attached schedule. t12. California Department of Forestry plan approval fees. . . I .. �J ......... 13. Flood elevation letter (100 year fl )d) pyy California ngineer. ................. . 14. Sanitation and plot plan approval�j0V Ze- Health Department. 15. City of Chico plumbing permit . ......................................... '�-N 16. Plot plan and business license approval from City of Biggs/Gridley, . 17. Planning approval for (A) Use: `a' (B) Parking: 18. Contact Land Development about (A) Improvements (B) -Drainage. ........ '.. i d 19Driveway permit (construction approval required prior to occupancy). ........... . 20. Pre -inspection for Preanspection requ st - required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. -. t ........................ . 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. Pa c eck list.......................................................... 33. 34. Wh-you issue themit tp ocess as follows: Mailgo owtier Mail to contractor. �7 at or O U t l -� TelephoneSO9 7 and hold for Deliver inspector. pickup o ice. with Other Parcel Creation Acreage ApplicantDate ' 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 'or to ermi cle new item not checked above). 1. Index permit for above items No. -� s N o m, 2. Additional items required: 0 G, Contractor, designer, owner, was advis f above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ter by_ Date Plans checked by Date Plans approved by Date %v Sets of plans on hold in File cabinet �AP folder app TC. Copy - Department of Public Works 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. I. I personally plan 'to. provide the major labor and materials for construction of the proposed property improvement : YES[ NO ]. ' 2. I HAVE[ Vf HAVE NOT[ J signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME rl--U� ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE:-' Y-7-9 7 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. mit has been submitted in your name listing yourself as the builder of An application for a building per property improvements specified. that as "owner -builder" you are the responsible party of record For your protection, you should be aware 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: I _ 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 tares, 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 "owneibuildee' building permit, erroneously implying that the property owner is providing his or her own labor and material red to be signed by property owners unless they are performing their own personally. Building permits are not requi 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. 93814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm tters. The building permit will not be issued until the verification is returned. that you are aNvare of [hese ma Snce rel tl� Ivticha4i C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER -Pi -P r c ce A.P. # 6,/ PROPOSED BUILDING USE AJ e u) S DATE 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) SRA FIRE INSPECTION AND -PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE �� REC. # DATE REC SCHOOL DISTRICT FEES t0 (paid at District Office)a 2. :l SHERIFF FEES (paid at Building Division) Residential...... x =$� 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) SRA FIRE INSPECTION AND -PLAN CHECK $89.00 (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) 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 �� BUTTE COUNTY SCHOOLS IMPACT F8E CERTIFICATION FORM (One Form Per Building) School -District Oro V i e 1 Building Department No. A.P. Number 6/ - qI?- C)6, 0 Jurisdiction: City ,_,County Property Owner 2 /' c. 2 Property Location/Address 0 w 04-q Subdivison r Lot No. Residential Development 0 No, of Living MHI Addition Units (City) Commercial/Industrial '� 0 New Addition ,, : ^ District Identification No! 960114 war r�, %IN& Imlia. Q4 School District certifies thatA"a P J (Appli Sq. Footage /5 8 Z (Group R) T Sq. Footage (Including Exterior Roofed Areas) 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 reviewer Y under the California Environmental Quality Act (CEQA), this project may be subject to additional s ..hoo ees to fully mitigate its im act on the school district's schools. White (app'cant') Yellow (building department Pink (school district) feeformmkt (11/94)dmm R *4 (Street Address)' V - ` d CA (Phone Number) / �tp (City) (State) (Zip Code) V, has complied with the requirements of Resolution No, ' 9� by payment of $ rep esenting f g square feet. As 2926 $ FULL MITIGATION $ �/_ 9� School D@t4 t resentative ,/ Date ti `- Paid by Check # � � �. Bank Number ©-a a � ' Paid by Cash a , ; y. 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 reviewer Y under the California Environmental Quality Act (CEQA), this project may be subject to additional s ..hoo ees to fully mitigate its im act on the school district's schools. White (app'cant') Yellow (building department Pink (school district) feeformmkt (11/94)dmm R *4 Owner: eq Permit: No. E N E R,G Y C E R T.I )a ICAT ION TRUEMAN JOURNEY WAY, BERRY CREEK LOCATION A. P. No. DESCRIPTION OF INSULATION ROOF - Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Thickness(inches) ,CEILING Batt or Blanket Type Thickness(inclies) Loose Fill Type Minimum ThicknesW nches) Area covered(ft. ) FLOOR, ELEVATED Material FIBERGLASS BATTS Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. .Thermal Resistance(R Value) Brand Name SCHULLER INT. Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION CO., INC. FIRM NAME/OWNER �=U PJYUA qAOQ SIGNATURE OF INSTALLA.TION-APPLICATOR 499150 STATE CONTRACTOR'S LICENSE NO. June 5, 1996 DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attacl.ments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OV*print) SIGNATURE OF QF7NE9AL—CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 Owner: E NE' RGY C•E It 'I' I,F TCAT ION 5 LOCATION DESCRIPTION OF INSULATION ROOF Material Thickness (inches) EXTERIOR WALL Material -FIBERGLASS BATTS Thickness(inches): 10k% 1U14 CEILING Matt or Blanket- 'Type FIBERGLASS BATTS Thickness(inches) 0=5t Loose Fill 'type Minimum Thicicnn(Inches) Area covered(ft. ) FLOOR, EI.EVAI'ED Material Thickness(inches) FIOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness (inches) Brand Name Thermal A. P. No. ResiMance (It Value) Brand Name_SCII[TLT_ER INT. Thermal Resistance(R Value)j9JZLLJr1C Brand Name SCHULLER INT. Theimal Resistance(R Value)VMIR&C Brand Name ,►, `� Number of Bags Wt. per bag __lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(Et Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R 'value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Insulation Co., Tnc. 499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department- approved plans and attachments have been installed as required by Lite State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically apliroved•by the State of California. FIRM NAME/OWNER (Please print) • f• SIGNATURE,OF QENERAL GONIRACTOR OWNER STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE -ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SIiALL BE POSTED WITHIN THE BIIII.I)TNG T•�nii�ir•� l�l1t/� A 5 re,041-,WJ jbuekJEY . - W iqy $lU. rox Mu -ED ToD� RE-Ifi2Dl,c1 Fi,eE" sP2.