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HomeMy WebLinkAbout065-530-034tC - • CABLE',—W_.A::--Jr,. 5_3_4.769B* 408-67B 9:67P84 > r�.=• ; ; r;X �,r t,� ,f<;. - 1 ws Coutol----Rd. 42 mi g no. of a ia'(' �is , !� (;hetlsingle family) (*1st & •2nd RENEWALS) 93-746.BPEM ADELMANN , ODGER, & JUNE, - 4.15283 COUTO NC4RD, MAGALIA���- L CONTR "DAN DA Y�?, t t a lry�«.F - t*}t :�` ` tom= � �„� n f `I �I�� • x � G - �^�•(15�..'��-^=�_ - -�«�%--x-93 -1841 BY :u``�- e � .. ..�, _ '-ADELMANN `R0 R JUNE 15283 COUTNC .RD, MAGALIA., CONV CAB TO"STORAGE BUILDING_;„: a r:. `- �. "t 'i,5"`f' �•a,,, may' �.� -�- 4 _, ,. t' �� T,AD -034 i `' 'M 06-'1548; ANN; JUNE'OUTOLENC RD, MAGALIMERALD POOLSGUNITE; MSTR'01-513) t " B07-0501 0.65-530-034',' 1 MISCELLANEOUS Ag Exempt, STORAGE FOR ORCHARD & LIVEST( 15283 COU.TOLENC RD ADELM' ANN, RODGER & JUNE, 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: 15283 COUTOLENC RD Owner: Permit No: B07-0501 APN: 065-530-034 ADELMANN, RODGER & JUNE Issued Date: 04/10/2007 By GLB Permit type: MISCELLANEOUS 15283 COUTOLENC RD Subtype: Ag Exempt MAGALIA, CA 95954 Expiration Date: 04/09/2008 Description: AG BUILDING - ORCHARD & LIVI (530) 873-9039 Occupancy: U-3 Zoning: TM5 Contractor Applicant: Square Footage: owner ADELMANN, RODGER & JUP Building Garage Remdl/Addn 15283 COUTOLENC RD MAGALIA, CA 95954 Other Porch/Patio Total (530)873-9039 240 240 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 Total Charged: $185.68 Fees Paid: $185.68 Balance Due: $0.00 Receipt No: B2173 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 owner / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and affect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 04/10/2007 penalty [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.<AS.OWNER ove for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED TRACTORS 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. My Workers' Compensation insurance carrier and policy number are; 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.). Carrier. Policy Number: Exp. Date: (This section need not be completed if the permit is for one is dollars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 19/ 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 04/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 04/10/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature " Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused 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 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Property er o a ri d to act on the property owner's behalf. 04/10/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Namle of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) D-0wffer 1:1 Contractor . OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City state zip 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 AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 15283 COUTOLENC RD Permit No: B07-0501 APN: 065-530-034 Square Footage: 240 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: TM5 W Description: AG BUILDING - ORCHARD & LIVESTOCI Required Setbacks: Applicant: ADELMANN, RODGER & JUNE Front: 50' Side: 20' Rear: 20' 15283 COUTOLENC RD Type of Construction: MAGALIACA95954 (530) 873-9039 Type of Siding: T-111 Owner:. ADELMANN, RODGER & JUNE Est. Const. Cost: $ 4,000.00 15283 COUTOLENC RD Roof Covering: Compostion MAGALIA, CA 95954 (530) 873-9039 Floor Type: Wood I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: Date: 03/15/2007 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name n Frame Mailing Address i5a�P3 e,UAlemon� �( City State Zip Phone8 3 03 Fax 873 X555 E-mail 0_de,/ a -n n (2 h Ae-9. ief APPLICANT SIGNATURE 't , X �44W i PERMIT NO. ,0q.. (),a)I BIN # PROJECT LOCATION API D(� _ 8C) 03 Property Address 1510,Y3 Pot City ,�SG WORKER'S COMPENSATION _ Policy Number Carrier v� 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 01= WORK: /� t 6'fpr e PGc l�G�rr2 Se : 5-4re l5 Sq FT- Living Garage 2,42 so Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name Type Const. Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE 't , X �44W i PERMIT NO. ,0q.. (),a)I BIN # PROJECT LOCATION API D(� _ 8C) 03 Property Address 1510,Y3 Pot City ,�SG WORKER'S COMPENSATION _ Policy Number Carrier v� 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 01= WORK: /� t 6'fpr e PGc l�G�rr2 Se : 5-4re l5 Sq FT- Living Garage 2,42 so Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Type Const. Address City State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE 't , X �44W i PERMIT NO. ,0q.. (),a)I BIN # PROJECT LOCATION API D(� _ 8C) 03 Property Address 1510,Y3 Pot City ,�SG WORKER'S COMPENSATION _ Policy Number Carrier v� 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 01= WORK: /� t 6'fpr e PGc l�G�rr2 Se : 5-4re l5 Sq FT- Living Garage 2,42 so Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Type Const. Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE 't , X �44W i PERMIT NO. ,0q.. (),a)I BIN # PROJECT LOCATION API D(� _ 8C) 03 Property Address 1510,Y3 Pot City ,�SG WORKER'S COMPENSATION _ Policy Number Carrier v� 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 01= WORK: /� t 6'fpr e PGc l�G�rr2 Se : 5-4re l5 Sq FT- Living Garage 2,42 so Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning ,n5� Flood Zone SRA e No Occ. L�- Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0501 Location: 15283 COUTOLENC RD Parcel Number: 065-530-034 Date: 03/15/2007 Owner Name: ADELMANN, RODGER & JUNE Phone: (530) 873-9039 Description: STORAGE FOR ORCHARD & LIVESTOCK 240 SQ.FT. Signature of Property hOwner: Date: 03/15/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0 0 0 0 le National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0501 Date: 03/15/2007 Location: 15283 COUTOLENC RD By: TMP Parcel Number: 065-530-034 Sub Type: A2 Exempt Owner Name: ADELMANN, RODGER & JUNE Phone: (530) 873-9039 Description: STORAGE FOR ORCHARD & LIVESTOCK 240 SQ.FT. By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Ston -n Water Permit from the state of California Regional Water Quality 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Qicejab� Title: FILE Date: 03/15/2007 * 065-530"•034 I ` 06-1548 ADELMANN, JUN, E N O T,E S 15283 COU'TOLENC RD, MAGALIA t Cont: EMERALD POOLS' POOL(GUNITE, MSTR'01-513) K"CjluCtv't ttil ' t APN: emit NO. Owner. t I Site Address: Contractor. 4 Type of Permit: i it � •� •- y� t �t 1 a r SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: f 41 io SIGNATURE: f CHECKED BY f 1 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: f 41 io SIGNATURE: f CHECKED BY BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061548 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 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: 07/28/2006 APN: 065-530-034-000 the Business and Professions Code, and my license is in full force and effect. Li Number: License Class : Site Address: 15283 COUTOLENC RD MAG /License �7�i,,,:,p�� Date: Z4 Contractor:7�1Vyw_r'" �"ctJ61::_�7 Map Index: Description: POOL, GUNITE MASTER # 01-513 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 Owner: ADELMANN RODGER & JUNE 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 15283 COUTOLENC RD 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: EMERALD POOLS 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 3138 TANGEMAN TRAIL year of completion, the owner -builder will have the burden of PARADISE, CA 95969 proving that he or she did not build or improve for the purpose of sale.). 530-877-3638 ❑ 1, as owner of the property, am exclusively contracting with emerald@chico.com licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate 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: EMERALD POOLS pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 3138 TANGEMAN TRAIL PARADISE, CA 95969 Date: Owner: 530-877-3638 em@fall@ChICO.COm WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 721764 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy otal Square Ft: 0 S.F. 1i0 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •�' &- - Date: f Applicant: WARNING: Faure 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 a � / code, interest, and attorney's fees. 4si' ✓ `` ���(/^� (`-,�, '/'�Il�t�`in� � 9� CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the This permitis'h issued un the applicable provisions ofthe Butte County Code and/or Resolutions t w indicated ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By.. Date: Name: PERMIT EXPIRES ON Address: Date O 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. O Notification in accordance with Section 19827.5 of California Health & Safety.Code is not applicable to the scheduled construction of this project. O 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 Iaws.relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby es. authorize representtaf�tives of But��te,,��Coo�uityy to enter upon the above mentioned property for inspection pZ14A.12 t Print Name:. l4 )�% YVVC1�t".1 _/ Signature:' Date: O Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor t B. C. Building Permit 01-16-04 pg 1 +=OK n = Mn, nu MANUFACTURED HOMES MISCELLANEOUS - DATE I Lj PERMANENT FOUNDATION Lj SOFT -SET '----DATE D E C K S -C O V E R S -C A R P O R T S •G A R A G E S 1 ZoningSetbacks-Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; SoilsSz DpthSpacing-DnnctrsSteel 3 Sewer; Loctn-Test; FallIC/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handraits 5 Elec Loctn-Clmcs-Grad 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 7 Blckng; SzSpacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 8 Frmg; Sills-Anchrs-Studs-Rftrs Tnrsses - 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing-VeneerStucco-Lath 11 Wtr& Sewer Connected -CIO to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Exit; Steps -Doors -Landings 13 Tie Downs ❑ Foundation ❑ 12 Braced Wall pnis 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers 01 DATE P O -Easements ;'Compaction -Structure Stability - Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Ung; Distance -GH 5 Elec Pool Lting; 15 volts-GFI 6 Elec.Enctsrs; Conduit Entries-Terminals4Jsted . 