HomeMy WebLinkAbout064-270-024064-27-0-024 97-2091 BPEM
MALLORY, Brian
6217 Brevard Circle, Magalia
(new single family) -,*�
.1171
6
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2
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064-27-0-024 97-2091 BPEM
MALLORY, Brian
6217 Brevard Circle, Magalia
(new single family)
PERMIT NO.
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
OFFICE Copy
Temp. Address
Cli GAS
IMeter E3y
Temp I ELEC-rRIC Date
Meter E3
Date
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
j Signature
COUNTY OF BUTTE- DEPARTMENT 177 �DEVELOPMENT SERVICES -BUILDING DIVISION /Ml T N
7 County Center Drive - Oroville California 95965 - Telephone (916) 538-7541 MIT NO.
(Rev.12/96) APPLICATION AND PERMIT 7- �Ylnq_l
ASSESSOR PVCEL NUMBER
064-270-024
ZONING
R-1
BUILDINGPERMIT
OWNER
6122 DANA CIRCLE MAGALIA, 9.5954
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
1738 R 93,852.00
OWNER'S MAILING ADDRESS
BRYAN MALLORY 873-1355
440 U 7,920.00
CONTRACTOR'S NAME
014NER
TELEPHONE
24 C 312.00
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
TRI COUNTIES BANKE
Fireplace A 1,500.00
LENDER'S MAJUNG ADDRESS
1
Total Valuation 1$ 103,584,00 -
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20 .0.0
Permit Fee $ 653.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $ 424'.75
BUILDING ADDRESS
BREVARD CIRCLE
Energy Plan Checking Fee $ 23.00
.6217
$
PERMIT FEE $ 1121.25
LOT NO.
SUBDIVISION 'S NAME
9 POA
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF lb Duplex 0 Mobilehome El Other
SPECIFY
Each Trap 9 1 7.00 56.00
Solar or heat'pump water heater 23.00
Water piping 15.00 15.00
Each gas water heater or vent 15.00 15.00
TYPE OF WORK
New CJ( Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: 3 BEDROOM SI/F
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer . I . 0 15..00
Mobile Home I S I G I W 920.00
PERMIT FEE $ 136.00
ELECTRICAL PERMIT Filing Fee 20:00
( 6000.V OO.R LES�9
Main Service LE 23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing %Wh Section 7000) of Division 3 of the Business and Professions Code,
and my license is in ful
Uorce and effect.
License 'Class Lic. NO. S' 2-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP
OR ADDNS. s. 3.54"' 76.20
&.ACC. FT.
NE CONST. MUL '_O TLET 97.50
No =,.. IRANCI CU11111ITS
R APPARATUS
OWE LE OUT.
PSI.G CIR.
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00
IBAL Q .50
FIXED APPUNS. OR
EX. OCCUP. OUTLETS (RESID.) FA)_ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
U
Misc. Wiring 23.00
.
PERMIT FEE S 119.20
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' co ensatign insyonce ca ier and policy number are:
Carrier M§ TZ J,_ _Zf IX(
MECHANICAL PERMIT Filing Fee 1 20100
Heating 3 TON 20.00
Cooling 3 TON 20 - .00
Hood 6.50 6.90
Ventilation 5n c) - oo
-4-
PERMIT FEt $ 7,; sn
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundr6d'dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date 9 7 _
SignatUrj,df Applicant - FgWer 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. A'd
Mobile Home Installation Fee $
Energy Inspection Fee $ 46 -00
occ
P
CONST. TYPE
ITOTAL FEE $ 149 7. 95
11N
HAZ.
I D.S7 IM
I FLOO
CDF PO
SJSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date [0-
PERMIT EXPIRES ON Lo -'1 9,?
I (Date) -
ReceiptNo. 22444 - 504,75// 291
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 . County Center Drive - Orovhmi, California 95965 - Telephone (916) 538-754L�9_ ��IT NO.
(Rev. 12/9'6) APPLICATION AND PERMIT
ASSESSOR PARCEL ?J Zlt� ? 2- q_7
BUILDINGPERMIT
OWNER
TELEPHONe
3-UY5
S EQ. Fr. OCC. BUILDING VALUATION
5? �
OWNER'S MAIL160 ADDRESS
g ( -2, 7 -
CONTRACTOR'S NAME I
jc�4 q e--
TELEPHONE
I
.1
CONTRACTOR'S MAILING ADDRESS
CONSTRIJCTION.�LENDERC
-M _ 6 .4&4 x
Fireplace
LENDER'S MAILING ADDRESS
i
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ e-% 7, g -b
ARCHITECT OR ENGINMR*S MAILING ADDRESS
Plan Checking Fee
$ 2-14, 7
BUILDIN ADDRESS
/2 C
Energy Plan Checking Fee
W-3
$ !>.6fl
$
PERMIT FEE
LOT NO.
SUBDfViSIONS NAME
IPARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex (3 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
—1;;- —15.00 y- -
Each gas water heater or vent
-
15.00
TYPE OF WORK
New 7(Addition 0 Remodel 0 Utilities [3 - Installation 0 Other 0
Describe Work:
Gas piping system 1 - 5 outlets
—
15.00
Building sewer
15.00.1s__
Mobile Home I S I G I W
(iP20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
;;___
600V OR LESS
Main Service 200A OR LESS
23.00 _;ZJ
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing vWth Section 7000) of Division 3 of the Business and Professions Code,
and my license is i2f 11 force and effect.
S 5 ? c
License Clas Lic. No. 7 -7 9 1—,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
.Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
. will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
)r- I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' com t, * nceyrrier and policy number are:
Carrier _M;w
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
c
X 4&-5-5r� Date
Signatud,'6f Applicant _-W:4_%w_Ver 0 Contractor [3 AjWnt
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO tOOOA 46.00
NEW CONST. %E�LING ffLIP- --3. 5
OR ADONS. C S.
