HomeMy WebLinkAbout065-190-042• 65-19-42 //
Kathleen Medford � `yta l p'S f %b
SW-corner of Holly t Holmwood,.Magali
Permit A 5262-76P,E(uti�,`
EIE C. s�S
GAS
SUPPOR STRUCTURE REQ."
COMPACTION TEST ,REQ, yl.
65-19-42 _ -
contr: Beich Mobile Homes, Chico-`•'
Permit #5316-76MHI
Issued_ 9 - /0 /'17
'
00--1901042" e,;'w.06-1221 .
BROWN; JOCINE A ., . = �.
14545 HOLMWOOD DR; MAGALIA - z"
Cont-KRAIG.KROSCHEL'
NSF/GAR/DECK(OPEN)
41; B07 l 526, t 065-190-042
FMISCEL•LANEOUS"`''Electrical
'`REPAIR ELECTRICAL SERVICE PER c .
4' 14545 HOLMWOOD-DR's t ' �
,BROWN JOSINE C A:
,,B07-2024-',,' k> h
x X065.190;042'
' MISCEL•LANEOIIS f'+y;`. Demolition
nDE,MO 0b,I. ;&H0 F ('i6�i'n)
14545'1-{OLMW6OD DK'`f- i
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 14545 HOLMWOOD DR
Owner:
Permit No: B07-2024
APN: 065-190-042
BROWN JOSINE C,
Issued Date: 09/25/2007 By KEJ'
Permit type: MISCELLANEOUS
P O BOX 1073
Subtype: Demolition
MAGALIA, CA 95954
Expiration Date: 09/24/2008
Description: DEMO MOBILE HOME (1610)
(530) 873-3510
Occupancy: Zoning:
Contractor
Applicant:
Square Footage:
BROWN JOSINE C,
MARY DALLMAN
Building Garage Remdl/Addn
P O BOX 1073
MAGALIA, CA 95954
MAGALIA, CA 95954
Other Porch/Patio Total
(530)873-3510
(530)873-3510
FEE INFORMATION
DBMSC Demolition $58.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
BROWN JOSINE C, OL:CRW 00407156 / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 09/25/2007
Contractor's Signature Date
_ WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: Policy Number: Exp.
(This section need not be competed if the permit is or one hundred dollars
®ICERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
X 09/25/2007
Signature Date
WARNING: FAILURE70 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
I otal Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B4759
OWNER / BUILDER DECLARATION
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
0 1 AM EXEMPT under Section B. & P.C. for this reason:
Owner's
09/25/2007
Date
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
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
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
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.
❑ Owner 1-1 Contractor OR. ®Agent for Owner ElAgent for Contractor
FILE COPY
)osine Brown
P.O. Box 1073 ® Magalia, CA 95954 '
it awn,
CA, oidl
6�16
� lye ys
. o
0 o
000
00 (7iI/lam
cl
. tt11•a
DO
• • Os • , .. • • " •so.,
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) 538-7785 Facsimile
www.buttecounty.net/dds
www.buttegeneralplan.net
REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007)
TO: All Single Family Residential Remodel and Modification Permit Applicants
FROM: Scott Rutherford
Manager, Building Division
RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006
California Health and Safety Code Section 115928
DATE: February 28, 2007
To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007,
requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a
single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so
as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM)
or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 112.19.8.
DECLARATION
The property located at k L1 J� T'tD�M V.ODy a has: (Check all that apply)
❑ a swimming pool ❑ a spa ❑ a wading /toddler pool % does not have a swimming pool, spa, or wading/toddler pool
If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the
above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed
Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive
final inspection approval without this certification.
I acknowledge that I have read and understand the requirements of AB 2977 and that the above is true and correct.
Signature Print Name Date
Relationship to Project (please check one):
❑ Owner P& Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor
Company Name Contractor's State License Number
INSTALLATION CERTIFICATION
For the property located at
I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or
the American Society of Mechanical Engineers is installed in the ❑ swimming pool ❑ spa ❑ wading /toddler pool
Signature
Print Name
Relationship to Project (please check one):
❑ Owner ❑ Agent for Owner ❑ Licensed Contractor
❑ Other:
Date
❑ Agent for Licensed Contractor
If "Licensed Contractor" or "Agent for Licensed Contractor" is checked, please complete the following:
Company Name
Contractor's State License Number
K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment
Updated: 9/25/2007
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIAIIE OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name h
First Narrr�� �
t�JJ ✓�
Mailing Addre
101.
City m ;
Staten
�t
Zip
Phone,5
Fax
E-mail
�V)
CONT.
ARCHITECT/ENGINEER
Address
{
Address
•
City
StateZip
APPLICANT SIGNATURE
X
PERMIT
NO.
'o -JI - aC'
BIN #
rrPROJECT LOCATION
AP# UP �J ' b > 0
Property Address (4,,J'4!;_
t"l �
City Y -n �; ex
WORKER'S COMPENSATION
Policy Number
Garner
If hiring anyone other than license contractors, a certificate of worker's
compensation must tie shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use): i
For office use only:
ARCHITECT/ENGINEER
Name
{
Address
City
StateZip
Zip .
Phone
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
PERMIT
NO.
'o -JI - aC'
BIN #
rrPROJECT LOCATION
AP# UP �J ' b > 0
Property Address (4,,J'4!;_
t"l �
City Y -n �; ex
WORKER'S COMPENSATION
Policy Number
Garner
If hiring anyone other than license contractors, a certificate of worker's
compensation must tie shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use): i
For office use only:
APPLICANT INFORMATION
Name
{
Address
City
State
Zip .
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PERMIT
NO.
'o -JI - aC'
BIN #
rrPROJECT LOCATION
AP# UP �J ' b > 0
Property Address (4,,J'4!;_
t"l �
City Y -n �; ex
WORKER'S COMPENSATION
Policy Number
Garner
If hiring anyone other than license contractors, a certificate of worker's
compensation must tie shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use): i
For office use only:
SRA
Zoning Flood!IT
Yes No
Occ.
ype Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965 ®P
(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.
\1:4 1 PERSONALLY P T PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMEN (YES R NO)
(HAVE/HAVE OT) 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:
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
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
Description: DEMO MOBILE HOME (1610)
Reference Number: B07-2024
Applicant Name: MARY DALLMAN
Owner's Name: BROWN J n I E C, AP # :5-190`142
n NP
+'- : Signature of Property Owner, Date: V Q
DEMOLITION PERMIT
ASBESTOS NOTIFICATION STATEMENT
Pursuant to section 19827.5 of the California Health and Safety Code, all demolition
permit applicants are required to fill out this form.
"19827.5 A demolition permit shall not be issued by any city, county, city and county, or
state or local agency which is authorized to issue demolition permits as to any building or
other structure except upon the receipt from the permit applicant of a copy of each
written asbestos notification regarding the building that has been required to be submitted
to the United States Environmental Protection Agency or to a designated state agency, or
both, pursuant to Part 61 of Title 40 of.the Code of Federal Regulations, or the successor
to that part. The permit may be issued without the applicant submitting a copy of the
written notification if the applicant declares that the notification is not applicable to the
scheduled demolition project. The permitting agency may require the applicant to make
the declaration in writing, or it may incorporate the applicant's response on the
demolition permit application. Compliance with this section shall not be deemed to
supersede any requirement of federal law."
Attached is a copy of the Asbestos NESHAP Notification of Demolition and
Renovation form for the project located at
(Address) (City) (Zip Code)
Assessor's Parcel Number
Date
Signature of Applicant
Ism
1
I hereby declare that a written asbestos notification to the United States
Environmental -gency is not applAicable to this demolition project located at
. / acL Iiia cc,�
J'C,a C
(Address)
Signature of Appli(
' BUTTE COUNTY
: DEPARTMENT OF DEVELOPMENT SERVICES T
BUILDING PERMIT '
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) '
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
`
PROJECT INFORMATION
{
Site Address:
14545 HOLMWOOD DR
OWNER /BUILDER DECLARATION
Owner:
Permit NO: B07-1526
APN:
065-190-042
BROWN JOSINE C,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensec under provisions of Chapter 9
Issued Date: 7/13/2007 By GLB`
Permit type: MISCELLANEOUS
P O BOX 1073
Subtype:
Electrical
-
MAGALIA, CA 95954
Expiration Date: 7/12/2008
Description:
REPAIR ELECTRICAL SERVICE P
(530) 873-6165
Occupancy: Zoning:
Contractor
WORKERS' COMPENSATION DECLARATION
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
Applicant:
Square Footage:
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
Law does not apply to an owner of the property, who builds or improves thereon, and who does
BROWN JOSINE C,
Building Garage Remdl/Addn
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
P O BOX 1073
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
j� I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
[ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
MAGALIA, CA 95954,
Other Porch/Patio Total
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
(530)873-6165
(This section nee not a completed if the permit �s or one dollars ($100)or less.)