��,�t.E� lKJsT�uA�TioA1s. �€�A��lc� ' AjA,8c�4 14-bDzCss Gclfl-TEe iA1 c&T c oC+-T7oAl � s� �l� Lz- /-le-�4-b G� Kiru�Je r-!� 1Ajb r,14rn eaJ1s,5-D ,PC,4VIS tau pi���l� ,� � rwo Al K/iufC�i lliERE FieoPbscD To ALLoAl A D20 PGH GJ E[L . 8 lLL 5A -Ib /+ ,eeelc-sset) urE uJEu. u1 �4S ��tlsji9-t�D O,Ut,Y (1) ,SER -B /s sou,(lDs 1,rie,E 7N -E 5iTufl-71oAJ @ 77k6 SlT-E, I 1446E ,ue y'206c&' f ,9tlob,)Pld� co10sl7z. 70 eo� TIAJc/E iF ThtO� aieE� Flo o7Nekr- ouTsTl9i10IA1g co2eEcTIonls , \\ ~� �♦�;� �;5ti\t `\i .•_\ t ,. �� lei _„ �+lt:•,-5 � L pis : , 1;�r1 �. -.--+ J l i7 �i • i - i . ,✓ { -\� f i `.J.i-k •-J. y �1 5 ,4t t k l.i _i'...s \}� -..l'�,... Y i '•+� ' t rte; �_ . y '"', \, -., .t t ` 1_\ �° 't J 1 it ;, 7'S';`, � Lr� � �.. �, ��•t • �`-'`Jl+'_f�'�1. •,..tet,*.✓ ti ; � tom.. 'yjt �, ..1 • _ ~�`i��j•�.. �`y tL�5 i --z .. i 5 •``l)i'i- is gyp, �'4 l\ `..`e�"_�, •`�".'a�� 5:..-j •. ~i�5• Cr. <`�*i `' .,.,,J`• � '•. t� �+. {_fes}, �. F• 1 ��• ```%1 44 `tel--J�j•-1 :� Z ` �1it . v, ''.\•`'i �a 1,J�. i ��; C._, j-�..�J �,,.s� i -�::ti a5 �.-� ' \�, r �.1 ;, \ `\� l.i �� ��..; ;� v �, � it _'�'�� `�'+L�..;-•t �� r..�',i tir:...J ��.} 1 r' ' •J _� ,�' •�.-%'_ � �}, ; 1 fi'i _ � .-�3,�:� �4 - ` .-_ � �t ti-.:--� �.'- . Mme: ��� v _ " �-~♦ t . �' i ... - - —yam � .. r{ � _i 0,.:671 � `'•,v.,�'✓a':%� 5�� - t .. �`5' Yt -•--'• t?,: \111 . 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 , II 747 Elliott Road --Paradise, CA - (916) 872-6307 CORRECTION NOTICE r - J LDL WNER 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 this office immediately. � f Die 1 Inspector 0 0 REV 1 / R COUNTY OF^BUTTE- BUILDING DIVISION rr DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (9i 6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 _ 747 Elliott Road, Paradise, CA - (916) 872-6307 t= -CORRECTION NOTICE It w 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. fi If you have any questions pertaining to this matter, or need additional explanation, please con t this office immediately. / 4--- !r��."�r_�r�r�rw� Date .� Inspector REV 101921' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive-.Oroville, Galiforrfia 95965 - Telephone (916) 538-7541 P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT -70 ASSESSOR PARCEL NUMBER 61-48-060 ZONING U BUILaTNGPERMIT OWNER MICHAEL PIERCE TEL 5AI-0987 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 500 CHINESE WALL RD OROVILLE, 95966 CONTRACTOR'S NAME MICHAEL PIERCE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 297.2 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5 TRUMAN JOURNEY WAY Energy Plan Checking Fee $ BERRY CREEK, 95916 $ PERMIT FEE $ 317-29 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: [,,eENEWAL OF #96-0155 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affir nder 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 un r 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 un 'r Sec. Business and Professions Code for this reason Main Service ( To 46.00so DWE200ALLING CCU000A NEW CONST. DWELLING LDS. ( NEw So. 3.50 FT. CONST.MUAiCTIC-o ULTLLET NON-RESID. C I ul @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR Fu(TURES 20 @ 1.00 aAL o .so Ex. Occup. ouTiFrs RE�SID.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby aff r 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 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.) 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' compen tion provisions of section 3700 of the Labor Code, I shall rthwit#-c a provisions. X _Date 1 C _ Signa re of Applican - Owner ❑Contractor ❑ Agent An HA permit is require -for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 317.25 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work r which fees have been paid. �Aj Date zu PERMIT EXPIRES ON 4/9/98 Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE CLAIMANT: %Jc•.G�L C7i ADDRESS: &E7 'e"��° CITY & STAT DATE OF CLA Oroville, California GENERAL CLAIM SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES AWORTANT.- SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) ' AMOUNT OWNER DECIDED NOT TO BUILD. (AP#061-480-060, BP #99-0121) RECEIPT # 25865 MTED , RETAIN REFUND PROCESSING FEE 25.00 RETAIN ING PERMIT FILING FEE $ 20.00 RETAIN PLUMBING PERMIT F '' RETAIN,ELECTRICAL PERMIT FILING FEE $ 20.00 TOTAL AMOUNT TO BE REFUNDED $285.00 _ TOTAL $285. -OC I, the undersigned, declare under penalty of perjury that the services or articles claimed have been rformed or delivered, a that this claim Is trt and correct as stated. ,-- Dated this 1415 day of OcAr , 19,41 at Calif. -�-- S1gnature-wXIalmant• I, the undersigned, hereby certify that,, to the best of my knowledge, the services or articles s cified above h been erformed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for the s -- Dated this 26TH day of OCTOBE)? 1999. at OROVTT .I R Calif. Departtrient Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM/CONSZRrtaIQN PWDMTTq FUi 00 NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT .i► COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7192— PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT —� D ASSESSOPd9i Llyl8!-TI_060 jj lCfIAMPBELL ZONING 1 ,� BUILDING PERMIT OWNER MELODY TEI.EPHONEV1 SO. FT. OCC. BUILDING VALUATION CONTIR 97,000 OWNER1 r"WMN JOURNEY WAY, OROVILLE 95966 GO`"R� " �NCTION POOLS TE 8 0437 95E CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 965-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 1-72-25 BUILDING ADDRESS 5 TRUMAN Energy Plan Checking Fee $ PERMIT FEE _ LOT NO. SUBDNISIONS NAME PAR E PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE POOL SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 XX TYPE OF WORK New; Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW PRIVATE SWIMMING POOL Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service 200A 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 isJrl fulljorc and effect. . / License Class el- — a Lic. No. 7' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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 I 000 46.00 NEW CONST. OWEwNG OCCUP. OR ADDNS. ( 8 ACC. BLOB. SO 3.5¢FT. = 20,D MULTI.OUTLET @7,50 POWER APPARATUS SINGLE OUTLET CTR. .1114.. EX. OCCU OUTLET OR FIXTURES 20 p 100 '0 O .50 Ex. Occup. OFur�is R LNS °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL 30.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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' co pensation insurancescarrier and policy number are: Carrier�L �/L �/ MECHANICAL PERMIT Filing Fee 0. Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Policy Number 6J / 7 74f,fl -Z /� f (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 R I should become subject to the wor rs' compensation provisions of section 3700 of the Labor Code, I shall fort i�kith comIth those provisions. j X Date Z -a Signature' of Applicant - ❑ Owner ❑ Contractor A Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 542.2/ HOZ. _ D. FEES P FLOOD ,c CDF e P D SUE 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 to / !' PERMIT EXPIRES ON ate Receipt No. 258039 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ... -i� COUNTY OF BUTTE - DEPARTMENT OF vEVEL'OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 - Telephone (530) 538-7541 PERMIT No APPLICATION AND PERMIT - - -- c —44r(-) ._ - - - tsUIL.UINQ PERMIT OwNce q�^ E—�® e Am 9 EL L N �wu►l SO. FT. OCC. BUILDING VALUATION - in olow&l o ��. ooMrPAa=, K#AA0 ooMaTraicrroM unoeR LENDE ra WARM a00808 Fireplace Total Valuation S ARCNRlCr OR 04000 eir LrAme wo. Filina Fee S 20.00 ARCWWrOR 04MMS YAL MO ADOAM Permit Fee Plan Checkina Fee S euaoNo�Ooaess Energy Plan Checking Fee t o i PERMIT FEE _ �N0` ttJ00Nfe ►Anon MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE � Solar or heat pump water heater 23.00 Sxz Duplex O Wbilehome O Other Water piping 15.00 f —moo srec�r Each as water heater or vent 15.00 TYPE OF WORK Gas piping rystem 1 - 5 outlets 15.00 Now O Addbm O Remodel O W1111 s O b fthlion O Other O BuiWing sewer 15.00 Describe Work: 6�4 Mobile Home I S G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fir Fee 20.00 Main Service =oOnZ 23.00 Main Service 2WA TO IOWA 48.00 NEW CC*dST. OWHllq OCCUP. OR AOOW. a Acc. erns 3. Orr., MW QQM NONAMM.' YU171.01lnET Q7.50 rower Agr�uwus as _ Ex. oun r OR mnAm Occu m e t.50 ew .so This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions oo do work indicated above for which fees have been paid. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance S sIW)'!N o, V�I I. L / / Owndr Location E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. —; ;=-4—el 6 - f - VLF- 6r 6 AP# Plan Approved for: Sewage Disposal Wer Su ply: Public Private Well Clearance for dwelling. Other / ;,X -P3 All T Hold final for: Final clearance O.K. for: NOTE: /10)v Environmental Health Specialist a. Date r' 4 r�< COUNTY OF BUTTE- DEPARTMENT OF DEVELOIMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ���1/V\tn L 0 0 df 4 ASSESSOR PARCEL ER: 06l --G/�b —6 (co C� Proposed Building Use: 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 Received By Pf All iiems have been submitted.------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. -------------- -------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- C18. Hazardous Material Form. ------------------------------------------------------------ ----------------------------- 0 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. act fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. lifornia Department of Forestry plan approval/fees- --------------------------------------------------------- Flood elevation certificate. -------------------------------------------------------------------------------------- . Sanitation and plot plan approval Health Department. ---------------------------------- --------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Bigg,---------------------------------------------- LOT Planning approval for (A) Use;SE71E3AGIG;(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 (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ------------------------------------------------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1--130. -------------- ❑30. Other: ------- 7elephoneand you issue the a permit, pr cess as follows 11 Mail to owner, []Mail to contractor. hold for pickup at Xt.— ce. ❑ liver with inspector. Applic/ � Date: Za A9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: - Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 11 phone, ❑ mail, 13 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by:Date: a Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. FOR BUILDING DIVISION USE: Receipt Information: Number:' Date: , . . ,70' " 0 Issued To: ., .'t ..i .J-4:. :: ; �.n r ^ ..' _.-,r-. . r^� lT.. __ '_..._.._.... Amount: Fees Retained: /Processing Fee: v/Bldg Filing Fee CO /Plbg Filing Fee -----._.y.. p_..._ ,_�_�._�_r._'_��._;�... 4 _. _�E 1 ec -Fi^1-ing ...Fee_ •. $ . .. �.. (� . _._. _. - Mech Filing Fee Energy P/C Fee $ /Plan Check Fee $ Inspection Fee $ Total Amount Retainid' TOTAL REFUND DUE 7 C-7 REFUND CLA CLAIMANT'S NAME rte; APPLICATION i MAILING ADDRESS 897 ,Gf Xo;7-1 .5/-Z G���ev (*',< 9; 9V Z9 ASSESSOR PARCEL # 0/- ) '-I6' V(,0- � - PERMIT # 4 v©fa.! RECEIPT NUMBER(S) ��f3o34 Request a refund of fees paid on the above receipt.number(s) for the following reasons: Please refund any applicable fees in the following ' categories: (Check those categories which you wish to have refunded.) [)(] Building Permit Fees [ ] Sheriff Fees [ ] 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 CLAIMANT44f.Em .�i COUNTY OF BUTTE Oroville, California GENERAL CLAIM 'L CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES �904 J SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) ' AMOUNT OWNER DECIDED NOT -TO WILD. (A.P.#061-480-060,BP#98-2033, RECEIPT # Z -')U411, A7,9 9/1111111,' OWNER: Mk;IJJII.Lb �. TOTAL AMOUNT PAID .............. ...................$473.00 RETAIN REFUND PROCESSING FEE .......................$ 25.00.- 5.00.RETAIN RETAINBUILDING PERMIT FILING FEE ..................$ 20.00 RETAIN.PLUMBING,PERMIT FILING FEE ..................$ 20.00 --M= PLAN CHECKING FEE .......................... . TOTAL AMOUNT TO BE RETAINED ......................... 10 . TOTAL AMOUNT TO BE REFUNDED..........................$365.00 TOTAL $365..100 1, the undersigneder , declare under penalty of perjury Viet On services or articles claimed have peen psrfo red. and claim Is true and correct as stated. / Dmd this ay of o , . t g�st !GO . Slgnatvhot:ClaYnaret• I, tM undersigned. hereby certify that to the best of my knovvlsdps, the services orMmscUffiled bean performed or delivered and that there is a Budget Appropriation I ) or Specific Board Approval I 1 IChsa one) f osteal this 7� day of DEC. . X998• at OROVILLE Calif. Pwmsnt Head or Authorized Dsputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUNC DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. A SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: ti Receipt Information: Number: Date. Issued To: _ ---.___.. -.-�. .� ��._._. ,_ • y:a^ __. ..... ,_.. Amount: $ Fees Retained: Processing.Fee :., Bldg Filing Fee $ Plbg Filing Fee $ 60 Elec Filing Fee $ Mech Filing Fee Energy P/C Fee /P- 1 a- n- Check Fee. - Inspection Fee ----------- Total Amount Retained0 T 0 TOTAL REFUND DUE e's C.at: REFUND CLAIM APPLICATION CLAIMANTS NAME 4 -�4V,s!