NEW CONST. MULT.10 LUE,r sw
NON-RESID. . C��C . 97.50
( PSO"WELR AP= US
E . CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FO(TURES BAL @ .50
UFITXLED APPLINIS OERA�
Ex. Occup. ETS 'RES,6.) 5.00
Temporary Service 23.00
MobiI4 Home Facilities 20.00
Misc. Wirina 23.00
'A
PERMIT FEE $ '716
MECHANICAL PERMIT Filing Fee 20.00
Heating
'96.CfiE�
Cooling -1 7 -a --a-
Hood 6.50
Ventilation ov
PERMIT FEt $
Mobile Home Installation Fee $
Energy nspection Fee $ cy1c
.
CO T. E
TOTAC FEE -Vi T4
HAZ.
D. FEES
I FLOO
C C PO
H
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the appN�le provisions
Resolutions to do work
been paid.
Date
(Date)
J
rR7eceipt No. 1:;11 L111�50cl_, 2s:&
WHITE-D.D.S.-B.D. CANARY-ASSR'SSOR PiNtf/NSPECTOR GOLDEN ROD -APPLICANT
w"T
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7-541
SCHEDULE OF FEES DUE
OWNER g
PROPOSED BUILDING USE
1. BUILDING PERMIT FEES
Balance Due ................. $1 3.
Additional Fees Due ........... $
Additional Fees Due ........... $
Revised Plan Checking Fee ........ $
4��2. SCHOOL DISTRICT FEESP
- jogjj
L � - (paid at District Office)
6<I SHERIFF FEES (paid at Building Division)
Residential ........ —4- x $360.00 = $ 3 6
Units
Commercial (sq.ft.) ... x $0.03 = $
Sq. Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) x $
#Units Amt.
Commercial (sq.ft.) . x —=$
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
4 5 *00 (paid at Building Division)
7 SRA FIRE INSPECTION AND PLAN CHECK
$ 9 .00 (paid at Building Division)
8. WATER TENDER FEES (Battalion #
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
A.
DATE
REC # DATE REC
1IN �_3
19,9
10. OTHER
At time of permit application, I was advised the above fees are required to be* paid prior to issuance of the
building permit. These fees may be changed during the plan checking process.
Original -Owner Copy -Building Div.
DATE
(Rev. 12/96)
COUNTY OFBUTTE -DEPARTMENT OFDEVELOPMENTSERVICES - BULLDING DIVISION
7 COUNTY CENTER DRIVE - OROV�tLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OW=R9-fl_VM, 1RC4df8-0LV ASSESSOR PARCX? ER
C'/ -
Propos Buildind Use: .5 V Building Inspector: [/,�275W Date:
At time of permit application, I was advised the foHowing data must e su—bmitted prior to permit processing and/or issuance:
0 1. All items have been submitted.
112. Plot plans, 3/4 sets, signed by - the preparer of plans.
03. Complete plans, 3/4 sets, signed by the preparer of plans.
1:14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
1:16. Energy Design Compliance and supporting documentation.
0 7. Statement of Intent for Non -Heated and A/C Buildings.
El 8. Hazardous Material Form.
0 9._�OrAactured Home data and installation instructions including Tie Down Specifications.
ees of$ -Z�C> >
sof
act s as shown on the attached schedule' Cfees.;�
_p f7
California Department of Forestry plan approv alvi
0 13. Flood elevation certificate.
Sanitation and plot plan approva<4/ C-0 Health Department.
f aw.
0.15. City of Chico plumbing'permit.
0 1 Plot plan ai�d business license approval from the City of Biggs.
0 W. Planning approval for (A) Use: (B) Parking:
Contact Land Development about Improvements, El Drainage, TLegal Parcel.
64<Encroachment Permit for drivew� ay (construction approval prior to occupancy).
71�f 2- r-
020. Pre-insppction for !�quired.
0 2 1. Contractor's license information. (Number, Name Style, Classification).
El 22. Workers' Compensation carrier and policy number.
023. Owner -Builder Veriii��hon (Given to owner 0, Mailed to owner 0).
*4_1,etter of signature authonz 'iion.
5. R orded copy of A cul al Acknowledgrnent Statement.
2 6 . L 7tter of intent on bu Iding se.
1:127. Manufactured Home utility clearance.
0 28. Existing violations and/or expired permits.
E129. 0433 A, DGrant Deed, El M.H. Title, 11 Check to H.C.D $
030. Other:
When you issue the permit, process as follows 0 Mail to owner, C]Mail to contractor.
and hold for pickup �at -r/(f d office. C3 Deliver with inspector.
arelephone 9�7
2- �r-7
�ppli —Date:
EXPIRATION OF AP ATION,,--
C
Applications for which a permit has not been -issued, will expire by imitatfoo:'fi�_`one yearafter dat� -of application. In
order to renew action on an application after expiration, a new application, plans and fees will be required.
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
fe6s, I r Checking fees for work plan checked and othe d artment costs are not refundable.-:�
OrigJa Applicant
04AAv"A. 'f/� /0
/5--9 7 d -e-,
E.H. USE ONLY
ye. f
e- Plot Plan Anschad
Floor Plan AttmcW Ye -.-T'
Scultoll.D. /Q -q
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
f3EVAL, �.4,tjjoQ4
Lo L 67- Areyar-d Circ-�, Mug (o 4 -Z 70 - QZ4-
Owner Location U AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for 3 bedroom mobile home. Other
A
Hold final for:
Final clearance O.K. for:
NOTE:
'Ile 41/� /0 - 7—R7
Environmental Health Specialist Date
8/92
S T R'U C.T U R A I.
