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HomeMy WebLinkAbout064-660-04564-66-4537T ;1O-9OBJ3PEOZ CONSTR. CORP , T $ . 12- 0 660: Ok3agaliagali0040�s ow / . LIA i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION - Site Address: 6425 EHRLICH CT Owner: permit No: B08-2435 APN: 064-660-045 JENNY J. JONES Issued Date: 12/11/2008 By TMP Permit type: MISCELLANEOUS 6425 ERLICH COURT Subtype: Fireplace/Wood Stove MAGALIA, CA 95954 Expiration Date: 12/11/2009 Description: WOOD STOVE INSTALLATION (530) 873-6775 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: JENNY J. JONES Building Garage Remdl/Addn 6425 ERLICH COURT MAGALIA, CA 95954 Other Porch/Patio Total (530)873-6775 FEE INFORMATION DBMSC Fireplace Pre-fab/Metal $119.00 Total Charged: $119.00 Fees Paid: $119.00 Balance Due: $0.00 Receipt No: B9329 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 12/11/2008 penalty [$500]; check one of the following: Contractor's Signature Date ??PPll,,e,,ase I DCII I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ] COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR E]I are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and The Contractors License Law Bows not apply to an owner of the property who builds or improves policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I�i I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS y ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 12/11/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Own gnature Date provisions. X 12/11/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. Sen ­.Spn2 12/11/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ® Owner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 . A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. ?A,v - 2 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this. application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Namen e First Name Mailing Address �- EGA r11,C1 City State C Z"p/l S S -t Phone 3 _ J -7 C- Fax E-mail T h G e r M e ne r CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City % eA Address Zip �sr� City I No State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address Crd J City % eA State Zip �sr� Phone 7 3 -77S I No E-mail APPLICANT SIGNATURE PROJECT LOCATION API Property Address / q;� 5 C� I CF City MaA r A / 57 se Ia J WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. T+ �-1 .,c�c1 S U' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes I No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. OR NO) 2. QAVFJHAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: WOOD STOVE INSTALLATION Reference Number: B08-2435 Applicant Name: JENNY J. JONES Owner's Name: JENNY J. JONES AP # : 064-660-045 Q` Signature of Property Owner: Date: Iy NOTES RESIDER TIAL PERMIT NO.x064=660-045 OS -1219 CARLONI, ELIO - - — 16425 EHRLICH, MAGALIA cont: OWNER NEW SINGLE FAMILY f ' I YA Craw G fes. w ! SPECIAL CONDITIONS CHECKED *� BY 4 SRA ? } FLOOD CERTIFICATE -REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS t SUB -STANDARD HOUSING LETTER L V C- 1 OFFICE COPY . F Address (-a'42.5 E H RI i UI 1: GAS / Meter By Date ELECTRIC Meter By O e[M m Date Lo–A-0-5 0 r - S JOB FINALED (Date) (lJ l "" Signature J=OK 0= Not OK _ = NotReady hle . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frng.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. •Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #`s Hing -Setbacks -Easements -Flood -Slope �Ftg., Main; Soils-Elec. Gmd.-/1 Zr Ftg. Depth V R Ftg., Garage; Soils-Steel-Elec. Grnd.-/ i P' Ftg. Depth Porches & Decks; Soils -Steel-/ /" Ftg. Depth mwalis, Main; Steel-Blockouts-Wrapped emwalls, Garage; Steel-Blockouts-Wrapped 616- Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pers -Fire lace Ftg.-Steel p.W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test_ VF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test .11'Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 5Y 4t' Card B-1 tnr Date Card B-1 Date 741T Card B-1 %✓ Date Cana B-1 Date PLUMBING (Permit) OK except #'s 1 ater Htr.; Vent -Access -Combustion Air Baffle iffier Pipe: Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access A-155is Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date (-(X Card B-1 Udo S- Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRIC L (Permit) .OK except #'s SLKx-ture & Transformer Clearance -Ins. Protection 2-Se-Elec. Receptacles Spacing -Lights & Switches at Doors 26 -Size Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water B9!::2iC liance Circuits in IGtchen & Conductor Size GFI ubfeqd Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or A] 3%.. ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI 1,rusulated Neutral ❑ Yes O No Seryice-Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Merh. Equip. 34 Clo.JtJbies Closet Light -Shower Light -Spa Light moke Detector Date(( -Z( -OS Card B-1 �n C,C Date Card B-1 Date ( - Z E -C � Card B-1 Q1b J , Date Card B-1 Date MECHANICAL (Permit) OK except #'s tli�.A.C. Ducts Insulation & Support int Fan, Exhaust above insulation ondensate Drain & Overflow, Size & Grade 1.3 umace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 490"A-ftic Access & Platform if Furnace in Attic Date 11-7 - OS --Card B-1 "C, Date Card B-1 Date Card B-1 Date Card B-1 Date F,R,AMy4G (Permit) OK except #'s ills Proper Materials & Anchors 2 alts Studs -Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing Dr -Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date (tLc V Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting_ Rtna. tjB' Fir ace Ties or Type AFlue-Fireplace Throat Clearance ttig�cess; Size & Romex Protection -Draft Stop -Ins. Baffles 5_1 . Windows or Exiting Doors -Sill Ht. & Dimensions �7-13-05_ "-(�rjarage Fire Protection Framing -RC 9+rfinel PETerty Line Firewall & Openings Ext. Doors -One T -Check Garaae 3rd Storv. 2 Exits 55. y$lairs; Width -Headroom -Rise -Run -Landing -Fire Protection P ood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ azing Area -Glass Pr ' n -Skylights -Plastic (aiq-OS 4$S. Shear Walls; Nailing 61. Brace Interior/Exterior Wall Panels _ 62. I ulation-Walls-Ceilings 1 nfittration-Walls-Windows Date Z( --US Card B-1 Date Card B-1 Date ( Ib --S Card B-1 S Date Card B-1 Date FI Plan§) OK except #'s 64. eps-Door & Sidelight Proion-Lan gs moke Detector urnace Ven -clearance-Comb, Air-Connector- _,WrGarage; Above Floor-Ducts-Mech. Protection ._Sedrbom �FwAng 68. G.F.I. ath Fixtures & Tu ess-Spa 69" ec. Trim & S anel, Breaker Sizes & Labels 7. tairs ails 7 place or Stove, QWALa� a7� r1 72._.F�1ec. Outlets at Wood Panel, Int. & Ext. —7 . ixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 leg Outlets & Receptacle at Kit. unter 75..-15_aLW Fire Door, '- ' g -Closes 7C. _Duct in Garage Damper 7 . Htr.; Vents -Clearance -Comb. Air Connector- . . . in_.Garage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for tion . Receptacles in Garage (... -Romex Protection . Insylation-Foam-Looked in Attic 8 uau�ails & Deck Construction -Post Caps I" VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked undeLFfoor ❑ Yes 83,,KC. nit Disconnect, Ele -Plumbing 8 ents Above Roof, P -Appliance-Fireplace-Clearance to Openings 87woWitgpWell, Disconnect, Electrical, Plumbing 811-S? 9riGr Elec. Trim, G.F.I. Receptacle -Underground 89.