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063-340-003
7,r • ` 063-340-003 (;: • 3208 ✓� IPHILIPS, RAY ' OUTY�.• FR[A A(: RD, FOREST RANCH N® T E S I Cont: ERIC POPP =, ' NS�F((GA.RL, COV) RESIDENTIAL APN: Permit No. Owner: Site Address- Contractor. Type of Permit: 1 ® Sow, fos Ravtc-lit o �dYly6l'l 3in�u�O I% 3� sit AWS t " f 1 t 1� ti " f 1 }} OFFICE COPY Address GAS ® C- Meter By 4 ELECTRIC Date%�6 Meter By , CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED:` SIGNATURE: t t 1� }} OFFICE COPY Address GAS ® C- Meter By 4 ELECTRIC Date%�6 Meter By , CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED:` SIGNATURE: t ='OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Brea kers-Cl rncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits IS Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S'C O V E R S'C A R P O R T S 'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -Anchrs -Stu ds-Rftrs -Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 41 ° 4` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pniboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide d �C Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR UATE IFLU MAB ING t(J.efing-Setbacks-Easements -Flood -Slope tr; Vent-Acc-Cmbstn Air Baffle 24tg Main- Soils-Elec Grnd Ftg Dpth pe; st & Anchr-Nail Prtctn arage; Soils -Steel -Flet Grnd Ftg Dpth, WV est Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; SoilsSteel Ftg Dpth B7 wr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel -Blockouts -Wrapped 5L.TW Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped• -at O-1 as Pipe; Sz & Anchrs 010; 5;5:�% —T-e:-gT n /C wns and Special Anchrs 59 Fire Sprinkler; Test goo5pb, Steel Wrapped I - I 1-U { lC. r60`1?'erd Gas Piping f p (Z ; ier plc Ftg-Steel v , Fall -Fitting -Test -2 -way CIO -Sewer Test mac` �c 10 UF, Gas Pipe; Sz Anchrs-Sz Test °9• m o`• m 1A Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd _= . DATE IM E C N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-lnsultn Ccts Insultn & Support _ 14 Girders Sills-Anchr BoltsJoists-Vnts-Cripples 62--V-epCFan, Exhaust abv Insultn 15 Acc & Vntltn�3-Gr3 de ate Drain & Ovrflw, Sz & Grade 16. Insulation ur ce-Vent Acc-Comb Air Rtrn/Vent 115 Outlet 6 is Acc & Pltfrm if Furnace in attic 2-(a-0-7 o °' -1 3 --O'1 °�� IJ' C, °'A DATE 1 N G W Proper Materials &Anchrs DATE FIN L Studs -Nailing Spacing & Braces-PlatesSound E pt'Steps-Door & SideLt Prtctn-Landings ng Walls over Girders &flr Nailing g�Spfbke Detector ft Stop in Walls (rat proof) 6 Furnace Vnts-Clrnc-Comb, Air-Cnnctr ire tops, Furred Ceilings -Stairs -Chasers -Tubs I arage; abv-flr-Ducts-Meth Prtctn e �s & Beams-Sz &Bearingoom Exiting angers -Post Caps-Anchrs-Cnnctns 7A'G�VBath Fxtrs & Tub Acc-Spa 24 Qgimli ng Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg ?T_GUP4fc Fault Wk -16; -Ties or Type A Flue-Frplc Throat Cimc 7 nm. & Subpnl, Breaker Szs & Labels 26 1Xftic�`cc; Sz & Rmx Prtctn-Draft Stop4ns Baffles Sta Guard/Handrails 3Z.BYr Wndws or Exiting DoorsS' Dimensions rp�l r Stove, Clrnc-Hearth arage ire Prtctn Frami -R nne 75.E�f c°Outlets at Wood Pnl, Int &Ext Q�ne Firewall & Opngs 7SK n, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 3�Fd. rs-One T -Check Garage 3rd Story, 2 Exits EI Outlets & Rcptcls at Ktchn Counter Width-Hdrm-Rise-Run-Landing-Fire Prtctn Gar a Fire Door; Swing -Landing -Closure d� n Roof Ovrhng-Attic Vnts-Rftr Outrgrs '7?ZU5 7,9,AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80,wtr Hr• Vnts-Clmc-Com Air Cnnctr-PRV; abv flr t>� - 6 "t !�EFhear Lath -Weep Screed-Fndtn Vnts-Undrflr Acc �mb-;_�Ilec rtctn; LPG Appince Undr House 3" drain g Area -Glass Prtctn-SkyLts-Plastic 8 & Mech Eqp Listed for Loctn Walls; Nailing -Bolts Elec Cptcls in Garage (GFI) Romex Prtctn nt/Ext Wallpnis n -Foam -Looked in Attic 38 In tn-Walls-Ceilings — 8**r-u!rd Rails & Deck Cnstrctn-Post Caps SO-Infiltration-Walls-Wndws 8. do Vnts & Crawl Hole Door Drnge & Wood -Earth C c Drnge Planters 0 Yes [::]No tucco Brown -Finish o'`• o` o'• eT 442:;='.v 8 C it Dscnnct, Elec-Plmb i. n;='.v Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE ELECTRICAL 90'9Jtr Well, Dscnnct, Elec, Plmb Q2_ExArirTmsfrmr Cimc4ns Prtctn Trim, GFI Rcptcl-Undrgrnd 41 cptcls Spacingd tr &Switches at Doors ru House 4 xes & No Of Cndctrs Stapled GI Prtctn 3 x Installed Close to Edge of Studs & CJ 94 -Corr ctions from previous Inspctns rnd made up w/Mech Fstnrs est -Meters Tagged, Gas-Elec 4�,.6+'iidng Electrode Bond Gas & Wtr "'Mr.�"e . er Cnnctd-CIO to grade -HD Apprvl U-2'ppinc Cires in Ktchn & Cndctr Sz GFI 9; -En y Cmpinc Cert -Other Certs feed Wire Sz ga ❑ CU or [I AL 9&<ddress Posted AC Wire Sz ga 0 C or ❑AL 99 Fire Sprinkler 48 ange Circ ga 0 CU or AL �7 Oven Circ ga OCU or❑AL gyp` In fated Neutral ❑Yes ❑No oma• e`�� o'`• os 9 e ice -Riser Cndctrs &Grnd Main Dscnnct qp CImcs pnls-Motors-Mech Eqp 5 'thes Closet Lt-Shwr Lt -Spa Lt Smoke Detector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above a5idress and should be corrected. Please call for re -inspection when correction of work is co pleted.' If you have any questions pertaining to this matter, or need additional explana n, please contact the Building Inspector as indicated below. %jO iG� /���✓ GS/ aO7"z ////7S P/IU-1-G-6 72,W ; 7 _ Date Inspector ~” REV 4/05 Phone # 4' FOR. -RE -INSPECTION CALL: 538-7636 OR 891-2834 ' f AF- T c,-rQif (N / C N Wt -4C --12-C_ 16OUNTY OF BUTTE'•:,';•+ BUILDING DIVISION x, DEPARTMENT OF DEVELOPMENT SERVICES `M 7 County Center Drive • Oroville, CA • (530) 538-7541 71z14 i CORRECTION NOTICE a LIME C H60e_ f+nl C HoRR6r, PA,Ut6c_ MAAlU . _<Y5Er,S INA IN 719 /Al 1_I6l17 p p l , > P <� 30 c SI-EEL_l/C-:S IA( CeOS6 7S d�"f;'1 12Rnt)i11� x(o N�'�rz� ,..,�nF ;?z�7��1 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at =i the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. f AF- T c,-rQif (N / C N Wt -4C --12-C_ ✓/ Pty r („ ►C r� 1 U r �� ri� � �L b� " Fop Lex `M 6) A S AI E 'r'?r--nI6 i1,0NS A-7- AR- 7_C�7 71z14 :. LIME C H60e_ f+nl C HoRR6r, PA,Ut6c_ MAAlU . _<Y5Er,S INA IN 719 /Al 1_I6l17 SI-EEL_l/C-:S IA( CeOS6 7S d�"f;'1 12Rnt)i11� x(o N�'�rz� ,..,�nF ;?z�7��1 .:x D K iv lN S u - /a D '. r 1IZPEA,Til Date Inspector REV 4/05 Phone # 3ei-�rY.2 Z %x5 t FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 f COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE t`CLS CLS OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordi ances exist at the above address and should be corrected. Please call for re -inspection n correction of work is completed. If you have any questions pertaining to this matt , or need additional explanation, please contact the Building Inspector as indicated below. / -�OS-T A 17) r) 2 F s A T lN-TF2SrCT/o ti/ / /C 2 �7'U /t/E)CT IAJ S /`r?inA1 v CID U'S/Z WAFAMMM Date l l -6-7 G-7 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. r. ,> �c � pkv �✓ Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Fyr : COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 K- CORRECTION NOTICE OWNER PERMIT NO. L, A routine inspection indicates that the following violations of Butte County Ordinances exist at ' the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. X61 6 /7 r t: S• r.' ,r i 7 t' Date Inspector- REV nspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE a OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional a explanation, please contact the Building Inspector as indicated below. '�V- 4 Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 INSULATION CERTIFICATE Job Number: 8837 POPPS CONSTRUCTION W ROAD, FOREST RANCH CA 1 Contractor/Owner Name Job Address (street, city, state) BUTTE Countv Subdivision Name = .. = = Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material: I I Brand Name: I 1 Thickness (inches): I � I ! Thermal Resistance (R -Value): I I 2. CEILING Batt or Blanket Type: 1 Fiberglass Brand Name: Knauf Thickness (inches): I � 12 1 Thermal Resistan_ ce (R-Value):1 38 i Loose Fill Type: I Fiberglass I -Brand Name: I Knauf 1 Minimum Installed Weight/ft 1 .569 J lb Minimum Thickness:1 13 ;inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value):1 38 1 3. EXTERIOR WALL Frame Type: I A. CaAty Insulation Material: Fiberglass ,Thickness_(inches):1 61/4 1 Brand Name: Knauf Thermal Resistance (R-Value):1 19 B. Exterior Foam Sheathing ' __._Material: �T' �1' ''; ; Brand Name: t: Thickness (inches): I 1 Thermal Resistance (R -Value): I I 4. RAISED FLOOR .