/l�q D. DZ4C' c�f���M,, o/Y/,S ®SLS MAILING ADDRESS %� ���.�iS,4� T fC0 V 07- ��/ ASSESSOR PARCEL PERMIT # RECEIPT NUMBER(S)_ o�Z S D y8 Request a refund of fees paid on the above receipt.number(s) for the following reasons: 0 c Please refund any aPPlicable fees in the following categories: (Check those categories which you wish to have refunded.) Building Permit Fees [ ] Sheriff Fees [ ] 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. Al Please dispose of plans. SIGNA DATE Z/ `.3 0 ` P" • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7549ERMIT NO.- Y(Rev.12/96) APPLIC/QT16h AND PERMIT ASSESSOR PARCEL NUMBER 61-48-60 ZONING tt/ BUILDING PERMIT ly-)/ OWNER CAMPBELL, MELODIE TIff TN6987 SO. FT. OCC. BUILDING VALUATI EST 20 000.00 . OWNERS MAILING ADDRESSTaJRMAN JOURNEY WAY CONTRACTORS NAWEDOJNIS 1. POOLS 0roPT97 cowRAcTIR T"AtA!Ri RUN CT CHICO 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 20 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.-00 BUILDING ADDRESS 5 TRUMANEnergy Plan Checking Fee $ DUPLICATE PLAN APP $ 138.00 OROVILLE PERMIT FEE $ 388.00 LOT NO. SUBDNIS IONS NAME Pel L� ` PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other POOL SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 Eachas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW POOL MASTER 503-94 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I 1 1 @20.001 1 PERMIT FEE S - ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200,,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 fLll force 8 d effect. /7 �o �j Qt — / /moo �S License Class — Lic. No. eT7� ��!!// (((666%% CCC���JJ ��// OWNER -BUILDER DECLARATION I 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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' cpVpensation insur.a carrier and policy number are: Carrier _��J Z �/i� _ Main Service 200A TO 1000A 46.00 NEW CONST. DWe ACLUNG occUP. OR ADDNS. ( C. BLDS. so 3.5¢FT: NON -RESIN. MULT.' CRR UTITS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. EX, Occu . OUTLET OR FIXTURES 84L O 1:So Ex. Occup. ouTLEEDTSA RAID °FF 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Otel w (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 wo co enati son evi. ions of section 3700 of the Labor Code, I shall omply pr y. r Date ` Ignature of Applicant - ❑ Own Contractor ❑ Agent An OSHA permit 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 TOTAL FEE $ =.AES IMP FLOOD _- CDF pAgOEI pD HD ISSU This permit is hereby issued under of the Butte CountyCode and/or Indic d above fo hich fees have _ By /�1 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. G 9 �(p' Date C� q / ��^ Dem Receipt No. 2504$`�- 9'1 °D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ««� '.17Y+1 P'1 , . .. �,.. ut""t'o' �"�1YG-K 7�1.�� tT 'j-�jWvr�'�"fihr,•ar, q -r ...c.wx.�.� .. r �I•T�1if,. o.rw��. i �r7 w+.w.tiv..r +r1, ,'F+'{•� �� '" ' -COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION' 7COUNTY CENTER DRIVE - OROVILLE�,. CA, I,ORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: e ASSESSOR PARCEL NUMBER:'— Proposed Building Use: Building Inspectgr H_ Date: q— At time of permit application, I was a_ dvised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted ----------------------------------------------------------------------- --------------- ot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ i!<omplete 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. -------- 115. 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 Bu fidings- --------------------------------------------------------- ❑ 8. Hazardous Material Form. ---------------------- :-- ---------------------------------------------------------------- ❑ 9. Manufactured Home data and installation jns'"' tions including Tie Down Specifications ------------------- DI 0. ------------------ ❑10. Fees of $------------ --; f------ ❑ 11. Impact fees as shown on the attached sch------- ❑ 12. alifornia Department of Forestry plan approyal/fees 01 3 Flood elevation certificate. ------ ----- ----- Sanitation and plot plan approval U lth ❑ 15. City of Chico plumbing permit. ------------------------- Department. ❑ 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). --------------------- 020. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------ E122. Workers' Compensation carrier and policy number. ---------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑ 26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance.--------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . -------- A+ _ (Date) E130. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ail to contractor. ❑Telephone and hold for pickup at offs . De ' i ector. 9 App cant: Date:/� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departmen Air o ution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 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 ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di 'cion counter, by Date: Plans reviewed by: Date: Plans approved by: Date:—/S Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. - PRESIDENTIAL - ` 061-480-060 PERMIT#96-0627 PIERCE, Michael i 5 Truman Journey Way', Berry Creek u Cont; Fox Company Fire Sprinklers/SF �k y% 1 x y�_ K , ,lf F� f OFFICE.COPY 1 -Address r- GAS — Meter By Date ELECTRIC Meter By �Date�%(�' 04 "_ .�, 1 JOB FINALED (D te) Signature / i ♦j 1 t V=OK 0 = Not OK Not '=Not Ready MOBILE HOMES r Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / P'L'ft. / /Nat. or/ /'L°ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. 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 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness 4: Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GA 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test :O 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; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness 4: Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 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/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test :O Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplk) =' Date UNDERFLOOR (Plans) OK except 1f's Date f FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service 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 a's --- ------16.-Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------------------------- ------ - - - - - ----- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --- - _19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------ -------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------- - --- -------------- -- ---------------------- Date Card B-1 Date Card B-1 Date ELECTFkh (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ---- ------ - - -------------------------------------- - - 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------- -------- 25. Romex Installed Close to Edge of Studs & C.J. --------------- ---------------------------------------------------------------------- c. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water - -----------"---------------------------... ____._.. _... .. ...... ..... .. ... 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------- --..........- -- 28' Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ga. Cu or At -------- ---------------- - --------------- -- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- ------------------------- -------...-_ .. 30. Service -Riser Conductors & Ground -Main Disconnect - ------....................... ------- --....I ... ... .. ....... .. 31 Equip Clearances Panels-Motors-Mech. Equip. ------ --- ------------------ --------................. .._ ... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------- ---------- ------ ........ 33. Smoke Detector ---------------...------..._.... .... ........ --......... . ........ ....... .. Date Card B-1 DateCard B-1 --------------- ---._------------- -- ---------------- .... .......... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL_(Permit) OK except a's 34. A.C. Ducts Insulation & Support ---------------------- ------------- - - 35. Vent Fan: Exhaust above insulation ---------------------------............. _ ...-- - --_. ... ... ...... 36. Condensate Drain & Overflow: Size & Grade ..................... ....... ....... . m..... r.... A.. 37. Furnance-Vent: Air -Return r Vent -115 outlet ---------------­------------- .. .. -----_ --- .. 38 Attic Access & Platform if Furnance in Attic ...... ....... -- -_... -. ........... ......... _ ---- - -- ---- -------------- _. ... .... -1....... .. Date Card B-1 Date Card B-1 ------------ ....... ....... Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P's 39. Sils. Proper Material & Anchors - -.. . ... ... ....... ... ............ ... ... ... .. .. 40. Walls Studs -Nailing. Spa .... ...... ... ..... . 41. Bearing Walls over Girders & Floor Nailing ....... . _...... -- ._..._... ... . 42. Draft Stop in Walls (rat proof) .... -- ........ ......... 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub .._.._ ... - -- --- ........ ..... .. _. ..... . 44. Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52 Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- 55. Siding -Nailing Veneer--- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Wal Is-Cei Ii nos ------------------ 60. Infiltration -Walls -Windows --------------------------------------------- Date --------------------------------------Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings - - --- ----------------------- - - -- 62. Smoke Detector - - -....------------------------- --- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection - - ... --- - -- - ---------------------------- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa .... -- --_.... -- - --- -- ------- 66. Elec. Trim & Sub anel: Breaker Sizes & Labels ---- --------------------------- - 67. Stairs & Rails ._..--- ----------------------------------- 68. Fireplace or Stove: Clearances -Hearth ---------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. ...... . -------------------------- ------ -- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance . - - ----------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter - - - - - - - - - - - -- ----- -- -------------------------- 72. Garage Fire Door. Swing -Landing -Closer 73. A.C. Duct in Garage -Damper c'... n ... ........-.... _. --------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ... -- ------------------------------ ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - - - - ----------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes - ------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ..... ------------_.------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------- -- 80. Following instld,: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ----------------------------------------------- - ---- 81. Stucco: Brown -Finish . _.._...-..._..------------------------- -------- ------- 82 A C.Unit: Disconnect. Electrical. Plumbing .. ... ... ... ... ... ....---------------------------------- -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . . . .. ........... ... _.... . - ---- ------------------------------ 84 Water Well: Disconnect. Electrical. Plumbing .....------------------------------------ ---- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground .. . . ..... .----------- ------------------------------- 86 Ventilation Throughout House ..---------------------- - - - -------------- 87 Glass Protection . ------------------ 88. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric . .. . .... . ......... .....------------------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------------------- 9 l. --------------------------------------91. Energy Compl iante 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: 1 COUNTY OF BUTTE - DEPARTM EWT OFI)EVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - OrQville-, California 95965 - Telephone (916) 538-754,11. `®(/JPERMIT E MI NO APPLICATION AND PERMIT `� -T AsTMM Mcrr-T60 ZONIf89-0987 BUILDING PERMIT OwMCHAEL PIERCE TELEPHONE SQ. FT. OCC. BUILDING VALUATION /• OW1 ,�E 1� CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUIL,) G1R AN JOURNEY WAY -BERRY CREEK J PERMITFEE $ 109.10 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF O 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 ❑ Utilities ❑ Installation ❑ Other Describe work: FIRE SPRINKLERS Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 10o0A ) 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. )(-I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ACDNS. ( & ACC. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET UTLE. NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET s Ex. Occup. (OUTLET OR FIXTURES 20 Q 1.00 RAL W Ex. Occup. (oFFIXED ELETs (RESID) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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 orthw' IY12M&with those provisions. Date VgAnaure of Applican - 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 Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 109.10 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By 1 PERMITEXPIRESON applicable provisions Resolutions to do work been paid. / b Date �y 2 (Date) ReceiptNo. 194691 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rye :=k�'�i!v�'s f�.: i" �r�=r''��'ir::�„tr-•+r . "_.. _ �`t� :{�e'.��.. sa,;,.' ,�,� ;�a '� , ..:�,.-r... �' X„ ,r► 7V'R4.H`� /�� :. iNi�';s,•Sit.? :;tl.r"..r.:t'�'' � �irh ,-,i'� .