�Ventil tion Throughout House ass Protection / 91. orrections from Previbus Inspections 93- Water & Sewer Connected -0016 Grade -HD Approval /94:) Energy.Compliance Certificate -Other Certificates dress Posted Date Card B-1 Date Card B-1 Date Card B-1 L7.1$Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date: 4/20/06 Job# 06199 INSTALLATION CERTIFICATE 4 of 12) CF -6R Site Address Permit Number 6425 Ehrlich Court, Magalia, Ca i I INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: / Orested at Final V ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: ❑ Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishin wall are properly sealed ❑ If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. ❑ Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used 0 DUCT LEAKAGE REDUCTION Proaedium for field rerdib=m and diammst is tcdum ofair dnb9ffintrnn cuc/ma air nun7ahly In RAfW Amwn&r Rrt ; NEW CONSTRUCTION: c- �, ` _ T� c -� Duct Pressurization Test Results (CFM (a) 25 Pa) Measured Values 1 Furter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: 4 ❑ Cooling,/ ❑ Heating) or,/ ❑ Measured 2 If Fan Flow is Calculated as 400 cf nhon x number of tons or as 21.7 chn/(kBhr/hr) x Heating 1,400 Camcity in Thousands of Btu/hr enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentages 6% for Final or:5 4% at Rough -in: ❑ Pass ❑ Fail 100 x ine # 1 / 1.400 Line # 2)11 ALTERATIONS Duct System and/or HVAC Equipment Cbange-0ut Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change Out Enter Tested Leakage Flow in CFM from Proal Test of New Duct System or Altered Duct 28 5 for Duct m Alteration and/or e� Enter Reduction in Leakage for Altered Duct System 6_____(Line # 4 Mmes ?�(Line # 5), – ifApplicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ �/ Entire New Duct System - Pass if Leakage Percentage <_ 6% for Final or:9 4% at Rough -in 2 12 Pass ❑Fail 8 fi0oxf 28 ine # / 1.400 Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Dud System and/or HVAC Equipment Change- Of Ve Out Use one of the following four Test or Verification Standards for compliance. 9 Pass if Leakage Percentage 515% [100 x [ �! (Line # 5) / 1,400 (Line # 2)ll ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [100 x L_(Line # 7) / 1.400 (Line # 2)11 ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage 2 60% [ 100 x [ # 6) / 1.400 (Line # 4)ll 11 _(Line and Verification b Smoke Test and Visual on ❑Pass ❑Fail Fa: Pass if of all Accessible Leaks and Verification Smoke Test and Visual tion ❑ Pass ❑ Fail Pass if One of Lines # 9 tbrn #12pass ❑ Pass ❑ Fail ,0" Ul, the tamed, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit.1, the undersigned, also certify tial the newly installed or retrofit Air-Distnbuhon System Ducts, Plenums and Fans comply with Mandatory regtmements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontrac>r (Co. Name) OR General Contractor Co. Name OR Owner c- �, ` _ T� c -� Signature Date: _ z — Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residenhal Compliance Forms April 2005 Date: 4/20/06 Job# 06199 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address Permit Number 6425 Ehrlich Court, Magalia, Ca An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building departmem (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Headng Egrypmeat Equip Type heat CEC Certi&od Mfr. Name and Model Number R of Identical Eeflcecney t (�$ dG) XT-1Rvahw) Dud Location ' etc Duet or Piping R-valoe Heating Load Heating Capacity Gasi0edric Package RheemRRNAB042JK0E 1 80 crawlspaoe R-4.2 42,000 Equip Type heat um CEC Certified M8. Name and Model Numbs u of Identical Effiereney k (SEER or EER) &T -1R value) Dad Location de Dad R vatic Cooling Load Cooling Capacity 13 42,000 1. > symbol reads greater dun or equal to what is bu cated on dre CF -IR value. Inchrde both SEER and EER if compliance credit for high EER air conditioner is claimed ✓ DI, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy E,f3ciency S4mrdmds for residential buildings, and 3) equipment that meds or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulatiorss or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature Date: Copies to BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 Date. 4/20/06 Job#: 06199 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING 1 of 8 CF4R Project Address 6425 Ehrlich Court, Magalia, Ca Builder Name BCW Heating and Air Builder Contact Telephone BCW Heating and Air Plan Number HERS Rater Telephone Mervyn Martin 530 894-846 Sample (houp Number ' J Compliance Method a Climate Zone I I Certifying S �/, ��w �gnatuie � ix o,tw=,..,o&brftC=„so=a to ��r,�suav Sample House Number Firm Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzaniita Avenue, Suite 9 C'ty/Statemp' Chico, Ca. 95926 copies to: BUILUNK, HMS PROVIDER AND BUILDINGDEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ R1 Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HErater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested oom�pliaace req�nr�cets as c]�ecked r on this form. The HERS rater must check and that the new distnbutron system is fiuliy ducted and correct tape is used before a CF -0R may be released on every tested The HERS rater must not release the CF -4R until a properly completed a� signed CF -6R has been received for t�sample and tested buildings ❑ The installer has provided a copy of CF -6R (Installation Certificate). ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lice of ducts). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ D MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Remits (CFM (a, 25 Pa) Measured Values I Enter Tested Leakage Flow in CFM: 2 Fan Flow. Calculated (Nominal: / ❑ Cooling ✓ ❑ Heating) or ,/ ❑ Measured Enter Total Fan Flow in CFM 1,400 ✓ ✓ 3 Pass if Leakage Percentage:5 6% [ 100 x [ _(Line # 1) / 1.400 (Line # 2)11 ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Oat Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prim to 4 Duct System Alteration and/or Equipment Change -Out Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct S stem Alteration and/or mem Change -Out. 28 Enter Reduction in Leakage for Altered Duct System # 4) Minus 2a (Lice # 5)] 6 _(Line (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ 8 Entire New Duct System - Pass if Leakage Percentage:!g 6% 2 0 Pass ❑Fail 100 x ire # 5 / 400 Line # 2 TEST OR VERIFICATION STANDARDS. For Altered Dud System and/or HVAC Equipment Change -Ont ✓ ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage 515% [ 100 x [ (Line # 5) / 1.400 (Line # 2)11 ❑ Pass ❑ Fail 10 Pass of Leakage to Outside Percentage 510% [ 100 x L_(Line # 7) / 1.400 (Line # 2)11 ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage 2� 60% [ 100 x [ # 6) / 1.400 (Line # 4)11 11 _(Line and Verification b Smoke Test and Visual ion ❑Pass ❑Fail F Pass if of all Accessible Leaks and Verification b Smoke Test and Visual tion ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ❑ Pass ❑Fail Residential Compliance Forms ApM 2005 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 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. Date 5--3-- oto Inspector REV 4/05 Phone # 53 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 CATZ�Ot`l 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. t P2uvtoE R�c�a us A- I A Z AS PEe (-ACC I ' IS Loc IL D/.i 7 r N S& NJ) NECK- PkN-rRI/ c_frla7 A -r .F I m A I Y/( ; rF.w136 3' cI r-,1rzt1A1cC F(» 4-,,NnvF (Y UK) PROU 18 6 11iF-1a L 5-rf?A P A -r LA --f6. SEA I� S W -7 P /til 4'(F ' I E D Z u`V 0 'Tv i N Su L A4--T-E j+ Inspector/ c i'g. REV 4/05 Phone # E-39 -C�7 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 May 24 06 06:56a CHICO 530-342-71314 p.1 • f.. CertalnTeedff r. Builders