- .. 'Material: F Thickness (inches): i I .' 5. SLAB FLOOR/PERIMETER Material: I� Thickness (inches): I I Perimeter Insulation Depth Inches: I I 6. FOUNDATION WALL Material:! Thickness (inches): I Brand Name: Thermal Resistance (R -Value): I ; Brand Name: Thermal Resistance (R -Value): I I Brand Name: Thermal Resistance (R-Value):1 1 DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where app • able. 2&3 ��* T W✓Y� ` Chico Insulation & FireDlaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner GREGORY A. PEITZ ARCHITECT 383 RIO LINDO AVENUE, CHICO CA 95926 (530) 894-5719 FAX (530)894-1523 e-mail gregpeitz@sbcglobal.net -- FAX COVER SHEET, Date: z_/.6 -e j, Ca p To: 1 7 Fax No.: From: Regarding: PL, (f)p ( 3 Pages (including cover sheet): Comments:; ki SP - -LNaA Z00/ z 00 in Go •Z 7,0. sdn,iqd LNaA 4:21 1 s t � o O's EZE;> 4 T"JJ P7CT 6R0 nee Vvj OA''YT 71AT JAI -1. FROM POPPS CONSTRUCTION FAX NO. 530 3424432 Sep. 19 2006 04:49PM P1 0/ /V.) APPLIED TESTING CONSULTANTS .. ;" MATERIALS 'TESTING, ENGINEFRING AND INSPECTION ASTM 1557 Moisture/Density Uurve Client: Address: City, State Zip: Atin: Projocl: Soil Description: sample location: sample dnpth: Trial No: Water Added Gross compacted wt: Container Tare: Net compacted wt: Wet density, pcf: Dry density. pcf; Pan No: Gross wet wt: Gross (try wl: Pan tare: Net dry wt: Moisturo loss: % Moisture Content: 98.0 97.0 06.0 c 95.0 ?' 94.0 N 0 93.0 C Z, 92.0 0 91.0 90.0 89.0 16.0% :saIRple No: T-1 Ray Philips : rn, rw Wt\o: 3 -May -06 765 Caprice Way 73n TecNr� M. Warta Chico, CA 95973 Ray Philips (1 1 4521 Al Road ) �1 17 Brown Sandy Sift w/ CI 1 2 3 4 5 300 x#00 200 .._ 1.00 6848 6742 67111 6550 2835 2835 28351 2835 4013 3907 3876 3715 118.0 114.9 114.0 109.2 96.3 91.7 94.7 92.3 Sarripld Weight- 5000:0 g 1 2 3 1 4 5 Rock Correction' ASTM D4718 895.0 791.0 837.7 837.0 Total sample wt: •314 rock wt'. % of +314 rock: Specific Gravity of +314: Rock aerp density. - 745.6 648.41 710.01 720.0 82.2 84.3 82.31 82.3 663.4 564.1 627.7 637.7 149.4 142.6 127.7 117.0 22.5% 25.3% 20.3% 18.3% 17.0% 18.0% 19.0% 20.0% 21.0% 220°/ 23.0% 24.0% 2.5.0'!0 26.0% 77.0% Moisture content (% of dry weight) Max density from curve: 96.3 , Max adjusted density: 96.3 pcf Optimum moisture: This test was performed per ASTM 1557 Reviewed by. 22.5% 3060 Thorntree Drive, Suite 10 • Chico, CA 95973 • i:eiephone: (5.30) 891-6625 • Facsimile: (530) 89i-4243 - 1� PV FROM POPPS CONSTRUCTION FAX NO. : 530 3424432 Sep. 19 2006 04:49PM P2 APPLIED TESTING CONSULTANTS MATERIALS TESTING, ENGINEERING AND tNSPIECTION Nuclear Densitv Testina Report Per ASTM 1557 Report Sea. No. 1 Cticnt: Ray PhiiipS Page: 1 of 1 Address: 765 Caprice Way 73 Date: 5/3/2006 City, State: Chico, CA 95973 Tech: K. Coy Ann: Ray Philips Project: 4521 Al (toad Soil Du6ctiption: Gauge 115 12 CALIBRATION DATA: Density sto- Motswrt: Std.; Dcnpity z ; Moisture xl Compaciwn Equipment Cat 0.6 _ Req'd % Compaction Cutvc No.: T•1 Malt Dry Donsily. 96-3 opt, Moist. Comm: 22.5 9D% fell h Test Oepllt Wattion: Eley. Wel DeAiity 420 Derry Dry Density Myishirr, Contant -x Comp RcwI13 1 12' 1 East Side FPG 111,2 17.3 93.9 18.4 98% PASS 2 12' North fast Side FPG 110.7 21.6 89.1 24.2 93% PASS 3 12" North Side FPG 109.2 20.3 88.9 2:2,8 93% PASS REPORT: Arrived at jobsite at 0930hrs. to perform compaction testing of the above location. Performed 3 nuclear density tests at random tocations its indif:ated above_ Appox 15+" of rill wiih no compaction testing except for FPG. Note: The results of these tests apply only to the soil at the location and elevation at which the tests were performed_ No other conclusion is rendered based upon these tests unless such conclusion is presented in the form of a report. NOTE: 3urfane tests only l ap4t IU: Reviewed oy , 0 3060 Thorntree Drive, Suite 10 9 Cbico, CA 95973 0 Telephone: (530) 891-6625 • Facsimile: (530) 891-4243 GREGORY A. PEITZ ARCHITECT 383 RIO UNDO AVE. CHICO CA 95926 (530) 894-5719 PROJECT: I have reviewed the truss submittal for the above project and all loading design criteria have been met. Greg A. Peitz Architect e omounnance Certificate. 0 IS 2 7 3 6 THIS iS TO CERTIFY t�at�}� icEClaminated fir'ifar :iv:u.a5 3dcii:8c7 -wiuh a v o67aCL1lva ma rk of Eflgir,eered Wood Systems ( S) iNere rnanufac.E.lred in ac_orkdancb with. the aPniicable Standards 64-.Q�Ss ociweaci s'per.ficaItons indica-ted- beloW". i._4:997 For 6A�v,.,.d �r s s.,, l r Vie ael4a Yi Lr t�. C3.:1 :, 1'.� Lal a9sT3 f. dr�3idr NER486 G-Juad Lam.-Inated Tiivia .r=GAP. COFiiDUIQ-r Program For 094agrnlr?!d?g I;omStgfy dt'dSS S AIT' 't 17-93 - Manufacturing - SZardard SLecifica°iomis For Structural =S Si[. f�5 :� ��f6-H19�e�A�U 's-iSa�Yrr �. YJi.%•. a �3qi.%`?EJ `�v�-'doe�t i'i�i="l L'J` Y 'vZfri a i 3 dj u IG•, af3 re s _— f JQ €-,re4 sa #' p o APA jWS is s6_b ls=r keCj Stnu tura °: 4;,.minat irk? e members s ��fd P,v :Cet iri a mia-1 0 adwring :aci i subjeci Eo regular audiisu- In accQrddance °widrh the En.&,aare,4 C3alaa:j.i. r_r?r� B..s_a rfF�•�'rarn- Rou.i^e EUC'_s MC SC. c d-'fG"0;AeS' manufaaeruring process and. eva!uatjcn of the in -plant QA. program with adequate Sampling to verN, 90 sii`-;dSs77y im_5ay43ar9 f -i 3's"trlUgi Sa ldJ laid gi4i§SbFi b:U r i t -S IS TO a ER- THAT 17HE GUTLAIM(S ) FOR TIE�D 0 5JOB. AT VAq �J ,�� 01 C;STOMmz" (JOP ADDS , ' ALL 2400 F -:V 4 STAIN_D; CAkvMERCHMFEE CUR . ,?;W.!!, ;f big 6_eMs� - rS aai:2S.. C y 4•' h ±�yrtf 36a ?j ..�� low i:7-sc i:i%aiv'. Vacs R0 s: de 3 ,?;W.!!, ;f big 6_eMs� 02/0W07 -FR! 16:45 FAX 530 894 1523 PEITZ ARCHITECT 003/005 eo- .._.._.......... . ....:...J. _ .......�� ��._._....�..� �..���----...rte ._. /.�a. � .� .SCJ .... _. .49 -. __.._. -�-,-.-��.: � ...._._��... --mss �. _._._.... .............. t ....-sem__..=_._. �4rirr yas� ry c � _ REVISM: BP# , ,`, -^ � � J —- Date Z 9%07 _.._ J 0[1L1;�� fid...__._.. —APPR _...-- Refer to APPROVED PLANS for - — additional notes and information for this project 02/02:107 FRI' 16:45 FAX 550 a94 1523 PEITZ ARCHITECT gU T L WuN 1-Y 5/4" T46 PLYIND., GLUED .3UILDING DIVISION MAILED, D/ 2XI2 Mss #: F. APDDnN/cam, ®16" D.G. RIP TOP OF JO?ST TO PROVIDE 5/8":12" SLOPE r 2X12 — l O HAN&ER3 _ r�oo4/aas I� I —1-5' LONG GSI& STRAP JUPPER TOP I- SPLICES ® THIS YdALL LINE 3Yi x 14 tsL Fl -u S f} r2. C.) (c) 100 TYP. 14" BCI 450'5 m 16, —G. ! t cat -m ( F%Oq'OF WT EDGE OF UPPER LEVEL FLOOR. NAIL 5' LON6 0516 STRAP TO BOTTOM OF BM.: 51 TRUSS 51 TtRU55 RAIL ROOF PLY. TO TOP GWORO 6" O.G. f PLY! -O, 6LUEl _I LRA ASW BAR rFIT „041 'ININO � :1' a e. Ir �AdRPET 'ERIMEMP, rM* PER �f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053208 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. I LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3�e Business an Professions Code Date: /A Owner: 1 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. O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labbr Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy fc7 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: L & ` Applicant: _ 4, (f'4— &D zol— WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date: 09/06/2006 APN: 063-340-003-000 Site Address: 4521 AL RD FRN Map Index: Description: NSF(2731)GAR(1041)COV(756) Owner: PHILIPS, RAYMOND A. & LORI A. 765 CAPRICE WAY CHICO CA 95973 (530) 342-7823 Applicant: PEITZ, RUTH 383 RIO LINDO AVE., CHICO CA 95926 (530) 894-5719 Contractor: POPP'S CONSTRUCTION CO 18 PISTACHIO DR CHICO, CA 95928 License #: 511846 Architect: PIETZ, GREGORY A. Engineer: Total Square Ft: 4528 S.F. Valuation: $214,595.00 G241.12 101202 k Q 1461203 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work indicat d abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B R Dattel: Address: PERMIT EXPIRES ON: —I'` 0 I ❑ I hereby certify that the use of this facility shall comply with Sections 25505,25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all couflty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representjatlypess �of,tB,,utte County to enter u on the above mentioned property for inspection purposes.0 %� Print Name: _ i�I O r`© �i `� �- ��11 [_ I a Signature: 4�g �L�� Date: 7 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds *'PLEASE PRINT CLEARLY'* OWNER Last Name, '. First ame Addie • City St Zi Phone ` Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name City C I Ca Address g S G t Jr - City C t C D State Zip 9S_t1a-_ Phone oZ _ Lt Lf Fax E-mail Lot # Lic. # Class ARCHITECT/ENGINEER Name re t +Z Address ,,pp t, o ✓-e City C I Ca State C1 ►T pipqS�� Phone _5 - Fax E-mail �(t2 State Licen�se$ umber APPLICANT NAME Name kti p � i -Z 1�. Address I N-3�l0 t ' nd0 Avg City cC) State FiP__q�S- Phone Sq `[ _ 5 �' Gt Fax E-mail For office use only: Zoning U Flood Zone Ci C SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT ' _ 3-w BIN # A- /.S LOCATION AP# d G�'�y Ar�ll Address i L ar _ Ci C ross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: N.Iq '�Ilaoa2�e / . tii Sq. Footage �7 SGS ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: s� Bldg SRA Receipt #: 4 l3CJ 5 Sheriff CK-Hl/a62 1] Date: � Other / 19- &—l1_C /, () '!5�: S Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / WA L4 %?Gird ASSESSOR PARCEL NUMBER Proposed Building Use: �� T Permit Technician: /" Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Ir 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. [k- 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. .21 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form p 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon recgeipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in 9 Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 08. Erosion Control Plan Required........................................................................ (C 9. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. 22. California Department of Forestry plan approval eid. Sent by: /2-/(o GLS Cfc-23. Planning approval for (A) Use: (B) -Parking: {E�Parcel Check:.........`!'O�co3- ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form....................................................................... . 27. Encroachment Permit for driveway from the Public Works Dept........ n.q............ 28. Contractor's license information. (Number, Name Style, Classification) ................... .29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement........................061 ......... 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone %3 9<f S7 � (�/moi �,pi �� and hold for pickup. U I have been informed of thee above items and requirements for obtaining a building permit. Applicant: Date: 1 Z - -" 6 1. Index permit application for the above itemsWmbered: Plan Check Letter 2. Additional items required Contractor, designer owner as advised of the above data by W phone, ❑ mail, ❑ counter, by _Ti . Date: 8.3 -©!Q Contractor, designer, o ner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: i Date: Structural reviewed by: Date: tructural approved by: Date: Note transfer by: % Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 cl ID JDUTTE COUNTY DEPARTMENT OF PU IC EAI TH ENVIRONMINTAL HEALTH DIVISION ENVIRONMENTAL HEALTH CLEARANCE REVIEW A Clearance is a review by Environmental Health to assist the applicant in the Building Permit process by verifying compliance with the requirements of the Uniform Plumbing Code regarding minimum standards for sewage and water systems. A Clearance remains valid when: The parcel will be served by existing water and sewage systems determined by the Division to be adequate for the proposed use, or ➢ The parcel will be served by individual well and septic systems, not yet constructed, but under current, non -expired permits Owner Name Site Address Proiect Type ..,�ingle Family Residence with 3 bedrooms APNc7rY�;4:0 — _ � City e5" ❑ Other (Describe): File Records Review Will the parcel be served by a public/community water system?Yes 00 11 ➢ If yes, what is the name of the system? &Z2"T,_.4_s I,- uk6y ➢ If no, is there a valid well permit on file? ❑ Yes ❑ No ➢ If finalled, what was the date of the final? Will the parcel be served by a public/community sewer system? ❑ Yes *No ➢ If yes, what is the name of the system? ➢ If no, is there a valid septic permit on file?Yes ❑ No ➢ If finalled, what was the date of the final? Will adequate setbacks to wa or sewer sy tems be 'ntained?Yes ❑ No Comments � d c,. , I '"` Official Use Only Below This Line *" BUILDING DEPARTMENT: PLEASE DO NOT FINAL THE PERMIT UNTIL ENVIRONMENTAL HEALTH HAS SIGNED PART TWO OF THIS CLEARANCE. Part One: Clearance for Building Permit Approval 1� �-/=06 Part Two: Clearance for Building Permit Final Date M/ev EHS ❑ Plot Plan Attached ❑ Floor Plan Attached ❑ Pt 1 Sent to.dDS! ❑ Pt 2 Sent to DDS: (2? doc Date Refton August 21, 2006 ' 7 vldnimistratiomForms!Clearance 202 MIRA LOMA DRIVE 411 MAIN STREET/ P.O. Box 5364 7 COUNTY CENTER DRIVE Oroville, CA 95965 Chico, CA 95927 Oroville, CA 95965 TEL: (530) 538-7282 TEL: (530) 891-2727 TEL: (530) 538-7281 FAX: (530) 538-2165 FAX: (530) 895-6512 FAX: (530) 338-7785 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner RAYMOND PHILIPS APN No: 063-340-003 Application Date 12/6/2005 Permit No: BP 05'3208 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,376.32 Plan Check portion of Permit Fee $1,350.53 2 FEMA Res Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $1,445.53 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION 4 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 5 Additional Plan Check Fees (NON-REFUNDABLE) 6 Other*: 6a Other*: FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 7 IMPACT FEES - RESIDENTIAL* Applications After 2114/05 jPer Dwelling SFD jPer Dwelling MFD 770 Butte Creek County 1 4096.87 3071. 772 Little Chico Creek Chico Urban Area 5372.09 3995. 776 Mud -Sycamore Creek EI Medio Fire District 3128.31 2297. North Chico Specific Plan of SR -1, SR -3, SR-1/PD 7938.531 6757. �c R-1 8031.53 0 ° R-2 7541.53L R-3 6780.531 6850. 6360. 5599. Processing Fee is automatically added to impact fee total 8 WATER TENDER FEE (Not collected when impact Fees Appiicabie) Enter Bat.# DRAINAGE FEES* 9 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch j5T,5.S1 RECEIPT DATE Tech/Asst 23,61 4901202 �i� i12 V1203 RECEI�T ATE Tech/Asst 12/6/05 Tammie .46 Per Dwelling MHaL 3117.43 4889.56 ,Z 2326.36 �A . 7633.49 7726.49 6475.49 RECEIPT DATE Tech/Asst $100.00 4,196.87 C CA-(n-lfr, $200.00 � $8,603 9a lFee More than 1 acre, existing buildings - fees to be assessed by Public Works Determination Sheet Needed - Enter amount determined by PW 10 THERMALITO DRAINAGE AREA L $652 IMaximum Per each new living unit on existing lots where full drainage fees have not been paid 10a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO check is completed for applicant to take to respective district office. RECEIPT DATE Tech/Asst ISSUANCE OF PERMIT. Forms will be prepared after plan 11 SCHOOL DISTRICT FEES* Chico Unified School District 062 � (�?[a �GI —XN -1 11a RECREATION DISTRICT FEES* Paradise -1 04 [ +"ti' �►/� At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: G • y/ I ��� Pursuant to Government code Section 66020, you are hereby notified those Items followed by an " " may have been imposed on your projec . You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105 J AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE. CA 95965 COPY of Document Recorded Has not been compared with original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this .property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: OJC Date uC C�(''� PROPERTY OWNERS: RWIaLb A Lto� ",g.14. State of Ca forn' County of �& On\ befo nae � t w personally appeared G j I7 7— = / persartatly known o (or proved to me on the basis of satisfactory evidence) o be the persons whose narniW Ware subscribed to the within instrument and acknowledged to me thatirehhe/they executed the same in hesAter/their authorized capacity ies and that by hiWherltheir signatures on the instrument, the person(qor the entity upon behalf of which the person. acted, executed the instrument. WITNESS my ha aqd official seal. % Signature DIANE N. MODES _ A.P. # Commisslon # 1379493 -,;.. Notary Public - Cod6inla _ • Butte County My Comm. Expires Oct 1'1.2006 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District toci /nI t I Vter -rQA 66Q- Building Department No. A.P. Number Property Owner Jurisdiction: Q city ej--,,% . I , Property'Location/Address ,At L Subdivision Lot No. County :: Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) ................................................................... **'; .