7'Elec Banding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Box_ -En_ to Main Conduit 9 He Dept Ap'&I 10 ' mb; Cir Test Wtr Supply Test Lt Niche , 12 Enclsr, Fencing -Alarms 13 Bon ing board or Slide a.. Q^ �A V r F, Pool Drawing A �cy✓G/,✓� a 1;- jr.. RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg DPth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 SWrnwalis Wain; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupportdnsultn 14 GirdersSilts-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & VnUtn 16 Insulation oa DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 8 flr Nailing 20 Draft Stop in Walls (rat proof)' 21 Fire Stops, Furred CeilingsStairs-Chasers-Tubs 22 Headers B BeamsS &-Bearing' 23 Hangers-Posf"CapsAnchrs-Cinnctns 24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue=Frplc Throat Cimc 26 Attic Acc; Sz &Rihx Pitctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Ek' Iting 01 06rsS111 Ht & Dimensions 28 Garage Fire Prtchi Framing -RC Channel 29 Prprty Une Firewall & Opngs ' 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4-anding-Fire Prtctn 32 Plywd an Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 tnsultn-Walls-Ceilings 39 Infiltration Walls-Wndws • d`• o`s d m DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz Q CU or El AL AC Wire Sz ya ❑ CU or DAL 48 Range Clic ya 0 CU or [_]AL Oven Circ P OCU or 0 AL Insulated Neutral ❑Yes [:j No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent Acc-Gmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prfctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub '& Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping uAlr- IMECHANICAL 61 AC Ducts Insults & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic e FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl 8 Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRY; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 PImb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Drnge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-PImb 89 Vnts abv Roof, PImb-Appinc-Frple-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, PImb 91 Ext Elec Trim, GFl Rcptci-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler ' 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. BP061548 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: 07/28/2006 APN: 065-530-034-000 the Business and Professions Code, and my license is in full force and effect. License Class: � 5-,5 License Number: ZI,,1,pb� Site Address: 15283 COUTOLENC RD MAG M,92-(; �l � Date: Zt Contractor. 1(' Map Index: Description: POOL, GUNITE MASTER # 01-513 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 Owner: ADELMANN RODGER & JUNE 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 15283 COUTOLENC RD 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA 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 95954 applicant to a civil penalty of not more than five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: EMERALD POOLS 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 3138 TANGEMAN TRAIL year of completion, the owner -builder will have the burden of PARADISE, CA 95969 proving that he or she did not build or improve for the purpose of sale.). 530-877-3638 ❑ I, as owner of the property, am exclusively contracting with emerald@chico.com 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: EMERALD POOLS pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 3138 TANGEMAN TRAIL PARADISE, CA 95969 Date: owner: 530-877-3638 emerald@ChICO.COm WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 721764 O 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. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Square Ft: 0 S. F. PolicyTotal Oa l certity that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I �U' ®XJ Applicant: WARNING: Fai ure 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 s provided for in Section 3706 of the Labor _ I / \ code, interest, and attorney's fees. S/�' ✓ `�� l _ CONSTRUCTION LENDING AGENCY This permit is h issued and the provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions t w%ind�icatedovehich fees have been paid. 6 performance of the work for which this permit is issued (Sec 3097 Civ.) By Date: �- Name: 6 PERMIT EXPIRES ON Address: Date ❑ 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 authorize representatives ofB/utttteCooug1yy to enter upon the above mentioned property for inspection pur ses. Q Print Name: ' 11// 1 lJ� Signature: 1'� Date: ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 AUT% BUTTE COUNTY U DEPARTMENT OF DEVELOPMENT SERVICES i ° BUILDING PERMIT APPLICATION i - o AND. SUBMITTAL REQUIREMENTS p 24 HOUR INSPECTIONtt: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o OFFICE #: (530) 538-7541 A FEE IVILL BE REQUIRED AT TIME OFAPPLICA TION -00N Website: www.buttecounty.neUdds "PLEASE PRINT CLEARLY** OWNER INFORMATION Last Na irskName Address � 2n O1e� DM\r� r(7 City E Slate (e Zip (1 � "1 Phone U _ 1 3 Cj() 36( Fax E-mail CONTRACTOR Name .,v, n W_�L ?I ; 9 ' Address Vx"A PL '\ / 00 City l_ ``v State(^ Zi -�-j3 Phone .,_ q Fax E-mail Licl Z` 7 Io,, Ilan APPLICANT INFORMATION ARCHITECT/ENGINEER Name N Address State City Phone State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name lood Zone Address City State Zp Phone Fax E-mail APPLICANT SIGNATURE X For offi a use only: Zoningr ry(,stjj lood Zone I I SRA I Ye INo Occ. Type Const. Subdivision/ Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT /yI` Bp:. BIN # PROJECT LOCATION AP# Property Address Cil Cross Street WORKER'S COMPENSATION Policy Number N � 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 N � Address \. 41 Description or Scope of Work: -/1- — S /` GV(-tk-T'-_ Puck 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 r std will expire one year after the date of application. I order renew action on an application after expiration, a new applic ton, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by..TP Amount: ,(fi /. " r Bldg SRA Receipt #: ' 1���10 Sheriff �G)�l r10 SMIP Other I La�1 (J V " r t(/ / �� Total I I K•\Fr)RMC\RI III r)INr: FnPhAR\R1rinAnn1giihRnmtc rinr. pane 1 of 2 RF\/ R-1 7JA SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC 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 ❑ 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 may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners 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 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140G�"'T O PERMIT APPLICATION DATA SHEET OWNER: G/i'J-ASSESSOR PARCEL NUMBER/�� Proposed Building Use: �J� �� vim Permit Technician: - Date: l/}� pi r U (Q Items required in order to apply for a permit All boxes MUST be checked OR marked NA in o6der to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 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 P 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Raining items needed to issue the permit (May require additional plan review upon receipt of th Vollowing items.) tIM 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico 66roville, 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 ........................................... t� 18. Erosion Control Plan Required........................................................................ ❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............ ' "3. Planning approval for (A) Use: Parking: `-(C) Parcel Check:............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ....................... ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... k.26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other. /� When issued Telephone C? g� g - 1� 3,3_-2 0 4r and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: %b"Ad 9) 'NiC zm1 7 0 Date: � .1JMo 1. Index permit appf a ion for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by' Date: Structural approved by: Date: Note transfer by: Date: 50 Yellow: Building Division r� TO: Building Division = Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Plot Plan Attached Floor Plan Attached Sent to BD/DS I RPRJ /dot° e- /„-,,4 ti ,-J /-6-cP,:F 3 C-3 l ,v c- id1 D 5oa - �00-0 -- O 3 Owner Location AP# Plan Approved for: Sewage Disposal: ✓ Water Supply: Public Private Well Clearance for dwelling. OtherP©� Hold final for: Final clearance O.K. for: NOTE: I Environmental Health Building Clearance 9/2005 ist ►A ,,S�aooc,, PR'TMENT 1)TT O �\ (; o Us= -r% o��, Department, of, Public Works X111 C o u n t y o f B u t t e =� I o J. Michael Crump, LAND DEVELOPMENT DIVISION c !� Storm Water Management Program Director 7 County Center Drive Oroville, CA 95965 iO(ieLIC WOP�`, (530) 538-7266 (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 ACRE] Project Description: lo- /S - y 8/ Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I' am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: CSI Z-1 10 (o Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program 4, r Butte CountyDepartmei2t of Development Services °�uTrF° 7 County Center Drive t ° ° �`=_° Oroville, CA 95965 " (530) 538-7601 Telephone ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well- to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. ,, The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will. be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. ' Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: 6690 0'�'� Building site address: �SZiS�J (%fW f_4-4' 92a 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: SIGNAUJRE OF APPLICANT DA� L 1 wl fc.- f• 5 ,ap 'rx t ; OFFICE COPY - Address ' GAS Meter By ELECTRIC Meter By----------- ---Date--. _^Date 1 Address2�3• (,puwc,&evc GAS Meter By Date ELECTRIC; Meter By Datez-`J r.. . . JOE FINALED (Dab) Signature . 91 f _:_iRESID•EN.TIAL 058-48-0-034 93'746 BPEM ADELMANN, RODGER & JUNE t 15283 COUTOLENC RD,, MAGALIA• { CONTR: DAN DAILEY ,NEW SF i _5 Z53 711;ly '!� °r "�er t t ; OFFICE COPY - Address ' GAS Meter By ELECTRIC Meter By----------- ---Date--. _^Date 1 Address2�3• (,puwc,&evc GAS Meter By Date ELECTRIC; Meter By Datez-`J r.. . . JOE FINALED (Dab) Signature . 91 f V=OK O = Not OK y NNot ot Applicableea_ MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete A. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Reale 4. Wood Awn.; Posts-Beams-Rftra.-Connectors Shthg -Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings , Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entrles-Terminals-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater - 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDE9iEO0R (Plans) OK except #'s 11-7'617 [� i-Top�ing-Setbacks-Easements-Flood-Slopd Main; Soils-Elec. Grnd.