Statement tnsulSaW4 • Fiber Glass Blow' ing Insulation (1r -or, r HOmeown . Name ! JCJ)-ck bsite Name - �y� : Cd— Home Address — �-�- In$taller;Cunu'actor �si8n) Company NErne Date Builder (5icn] —— —�•i Company Name --- Date Inspected By (sign it required) -- Date I 11thrOAL PERFORMANCE—ATTIC BLOWING APPLICATION • !n accordance with the chart above, you must install the minimum number of' bags per-1,ouo sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified fo. each R -Value. • The insta'led ir.sulat on must be at or above the specified minimum thickness for each R -Value. • Failure to Install the required minimurn weight per sq. ft of insulation at or above the minimum thickne,s will result in reduced ,,R -Value. • This product should not be mixed with other blown insulations or the thermal claims wal become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Cobain Company 02003 CeitainTeurj Curparation 10103 R -VALUE BAGS PER 1000 SQ. FT, MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT. POUNDS PER SQ. FT. INSTALLE11 To ottaln a I itennal Resistance I ©no; per 000 $Q. fl. C�ntentc of bag Ch n f bag p r Weiulll r.e. $ . ,L of MINIMUM THICKNESS Shouic not ba (R; of: o` net area: d not ruort than: It, ('9• ) nstallsd insulation s1 cold less than: c0 L65176— net oe less tsar (Its,) (i".) _ 40 36.527 29.6 34 '0.£36 _ 22 44 `— - - 26.--. 0.e00 3E— 22.0 0.71 2 ;: 16. t6.0 56 0.615 -- '— — 0.485 12 22 5 3.1 7.418 10'.; 19 - 13 11 11.1 7.7 — 6.6151 ��- — _ 1 9 _-T_ 0.053 0..901 0.20? 0 173 9 7� _ �'- -- 5:i Oat I 11thrOAL PERFORMANCE—ATTIC BLOWING APPLICATION • !n accordance with the chart above, you must install the minimum number of' bags per-1,ouo sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified fo. each R -Value. • The insta'led ir.sulat on must be at or above the specified minimum thickness for each R -Value. • Failure to Install the required minimurn weight per sq. ft of insulation at or above the minimum thickne,s will result in reduced ,,R -Value. • This product should not be mixed with other blown insulations or the thermal claims wal become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Cobain Company 02003 CeitainTeurj Curparation 10103 THICKNESS AREA (SQ. FL) INSULSAFe 4 ) BAGS USED BATTSMOLLS (✓) CEILINGS PR4ALUE WALLS— FLOORS 19 L65176— I 11thrOAL PERFORMANCE—ATTIC BLOWING APPLICATION • !n accordance with the chart above, you must install the minimum number of' bags per-1,ouo sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified fo. each R -Value. • The insta'led ir.sulat on must be at or above the specified minimum thickness for each R -Value. • Failure to Install the required minimurn weight per sq. ft of insulation at or above the minimum thickne,s will result in reduced ,,R -Value. • This product should not be mixed with other blown insulations or the thermal claims wal become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Cobain Company 02003 CeitainTeurj Curparation 10103 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. BP051219 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/02/2005 APN: 064-660-045-000 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 Site Address: 6425 EHRLICH CT MAG License Class : License Number: Map Index: Date: Contractor: Description: nsf (1780), gar (600), COV(210)open(228) 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: Anycity or county which requires a Owner: CARLONI EDWARD I & MARY A permit to construct, alter, improve, demolish, or repair any structure, prior 14981 JACK PINE WAY to its issuance, also requires the applicant for such permit to file a MAGALIA, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95954-9751 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 penally 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 Applicant: CARLONI EDWARD I &MARY A intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 14981 JACK PINE WAY owner of property who builds or improves thereon, and who does MAGALIA, CA such work himself or herself or through his or her own employees, 95954-9751 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.). ()g I, as owner of the property, am exclusively contracting with /1 licensed contractors to construct the project (Sec. 7044, Business Contractor: 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 of the Business and fessio Code Date: K_"_ -}- Owner: License #: WORKERS' COMPENSATION MCLARATION 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 Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Total Square Ft: 2818 S.F. Carrier: Valuation: $135,740.00 \ Policy t/: Census Code: 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' f/ '(a`J compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , �- 9 Cr• �l �i Dale: ) Applicant: 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. 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 Resoluti do work indic d ab fo hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B I Date: O W U ' Address: PERMIT EXPIRES ON: te) ❑.. 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. ❑ 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 county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of He Cou ty. I hereby .authorize representatives of Butte County to ent pon the above mentioned property for inspection purposes. y 1 Print Name: \ Signature: Date:/-- ,k Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor Last Name Addre City Phoneme ',_ ?-e1- S ;)L-7 I+ 5& U V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS r 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION • Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* * LOCATION Name / _ c _ I I AP# L APPLICANT NAME CONTRACTOR Name ' Address Phone City E-mail State Zip Phone Subdivision Name Fax E-mail I Page Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name ' Address Phone City E-mail State Zip Phone Subdivision Name Fax E-mail I Page State License Number APPLICANT NAME Name Address City State 7 Zip Phone Fax E-mail APPLICANT SIGNATURE X' For office use only: Amount: L9 Bldg SRA – Sheriff Zoning `L– Flood Zone I )< I SRA es No Occ. Type Const. Subdivision Name Map Book I Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc .moi i i-) � PERMIT NO. BIN # 16 Property Ad,1:e,:, Cross WORKE=R'S COMPENSATION Policy Number Carrier Z/ IIf hiring anyone other than license contractors, a certificate of worker's I compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: OEC1GSL(000) cov Sq. Footage 0�,-,� ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one j year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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: Receipt #:. \ � Amount: L9 Bldg SRA – Sheriff l 1$O SMIP Dater B Other /I, o Total Page 1 of 2 REV 2-24-05 r, 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 KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford(ilbuttecounty. net Plans Transmittal For Review Per Contract 5/9/2005 Applicant: Carloni, Edward Permit No: 05-1219 Project Type: NSF/Gar/Cov APN: 064-660-045 100% 70% Plan Check Fees $ 1,085.26 $ 759.68 $ 1,085.26 $ 759.68 WILLDAN Fee $ 759.68 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile N �. TO: FROM: ' LO < SUBJECT: O z DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford(ilbuttecounty. net Plans Transmittal For Review Per Contract 5/9/2005 Applicant: Carloni, Edward Permit No: 05-1219 Project Type: NSF/Gar/Cov APN: 064-660-045 100% 70% Plan Check Fees $ 1,085.26 $ 759.68 $ 1,085.26 $ 759.68 WILLDAN Fee $ 759.68 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 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: Ldp J N C. r= ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: S Date: \Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. C5 Jnv 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Iry 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Jw 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �i vJ 4. Engineered truss details and layouts in duplicate. No faxes! \ ry 5. Letter from Engineer or Architect for truss design review. ❑� /Aj 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 must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form / 1'J 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other ., Remajni it ms needed to issue the permit. (May require additional plan review upon receipt of the following items.) j�J sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ : Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 1 Erosion Control Plan Required.............................................................. "� .......... 