-----------------
Q A L C U L A T 1 0 N S
F 0 R
M A L L 0 R Y R E S I D E N C E
6 1 2 2 D A N A C I R C L E
M A G A L I A., C A 9 5 9 5 4
F L T E N G I N E E R I N G
5 7 90 CLARK ROAD
P A -R A D I S E, -C A 9 5 9 6 9
9 1 6 ) 8 7 2 -. 0 2 5 4
N,
F LT EMMMEERNG STRUCTURAL -CALCULATOONS
CIVIL - SIRL)CTURAL '7—
(916) 672-0254 FAX (916) 872-9331 lay. DDJE: SHEET N.. OF
.5790 CLARK ROAD, PARADISE. CALIFORNIA 95969 CHECKED W. Mt:
JOB No. 7/ 7
SUBJECT:
PmwuECT: /%f-z"o, a?a y "ff- 1,04
7L
Z' Z-
�OVESSljri
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L.j No. -32 rn
Civi
OF CA
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F LT ENWHEERPHO 'STRUCTURAL CALCULATPONS,
Cm - simicrtok
1916) 872-0254 FAX (916) 872-9331 BY. DATE: SHEEr ND. 2 OF Z
5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 CHECKED W. DATE: JOB No.
SIALIECT:
PMECT:
Z. -A — 4�t4llll-,sl
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RESIDENTIAL PLAN CHECKING GUEDE
SINGLE FAMILY, DUPLEX AND NESCELLANEOUS ONLY
OWNER-. BUILDINGPERNUTNUMBER:
PLAN CHF-CKER: 4��3 A. P. NUMBER:
GENERAL -
Zoning requirements: (side yards and number of permitted living units).
Valuation.
Plans signed by designer.
Proper description of work on application.
Existing violations on property.
Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
Recorded notice of violation.
Complete parcel size and dimensions.
Setbacks, side yards, easements, etc.
Other buildings or structures.
Grading, fills and/or drainage.
Flood hazard.
Special conditions on creation map (Noise, SA.A., Fire Spririkler�, Water Tender, Trees, etc.).
F.A.U. & F.A.S. road'setback.
Building or utilities across -lot lines (Record form).
Complete to scale plan with dimensions.
Required windows for light and ventilation (Section 1203).
Required windows for second exit (Section 310.4).
Skylights (Section 2409 & 2603.7).
Glazing in Hazardous Locations (Section 2406).
Required room sizes, ceiling heights (Section 310.6).
G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210).
Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
Garage firewall, door size and closer (Section 302.4).
Minimum of one 3'0" exterior door (Section 1004.6).
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 310.9. 1).
Plumbing fixtures, water closet clearances and shower size.
Conve ' ritional Construction - Unusually Shaped Buildings (Section 2326.5.4).
Standard bracing or engineered design (Section 2326.11.3).
Clerestory requiring balloon fran-dng and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct buil�ing.
Roof construction details complet * e enough to construct building.
Rafter ties or bearing ridge beam.
Fireplace construction details and calc. if necessary.
Garage door and/or porch header sizes.
Stud heights.
Adobe soils - special foundation -design.
Retaining walls requiring design.
Special Inspection requirements.
Header size.
June 1997
3.2
NUSCELLANEOUS ITEMS TO LOOK OUT FOR:
Stairway details: landings, rise and run, head clearance, handrails (Section 1006).
Guardrail details (Section.509).
Brick or stone veneer (Section 1403).
Exterior plaster - weep screeds (Section 2506).
Proper roof pitch for roof covering (Section 150 1
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
Living area over garage - complete I -hour separation required on garage side including supporting walls and posts.
Two exits on three - story dwellings (Section 1003).
Underfloor access and ventilation (Section 2317.7).
Attic access and ventilation (Section 1505).
Combustion air for fuel bun-iing appliances - L.P.G. requirements.
Noise requirements on duplexes.
Energy design.
Flashing at all exterior openings.
C.D.F. responsible. area requirements.
Automatic Fire Sprinkler Systems (Section 3 10. 10)
For Inspection Jacket:
Flood Hazard/Elevation Certificate
SRA Requirements
Special Inspection Requirements
Automatic Fire Sprinklers
. ....... .. .. .. .............
'OV
June 1997 3.2
10/01/97
BRYAN MALLORY
6122 DANA CIRCLE
MAGALIA, CA 95954
Re: B.P.#97-2091
'Outte Coun
L A N D 0 F N A T U R A L W E A L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
With reference to the above subject, attached is:
[x Plan Check List
Red Mar1ked Calculations
Red Marked Plans
Other
A.P.# 064�270-024
Action Required:
[x Comply With Plan Check List
Resubmit Plans With Revisions As Required
Return All Original Materials and Revised Plans to the Building Department
Other
Should you have any questions, please contact this office at the address or phone number
listed above.
Sincerely,,
'MARTHA—WHiTNEY - PLAN CHECKER
PERMIT APPLICANT BRYAN MALLORY PERMIT NO. 97-2091
ASSESSOR PARCEL -NO. 064-270-024 DATE 10/01/97
The 'above referenced building plans were reviewed by this office. Provide
additional -' information and/or, make appropriate revisions to plans,
specifications, and calculations as follows:
PROVIDE LATERAL DESIGN ACCROSS THE FRONT OF THE HOUSE. HAVE ENGINEER PUT HIS
REQUIREMENTS -ON THE PLANS AND STAMP AND SIGN THEM.
YOU NEED 32 SQ FEET OF GLASS IN THE LIVING ROOM. YOUR WINDOW IS ONLY 30 SQ FT.