FEE INFORMATION
I 4M EXEMPT under Section B. & P.C. for this reason: -
DBE Misc
Residential Wiring
$58.00
'
Compensation laws of California, and agree that if I should become subject to the workers'
X UA 7/13/2007
r
`
Total Charged: $58.00 Fees Paid: $58.00
{
Balance Due: $0.00 Receipt No: B3886
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,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensec under provisions of Chapter 9
also requires the applicant for such permit to file a signed statement that he or she is licensed
(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
-
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 7./13/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Contractor's Signature Date
Please check one of the following:
❑ I, AS OWNER OF.THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
WORKERS' COMPENSATION DECLARATION
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
j� I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
[ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;'
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number: Exp. Date:
(This section nee not a completed if the permit �s or one dollars ($100)or less.)
I 4M EXEMPT under Section B. & P.C. for this reason: -
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
'
Compensation laws of California, and agree that if I should become subject to the workers'
X UA 7/13/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Oiv s Signature Date
X 7/13/2007
'
I heVby certify that I have read this application and state that the above information is correct. I agree
Signature Date
to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building
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
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ,
ATTORNEY'S FEES.
Cou ly to enter the ab a mentioned property for inspection purposes. I hereby certify that I am the
CONSTRUCTION LENDING AGENCY
pro rty oPmer or an a thorized to act on the property owner's behalf.- "
7/13/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
n o Permitte N] , 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
Lender's Address City State Zip,
s FILE COPY `
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
OFFICE #: (530)5')8-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: w. w.buttecounty.net/dds BIN #
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Nam
First Na
Mailing Addre
CityY)q c
StateZip
City
Phone,-� 3_ b �
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
Q'
City
Address- po
1
City
-
State C�
Z'
Phonec)
525-11
Fax.
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
PROJECT LOCATION
Property Address
City
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open v
❑ Structure Built without Permits
❑ Proposed Change of Occupanc
(Note previous use):
For office use only:
Zoning
Flood Zone SRA
I Yes
No
Occ.
Type Const.
11
�, r `4 065-190-042 t ..:. ,_ 06-12215 .
NOTES 13kowN> J_OC_INE; ,4 ;
4-545 HOLMWOUD DR,'MAGALIA.
Cont KRAIG KROSCHEL`.'t'�,`:-:" • °°"
;ASF/GAR/DECK(OPEN) '
-N'T IA L
,
f.
fi APN: Permit No.
Owner:
Site Address: _
Contractor:
. Type of Permit:
r
1
r'
t
•
r�
C
10
R
1
J
LL
b
SPECIAL CONDITIONS ;
• -CFI r
SRA ,
Q FLOOD CERTIFICATE EQUIRED `
Q FIRE SPRINKLERS REQUIRED r
0 SPECIAL INSPECTION ITEMS
Q VERIFY
Q USE PERMIT CONDITIONS. 9
El B -STANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT '
Q
REINSPECTION FEE PAID
NV HLTH CLEARANCE
DATE JOB FINALED: kedo L.
SIGNATURE:
rt
COUNTY OF BUTTE
BUILDING DIVISION
,DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Groville, CA • (530) 538-7541
CORRECTION NOTICE
Trf r I'Al X/ --
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.
1&j11 �/ [ 1eC 11111V16_71 l-//ftv ��16
2
-3) o YiUlv/// 6" 19.611'AWIZ�4 rye <,�,
Date 7 Inspector _ate
REV 4/05 Phone # `
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
\.mow C�� — VZ? l
. - OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
x. 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.
rcw ` C, O F
('D�►at c� � Genf
Date ^� Inspector " w ^x
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
. _ f
COUNTY OF BUTTE -u �
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES.
7 County Center Drive • Oroville, CA • (530) 538-7541
44}}A
CORRECTION NOTICE t
OWN R PERMIT NO. a
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 haves y questions pertaining to this matter, or need additional ' g
explanation, phase contact t>6 Bui ing ID4ctor as indicated below.
e-
; 4S.tjj
Date Inspector C ! 'Z?//I
1
REV 4/05 Phone # �• r
FOR RE -INSPECTION CALL:*-.
538-7636 OR 891-2834
z
''i ;*COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
j 7 County Center Drive • Oroville, CA • (530) 538-7541
0
CORRECTION NOTICE r
89 QLU t�� - fry
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 indicate below.
d 61ArD
Date` v v Inspector
'REV 4/05 Phone # 25 % D - -� 5-F
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
M.
)VL -
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
1.1
CORRECTION NOTICE J
OWNER PERMIT NO. {
A routine inspection indicates that the following violateons of Butte County Ordinances exist at s
the above address and should be corrected. Please call for re -inspection when correction of n
work is completed. If you have any questions pertaining to this matter, or need additional
3
. kh'
Date r " v Inspector 1
(h -
REV 4/05 Phone # -`
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 4;
Date: 1.1/15/06 Job #: 06598
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R.
Project Address
14515 Holmwood Drive, Magalia
Builder or Installer Name
BCW Heating and Air
Builder or Installer Contact Telephone
BCW Heating and Air (530) 873-6153
Plan/Permit (Additions or Alterations) Number
HERS Rater
Telephone
Mery Martin (530) 894-8466
Sample Group Number
2
Compliance Method (Prescriptive)
1,400
Climate Zone 11
Certifying Signature
i11� - •y i/, D�simih sieved by Mwvm Martin Date
n f'� pats: 2=.11.17 08:14:32 -08W
Sample House Number
Fin'
Energy Calculation Services
HERS Provider CHEERS
Street Address:
574 Manzanita Avenue, Suite 9
City/State/Zip: Chico, Ca. 95926
c:opleS to: BUILDER, HEM PROVIDER AND BUILDING D PAKFYIE NT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ m Tested ✓ ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check. and verify that the new
distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS
rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested
buildings.
® The installer has provided a copy of CF -6R (Installation Certificate).
® New ducts are fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
® New ducts with 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.).
✓ 0 NWiiMUM 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 Results (CFM @ 25 Pa)
Measured
Values
1
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 < 6% [ 100 x [_(Line # 1) / j.400(Line # 2)]]
❑ Pass ❑ Fail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
4
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
Duct System Alteration and/or Equipment Change -Out.
5
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System
for Duct S stem Alteration and/or Equipment Chan Se -Out.
30
6
Enter Reduction in. Leakage for Altered Duct System L_ (Line # 4) Minus 3D—(Line # 5)]
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
8
Entire New Duct System - Pass if Leakage Percentage < 6%
100 x 30 (Line # 5 / 1.400 Line # 2
2.14
®Pass ❑Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out
Use one of the following four Test or Verification Standards for compliance:
✓ ✓
9
Pass if Leakage Percentage < 15% [100 x [ 3n (Line # 5) / 1 40n . (Line # 2)]] ,
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Percentage < 10% [100 x L(Line # 7) / —1A00(Line # 2)]]
❑ Pass ❑ Fail
11
Pass if Leakage Reduction Percentage > 60% [100 x [ _(Line # 6) / (Line # 4)1]
and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection
❑ Pass ❑ Fail
Pass if One of Lines # 9 through # 12 pass
❑ Pass ❑ Fail
Residential Compliance Forms December 2005
Date: 11/15/06 Job #: 06598
INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R
Site Address Permit Number
14515 Holmwood Drive, Magalia
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
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
(pkg. heat um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency
(AFUE, etc•)
;--CF-I value
Duct Duct
Location
attic etc.
Duct or
Piping
R -value
Heating
Load
tu/hr
Heating
Capacity
tu/hr
Gas/Electric Packa
Ruud RRNABO42JK08E
1
80
Crawlspac
6
80000
Cooling Equipment
Equip Type
(pkg. heat um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency t
(SEER or EER)
zCF-1Rvalue)
Duct
Location
attic etc.
Duct
R-value(Btu/hr)
Cooling
Load
Cooling
Capacity
tu/hr
Gas/Electric Packac
Ruud RRNABO42JK08E
1
13
Crawlspac
6
42000
1. > symbol reads greater than or equal to what is indicated on the CF -IR value.
Include both SEER and EER if compliance credit for high EER av conditioner is claimed.
✓ ElI I, 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 EfJFciency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Installing Subcontractor (Co. Name) OR General
Contractor (Co. Name) Owner
'
Signature:
Date:
Copies to: BUILDING DEPARTMENT, ITERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY
Residential Compliance Forms April 2005
Date: 11/15/06 Job t 06598
INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R
Site Address Permit Number
14515 Holmwood Drive, Magalia
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
INSTALLER COMPLIANCE STATEMENT
The building was: ✓ OTested at Final ✓ ❑ Tested at Rough -in
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE FOR NEW DUCTS:
0 Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing
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.
0 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used on new ducts.