20 Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ O 22. Site plan and business license approval from the City of Biggs...... 23. California Department of Forestry plan approval aid. Sent.. by:��........ ®Planning approval for (A) Use:(B)Parking:(C) Parcel Check:. ........ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ / N 26. NPDES Form............................................................................................. l/ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... I J✓ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 0 43. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement...........................O 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 G�� a -"Z 157Z -/087331/2 -2 -and hold for pickup. I have been informed of the above for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered:"� OX Plan Check Letter 2. Additional items req Contractor, designer �ui ' as advised of the above data by phone, ❑ mail, ❑ counter, b Date: 7Contractor, designer,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: Date: Structural reviewed y: Date: Structural approved by: t Date: Note transfer by: Date: `7 Yellow: Building Division All of these COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds pG Lf C/'�. OWNER J A.P. # PROPROSED BUILDING USE A 5; DATE 5 6 1. BUILDING PERMIT FEES / % a --- Balance Due ..................... $ / 6 --- FEMA Flood elevation review ... $ --- ditional plan checking Fee.... $ _2. SCHOOL DISTRICT FEES9�/ SL AJ (paid at School District Office).(form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. R EATION DISTRICT FEES paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT )'IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ ORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # .00 (paid at Building Division) SMIP 9. OTHER 10. OTHER 11. OTHER RECEIPT # DATE REC. 46br 7-21,33-05' V.G. . 4 S- At 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 lan checkin rocess. � .K� i APPLICANT i /s /hA ,i i/ /►/1 / DATE )—/M!�'i S Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) 5 t0c W80� Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAM ACREI Project Description: 5/ �>r Project Location and/or Parcel Number: 6 y 2 S— 6--w OG/-�6�rO yS_. By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the 'State of California Regional Water Quality 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: ow N Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelopment Services vTrF 7 County Center Drive ° Oroville, CA 95965 (530) 538-7601 Telephone ° (530) 538-7785 Facsimile cOUN'�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I 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, in but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • 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: /j Applicant Name: Building site address:% .S APN: 6?(9 J 0 0 Y � Permit No.: I 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: SIGNATURE OF PLICANT DATE Copy to Applicant/EH/File K:Fomes/BldgPennitwithoutClearances 020705 W. y? IIS:RIG TT . . Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ,--1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YESpC] NO [ ]. 2. I HAVE �< HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: - NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but'I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: !_ DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/42004 Butte County Department of Development Services ADMINISTRATION `BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile "iffif - , l 0 L Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should beaware that as "owner -builder" you are the responsible party of record on such a pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific. information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Ko -_1 Mic el C. Vieir4 C.B.O. Mailager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. A W I LLDAN Ma s Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com June 25, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1219 Assessor's Parcel No: 064-660-045 Description: Carloni-NSF/Gar/Cov Willdan Project No: 14353-1641-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2" d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies, sheets 1 through 3 dated 3/16/05 by Brant Nightingale Designs (a third plan -set was provided and is enclosed and marked "Assessor's Copy"); and two (2) copies 8'/2 x 11 Site Plan undated * Structural Calculations: Two (2) copies dated 4/2005, and two (2) copies Concrete Cantilever Reatinging Walls dated 4/2005, and two (2) copies Concrete Retaining -Bearing Walls dated 4/2003 by Frank Tyukos, P.E., FLT Engineering * Truss Calculations: Two (2) copies dated 4/5/05 by Design Assistance bearing EOR's Reviewed & Approved note and signature dated 4/25/05 * Energy Calculations: Two (2) copies dated 3/17/05 by Robert Mangrum, Paradise Mechanical The plans have been stamped with the Willdan approval stamp and dated. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. { N;�UWILLies Serving Publ,DA�N APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Cod and abbreviated herein as CBC. • Part 3, known as the California Electrical Code and abbreviated herein as CEC. • Part 4, known as the California Mechanical Code and abbreviated herein as CMC. • Part 5, known as the California Plumbing Code and abbreviated herein as CPC. • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS. CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is not consistent with that shown on the Permit Application*. Specific Type of Type of Stories Total Sq Ft Use Occupancy Construction Dwelling R-3 V -N 1 1780 Garage U-1 V -N 1 600 Covered Deck & R-3 V -N 1 *210 Front Porch Open Raised Deck R-3 V -N 1 *228 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -tined on the plans. 3. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 4. HERS verification required for non-standard ducts located in crawlspace unless waived by Butte County Building Department per page 2 of CF -1R energy compliance form. Page 2of3 Butte County 05-1.2.19 Willdan 1.4353-1641..PC1F W I LLDAN Serving Public Agencies SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701 DEFERRED SUBMITTALS Our plan review reveals no deferred submittals required. Sincerely, Richard Essenwanger Plans Examiner II Ricardo Guzman, S.E. Structural Engineer Cc: Alice Mefford amefford@buttecounty.net Elio Carloni, 14986 Jack Pine Wy, Magalia, CA 95954, eliocarloni@aol.com, Fax (530) 873-4469 Brant Nightingale, 6457 Skyway, paradise, CA 95969, Fax/Phone: (530) 877-4589 Page 3 of 3 Butte County 05-12.19 W illdan 14353-1641.PC 1 F AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 25 -Jul -2005 2005-0043114 Hae 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: of rl c Date ��' �� PROPERTY OWNERS: State of California County of 6,,l OnLZ, 4, 1-2 9 n o before me, personally appeared i's'.,. Gr r— 4:Z , / A &-1 ,' personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Wave subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in hisMerAbeir authorized capacity(iies), and that by hivleFAheir signatureWon the instrument, the person(s) or the entity upon behalf of which the person(#) acted, executed the instrument. WITNESS my hand and official seal. Signature ' Seal: !OUNI CAM Connnlplon / 1171160 MobY frl�blle • Od610aMo kft Qou* A.P. !3 My00mrn.6Vkstfel,20,208 Vi EXHIBIT "ONE" PARCEL I: Order No. 304019 Parcels 1, 2 and 3 as shown on that certain Map entitled, "Fir Knolls Subdivision", which Map was recorded int he Office of the Recorder of the County of Butte, State of California, on February 4, 1985, in Book 95 of Maps, at Page(s) 82 and 83. EXCEPTING and reserving therefrom all minerals beneath the surface of the above described parcel with the right to mine and extract said minerals it being agreed and understood that in all mining operations the surface will be protected against damage and that.all of such mining shall be carried on from tunnels, shafts, and drifts having their outside of the surface areas of the above described realty, all as reserved in the Deed from Magalia Mining Company, a Corporation, to E. D. Storts and Ada B. Storts, husband and wife, as joint tenants, dated August 19, 1947 and recorded September 4, 1947 in Book 423 of Official Records, at Page 385, Records of Butte County, California. EXCEPTING therefrom that certain 1 foot no access strip in Parcel 1, as shown on said Map. PARCEL II: A non-exclusive easement for road and public utility purposes over a strip of land 60.00 feet in width lying Southerly of and coincident to the following described line: Beginning at the Southwest corner of Section 4, Township 23 North, Range 3 East, M.D.B. & M., said corner being as shown on that certain record of Survey Map recorded in the Office of the Recorder of the County of Butte, State of California, in Book 54 of Maps, Page 50; thence following along the Westerly boundary line of Southwest quarter of Section 24, North 1 ° 10' 00" East, for 55.00 feet to a point located on the Northerly boundary line of Ehrlich Court; thence following said Northerly boundary line of Ehrlich Court, South 891 31' 06" East, for 100.00 feet to the Southwest corner of that certain parcel of land described in Deed to Sam Fortino Realty, Inc., a California Corporation, recorded August 23, 1978, in Book 2316, Page 349, Official Records, said point being also the true point of beginning continuing along the Northerly boundary line of Ehrlich Court and the Southerly boundary line of Sam Fortino Realty parcel, South 890 31' 06" East for 322.11 feet to the Southeast corner of said Sam Fortino Realty parcel, said point being located on the Westerly boundary line of Skyway and the end of said described line. Assessor's Parcel No: 064-660-043/44/45 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District � C Building Department No. '/ A.P. Number tht� f� l� '��7J J Jurisdiction: City County Property Owner �/Q 7L t 6- 1i' / - Property Location/Address Com' /7 Z -1 6H / cl-t— Subdivision Lot No. .......... Residential Development Q Q € Sq. Footage /C ! N4olving Mobile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection) ...................................................................... ................. ._......... . Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage (including Exterior Roofed Areas) /`Z -vim Date D' ict Identification Nodzze��Chool (�J District certifies that (Applicant) 973 (Street Address) (Phone Number) (City) (State) (Zip Code) J has complied with the requirements of Resolution No: by payment of $ �v / representing �7W - square feet. C �P� School District Representative Paid by Check # / � Remarks: AB 2926 $ FULL MMGATION $ Date Noffce: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Gowmmarn Code Section 66020(a), within 90 days from the date fees are paid. Failure to subndt a timely written protest will prohibit you from eh.Mkmging the Imposition of the fees In any court action. ff. oubeequont to the School District Reprosentathre signing this Butte County Schools Impact Fee Certification Form, the School Dhdrlct Is notified by do applicable Local Planning Agency that this project Is being revlsmvd undflr the California Environmental Quality Act (CEQA). this project may be subject to Additional school foss to fully mitigato. Re Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) `PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 06 Building Permit Number Property Owner (s) �f A-712 Project Location /Address Cr��Glf Gl O Subdivision Name Assessable Sq. Ftge Type of ential Development (check one) � anvil -Detached Single Family -Attached New Developmentg y Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verifies y Assessor Department Demo Permit (date issued )yverified by Building Department Comments: Building Representative ❑ FRRPD ❑ CARD PRPD 0 DRPD certifies that: 5A Onr-In � S-73-3 zZ� Applicant Name Phone Number ctc ane C�%ffia ba Mailing Address Cityl State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ 1-760 ` /as Square Feet @ $ • per sq foot for a total of $ —73:3 — Remarks: Paid�Sy)heck No: Paid by Cash: and Park—DistrYct Representative o,w eia i f— rev l.doc Receipt No: Dante ,. ."To. SITE PIAN I2EVI[EW APPLICATION 4 Date: —, b --a 6 V, 0o Permit Number (if applicable) 0 Bin Number 4'PL�CANT p1VF®R11I�Tp®N parcel ize: 3 G Dv 9 6L4 Owners Name: Owners Address:Q �� Telephone No.: �% — 3(J JL Email: 7 Situs Address: CA BUTTE COUNTY Proposed Use: MAY 16 2005 Residential 2KNew 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 ❑ gricultural Exempt Building I-1 Other: DEVELOPMENT SERVICES ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A 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 Date V Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: —�iiC0 -jb Land Conservation Act Minimum Acreage: Veri reside ❑ fy nce 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:' • Flood Panel No.: Index Date: (� �c ❑ Sacramento River Reclamation District (Approval must be obtained from the a.lifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Speck 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) [:1Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance El Administrative Permit ❑ Variance ------- —-------------- ------ ------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: r- 6 j GP- L D� Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front ; Side Side Street , Rear Height Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: 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 n 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/Notice 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 JQ Subdivision MU/Parcel Map: Map Date of Recording: Iq K Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 9 Date of Approval: Page: YA Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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 Plan 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 4of5 0 0 M Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc (2-20-04) Page 5 of 5 OWNER'S CERTIFICATE " We AL S. MI fiR /WO E w5 0. orlon a/ Ine told a ,lawn n Inn nn/x10 mop of OL O aAd ORnVILLE Tril_E =11 PANY , II wor ecerded }ePT. r- 19j�, in Book LOo of the Ofel.fal Reams o/ Butt. County, California at paps 4S7 , and OROVILLe TITLe CO—^AV e Tres Slee �d., Deed of Trull recorded AUCIIST Z9 , 19 8> , in BookZBSS of the Official Records of 130t. County, Culi(.rnlo at pope 397 , (aAd ) . do hereby certify that FH(..)Or. the only P""") whoa cmsenf i1 nens,a/r In pan clear llfte to :aid lona and !111..1 conn./ to Its prep....... and record., ion o/ mid map a1 Marrs within the cot..ed bold.. line.. We olln lo, dldlcari0n, old ta 1.110, ..dic.l., for public use lar .pacific purposes, ,;,A'. al toy ad e000mooN f.r ruler Ilne,, .ewer IIne1, tllCIAa9. pip- and diene.. 