IF THE DOOR HAS GLASS IN IT, RE -DO ENERGY CALCS TO REFLECT THAT. IF NO GLASS,
WINDOW AREA MUST BE INCREASED AND NEW ENERGY CALC'S SUBMITTED. ALSO PLANS SHOW
12 SQ FT OF SKYLIGHT, ENERGY CALC'S SHOW 10 SQ FT.
SHOW YOUR REQUIRED HOLD-DOWNS ON THE FOUNDATION PLAN, (ALTERNATE BRACED WALL
PANELS) ALSO SHOW REQUIRED STEEL IN FOUNDATION.(ALTERNATE BRACED WALL PANELS)
A FOOTING IS REQUIRED UNDER YOUR INTERIOR BRACED WALL PANELS. PLEASE SHOW ON
FOUNDATION PLAN.
YOUR 4 X 12 ACCROSS THE'NOOK IS INADEQUATE. PLEASE REVISE.
YOUR VERSALAM IS INADEQUATE. PLEASE REVISE.
PLAN CHECKER
If you wish to discuss any re4girements, you may contact me at (916) 538-7541
between 1:00p.m.-and-4:dO p.m., Monday through Thursday.
7 �'M'A
BUTTE COUNTY SCHOOLS IMPACT FEE dERTIFICATION FORM
(One form per Building)
School District. Building Department No.
A.P. Number Jurisdiction: City 10 County
Property Owner M I.;f / /1,3 " V
Property Location/Address
Subdivision
Lot No.
Residential Development
No of Living
Mobile Home
Addition
Units
Installation
C6rii�mercialflndustrial
F-1
New
Addition
District Identification No
1") 1
;�,V : i %, p 0
(Street Address)
(Floor Plans reviewed by School District Personnel) - 'k.
,�IS'q. Footagi; 7,
(Grobo R)
Sq. Footage
Roofed Areas)
2- 7
Date
7
(CZ!School District certifies that A,
(Applican t)
9 - 5 -
(City)
has complied with the requirements of Resolution No.
representing square feet.
1� z I NC -7-C-4-1 —IV � i
School District Representative
Paid by Check # Remarks:
(State)
(Phone Number)
Z7/
i5!�J -f
(Zip Code)
by payment of $
B 212=1 $
ULL M
ULL MITIGATION $
061, Z:� /� � 7
Date * r
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
. I
iou from challenging the Imposition of the fees In any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformAs (2/97)dmm
14
And when recorded mail to:
Building Division
#7 County Center Drive
Oroville, Ca. 95965
�tT I a to
97-039223
0 C T 2 0 1997
NOTCOMPAREDWTH
ORIGINAL DOCUMENT
AGRICULTUM STATEMZNT OF ACKNOWLEDGMXNT
FOR RESIDEWEAL DEVELOPMNT
Section 26-8 of the Butte County Code requires this acknowledgment to be Mgrdod 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 linuted 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 dusL smoke, noise, and odor. Butte County has established
agriculftwal 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:
U" 62, AS - SHOW On =AT C=Tkrg N" zwffM=. vp""Iga
UNZT NO. 2.5-, WHICH MAP V" RECOMM 3X THE Orrics OF T"
RSCOR= OF =Z Cmmy or On=, STATE OF CALIVOWIPt, ON jULy 15,
19711 IN WOK 38 OP X&M, AT PAGES 42, 43 AMD 44.
Z3=PTXNG T113"FROX ALL XrX=tA18. OIL, GAS. ASMALUM AuD On=
HYDROCARDW SUBSTANCES# W= PRMSION THAT ANY AND ALL KINING
OPERATIONS SUK" DR DONE FROM ORIFICES QM108 THS WMIPACE AM
OF THE LAMD DZIRCRIMM HEREIN, AMD TR&T No ORWAS SH"L I= VMS To
SURFACE OF SAID LNW.
Date:- 0 PROPERTY OWNERS:
BR60f MUORY
State of'Calffornin
County of B=,
On 10-20-97 bcfom me, VICKI GROSSF, A NCYIARY RMUC
personally appeared BRYAN MAUDRY personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/am subscribed to the
within instrument and admowledged to me that bdsbe/they execuW the same in his/her/their authorized capacityl(ics), and
that by his/her/their sipature(s) on the instrument, the persou(s) or the entity upon behaff of which the person(s) acted,
executed the instruinent. A A A � A A A A 4
WnrMS my band and official seal. r
VICKI GROSSE
COMM. #1148638 G)
Seal: NOTARY PUBLIC -CALIFORNIA 0
Signature BUTTE COUNTY
0 My Comm. Expires July 26, 2001
A.p.# (C)L� Ll
May 1�95 2.19
TABLE OF CONTENTS TOC
Project Title ........... BREVARD CR PROJECT Date ........ 10/20/97
Project Add3�ess ........ BREVARD CIR
MAGALIA *v4.50* 0
Documentation Author... Robert ' A. Mangrum, Building PeripAt #
Paradise Mechanical 4 n �/p 1 "1;4 1
5655 Almond Street Plan Check / Date
Paradise, CA 95969
916-877-8882 Field Check/ Date
ciimate Zone ........... 11
Compliance Method ...... MICROPAS4 v4.50 for 1995 Standards by Enercomp. Inc-
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -TOC
User#-MP1342 User -Paradise Mechanical Run-MALLORY.T24 COMPLY
TABLE OF CONTENTS
Report
Page
FORM CF -1R ................ 1
FORM MF71R ................ 4
FORM C -2R ................. 6
HVAC SIZING ............... 9
a
ro;
BUILDING Df:iPA'Ft i
1P v
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
V-rn-iae-i- AAA-r-moL- 1C21:)V17'ADn OTT)
MAGALIA *v4.50*
Documentation Author ... Robert A. Mangrum Building Permit #
Paradise Mechanical
5655 Almond Street Plan Check / Date
Paradise, CA 95969
916-877-8882 Field Check/ Date
Climate Zone .......... * - 11 1
Compliance Method ...... MIC90PAS4 v4.50 for 1995 Standards by Enercomp, Inc.