-/ P' Ftg. Depth Ftge; Soils-Steel-Elec. Grnd -/ /" Ftg. Depth 4 Ftg., orches & Decks; Soils -Steel-/ /Ftg. Depth ells, Main; Steel-Blockouts-Wrapped .hotternwalls, Garage; Steel-Blockouts-Wrapped 8a. Hold Downs and Special Anchors 7. S!p* Steel -Wrapped f3 -Fireplace Ftg.-Steel br�D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. OF as Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground ms & Ducts; Clearance -Material -Support -Ina. lle'dirders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation / 18. Insulation Date/Initials PLUMB Permi OK xce t #'s at r.; Vent -Access -Combustion Air -Baffle ate Test & Anchor -Neil Protection ; Test -Fittings & Anchor -Nail Protection . Shower Pan; Test, First Floor -Tub Access —17-1 t29 --Test Shower, Second Floor -Tub Access as Pipe; Size & Anchors Date/initials ELECTRI ermit OK except #'a xtu sfo er Clearance -Ins. Protection ecpts s Spacing -Lights & Switches at Doors 1ze es & f Conductors -Stapled o naClose to Edge of Studs & C.J. VIV E . Ground made up w/Meth. Fastners-Bond &19 & Water / 2 Appliance Circute in Kitchen & Conductor Size/GFI ubfeed WireSize / / ga. Cu or AI-A.C. Wire Size/ / ga. Cu or enge / ga. Cu o -Oven Circ. / ge. u o In ted Neutral ❑ Yea o Se -Riser Conductors & Ground -Main Disconnect 3 . learan els-Motors-Mach. Equip. Cloth oset Light -Shower Light -Spa Light oke Detector Date/Initials MECH AL Permit OK except #'s C. Ducts Insulation & Support 35. ent n; Exhaust above insulation n to Drain & Overflow; Size & Grade mance-Vent; Access -Comb. Air -Return Air Vent -115 outlet A -3& -Attic Access & Platform if Furnance in Attic Date/Initials FRA ns OK except #'a Sila terial & Anchors 4e. -IR gue_-90ds-Nailing, Spacing & Bracing -Plates -Sound ring Wells over Girders & Floor Nailing Draft Stop in Walls (ret proof) FI tops; Furred Ceilings -Stairs -Chases -Tub eaders & Beam -Size & Bearing Single I& Duplex) Date/Initials FRAMING (Continued) 4".angors--Post Caps -Anchors -Gonne Ing. J st-Rftr. ties-Purlin=roof B -T - thng.-Rfng. 4 re Ties or Type A Flue -Fireplace Throat clearance ttic Akass; Size & Romex Protection -Draft Stop -Ins. Baffles 4AIMrm. Windows or Exiting Doors -Sill Hgt. & Dimensions erage 5ke Protection Framing Pr rty Line Firewall & Openings f , ngrIxt. Doors -One 3' -Check Garage -3rd Story, 2 Exits X53. Stairs; eadroom-Rise-Run-Landing-Fire Protection od on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer tucyWOr§h-Drip Screed -Fd. Vents-Underflr. Access #I, -Gazing Area -Glass Protection -Skylights -Plastic "-She Walls; Nailing -Bolts sulation-Walls-Ceilings 60—tAifltration-Walls-Windows Date/Initials FINA lana OK except #'a E . Steps -Door & Sidelight Protection -Landings S oke Detector Furnace; Vents -Clearance -Comb. Air -Connector - 1 Garage; Above Floor-Ducts-Mech. Protection bedroom Exiting K. QX:I. & Bath Fixtures & Tub Access -Spa 88o_'E!PV- Trim & Subpanel; Breaker Sizes & Labels &7'. Ste rs & Rails it place or Stove; Clearances -Hearth le_c. Outlets at Wood Panel; Int. & Ext. 7.9.11KJ),Fixt. & Appliance; Grnd :Air Gap -Cooking Clearance M- El_qcT Outlets & Receptacles at Kit. Counter G ge Fire Door, Swing -Landing -Closer 7531"A.JD,'6uct in Gareoe-Dam Der ?4.-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I arage; Above Floor -Mach. Protection Plg., Elec. & Mach. Equip. Listed for Location !PC. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes rd Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Flo r O Yes 80. Following instld.; DriveYes 111No; Walks es ❑ No; Planters ❑ Yes S' o _ �83rStncco; Brown -Finish C. Unit; Disconnect, Electrical, Plumbing ants Above Roof; Plbg: Appliance -Fireplace :Clearance to &4 -Wet r Well; Disconnect, Electrical, Plumbing A . x for Elec. Trim; G.F.I. Receptacle -Underground Veptifation Throughout House from Previous Test -Meters Tagged; Gas -Electric Wjt Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE yI BUILDING DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES . 114169 Humboldt Road, Chico, CA - (916) 891-2751 . 7 C®amoty Center Drive, Oroville, CA - (916) 538-7541 7417 81iottRoad, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - OLVEM PERMIT No.- iinimmc0lim idicates that the following violations of Butte County Ordinances exist at ` theRA and should be corrected. Please notify this office when correction of work "s4fidkmA Wv="anyqtws-fions pertaining to this matter, or need additional explanation, Oft a M immediately. CW Date `�j -q 1/ Inspector AE-/ WM s : > , . ; , • , COUNTY OF BUTTE' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA!- `(916)'891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A 0,9&Rq3 - 9 y CpArKm PERMIT NO. A tout ivWection indicates that the following violations of Butte County Ordinances exist at the abam a and should be corrected. Please notify this office when correction of work 71 is com4&tmL Uyou have any questions pertaining to this matter, or need additional explanation, Please contact thh; office immediately. l IRIEV ltVWZ 4 ' - • .• '!`I'../'�-\ J Mr -.•- �. .....F ' i - v lvi+_rb Y r. CY.. �.a.--M.(,Y � COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A Oe (,m 41y,y CI 34 y(,, o OWNER PERMIT NO. A routine knpection indicates that the following violations of Butte County Ordinances exist at the abase address and should be corrected. Please notify this office when correction of work is coarpletmL Ifyouhave any questions pertaining to this matter, or need additional explanation, please contae[ this office immediately. r'tICIt �0C,-t /Vf S�J�o/Zf/fQ v Date � `1- 6 -CA � Inspector REV 10192 �I I 1� Date � `1- 6 -CA � Inspector REV 10192 Certmeate ®f Confonnance Certificate �T°___14304._.______ THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. XII ANSI Standard A190.1-1983, for Structural Glued Laminated Timber NER 267 r Job Name WESTERN BUYERS INC.: Dan Dailey Const. Job Location 15293 Coutelenc Rd. ELK GROVE, CALIFORNIA Customer's Order No. WB -22341 Date ::9-17-92 Mfgr's order No. 09-00691 24F V-4 ` Signature Title _QUALITY COUTROL SUPERVISOR Company BOISE CASCADE CORP.Address r • U. BOX Date BOISE, IDAHO 83728 IT IS HEREBY CERT 0ED that the structural -glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular . audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. d`OR?OR4;, .J +� f SEAL yASHINGA� s bv��/Z__ Michael R. O'Halloran Executive Vice President AMERICAN WOOD SYSTEMS - A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION N I !lunar Permit No E N E R G Y C E R T I F I C A T I O N 15283 COUTELENC ROAD MAGALIA CA. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL � Material FIBERGLASS BATTS Brand Name ONS -CORNING 64 �� OWNS-CORNING Resistance(R Value) R19 Thickness(inches) CEILING Batt or Blanket Type FIBERGLASS BATTS Brand Name OWENS-CORNING JDa— `14ff�l�fl��af illEh��) 12". �� ThBrM4 �t�s etance(R Value)__ Type Fj%tB QHS Brand dame OWE NS-�B NIN Loose Fill 'fyp Number of Bags 16 Wt. per bag 35 _lb. Minimum I'll icknesl(Inch s) 16"_ Area covered(ft. ) Thermal Resistance(R Value) R38 FLOOR, ELEVATED Material FIBERGLASS BATTS Brand Name OWENS-CORNING Thickness(inclies) 60" — Thermal Resistance(R Value) R19 FLOOR., SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy q LOERKE INSULATION CO., INC. FI NAME/OWNER r SIGNA E OF INSTAL A.T ON PI.ICATOR 499150 STATE CONTRACTORS LICENSE NO. _ July 12, 1993 DATE I hereby certify tfie above insulation and all required items,as shown on the Building Department approved plans and attachments have been installed as required by t -lie State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. SIGNATURE F (1F..NERAL C 'RACTOR OWNER DA 'E THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY S11A.LL BE POSTED WITHIN THE BUILDING. January 1984 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - 058-480-034 ZONING TM5. BUILDING PERMIT OWNER RODGER AND JUNE ADELMANN TELEPHONE 873-3203 SQ. FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS 15283 COUTOLENC RD., MAGALIA CA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filin Fee 9 $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking F 9Y g ee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15283 COUTOLENC RD. MAGALIA Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mob ilehome❑ Other CABIN SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition D Remodel ❑ Utilities ❑ Installation[ Other ] Describe work: CONVERT C'.ARTN M 4TnRA12,F RL,BG _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1D00A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification R-1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. 3.64sq.ft. NEW CONSTRES'D, RANCH CIRCUITS) NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS ( 6 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76x1 :IAL- 0 4591 FIXED Ex. Occup. OUTLETS (RESID )RE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE declare I declare rider penalty of perjury (check one): permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 I Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, juancosts, and expenses which may in any way accrue again aid Counse uence of the granting of this per n§14 C; X Date /�., / tur of pplicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 30.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD Issu This permit is hereby issued under the sionssig of the Butte County ode and/or work i i ate ab f h, ch fe DIRE P BLI BY De PE .& R at applicable provi- re olutions to do a been aid. KS Date 0 143268 Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT UUUIN I t yr DU 1 I C- vI--rnn I IVICIV 1 Ur r- UCLIk, 1vUnr,,: 7 County Center Drive - Oroville, California 95965 - Telephone 916 538-7541 APPLICATION AND PERMIT ASSE550 PARCEL NM_I©, �//]S ZONIN BUILDING PERMIT ' owN ® — ���� �a�� TEL H IV fit SO- FT. OCC. BUILDING VALUATION OWNER'S (LING AOrSS /j' C_ CONTRACTOR'S NAME TELEPHONE CO NTRACTOR•S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation is FilingFee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCM TECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ I ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �D �O C a t 5Q} Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Ras water heater or vent 7.00 USE OF STRUCTURE- SF ❑ Duplex❑ Mobilehome❑ Other �C( IV ! ✓1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ^ Remodel r Wiljt(es Installation❑ Other Describe work: v �! to �C7 S+of'aq e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 U OL Main service 200AORLESS18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification l ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.A\ 3.64sq.ft. OR ADONS. 