-. - . . .':- - . I Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial New Addition Sq. Footage (including Exterior Roofed Areas) .8-5-66,o Efate District Identification No. 09OZ5 School District certifies that (Applicant) 765 (Street Address) (City) (State) has complied with the requirements of Resolution No. representing C9` 213 square feet. School District Representative Paid by Check # Remarks: (Phone Number) (Zip Code) by payment of $ -71949.5,3_ B 2926 $ ULL MITIGATION $ Date Nofla: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compillance with Government Code Section 6602(4a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, On School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the Calffornle Environmental Queft Act (CEQA), is project may be subject to additional school teas to ftft mitigate its Impact an On school d*&Ws schools. White (school district), Yellow (building department), Pink (applicant) feeformids (305*w BUTTE COUNT' DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) P-'I<ARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Numbs Property Owner (s) CC, Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home Demo Permit (date 1W Comments: Building Pen -nit Number Assessable Sq. Ftge _,2 hZ 3 f Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department Lied) ^ verified by Building Department ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: Applicant"Name Phone Number -16 5 C.,,2r,��. l�a� C�,'�o Ch l 5973 Mailing Address I City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. (q i q 9 by Payment of: Dwelling Units @ $ per unit for a total of $ IL-13 ) Square Feet @ $ , �q per sq foot for a total of $ �d 2 D �, C Remarks: Paid by Check No: Recreation and Park District Paid by Cash ve Receipt No: 516-106 Date Butte County Department of Developinent Selwnces o��srFo C'0 �` r7: •... p 7 County Center Drive C �- _ �' C Oroville, CA 95965 �G`� o- o O :'@, o G (530) 538-7601 Telephone CIO UNty (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES [ request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for* disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required' permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Q Applicant Name:Z— Building site address: APN: �Ya -,3"16 � Permit No.: 1 have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: )..- 6 - a� SIGNATURE OF APPLICANT DATE ,,..t=.:.. Department of Public Works g U t . i.;,,-. t e X11 f fo C o u n t y o LAND DEVELOPMENT DIVISION '•! '•' �J A J. Michael Crump, Director Storm Water Management Pro;rarn `�'• '' 0 4 ® 7 C6uny Center Drive Oroville, CA 95965 AUC WOF�S (FAX) 538-7171 (530) 538-766 National Pollutant Discharge Elimination System (NPDES) Phase Prevention Construction Storm Water Permit and Storm Water Pollllution P Plan (SWPPP) Acknowledgement BLESS THAN 1 AC Project Description: andlor Parcel Number: Project Location , -, By signing below, I, the project ownerlowner's agent, certify that this project WLLL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit tion the State of California Regional Water Quality Control Board. ard. hased projectsaseshat contain more multiple site build -outs of less than one acre but when combinedsubsequent than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board- I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: cl Date: /)- 'd r Gi r-ck l' } e c, GREGORY A. PEITZ ARCHITECT 383 RIO LINDO AVE., STE. 100, CHICO, CA 95926 (530) 894-5719 To: Butte County Building and Health Departments From:�- I authorize of Gregory Peitz to act as my agent for the purpose of applying for a building permit and septic disposal permit. SITE PLAN REVIEW APPLICATION Date: AP# Pol, Y_ 3 "/la --c�Jo 3 Permit Number (if applicable) 99f - 3O g Bin Number A LJ APPLICANT INFORMATION Parcel Size: 7r0 X Owners Name: Owners Address: 'r �'`F �' �t � G I ,v Telephone No.: Site Address: �4L !'ie>c�,O/I�S? �-✓GH Proposed Use: Rf.sidential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By 4& 1 Date Q�s'zog� ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: Applicable Building Setbacks: General Plan: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: El Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger . ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Man: Map Date of Recording: 14 f Lot: 9 Book: Page: 2006-00456.42 Official Records I County of I COIFORMF.D COPY 1.00 Bute I CANDME J. GRUBBS 1 AND WHidRECORDED MAIL TO: County Clerk -Recorder' BUTTE COUNTY BUILDING DIVISION I ABG 7 COUNTY CENTER DRIVE 011:0L'3114 06 -Sep -2d06 1 page 1 of 1 OROVILLE. CA 95965 111 III I IN 1111111111111111111 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT I FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this .property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �� e ✓e6o���e 0 *Z -e 0� 74e G'0% lid 0JC �Gi�k--�4- d"-65 1/7 Date 9'02 PROPERTY OWNERS: State of Ca�forn' ) County of ) On hU P4 -i%cl .-OLIAUf0 , befodh Me.- rAllq 77 6 iVl�IVO // personalty appeared / ty known o (or proved to me on the basis of satisfactory evidence) & be the person(s) whose names) /are subscribed to the within instrument and acknowledged to me that-h&shetthey executed the same in hisPherttheir authorized capacityLes and that by bisRter/their signatures on the instrument, the person(�) or the entity upon behalf of which the person,cj acted, executed the instrument WITNESS my ha argd official seal. Signature �> 4�;Seal: DIANE N. MCOES-L A p H (06 - 3L10 j Commission # 1379493 -m Notary Pl.w - Califolnla _ • .Butte County My Comm. EvkesOct 111A 4- w -w • • SITE PLAN REVIEW APPLICATION Date: 7—Z— D '� AP# d Permit Number (if applicable) 3 D APPLICANT INFORMATION Parcel Size: Owners Name: STS Owners Address: Telephone No.: Situs Address: Proposed Use: Residential In New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ® Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By IQ Date 2Ell — Page 1 of 5 M ALL ITEMS CHECKED APPLY TO THE PROPERTY % Parcel Is In: • ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: (x`37 S C- Index Date: 6-8-96 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------------- ----------------------------------------------------------------- -------- ------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: LA Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 50 Side 3 Q Side Street Rear S 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: t- Standard Fees Amount Formula • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other --------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. • Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements •------------------------------------------------------------------------------------------------------------------------------ Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: r --) Lot: 2- ❑ Use Permit/Minor Use Permit Permit Number: P� Book: -12— Page: • Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for 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 the Fire Department specifications, serves the parcel. ❑ 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. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Pla• must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. Page 4 of 5 r • r r 'w • b3 -W 3 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: ei4404-STyie�Oc✓ ffi�t- �, «1�4QS� Phone: S3 & - 7.22 -,ro5-% Mailing Address: A D - J ox KS 2 SSl E -Mail address CHETW4"5Z 2 S &&57-d, QOfi Assessor's Parcel Number: 66; —3 62Q Reason you believe you qualify for the unusual circumstances exception: Owner or Authorized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ® Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: is 6'An C eC, �-_E £TS °-:�)v -P�C--�Z S e�-t-i-,�rae_�< S Agricultural Department Signature:Date: YMC 7/1/03 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: aCC/ 4--Q C d -O Lf S l= ti By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. 1, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title:Date: National National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title: Date: NPDES &: SWPPP Non -Compliance Certification Butte County Stonn Water Management Plmt Revised 5/22/03 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Carol Sturdevant ADDRESS: P.O. BOX 36 CITY & STATE: Bella Vista, CA 96008 DATE OF CLAIM: 08/23/05 �J cUT T E C01INTY i PLa,NNING DIVISION SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sheet APN: 063-340-003 �., Permit Nc`°U3s9883 ,. PAID RETAINED I REFUND Development Services $ 1,674.10 $ 602.80 $ 1,071.30 SRA $ 43.00 $ - $ 43.00 Sheriff $ 335.00 $ - $ 335.00 Other: $ - $ - $ - TOTAL $ 2,052.10 $ 602.80 $ 1,449.30 ............................................... ............... ................................................................... ............. :.:.-C.:.:.:.:.:. .................................................. ................................................ R1✓AI{�O::: . ................ ............... Bi�DGET:: .............................. .............. .............................. .............. ................................ :AOCOUX ' .. ............... ............... -'MOUNT:: ............... Develo ment Services 440-001 4210500 $ 1,071.30 SRA 0100 4617240 $ 43.00 Sheriff 280 1011811 $ 335.00 Other $ - TOTAL 1 $ 1,449.30 $ 1,449.30 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this C J day of 2005, at �i G Q Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropri ' n or Specific Board Approval (Check one for the same. QT—k—Dated this day of 2005, at Oroville Ca' hU Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. I 8/23/2005 Butte County Department of Development Services www.buttecou nty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Carol Sturdevant P.O. Box 36 Bella Vista, CA 96008 RE: Permit No. 03-1883 APN#063-340-003 Owner: same On 6/25/2003, a deposit was made in the amount of $641.80, and on 12/23/2003, a deposit was made in the amount of $1,410.30, of which $602.80 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1,449.30. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Senior Account Clerk Administrative Division enclosure 03-1883.1tr DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 08/15/2005 Michael Vieira Building Manager o�VTrFo 0 0 O O c0U N'�y Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: 3� 00 MAILING ADDRESS: G8 _.._ r.. ...,.._ ...' PHONE: ASSESSOR'S PARCEL NO.:..:.(�F.:.-.; '_.l,L. ✓--.:= [Please use one claim form per permit.) BLDG PERMIT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT rE , r: NO.: l0 % I� `� , T RECEIPT DATE: _ -- —_ RECEIPT AMOUNT: _. REASON FOR REFUND REQUEST:b) 5 gp �U �L.0.p7T, Check those fees which you wish to have considered for refund: =Building Permit Fees Sheriff Fees O -SRA Fees (CDF Fire Planning) Other (specify): - Plans for cancelled permits will be disposed of within 10 working days upon submission of a ,Request for Refund. If you want the plans, you may ick them up prior to that time. SigWature Date K:/Forms/Refund Application 082203 8- ! �- 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, California, 95965 • Telephone (530) 538-75412 (Rev°12/A APPLICATION AND PERMIT �J ASSESSOR PARCEL NUMBER 063-340-003 ZONING U BUILDING PERMIT OWNER EDWARDS CAROL722-1053 TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 492556 REDDING 96049 1845 R 99 630.00 649 11 11,682.00 CONTRACTORS NAME OWNER TELEPHONE 460 open CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 114 532.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 692.00 Plan Checking Fee $ 449,80 BUILDINGADDRESS 4521 AL RD CHICO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1184.80 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15/00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping stem 1 - 5 outlets 15.00 15 oo Building sewer 15.00 15-00 Mobile Home I S I G I W @20.00 PERMIT FEE t 175.00 FLOOD'X,0375C SRA ELECTRICAL PERMIT I Fling Feel 20.00 Main Service zo.A OR LESS 1 23.00 23.0 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 1 am exempt from the Contractors cense li 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. 211'1, 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 Main Service 200A TO tOOOA 1 46.00 NEW CONST. DWELLING OCCUP.sG OR ADONS. ( & ACC. BLOS. 3.5Qs-_ �µp�IpT' MULTI-OUTLETU. @7.50 POWER APPAUS 8 BINDLE OUTLETRATCIR. Ex. Occup. OUTLET OR FDRURES 20 0': o Ex. Occup. OUTLETS FMED I OR E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 0f one hundred dollars ($100) or less.) a,certify 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - / X Date Signature of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.By MECHANICAL PERMIT Fling Fee 20.00 Heating 1 9-00 Cooling 15-00 Hood 6.50 6 5o Ventilation tf PERMIT FEE $ gg _no Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 1-603.10 HAZ. -- D. FEES IMP FLOOD X CDF PARCEL PD HD ISS•IE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have y]&�jqDate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Lf De Receipt No. 382226/552 80 _23660, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPE TOR GOL NROD-APPLICANT IJ yr . -- � . . „ - � .. _ ._. � .. - . - --..• ....- �r-.+�_wv.rII+yy+r .►+ieY'.Rs•ryi1R".1or �+in: COUNTY OF BUTTE -DEPARTMENT OF DEVELO -ENT ERVICES-BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: l/�!1� S ASSESSOR PARCEL NUMBE D ll/ J -� -g(o Proposed Building Use: T % Counter Technician: Ul Date: G Items required in order to apply for a permit. All boxes MUST be checked O marked NA in order to apply. ..Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. W1 I I b7tti 6t.Vl ��1t% ✓Z. Complete plans, 3 or 4 sets, signed by the preparer of the plans. j)Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ _ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... _ ❑ 10. Letter of intent for non-residential buildings......................................................... _ ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... _ 12. Hazardous Material Form.......................................................................... 13 Other i� C, • U FEiz 'fib p-, vh -7 — —L573 n �P0 t:. S F 0 �e- Vy-, emaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) *4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 03 Q tjok— ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................... - L/1"6. Sanitation and plot plan approval from the Environmental Health Department in If:77 *19. City of Chico Plumbing permit..........................................*Parel .............. California Department of Forestry plan approval aid. Sent_b.................. IL Planning approval for (A) Use:_(B)Parking: ( eck: _ I S f ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 17-J-2,3)03 ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone D and hold for pickup. I have been informed /of the above items and requirements for obtaining a building permit. Applicant: L1L'��7 j1000Gt�Cl'G�h./ / «', rI r "'/c % Date: � -,�-41 - O 1. Index permit application fort ve 4ew nu Plan Check Letter 2. Additional items required % %, IS n1 'Z% T- Mir Contractor, designer, owner, was a vised c - -the ab to by ❑ phone, ❑ mail, ❑ counte , by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun r, by Date: Plans reviewed by: Date: Plans approved by: a Date:1A YZ-03 Structural reviewedb Date: Structural approved by: Date: Note transfer by:f---Date: Yellnw- Ruildinv ivicinn N WV TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ' � r E.H. USE ONLY Plot Plea Attached Floes Pico Attache . Rent to B.D. d /w r /I 1WM /as_ -- 57V /D r �, &27-- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public-± Private Well Clearance for dwelling. Other Mold final for: Cis/ �AL---r1-77(, = L->7^-`" Final clearance O.K. for: NOTE: / 3 Fnvirnnmental Health Soecialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE t 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $. Additional Fees Due ................. $ / Revised Plan Checking Fee ..... $ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $� Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES /� � $510.00 (paid at Building Division) ✓/ 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER p,.OG33fbD03 o.,E 1c7�4 '3 RECEIPT # DATE REC. 39y�19 Iz Z 03 KIT (,p)403 pw At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT � ( 3��%(.LC/l / 7/ I z7'4""'A J DATE - 2-V =U Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Butte County Deparanent ofDevelopment Services TO: LP2A FROM: Michael Vieira (530) 538-7159 mvieira(&-buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract DATE: 8/6/2003 Applicant: Edwards, Carol Project Type: NSF 100% Plan Check Fees $ 449.80 Energy Calc Fees $ 23.00 $ 472.80 Permit No: 03-1883 APN: 063-340-003 70% $ 314.86 $ 16.10 $ 330.96 LP2A Fee $ 330.96 Copies Attached: Qty Chk . Application Site Plan Review ri(t ]FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other 5—A,4 Other YVONNE CHRISTOPHER, DIRECTOR ` 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile TO: LP2A FROM: Michael Vieira (530) 538-7159 mvieira(&-buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract DATE: 8/6/2003 Applicant: Edwards, Carol Project Type: NSF 100% Plan Check Fees $ 449.80 Energy Calc Fees $ 23.00 $ 472.80 Permit No: 03-1883 APN: 063-340-003 70% $ 314.86 $ 16.10 $ 330.96 LP2A Fee $ 330.96 Copies Attached: Qty Chk . Application Site Plan Review ri(t ]FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other 5—A,4 Other AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20iO3-0io884 1 4 Recorded Official Records CoBUTyyTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:25PM 23 -Dec -2003 REC FEE 7.00 CONFORM 1.00 Kathy Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural, purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date /,I -;-3 -O ?j PROPERTY OWNERS: State of CalifornJ*a County of wk On a ,'5 r'V 2003 before me, personally appeared CAV -01 Y=GA16s✓61S 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. WITNESSmy and and official seal. JENNIFER MACKALL Signature Seal: - Commission$ 1327115 Notary Public - Caldomia A.P.# ©L13-390 -003 r'- Butte County Comm. Oct 27, 2005 i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per*Buliding) School asa;cc Building E;�inty tNo A.P. Number 06 3 TU' Ni Jurisdiction: City Property Owner _ L42 kZ&12 r Property Location/Address Zz - C. G Subdivision Lot No. Residential Development Sq. Footage / U No Mg Mobile Home Addition( 'Supplemental to (Group R) Units Installation Conversion Permit!! '(No tamdation inspection) Deed Restricted Sq. Footage. (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Com ustrial Sq. Footage New Addition (Including Exterior l Rooted Areas) mg Department Representa ' to District Identification No. V �� Cj I <, N School District certifies that �o je V" +i, (Applicant) 0 ct (Street Address) (Phone Number) C (City) (State) Rip Code) has complied with the requirements of Resolution No. ?j by payment of E 3 representing ' square feet. IM 2926 $ FULLMRIGATM $ School District presentative Date Paid by Check t Rema: Nocioe: You may protest the Imposition *(the fees Identified above by submitting a wrfrten protest to the District, in compitanoe with Government Code section VA2%4 within 90 days from the datta fees am paid. Failure to submit a tinny written protist wlp' you Gom challenging the lnw**lflon of the fees In any court action. If. Subsequent to the school District Repres•ntatM signing this sufte County schools hnpact Fee CMH rw~ by the applt "Local Planning Agency that this project Is being rwlewed under the California We prat nW be sul4ect to additional school fees to fitly mitigste.lts Impact on the school dlstrictt e (applicant), Yellow (building department), Pink (school district) Qualify Act (CEQ4 j;L'i"►'E COC\7Y DF:VLL0 1,mF.NT SLRNZCPS (10103)dmm CHICO UNIFIED SCHOOL DISTRICT 1163 EAST SEVENTH STREET CHICO, CALIFORNIA 95928 (916)891-3006 RECEIVED JAN 2 6 2005 BUTI'>Y, COUNTY DEVELOPNIEN'T SERVICES C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT Terms and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND pursuant to C.U.S.D. Resolution No. �%fzl.0 A I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor Parcel No. ��. '.3�%O" 003 represented by C.U.S.D. ID No. 0A1Q,3EC for one of the following reasons: I will not be building a residential unit on this parcel and I have cancelled my building permit. Credit for demolition of an existing residence.(copy of permit & County Appraisal Report attached) Other Development fee paid $'391M, 3 0 Less administrative fee $ ($2.50 per residential unit) Total refund :$ Applicant Signature Date Printed Name Address Phone No. City/Zip School District Representative ` Date White -applicant, pink -building department, yellow -school district REFUND . APP B.S. 43 (2/91) ��/� �IL(� /�(c/1'�'.c��'1 <_t�o-P.� ✓'���'� REVIEWED BY Fire Protection Planning Officer CDF, Butte County Fire is project is approved with compliance f conditions on attached sheet r21�y1 Signature Date n• — — FREE SEPTIC _SETBACK LINE 218.1 p' FREE'SEPTIG SETBACK LINE NOTE: WATER SUPPLIED BY"BUZZTAIL WATER HORK5.° PROPERTY LIES WITHIN BOUNDARIES OF BUZZTAIL MUTUAL HATER DISTRICT. 51 TE PLAN APN: 063-340-003 OWNER: RAY PHILIPS OWNER ADDRE55:.965 CAPRICE WAY OWNER PHONE 0: 530-342-9523 FLOOD ZONE: NONE I I 50ALE: I"=100' _VINEYARD VIEW ROAD ID ARC,,, O ff°®. C 212831 " Ln 60 CA A NEW THREE BEDROOM RESIDENCE PAGE GREGORY A. PEITZ for: ARCHITECT RAY PHILIPS 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894-5719 AL ROAD APN 063-340-003, PH. # (530)342-7823 CHICO BUTTE COUNTY CALIFORNIA of. ONE ti W _ _ _ ' FREE SEPTIC LINE 218.10' ' J ' FSE SEPTIC SETBACK LINE d NOTE: WATER SUPPLIED BY "BUZZTAIL WATER WORK5." PROPERTY LIES WITHIN BOUNDARIES OF SUZZTAIL MUTUAL WATER DISTRICT. TM APN: 063-340-003 OWNER: RAY PHILIPS' OWNER ADDRESS: 165 CAPRICE WAY OWNER PHONE #:,530-542-1623 FLOOD ZONE: NONE 51TE PLAN 50ALE: I"=100' VINEYARD VIEW ROAD I APPROVED ENVIRONMENTAL HEALTH _ Butte County - Environmentalhealth AUG.2 9 06 • C�7CN.r+.�UtB r A NEW THREE BEDROOM RESIDENCE PAGE GREGORY A. PEITZ for: m. ARCHITECT RAY PHILIPS 383 Rio Lindo Ave Chico, CA. 95926 (530) 894-5719 AL ROAD APN 063-340-003, PH. It (530)342-7823 CHICO BUTTE COUNTY CALIFORNIA of- ONE UPPER LEVEL FLOOR PLAN Q 5/6• GDX PLYVV. W DCa • 6-,12' 04. GOX PLYYO. W Dda • 4% I2' OL. I. SHEARKALL FRMYN6 MAY EE OOI16. OR HEN. FIR TYP. 2. HAILS SHALL EE COMMON ?MLS" TYP. UOA S. ALL PLYMOOD PANELS SHALL NAVE ALL EDGES M=KEO. ENVIRONMENTAL HEALTH AUG 2 9 2066 CHICO, CALIFORNIA LH;JY'CR LCV CLI IVI ' UL PPER LEVEL. .630 ! _ TOTAL.x'731 ! LOWER LEVEL FLOOR PLAN „4.,,.-0 &ABASE. 1041! GOVb PORCH, 156 ! 566 M16H STLGCO W ZXD PAINTED GAP, XO TEW. 9090 TEhP. 76• WICUGNT 1 N RAIL W TILE R S A P SALLUSTRAOE TO PREVENT PASSA6E OF 4' SPHERE TLB ON TILE 2050 ON PLATTORa/ iEHP. TEMP. 2666 2666 2 FR PR SOLA,-TLBE ' PKr. M. BATHA4' GLB. VALFC-IN rArnc.d2,66 "`E4.05ET-Q20s GLs.T © M. BEDROOM ' : P 6.4' 4' CA.A. 6. 41.PET T-- SOLA-TLBE� 7666 . . 96' /UAH 6UARORAIL ATTIC ® W eA "WPADE TO AGGC95 PREVENT PASSAGE 2S OF A 4' SPN:RE. G r A 4 OPEN TO MON i 2626 Fix 2626 FIX �. 11'-9 UPPER LEVEL FLOOR PLAN Q 5/6• GDX PLYVV. W DCa • 6-,12' 04. GOX PLYYO. W Dda • 4% I2' OL. I. SHEARKALL FRMYN6 MAY EE OOI16. OR HEN. FIR TYP. 2. HAILS SHALL EE COMMON ?MLS" TYP. UOA S. ALL PLYMOOD PANELS SHALL NAVE ALL EDGES M=KEO. ENVIRONMENTAL HEALTH AUG 2 9 2066 CHICO, CALIFORNIA LH;JY'CR LCV CLI IVI ' UL PPER LEVEL. .630 ! _ TOTAL.x'731 ! LOWER LEVEL FLOOR PLAN „4.,,.-0 &ABASE. 1041! GOVb PORCH, 156 ! PAR.(, s / 7-� 30 \v F.O. P,6 -4-C .7 C- ryvt PkO 0 AtJ6 1. . o I 5.A -C - r O m 70 r m A r In r O O 7Q .Q r' D z u u - I F € YW. 302e A+� 5026 �� DD �f t ti •�f9 y•. �O . O = Z ADDENDUM TO THREE BEDROOM RESIDENCE For GRF�,GORY A. PEITZ ,s ,s 0 0 �a X J a� R?�Y PHILIPS.' A'I CHITECT A A D +,- A I YW. 302e A+� 5026 �f t ti •�f9 y•. �O . O = Z ADDENDUM TO THREE BEDROOM RESIDENCE For GRF�,GORY A. PEITZ OD �& � �a ,yy�• #i J a� R?�Y PHILIPS.' A'I CHITECT A D +,- A 8 � 2650 N Q, DOW N u u a a +O 10'-9• I s q;j — Z I I I. O I I I 1 I 0 I O = Z ADDENDUM TO THREE BEDROOM RESIDENCE For GRF�,GORY A. PEITZ o J a� R?�Y PHILIPS.' A'I CHITECT 8 � WILDER DRIVE CHICO 383 Rio LindoAve. Chico, CA. 95926 s r O m 78 r m u u F€ - C sZ � 70 0 902e AM. +.Q 9026 ^ OO m Jt► x t► Jt► In ; A r O o ,v= r RAY PHILIP5. AIIkCHITECT D 0 902e AM. +.Q 9026 ^ OO Jt► t► t► Jt► J«t. ; o ,v= �9 RAY PHILIP5. AIIkCHITECT T'ate a D!'650 8 VuA 383 Rio LindoAve. Chico, CA. 95926 s•9 • I p I 3F 11 e. rl DO ^L, $F i�ly I lit I� .la r IJ ` r I I I I I O � I b O ZADDENDUM TO THREE BEDROOM RESIDENCE For GREGORY A. PEITZ o ,v= �9 RAY PHILIP5. AIIkCHITECT 8 WILDER DRIVE CHICO 383 Rio LindoAve. Chico, CA. 95926 u N - 5026 AM !