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
GENERAL INFORMATION
Conditioned Floor Area ..... 1738 sf
Building Type .............. Single Family Detached
Construction Type ......... New
Building -Front Orientation. Front Facing 5 deg (N)
Number of Dwelling Units ... 1
Number of Stories .......... 1
Floor Construction Type..'.. -Raised Floor
Glazing Percentage ......... 11 *6 of floor area
Average Glazing U -value .... 0.75 Btu/hr-sf-F
BUILDING SHELL INSULATION
Component
Frame
Cavity Sheathing Insul
Assembly
Type
Type
R -value
R -value R -value
U -value Location/Comments
Wall
Wood
R-13
R-0
R-173
0.088 FRONT
WALL, LEFT WALL
BACK WALL, RIGHT WALL
GARAGE
WALL F
GARAGE
WALL R
Roof
Wood
R-11
R-19
R-30
0.031 RIGHT
WALL, ATTIC
D6or
n/a
R-0
R-n/a
R-0
0.330 FRONT
DOOR
GARAGE
DOOR
Floor
Wood
R-19
R-0
R-19
0.037 OVER CRAWLSPAE
FENESTRATION
# of
Interior
Over -
Area
U_ Pan-
Shading/
Exterior
hang/ Framing
Orientation
(sf)
Value es
Description Shading
Fins Type
Window
Front
(N)
20.0�0.750
2
None
None
Yes Metal
Window
Window
Front
Left
(N)
25.0
0.750 2
None
None
Yes Metal
-(E)
15.0
0.�50 2
None
None
None Metal
Window
Back
(S)
30.0
0.7"50 2
None
None
Yes Metal
Window
Back
(S)
20.0
0.750 2
None
None
Yes Metal
Window
Back
(S)
24.0
0.750 2
None
None
Yes Metal
Window
Back
(S)
6.0
0.750 2
None
None
Yes Metal
Window
Back
(S)
20.0
0.75Q 2
None
None
Yes Metal
Window
Right
-(W)
20.0
0.750- 2
None
None
None Metal
Skylight
Horz
12.0
0.750 2
None
None
None Metal
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 2
CF -1R
Project Title .......... BREVARD CR PROJECT
Date ........
10/20/97
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
HVAC SYSTEMS
Minimum Duct
Duct
Thermostat
Equipment Type'
Efficiency Location
R -value
Type
Furnace
0.800 AFUE Attic
R-4.2
Setback
ACPackage
10.00 SEER Attic
R-4.2
Setback
WATER HEATING SYSTEMS
Number
Tank
External
Tank Type Heater
Type Distribution Type
in Energy Size
System Factor (gal)
Insulation
R -value
Storage Gas
PipeInsulation
1 0.62
EF 40
R-12
SPECIAL FEATURES/REMARKS
CERTIFICATE OF COMPLIANCE: RESIDENTIAL - Page 3 CF -1R
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1342 -User-Paradise Mechanical -Run-MALLORY T24 COMPLY
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 tc
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features/
Remarks section.
DESIGNER or OWNER DOCUMENTATION AUTHOR
Name .... BRYAN MALLORY
Company. BRYAN MALLORY CONST.
Address. 6155 DANA CIRCLE
MAGALIA, CA 95954
Phone... -873-1355
License. ZAI -?'I
Signed..
(date)
ENFORCEMENT AGENCY
Name ....
Title ...
Agency..
Phone ...
Signed..
(date)
Name .... Robert A. Mangrum,
Company. Paradise Mechanical
Address. 5655 Almond Street
Paradise, CA 95969
Phone ... 916-877-8882
Signed. 2 -
'(date)
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
Project Address ........ BREVARD CIR I I
Documentation Author...
Climate Zone .......
Compliance Method..
MAGALIA
Robert A. Mangrum
Paradise Mechanical
5655 Almond Street
Paradise, CA 95969
916-877-8882
11
MICROPAS4 v4.50 for
*v4.50*
Building Permit #
Plan Check / Date
Field Check/ Date
1995 Standards by Enercomp, Inc.
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent coTpliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
Design- Enforce-
er ment
inimu R-6 in concrete raised floors.
150(i): Slab edge insulation - water absorption rate no greater
than 0.31ij water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate -type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
I/
1�
MAN
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5
MF -1R
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC.
150(i): Setback thermostat on.all applicable heating s�rstems.
Design- Enforce-
er ment
150-kj): Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
.3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5.. Piping insulated between heating source and indirect
hot water tank.
*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 780W thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating,and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or.outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch.
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot. < 150 Btu/hr.) .
LIGHTING MEASURES
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures !C (insulation cover) approved.
d
U�'
Design- Enforce-
er ment
COMPUTER METHOD SUMMARY Page 6 C -2R
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
AAAv-,n� 'DDV1TAT:)n f�Tn
MAGALIA *v4.50*
Documentation Author ... Robert A. Mangrum Building Permit #
Paradise Mechanical
5655 Almond Street Plan Check / Date
Paradise, CA 95969
916-877-8882 Field Check/ Date
Climate zone ............ 11 - I
Compliance Method ...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc.
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM C -2R
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
MICROPAS4
ENERGY USE
SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating'.
12.15
12.32
-0.17
Space Cooling ...........
14.20
14.28
-0.08
Water Heating ...........
12.91
10.25
2.66
Total
39.26
36.85
2.4
Building complies
with Computer Performance
GENERAL INFORMATION
Conditioned Floor Area .....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units ...
Number of Building Stories.
Weather Data Type ..........
Floor Construction Type ....
Number of Building Zones ...
Conditioned Volume .........
Footprint Area .............
Ground Floor Area ..........