1 ACC. BLDGS. // NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CR. Ex. OCcup(OUTLETS OR FIXTURES 20 76d 4134 Ex. Occup. OUTLETS FIXED PRESID )LNS REA.) I 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed 'on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz DFEES IMP I FLOOD I CDF PARCEL PO I 110 ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WNITC-O.P.W-, TCLL0W-A36C37011, PINK-IN309CTOR. GOLDENROD-AP►L I CANT I COUNTY OF BUTTE - Department of Public Works 7.County Center Driv.?- Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention 'Property Owner : An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is.received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �S 2. I (have/have not) h,-v'e, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: . I plan to provide' portions .of this work, .but - I .have hired- the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors Lidense-No. 5. I will provide some of the work but I.have contracted (hired) the following persons to provide .the work indicated Name Address Phone Type of Work Signed-: Property Owner Social Secrit Date - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W R 7 County Center Drive - Oroville, Californith 95965 Telephone: 916 8-7541 APPLICATION AND PERMIT qP-E7R/MMI T NO. `l- 1 1 / ASSESSOR PARCEL NUMBER 058-480-0,34 ZONING Tri -5 BUILDING PERMIT OWNER trod er & June Aueh.ann TELEPHONE 873-3203 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 152u3 Coutolenc Rd. Ma alfa 95954 CONTRACTOR'S NAME ELEPHONE Dan DaileyT345-5202 1 944 R 104 946.00 937 M 16 866.00 848 C 11 024.00 CONTRACTOR'S MAILING ADDRESS 1Q27 Roseleaf Ct., Chico 95926 CONSTRUCTION LENDER UNKNOWN tr Lenders Inc. Fireplace I A 1,500.00 Total Valuation 1 $ 134 336.00 LENDER'S MAILING ADDRESS - P.O. Box 427 Penn Valley 95949 ARCHITECT OR ENGINEER LICENSE NO. Santos 1016633 Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 720.00 $ 360.00 ARCHIT CT OR ENGINEER'S MAILING ADDRESS Forest Ranch 95942 Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $1,115.00 I S281 Cont-plpnr. Rd., Ma alfa PLUMBING PERMIT Filing Fee 15.00 Each Trap 12 5.00 60.00 or heat pump water heater 20.00 LOT NO. LOT NO. =AMSolar E PARCEL MAP Water piping 1 7,00 7,00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF�] Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5,00 Building sewer 1 15.00 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New[M Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ❑ Describe work:_ New 2 Bedroom Single Family Permit Fee $ 109.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions Of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑I, as the owner, or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 37.50 NEW CONST. (DWELLING OCCUP.81 3.6Q sq.ft. OR ADDNS. ACC. BLDGS. II X 100,85 NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e1 SINGLE OUTLET CIR. I EX. OCCUp(OUTLETS OR FIXTURES 20 76 qAL- 46 EX. OCCUp. FIXED APPLNS. OR OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $134.35 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 I shall not employ any person in any manner so as to become subject jam` to the W. C. laws of California. to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with suchrmit provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Forced Air 119.001 9.00 Under Flu Ducts Cooling Hood 1 6.50 FVentilationNotice Fee $ 30,50 ntractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any wayaccrue ag ' st said Co in consequence of the granting of this per it. X Date 3 sig a re of Applicant - Owner NC Contractor E]AgentIDsions An SHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ _I CONST TYPE VN ITOTAL FEE $ 1,428.85 HAZ 1 0FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the to Con ode work indi d a f which D O OF PUBLIC BY PEAMIT EXPIRES ES Date the applicable provi- and/or resolutions to do fees have been paid. WORKS Date Z Receipt No. 129766 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'b COUNTYO,F BUTTE - DEPARTMENT"QF'DEVq QPMENTSERVIC -BUILDING DIVISION 7 C OUNTY CENTER DRIVE - OROVILL, CALIFORNIA 95965 - TELEP PERMITAPPLIz(-;,ATION DATA SHEET OWNER ������ (/��/ / � �r�r/%I4W o,��_S7- gr—�(�-031 Proposed Building Use ��- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... omplete plans, 3/4 sets, signed by preparge )fap,Lans ._�.4................ 4 ngineered plans anted calcs, 3/4 sets, witlwe si ric,�at�re on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10 ees of $ ......................................... . 1. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ . ,,,13. Flood elevation letter (100 year flogd. by California Engineer. .... . 14. Sanitation and plot plan approval Health Department . ............ 3 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18, Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .......... . 20. Pre -inspection for required. .. e�°�� 9 �saaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... 23._Awn er-Builder Verification (Given to owner , Mail to owner . ........ . Recorded copy of Agricultural Acknowledgement Statement . ............... 25. Letter of signature authorization . ....................................... . 26' Copy of recorded deed of parcel creation an 60 right of way to a public road. .... . 27. Letter of intent on building use. C0 6 I .................. .............. :. 28. Mobilehome utility clearance. .......................................... 29. Documentation of legal access. ..................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. WLn�cou issue the p mit, proce as follows: Mail to owner. Mail to contractor. .eTelephone3 S 0.)0 and hold for pickup at _o e. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to r it is ce: b a checked above). 1. Index permit for above items No. / 2. Additional items required: Contractor, designer, owne was advised of above required data by _ phone _ mail Counter Date Contractor, designer, ner, was advised of above required data by _ phone _ mail Cou ter by _ Date Plans checked by Dated Plans approved by Dat o� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Orovil.le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL�JUMBER 2 _ 4Y - 93 ZO I BUILDING PERMIT owN TELEPHONE 8�3-3a03 SO. FT. OC . BUILDING VALUATION OWNER'S MAI NG ADDRESS ' CONTRACT. NnM� TELEPHONE CONTRACTOR'S ILIN ADDRESS //''�� (-SEMI -eQ4 l �h /Lrd ('A Y Fireplace CO TRUCTION LENDER L���/L UNKNOWN Total Valuati n $ j ,(�IC/1t-ii' LE ER'S MAILING ADD SS - 1 ":J�Filing q�Cj Fee $ 15.00 Permit Fee $ (f� " -4 ARC TELT Or ENGINEER LIC N IL 5 i O `Wb33 Plan Checking Fee Energy Plan Checking Fee $ �p,Q A5.rIT OR ENGINE�F,g.'S MAI G ADDRESS '/ 10 .-15,6 x g8 +ares Q neh 6.5�1'toZ Penalty_ $ BUILDING ADGRES 15 311LLA 9S ( �C�� Permit fee $ ,v a-tI l� PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 L TJ�J 1�b�=k6 SUBDIVISION NAME PARCEL ,M(ApP -E8 -4( Water piping 7.00 ,pd Each qas water heater or vent 7.00 USE OF STRUCTURE SF�& Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ,Q Building sewer 15.00 ,Q Mobile Home S I G I W 015.00 TYPE OF WORK New % Addition Remodel ❑ I,ttilities ❑ Installation ❑ Other ❑ Describe W:ark: I, ,.-�•�iJ1�/•`Y=I; . - - - _ Permit Fee $ Q r Contractor T Filing Fee 15.00 ELECTRICAL PftI Main service 600V OR LES'18.50 200A OR LES CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044)"I I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. -_, Business and Professions Code for this reason Main service 200A TO 1000A) _37.50 / oa ADDNST ( DWELLING OCCUP S. Q+\ 3.64 sq.ft. OD, NEW CON_ ULTI.OUTLET NON•R E SID BRANCH CIRC ITS 0 5.00 POWER APPARATUS at (SINGLE OUTLET CIR. I 17 Ex. Occup(OUTLETS OR FIXTURES20 76' FIXED APPLNS. OR 11 Ex. Occup. OUTLETS (RESID.) EA.1 3.00 Temporary service 15.0_0 Mobile Home Facilities 15.00 Misc. g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE_ I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 'I � j I shall not employ any person in any manner so as to become subject 17* to the W. C. laws of C3alifornia. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor — MECHANICAL PERMIT FifingFee 1 15.00 Heating y;(j U 0)60�e L Q(/G7-5 Cooling Hood 6.50 ,S Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.c I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ainst s 'd County in con quenc the granting of this permit. I Date ' nature of Applicant — O er� Contractor ❑ Agent ❑ An OSHAwork permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories inn height. P--- A 7676 �1Receipt No. Mobile Home Installation Fee S Energy Inspection Fee $ 0 N YPE 1�I TOTAL EE $ , HAz _ DFEES I IMP I FLO I CDF P RC L PD HD SSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BV Date _ ?E9MIT EXPIRES DateT — 1YIIITC-D.P.W.. YELLOW-A9DC330R, PINK -INSPECTOR, GOLDENROD-APPLICAN 7-2 - > L S�� �� ��� 2� r 35.E k a 0 —Wo M g- = ;, L/ -.-- 7,2--0 r�:sxi�_��� �S.s Xis lqc*) - 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNEx; _ rimer �f- u,ne Prd el vna,a n A. P. NO. PROPOSED BUILDING USE 51 n 10 -arn'l iu DATE 3)2'W I S C REC. # DATE REC L� _School District Fees R)sv (paid.at District Office) ' ��Sheriff.-Fees (paid at Building Department) Residential .......... X 3 k O _$ i?l 12 ,iC 3 9 3 unit amt. Commercial(per-sq.ft.) X, _$ sq'ft.. amt. 3. Urban.Area Fees (paid at Building.Department- Residential.(per unit) X =$_ #--unitsamt. Commerical( per- sq . f V. ) X sq.ft-. amt. 4. Recreation District -Fees (paid at District Office) 5. Drainage District. Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. to DPW Section requires prior to AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL,DEVELOPMENT 26-8.1 of the Butte County Code this acknowledgement be recorded issuance of a building permit. 93-,11726 The property described herein is'adjacent7� 1 1 ��� Rec Fee to land or included within ' an area zoned I 'Caeh for agricultural purposes, and residents_ Recorded I- of of this property may be subject to incon- Records I LINE OF THE COUTOLENC or discomfort arising from the -`Official "County of use of agricultural chemicals, including, 30" EAST 387.21 FEET TO THE BEGINNING OF 'but not limited to herbicides, pesticides, Butte 'I` and fertilizers; and from the pursuit Candace- 'Grubbs of agricultural operations including, !Can --Recorder I but not limited to cultivation, plowing, 1:26pm 25 -Mar -93 I PUBL spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use -for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 5. 