� 5026 AM.L!V rn r oo rn ADtu T r O • � u u r • D 2 2 I •o• 0•-6• b � I-5 i3 . I r O rn A r rn r r O A r� a < D D J P N J _ O _ 2050 I � N F �� ��FI I y 5050 � Soso sN N i b I v�4 I 00 X. sou u I y I r o dao I R8� . A �x � s� ••� i I y .+ s I _ P�K I c N 0 I - � OO 05� O• �F � I J I Q N 1 4� 60 x0 Q© Z S06e 96D. `fir 4 rho 4� O O I .Fuo ♦QN v?� � r� E b�mo� M F - P N I P 1F I I ' r �y g11 gM SO 5M � J a s y INSµ.ARD 12000 OARkp . DR. IM5ULAilD 1606 O � Z ADDENDUM TO THREE BEDROOM RE5IDENGE For GREGORY A. PEITZ kn F T, o a � RAY PHILIPS ARCHITECT �' CA. 95926 � WILDER DRIVE GHIGO 383 Rio LindoAve. Chico, � D N �o 2e5o Fl) DOWe. k v O v u I � .I 3(\ r Iii I I I O � Z ADDENDUM TO THREE BEDROOM RE5IDENGE For GREGORY A. PEITZ kn F T, o a � RAY PHILIPS ARCHITECT �' CA. 95926 � WILDER DRIVE GHIGO 383 Rio LindoAve. Chico, � 0 6AR DR 6 U O � Z ADDENDUM TO THREE BEDROOM RE5IDENGE For GREGORY A. PEITZ kn F T, o a � RAY PHILIPS ARCHITECT �' CA. 95926 � WILDER DRIVE GHIGO 383 Rio LindoAve. Chico, � Roof Beam[ 2001 California Building Code (01 NDS) ) Ver: 7.01.09 By: Gregory Peitz , Gregory Peitz Architect on: 10-18-2006: 1:27:44 PM Project: PHILIPS - Location: FRONT ENTRY BEAM Summary: 34.38 3.5 IN x 9.25 IN x 8.7 FT / #2 - Douglas -Fir -Larch - Dry Use S= Section Adequate By: 45.2% Controlling Factor: Section Modulus ! Depth Required 7.68 In Deflections: Areq= Dead Load: DLD= Live Load: LLD= Total Load: TLD= Reactions (Each End): IN4 Live Load: LL-Rxn= Dead Load: DL-Rxn= Total Load: TL-Rxn= Bearing Length Required (Beam only, support capacity not checked): BL= Beam Data: Span: L= Maximum Unbraced Span: Lu= Pitch Of Roof: RP= Live Load Deflect. Criteria: L/ Total Load Deflect. Criteria: L/ Non -Snow Live Load: Roof Loaded Area: RLA= Live Load Method: Method = Roof Loading: Roof Live Load -Side One: LL1= Roof Dead Load -Side One: DL1= Tributary Width -Side One: TW1= Roof Live Load -Side Two: LL2= Roof Dead Load -Side Two: DL2= Tributary Width -Side Two: TW2= Roof Duration Factor. Cd= Wall Load: WALL= Beam Self Weight: BSW= Slope/Pitch Adjusted Lengths and Loads: Adjusted Beam Length: Ladj= Beam Uniform Live Load: wL_ Beam Uniform Dead Load: wDadj= Total Uniform Load: -WT= Properties For: #t2- Douglas -Fir -Larch Bending Stress: Fb= Shear Stress: Fv= Modulus of Elasticity: E_ Stress Perpendicular to Grain: Fc perp= Adjusted Properties Fb' (Tension): Fb'= Adjustment Factors: Cd=1.25 CF=1.20 Fv': Fv'= Adjustment Factors: Cd=1.25 Design Requirements: Controlling Moment: 4.35 ft from left support Critical moment created by combining all dead and live loads. Controlling Shear: At a distance d from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Area (Shear): Moment of Inertia (Deflection): M= V= 0.10 IN 0.05 IN = U2200 0.14 IN = U732 592 LB 1187 LB 1778 LB 0.81 IN 8.7 FT 0.0 FT 5. :12 240 180 74.0 SF One 16.0 PSF 18.0 PSF 3.5 FT 16.0 PSF 18.0 PSF 5.0 FT 1.25 100 PLF 7 PLF 8.7 FT 136 PLF 273 PLF 409 PLF 900 PSI 180 PSI 1600000 PSI 625 PSI 1350 PSI 225 PSI 3867 FT -LB 1494 LB Sreq= 34.38 IN3 S= 49.91 IN3 Areq= 9.96 IN2 A= 32.38 IN2 Ireq= 56.77 IN4 1= 230.84 IN4 - UPP E h LEVEL LINE COLLECTOR CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title ..==PHILIPS 2731 g-== Project Address........ Date..10/18/06 14:53:33 *******---------- CHICO, CA *v7.10* ----------- Documentation Author... Gregory A. Peitz ******* Building Permit # Gregory A. Peitz Architect 383 Rio Lindo Ave. Plan Check / Date Chico, CA 95926 530-894-5719 Field Check/ Date Climate Zone........... 11 _ _ _ ___ Compliance -Method ...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. I MICROPAS7 x7.10 File-PHIL2731- Wth-CTZ11S05 Prog-ram-FORM CF -1R -- User#k-MP2330 User -Gregory A. Peitz Architec Run -Base Case ---------- I ------------------------------------------ ------------- -- MICROPAS7 ENERGY USE SUMMARY = - ---------------------------- Energy Use Standard Proposed Compliance = (kTDV/sf-yr) Design Design Margin - --- -- --- -- ---- Space Heating.......... 19.2716.372.90 - Space Cooling.......... 23.21 19.76 3.45 - Water Heating.......... 9.57 9.49 0.08 = Total 52.05 45.62 - 6.43 = _ *** Building complies with Computer Performance *** - *** HERS Verification Required for Compliance GENERAL INFORMATION HERS Verification......... Required Conditioned Floor Area..... 2758 sf Building Type .............. Single Family Detached Construction Type ......... New Fuel Type ................. NaturalGas Building Front Orientation. Front Facing 160 deg (S•)*40 Number of Dwelling Units... 1 GO Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Slab On Grade 1 19618 cf 2731 sf 21.8 : of floor area 0.35 Btu/hr-sf-F 0.33 7.1 ft I CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project -Title.... `....-PHILIPS 2731 - Date..10/18/06 14:53:33 ----------------- - MICROPAS7 v7.10 File-PHIL2731 Wth-CTZ11S05 Program -FORM CF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- BUILDING ZONE INFORMATION FENESTRATION SURFACES Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap ------- ---------- -------------- Residence ----- -2.758 ------ 19618 ----- ----- 1.00 --4.0 ------------- Yes Setback-•- ----- 2.0 Standard No - Orientation (sf) OPAQUE SURFACES Tilt Type Location/Comments ------------------------ ------------------ 1 U- --------------- Sheath- Solar Appendix ----- 15.0 ----- 0.350 Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments ------------ 1 Wall ----- Wood ---- 615 ----- 0.068 ----- ----- 13 4 --- ---- --- 160 90 Yes --------- IV.9 C3 -------------- FRONT 2 Wall Wood 297 0.068 13 4 250 90 Yes IV.9 C3 LEFT 3 Wall Wood 612 0.068 13 4 340 90 Yes IV.9 C3 BACK 4 Wall Wood 580 0.068 13 4 70 90 Yes IV.9 C3 RIGHT 5 Wall Wood 34 0.102 13 0 25 90 Yes IV.9 A3 KNEE 6 Wall Wood 23 0.068 13 4 115 90 Yes IV.9 C3 CORNER 7 Wall Wood 291 0.068 13 4 160 90 Yes IV.9 C3 GARAGE 8 Roof n/a 2101 0.025 38 0 n/a 0 Yes None Attic 9 Door None 19 0.330 0 0 160 90 No None GARAGE PERIMETER LOSSES ---------------- Appendix Length F2 Insul Solar IV Location/ Surface (ft) Factor R-val Gains Reference Comments ---------------------- ------------ 10 SlabEdge ------ 188 -------- 0.760 ------- ----- R-0 --------- No None To Outside it SlabEdge 32 0.510 R-0 No None TO GARAGE FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ------------------------ ------------------ 1 Wind Left (W) ----- 15.0 ----- 0.350 ----- 0.320 --- 250 ---- 90 -------- Standard 1/Vinyl/Wood Operable Lo 2 Wind Left (W) 15.0 0.350 0.320 250 90 Standard 2/Vinyl/Wood Operable Lo 3 Wind Front (S) 12.0 0.350 0.320 160 90 Standard 3/Vinyl/Wood Operable Lo 4 Wind Left (W) 6.0 0.350 0.320 250 90 Standard 4/Vinyl/Wood Operable Lo 5 Wind Left (W) 8.0 0.350 0.320 250 90 Standard 5/Vinyl/Wood Operable Lo 6 Wind Back (N) 25.0 0.350 0.320 340 90 Standard 6/Vinyl/Wood Operable Lo -7 Wind Back (N) 30.0 0.350 0.320 340 90 Standard 7/Vinyl/Wood Operable Lo CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... PHILIPS 2731 Date..10/18/06 14:53:33 I MICROPAS7 v7.10 File-PHIL2731 Wth-CTZ11S05 Program -FORM CF -1R User#(-MP2330 User -Gregory A. Peitz Architec Run -Base Case I ------------------------------------------------------------------------------- FENESTRATION SURFACES --------------------- Area U- Act Orientation (sf) factor SHGC Azm Tilt Exterior Shade Type Location/Comments 8 Wind Back- (N) 28.0 0.330 0-320 340 90 Standard 9 Wind Right (SE) 15.0 0.350 0.320 115 90 Standard 10 Wind Back (N) 20.0 0.350 0.320 340 90 Standard 11 Door Left (W) 33.0 0.350 0.350 250 90 Standard 12 Wind Back (N) 24.0 0.350 0.320 340 90 Standard 13 Wind Back (N) 8.0 0.330 0.320 340 90 Standard 14 Wind Back (N) 24.0 0.350 0.320 340 90 Standard 15 Wind Back (N) 8.0 0.330 0.320 340 90 Standard 16 Wind Back (N) 24.0 0.350 0.320 340 90 Standard 17 Wind Back (N) 8.0 0.330 0.320 340 90 Standard 18 Wind Right (E) 15.0 0.350 0.320 70 90 Standard 19 Wind Right (E) 15.0 0.350 0.320 70 90 Standard 20 Wind Right (E) 15.0 0.350 0.320 70 90 Standard 21 Wind Right (E) 6.0 0.350 0.320 70 90 Standard 22 Door Right (E) 19.0 0.350 0.350 70 90 Standard 23 Wind Front (S) 30.0 0.350 0.320 160 90 Standard 24 Door Front (S) 20.0 0.350 0.350 160 90 Standard 25 Wind Right (E) 9.0 0.330 0.320 70 90 Standard 26 Wind Front (S) 9.0 0.330 0.320 160 90 Standard 27 Wind Front (S) 9.0 0.330 0.320 160 90 Standard 28 Wind Left (W) 9.0 0.330 0.320 250 90 Standard 29 Wind Front (S) 30.0 0.350 0.320 160 90 Standard 30 Wind Left (W) 7.5 0.350 0.320 250 90 Standard 31 Wind Left (W) 7.5 0.350 0.320 250 90 Standard 32 Wind Back (N) 10.0 0.350 0.320 340 90 Standard 33 Door Back (N) 17.0 0.350 0.350 340 90 Standard 34 Door Back (N) 17.0 0.350 0.350 340 90 Standard 35 Wind Back (N) 10.0 0.350 0.320 340 90 Standard 36 Wind Left (W) 7.5 0.330 0.320 250 90 Standard 37 Wind Back (N) 15.0 0.350 0.320 340 90 Standard 38 Wind Back (N) 15.0 0.350 0.320 340 90 Standard 39 Wind Right (E) 6.0 0.350 0.320 70 90 Standard SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ Standard Slab 2731 8/Vinyl/Wood 9/Vinyl/Wood 10/Vinyl/Wood 11/Vinyl/Wood 12/Vinyl/Wood 13/vinyl/Wood 14/Vinyl/Wood 15/Vinyl/Wood 16/Vinyl/Wood 17/Vinyl/Wood 18/Vinyl/Wood 19/Vinyl/Wood 20/Vinyl/Wood 21/Vinyl/wood 22/Vinyl/Wood 23/Vinyl/Wood 24/Vinyl/Wood 25/Vinyl/Wood 26/Vinyl/Wood 27/Vinyl/Wood 28/Vinyl/Wood 29/Vinyl/Wood 30/Vinyl/Wood 31/Vinyl/Wood 32/Vinyl/Wood 33/Vinyl/Wood 34/Vinyl/Wood 35/Vinyl/Wood 36/Vinyl/Wood 37/Vinyl/Wood 38/Vinyl/Wood 39/Vinyl/Wood Fixed Low E Operable Lo Operable L Patio Door Operable L Fixed Low Operable L Fixed Low Operable L Fixed Low Operable L Operable L Operable L Operable L Patio Door Operable L Patio Door Fixed Low Fixed Low Fixed Low Fixed Low Operable L Operable L Operable L Operable L Patio Door Patio Door Operable L Fixed Low Operable L Operable L Operable L CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... PHILIPS 2731 Date..10/18/06 14:53:33 MICROPAS7 v7.10 File-PHIL2731 Wth-CTZ11S05 Program -FORM CF -IR I User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case ------------------------------------------------------------------------------- HVAC SYSTEMS Verified System Type ------------- Furnace ACSplit Total Heating Load (Btu/hr) 51896 n/a Sensible Cooling Load (Btu/hr) n/a 32887 Design Cooling Capacity (Btu/hr) n/a 39437 Verif ied Maximum Cooling Capacity (Btu/hr) n/a n/a Sizing Location............ CHICO EXP STA Winter Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type Systems Efficiency EER or TXV Airflow Draw Capacity --------- -- Furnace - ------- 1 --------- ----- 0.800 AFUE n/a ------------- n/a -------- n/a -------- n/a -------- n/a ACSplit 1 13.00 SEER No Yes No No No HVAC SIZING System Type ------------- Furnace ACSplit Total Heating Load (Btu/hr) 51896 n/a Sensible Cooling Load (Btu/hr) n/a 32887 Design Cooling Capacity (Btu/hr) n/a 39437 Verif ied Maximum Cooling Capacity (Btu/hr) n/a n/a Sizing Location............ CHICO EXP STA Winter Outside Design...... 22 F Winter Inside Design....... 70 F Summer Outside Design...... 100 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS WATER HEATING SYSTEMS Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor (gal) R -value ---------------- -------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.58 50 R- n/a Verified Verified Verified System Duct Duct Duct Surface Buried Type Location ----------- R -value Leakage -------------- Area -------- Ducts --------- ------------- Furnace Attic R-4.2 Yes No No ACSplit Attic R-4.2 Yes No No WATER HEATING SYSTEMS Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor (gal) R -value ---------------- -------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.58 50 R- n/a CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 Project Title...-==PHILIPS-2731Date. 10 1 / 8/06 14:53:33 I MICROPAS7 v7.10 File-PHIL2731 Wth-CTZ11S05 Program -FORM CF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case I ----------------------------------------------------------- SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates_a HERS verified Ref-r3gerant Charge test - or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified Duct Leakage. HERS REQUIRED VERIFICATION *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -4R installation certificate. *** This building incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). If a cooling system is not installed, then HERS verification is not necessary. This building incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then HERS verification is not necessary. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6 Project Title.......... PHILIPS 2731 Date..10/18/06 14:53:33 MICROPAS7 v7.10 File-PHIL2731 Wth-CTZ11S05 Program -FORM CF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case I ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. -- DESIGNER or OWNER Name.... GREGORY A. PEITZ Company. GREGORY PEITZ ARCHITECT Address. 383 RIO LINDO AVE CHICO, CA 95926 Phone... (53 0) -5719 License. 02128 Signed.. v d 1 11 (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Gregory A. Peitz Company. Gregory A. Peitz Architect Address. 383 Rio Lindo Ave. Chico, CA 95926 Phone... 530-894-57191 Signed.. (daEe) MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... PHILIPS 2731 Date..10/18/06 14:53:33 Project Address........ ******* --------------------- Documentation Author... Climate Zone........... Compliance Method...... CHICO, CA *v7.10* Gregory A. Peitz ******* Gregory A. Peitz Architect 383 Rio Lindo Ave. Chico, CA 95926 530-894-5719 11 Building Permit # Plan Check / Date Field Check/ Date MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10--File-PHIL2731 Wth-ETZ11S05 Program -FORM MF -1R User#-MP2330 User -Gregory A. Peitz Architec Run -Base Case - --------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturers labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) _ *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b. Outside air intake with damper and control, flue damper and control_ 2. No continuous burning gas pilot lights allowed S.► 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual 150(8): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3t, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form '116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 Project -Title . PHILIPS -2731Date..10/18/06 14.•53. 33 I MICROPAS7 v7.10 File-PHIL2731 Wth-CTZ11S05 Program -FORM MF -1R User#-MP2330 User -Gregory A Peitz Architec Run -Base Case I - -------------------------------------------------------------------------- label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -- -- n/a 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(i): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value �- 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A_ 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space C.- 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation Y *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, De- En- sign- force er ment-- S M -M CIO MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 Project Title .......... PHILIPS 2731======____'^____________ _'-----'_-_-___-'- ------- ..-. ----- --- Date..10/18/06 14.53.33 I MICROPAS7 v7.10 File-PHIL2731 Wth-CTZ11S05 Program -FORM MF-1R ----------User#-MP2330-- User -Gregory -A_-Peitz Architec--Run_Base-Case I ----- -------- ---------- UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned. air. Building cavities and -- M 4. S. 21 2. support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to reductions in the cross-sectional area of the ducts Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands cause _moi Exhaust fan systems have back draft or automatic dampers Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers Protection of Insulation. Insulation.shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material Flexible ducts cannot have porous inner cores Pool and Spa Heating Systems and Equipment A thermal efficiency that complies with the Appliance Efficiency.Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light_ System is installed with• C a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. 1�. 3. Pool system has directional inlets and a circulation pump time switch �0 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(i): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES De- En- sign- force 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: n/a er ment contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic A R ... F G01/'D PORGH .756 Sone . , _ _-- . E 1XI 6YP. BD. 6YP. DD. AT CLO. TO BE OVER 5 ALLEDO t A R ... F G01/'D PORGH .756 Sone . , a aor }