✓ DUCT LEAKAGE REDUCTION
Procedures for field verification and diaenostic testing of air distribution swemr are available in RACM_ Annendir RCe_3
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
Values
1
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ 13 Cooling ✓ ❑ Heating) or ✓ ❑ Measured
2
If Fan Flow is Calculated as 400 cfin/ton x number of tons or as 21.7 cfin/(kBtu/hr) x Heating
1.400
Capacity in Thousands of Btu/hr, enter total calculated or measured fan. flow in CFM here:
✓ ✓
3
Pass if Leakage Percentage < 6% for Final or < 4% at Rough -in. without air handle:
❑ Pass ❑ Fail
100 x[_(Line # 1 / 1.400(Line # 2
ALTERATIONS:
Duct System and/or HVAC Equipment Change -Out
Enter Tested Leakage Flow in CF1v1 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 Final Test of New Duct System or Altered Duct
5
System for Duct System Alteration and/or Equipment Change -Out.
30
Enter Reduction in Leakage for Altered Duct System
6
ine # 4 Minus 30(Line # 5 — (Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
✓ ✓
8
Entire New Duct System - Pass if Leakage Percentage < 6% for Final.
2.14
❑pass ❑Fail
100 x 0 (Line # 5 /1.400 Line # 2
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change-
✓ ✓
Out Use one of the following four Test or Verification Standards for compliance:
9
Pass if Leakage Percentage < 15% [100 x [ 10 (Line # 5) / 1 4(10 (Line # 2)]]
❑ Pass ❑ Fail
10
Pass if Leakage to Outside Percentage < 10% [ 100 x [ (Line # 7) / 1 4nn (Line # 2)]]
- ❑ pass ❑ Fail
Pass if Leakage Reduction Percentage > 60% [100 x [_(Line # 6) / (Line # 4)]]
11
and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pf
Pass if Sealin of all Accessible Leaks and Verification b Smoke Test and Visual Ins ection
❑ Pass ❑ Fail
Pass if One of Lines # 9 through # 12 pass
121 Pass ❑Fail
✓ DI, the undersigned, verify that the above_ diagnostic test results were performed in conformance with the requirements for compliance
credit. 1, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with
Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards.
Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner
Signature:
Date:
Copies to:.8UIL0tNG .IDEPAIt'l'XEN'1', HERS RATER (IF APPLICAH3 C) IlUILOING OWNER A't' OCCUPANCY
Residential Compliance Forms December 2005
WESTERNWOODS EWP PAGE 01/01
APA=FF%V
Certificate of Conformance
Certificate 054086 -
THIS
54086
THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of
Engineered Wood Systems (EWS) were manufactured In accordance with the applicable standards
and associated specifications indicated below:
ANSI Standard A190.1-1992, For Wood Products— Structural Glued
Laminated Timber
NER-486 Glued Laminated Timber Combinations And "GAP"
Computer Program For Determining Design Stresses
AITC 117-93 — Manufacturing — Standard Specifications For Structural
Glued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
were produced in a manufacturing facility subject to regular audits In accordance with the Engineered
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify
conformance to industry standards for lumber grade and glueline bond quality.
0
SEAL
`H ,Nr
b �/ '
Thomas G. Williamson
Executive Vice President
ENGINEERED WOOD SYSTEMS is a related corporation of ARA — THE ENGINEERED WOOD ASSOCIATION
7011 South 19th Strsot • P.O. Box 11700 • Taooma. WA 98411.0700
Tafapftona; (283) 586.66110 • Fax NurrWer: (253) 585-7265
CertainTeed-M InsulSafe°4
� Builders Statement Premium Blowing Wool
f
••fes
Homeowner Name / Jobsite Name
R -VALUE
NO. OF BAGS PER
1,000 SO. FT. NET AREA
Installer/Contractor (sign)
Company Name Date
Builder (sign)
Company Name Date
Inspected By (sign if required) .
Date
R -VALUE
NO. OF BAGS PER
1,000 SO. FT. NET AREA
MAXIMUM
NET COVERAGE
MINIMUM
WEIGHT
INITIAL INSTALLED
THICKNESS
--MINIMUM SETTLED
THICKNESS
To obtain a
Thermal Resistance
(R) of:
No. of Bags
'Contents of bag
should not cover
more than: (sq. ft.)
Weight per sq. ft. of
installed insulation should
not be less than: (lbs./sq. ft.)
Should not be
less than:
(in.)
Should not be
less than:
(in.)
60
36.5
27
0.986
22.00
22.00
49
29.6
34
0.800
18.50
18.50
44
26.4
38
0.712
16.75
16.75
38
22.8
44
0.615
14.75
14.75
30
18.0
56
0.485
12.00
12.00
26
15.5
65
0.418
10.50
10.50
22
13.1
77
0.353
9.00
9.00
19
11.1
90
0.301
7.75
7.75
13
7.7
129
0.209
5.50
..5.50
11
6.6
151
0.179
4.75
4.75
THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION
• In accordance with the chart above, you must install the. minimum number of bags per 1,000 sq. ft. of net area for each
R -Value listed.
• The maximum net coverage must not exceed that specified for each R -Value.
• The installed insulation must be at or above the specified minimum thickness for each R -Value.
• Failure to install the required minimum weight per sq. ft.- of insulation at or above the minimum thickness will result in
reduced R -Value.
• This product should not be mixed with other blown insulations or the thermal claims will become invalid.
• Initial installed thickness testing per ASTM C 1374 using-Unisul VoluMatic III; 3rd gear; 16 -inch gate opening;
150 -ft. x 3-1/2 inch -diameter internally corrugated blowing hose.
R-Values'are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation.
"R" means resistance to heat flow. The higher the R -Value, the greater the insulating power. To get the desired
R -Value, it is essential that the insulation is installed properly.
DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN T' OF SUCH
DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY
PROTECTED BALLASTS.
30-24-233 InsulSafe@4 Builders Statement A Saint-Gobain Company 02005 CertainTeed Corporation 11/05
R -VALUE
THICKNESS
AREA (SO: FT.)
InsulSafe 4 (✓
BAGS USED
BATTS/ROLLS IV)
CEILINGS
"'
?
V0
/
WALLS
1,3
A
g
FLOORS
THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION
• In accordance with the chart above, you must install the. minimum number of bags per 1,000 sq. ft. of net area for each
R -Value listed.
• The maximum net coverage must not exceed that specified for each R -Value.
• The installed insulation must be at or above the specified minimum thickness for each R -Value.
• Failure to install the required minimum weight per sq. ft.- of insulation at or above the minimum thickness will result in
reduced R -Value.
• This product should not be mixed with other blown insulations or the thermal claims will become invalid.
• Initial installed thickness testing per ASTM C 1374 using-Unisul VoluMatic III; 3rd gear; 16 -inch gate opening;
150 -ft. x 3-1/2 inch -diameter internally corrugated blowing hose.
R-Values'are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation.
"R" means resistance to heat flow. The higher the R -Value, the greater the insulating power. To get the desired
R -Value, it is essential that the insulation is installed properly.
DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN T' OF SUCH
DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY
PROTECTED BALLASTS.
30-24-233 InsulSafe@4 Builders Statement A Saint-Gobain Company 02005 CertainTeed Corporation 11/05
Manufacturer Insulation Fact Sheet
This is CertainTeed Corporation I n s u l Saf e° 4
Premium Blowing Wool
CertainTeed Corporation
P.O. Box 860
Valley Forge, PA 19482
THERMAL PERFORMANCE -HORIZONTAL OPEN BLOW
The following thermal performances are achieved at weights and coverages specified when insulation is installed with
pneumatic equipment in a horizontal open blow application:
R -VALUE
NO. OF BAGS PER
1,000 SO. FT. NET AREA
MAXIMUM
NET COVERAGE
MINIMUM
WEGHT
INITIAL INSTALLED
THICKNESS
MINIMUM SETTLED
THICKNESS
To obtain a
Thermal Resistance
(R) of:
No. of Bags
Contents of bag
should not cover
more than: (sq. ft.)
Weight per sq. ft. of
installed insulation should
not be less than: (lbs./sq. ft.)
Should not be
less than:
(in.)
Should not be
less than:
(in.)
60
36.5
27
0.986
22.00
22.00
49
29.6
34
0.800
18.50
18.50
44
26.4
38
0.712
16.75
16.75
38
22.8
44
0.615
14.75
14.75
30
18.0
56
0.485
12.00
'12.00
26
15.5
65
0.418
10.50
10.50
22
13.1
77
0.353
9.00
9.00
19
11.1
90
0.301
7.75
7.75
13
7.7
129
0.209
5.50
5.50
11
6.6
151
0.179
4.75
4.75
R -values are determined in accordance with ASTM C 687 and C 518. Complies with ASTM C 764 as Type 1 insulation.
THERMAL PERFORMANCE-SIDEWALL RETROFIT APPLICATION
When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the
thicknesses, weights and coverages specified. Based on a design density of 1.6 pcf/25.6 Kg/m=.