00 5. 00� XX .J Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All - that real .:property:'situate in. the County of Butte, State of California,' described as follows:. BEING A PORTION OF THE NORTH HALF OF THE SOUTHEAST QUARTER OF SECTION 7, TOWNSHIP 23 NORTH, RANGE 4 EAST, M.D.B. & M., AND -MORE PARTICULARLY DESCRIBED AS FOLLOWS: A 330.00 FOOT RADIUS CURVE - TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 37 DEG. 37' 20", AN ARC DISTANCE OF 216.69 FEET; THENCE LEAVING SAID LINE, SOUTH 01 DEG. 46' 10" EAST, 531.66 FEET TO THE SOUTH -LINE OF SAID NORTH HALF OF THE SOUTHEAST QUARTER OF SECTION 7; THENCE ALONG SAID SOUTH LINE, SOUTH 88 DEG. 13' 50" WEST, 396.48 FEET TO THE TRUE POINT OF Date: 3IV5 -cg3 EGINNING. PROPERTY OWNERS - State of�-I ) County of I WOO Iffuld F, = WA On this the 25" day of n►c-wch 19 C(3, before me, the SS. undersigned Notary Public, personally appeared �EennEnnnmenuenewenmoenenumuwmn OFFICIAL SEAL L. NORMOYLE ' a NOTARY PUBLIC — CALIFORNIA a -� • COUNTY OF BUTTE Comm. Exp. Oct. 3, 1993 �uuunenunnnuunumuuuownuuuneeou E] Personally known to me. [4 Proved to me,on the basis of satisfactory evidence. to be*the person(s) whose name(s) tom, subscribed to the.within instrument and acknowledged that executed the same for the purposes therein contained. 'IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. E5~7 Vo '�3�� CC . r�c3�—, , •__ Notary Publi END OF DOCUMENT BEGINNING AT THE SOUTHWEST CORNER OF SAID NORTH oHALF OF THE ou% pOFsuI SOUTHEAST QUARTER OF SECTION 7; THENCE ALONG THE WEST LINE DEP THEREOF, NORTH 00 DEG. 08' 30" WEST, 995.99 FEET TO THE SOUTHERLY o i9 LINE OF THE COUTOLENC COUNTY ROAD; THENCE ALONG SAID SOUTHERLY A� LINE SOUTH 33 DEG 31' 30" EAST 387.21 FEET TO THE BEGINNING OF A 330.00 FOOT RADIUS CURVE - TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 37 DEG. 37' 20", AN ARC DISTANCE OF 216.69 FEET; THENCE LEAVING SAID LINE, SOUTH 01 DEG. 46' 10" EAST, 531.66 FEET TO THE SOUTH -LINE OF SAID NORTH HALF OF THE SOUTHEAST QUARTER OF SECTION 7; THENCE ALONG SAID SOUTH LINE, SOUTH 88 DEG. 13' 50" WEST, 396.48 FEET TO THE TRUE POINT OF Date: 3IV5 -cg3 EGINNING. PROPERTY OWNERS - State of�-I ) County of I WOO Iffuld F, = WA On this the 25" day of n►c-wch 19 C(3, before me, the SS. undersigned Notary Public, personally appeared �EennEnnnmenuenewenmoenenumuwmn OFFICIAL SEAL L. NORMOYLE ' a NOTARY PUBLIC — CALIFORNIA a -� • COUNTY OF BUTTE Comm. Exp. Oct. 3, 1993 �uuunenunnnuunumuuuownuuuneeou E] Personally known to me. [4 Proved to me,on the basis of satisfactory evidence. to be*the person(s) whose name(s) tom, subscribed to the.within instrument and acknowledged that executed the same for the purposes therein contained. 'IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. E5~7 Vo '�3�� CC . r�c3�—, , •__ Notary Publi END OF DOCUMENT ��.tinAs�'Ki-d`°AS`1a���u}a�:r?*�•Fm-„,,,,�,�. y,:,.�o��ry,;;sb''tTi�;,”A"Ssf'b�+''.�'""w�i�^�•+�*'slT:t�r�F;s.1A'�+�9w„�;�^�j•''ti:�-�f`tgs'wig°z'�°,yk,er'�b�ws!�wwu,�;hr;r' R,,.�"`o r1 � - r x BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. (One Form Per Building)'" School District' I L( S� A.P. Number Jurisdiction City Property Owner,`?, 0 G� P, `F- J U. � G�-Pi G -n Building Department No. County } er Property Location/Address «o, 9�,Q,C>�Ji Gt, lizL y Subdivison Lot No. Residential Development J Sq. Footage /C1 No. of.Living MHI Addition (Group A). Units Commercial/Industrial Sq. Footage New Addition (Including:EXtenor Roofed Areas) 3 ) el - 93 °. Building Departme t Representa ive Date (Floor Plans reviewed by School District Personnel) District entification No. School District certifies that -(Applicant) F� (Street Address) (Phone Number) (City) (State) (Zip Code)' has complied with the requirements of Resolution No. representing N+ square feet. School DistricdRepresentative Paid by Check Number ��� 'Remarks: Bank Number Paid by Cash by payment of $ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) . " feeformmkl (4/92) r r� ✓c_ .rf_C:!:iv //V-� c_c b i_�_ 360, OUNTY_OF�UY LE ` . BUILDING DEPT t - MAR =Z ;, 5 X993 V� - k f✓ L / V' eco r r� ✓c_ .rf_C:!:iv //V-� c_c b i_�_ 360, OUNTY_OF�UY LE ` . BUILDING DEPT t - MAR =Z ;, 5 X993 11 q' 'tl Y 1 nem h ovh e, I s {� �� 4bi re ra o J L +h e I.1-t4—he-o l VI` h e- cL o,? n oer-+ 2 4D 0- W a r �, recq e, 6U-0 d cn a n i COUNTY OF BUTTE - DEPARTI' ' 7 County Center Drive - Oroville,. Caffforn •APPLICATpI�OWAI i PARCEL NUMBERM Ji zOjVt TET1717)LEPH 46 Imiglin 99 -S MA1 NG 004ES �]/`8I T/n�1 1 CTOR•S. NAM (I;TELER 6 a,r." b CL,i I 54' 5- t-, - t-,- PUBLICtLDING-IPERMIT PERMIT'NO. ` i 596 Telephone: 1 MIT SO. FT.,- OCC I BUILDING VALUATION CONTR AG TOR'S ILIN ADDRESS - ���;° Ci i -ea Ch /L� J" Fireplace i 1 �r C� �7 i75 e UNKNOWN CO TRUCTI N LENDER Lard n,/6 � c- Y � u,yr+my r/1 ` J/%� Total Valuation$ Filing Fee -, $ 15.00 pt LE ER'SMAILING ADD PiYlh 1I C 'Permit Fee �•CrDX `� vLICENSE $ �r/OGUU 13 a 4RC TECT-OF• ENGINEER O t&�3 Plan Checking Fee Fee Energy Plan Checking jAlLiNG ADDP ESS + BUILDING-ADORESLPermlt^fee 0.�3-n�� �►'�C--— } =PLUMBING PERMIT FllingFee 15.00 Each�Trap 5.00 Q, (i Solar or heat pump water heater .20.00 7.00 'SUBDIVISION NAME PARCEL MAP LOT N O I( �p tWater piping Each qas water heater or vent , 7.00 l% b�tA Gas piping system 1 - 5 outlets 5.00 S 10 USE OF STRUCTURE Building sewer 15.00 SF t& 'Duplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W @ 15.00 TYPE OFtWORK S 16 _ Inst ❑ News Addition❑ Remodels Ikilities❑ Permlt Fee Contractor Describe=work: �_-�Fill ELECTRICAL HERMIT ng Fee 15.00 • Main service 600vORLESS :200A OR LESS 18.50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP:NI OR--ACONS. ACC. BLOCS. I 3.64 sq.lt. DD, 1 declare under penalty of -perjury (Check one): NEW CONSTR. I.OU LET NON-RESID BRA C CIRC ITS @ 5.00 OPOWER I am licensed under provisions Chapt. 9, Div. 3 of the Bushes. APPARATUS Sl SINGLE OUTLET CIR. % 76 li nand -Professions Code and my license is in full force and effect. zo EX. OCCUp(OUTLETS OR FIXTURES .License'No.. (J18SSIfICatlOn FIXED APPLNS. OR DCCUp. OUTLETS IRESID.1 EA. 3.00 ❑Ex. I, as,.the owner, -or -my -employees with wages -'as their •sole compen- the structure isnot intended or offered 'Temporary service 15.00 -sation,$will do'the•work; and, for sale. (Sec. 7044) Mobile Home Facilities 15.00 as the •owner, -am -exclusively -cont-racting�with licensed contract-Misc. Wiring 15.00 .1, ors. (Sec. 7044) F1 I am exempt under Sec. , Business -and Professions'Code $ Permit Fee 'for -this reason Contractor t.WORKMEN'S COMPENSATIONIINSURANCE }MECHANICAL PERMIT Filing Fee 15.00 I declare underpenalty of perjury (check -one): Heating '`� The permit is for$100.00 (valuation) or less. 1 have -placed -on file -with -the County of'Butte-Building'Department l 9:1E lJvGTS a Certificate of -Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. 6:50 .S 1�1 I•fshalI•not-employ any -person in -any manner so -as to become'subject Hood V� to the,W. C. laws of California. Ventilation Notice -to -Applicant: If after making'this statement, -should you become subject- Penult Fee s ' to the W. C. provisions of•the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. ;Sliabilities, t I have read this application and state that the above information "Mobile -Home Installation Fee $ / 1 agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee L construction, and hereby authorize representatives of the Countyot occ CONST TYPE TOTAL FEE-$/ 0 ter upon the above-mentioned property for inspection purposes. e to save, indemnify and keep harmless the County of Butte -against HA 0FEES IMP FLOOD CDF PARCEL Po HD ISSU es, judgments, costs, and expenses which may in anyway accrue a ainst s 'd County in con quenc a granting of this permit. This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do nature of Applicant — O erg Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date _ RESIDENTIAL -PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) GENERAL t-NEZoning requirements: (sideyards and number _ Valuation. ' Plans signed by designer. Proper description of work on application. Existing violations on property. Bldg. Permit # A.P. # . Plan Checker of permitted living units). 8/91 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. etbacks, sideyards, easements, etc. ther buildings or structures. rading, fills, drainage. lood hazard. Special conditions on creation map, ustible, and foundations). AU & FAS road setback. (noise, CDF, fire sprinklers, non .comb - Building or utilities across lot lines (Record form). 'ompqulete to scale plan with -dimensions. eired windows for light and ventilation,(Sec. 1205). quired windows for second exit (Sec.•1204.)... Skylights (Chapter 34 & Sec. 5207). ' uman impact glass (Sec. 5406)..' equired room sizes, ceiling heights (Sec. 1207). G,FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).. Light fixtures, switches, receptacles, and exterior receptacles -for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). 'replace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). lumbing'=ixtures; water closet clearances and shower size. STRUCTURAL DETAILS /T-9 Standard bracing or engineered design (Table 25V) nusua1 shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. 4�Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building 8. Roof construction details complete enough to construct building. -9'_' Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge beam. 1: Garage door or porch header sizes. 12. Stud heights. 13: Adobe soils - special foundation design. --i;7 Retaining walls requiring design. 1.5. Special Inspection required. 1� ram RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: (Sec. 3306). landings, rise and run, head clearance, handrails Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). ,Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation including Two- exi is supporting walls and posts, etc. on three-story dwellings (sec. 3303 & see 8/91 OW required on garage side Mezannines - 1716). ,,Attic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes. rF ergy design. Shing at all exterior openings. F responsible area requirements. 