9aa linea one I., und.rproum wlr e, l.. 1leelrie and rele0hone s .lee lOg,lhoo with any old all appurtenance, opp.rtalnln9 .hereto, under Iboss nips, ./ land ,A.wn 0 .said mop and Onipnofed P.b tic Utilities E...min l- RUE EOsamen/. for li ghl ad air over In.sa slripa Of Iona .ring batt sen the Ine troll old / o. aidelinn of tor, ala , linea sbarn on Sola map and designated Setback Line'• ,old alrips of lana to ba top/ free and open from bulldings. The II no acceai strip as shown within the .heavy border linea is euebr offered h to osmole. Wetoo all., for dedication, ala do A... be d.di-I.. lar public u e, for .p..ihe' p u, pose,, lights of way and easement, for water drainage pipwod ditches roper ler .ire any and all Pppr,rl nen ovp..faininp 0.1110, wade/ or aver In.. »reps .n al )and ow. on .aaid mp old #,,i o noted 'D,oi nage Eosemenl'. 49i: N ' ! z � / �6L�.LLA.e YY, . LWJe., ALAN S. AVIS GR. De—RES M. AVIS O�ROOVVV ILLM TILE cLV�PANV BY: RAy RT,Y vice PA6SI &,VT STATE OF CALIFORNIA ) ACKNOWLEDGEMENT COUNTY OF BUTTe )SS. (INDIVIDUAL) an Olc- 9O L7, /98} before ... Ineumooaipne a, a Notary Public in old (0r said Slate, personally appoa,d ALAN S. AVCS SR. ANO DELOReSA1. AVIS gnona fly known to Iw to be the penonfs). whose mme(.) Is (on) subscribed to here.. and oc k Aorledgd tom that TNdY ,ecuted Me some. W ITN E 55 my. ono eflici.l Real. 'o1Ti,5AL se—AL Signature cuttclomr. 1r erltrt lens Nome fPia ted 1�.�-c-..arm+-.-.•.�..LaM- I This oda /or teal ) STATE OF CALIFORNIA TSS ACKNOWLF-DOGE E COUNTY OF ()teal VI UAL On , before m., the unde,.ipnSNolory Public Incl I., mid Slo N, perwmlty oppoard Personally t.a.. b me to be Its papa(..row m 1. fon) mb—ibed tohereon am .ch n.rled016 r. m. ".1.-- .....led the sa.. WITNESS my none one o of .sal. Signora ra (ibis area to, seal I Name (Printed) ACKNOWLEDGMENT (CORPORATION) STATE OF CALIFORNIA X99. COUNTY OF BUTTE ``L� On cV1a� �1 , I9BL, Behr. me, the uW... fpwd, o Notary Public In and for said Stole, personally olpmnd RAY MART/N Penolnlyknornbme la be the VICe PEE6.l.eNr ef the OROVILLE TITLE COMPANV Its Corporation that sP.I.I.d the Certll.eate hem., kmwn 10 me to be the person rim ..ecu td the Cedlfi.ors hnan, on behalf of the C.M.rstl.n, herein named, and dcemrtedad to me that such Cdporaton ese011d the mm. WITNESS my bond ad olllcial a L }`L�\U m:ut o,t \ 99181 I�'-�.We•s+etY� �r�. EtM_N±YCBUUN �^ �o-b Nome Printed) (This ala tor,aal) ACKNOWLEDGMENT (CORPORATION) STATE OF CALIFORNIA ISS. COUNTY OF ) On , 198 De me ha and-sl9nd, o Notary Public In and for mid State, tin IY appmred penomlty know o me la be the roe Cbrporafion Ing/ soCul foe Cn1llftah horrors, known to me ro be foe person rho reecefe a Cerlll loofa hereon, an Anal/ of Its Urpo,olion, nen In nom ed, and mrlepd .. me that s. Cwporalon eremted Its same. WITNESS my and official seal. Sion.Nn SURVEYOR'S CERTIFICATE 1, Gare T limincofr , herebY certify Incl I am o 0—sed Land Surrerm of file Stale of California, that Its onne,d mop of FIR KNOLLS SUBDIVISION correctly mpntelft a survey made under my supenlslon In f O T6 a; )98.1-, that the w,r.y I. true one complete as Morn, that the —.—to shorn Ihertan e,lll and o of Me character and -cup, the position, indicated and on .0 If; 0 ret Io snob). the aunty la be tS'`9,t LIPplBSG NA S63c Gory I. Lipa call LS 4 {a l4/ 0C COUNTY ENGINEER'S CERTIFICATE 1, William Chaff County Engineer of the Counlr ay B.II. do Ir,eby codify Incl I hove examined rhe all ..d lln.l mop a/ FIR KNOLLS SUBDIVISION that it is mD aanriollr Ine Same as -pose/d on the hnlalfvl map ta tib, od any *p led o/1erpNone thenal that all proWelone o1 the Srrdlrlsloe Map Act of Ine Slate o1 California and anY (G.al onlinan.es applicable at the time If approval of saidtentative mop have boon compiled with and I am sail. tied that the mop Ie technically ear reel. / 0. led / a)8Ar l W"".. 328 Counts Englnur RECORDER'S CERTIFICATE Recorded In the ollice of the Retarder of Bulls County, State of Colilornio, at the CC9ue,0 Of lJ Oo/NP oY7-L�GT// this A/TN day alfEB.PNA T✓, 19Bd, of D minutes pas, A, In to Book of Mop. at pages fT3 Serial No. i? -S'- 3 / SB f% 1770. urea for .sal) Name (Prinfdl Eleanor M. h dB.ter Co.." en-R+eedu AUDITOR'S CERTIFICATE 1, Jame, L. Johan Nn , Auditor o/ the County of Butte S"to I California do h reb, relit, tear IAe,s are o la,o la, e�'FIR KNOLLS 9UBd, VI BION eel forth, or unpaid SIGN, County, Municipal or Local Iona, a/ eP..Jal ass 0s 011te Colkeled as bane, except lose. Or special assessments not yet Payable. To,.. a a en la which are a lelll, but dol yet payable, I wlimale to be In the —lif of , on 10.�._�y ,1982! AP J1111 L / nan.en Audi,., /ins Counlr o/ aorta CLERK'S CERTIFICATE I do hen by certil, that en T..._...F �q ,198, the Butte County Board oI Suo. ..Ilan afflciallY approed Its subdivision map of FIR KNOLL, SUBDIVISION The receipt of aalislocfnry seeuri ty In the omaunl alto insure lyes which are o 181A, but not ret parable r acknorledgd. no::ep.01ft right. of way and ....man,. la, ato, If.... ester II..., d,aimoe pipe, ane dllche, ga. Pines and far underground' wires to, electric amnphme err... rllh onY and all oppurlenannt .pprfalnlllp there N, under Mole ,Nips of land Mown a laid mop and OeslpmtRd a ' Public Utilities Eassmem-P.UE.' Old 'Drainage Eake—t" and aM.red for dedication for specific ....ere acceolsd. Th. .l' PiaaCce.. et,fp a, shown withl. the he—r bore.. Ilan and offered h Ne almpt. .as ....pied on behalf of Its Public 1. lee simple. Clerk ''Tie fio71 Fj !',B..b acyd of $uprots er a� - X 141-11e, by Deputy SUBDIVISION NO 3 FIR KNOLLS SUED. FOR ALAN AVIS SR. OWNER SUBDIVIDER' Alan Art, sr. P.O. Bos 838 Maga Ila, Co. Being 0 portion of the S.W. 114 of the S.W 1/4 of Section 24 — T. 23 N. — R. 3 E. --MOB s M. MOgalio, Butte County, Colifornio December, 1989 L/PP1AWTT-GOTH ASSOCIATES ( ENGINEERS + SURYEYORS + PLANNERS 1.007 BILLE ROAD PD. BOX 671 PARADISE. CA 95969 Ph. 916 / 877.4300 877-AB77 SUBDIVISION NO. FIR KNOLLS SUED. FOR � vl I5 ALAN AVIS SR. FD 3/6'1. P. SUBDIVIDER: III- AT/3 Sr. P. O. Bu Bae PER S4 RISSO N¢volto,C.. FO`SIB' Re BAR R.C.0 9033 a portion of the S.W:I/4 of the S.W 1/4 of Section 24 -T.23 N. - R.3 E.-M.D.B.,M. vE¢ 54 41f So a.—b-, 1983 mogollo, Butte County, Colifornia N 8q Sl 06 W H58.37 _ T I I 100.00 \ 1100) BILLe ROAD • PARADISE- CALIFORNIA 9.99e000T I 05.04 I 95.05 I 16.00 I lot. SO I �-1 )•�6'RInti �, ?µR, U( I I I I lyp/ PARCEL 4 'V I P¢LEL 3 n d PARCEL 2 I PARCEL 1 V �, 'p C 0.32E PC. •y ` C?SL2AC. y o.SZ4Pe, •� 0561 AC, I� a Iq9 .0 n y w uR A n> /I a l .W -0 2 2 1 A•Tlis Is• •%' 4 I. II 2 le- N I / GD. RRBA! L.S. nee Pen • ` Z FO. I at' I. P. L-51)90 PLR I I ] I I I I ° I L• Lk97 I n/f•9b .II• / 64 R/>50 4 I650 9R 30' BLDD.. �I _fDTOA[It�l P i T` Ir \ /00.00 --79.BL 9 1 )9.03—J BC. OO KSL —_ I � I ` N89e 31'06vW 'ji./ N EAR LIGH COU2T Nw-c.ur3 a ae•v f �4 _ O °I 60' KCW fiYLLVVSIV6 ROAP 2 L4 / P:LL FiASM'T HR L84b 0R. L?9 ZyL7-02-4i7 / � L o-Se1-OR •90i0 1 t5 I I�L6 FO.Zli TO Pv6R L.S 2)80 1 I ASS.W. CO e. Set L4 FGR 644/5 SO, RESET PER 1 i 74 R/S 461 TOPPER L. S 16T I Ot, 6° NOT es BA31S OF HEARINGS IS TNe UI-Y.L/NH OF TNe S.W.: /l of SECTION E4 Al N I'1o'ee'E PER 54 RS SO . TOTAL PREP I.SLT ACRES ENLLI.V CPUC' Go.Z--1 WAO CR4N ZV GO Our147111 s POCUM 6./r -f. Nor -r— v'—s Lt vC IVL-3 FOUND CORNER AS SNOWA./........................p SET 3/4' 1. P. L.S_Sb94.... - ........................... Q PUBLIC UTILITY EASEMENT-'-"..... — P. V.E. LOCATION MAP NO SCALR L19 SCALR / ASO' 3Q 00 1 SUBDIVISION NO. FIR KNOLLS SUED. FOR ALAN AVIS SR. OWNER SUBDIVIDER: III- AT/3 Sr. P. O. Bu Bae N¢volto,C.. Being a portion of the S.W:I/4 of the S.W 1/4 of Section 24 -T.23 N. - R.3 E.-M.D.B.,M. _ a.—b-, 1983 mogollo, Butte County, Colifornia LIPPINCOTT-GUTH ASSOCIATES ENGINEERS — SUR V EYORS — PLANNERS \ 1100) BILLe ROAD • PARADISE- CALIFORNIA 9.99e000T I Sheet it of 2 Sheet(5) 4016, 877-116T1 19161 077w300 Job No 8'0012 E.N. USE Ot Ly Rot Ran AnxcMd ✓ Floss Ran Anscftad Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# . Plan Approved for: Sewage Disposal �✓ Water Supply: - Public ✓ Private well Clearance for ✓dwelling. Other .3 /3Eo,0P-0zy;-1 •�.IA-2A--U-5 Hold final for: Final clearance O.K. for: NOTE: f Environmental Health S e jalist Date ;� 8/96 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. "7/C�9Cz ASSESSOR PARCEL NUMBER - 64-66-45 ZONING%" RT1 BUILDING PERMIT OWNER Oz Const. Corp800 TELEPHONE 525-6168 SQ. FT. OCC. BUILDING VALUATION 1696 R 67,840 OWNER'S MAILING ADDRESS 300 Pine Ave. Goleta CA 93117 805 683-1401 481 M 6-734 CONTRACTOR'S NAME Same TELEPHONE 180 Open 900 CONTRACTOR'S MAILING ADDRESS Fireplace "All 1,000 CONSTRUCTION LENDER s acrame tovinSS UNKNOWN Total Valuation $ LENDER'S MAILING ADORE Chico Filing Fee g $ 10.00 Permit Fee $ 364.00 ARCHITECT OR ENGINEER Jiin Tarn Liu LICENSE NO. C35023 Plan Checking Fee $ 182.00 Ener Plan Checking Fee Energy g $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6425 Ehrlich Ct. Ma alia Permit fee $ 571.00 PLUMBING PERMIT Filing Fee 10.00 E h Trap 11 2.00 22.00 lar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME Fir Knolls Subd 'tel PAR EL MAP v ater piping 5,00 5,00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New D Addition ❑ Remodel ❑ Utilities ❑ Installation[] 0th r ❑ Describe work: 3 BR Perm Fee $ 52.00 Contract ELEC ICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 10.00 Main service EA. ADD'L too AMP 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the uslness and Professions Code and my license is in full force and effect. License No.- :53 SY3 Classification ��/ �® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR ADDNS. occldF� 9�}� ACC. BLOGS. [,j/// 2'/zOsgft 54.40 NEW CONSTR.ULT'.OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) -SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 120 @ 50t 30gt FIXED APLNS.❑ Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 86.90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 6,00 LP Forced Air Cooling 6.00 Hood 3,00 3,00 Ventilation 3. 001 6,00 permit Fee $ 31,00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,ate ,O X �` � 'r�� ;' Date /d '�- - ` Signature of Applicant ( : wner'Q ContractorK Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ NOVAN Energy Inspection Fee $ 30.00 C 3 CoTT r, - v TOTAL FEE $ 770.90 HAZ �, CUA ` PARK SCHL FLD PAR D 'ssuE This permit is herebyissued under sions of the Butte Cunty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date thea applicable resolutions have WORKS Date rovi- to do been paid. Receipt No. 84115 - 237.00// WHITE-D.P.W.. YELLOW-ASPJ0RNq_Ky1NSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE OR PAR E} NUM f (� ' ZONI BUILDING PERMIT J O Z t,©� $�� TELEPHONE __ SO. FT. OCC. BUILDING VALUATION ON©IR' ,y1MAl!^NG DnESS O'6 to 9311I(OS �8' -/ C• C u -I-•��� Cii�N TRA�CTOR''S NAME n{ TELEPHONEq( CONTRACTOR'S MAILING ADDRESS C TRUCT ON LEN UNKNOWN �O0 Fireplace Total Valuation .Qj LENDER'S MAILING ADDRESS ` Filing Fee $ 10.00 Permit Fee $ A tl ;EN OREN.61Nr R ` rt CE SE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1 Permit fee $ O - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q Qt + Solar or heat pump water heater 20.00 LOT O. SUB2(VISIONN M ` r d &'hd P CEL MAP Water piping 55,00 Each qas water heater or vent 5.00 Ovv Dvv USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00e TYPE OF WORK New Addition❑ Remodel[:] Utilities Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LE Main service 500 AMP ORSLESS 1 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING o P. OR ADDNS. ( ACC. SLOGS. /z¢sgft NEW CONSTR ULTI.OUT NO N•R ESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS e) ISINGLEOUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL@e300LO 30 Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6,00 r Cooling Hood 3.00 D Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for -excavations over 5'0" d p and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ Q HAz CUA I PARK SCHL I FLD I PAR I PD HD IssuE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. `� [� WNITC-D. ♦. W., •CLLO A Qq pl - CT�1, . DOLqaD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985 -.TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET /_�qt3 Permit No. A. P. Np.G Building Inspector 666 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ........ 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation 1.00 instructions . ...� .e . 10. Fees of $ .................................. 11. Chico Urban Area fees paid ....................................... 2. Park fees aid .................................................... �!t+c Sc of District fees paid .............. 14. Sanitation approval from It!!C?t r a Health Departmant 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW 199. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required PrF-Inspec. request to Bu Iding Inspector (Date Contractor's license information (No., Name Style, Classification; ... 14 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) _. 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the per It, process as follows: Mail to owner. Mail to contractor. Telephoned and hold for pickup atoffice. Deliver w/inspector. Other-- S - 6 16 Appl ican Date /4— =Z3- 9© Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per it issuance: (Circ:le new item /got checked above). 1. Index permit for above items No. �� I / 4 1q, /f, 7 2. Additional items required: ontracto ,�Riggner., owner, was advised of above required data by_phone ail counter Contractor, owner, was advised of above required data by—phone —mal l—counter Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder — date e� Date M FAR Niai Parviz P.O. Box 2071 Santa Barbara, CA 93120 RE: Oz Construction Dear Mr. Parviz: butte Fount DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 October 31, 1991 A.P. #64-66-43,44,45,46 RONALD D. McELROY Deputy Director Per our phone conversation October 30, 1991 concerning Oz Construction and the expired plan check for parcels 64-66-43,44,45, and 46, I have enclosed photo copies of our permit application forms. A complete re -submittal of plans and calculations with plan check fees will be required. At that time, if there are corrections required, you will be notified. I have not included a correction list of existing plan check corrections because the plan check was never completed due to a lack of response. If I may be of further assistance, please contact me. Yours very truly, William Cheff Director of Public Works DP:dms Dave Purvis Supervising Building Inspector Attachments APPROVED ` Butte County Environmental Health Dry I vE- I Environmental Health MAY 0 6 2005 ChiCO, Cel I � it �• •'� _ i i Fig., IA" ccs ® ° °' / � � . -• .- Iz•.'a, i C/ .0 arvivonmmental Health MAY 0 6 chipo, CA 7f 65 LIOT. 415� C -TT 3 -WISION -BUILDING PLAi I ;-,P- ovAi us a *�L Data: .. ParWing:__ Landscaping ormer — /7 - - - - - - - - - - - .................... 7777 no I WIN I I I I I I I I 111 111 1 0 low F1 is I go —M :7 . - 7� E KQTR B Y .7 REVISIO J. UWe u e -,e i e c q p'.t a C l a du pl ek re c 4 p �a c I e / 5 PI I t wired 4q d 14 pl,e x r 6 c e p t a c I e / 9 r o u n d a u 1 n t e ru p t e r t duplex r e c e pt a c i e g r o u n d f a u. 1-t I n t 4 r u p t e r Z/ '4ater�proQf h 9 u s ri%, + 041 220 volt special re�;eptacle 4 duplex receptacle f loor jt 44. wall switch q Way switch J 4:,way switch Y 4wm Vovo 6, x-0 4� '14 0 t switch t6g9le, type dimmer swi tch wa I 61 & LW44 W rA14) cei I ing mo u'nto4d light 'f i X'ture rF==== wa I I mount' ed light f ixture ed can light f xture zero cl. type recess receased can eyeba I I I i0ht tl xture zero :-.1 type televiston outlet 4 4, W1 telephone Jack c4ifing fan multiple speed with. rev erja X t17 cellinci fan wl light multipi,e speed"orith reverse ? Low unted panel flush mo 4U V under couoter fluare,seent reraessed fluorescent J surf ace mounted fluorescerit %41 exhaUst fdn oaf, t/ . ...... . recessed,ceiling speakLr Or, 10 roe-, � X k - - whole housg falt f 4� 4ttic fan D 4 Art 7 2�_ 14expa" Q Q T10 e ILA V W kw A 1.-241 LW UIS , n, - " 7, f)� U 1, ft SHE WALLSCfif, 'iXNII�QL ON PLANS r (iYPSUNI BOARD WttTit 5(l COOLERS OR e) i1o, L� T P X - - - - - - OARD W" 6d COOLERS '4ATE,39 RRYI JoISI:,Wl 16d @v 8 -tic �Rl I JOIST TO TOP PLATES Wj Wit OW A43OLTS �72" ox. WIDTH OF PANEL AS NOTED ON PLANS. SEE kl NO U V4 I V T + OR:,��i Y��,(),OD t��DX �&il .2 6�4, W712 1, DIA A,'130AAS �'L4 7_)" u c. OR Hot I -S 11 OF PANEB FLOW AS NQU'D ON PLANS SEE NurE.'s "A, C D:' 13 77-1` wt n I. 3tj �p 1/2" UIA_ A, HOL'I S L T- OR WIDTf F 1 0 PAN 1S 5 V)TEU' ON PLANS. SEE. NOTIES C & D" BELOW CONT likk�ING kND PLUMBINQ 8Y$.Tyim jeASURES [A. 3idll W!I OR PLYWDO[).� SPACE VITIONJI,10, Xr 2 T' DIX AL BOL'tS, IlD2A Il0I_0Q1iVN N, 0, _j 0 2L EDGE Ck� NO $1 U.D�, Olt PlID2 ()N'2 fill 6 X BOL I' TO F('X)TlN(; n I (X'PANFJ�S;A LQW� Ment A,� er t s an fac h Cmmion. CDX� WMt 8d 4i 6'% 13- 1- 2" 1 AA �j 1,- 1 HI52-\ ell -7- , A 150 N : Heaiting.,and/or cdolin loads-c�ticu 0 ON CH =6 M S N0I'FD­()N PLANS. �;J,� 13 ilO-113: H sji c UIDS w, '�snjio i itoi.r to with AS11RAE, G. NVIDTH ol., PAY1 SIACNAor ACCA. & a N cooling systems. . 'L� . :� 1' 'k,6�0) oN pr,\,,;.� 150(i) Secback 'r -he <(I 0-cy Lott- rmu 3 E 4 1 5 0 Pipe an d- Ta nk in sul a t ion 16A4 V -S a s DOWN TO I'llE 4 U �g 7 4 114 it :insulation C "I'lNUE TM; hn stlled thermal resistance C 0 N'I N� U 1_� w - _'LA "Oil f 4- A L 2's nFA r I I uk, ank, non- G� VXVCR FItANIINQ OF INI'C1RSj-'C'j' 7 - ­��-T= � ­­-­ I NUMALLS ...... tems, ks -A -4 or greater). HU 3 U. ALL o�- iiot;r m ------ JIICK� olar system, N S < 3 a I�y L!S,( unfired storagetanks, or rE, D 4 130 NG; 'l*f(REAUEL) R COUPIL El� :�the indirect hot water tanks. have R-12 external NUr of: :n1j,, N��',lb .AS:- I I; PRQVIDJ! SOU[� 11314CK)ING kfNDER at on or R716 Combined intx. insulation. SA P. (A (u. G L __j Rof) insul AU- ALQN-Q J�jjj� 4. s u F, U` -' 0' 'KLATE o h t yStem. iL -R 55M AAWL I' WI 141 FOU1111,11) Pj ACED 1�1 pi MIX bel KEPI,ACFD di t 1� L . i p Ing ))S i, OR 05 ip nted oetweenheating source and indirect PLA(T U M, fWAKU." TJ(L 0, IN 13 1,I)AILP-j ho n Environmolgal Ife, 1150(m) : Ducts and Fans 1C J'S" 0SIB NItNt I'V1, 3d, '11411 vi I_ t enums -alled, sealed and in- the C tons F7 601, 603, and 6 to a 04, an S 6-3; dc MAY 6 2 mnm n f -005 Y4 )1� �4' ps 40 ttl 44 44, - T/0 I 'di t In mastic, Wa-h,444�0 A� jE�z (,�.6 p oso system chat rileets, the le irements OfL ChIC09 CA UL181 " - I - .., � I c, '.. I mastic or tape is,used to Seal than 1/4 i ich, 4p' greatP_4 arid either friesh 44 ea �IUjjL)lkjq E�VEI�OPE ��Wqkgs the combination q -niastl or tape, shal I 'be Us, n ities shall not beLUSea for 4141 Oneld air. Uoints andixe�uii6 of duct n A systems and mnts De ign shal.1 riot be sealed with cloth c r 0 (a) Mi a imum P.- 19 e r me n t educt tapesuniess c�-Iling ins.ulation. h n h t4 150 (b) Zoose- f" 04lat m n bllv - 94�tpx A �J ot 6 d , a labeled ;R'-Value'�, I �/ 0150(c)': minim n ion manufacturer tems i� I um R:- 13 wal I i rjsul ; t i,orl equkvalent V-'f.actor a in w med,�ial r Is 'or. in metal frame walls e tigned to ex�erior maski wa is) not apply L " spate have condi (do or readily access J1-rr1.1Aij6L,0 ;'WhTA 910 P6117k. 7 kl'- either automatic ible, manually Ki n Operated dampers. raib ' 114.- P_ lon in S141$` d L L e ge insulati ors ool arid on - water absorp�joji rate nQ,grea er, Spa m # (�� Mr 1 - System is ce tified with 781 -tp6r transmission rat thermal efficiency, on -0 water v. r Swi t W rl VIP e'rio gr6 than_ -:,2'. 0 f f r;Tjp arton ng and no pilot light,. 118 1. spectf led or I natalled meets, insulalq�on q 2. System is Anstalled witi): 4 4 4j, (),I' utandarda. 'a nd form nches of , Uter 'V4) Iflul-cace type a I I 9tr lt,19a �Prcducts, ExteriOr� boora and Infi F _4_ and heater pipe b ween fl Exf il C uture solar, h�atin Cc yer. for, ou'tdoqr pools or out; goc, spas for f 9 b �.1)96rs and,,laindowa between condition ed and unconditipi A aed 3' P 1�-' AA M �,P aka$ge . designed to limit al, �e,, au diregti.qhAl, and tj -�;,vk kwJ qmp"C' me vain— 'btlQarQ(AI nav e V. He -Et c i�F44 P P 0 F, ? r, i-, i� 4� ex, C, r e o n Z a on hous T r;�- T4 Q 9 f, 44A ti have no cont' EXter i nu n _t6jt: d6gr4 �,a d x Exce Pilot: light ption: Noll -electrical Cooking Seal, r an TenePtati=U :caulked �and e J, '�"..rh Pilot 150 Btu/br) J in landa� VZ_ 06 gra n I ia j 4ASURES, A# -only L r t o comply with ec, �15l- fne�t$ COmMiSsi6rr,qua�,ity standards., 6.�Oj� F, jLf a' rative:,qas 'A' pp I nces M n as, Q(JS a C (B S, 11 L ionry and f4Qtory'rbujit lampSL:With an ef f ic er and C; res . Or general lighting jit. Xjeche4s. ah:4 �ire acy of 49 lujilenp/watt, ori greater,, aye,:., p gti or 9 ass door itchens�i This general -ill be J�ghtin4 b QU' uhz controlled, a, awltQ I one t$idf� 'air intake with damper and C:6 it , read Cqesa-V e ril: Ol C. Flue d inper and gontrol ii liting control pan -at am entrance rJUQUU burnio t. oe ab mqs� h4vo, '4ithe 2. No cont theii. - h p W, th 1�111 t, least One luminalr4 J�qQy of "4 1 umej ps l g,rea r, sWi che the eri rqn�:e tQ E te t'' d at Is /.wa t r One, Q:,rhi6 reqvik� roe. al ternatives t of ment allowed insec'.150 W� a d p eq. ceiling 'fixtures - - jon-coVe are IC (insula� r) ap roved 40 Yt 60�,ir- �-jwo - - - - - - - - - - (rWr 4L Ve-Ki M-At-Otl.'r- IM -T6 1,1 Z";kp tV4q 7, rA 7 `7 77---- V0 r -v-_ P 1-1 ` - '* I- T, 77 polo $ ;n A ............. A", . ............ W� 77 7 -77'. '1 17- 1�4 7 "T-­­� -7--7 r DOW --- 77 ly 0-1 TIV Scale 77 7 - - - - - - - - - - - - - - 7777� --- T, --L---' I hemil! 7 - Drawn - 2__ 1Y1 ------ PIK. Job V, 4_�4 140 L JAAV Sheet —4 7 77 W, WAN 77 24 X .1 77777777 a I FF—-- .Qf . Sheets