R -VALUE
NO. OF BAGS PER
1,000 SO. FT. NET AREA
MAXIMUM
NET COVERAGE
MINIMUM
WEIGHT
INITIAL INSTALLED
THICKNESS
MINIMUM SETTLED
THICKNESS
To obtain a
Thermal Resistance
(R) of:.
No. of Bags
Contents of bag
should not cover
more than: (sq. ft.)
Weight per sq. ft. of
installed insulation should
not be less than: (lbs./sq. ft.)
Should not be
less than:
(in.)
Should not be
less than:
(in.)
29
35.8
28
0.967
7.25
7.25
22
27.2
37
0.733
5.50
5.50
16
19.8
51
0.533
4.00
4.00
15
17.9
56
0.483
3.625
3.625
14
1 17.3
1 58 '
0.467
3.50
3.50
What you should know about R -Values:
The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R -Value,
the greater the insulating power. Compare insulation R -Values before you buy.
There are other factors to consider. The amount of insulation you need depends mainly on the climate
you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your
house, the amount of insulation already in your house, and your fuel use patterns and family size. If you
buy too much insulation, it will cost you more than what you'll save on fuel.
To get the marked R -Value, it is essential that this insulation be installed properly.
40
•
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
1
PERMIT*NO.
BP061221
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION ,
1 I hereby affirm under penalty of perjury that I am licensed under
/ provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/27/2006 APN: 065-190-042-000
the Business and Professions Code, and my license is In full force and
\effect. .� 793 Site Address: 14545 HOLMWOOD DR MAG
License Class: License Number: -5 -
Date: %b% 7/0 6 Contractor:Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to Its issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the. basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure Is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Stale License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
,proving that he or she did.nol build or improve for the purpose of
sale.).
❑ I, as owner. of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I
Description: nsf (1267), gar (413), open (160)
Owner: BROWN JOSINE C
P O BOX 1073
MAGALIA, CA
95954
Applicant: KROSCHEL CONSTRUCTION
PO BOX 1811
MAGALIA, CA
95954
530-873-3567
Contractor: KROSCHEL CONSTRUCTION
❑ 1 am Exempt under Article 3 of the Business and Professions Code PO BOX 1811
MAGALIA, CA
Date: Owner: 95954
WORKERS' COMPENSATION DECLARATION 530-873-3567 J
I hereby affirm under penally of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for License #: 593793
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of _ Architect:_ _
- - the work for which this permit is issued. My workers' compensation Engineer:
Insurance carrier and policy number are:
Carrier:
Policy #:
0 I certify that in the performance of the work for which this permit is
issued, I shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthw'lh comply with those provisions.
Date: D CO
Applicant:^(s
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.
Totel Square Ft: 1840 S.F.
Valuation: $93,867.00
Census Code:
�U
-*'FS6(0 3
�J /�fa<F ff--
i nereoy amrm mat mere is a construction tending agency for thercesomr n to av v
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name: B
Address: P MIT EXPIRES
pato.
Date: 0
tiI JV
❑ 1 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 Butte County. I hereby
authorizere4resativesof Butte Co my to enter upon the ove mentioned property for inspecllon purposes.
Orint NameSignature:
Date: • Q
UOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01.16-04 pg 1
r
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FalUC/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Cirncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPD
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electiicity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD LabeUlnsignia Numbers Serial Numbers
DATE
D E C KS -C O V E R S'C A R P O R T S •GARAGE S
x
/
°�'
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-0cking-Brcing .
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg,
Frmg-Brcng -
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors_
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
0 °
DATE
IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcis/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec.Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pnlboards-Insults to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
41
40 0g 00 rya
Pool Drawing
v=OK
0 = Not OK
0'7roMaterials & An
ails Studs -Nailing
-Nailing Spacing &Braces-PlatesSound
B aring Walls over Girders & fir Nailing
2It Stop In Walls (rat proof)
Stops, Furred Ceilings -Stairs -Chasers -Tubs
�2 Headers & Beams-Sz &Bearing
t ars-Post Caps-Anchrs-Cnnctns
Ming Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
c Ties or Type A Flue-Frpic Throat Clrnc
26 ANC Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27'Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
)28 Garage Fire Prtctn Framing -RC Channel
29,ftrty Line Firewall & Opngs
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
lywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
ding -Nailing Veneer
34 Stqpco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
azing Area -Glass PrtctnSkyLts-Plastic
36 Shear Wal , ail• -Bolts
37 Bract nUall ppnls
38 Insulin -Walls -Ceilings
39 I nfi I trati on -W a l Is -W n dws
I DATE JELECTRICAL
40 FW& Trnsfrmr Clrnc4ns Prtctn
ec Rcptcls Spacing-Lts & Switches at Doors
Boxes & No Of Cndctrs Stapled
exx Installed Close to Edge of Studs & CJ
E}tp Grnd made up w/Mech Fstnrs
4S Kdng Electrode Bond Gas & Wtr
4G 2 Appinc Cires in Ktchn & Cndctr Sz GFI
2jSubfeed Wire Sz ea ❑CU or DAL
AC Wire Sz ga ❑ CU or DAL
A,8/ange Ckc ga ❑ CU or ❑AL
Oven Circ ga ❑ CU or ❑AL
Insulated Neutral ❑ Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 W Clrncs pnis-Motors-Mech Eqp
Clothes Closet Lt-Shwr Lt -Spa Lt
moke Detector
o' o`er 0'9
& SideLt Prtctn-Landings
Furnace nts-Clmc-Comb, Air-Cnnctr
In age; abv-flr-Ducts-Meeh Prtctn
end °Om Exiting
GFI & Bath Fxtrs & Tub Acc-Spa
GFI Arc Fault
Elec Trim & Sub^.....'.�ker Szs & Labels
75-E,p lets at Wood Pnl, Int & Ext
tchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
;A
lec O lets & Rcptcls at Ktchn Counter
'� rage. Fire Door; Swing -Landing -Closure
n Garage -Damper
ts-Clrnc-Com Air Cnnctr-PRV; abv fir
Mec�+tctn; LPG Appince Undr House 3" drain
t31'PlmyrEfec & Mech Eqp Listed for Loctn
le cls in Garage (GFI) Romex Prtctn
nsul°am-Looked in Attic
8 u4 -G' Is & Deck Cnstrctn-Post Caps
ndn Vnts & Crawl Hole Door Drn e & Wood -Earth
86 Clrnc Drnge Planters T Yes ❑ No
87 Stucca.BroTiGn-Finish
cnnct, Elec-Plmb
o_of, Plmb-Appinc-Frpic-Clrnc to Opngs
sennet, Elec, Plmb
Im, GFI Rcptcl-Undrgrnd
House
94-epoqxivettions from previous Inspctns
95'Gas Test -Meters Tagged, Gas-Elec
96 V UP -9 Sewer Cnnctd-C/O to grade -HD Apprvl
E gy Cmpinc Cert -Other Certs
9 ddress Posted
99 Fire Sprinkler
LA, -a`
RESIDENTIAL
(Single
& Duplex)
DATE
UNDERFLOOR
DATE
IPLU BING
�n Setbacks-Easements-FloodSlope
yFt aam; Soils-Elec Grnd �� Ftg DRth
tr; Vent-Acc-Cmbstn Air Baffle
ipe; Test & Anchr-Nail Prtctn
9-Ftg Garage; Soils-Steel-Elec Gm'Ftg Dpth
DWV; Test Fittings & Anchr_ Nail Prtctn
4 Fig Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First flr-Tub Acc .
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 lost Tub '& Shwr, 2nd fir - Tub Acc
6S walls Garage; Steel-Blockouts-Wrapped
Gas Pipe; Sz & Anchrs
old Downs and Special Anchrs
59 Fire rinkler; Test
7 Sla tee[ Wrapped
tit -
and Gas Piping
ars-Frpic FtgSteel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr pe; Test-Anchrs-RgltrService Test
12.E Undrgrnd
lenums & Ducts; Clrnc-MaterialSupport-Insultn
DATE
MECHANICAL
61 AC Ducts Insultn & Support
14 GirdersSills-Anchr Bolts -Joists Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn ��
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation �%�
64 Fuer ace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
rag -Attic Acc & Pltfrm If Furnace in attic
o�s_a�
°�—(19
0'7roMaterials & An
ails Studs -Nailing
-Nailing Spacing &Braces-PlatesSound
B aring Walls over Girders & fir Nailing
2It Stop In Walls (rat proof)
Stops, Furred Ceilings -Stairs -Chasers -Tubs
�2 Headers & Beams-Sz &Bearing
t ars-Post Caps-Anchrs-Cnnctns
Ming Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
c Ties or Type A Flue-Frpic Throat Clrnc
26 ANC Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27'Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
)28 Garage Fire Prtctn Framing -RC Channel
29,ftrty Line Firewall & Opngs
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
lywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
ding -Nailing Veneer
34 Stqpco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
azing Area -Glass PrtctnSkyLts-Plastic
36 Shear Wal , ail• -Bolts
37 Bract nUall ppnls
38 Insulin -Walls -Ceilings
39 I nfi I trati on -W a l Is -W n dws
I DATE JELECTRICAL
40 FW& Trnsfrmr Clrnc4ns Prtctn
ec Rcptcls Spacing-Lts & Switches at Doors
Boxes & No Of Cndctrs Stapled
exx Installed Close to Edge of Studs & CJ
E}tp Grnd made up w/Mech Fstnrs
4S Kdng Electrode Bond Gas & Wtr
4G 2 Appinc Cires in Ktchn & Cndctr Sz GFI
2jSubfeed Wire Sz ea ❑CU or DAL
AC Wire Sz ga ❑ CU or DAL
A,8/ange Ckc ga ❑ CU or ❑AL
Oven Circ ga ❑ CU or ❑AL
Insulated Neutral ❑ Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 W Clrncs pnis-Motors-Mech Eqp
Clothes Closet Lt-Shwr Lt -Spa Lt
moke Detector
o' o`er 0'9
& SideLt Prtctn-Landings
Furnace nts-Clmc-Comb, Air-Cnnctr
In age; abv-flr-Ducts-Meeh Prtctn
end °Om Exiting
GFI & Bath Fxtrs & Tub Acc-Spa
GFI Arc Fault
Elec Trim & Sub^.....'.�ker Szs & Labels
75-E,p lets at Wood Pnl, Int & Ext
tchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
;A
lec O lets & Rcptcls at Ktchn Counter
'� rage. Fire Door; Swing -Landing -Closure
n Garage -Damper
ts-Clrnc-Com Air Cnnctr-PRV; abv fir
Mec�+tctn; LPG Appince Undr House 3" drain
t31'PlmyrEfec & Mech Eqp Listed for Loctn
le cls in Garage (GFI) Romex Prtctn
nsul°am-Looked in Attic
8 u4 -G' Is & Deck Cnstrctn-Post Caps
ndn Vnts & Crawl Hole Door Drn e & Wood -Earth
86 Clrnc Drnge Planters T Yes ❑ No
87 Stucca.BroTiGn-Finish
cnnct, Elec-Plmb
o_of, Plmb-Appinc-Frpic-Clrnc to Opngs
sennet, Elec, Plmb
Im, GFI Rcptcl-Undrgrnd
House
94-epoqxivettions from previous Inspctns
95'Gas Test -Meters Tagged, Gas-Elec
96 V UP -9 Sewer Cnnctd-C/O to grade -HD Apprvl
E gy Cmpinc Cert -Other Certs
9 ddress Posted
99 Fire Sprinkler
LA, -a`
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2006-0038532
Recorded I REC FEE 7,00
Official Records I
County of I CONFORMED COPY 1.00
Butte I
CANDACE J. GRUBBS I
County Clerk-Recorderl
I
012:07MM 27 -Jul -2M I Page 1 of 1
IIII"III"II"III�'�I'II'I'�III�I
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.
J L.
A that real property sit to in the Coun f Butte, St to of California, described follows:
Ap lClU/�'V,( ` l� 0-0-L, O- !?JY14i.. �. l)t_ haA)
L�i lis . i ctZ�Jccoi co o'
�, -
u� avirua 'r1'1 9 1 s vn 01
Date � 2lQ P OPERTY OWNE S,.../ •
' >�
State of Ca 'forn'a )
County of )
On plwglblow before me,
personally a0peared tin _ ricawnP�
known -4e me (or proved to me on the basis of satisfactory evide e) to be the person(s) whose nameL56'1S/NF8 subscribed
to the within instrument an cknowledged to me thate they executed the same in er their authorized
capacity(ies), and that brZ thak signature(s) on the instrument, the person(s) or the entity on behalf of which
the person(s) acted, executed the instrument.
WITNESS hand and officr4l seal.-
i
' AMY O'BRIENSignatureoil Seal: m WA' 0 15717366UTTk COUNTY
COMM. EXP. APDL 22.2009:
I
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.
BP061221
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under -penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/27/2006 APN: 065-190-042-000
the Business and Professions Code, and my license is in full force and
effect./�
License Class : �- License Number: 113%7 3
Site Address: 14545 HOLMWOOD DR MAG
Map Index:
Date: Contractor:
Description: nsf (1267), gar (413), open (160)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BROWN JOSINE C
permit to construct, alter, improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to file a
P O BOX 1073
signed statement that he or she is licensed pursuant to the provisions of
MAGALIA, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95954
she is exempt therefrom and the. basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: KROSCHEL CONSTRUCTION
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
PO BOX 1811
provided that such improvements are not Intended or offered for
MAGALIA, CA
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
95954
.proving that he or she did not build or improve for the purpose of
530-873-3567
sale.).
❑ I, as owner. of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: KROSCHEL CONSTRUCTION
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PO BOX 1811
MAGALIA, CA
Date: owner:
95954
530-873-3567
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
License #: 593793
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy #:
�
0 1 certify that in the performance of the work for which this permit is
Total Square Ft: 1840 S.F.
issued, I shall not employ any person in any manner so as to
Valuation: $93,867.00
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
(( J (_'L
��0�
forthwith comply With with those provisions.
Date: l/
N7
`j�
Applicant: 91
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'�rxi}L'�i
N-0)
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
ResoI t' n to do work i icate bo a for which fees have been paid.
I hereby affirm that there is a construction lending agency for the
J71/0_Z�Name:
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
BQ
P MIT EXPIRES ON:
Address:
Dafe
❑ 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. 1 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 Butte County. I hereby
authorize repres tatives of Butte County to enter upon the ove mentioned property for Inspection purposes.
rint Name. Signature:
Date: 17 •
w6wner C3Contractor ❑ Agent for Owner C3 Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buffecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name 6
Address P o g� ��fj
first Name E
Address 5
q0 tfNV_
City JYI A6AC:r &
Fax N�,Q
State C P,
Zip g56?59t
Phone b73`— 61615
Lot #
Fax
E-mail IAISA
CONTRACTOR
Name
K R.osGl{ F_ L
Address P o g� ��fj
City /nom A
State G�
Zip195�54(
Phone g30 _ 273-35.C7
Fax N�,Q
E-mail N /y�
Lic. # 5937,q -3
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
i A -WIT Flood Zone
City
SRA Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BPO
BIN #
PROJECT LOCATION
AP# IT .
Property Address
City
Cross Street
wl:o 7wwo -Piz ,
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scope of Work:
NSr / 2G7
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
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.
Receiv
�3
Receipt #:
s#: � Lv
V\
2, -7
Amount: k I Bldg
Za L/ V SRA
Sheriff
SMIP
REV 8-12-05
otal
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 /N 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 manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd. plans,
all in duplicate I ,
❑ 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. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items maybe 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.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
COUIVTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BU/CDINGD/VISI(N
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: 1!�� W AJ ASSESSOR PARCEL NUMBER 06 — /%O — 69 V G
Proposed Building Use: N 5F Permit Technician: a_5 Date: �� o
Items required in order to apply for a permit All boxes MUST be checked OR marked NA in order to apply.
I N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
\ • r N 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
I N 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
�m/tv 4. Engineered truss details and layouts in duplicate. No faxesl
0 5. Letter from Engineer or Architect for truss design review.
�j1 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal Bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
�❑ I 12. Acknowledgement of building permit application without required clearances.
. ❑ 13. Other
wining items needed to issue the permit (May require additional plan review upon receipt of the following items.)
14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
\❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ........................................
\b Erosion Control Plan Required:. "..... ._................ ... ............-........ ;........... i —C� role C_)VT
1 ees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ City of Chico Plumbing permit........................................................................
❑ 2 . Site plan and business license approval from the Ci off' gs"""-j, . _ .
California Department of Forestry plan approval paid. Sent by: =
anning approval for (A) Use: (B) Parking: (C) Parcel Check: ..... <S6
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by ......................
�1� 6. NPDES Form.............................................................................................
ncroachment 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 ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
qLetter of Signature authorization....................................................................
�
J.Recorded copy of Agricultural Acknowledgment Statement .................................
❑ Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
o . ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
36. ther. G &—T7a2 — 41 A1 • 7-0 t -c- A&
Other.