6 J RESIDENTIALPLAN CHECKING GUIDE v 8/91 (S.F., DUPLEX & MISC. GENERAL oning requirements: (sideyards and number "luation. rans signed by designer. Eoper description of work on application. xisting violations on property. �, ___1W Bldg. Permit # r T A.P. Plan Checker of permitted living units). TO �t�ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). `�,/Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU "& FAS road setback. (noise, CDF,.fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN complete to scale plan with dimensions. /Required windows for light and ventilation (Sec. 1205). /Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). �R'equired room sizes, ceiling heights (Sec. 1207). ?GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). ",-Light fixtures, switches, receptacles, and exterior receptacles for main- nance of mechanical equipment. " Locations of water heater, heating and cooling equipment, other electrical gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). 310" exterior exit door (sec. 3304 (f). replace and wood stove location, alcoves, and clearance. ke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building.. Elevations and wall construction details complete enough to construct building Roof construction details completeenough to construct building. Fireplace construction details and calcs if -necessary. . Rafter ties or bearing ridge beam. . Garage door or porch header sizes. tud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. RESIDENTIAL PLAN CHECKING GUIDE 8/91 , MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails • (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. • Oise requirements on duplexes. .ergy design. . F ashing at all exterior openings. • OF responsible area requirements. or 17 5�3v G�%o�l.Qi✓� 5j,mp s e-�u AIAS r s COMPUTER METHOD SUM] Help, Bottom, Top, +n or -n lines, Fixed or Variable lines, Showmode, Quit AC8.9 Air Conditioner 8.90 SEER Attic R-3.7 COMPUTER METHOD SUMMARY Page 4 C-2 9" P�oject Title: L JOHNSON 1401s (BASE CASE) Run. 592 14 -Jan -92 -------------------------------------------------------------------------------- i WATER HEATING SYSTEMS Tank Rated Pilot Special # of Capacity Rated Standby'Input Size Features/ System Type Heaters (gal) Efficiency -Loss (Btuh) (Btuh) Credits -------------------------------------------------- ------ ------------------ Storage Gas .1. 40 0.76 RE 3.64% 28000 -- REMARKS,_NOTES, AND EXCEPTIONAL FEATURES 1. This building includes glazing with non-standard Open Type. F1 -up F2 -down F3 -left F4 -right F5 -Restore left F6 -Search F7 -Again line 183 PERFORMANCE DATA TS/TECHNICAL SUPPORT Product Penna -Shield Casement with high -Performance 1992 Values Based on I awrence Berkeley Labs. Window 3.1 Shading; Coefficient' Relative Beat Gain" Center of Glass "U" Value Unit "U" Value Cenlerof Glass "R" Value Unit "R" Value % Relative Ilumidily When Moisturel'ornls at Center of Glass Inside Surface (.;lass Temperature`' ANDERSEN�RESIDENTIAI. WINDOWS AND PATIO DOORS HIGH-PERFORMANCE INSULATING GLASS' 0.18 0.'23 5.6 4.3 72% H. P. I3.P Sun II.P. II.P Sun Perma-Shicld0 Casement 0.24 03t 4.2 :3.2 65% 58' 0.55 0.37 113 78 Perma-Shield Awning 0.24 0.31 4.2 :3.2 65% 58° 0.55 0.37 113 78 Perma-Shield Casement/Awning Picture Windows 0.24 0.29 4.2 3.4 64% 57° 0.54 0.35 110 74 Perma-Shield NarrolincO 0.24 0.30 4.2 3.3 65% 58° _ 0.55 0.37 Ila 76 Perma-Shield Narrolinc Picture Window 0.24 0.30 4.2 3.3 64% 57° 0.54 0.35 1 110 74 New Gliding Window 0.24 0.:31. 4.2 3.2 65'% 58° 0.55 0.37 113 78 FrenchwoodO I linged Patio Doors' 0.24 0.28 4.2 3.6 65% 58' 0.53 0.35 109 74 Frcnchwood Gliding Patio Doors' 0.24 0.28 4.2 3.6 65% 58' 0.53 0.35 109 74 Perma-Shield Gliding Patio Doors' 0.24 0.28 4.2 3.6 64% 57° 0.53 0.35 108 74 Perma-Shield Circle Top Windows" 0.24 0.29 4.2 3.4 65% 58' 0.54 0.37 111 77 lilliptical 0.24 0.29 4.2 3.4 65% 58° 0.54 0.:37 111 77 Arch Window 0.24 0.31 4.2 :3.2 65% 58° 0.54 0.:36 111 76 Circle/Oval 0.24 0.29 4.2 3.4 65% 58° 0.55 0.37 113 78 Perma-Shield FlexiframeO 0.24 0.29 4.2 :3.4 65% 58° 0.52 0.35 106 7:3 Skylight-' (12/12 pitch) 0.32 0.42 3.1 2.4 59%' 55° 0.54 0.36 110 75 Roof Window -Stationary' (12/12 pitch) 0.32 0.42 :3.1 2.4 59% 55' 0.54 0.36 110 75 Roof Window -Vent° (12/12 pitch) 0.32 1 0.47 3.1 2.1 590% 55° 0.54 0.36 1 110 1 75 TRIPLE -GLAZED Penna -Shield Casement with high -Performance Single Basement Windows`' I.I 1 0.84 0.9 1.2 13% 17° 1.00 1216 Basement Window Single Pane with RGP 0.18 0.23 2.0 4.3 72% 60' 0.51 1 1 187 Dual Pane and RGI' 0.18 0.'23 5.6 4.3 72% 60' 0.51 0.40 106 84 Perma-Shield Awning with High -Performance Dual Pane and RGP 0.18 0.23 5.6 4.3 72% 60' 0.51 0.40 106 84 Penin -Shield Narroline with High -Performance Dual fame and Combo. 0.18 0.24 5.6 4.2 71% 60' 0.51 0.40 105 83 SINGLE -GLAZED SinglePane Single Basement Windows`' I.I 1 0.84 0.9 1.2 13% 17° 1.00 1216 Basement Window Single Pane with RGP 0.18 0.23 2.0 4.3 72% 60' 0.51 1 1 187 Footnotes: ' Except as noted all figures pertaining to I ligh-Performance insulating glass also apply to Iligh-Performance Sun insulating glass. 172" x 80" door size used. The Window 3.1 Program has no provision for patio doors. All patio door glazing is tempered. Based on equivalent square footage; size approximated. °ASI roof window and patio door glazing is tempered. 513ased on largest size Andersen Basement Window. 'Inside glass surface temperatures for determining % relative humidity are taken from center of glass. 7'I -he shading coefficients listed may vary ( + or - ) a few percentage points. For shading coefficients on specific size units contact Andersen Corporation. "Relative Beat Gain BTU/Sq. Ft./Hc: When ASI IRAE solar heat gain factor is 200 B"rU/IicSq. Ft. and outdoor air temperature is 14° warmer than the indoor temperature. 'Condensation Resistance Factor (CRF) is 72.5° unit. "'About Condensation. -'rhe relative humidity percentage measurement provided in the table applies only to the center of the glass. Condensation will form more quickly at the edges of the glass -As shown in the table, condensation does not form at the center of the glass under the test conditions for some units until the relative humidity is as high as 70%. Relative humidity regularly at 50-60% and higher within a home may cause structural or other problems. For more information on condensation and how to control it within the home, contact your local Andersen supplier or write Andersen Corporation, Box 12, Bayport, MN 55003. Please request booklet S-10, "A Guide to Understanding Condensation." Information of Data Sources. • The unit figures in this table have been determined utilizing current ASIIRAE methods and are consistent with the current issue of the ASI IRAE Ilandbook of Fundamentals (1989). • All calculations are based on Lawrence Berkeley Laboratories Window 3.1 computer program and ASI IRAE recommended window sizes. The LBL pro- gram accounts for edge effect of insulating glass and frame materials of the window unit. • The center of glass "U" values are supplied by the glass manufacturer. • Calculations assume the following: Outside "temperature: 0 Degrees E Inside Room Temperature: 70 Degrees F. Outside Wind Velocity: 15 MPSI No Air Movement Inside; and Uniform Ileating Conditions. Abbreviations: N/A: Not Applicable RGP: Removable Glazing Panel AIR INFILTRATION • TESTING AND HEAT GAIN DATA TS/TECHNICAL SUPPORT AIR INFILTRATION RATES IMPORTANT.( For Your Information... The industry standard requires only that the manufacturer furnish and have tested by an independent testing laboratory one window unit of each type. These. units may be pre -selected as the "best of the batch." And undersized heating and cooling equipment could be specified if window efficiencies are overstated. Yet the result of this single test can presently be published by the manufacturer as its standard air infiltration rate, and as being representative of all units produced. • ANDERSEN TESTING TECHNIQUES are designed to be representative of our products. Under the Andersen method, these air and water infiltration tests represent a running yearly average of randomly selected production units. Only the averaged (not the best) air infiltration figure is used. In addition, our test results are verified by a certified independent testing laboratory. We believe our averaging method is the fairest and most honest report of product performance. Andersen has no control over handling, shipping or installation, which may cause these figures to vary after installation. TESTING METHOD This test measures air infiltration through a window or patio door, excluding that air which passes between the frame of the unit and the wall. The unit is tested in accordance with ASTM (American Society for Testing Materials) E -283 -Method of test for determining rate of air leakage through windows and patio doors. Unit is closed and hook bolts are engaged during testing. PASS/FAIL CRITERIA Air infiltration shall not exceed the value listed in the grades of performance when tested at a static air pressure of 1.56 pounds per square foot. (Equivalent to 25 mph wind velocity) NWWDA STANDARDS Our window units as noted are tested to the requirements of NWWDA I.S. 2-87. A table of the varying performance levels, depending on the type of construction in which they are installed, is shown. An accompanying table showing how Andersen units perform based on the table is also included. HEAT GAIN DATA In areas of the U.S. where cooling is the major energy cost, glazing may be the most important factor in energy-saving. That's because cooling costs are based almost solely on heat gains transmitted through the glass. The accompanying table is used to show maximum heat gain by type of glass. MAXIMUM HEAT GAIN BY TYPE OF GLASS ANDERSEN PRODUCTS PERFORM- ANCE GRADE ANDERSEN SINGLE UNIT TEST RESULT ANDERSEN AVERAGED TEST RESULT PERMA-SHIELD® CASEMENT 60 .01 CFM .04 CFM PERMA-SHIELD® AWNING 20 .01 CFM .04 CFM PERMA-SHIELD®AWNING 60 .01 CFM .04 CFM /With sash locks applied 0 0.25 0.10 PERMA-SHIELD®NARROLINE® 20 .08 CFM .17 CFM DOUBLE -HUNG 2.86 4.43 6.24 PERMA-SHIELDONARROLINE*' 40 .08 CFM .17 CFM DOUBLE -HUNG With optional high 20 90 60 inside sill slop Hinged Patio Door, Flexifrarne®> NAN NEW GLIDING WINDOW 60 .05 CFM .08 CFM SKYLIGHT 60 .01 CFM .04 CFM ROOF WINDOW (STAT) 60 .01 CFM .03 CFM ROOF WINDOW (VENT) 40 .01 CFM .03 CFM PERMA-SHIELD® GLIDING PXrIO 40 .01 CFM .18 CFM DOOR FRENCHWOODOHINGED PArIO 40 .02 CFM .04 CFM DOOR* FRENCHWOOD*'GLIDING PAI'10 40 - .15CFM MOOR 4 panel doors FRENCHWOODO GLIDING PATIO 60 - .05 CFM DOOR 8080 and smaller PERMA-SHIELD®FLEXIFRAM E 60 - - PERMA-SHIELD®CIRCLE TOP& 60 .01 CFM .02 CFM ELLIPTICAL ARCH WINDOW 60 - - CIRCLE/OVAL WINDOW 60 - .02 CFM NOTE: Windows are tested per lineal feet of crack, patio doors per square feet of frame. *Hook bolts must be engaged for maximum performance. NWWDA I. S. GRADES OF PERFORMANCE 1. Suitable for residential construction 2. Suitable for light commercial construction 3. Suitable for heavy commercial construction UV REDUCTION RATES Andersen High -Performance and High -Performance sun windows help reduce ultraviolet rays. The percent reduction in UV rays is: Double -Pane Clear 34% High -Performance 82% High -Performance Sun 84% CLEAR HEAT CAIN* Grade 201 Grade 402 Grade 601 Preliminary (Design) Load: (Minimum test 13.3 26.6 40 pressure sustained without damage, pst) (for comparison only) Single -Pane Bronze 3/16" ,168 . Operating Force (Pounds of force) 25 30 35 Air Infiltration: (Maximum infiltration at 0 0.25 0.10 test pressure) .34 Units: PS Casement, PS Awning, Water Penetration: (Minimum test pressure 2.86 4.43 6.24 sustained without leakage, psf) Gliding Patio Door, French- Top, Frenchwood® Gliding • Structural Performance: (Minimum 20 90 60 pressure sustained without damage, psf) Hinged Patio Door, Flexifrarne®> NAN NWWDA I.S. Std&: Windows -LS 2- Patin Dnnrq-LS 3• Rnnf Windnwc_I S 7 1. Suitable for residential construction 2. Suitable for light commercial construction 3. Suitable for heavy commercial construction UV REDUCTION RATES Andersen High -Performance and High -Performance sun windows help reduce ultraviolet rays. The percent reduction in UV rays is: Double -Pane Clear 34% High -Performance 82% High -Performance Sun 84% CLEAR HEAT CAIN* TINTED HEAT GREY/BRONZE GAIN* MEDIUM PERFORMANCE HEAT REFLECTIVE GAIN• Single -Pane 3/32" or 1/8" 214 Single -Pane Grey 3/16", 165 Single -Pane Bronze 106 Single -Pane 3/16" 208 (for comparison only) (for comparison only) (for comparison only) Single -Pane Bronze 3/16" ,168 . Double -Pane High -Performance 113 (for comparison only) < < Insulating Double -Pane High -Performance 78 Units: I'S Narroline®, Sun Insulating . PS Casement, 1'S Awning, Units: PS Casement, PS Awning, Roof Window, I'S Gliding Patio PS Narroline®, Roof Window, Door, Circle'rop, Frenchwood® PS Gliding Patio Door, Circle. Gliding Patio Door, French- Top, Frenchwood® Gliding • wood© ITinged Patio Patio Door, Frenchwood®t .. ,.. Door, FlexiframeO, Arch Window Hinged Patio Door, Flexifrarne®> NAN I=,.ArchWindow:?`;:i *Relative Heat Gain BTU/Sq. Ft./Hr.: When ASHRAE solar heat gain factor is 200 BTU/Hr. Sq. Ft. and the outdoor air temperature is 14° warmer than the indoor temperature. 162 TO Wilding I De partmelit FROM: Environmental Health SUBJECT: Sanitation Clearance ^ li,l1. ASIS I)�L1• 1'IoI I'hm Mmeheal Moor 1'Iun AltmLIk' skim In II.D. = L v Owner Location AP# Plan Approved for: Sewage Disposal !� Water Supply:. Public Private Well Clearance for �bedrttc'm 1" home. Other IJ t ( d A tt (Ae ' t A t4 Wit= 2 YA ; 4-(--L4f- -2� 7L -O T l i e --Cd R-1- old final for: i- kat9 (cor) TART 1 M Final clearance O.K. for:t� `-t L -(A- t,) en,'G-- 1�C r ritJc 7-(Q SIJ NOTE: 4t) kiTCUC—?✓ i-fF�t <«-� ��✓ l¢yc�s� vsc� �} L�-O�c.� . L-nvironmental Health Specialist llate 8/92 x cA Point System Summary: Climate Zone 11 - Point Scores 7. Fenestration Heat Gain. 0/6 Fe estration SCshadej " Eft. % Fenes. Shade Elf. atlo North x It East x J= , South x Air, West -• x Skylight x Overhangs? ( Y / N ) 8. interior Thermal Mass or % Exp. Slab (201 Int fvlassJCFA 9. Exterior Wall Mass Ext. WALI M5 10. Heating System (� • b x P3 _ • (p AFU or HSPFHSPF� Duct Etfic. (1 atary: Effective APUE Zonal Control [78% or 6.81 0.83:2+ story: 0.881 or HSPF Adjustment (01 11. Cooling System x = SEER (10.0( Duct Eftic. [1 story: Effective SEER Zdna{,Connot 0.81; 2+ story: 0.871 Adjustment 101 12. Wafer Heating p system SG ..Sb Nie STl Heater Type IEnergy Factor Ext Ins. R -value Auxriiary Input Dismbucon -Iscs01 (0.531 [121 (None( [sTD1 System 2 Hearer Type (None( Energy Factor Est Ins: R -value Auxuiary Input Distntunon 1. Ceiling Instilation Number of stones R -value One Two R•0 .74 48 R-19 -5 -4 1. Ceiling Insulation 0 or 2. Wall Insulation R-21 Sin, R -v [381 U -value [0.026[ ' Family - 2. Wall insulation Nwoer of stones or One TWO 4a -41 Fl -v [1 U -value (0.065] -31 3. Raised Floor Insulation -20 or -13 -10 40% R -value If9l U -value [0.037[ -52 4. Slab Edge InsulaUon -36 or -27 -25 -22 R•value 101 F2 factor [0.75] -13 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Y] 6. Fenestration Heat Loss -49 -14 -39 -34 . Type U -value 0.65] Total IgFdnes. (16] . Point Scores 7. Fenestration Heat Gain. 0/6 Fe estration SCshadej " Eft. % Fenes. Shade Elf. atlo North x It East x J= , South x Air, West -• x Skylight x Overhangs? ( Y / N ) 8. interior Thermal Mass or % Exp. Slab (201 Int fvlassJCFA 9. Exterior Wall Mass Ext. WALI M5 10. Heating System (� • b x P3 _ • (p AFU or HSPFHSPF� Duct Etfic. (1 atary: Effective APUE Zonal Control [78% or 6.81 0.83:2+ story: 0.881 or HSPF Adjustment (01 11. Cooling System x = SEER (10.0( Duct Eftic. [1 story: Effective SEER Zdna{,Connot 0.81; 2+ story: 0.871 Adjustment 101 12. Wafer Heating p system SG ..Sb Nie STl Heater Type IEnergy Factor Ext Ins. R -value Auxriiary Input Dismbucon -Iscs01 (0.531 [121 (None( [sTD1 System 2 Hearer Type (None( Energy Factor Est Ins: R -value Auxuiary Input Distntunon 1. Ceiling Instilation Number of stones R -value One Two R•0 .74 48 R-19 -5 -4 R-30 .1 -1 R-38 0 0 2. Wall Insulation R-21 Sin, sing*. Family Family - R -0 -72 -57 R-11 -7 -6 R•13 -5 -4 R•15 -4' .3 R-19 0 0 R-21 .1 1 3. Raised Floor Insulation - 4 Iasmlatlon In Floor R-7 Nwoer of stones R -value One TWO -27 .2 0 0 wUtI- -43 .3 .2 0 R-0 -14 -9 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 2 1 1. 4. Slab Edge Insulation 0 -�-3 Point Total:_ ' _ 1,21 to 130 Numaer of Stones 1.01 to 1.10 R -value 06e " lvio Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss 5. Infiltration (Duct Air Leakage) Ducts in Unconditioned Soave 0 No Ducts in Unconantoned Sam' 3 Total 1.31 Percent " or Fenestrwon more 1,21 to 130 1.11 to 1.20 1.01 to 1.10 .91 to 1.00 .81 to .90 U -Value . .76 .71 .66 to- to to .80 ..75 70 .61 to- 65 .56 to 60 .51 to 55 .46 to .50 .41 to .45 .36 to 40 .35 or less 50Y. -100 -76 -69 -02 -55 4a -41 -38 -34 -31 -27 -24- -20 -17 -13 -10 40% -77 -58 -52 -47 -41 -36 -30 -27 -25 -22 .19 -16 -13 -1.1 -8 , -.5 . l '•,35% -06 -49 -14 -39 -34 -29 -25 -22 -20 -17 -15 -12 -10 -7 -5 -3 .. 301. •54 -40 -36 -31 -27 -23 -19 -17 -15 -13 .-11 -8 -6 -4 -2 0 +' 28Y. �. '-50 -36 -32 -28 -25 -21 '-17 -15 -13 .11 -9 -7 -5 -3 -1 . 1 i 26%-' -45 -33 -29 -25 .22 -18 •14 .13 -ii -9 .7 .5 -4 -2 0 2 24% 41 -29-'-26 -22 -19 -16 -12 -it -9 •7 -0 -4 -2 -t 1 3 22Y. -36 -25 -22 -19 -16 -13 -10 -8 .7 .5 -4 -2 •1 -1 2 4 t 20% -31 -22 -19 -i6 -13 -11 -8 •6 -5 -4, -2 -1 1 2 3 5• 18% -27 -18 -16 -13 -11 -8 -6," -t -] .2 -1 1 2 3 4 6 i6% -22 -14 -12 -10 -8 -6 -3 '-2 -1 0 1 2 3 4 6 7 14% -18 -it -9 -7 .5 -3 -1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 -4 -2 -1 1 2 3 4 4 5 6 7 8 9 10% -0 -4 -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 8Y. -t 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (based on Shade Eftectrveness Rano) Elf % For, astra- non North .87 .67 .52 or to to more .86 .66 .51 or less .87 or more Ent .67 .52 to to .86 .66 .51 or less .87 or more South .67 S2 to to .86 .66 .51 or less I West .87 .67 .52 or to " to more .86 .66 .51 or less Skylight .67 .66 or or more lass 18% -5 -4 .3 -2 -21 -20 -15 -12 .26 .23 .16 -12 -36 -32 .23 -16 -75 750 16% -4 -4 .2 -1 -18 -16 -13 -10 -21 -.19 .13 -9 -31 -27 -19 -14 -65 -44 14% -4 -3 .2 . -1 -14 .13 .11 .8 •16 .14 -10 -7 -26 -23 -16 -11 .55 -38 121Y. -3 -2 -1 -1 -11 -10 -8 -0 -12 .10 -7 -4 -21 •18 -13 -6 -46 -31 it% -2 -2 .1 0 -10 -9 -7 -6 •10 -8 .5 .3 .19 .16 .11 •7 -41 •28 iC% -2 -2 .1 0 -0 -8 -6 .5 .8 .7 -4 -2 -16 -14 -9 -6 -37 -25 9% '-2 -1 •1 0 •7 -7 -5 •4 46 .5 .3 -1 •14 •12 -8 -5 -32 -Z2 8Y. •1-1 4 •1 0 -6 -5 -4 -4 -4 .4 -2 0 -11 -10 -0 -4 -28 -19 7% .1 .1 0 0 -5 -4 .4 .3 -3 .3 -1 0 •10 -8 -5 -3 -24 -17 6% .1 -1 0 0 -4 -4 -3 -2 -2 -2 -1 0 .8 .7 .4 .2 .20 •14 5% -1 0 0 0 -3 -3 -2 -2 -2 A. 0 0 -6 -5 -3 -1 -16 -12 4% 0 0 0 0 -2 -2 -1 -1 -1 .1 0 1 -4 .4 -2 0 -12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 1 -9 .7 2% 0 0 0 1 0 0 0,0 17 0 0 1 1 0 0 1 2 -6 •5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3. -2- 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Method A (Slab -on -grade Construction Only) Pentane One Two Three Exposed Story Stones Stories 0 0 •3 0 •2 3 1 10 0.40 -2 5 •1 0.60 1 20 6 0 12 0 7 0 30 12 1 1.20 1 13 1 , 40 18 3 11 2 21 1 50 1.80 4 18 3 200 2 60 7 5 4 3 100% 2 70 13 6 9 4 4 2 80 (SEER 8 -0 -13 5 Eft SEER 3 90 AI 9 2 6 Soln 3 100 -1410 10 Split 6 -25 4 . -14 -4 Method B AFUE HP Ira or Slab Floor to Raised Flow Mass or Stories less -15 Stones +5 /CFA One Two Three One Two Three 0.0 -11 -8 •6 -1 -1 0 0.1 -10 -7 -0 0 0 0 0.3 -9 -6 •5 1 1 1 OS -8 -5 -4 2 2 2 1.0 -6 -3 .1 4 4 5 1.5 -4 •1 1 6 6 6 2.0 •2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 '6 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 "i6 i6 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Exterior Single- Single- Multi Wall Family Family Family Mass Detached Atlacued 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 200 24 19 7 10. Heating -System Houses With Ducts (R42) Sum of 1.6 Gas Split Pkg •25 -24 -14 -4 AFUE HP HP or to to to - NSPF HSPF less -15 •5 +5 +6 to +15 16 or more 78% 6.8 6.6 - 0 0 0 0 0 0 SM. 7.0 6.8 1 1 1 1 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 (SEER Effective AFUE or HSPF -0 -13 38 Eft SEER (AFUE or HSPF x duct efficiency) AI Eftective 2 5 3 - Soln Sum of 1.6 -25 or -24 to -1410 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or HSPF ASK less -15 -5 +5 +15 more One story House • 6.0 5.8 -i6 -13 -9 -6 33% 2.9 2.8 -62- '-53 -44 -34 -25 -16 40% 3.5 3.4 -40 •34 -28 -22 •16 -10 5076 -4.4 4.2 -19 -16 •13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80Y. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House 33% 2.9 28 :69 •98 .48 .37 -26 .15 401. 