Slab -On -Grade Area .........
Glazing Percentage .........
Average Glazing U -value ....
Average Ceiling Height .....
1738 sf
Single Family
New
Front Facing 5
1
1
ReducedYear
Detached
deg (N)
Raised Floor
1
14624 cf
1738 sf
1738 sf
0 sf
11 *-. of floor area
0.75 Btu/hr-sf-F
8.4 ft
COMPUTER METHOD SUMMARY Page 7 C -2R
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
MICROPAS4-v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM C -2R
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
Zone Type
HOUSE
Residence
Surface*
HOUSE
1 Wall
2 Wall
3 Wall
4 Wall
5 Roof
6 Wall
7 Wall
'8 Door
9 Door
10 Roof
11 Roof
12 Floor
Surface
HOUSE
1 Window
2 Window
3 Window
4 Window
5 Window
6 Window
7 Window
8 Window
9 Window
10 Skylight
BUILDING ZONE INFORMATION
Floor # of Vent Special
Area Volume Dwell Cond- Thermostat Height Vent Area
(sf). (cf) Units itioned Type (ft) (sf)
1738 14624 1.00 Yes Setback 2.0 n/a
OPAQUE SURFACES
Area U_ Insul Act Solar Form 3 Location/
(sf) value R-val Azm Tilt Gains Reference Comments
175 0.088 13 5 90 Yes W.13.2X4.16 FRONT WALL
305 0.088 13 95 90 Yes W.13.2X4.16 LEFT WALL
380 0.088 13 185 90 Yes W.13.2X4.16 BACK WALL
100 0.088 13 275 90 Yes W.13.2X4.16 RIGHT WALL
48 0.031 30 275 90 Yes R.30.2X4.24 RIGHT WALL
176 0.088 13 5 90 No W.13.2X4.16 GARAGE WALL F
44 0.088 13 275 90 No -W.13.2X4.16 GARAGE WALL R
20 0.330 0 5 90 Yes None FRONT DOOR
20 0.330 0 275 90 No None GARAGE DOOR
480 0.031 30 5 14 Yes R.30.2X4.24 ATTIC
1318 0.031 30 n/a 0 Yes R.30.2X4.24 ATTIC
1738 0.037 19 n/a 0 No FC.19.2X8.16 OVER CRAWLSPAE
FENESTRATION SURFACES
# of Vent SC SC Interior
Area Pan- Frame Open U_ Act Glass Int Shading/
(sf) es Type Type value Azm Tlt Only Shade Description
20.0 2 Metal Slider.0.750 5 90 0.88 0.78 None
25.0 2 Metal Slider 0.750 5 90 0.88 0.78 None
15.0 2 Metal Slider 0.750 95 90 0.88 0.78 None
30.0 2 metal Slider 0.750 185 90 0.88 0.78 None
20.0 2 Metal Slider 0.750 185 90 0.88 0.78 None
24.0 2 Metal Slider 0.750 185 90 0.88 0.78 None
6.0 2 Metal Slider 0.750 185 90 0.88 0.78 None
20.0 2 Metal Slider 0.750 185 90 0.88 0.78 None
20.0 2 Metal Slider 0.750 275 90 0.88 0.78 None
12.0 2 Metal Fixed 0.750 5 0 0.88 1.00 None
COMPUTER METHOD SUMMARY Page 8 C -2R
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program -FORM C -2R
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
Surface
HOUSE
.1 Window
2 Window
4 Window
5 Window
6 Window
7 Window
8 Window
OVERHANGS AND SIDE FINS
-Window- verhang- -Left Fin- -Right Fin -
Area Left Rght
(sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght
20.0
5.0
4.0
2.0
25.0
5.0
5.0
2.0
30.0
5.0
6.0
2.0
20.0
4.0
5.0
2.0
24.0
4.0
6.0
2.0
6.0
3.0
2.0
2.0
20.0
6.6
3.0
2.0
System Type
HOUSE
Furnace
ACPackage
Tank Type
1 storage
0.0 n/a n/a 'n/a
0.0 n/a n/a n/a
4.0 n/a n/a n/a
4.0 n/a n/a n/a
0.0 n/a n/a n/a
0.0 n/a n/a n/a
0.0 n/a n/a n/a
HVAC SYSTEMS
Minimum Duct
Efficiency Location
n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a
n/a n/a n/a n/a n/a
Duct Duct
R -value Efficiency
0.800 AFUE Attic R-4.2
10.00 SEER Attic R-4.2
WATER HEATING SYSTEMS
Heater Type Distribution Type
Number
in
System
Gas PipeInsulation 1
SPECIAL FEATURES/REMARKS
Energy
Factor
0.62
MM
Tank
External
Size
Insulation
(gal)
R -value
40
R-12
HVAC SIZING Page 9 HVAC
Project Title .......... BREVARD CR PROJECT Date ........ 10/20/97
Pro�ect Atir'r—c T:1V'P17AVr) 0TV
MAGALIA *v4.50*
Documentation Author ... Robert A. Mangrum Building Permit #
Paradise Mechanical
5655 Almond Street Plan Check / Date
Paradise, CA 95969
916-877-8882 Field Check/ Date
Climate Zone ........... 11
Compliance Method ....... MICROPAS4 v4-.50 for 1995 Standards by Enercomp, Inc.
MICROPAS4 v4.50 File-4MALLORY Wth-CTZ11S92 Program. -HVAC SIZING
User#-MP1342 User -Paradise Mechanical Run -MALLORY T24 COMPLY
GENERAL INFORMATION
Floor Area ...
Volume .......
Front Orientation ..........
Sizing Location ............
Latitude ..........
Winter Outside Design ......
Winter Inside Design .......
Summer Outside Design ......
Summer Inside Design .......
Summer Range ...............