When issued Telephone kP2k%% 673 -356 -7 ---and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant - Date: 91 -3 AA
1. Index permit application for the above mu r Plan Check Letter
2. Additional items r red
Contractor, design ,owner as d f the ve dat by ph e, mail, ❑ counter, y ate:��
Contractor, designer, wner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner was advised of the'abov data phone, ❑ mail, ❑ counter b Date*
reviewed by: Date: : Plans approved by: Date:.
ate: U
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
TO:
FROM:
Building Division = Development Services
Environmental Health
Y
Plot Plan Attached
Floor Plan Atfad�ed
Sent to 8D/DS
c \ MD
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal:
Clearance for ✓dwelling. Other l ✓_'
4e e,el4g ,ae,e
Hold final for:
Final clear ce O.K. for:
NOTE:
Environmental Health SpValist
Building Clearance 9/2005
Water Supply: Public Private Well
Date
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner
App Date
brown
s/9�/9nna
APN No: 065-190-042 Permit Type: Subtype:
Permit No: BP 06 1221 Permit Desc:
BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,359.31
Plan Check portion of Permit Fee $943.72 $1,415.59 Balance of Building Permit Fee
2 FEMA RYes Flood Elevation Review $109.98 0
3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00
_ $204.98
(State Responsibility Area) Building Inspection $109.98 $109.98
NON-REFUNDABLE portion of fees due at application $1,038.72 _
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT
4 Balance of Building Permit Fees (from No. 1 above)
5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system)
6 Additional Plan Check Fees (NON-REFUNDABLE)
7 Other*:
7a Other*:
8
IMPACT FEES - RESIDENTIAL*
Per Dwelling
Per Dwelling
MFD
CHICO STORM DRAINAGE
MASTER PLAN
Applications After 04/15106 ,c
SFD ,>
County
4249.11
3183.54
774 Lindo Channel
Chico Urban Area
6146.23
4538.82
EI Medio Fire District
3249.97
2385.76
North Chico Specific Plan
SR -1, SR -3, SR-1/PD
8801.091
7395.04
R-1
8897.09
7491.04
do R-2
822L.09L
6984.04
R-3
7604.091
6198.04
Processing Fee is automatically added
to impact fee total
9
WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.#
DRAINAGE FEES*
10
CHICO STORM DRAINAGE
MASTER PLAN
770 Butte Creek
771 Comanche Creek
New construction, vacant
land, on 1 acre or less -
Enter 1 or less acre value
772 Little Chico Creek
773 Big Chico Creek
774 Lindo Channel
775 SUDAD Ditch
776 Mud -Sycamore Creek
777 PV Ditch
Per
MH
3238.
PT DATE Tech/Asst
1$1,148.70 1�� ��
$1,424.98 yf
$1,415.59 _
$9.39
�u
7289.40 RECEIPT DATE Tech/Asst
0 $100.00
$200.00
$7,997
$8,341
$9,088
$6,776
$8,267
$7,211
$6,275 RECEIPT DATE Tech/Asst
$8,893 E=
-
10a More than 1 acre, existing buildings - fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
11 THERMALITO DRAINAGE AREA 1 $684 Maximum
Per each new living unit on existing lots where full drainage fees have not been paid
11a Temporary Dwelling 1 $136 At time of building permit
$136 annual renewal fee for first 4 renewals. Not to exceed $684.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check
is completed for applicant to take to respective district office.
12 SCHOOL DISTRICT FEES* Paradise High 093 �' 7
12a RECREATION DISTRICT FEES* Paradise }
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applicant: Date:
Pursuant to Government code �%ction 66020, you are hereby notified those Items followed by an " " may have been imposed on your prdect. You have 90 days
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506
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) 538-7785 Facsimile
ADMINISTRATION * BUILDING * PLANNING
June 9, 2006
Jocine Brown
14545 Homewood Dr.
Magalia, CA 95954
Subject: . Permit (APN 065-190-042); Build/gPeirmit #061221 Single Family
Dear Applicant/Representative:
The Butte County Department of Di
submitted permit application, and
information in order to continue the
below):
int Services, Planning Division, has reviewed the
the following revisions to your site plan, or
(this may be for notification purposes, please see
❑ Creation Deed
❑ Site Plan Resubmit — Follow Requirements
® Erosion Control Plan
❑ Setback Conformance
® Watershed Protection Zone
❑ Front Yard
❑ Cohasset Specific Plan
❑ Side Yard
❑ Subdivision Map Note
❑ Rear Yard
❑ Off -Street Parking; Development S andards
❑ Special Setback or Parcel Limitation
❑ Parking for Specified Use I
❑ Federal Aid Road/Arterial
❑ Lot '& Landscaping Re uirem is
❑ Easement
❑ Oak Tree Plan
❑ Subdivision Map Condition/Note
❑ SRA Setback*
❑North Chico Specific Plan — Erosion Control
❑ Fire Sprinklers*
❑ Notification Only — No Action Required
❑ Other:
r ire spriniuers, ana the 3KA selbacK, are not requirements Jor the Planning Division approval, and this
notification is for informational p rposes, however it may be required for the issuance of a building permit.
The requested information, qr notification, is described on the included hand-outs. You will also
be given some brief dire ion, on the following page, of how the information should be
submitted or returned to fhe County. Should you have. further questions please contact me
between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603, or the
appropriate Department/Division identified in the hand-out.
Sincerely,
G._p
unris i oney
Associate Planner
Cc.
i,TTF0 Department ®f Public Works
0 0 C o u n t y o f B u t t e
0 0
0 0 7 County Center Drive
Oroville, CA 95965
\AC�UN�yy
J. Michael Crump, Director (530)538-7681
(FAX) 538-7171
�t_rc wo�'� Shawn H. O'Brien, Assistant Director
Assessors Parcel Number: — Building permit # %jjPO�/ZZi
Owners Name:
Owners Mailing Address:
Property Address:
ENCROACHMENT PERMIT ACCEPTED:
PERMIT NUMBER:
ENCROACHMENT PERMIT EXEMPTION:
Reason for exemption:
J91,
Not a County maintained road
F1 Existing driveway conforms to County S-31 standard
Other
Approved by
Printed Name
Title
Date 5-- -_2=4/�
§2
CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT
1. An existing home with a driveway 10 years or older and doesn't cause any problems with
the county road or drainage.
2. An existing home with only minor remodeling or repairs.
Butte ColultyDeparlment ofDevelopnent Se.rvzces $6103 Ir
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile 0-
R-1
BUILDING PERNUT 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, including but not limited to, Planning, Environmental Health, Land Development,
1County Fire, and Agriculture.
I j I hereby acknowledgd:
I need to submit applications for septic and/or well to Butte County Environmental Health
r immediately.
I am required to bring the approved Environmental Health siteplan 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:
Applicant Name: Kit G i �K0 SRF_ L
Building site address: 1.415,45 f'j6mewcocD PQ
APN: 0615- /7.0- 64`.Z--6
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:
SIGNATU EF OF APPLICANT DA71 E
0
Copy to Applicant/EH/File Y`Forms/BldePermitwithoutClearances 020705
�TM ENT
10TT°0���, Department of Public Works
\ C o u n t y o f B u t t e
IO C
11 C tr� O LAND DEVELOPMENT DIVISION
/� J. Michael Crump, Storm Water Management Program
0 ov��ycI Director 7 Counly Center Drive
Oroville, CA 95965
Av �5 (530) 538-7266
ek1c WOR
FAX) •538-7171
National 'Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Description:
Project Location and/or Parcel Number: 0(26- l - 0 " 0 Y2'`
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
I 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: eab_n,g_T�RC oez
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
. Revised 5/24/04
i
i**,w
�, , d4ave a 5,zeat day!
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
27 -Jul -2006 2006-0038532
Has not been compared with
original
BUTTE COUNTY COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
A that real property sitq
A41L I
.
r
Date
in the Coun pf Butte; St to of California, described as follows:
a- e/v4 CL Q kowxl,-L wt-rcu &
i�coy ` � CO LtAo�
State of Ca 'forn'a
County of A'e
On m(wg1 lnw before
personally a0pea—red 5 i h
knawu-te me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name is/ subscribed
to the within instrument an cknowledged to me that,h�they executed the same in . er heir authorized
capacity(ies), and that by-hI /their signature(s) on the instrument, the person(s) or the entityon behalf of which
the person(s) acted, executed the instrument.
WITNESS hand and of6c' l seal
AMY O'BRIEN
Signature Seal: 0 ARY COMM. 1571736
1571796
PUBUC�CAL�Ofdtp►
BUTft COUNTY
COMM, EXP. APRIL 24.2009 i
A.P
BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM GU - (DO)
(One form per Building)
School District Building Department No.
A.P. Number Jurisdiction: -city County
Property Owner
Property Location
Subdivision
Residential Development
No of Living Mobile Home
Units Installation
Commercial/industrial
New Addition
Building Department
Lot No.
..........
—L
:Sq. Footage a C
O
Addition/ '- "Supplemental to
(Group. R)
Conversion" Permit #
No foundation inspecfion)
............................... : ......................... 0 .............................
. . Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document),
Sq. Footage
(Including Exterior
Roofed Areas)
• UC
Date
District Identification No.
School District certifies, that
CKP-plic—ant)
//-
(Street Address
0'�Izeul Alf
/7 ZI
C_ 17
(Phone Number)
qllf-e�T41-
(State) -
(Zipp, ode)
has co plied Wip, -toe requirerppInts of Resolution No.
by o
paym�nt
representing Z4_20 square feet.
"2614
$
FB
ULL MITIGATION
$
School DiWct Rp(presgntative
Date
Paid by Check #
I ;W7.11P
/I I
You may protest 6s FMI56sltlan of the iiiis fiftihtlfled above by submirtling a written protest to the DWWct, In comptlance with
Gave i rnent Code Section 66020(a), within 90 days from the date fees are paid. Failure to submita drnely writion protest will prohibit
you from challenging the Imposition of the fees In any*cotk action.
ff, subsequent to the School District Representative sWng this Butte County Schools Impact Fee Certification Foran, the Schad District to
notified by the applicable Local Planning Agency that this project Is befog reviewed under the Calif mi.a Environmental Quality w Act (CEQA),
thfs project may be subject to additional school fees to hilly ndtlasts Its knoed an the school dk&Wssdmft.
'_' , cam.
fasionnift (3f05W=
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
0 CHICO AREA RECREATION AND PARK DISTRICT (CARD)
,-4PARADISE RECREATION AND PARK DISTRICT (PRPD)
0 DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s)
Property Owner (s) UL
P o'ect Location /Address
&5_Po."Uas
Building Permit Number
Subdivision Name Assessable Sq. Ftge ����
Type of Residential Development (check one)
_AzNew Development Single Family -Detached Single Family -Attached
Alteration/Addition(s) ,Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments: Ren)A0.e�
Building Department
I' l.v'
Date
❑ FPD -0 CARD ❑ PRPD�O DRPD certifies that: /
tNa�me / \ Phone Number
�ppli 1
/[ /Y lY
Wiling Address ity State Zip
Ma
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of.
Dwelling Units @ $ per unit for a total of $ .
Square Feet @ $ per sq foot for a total of $
Pai y/Ch�ck No: Paid by Cash:
D �
Rrrrrati�n and Park istrictRepresentative
Receipt No:
Date
J
PERMIT NO.
5262-76P,E
PERMIT EXPIRES
OWNER
Kathleen Medford
CONTR.
owner
65-19-42
LOCATION (A.P.
SW corner of -Holly
& Holmwood, Magalia
r,
i
f'.
A",
ITr
} e
1
:1
Temp. Yower Pole
Called PG&E
Te . Elea Serv.
? ,'
Called PG&E
O J`
emp. Gas Serv.
Called PG&E '
loB
dA
-/7
FINALED l
J
9. Electrical
A
is
sei-vice large enoit& to provide :adequate amperage to mobilehome (must equal rating of
mobilehome with a. -.:zinh,um of 100 drnp) anal other facilities on lot, i. -e. , water pumps,
,ara,,.y,e, camna, etc. r Yes VNo
B.
is
ther-� proper clearances around panels? YesX No
C.
Is
power supply cord or feeder assembly properly fused? Yes No_
D.
Is
continuity test satisfactory as per the following procedure? Yes No
1.
De -energize electrical wiring, systet-i,i of the mobilehome at the pYeestal.
2.
Make sure that the power supply cord or feeder assembly.conductors, including neutral
conductor, have been disconnected.
3.
Switch all breakers and switches in the mobilehome to the "on" position.
4.
Connect one 1,sad of a test instrument to. the mobilehome grounding conductor and
CAL; sfY ) Conduc LVL, iliel ud ing 11CLl L tell.
app the o L L ie r Leah L.L) c- -1 - - - -111 TOOb -il e 1-tuci-Leu p
5.
All non-current, carrying metal part s of the mobilehome (aluminum siding, gas line,,
'
water line), including fixtures and appliances, shall be -tested for continuity from
such equipment and the grounding conductor.
6.
Upon completion of the above procedure, the, power supply cord or feeder assembly
conductors shad be connected to the, site ser -vice equipment. - A further continuity
te----L shall then be made between Lhe grounding electrode and the chassis of the . .
Mobilehome. Upon satisfactory completion of theelectrical tests., the lot or site
ser -vice oqiji.pment may be approved for energizing.
;,D, is
job
card signed by Health Departmeat for water and sanitation?
11. If everything olsay, sign off card and ta- services.
'MOBILE"'O.ML DATA
Manufacturer and/or Namestyle
Length— Width
Vehicle Serial No.
2
State Identification No. N (e --I S12 V-L-7--
P.&,Ltional Info-nnatjon or Comments:
I
fiUBli,l?IiUi`1.1 INS7'ALIA'1'ION INSPECTION CHECK 1,IS7'
1. Is the mobilehome 1oQate( w .i_li required separation from lot lines and buildings and generally
conform to plot plan? Ye No�
2, Does they mr)bil.ehome have required clearances above ground? (Sec.5085) Yesy— No
3. Are footin-:;s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No
4. Is the mobilehome level.? (Sec. 5088) Yes_ Noi
s
5. If m. e than a single,unit, are crossover connections properly installed? (Sec. 5088)
Yes
.7e
S. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? YesV, No
C. Backflow - If coach is not ate of California approved, does station have backflow device
and pressure -relief valve? No
.7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeq!�/ No
B. Does it have minimum ," per foot slope and is it properly supported? YeS No
C. Are any leaks detected in drainage system after running3-gallons of water through each
fixture including washing machine standpipe? Yes No ,
D. If coach is not Stat f California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Yes_ No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water..
C. Are all appliance vents properly installed? YesNo_
�, COUNTY OF BUTTE
DEPAR&ENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the C i oria Administrative Code, Title 25, Chapter 51 under permit
number —7�' for th f 1 vin ovation:
Owner _VJ i K ' Oi
V
Owner's Address
Mobilehome MfgModel Year 7( -
Insignia No. `S e S Serial No. yS� a51�
It is hereby certified for occupancy at the above described location and
may be occupied.
f Direct r o. Public Wo -1-s
Date rv/ By dd�
THIS CERTIFICATE IS VOID WHEWMOB.I,LEHOME IS RELOCATED
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Masonry Walls Throat - Rough `
Reinf. Stee Final Fixtures
Bond Bea FIRES RINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
t Mesh MECH NICAL Grd. Fault Pr t.
Scr ch V Heating Service
Brdwn Cooling Temp. Pole
Finish Ducts Underground
Interior Lath : Ventilation Permanent
Door Closer Final Final 1015 -
DATE REMARKS OR CORRECTIONS
z 7 7 6 i' 3,'c PX
(NOTE: An entry must be made on this form each time you visit the job site.)
I,
I
J.BUI-DING
BUILDING (Cont'd)
PLUMBING
Setback `7Fir
all
Soil Piping
Forms J
Parallets
1st Floor
Main Bldg.
Restr om Finish
2nd Floor
Footings
Windo
3rd Floor
Stemwall
Siding
To out
Slab
Roof SheNthing
Water Piping
Piers
Roofing
Sewer 5rlz 7176
Garage
Fdn. Vents
Fixtures
Footin s
Stemwal I
Garage Vent
Insulation
Water Htr.
Heaters
Slab
Carport
Footings V
Prov. for phy Cally
handica ed
Conformance o X.
structure
Appliances
Gas Piping & Tks t
Temp. Gas
Slab A
Final
Sanitation
Patio
FIREPLACE
Final 7`.
Footin s
Footingx
ELECT AL
Masonry Walls Throat - Rough `
Reinf. Stee Final Fixtures
Bond Bea FIRES RINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
t Mesh MECH NICAL Grd. Fault Pr t.
Scr ch V Heating Service
Brdwn Cooling Temp. Pole
Finish Ducts Underground
Interior Lath : Ventilation Permanent
Door Closer Final Final 1015 -
DATE REMARKS OR CORRECTIONS
z 7 7 6 i' 3,'c PX
(NOTE: An entry must be made on this form each time you visit the job site.)
I,
I
- - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIle, 6a(ifornia 95965
Telephone: 534-4541
APPLICATION AND PERMIT
76
auuwncC ivPivSCntatives of Ine County of Butte to enter upon the
above mentioned property for inspection purposes.
X Date £
Signature of Permitee Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PURCIC WORKS
BY Date �—Z•i'-�'7 �
Ilding permit expires Date r7-�� 7
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address
-
Telephone No.
Fireplace
Contractor /3,c,/Gy �/� �j/vjn�� ��[
Total Valuation
Mailing Address 2�v Cs���/ ��
Permit Fee
Plan Checking Fee&/or Penalty
lephone No.
;I�s-: 72
Permit Fee
Building Address ml-Gai�/�crl 4 L,L
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
,!1
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �� _ /�� ��
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration.
parcel Ma P
60' R/W
Im provements
Lawn sprinkler. system 2.00
Bldg. Plans Recd
P a r c e 46vV royal I
Plan provol
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex Mobil Home Others
9 Y ❑ P ❑ '� ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. ) 22 sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style
YC_a, t
Ex. Occup(OUTLETS OR FIXTURES) 109
FIXED APP LNS. OR
Ex. Occup. LETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home'Facilities 15.00
License No. �� C( CC/
Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
p aced on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
(7
TOTAL PERMIT FEE
2
s 32 ITZ
auuwncC ivPivSCntatives of Ine County of Butte to enter upon the
above mentioned property for inspection purposes.
X Date £
Signature of Permitee Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PURCIC WORKS
BY Date �—Z•i'-�'7 �
Ilding permit expires Date r7-�� 7
' BUTTE COUNTY DEPARTMENT'OF PUBLIC WORKS
7 County Center Drive, Oroyilld', O.A.
PHONE: 534-4541
MOB ILEHOME INSTALLATION SHEET
1. Owner's name • )AR'Re1_ L CCl;Ge nQ_ freD'i'e 2D
.2. Installer's name: ►c h (Yla 6, IQ 4�0 rno— (Zq .2S n�
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number �� — � `� 6-•) OR
�0�_0_0 1:2 - a
Is the site an existing site? Yes .W No
(If yes; furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements?- Yes / / No
(If no, clarify )
( )
5. What is the mobilehome electrical rating? ----------------------- ) 0 D Amps
6. What is the mobilehome site service rating? --------------------- //D - Amps
7. What is the mobilehome site circuit breaker rating? ------_---- / v U s
p
8. Is there any other electric load to be served by the mobilehome
site service? ----------------------=-------------------------- Yes /. / No / /
(If yes, identify the load and size: (Load)' fps)
9. What is the mobilehome site gas pipe size? -------------=-------- ,
(i n )
10. What is the type of gas service? ----------------------------- Natural / / LPG ZZ
X11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
'� 12. What is the mobilehome gas demand? ---------------------------� �vy �(BTU
(This information not required if'pipe length less than 6 ft. o nat ur^al�gas
or less than 50 ft. .on LPG.)
% MOBILEHOME SUPPORT DATA r7 ,
Mob ilehome Mfr. I Y%ieSetup Model No. 7 os i Year 112
Width _<P- (ft.) Length (ft.) Expando Size % U ft..x ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on .file with the County of Butte).
Sin le - b Footin s- (check. one)
/ 1
Cente
Center Support
Suppo
Locations
Footing Sizes
(in.)
4;
_A_
-I
(ftp ('n
-- 4,,l
(in.)(in.)
..A. —.
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Wood either
pressure treated or
fdn. grade.
1 1 2. Concrete pad.
3. Other, specify
Supports (check one)
/ Concrete block
2. Concrete piers
3. Steel piers
T-1 4. Other, specify
la x d
Footing ical ort
oting Size
in.)(in.)
I
Max. Pier
Spacing
14– 13
i
-Max.
Overhang
in.)
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
COUNTY OF BUTTE — `'DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone. 5344541
APPLICATION AND PERMIT
S-0 6 /
AJ
t U oy - - v-� Date l v J-'- i .v
Receipt No. ,,��i �Z�l- �% J ��
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B 0 ing permit expires Date22
BUILDING jW
Owner 1-,E ='—A/ %2%5E A --0)2L9
SQ. FT. OCC. BUILDING VALUATION
Mailing Address �6�L� 2�f ��Lc� 5�r,
/cam ' '���
Telephone No.
2 9y
Fireplace
Contractor ��!
Total Valuation
Mailing Address �l/N
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address S w ��/� v
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 0
a� %/AP_ 14
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 4-80 c. O0
Each gas water heater or vent 1.50
/+�-- /�, _
A. P. No. /
Zon.ing
Gas piping system 1 - 5 outlets 1-50 �, 04
Each additional outlet .30
F s
�Jv
W[�.
9,
Sa�yA.n
I Fire Dept.
FireZone
U e Permit
Building sewer 5-00 ® O
EQA
Parking
Plans
Parcel
DeclaratAd-)r-
io�n,T
are Ma p
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg.
Bld . Plans Recd ' P-arce roval
Pla ppr ,
Permit Fee $ -
$ QC
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 00
Main service 11 '0OAMP V OR ORSLESS 5.00 .00
Main service EA. ADD'L loo AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L loo AMP 1.00
NEW CONST. DWELLING CCUP. &
OR ADDNS. ACC. BLDGS. ) 2�Sgft
NEW CONSTR. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS) 2.50ea
pMINIMUM
E
FOP, R')I
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)@Lsa
BAL@i1
Ex. Occu /FIXED APPLNS. OR
p•\OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shal•I not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
$
1 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.
XrmiDate Q_
$ignatur of Petee or A ent
TOTAL PERMIT E FE
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
t U oy - - v-� Date l v J-'- i .v
Receipt No. ,,��i �Z�l- �% J ��
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B 0 ing permit expires Date22
IT
'PtiM For
his se- of plans a4ui5MpV9*ft;ft
xeFit on the job at 'ail timps and, it
ma<e any changes or alterations on
written parmisson from the Depart
Wrks,-'C Unty of Butte..
A X11,4� I) a
vo?�,r
V. - C,
!2 91 The**.. Setback shall be 5 ff. from 4106
it fl side property line and 50 ff. from N
the centerline -of the road, permitt'
I n q
a maximum of a 2 ff. eave overhang.
s. unlawful to
•same without
ent of Public
4-0 DU I I L COUNTY
NOTE; All Materials & WoAmonship. Shall Be in
Accordance- with, 3UILDING DEPARTMENI
ecocinized Good -: Practices ancl
of a gialify-prescribed, - for -+h6,-Spe
cifi;7d use in the
Uniform pq
I'm
M. F APPROVED
B "'Id _P1 " b- & aclict,�_iiEi�61 '(�ocles and
Ica
J_ I' Co.- -z
-C
the Na �;o,;a. fi�*
_40 5
a
_J
Z
P, Y fl
C ions
.:conrie sha I be
ca in 4 f t
--d-u-iskide- the `riddi
�h'i:rd
Se[th
ct'bri- Of the n46We-`ho me
zor)'J, e de 'dfthe mobil I
-
h--ome;, ., �
his se- of plans a4ui5MpV9*ft;ft
xeFit on the job at 'ail timps and, it
ma<e any changes or alterations on
written parmisson from the Depart
Wrks,-'C Unty of Butte..
A X11,4� I) a
vo?�,r
V. - C,
!2 91 The**.. Setback shall be 5 ff. from 4106
it fl side property line and 50 ff. from N
the centerline -of the road, permitt'
I n q
a maximum of a 2 ff. eave overhang.
s. unlawful to
•same without
ent of Public
4-0 DU I I L COUNTY
NOTE; All Materials & WoAmonship. Shall Be in
Accordance- with, 3UILDING DEPARTMENI
ecocinized Good -: Practices ancl
of a gialify-prescribed, - for -+h6,-Spe
cifi;7d use in the
Uniform pq
I'm
M. F APPROVED
B "'Id _P1 " b- & aclict,�_iiEi�61 '(�ocles and
Ica
J_ I' Co.- -z
-C
the Na �;o,;a. fi�*
_40 5
a
Pouxr
Ujarwk.
Sept]SYSTeM
and 1'06aflen."
'
Mt?;
40 be as
_71ounty -* H -alth, Dept
per
. Re-
L 600 V
4 �_
4
151cemene
, GloCK U0 F*
lui`r:ei:nents.,
+ts I
his se- of plans a4ui5MpV9*ft;ft
xeFit on the job at 'ail timps and, it
ma<e any changes or alterations on
written parmisson from the Depart
Wrks,-'C Unty of Butte..
A X11,4� I) a
vo?�,r
V. - C,
!2 91 The**.. Setback shall be 5 ff. from 4106
it fl side property line and 50 ff. from N
the centerline -of the road, permitt'
I n q
a maximum of a 2 ff. eave overhang.
s. unlawful to
•same without
ent of Public
4-0 DU I I L COUNTY
NOTE; All Materials & WoAmonship. Shall Be in
Accordance- with, 3UILDING DEPARTMENI
ecocinized Good -: Practices ancl
of a gialify-prescribed, - for -+h6,-Spe
cifi;7d use in the
Uniform pq
I'm
M. F APPROVED
B "'Id _P1 " b- & aclict,�_iiEi�61 '(�ocles and
Ica
J_ I' Co.- -z
-C
the Na �;o,;a. fi�*
_40 5
a
v
w
SCALE
IMMED14T ELY FOLLOWING DISTURBANCE
A SSHowm
OFo-SOILI APPLY, STRAW MULCH AND
V*rt ASSHOWN
HYDROSEED PER NOTES, SHOWN
HEREON.'� INSPECT AND MAINTAIN PER
x
D*slgntd: RGA
HYDROSEEDING APP UCATIO N'- RATES /tEED MIXTUR
-NOTES SHOWN HEREON.
.
Drs".
2.000 lbs.. Strow/AC
........
Dwl. No.
1.500,' lbs.' Wood fiber/AC
Chocked:
INSTALL.'
INSPECT -.�MAINTAIN
Date: MAY, 2M
,120,lbs. Guaor,bos'e tickifger /AC
FIBER ROLLS PER, NOTES AIZ,—
--ST;—etNo,
120 lbs Gre6n to Gold AC
DETAILS
SHOWN HEREON.'
90.
235 lbs., 15-15 fdrtilize/AC'
•
01
JOB NO.
v
w
7