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 •20 -i6 •13 -9 .5 , 60% 5.2 5.1.. -,-9 •1 ..-8 -.. -51_,;; 0 69% 6.0 8.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 -6 5 3• 2 90Y. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 . 8 4 14.0 13.6 Zonal Control Adjustment 14 10 6 System Type ... 15.0 14.6 2D 16 it 7 Reststance 0 6 4 3 2 1 0 Omer 3 3 2" 1 1 0 L•1. Cooling System . Houses With Ducts (R-4.2) SEER Sum of 7.9 Spin Petg -25 or •24 to -14 to -4 to AC AC less -15 -5 +5 +610 .15 16 or more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 120 11.6 8 6 5 3 1 0 13.0 126 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 i6 12 9 6 2 0 -20 -12. -17 Effective SEER . -32 -19 . (SEER x duct of 1cienc7) -0 -13 38 Eft SEER -16 ' IG, AI Sum of 7.9 2 5 3 - Soln Pckg -25 or -24 to -1410 -4 to +6 to 16 or AC AC less -15 -5 +5 .15 more One Story House '=S .1 4 Two Watt 5.0 4.9 -29 -23 -17 -11 .4 0 • 6.0 5.8 -i6 -13 -9 -6 •2 0 7.0 6.8 •7 -6 -4 -3 •1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 120 11.6 15 12 -9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 •35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 -3 0 7.0 6.8 •11 A -7 -4 -2 0 8.0 7.8 4 •3 •2 .1 •1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 2D 16 it 7 3 0 Adjustment for Ho Tams Inatlatlao Numoer of Water Menem Water Heater Tvoe One Two SG50 -2 S SG75 .3 b SE •s -0 HP •2 .4 Home Stce Adjustment Hage Sae (n2) Suotaal Water Heerau9 Point Score lets than 1000 1000 to 1499 30 17 •5 -25 •14 .4 -20 -11 -3 .15 A •3 -10 -6 .2 •5 a .1 0 0 0 5 3 1 10 6 2 15 9 3 20 it 3 25 14 4 House She AdjusUnent House sae (it) Suetxal ism 2000 Water greeting to or Pont Scom 1999 more -30 0 3 -25 0 2 .20 0 2 -15 0 1 -10 0 1 .5 0 a 0 0 0 5 0 0 10 0 .1 15 1-1 -12 20 0 .2 2s 0 •2 Zonal Control Adjustment All 6 5 4 2 1 0 17- Water Heating Oat Water Heater - No AUZMary Cradlb I)WR rstat Syuem2 PA= Svstema Water c1mata Energy STD MR Pipe No Times Dand Heater Tvoel Zama Facts Pot) tnw Cut SG50 Aa am 0 3 1 -0 -5 0 0.63 5 8 6 -4 0 5 0.73 8 11 0 0 4 8 SG75 AI 0.48• -2 1 -1 . -12 -7 --2 0.56 3 6 5 -5 -1 4 0.68 7 10 8 -1-•ateM4 * ' SE Ali 0.87 -20 -12. -17 .41 . -32 -19 . 0.83 -17 -0 -13 38 -28 -16 ' IG, AI 0.80 2 5 3 - IE AI 0A3 -21 -12 HP 6.11.13.15 1.80 4 7 5 '=S .1 4 Two Watt Heater - No AnzMary Credits SG50 All am •7 -4 -0 -17 -12 •7. 0.63 1 5 3 41 -4 1 0.73 6 10 8 -2 2 7 SG75 All 0.48 -12 -9 -11 -22 -17 -12 058 •1 3 0 -it •6 •1 0.68 6 8 7 -4 1 8 SE AN 0.87 •22 -14 -19 16 -35 -22 a 0.93 16 .7 -12 -39 •28 -15 :G All 0.80 1 -1 .3 IE AN 0.93 -21 -12 HP 6-11.13.15 1.80 -1 3 1 -10 -6 0 s Mandatory Measures Checklist: Residential MF-1 R Certificate of Compliance: Residential' Climate Zone 11 NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the ProjectTlUe �' mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Building Permit N DESCRIPTION DESIGNER ENFORCEMENT Pre)ectAddren Building Envelope Measures L/o2�3 t .T�`e, Chested By/ Date ' §150(a): Minimum R-19 ceiling insulation. Documentatlon Author Telephone Enfamement Agency Use Only §150(b): Loose fill insulation manufacturer's labeled R•Value. GIW Area % Ct. 1� • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). BUILDING DATA i {((� North -171 • §150(d): Minimum R•13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors. Con oor Area —1� �-L-�- Number of Stories I East 3 §150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no 1 9 greaser than 2.0 oernvinch. $1 Sed Fl Number of Units South §118: Insulation scecifted or installed meets California Energy Commission quality standards. ( a Fam In ily Detached (SFD) [ ] Addition Alone west Indicate type and form. Skylight (]Single Family Attached (SFA) [ ]Existing Building §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls [ ] Multi-Family (MF) [ ] Existing-Plus-Addition Total 33 %0 a Doors ana windows between conditioned and unconditioned spaces oesioned to limit air leakage. b. Manufactured fenestration products have label with certified U-value. and infiltration certification. c Exterior doors and windows weatherstripped: all joints and penetrations caulked and sealed. B UU,DINIG SHELL INSULATION §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(1): Special infiltration barrier installed to comply with §151 meets Commission quality standards. Component Insulation Loeafiorr/eommenits §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs Type R-Value (Suit, to wage, vc-CL eta.) 1. Masonry and factory-built fireplaces have: a. Closeable metal or glass door Roof ............. b. Outside air intake with damper and control Roof ......•.••«. c. Flue damper and control 2. No continuous burning gas pilots allowed. Wall .............. Space Conditioning, Water Heating and Plumbing System Measures wan •••••••••••• . —�--�• §110.13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. Floor .........:... §150(1): Setback thermostat on all applicable heating systems. Floor ............. _ §1500): Pipe and Tank Insulation Slab Edge....: 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation GLAZING Shading Devices (R•12 or greater) or combined intenonezterior insulation (R-16 or greater). g 2. First 5 feet of pipes closest toi water heater tank, non ren tions of systems. ysutated (8•4 or greater). Glazing Area Glass Interior Exterior Overhang Framing Type 3. All buried or exposed piping insulated in recirculating sections of hot water system. g Type 4. Cooling system piping below 55°F insulated. Orientation SO (single. double) olla blind. etc.) (shKk=eM etC.) e*%O) (tri ood) 5. Pining insulated between heating source and indirect hot water tank. OO • §150(m): Ducts and Fans North 1. Ducts constructed, installed and seated to comply with UMC Sections 1002 and 1004: duan insulated North or to a minimum installed value of R•4.2 or ducts enclosed entirely within conditioned space. N Nr ( ) 2. Exhaust fan systems nave backdrafr or automatic dampers East ( ) 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible. manually operated pampers.. S011Cil §114: Pool and Spa Heating Systems and Equipment SOU Cl1 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, - ' no electric resistance neatino and no pilot light. West ( ) 2. System is installed with: West ( ) a. At least 36- ctoe oerween filter and heater for future solar heating. Skylight....... b. Cover for outcoor pools or outdoor spa. 3. Pool system has directional inlets ano a circulation pump time switch. THERMAL iVIASJ §115: Gas-fires central turnace, pool heater, spa neater or housenold cooling appliance have no �VpT s. ype/Covering Area Thickness /%L d Yol/// e continuously During piiot light. (Exception: Non-eiectncal cooking appliance with pilot < 150 Stwhr.) (slab/exvosed. tile, etc) (Sf) (inches) LOCadOn/DCSCIIDCIOn (kitchen. bath. etc.) Lighting Measures § 150(k): 40 lumenswar, or greater for general lighting in kitchens and rooms with water closets: and _ recessed ceding fixtures iC (insutation coven approved. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to oompty"with Title 24, Parts 1 and 6, of the California Code of Regulations, and the admirtistrative regulations to implement them. This certificate has been signed by the li VAC SYSTEMS Minimum Duct individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple Type (fttrnace, air Efficiency Location Duct Heat " Pum orientations, any shading feature that is varied is indicated in the Special Features/Remarks section conditioner, heat puinto) AFW&SEER.HSPF) (attic, etc.) R-Value Thermostat Type ( Sri i or nko ) Designer or 0wher..(pe►9uslneas�i Professions Code) Documentation Author " /� r 4 ._ 2-- Name: �t ne, i*+�P.l m Q n Name: Tide/Firm: Tide/Firm: Address: Address: tT Telephone Telephone: L i Lie. s: HOT WATER SYSTEMS T� (sgnatu ) (date) (signature) (date) �] Svstem T (storage as. etc.) Capacity Numher Energy Fact r t ank ns Tlii at•ri hilt-i nn Enforcement Agency I /_ „e TSzd s' _� /,A 57-Z Name: Ty'' us/ 404--s ride: Agency: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Telephone: _ (signature/stamp) (date) a j S. 112 SEC. 7, T.23N.• R. 4E. M.D.B. &M. F521., TAN OAK DR. N88°0128"E 1'=400' 650.41 396.73 310.00. 249.68 320.44 195.51 195.51 283.34 632.33 666.24 J 13 1 14 2 17 1 0 18 2 0 21 22 23 36 2 O 4.00Ac 2.43Ac 1 2.5OAc w 1.84Acl'� �� 2.87AC 11.7 Ac 5.17Ac 37 11 $ i 2.98Ac 2.98Ac 6.00Ac $ 361.21 i 310.00249.68 50PM61 a 2.47Ac 45PM85 309.98 305.56 8 40PM61 i 320.44 N 32285 294.43 1 10 20 1� pGj '0 15 4 16 4 w -1•I O 3 25 1 1►' ' 19 N 45 44 1.92Ac 3.69Ac ����� l��p 3 ;` 2.58Ac w 2.5Ac 2.88Ac v 2zo.10 20 293.39 44PM46 191 ���� \ i ,�' 1. OAC g 4.81Ac O 53 o No DOON C(jCE- ��q� 142.00 318.60 4.8OAc c4 34 56RS69 O 3.35Ac o 0 1�3� �g -� 32 i 31 28 27 N h 6.8OAc 29 b - 105PM3 Z 48PM77 � 1.5Ac 11.5Ac sa1oe--- ---- 4es 56---- 452.7 8. DDAc ------------------------ 3 .93Ac m ''$� 6.ODAc 7 33 ' ' 30 5.12Ac � Fo5 p�y2 6 .91Ac! o 1.4Ac ; !1.4Ac N88°13'50"E to 1 1 91.93 396.48 242.00 ' 183.80 457.88 278.93 9�+ 0 5.8Acw RAIN FOREST LN. rye• 'V°`?• � - ' � 38 N 39 0 h 150.4OAc± 152.99Ac ?S�,g RESERVOIR � Off• • N ~ �O 139.94 _ N R u ,LSO• m • 0 123 1r31$ `+ gp 1990 9?Bp 234.07 - 0 !oo J - i NOTE: ALL INFORMATION SHOWN ON ASSESSOR PARCEL MAPS ARE FOR ASSESSORS OFFICE USE AND DO NOT NECESSARILY 0ONSMUTE LEGAL UYM NO LIABLnY IS ASSUMED FOR THE ACCURACY OF THE DATA SHOWN. •7 8 18 17 Butte County Assessor's Map Book 65, Page 53 CREATED BY 0 REVISED BY DB REVISED ON 3-5-2004 FILE NAME 65-53 EFFECTIVE 2004-05 ROLL Previous Book 58, Portion Of Pae 48 Compiled By The Butte County Assessor's Office 73.73 0p '`fl0 C� 116gp ca 241 G 12 7 13 18 X7768 9�+ 0 5.8Acw RAIN FOREST LN. rye• 'V°`?• � - ' � 38 N 39 0 h 150.4OAc± 152.99Ac ?S�,g RESERVOIR � Off• • N ~ �O 139.94 _ N R u ,LSO• m • 0 123 1r31$ `+ gp 1990 9?Bp 234.07 - 0 !oo J - i NOTE: ALL INFORMATION SHOWN ON ASSESSOR PARCEL MAPS ARE FOR ASSESSORS OFFICE USE AND DO NOT NECESSARILY 0ONSMUTE LEGAL UYM NO LIABLnY IS ASSUMED FOR THE ACCURACY OF THE DATA SHOWN. •7 8 18 17 Butte County Assessor's Map Book 65, Page 53 CREATED BY D8 CREATED ON 3-5-2004 REVISED BY DB REVISED ON 3-5-2004 FILE NAME 65-53 EFFECTIVE 2004-05 ROLL Previous Book 58, Portion Of Pae 48 Compiled By The Butte County Assessor's Office 5() ' r 7 5o ' +% An outdoor swimming pool shall be provided with a barrier that complies with California Health and Safety Code Section 115920- 115927 shall be installed, inspected and approved prior to plastering or filling with water