Interior Shading Used ......
Exterior Shading Used ......
Overhang Shading Used ......
Latent Load Fraction .......
Description
1738 sf
14624 cf
Front Facing 5 deg
PARADISE
39.8 degrees
30 F
72 F
99 F
75 F
34 F
Yes
Yes
Yes
0.30
HEATING AND COOLING LOAD SUMMARY
(N)
Heating Cooling
(Btuh) (Btuh)
Opaque Conduction and Solar ......
10022
4878
Glazing Conduction ...............
6048
3456
Glazing Solar ....................
n/a
5008
Infiltration ......................
8933
3039
Internal Gain ....................
n/a
2100
Ducts ............................
2500
1848
Sensible Load ..................... 27503 20328
Latent Load ...................... n/a 6098
Minimum Total Load 27503 26427
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant design factors such as air flow
requirements, outdoor design temperatures, coil sizing, availability of
equipment, oversizing safety margin, etc., must also be considered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.
7
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE suildYng Parmit No. ?—�—r202
OWNERS A.P.
NAME: NUMBER: o?7- 9
PFUNT L43fMAME FIRST
ADDRESS LOCATION: Z-6 7- & E
COUNTY ZONING
DESIGNATION: FLOOD ZONE- FLOOD MAP:
APPROVED: C6NDMONALLY APPROVED: I/ RESOLVE PROBLEMS PRIOR TO APPROVAL
PARCEL CREATION BY DEEDS OR MAP
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: _ YES — NO LEGAL ACCESS REQUIRED: _ YES NO
COMPLIES WITH'COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION: )P/tg,+V jSoe- lqlVe-S J!57
DATE OF RECORDING -7 Z BOOK PAGE 421-44
7/ LOT'.
COMPLIANCE WITH OLD SUBDrION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT.
PAGE 23): —YES NO . IF YES, MARK APPROPRIATE ITEMS) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
,Zi.., Maintain a 50 ft. building setback from centerline of road.
2. Maintain a — ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
6. Pay water tender fees in the amount of $_ to Battalion Number of the Butte County Fire Department.
7. Meet the Fire Safe Reg'ulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
— 9. Connect to a public sewer system.
10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
.specifications, serves the parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
13. Obtain approval f rom the Department of Fish and Game f or vegetation removal. Contact Fish & Game at 916-3 5 5-7010.
14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Paynmot to be ammie to dw PAwmkV DAdsba-
15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte
County Code.
19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able. to assess the site
significance and suggest appropriate mitigation measures.
21.
2'2.
23.
24.
25.
26.
Aia A3161013AN awl
3UN 40 UNI"103
L661 6 Z d3S
a3AI3:)3)1
LD 5/97
E'l."'IFO�VOLMWEMACLA
LOERKE INSULATION CO., INC.
INSULATION CERTIFICATE
Brevard Magalia
Number and Street city
Countv Subdivision Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
Material
Thickness (inches)
2. CEILING
Brand Name
Thermal Resistance (R -Value)
Batt or Blanket Type Fiberglass Batts Brand Name Schuller Int.
Thickness (inches)_ 10.25" Thermal Resistance (R -Value)
Loose Fill Type� Fiberglass Brand Name Schuller Int.
Contractor/s min. installed weight/ft sq. .644 b. Minimum Thickness 13"
Manufacturers installed weight per square foot to achieve Thermal Resistance (R Value)
3. EXTERIOR WALL
Material Fiberglass Batts
Thickness (inches.) 3576.75"
4., RAISED FLOOR
Material Fiberglass Batts
Thickness (inches) , 6.75'
5. SLAB FLOOR / PERIMETER
Material
Thickness
Perimeter Insulation Depth (inches-)
6. FOUNDATION WALL
Material
R30
inches.
R30
Brand Name Schuller Int.
Thermal Resistance (R -Value) R13/R19
Brand Name Schuller Int,
Thermal Resistance (R -Value) R1 9
Brand Name
Thermal Resistance (R -Value)
Brand Name
thickness (inches-) Thermal Resistance (R -Val
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 indica ed on the Certificate of compliance, where applicable.
C.L.#499150
Iteml-s— Signature, Date
Item #s
Item #s
Sig12:attire-, Crate
Signature, Date
"�C%\ IVWWA�
LOERKE INSULATION CO., INC.
Installing Subcontractor (Co. Name) Or
General 'Contractor (Co. Name) Or Owner
InstgIfina S6-b—contractor (Co. Nam@) Or
General ontractor (Co. Name) Or Owner
Installina Subcontractor (Co. NameD Or
General ontractor (Co. Name) Or Owner
V = OK
0 = Not OK
- =Not Applicable
* = Not Rea6i MOBILE HOMES
Date MOBILE HOME UTILITIES (Plan4 OK P� #'a
1. Zoning Requi to - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer. Lorabon-Test-Fall�Q"oncrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Locadon-Clearances-Gmd-/ /Amp-Carcrete
6. Gas; Locatiort:rest-Wrap; / PUL
/Nat. or/ /Ltt./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
MISCELLANEOUS'
Date
DECKS, COVER% CARPORTS, GAAAGES (Plans) OK except #'s
1. Zoning.Requirements-Sedxcks-Easenients
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. FoolJings; Size -Spacing -Marriage Line
3. Gas; MH TestDernanclValve-Connector
4. Electricity; MH Test-Crossowm-Breakers-Clearances
5. Drain; MH.Test-Fall-Flex Connector
-6. Water; MH Test-Reguiator-Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs-lype-Installafion CerL
Date
10. Eyjts; Insp.-Sketch
Date
11. Cert of Occupancy
Date
12. Perrnanent Foundation Only: a Decal
1. Setbacks-Easernents
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
4. Elec.; Receptacles and Lighting, Distance -GR
MISCELLANEOUS'