� �'ti� �.Y`�� yp�.. r•d . o'COU NTYOF BUTTE - DEPARTMENOF''EVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE,.CALIFORNIA95965 -TELEPHONE (916) 538-7541 CATION DATA SHEET PERMIT APPLI OWNERA No. "0 Proposed Building Use LSE Building Inspe tc o_ Date aCp 9 r At time o permit application, I was advised the following data must be submitted Poor to permit processing and/or issuance: VVV DATE RECEIVED BY 1 . All items have,been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, -3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............ "............................ . 6. Energy Design Compliance and supporting documentation . .................. 7. 8. Statement of Intent for Non -Heated and A/C Buildings . ................. 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.$ `ter ........................................ 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). .. r6. rest Pre -inspection for P�a"�D Inspector required. .. to e�aa��y �nspeaor (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. ..:............... 4 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 I and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... . 32. Plan checklist ................................................... '.. . 33 34. When you issue thegereit, prQ ss as follows: M#to owngr. Mail to contractor. l Telephone and hold for pickup at U ✓Dvi office. Deliver with inspector. %r Other Parcel Creation 3 gG Acreage Applicant ate' 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). 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 ounter 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 14 TABLE OF CONTENTS Report Page FORM 1::F -1R ................ 1 FORM MF -1R.... 4 FORM C-R ................. 6 HVAC SIZING ............... 13 E cous"Y ANT TABLE OF CONTENTS „�. TOC Project Title.......... SPEC HOME Date........ 03/05/96 Project Address........ ENCINA GRANDE �������----------------=__ OP.OV I LLE *v4.50* Documentation Author:.. WILLIAM H. FOX ******* Bu' ing er�it # Fox Company , 3555 Olive Hwy. ; Plan Check / Date ; Oroville,', CA 55966 ; 516-533-2730 ; Field Check/ Date ; Climate Zone........... 11 -1 ---------------------- Compl iance Method........ MIC:ROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. M I C:ROPAS4 v4.50 File -PHO 158'N Wt h-C:T Z 1 1 S'3 Pr � �g r am -TOC ; User#-MP1805 User -Fox ---------------------------------------------------------------------------------- Company Run -CUSTOM HOME ; TABLE OF CONTENTS Report Page FORM 1::F -1R ................ 1 FORM MF -1R.... 4 FORM C-R ................. 6 HVAC SIZING ............... 13 E cous"Y ANT CERTIF,I►=ATE OF ►=OMPLIANC:E: RESIDENTIAL Page 1 CF71P Project Title.......... SPEC HOME Date........ 03/05/96 Project Address........ EN►_INA GRANDE --------------------- OROVILLE *v4.50* 1 : Documentation'Author... WILLIAM H. FOX ******* 1 Building Permit # 1 Fox Company 1 1 3995 Olive Hwy. 1 Plan Check / Date Or ov i l l e, , CA 95966 1 916-533-2730 1 Field Check/ Date 1 Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. 1 MI►=ROPAS4 v4.50 File-PH0158' N Wth-►DTZ11S9Program-FORM CF -1R 1 1 User #-MP 180'3 User -Fox Company Pun -CUSTOM HOME 1 ----------------- L INFORMATION Conditioned Floor Area..... 1582 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 345 deg (N) Number of Dwelling Units... 1 Number of Stories.......... Floor Construction Type.... Raised Floor Glazing Percentage......... 20.4 % of floor area Average Gla ing'U-value.... 0.52 Btu/hr-sf-F BUILDING SHELL INSULATION C:omp� anent Frame -------- - Cavity Sheathing ---------------- Assembly Type -----------•- Type, ------- R -value P -value U -Value Location/Comments ----------------------- --------------------------------- Wa.l l Wood R--17.8 R-0 0.065 Outside Roof Wood R-38.7 R-0 0.029 Attic Door n/a R•-0 R-n/a 0.330 Solid Wood Floor Wood R-19 R-0 0.037 FENESTRATION ------------ # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es ----- ---- Description --------------- Shading ----------- Fins Type -------------------- Window Front (N) ----- 20.0 0.530 2 Drapes.Std None ---- Yes ---------- Vinyl Window. Front (N) 20.0 0.530 - Drapes.Std Nome Yes Vinyl Window Front (N) 12.0 0.530 2 Drapes.Std Nene Yes Vinyl Window Front (N) 4.0 0.530 2 Drapes.Std None Yes Vinyl Window Front (N) 12.0 0.530 2 Drapes.Std None Yes , Vinyl Window Left (E:) 4.0 0.530 2 Drapes.Std None None Vinyl Window Left (E) 15.0 0.530 2 Drapes.Std Nome None Vinyl Window Bas=k: (S) 17.5 0.530 2 Drapes.Std Nene Yes Vinyl Door Back (S) 40.0 0.490 2 Drapes.Std None Nome Vinyl Doer Bac (S) 40.0 0.490 2 Drapes.Std None Yes Vinyl Window Back (S) 30.0 0.530 2 Drapes.Std None' Yes Vinyl Door Back (S) 40.0 0.490 2 Drapes.Std None Yes Vinyl Window Back (S) 18.0 0.530 .2 Drapes.Std None Yes Vinyl Window Bach:: (S) 10.0 0.530 2 Drapes.Std Nene Yes Vinyl Window Right (W) 30.0 0.530 2 Drapes.Std Nome Nene Vinyl Window Right (W) 6.0 0.530 2 Drapes.Std None None Vinyl CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page CF-iF' Project Title.......... SPEC HOME Date:.:....: 03/05/96 ---------------- M I CROPAS4 v4.50 F i l e -PHO 158' N Wt h-cTZ 1 1 S': -j' F'r c• ram -FORM CF -1R ; User#-MF1809 User -Fox Company Run -CUSTOM HOME FENESTP,AT I ON # of Interior Over- Area- U- Pan- Shading/ Exterior hang/ Framing Orientation (sf), Value es Description Shading Fins Type Window Right (W) 4.0 0.530 2 None None Vinyl HVAC SYSTEMS ------------ Minimum Duct Duct Thermostat Equipment Type Efficiency Location F. -value Type Furnace 0..800 AFUE Crawlspace R-4.1 Setback ACSp l i t 10.00 SEER Crawl spay= a R-4.2 Setback WATER HEATING SYSTEMS -------------------- Number Tank: External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Storage Gas Standard 1 0.62 EF 40 R-0 SPECIAL FEATURES/REMARKS ------------------------ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Projec=t Title.......... SPEC HOME Date........ 03/05/96 MICROPAS4 v4.50 File-PHO1582N Wth-CTZ11S92 Program -FORM CF -IR User#-MP1809 User -Fox Company Run -CUSTOM HOME ------------------------------------------------------------------------------- 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 Cade 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 indic=ated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... MIKE PIERCE Company. PHOENIX CONST. Address. 1999 MYERS ST. OROVILLE CA. 95965 Phone... 534-5916 License. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... WILLIAM H. FOX Company. Fox Company Address. 3995 Olive Hwy. Or ov i 1 1 e„ CA 95966 Phone... 916-533-2730 Signed.. 3 S 96 Cdate) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Pro.ject Title........... SPEC HOME Date......... 03/05/96 Pr o.j ec t Address ......... ENC I NA GRANDE * ----------- ------- OROVILLE *v4.50* f Documentation Author... WILLIAM H. FOX *** Building Perfnit # Fox Company 3555 Olive Hwy. Plan Check / Date Oroville,, CA 55566 ; 516-550-2750 Field Check/ Date Climate Zane........... 11 --------------------- Compl iance Method...... MICROPAS4 v4.50 for 1.955 Standards by Enercomp, Inc. ------------------ MICROPAS4 v.4.50 File-PHO1582N Wth-CTZ11S52 Program -FORM MF -IR User#-MP1805 User -Fox Company Run -CUSTOM HOME ; 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 specif'icat ions. for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Desi.gn.- Enforce- er men *150(a): Minimum R-15 ceiling insulation.. 150(b): Locise fill insulation manufacturers labeled R -Value. _ *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R•-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 1150(i): Slab edge insul at ion - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inc=h. _ 118: Insul at ion specified or instal l.ed meets CEC quality standards. Indicate type and form. _ 116-17: Fenestration Produc=ts, Exterior Doers and Infiltration/ ex -filtration 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 weatherstr ipped; 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 CEC: quality standards. 150(e) : Installation. of Fireplac=es, 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 . No continuous burning gas pilots allowed. MANDATORY MEASURES CHEi_KLIST: M IDENTIAL Page 5 MF -1R Project Title.......... SPEC HOME Date........ 03/05/96 M I CROPAS4 v4.50 F i 1 e -PHO 1582N Wt h -CTZ 11 S92 Program -FORM MF -IR User#-MP1809 User -Fox Company Run -CUSTOM HOME SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEO. 150(i): Setback thermostat on all applicable heating systems. 150(.j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating_ source and indirec=t hot water tank:. *150(m): Ducts and Fans 1. Duets 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 spar=e. 2. Exhaust fan systems have backdraft � �r 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 effic=iency, on -cuff 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. !.over for outdoor pools or outdoor spa. 3. P•ol system has i� dire•_t _nal inlets and a circulation pump time switch. 115: Gas-fired central furnac=e, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking applianc=e with pilot < 150 Btu/hr.). 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 /I iOMPUTER METHOD SUMMARY Page 6 C - 2R Project Title.............. SPEC HOME Date........ 03/05/96 Project Address. ...... ENCINA GRANDE --------------------- OR'OV I LLE *v4.50* Documentation. Author. WILLIAM H. FOX ; Building Permit # Fox Company ; 3955 Olive Hwy. t Plan Check / Date Or ov i l l e, , CA 95966 ! 916-533-2730 1 Field Check/ Date Climate Zone...,....... 11 -------------------- - Compliance Method........ MICROPAS4 v4..5O for 1995 Standards by Enercomp, Inc. --------------------------- ' M Ii= ROPAS4 v4 50 Fi 1 e -PHO 158' N Wt.h-+ TZ.11 S?2 Program -FORM C -2R ; User#-MP1805 User -Fox Company Run -CUSTOM HOME ; MICROPAS4 ENERGY USE SUMMARY' _ - Energy Use _ (k8tu/sf-yr) ---------------- - Space Heating... ..... Space Ccoorl ing......... . = Water Heating,.......... Total Standard Proposed Compliance = Design Design Margin = 16,21 14,81 1..40 = 13..45 14..85 -1..40 = 13.70 12.73 0.97 = 43.36 42.39 -------- 0.97 #* Building complies with Computer Performance GENERAL INFORMATION Conditioned Floor Area...... 1582 sf Building Type................. Single Family Detached Construction Type ......... New Building Front. Orientation, Front Facing 345 deg (N) Number of Dwelling Units,.... 1 i Number of Building Stories- 2 Weather torie.s.- Weather Data Type.............. FullYear Floor Construction Type.... Raised Floor Number of Building Zoenes... 1 Conditioned Volume......... 13857 cf Footprint Area ............. 1197 sf Ground Floor Area.......... 1197 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 20..4 % of floor area Average Glazing U -value. 0..52 Btu/hr-sf-F Average Ceiling Height...... 8.8 ft Zi COMPUTER' METHOD SUMMARY Page 7 C:• -2R Project Title.......... SPEC HOME Date........ 03/05/96 MIi_ROPAS4 v4.50 File-PHO1582N Wth-CTZ11S92 Program -FORM C -2R User#-MP1809 User -Fox Company Run -CUSTOM HOME ------------------------------------------------------------------------------- • BUILDI.NG ZONE INFORMATION ------------------------- Floor # of OPAQUE Vent Special Area Volume Dwell Cond•- Thermostat Height Vent Area Zone Type (sf) (cf) Units itipned Type (ft) (sf:) HOUSE Residence 1582 13857 1..00 Yes Setback: 2.0 n/a Surface HOUSE 1 Wall Wal 1 3 Wa1I 4 Wall 5 Roo f 6 Door 7 Fl o or FENESTRATION SURFACES --------------------- Vent SC SC Interior Open U Act Class Int Shading/ Type value Azm Tlt Only Shade Description Slider 0.530 OPAQUE SURFACES 0.88 0.78 Area U- --------------- Insul Act Surface Solar Form 3 Location/ (sf) value R-val. Azm Tilt Gains. Reference Comments 6'2'2 0.065 17.8 345 90 Yes W.19.2X6.16 Outside 399 0.065 17.8 75 90 Yes W. 1'3. '2 X6. 16 Outside 576 0.065 17.8 165 90 Yes W.19.2X6.16 Outside 399 0.065 17.8 255 90 Yes W. 19. 2X6. 16 Outside 1213 0.029 38.75 n/a 0 Yes 8.38.2X12.16 Attic 20 0.330 0 345 90 Yes None Solid Wood 1197 0.037 19 n/a 0 No FC.19.2X8.16 Vinyl FENESTRATION SURFACES --------------------- Vent SC SC Interior Open U Act Class Int Shading/ Type value Azm Tlt Only Shade Description Slider 0.530 345 # of 0.88 0.78 Drapes.Std Area Pan- Frame Surface (sf) es Type HOUSE 0.530 345 90 1 Window 20.0 2 Vinyl 2 Window 20.0 2 Vinyl 3 Window 12.0 2 Vinyl 4 Window 4.0 2 Vinyl 5 Window 12.0 2 Vinyl 6 Window 4.0 2 Vinyl 7 Window 15.0 2 Vinyl 8 Window 17.5 2 Vinyl 9 Door 40.0 2 Vinyl 10 Door 40.0 2 Vinyl 11 Window 30.0 2 Vinyl 12 Door 40.0 2 Vinyl 13 Window 18.0 2 Vinyl 14 Window 10.0 2 Vinyl 15 Window 30.0 2 Vinyl 16 Window 6.0 2 Vinyl 17 Window 4.0 2 Vinyl FENESTRATION SURFACES --------------------- Vent SC SC Interior Open U Act Class Int Shading/ Type value Azm Tlt Only Shade Description Slider 0.530 345 90 0.88 0.78 Drapes.Std Slider 0.530 345 90 0.88 0.78 Drapes.Std Slider 0.530 345 90 0.88 0.78 Drapes.Std Slider 0.530 345 90 0.88 0.78 Drapes.Std Slider 0.530 345 90 0.88 0.78 Drapes.Std Slider 0.530 75 90 0.88 0.78 Drapes.Std Slider 0.530 75 90 0.88 0.78 Drapes.Std Slider 0.530 165 90 0.88 0.78 Drapes.Std Slider 0.490 165 90 0.88 0.78 Drapes.Std Slider 0.490 165 90 0.88 0.78 Drapes.Std Slider 0.530 165 90 0.88 0.78 Drapes.Std Slider 0.490 165 90 0.88 0.78 Drapes.Std Slider 0..530 165 90 0.88 0.78 Drapes.Std Slider 0.530 165 90 0.88 0.78 Drapes.Std Slider 0.530 255 90 0.88 0.78 Drapes.Std Slider 0.530 255 90 0.88 0.78 Drapes.Std Slider 0..530 255 90 a.88 0.78 Drapes.Std COMPUTER METHOD SUMMARY Page 8 C• -2R Project Title.,......... SPEC HOME ;Date......... -03/05/96 f M I CROFAS4 v&50 F :i 1 e -PHO 158'2N Wt h -OTZ 1-1 SS2 Program -FORM G: --2R f User#-MF1809 User -Fox Company Run -CUSTOM HOME ; ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- System Type HOUSE Furnace ACSp 1 i t Tann Type Heater Type ------------ ----------- 1 Storage Gas Minimum .Duct Efficiency Loc at ion 0.800 AFUE Crawlspace 10.00 SEER Crawlspace WATER HEATING SYSTEMS --------------------- Number in Distribution Type System ------------------- ------ Standard 1 SPECIAL FEATURES/REMARKS ------------------------ Duct Duct R -value Efficiency R-4.2 0.880 R-4.2 0.910 Tank: External Energy Size Insulation Factor (gal) R -value 0.6'2 40 R-0 Area Left Rght Surface ----------- (sf) ----- Hght ----- Wdth ----- Dpth ---- Hght ---- Ext. ---- Ext Ext Dpth Hght Ext Dpth Hght HOUSE ---- ---- ---- ---- ---- ---- ---- 1 Window 20.0 4.0 5.0 2.5 .75 28 14.5 n/a n/a n/a n/a n/a n/a Window 20.0 4.0 5.0 2.5 .75 14.5 28, n/a n/a n/a n/a n/a n/a 3 Window 12.0 4.0 a_0 2.5 .75 4.5 3'x..5 n/a n/a n/a n/a n/a n/a 4 Window 4.0 2.0 .2. 0 2.5 0 23. 5.0 n/a n/a n/a n/a n/a n/a 5 Window 12.0 2.0 6.0 2.5 0 6.0 18.0 n/a n/a n/a n/a n/a. n/a 8 Window 17_.5 3..5 5.,0 8.0 .75 4.0 5.5 n/a n/a n/a n/a n/a n/a 10 Door 40.0 6.67 6.0 2.5 .75 10.5 1.0 n/a n/a n/a n/a n/a n/a 11 Window 30.05.0 E.0 2.5 .75 3.5 8.5 n/a n/a n/a n/a n/a n/a 12 Door 40.0 6.67 6.0 2.8 ..75 19.5 5.0 n/a n/a n/a n/a n/a n/a 13 Window 18.0 6.0 3.0 2.5 .75 16.0 11,5 n/a n/a n/a n/a n/a n/a 14 Window 10-.0 5.0 2.0 2.5 .75 10.0 18.0 n/a n/a n/a n/a n/a n/a HVAC ------------ SYSTEMS System Type HOUSE Furnace ACSp 1 i t Tann Type Heater Type ------------ ----------- 1 Storage Gas Minimum .Duct Efficiency Loc at ion 0.800 AFUE Crawlspace 10.00 SEER Crawlspace WATER HEATING SYSTEMS --------------------- Number in Distribution Type System ------------------- ------ Standard 1 SPECIAL FEATURES/REMARKS ------------------------ Duct Duct R -value Efficiency R-4.2 0.880 R-4.2 0.910 Tank: External Energy Size Insulation Factor (gal) R -value 0.6'2 40 R-0 HVAC SIZING Page 13 HVAC Project Title.......,... SPEC HOME Date........ 03/05/96 Project Address........... E.NCINA GRANDE --------------------- OROVILLE *v4.50* 11 p Documentation Aut.hor... WILLIAM H. FOX Building Permit # Fay; Company ; 3995 Olive Hwy. 1 Plan Check / Date Oroville,., CA 95966 ; 916-533-2730 0 Field Check/ Date Climate Z one ............ 1 1 ----------------------- Complianc.e Method........ MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-PHO158 N Wth-CTZ11S9' Program -HVAC SIZING User #-MP ------------------------------------------------------------------------------- 1809 User -Fox Company Run -CUSTOM HOME 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 ....... 1582 ss f 1385.7 cf Front Facing OROVI.LLE. - 39.5 degrees 30 F - 70 F 104 F 78 F- 37 F Yes No Yes 0.30 HEATING AND COOLING LOAD SUMMARY Heat inq Description CBtuh7 Opaque Conduction and Solar-- 8680 Glazing Conduction... .......... — 6645 Glazing Solar .................... n/a Infiltration ..................... 788' Internal Gain .................... n/a Duets ............................ 2321 Sensible Lead .................... Latent Load ...................... Minimum Total Load 25527 n/a 345 deg (N) Cool inq (Btuh:) - 4976 4319 5'.:'_75 32n 3i3 2550 1018 213/4 6412 25527 27787 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flaw 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. - 'I-astallation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PEF11IT #: BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certffled Actual Distribution Duet or Heating Lotid Heating Type (furnace, Manut. Make & Efficiency Type and Piping Before Over-. Equipment heat pump. etc.) Model Number (AFUE. etc.) Location R -Value Sizing (Btuh) Caoactty (Btuh) CEC Certffled Cooling Equip. Compressor Unit' Actual Distribution Duct or Type (air cond., Manuf. Make & Elflcfency Type and Piping heat oumo. etc.) Model Number (SEER) Location R -Value The building design heat toss and design heat gain rate have been determined using a method spetrftd in Section 150(h) of the Energy Efficiency Standards. and are two of the criteria used for equipment sizing and selection. Signature Date WATER HEATING SYSTEMS HVAC Subontractor (Co. Name) or General. Contractor or Owner Energy External Watet Heating CEC Certified Rated' Tank Factor or Tank Systkrh Type Manuf. Make dt Input (kW Capacity Recovery Standby' Insulation istontge gas. etc.) Model Number or Btuh) (gallons) Efficiency Loss (%) R -Value 1. For small gas storage (rated inputs 75.000 Stu/hr). electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75.000 Btu/hr), list Rated input. Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For instantaneous electric water heaters. list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24. Part 6. Subchapter 2, Section 111. Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner TRIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AIND MISCELLANEOUS ONLY OWNER: � L, A 6QJ BUILDINGPERMITNUMBER q � DI��J PLAN CHECKER: A - P. NUMBER: '� / - 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. Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.R-A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building 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 TO" 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. 1� Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). a' Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. r 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 tics or bearing ridge beam. Fireplace construction details and Calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. ) JANUARY 1996 3.2 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 1 -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). Comaustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. , C.D.F. responsible area requirements. Aj ll� JANUARY 1996 3.3 V/ LAND DEVELOPMENT BUILDING /TINVIRONMENTAL�HEALTH - PERMIT CLEARANCE Building Permit No. w `D/ OWNERS A.P. NAME: /1� ��� I�C,NUMBER-.'()16I PRINT LAST NAME FIMT COUNTY ZONING DESIGNATION: ✓'i�. FLOOD ZONE: X FLOOD MAP: Z �o 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: MAP INFORMATION: DATE OF RECORDING ncy'Lb R Iii 0YL LOT 2— BOOK /1,9 PAGE 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 PA ID TO THE BUIL DING DIVISION UNLESS OTHERWISE NOTED. Y, 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. )C 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _�S„ 6. Meet the Fire Safe Regulations of. Butte County and P.-R.C. 4290. _ 7. Connect to a public. water supply. _ 8. Connect to a public sewer system. 9. 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. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. 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 Me P1hnni9g Dhitsf n. _ 14: 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. _ 1'5. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Boaed of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. — 18. 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. — 19. 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. 20. #14rcrfcn /)L -/too»' a,I!eh_ 30% sionc VAIsv rn-*X&Wll"& 0 t r�s/fti Nv /�e'vc�L.���^'� �u•� ''� / k 21. di 4 r.A-reg Z /3 C2c� ,Q u. a.�-cvv�za�N �f�C �� 22. — 23. 24. _25. AIa 1N3Wd013A30 dNr aline 30 kLNnoo 9661 6 0 Ndf 431113332! LD 9/95 - C:\WP51\FORMS.K\BLDOPERM.CLR