Date
DECKS, COVER% CARPORTS, GAAAGES (Plans) OK except #'s
1. Zoning.Requirements-Sedxcks-Easenients
2. Foo*Vx; Sons-Size-D�b,%pacing-CmnectDrs-SteeI
3.* Decks; Girders and/or Jdsts-Docking-Bracing-Swrs-Rails
4. Wood Avm.; Posts-Bearns-Aftra.-ConnectDrs
Shthg.-Rfg.-Bracing
5. Alum. Am.; Colur,nns-Conriections-Splk>--Decal-Enclosures
6. Carportr, Windows -Doors
7. Elecft
8. Frmg.; Sils-Anchors-Studs-Rttm-Trusses
9. Siding; Nailing-Veneer-Shxco-Mesh
10. Root-,. Shft-Roofing
11. Ext.; Steps-Doore-Iandings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (PLans) OK except #'a
1. Setbacks-Easernents
2. Sods; Compaction -Structure Stability.
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.: Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wffl-Circulafing Equip. -Heater
8. Elec.; GrourxikV; Equip. wffl Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V = OK
0 = Not OK
= Not Applicable
= Not Ready
Date
RESIDENTIAC (Sifigle & Duplex)
Main; Soils-Elec. Gmd.-/ V_ P Ftg. Depth V 1/('-T 4�4�
Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
Y�'19 Porches & Decks; Soils -Steel-/ P Ftg. Depth
V,Sfernwalls, Main; Steel-Blockouts-Wrapped
6'&emwalls, Garage; Steel-Blockouts-Wrapped
6arf Hold Downs and Special Anchors
7.
8.
C/0 -Sewer Test
Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water PiMIjad-oAichors-Regulator-Service Test
12. EleCbiL*1TndeFof6und I/
14.!��rs-Sills-Anchor Bolts-JoisW-Vents-R��s
1,T"Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #Is
!�. �W., Ht�r.,VentAccess-Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
1 . D.W.V; Test Fittings & Anchor -Nail Protection
20--Skemier Pan; Test, First Floor -Tub Access
-Zr.-Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #�s
2
,3 -,'Fixture & Transformer Clearance -ins. Protection
?4. Elec. Receptacles Spacing -Lights & Switches at Doors
Re Size Boxes & No. of Conductors Stapled
_W. Romex Installed Close to Edge of Studs & CA.
,2r,Equip. Ground made up w/Mech Fastners-BdDdodis & Water
26' 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size ga. Cu or Alj�a Wire Size TO / Wor Al
do. Ha Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or A]
sulated Neutral 0 Yes 0 No J�*40_-J-
31�'Tenvice-Riser Conductors & Ground -Main Disconect
. uip. Clearances Panels-Motors-Mech. Epuip.
-a8--CZthes Closet Light -Shower Light -Spa Light
W'Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
GT. A.C. Ducts Insulation & Support
*. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date
Card B -i Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #s
46f'�its Proper Materials & Anchors
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
43"'Draft Stop in Walls (rat prool
e.—Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
9. Headers & Beams -Size & Bearing
Date X FRAMING (Continued)
4,V �ldingers-Post Caps -Anchors -Connectors
!!2 ing. Joist-Rttr. Ties-Purfin-roff Brac.-Truss-Shfing.-Rfng.
-V. Fireplace Ties or 1�pe A Flue -Fireplace Throat clearance
J,KAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill HgL & Dimensions
50,0'( 'Garage Fire Protection Framing
!�.�roperty Line Firewall & Openings
k3e*Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
;iiP� �'-, Width-Headroom-Rise-Ru;Unding-Fire Protection
55,-Viywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding-l��-Veneer
17.-Swceo Mesh -Drip Screed -Fd. Vents-Underflr. Access
5A,-GTazing Area -Glass Protection -Skylights -Plastic
_j�: 59. Shear Walls: Nailing -Bolts
60._Ekace Interior / Exterior Wall Panels
Wr. Insulation -Walls -Ceilings qAp-y,
62. Infiltration -Walls -Windows
Date Card B-1 C-%" Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #Is
46. At Steps -Door & Sidelight Protection -Landings
ke Detector
9S. Furnace; Vents -Clearance -Comb, Air-Conector-
,fK Garage; Above Floor-Ducts-Mech. Protection
86Aedroom Exiting
.X.F.l. & Bath Fixtures & Tub Access -Spa
96. Elec. Tdm & Subpanel, Breaker Sizes & Labels
& Rails
-je-)1;Freplace or Stove, Clearance -Hearth
filec. Outlets at Wood Panel, Int. & Ext.
_�A. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
7,3"'Pec. Outlets & Recepticales at Kit. Counter
ZeAarage Fire Door; Swing -Landing -Closure
05. A.C. Duct in Garage -Damper
74' Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RR.V
4n Garage; Above Floor-Mech. Protection
76. Plb., Elec. & Mach. Equip. Listed for Location
74.' Elec. Receptacles in Garage (G.F.I.)-Romex Protection
7)10' Insulation-FDam-Looked in Attic
K�_uard rails & Deck Construction -Post Caps
g5l. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Alearance Looked under Floor 0 Yes
86,Following lnsdd./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
* tucco Brown -Finish
dA A.C. Unit Disconnect, Electrical -Plumbing
fil!�._�ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
—6&^ -ter Well, Disconnect, Electrical, Plumbing
y9'7./Ifxtedor Elec. Trim, G.Fl. Receptacle -Underground
qX/Ventilation Throught House
8b./Glass Protection
Corrections rn Previous Inspections
Gas Test -Mete s Tagged, Gas -Electric
4 Water & Sewer Connected -C/O to Grade -HD Approval
39. Energy Compliance Certificate -Other Certificates
Date Card B-1 C��--V Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final: