HomeMy WebLinkAbout066-070-014H
066-070-014 PERBIT#95-2911 , _ -
} HALSTROM, Lee Q/ ,
13787 Otis Ct.,.Magalia
T New Single Family
- 066-070-014 PERM IT#97-072f�� ,. .
VINCENT, Jim 4J
' 13787 Otis Ct.',••Magalia /f/,�n,Q� t„
Cont: Ken Hebert 2QI
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RESIDENTIAL
066=070-014 PERMIT#95-2911
f HALSTROM, Lee
13787 Otis Ct., Magalia
New Single_ Family
OFFICE
yCopy
~
Address 3 2�p 7—
GAS p /1
Meter By Date�-7 rites
ELECTRIC
Meter By v Date tJ�
P
OFFICE COPY
t
Address
j,
i. GAS .�
a
Meter By Date
ELECTRIC 2 ��
Meter By Date
r
,
JOB FINALED (Date) 07
-G
Signature
y
V=OK
O = Not OK
•=NottRpeadyble MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete +
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; LocationClearances-Cmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / / UtL
/ /Nat. or/ /"L°ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size-Spacng-Marriage Line
3. Gas; MH Test-DemandAtalve-Connector
4. Electricity; MH Test -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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning RequirementsSetbacks-Easements
2. Footings; SoilsSize-0ep"pacing-Connectors-Steel. ,
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails i
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailinga/eneerStucco•Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
'J OK
O = Not OK
= Not Applicable
= Not Ready
Date J1NDERFLOOR (Plans) OK except #'s
RESIDENTIAL (Single & Duplex)
a. ning-Setbacks-Easements- ood-Slope
Ftg., Main; Soils-Elec. G -/j2j" Ftg. Depth
3AF .. Garage: Soils-Steel-Elec. Grnd.-/ /" Fla. Deoth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
temwalls, Main; Steel -Bloc kouts-Wrapped
\ 6!Stemwalls, Garage; Steel-Blockouts-Wrapped
16a. Hold Downs and Special Anchors
&!Piers -Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
1y'. Water Pipe; Test -Anchor -Regulator -Service Test
12� Electric; Underground
1 Pienums & Ducts; Clearance -Material -Support -Ins.
1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples
1VAccess & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 to Date Card B-1
Date PLUMING (Permit),OK except #'s
16. WV!r Htr- Vent -Access -Combustion Air-Baffle
--------i-Y-/--------------Combo--------------- - -
Water Pipe: Test & Anchor -Nail Protection
V.; Test -Fittings_& Anchor -Nail Protection
----- -- - 19. Shower Pan; Test. First Floor -Tub Access -
--------------------------------------------- - - -
2tY Tesl Tub& Shower, Second Floor -Tub Access
---------1--- ------------ ----------------------------------
Gas Pipe Size & Anchors
---- - ---- - - - - -- ---Date
- -
------------------------
----
- --------- -- -
Date Card B-1 Date Card -B- 1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
- 22�. Fiy�xtuu=re & Transformer Clearance -Ins. Protection
- - - 23!Elec. Receptacles Spacing _Lights & Switches at Doors
ize Boxes & No of Conductors -Stapled
-------- ------- ---------------------- - -- . _..
-2S%fTomex Installed Close to Edge of Studs & C.J.
------- ---------
-- - ---- - - -
ctl'Equi .Ground made -- w Mech. - ---- rs-Bond Gas &W
ate-,
2 Appliance Circuts in Kitchen & Conductor Size,GFI
------------------ - .. --- --- ..
2B. Subfeed Wire Size r r ga. Cu or AI -A.0 Wire Size ga
Cu or AI
29. Range Circ. r , ga. Cu or AI -Oven Circ. , , ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -R ser Conductors & Ground -Main Disconnect
- -- - ----- ------- ---- - ....... .......
3L Eq i� Clearances Panels-Motors-Mech Equ p.
--- --
`hes Closet Light -Shower Light -Spa Light
---------- .... -................
. Smoke Detector
---------- . . ..... .. _ . -- .. ... ....... .. ... ... __. ..- .-. .
Date Card B- _ Date Card B -t
Date Card B -t Date Card B -t
Date MECHANICAL (Permit) OK except a's
3 C. Duets Insulation & Support
V t Fa Exhaust above insulation
/Condensate Drain & Overflow. Size & Grade
� Furnance-Vent:.Access-Comb A r -Return A r Vent -115 outlet
3�c Access & Platform if Furnance in Attic
Da Card B- Date Card B -t
- 1/17.. - ..-. ..._
DA/ Card B-1 Date Cad B -t
Date FRAMI (Plans) OK except #'s
ils. Proper Material & Anchors
A"'a"Ils Studs -Nailing. Spacing & Bracing -Plates -Sound
41 wring Walls over Girders & Floor Nailing
4 raft Stop in Walls (rat proof)
43 re Stops. Furred Ceilings -Stairs -Chases -Tub
44 .bWaders & Beam -Size & Bearing
Date FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
------------------------ -
-4&.Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
> fireplace Ties or Type .A Flue -Fireplace Throat clearance
---------------- --- —
'B. i Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49.Windows or Exiting Doors -Sill Hgt. & Dimensions
--------------m ------- —
5 rage Fire Protection Framing
51 operty Line Firewall & Openings
---------- ------------- — -
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
----------- -------------------------------
53. S ' s-, Width -Headroom -Rise -Run -Landing -Fire Protection
------------
---------------- -- ---------------
:ood on Roof Overhang -Attic Vents -Rafter Outriggers
- -----
Siding-Nailing Veneer-----------------
-------
56-Slucco-Ilesh-Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection - Skylights- Plastic
ear Walls: Nailing -Bolts
59. -Insulation -Wal Is-Cei I i ngs
------------------------------ —
60. Infiltration -Walls -Windows
Date Card B-1 Date — Card B-1
-----------------------------I-----------
Date Card B- Date Card B-1
Date FINA ans) OK except #'s
Ext. S oor & Sidelight Protection -Landings --
m erector —
-- --- ------
Furnace: V learance-Comb. Air -Connector -
In G 'e: Above Floor-Ducts-Mech. Protection
edr�Ie5T
og Exiting
6y5Bath Fixtur Tub -Access -Spa
66.-- & Su el reaker Si & els
----- -- —
aus & l --
.. ... . --- - �.. - �---------
6d,�PrI splac love: ClearEfices-He3fth f'
e ets at Wood Panel Int & Ex
7 it.Fixt. & AppliancEng
rnd.-Air p-Cookin <Clearance
lec __O__' & Recc a
lire Door. andmg-
1 C. D t- Garage -Damper -
7 r Htr.: Vents-Cleara omb. Air -Gonne P.M.V.
-------
In G Above or-Mech. -Protect io
7 5.,Ielb.. Elec. & h. Equip. Listed for cation
- - ----- ---------------
7 ---- ------ -- 6. eptacles in Gara e: (G. I.)T a ore on
7 nsu'ati am -Looked it Attic Yes
--- - —
7 uard &Deck Constr on-Pos C s -
- - ------ -----9------
7'4--F?-dn.
----- ---
--- - --- --- 7 dn. Vent yawl Hole Coor-Dr a e & od-Earth
CI Ce Looked under FI00 es
' -------------------
ii Following instld�. Drive .Yes ❑ No: Walks ❑ Yes 0 No:
Planters ❑ Yes No
_ . - - - -- -- - - - - ... ---- ----------------------
.. dl. Si - --- -----------------
C D scon, nect Elec al. PI rnbin ---
8 encs Above Roof. PI .-Appliance-Fir , lace. -Clearance to
Op gs
Water W u; Disconnect. Electrical, Plumbing - — -
- ------ -----------
85 nor Elec Trim G ceptacle-Underground
Venti n Throughout House
GI PrOIOCI-On --- --- --------------- ------------------ --
6 1Correcti ro revious Spection
6 T eters T ed: Gas-Ele is
---------------
90T �nergy
wer Connected- to Grade -HD Approval -- --_
phanceCertificate-Other Certificates - --
two--Card--
Date �:`� rLv Car B-1 �% - a. -C
-
le Card B-1 -------------
.. .. .. ---
-- ----CaCC-- CaCC ---CaCC--
Date Card B -t Date Card B-1
--- --- -CaCC-- ---CaCC--
Date Card B -t Date Card B-1
Comments at Final:
r� -
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT
APPLICATION AND PERMIT -
ASSESSORPARCELNUMBER 066-070-014
ZONING R-1
BUILDING PERMIT
OWNER
LEE HALSTROM
TELEPHONE
873 E2794
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 545 MAGALIA, 95954
R 86,076.00
484 M
8,712.00
CONTRACTOR'S NAME SAME
ATAE
TELEPHONE
160 PORCH
2,080.00
320 DECK
2,240.00
CONTRACTORS MAIUNG ADDRESS
Fireplace 1 A
1,500.00
CONSTRUCTION LENDER
UNIOVOWN
Total Valuation $ 100, 608.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 643.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 417.95
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 23.00
Penalty
$
BUILDINGADDRESS
13787 OTIS CT
PERMITFEE S 11,0 0•95
viAGALIA
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
9 7.00 63.00
LAT NO. 63
SUB FION'S NAME
P.P. COUNTRY
PARCEL MAP
Solar or heat pump water heater
23,00
USEOFSTRUCTURE
SF [� Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00 15.00
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
TYPE OF WORK
New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 3 BEDROOM
Mobile Home I S I GI W 1
920.00
PERMITFEE
$ 143.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20:00
Main Service ( 500v
200A OR oR LEsLESSs )
23.00 23.00
Main Service ( 200A To 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. f `�
License Class � Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lathe the following reason:
las 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR NS. ( 8 ACC. )
SO .
3.5¢ FT. 72.73
NEW CONST. MULTI -OUTLET
C
NON-RESID. ( BRANCH CIRCUITS )
97.50
G SOINWFR GLE PPARATUS )
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
BAL .SO
Ex. Occup. ouTLEEDTs jaESlo.j ea
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
��F
23.00
PERMITFEE
$ 115.73
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.00
Cooling
15.00
Hood
6.50 6.50
Ventilation
PERMITFEE
S
56-90
Contractor
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
Of one hundred dollars ($100) or less.)
4/1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of ection 3700 of the Labor Code, I shall
forthwith pl v' ,
X Dated%
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. %5 �_ a3- p�
Mobile Home Installation Fee $
Energy Inspection Fee Is 46,
occ
R11
CONST. TYPE
FEE $ 1469 -
HAZ.
_V/
D. FEES�T�OTAL
FLOOD
C F PARCEL PD HDYZSUE
IVI
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
"PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
/ Dat p /
(� v
(D e)
p o 9d Q,�j�- L
Receit No.
WHITE-D.D.S.-B.D. CAN R - SSESSO INK -INSPECTOR GOLDENROD -APPLICANT
�f"..n;.r'�`'�,�,'h^c't'��k+t,�H%•..'3s"iP'''jlt�.Tr+'+o�,�"'�+-n.,i+:of,..'Y,t+V�y�ilsit►�v�K't.•b:,f*�vr*%`�''+'rt:.li-nr�':rtw+.�.,^.Y�-Pr+iii.niR`.�+*.r'.ricri;,ry,..`-
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE CAL FORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER Z- 140-- /Sk c71 -*i1 A. P. No. 41 h" 0 7 O — O
Proposed Building Use 4j Building Inspector �) l�'" Date A
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 . ......................... .
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
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. leho d a manufacturer's installation instructions, 2 sets. ...........
Fees of $ ................................
Ifnpact fees as shown on attached schedule. .... ...........
California Department of Forestry Ian a royal
ie
P yP PP.. q........
13. , food elevation letter (100 year flo .!) bP ,,, California ngineer. . .
40,(U w47 anitation and plot plan approval c•� Health Department . ............
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 ontact Land Development about (A) Improvements (B) Drainage . ...........
9. Driveway permit (construction approval required prior to occupancy).
20. Pre -inspection for to Buil Building
Ins `eque
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Ce 'ficate of Workmans Compensation Insurance . ..........................
2M3 wner-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 . .........................................
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 . ........................ f ........................... .
33.
34.
Wh n you issue the_permit ppaoce s as follows: Mail�opwner. Mail to contractor.
Telephone 73 -27 nand hold for pickup at office. Deliver with inspector.
Other 1
Parcel Creation
Acreage ^pplicant Date l�
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
1. Index permit for above items No.
2. Additional items required:
(Circle,new item not
Contractor, designer, owner, was advised of above required data by /phone _ mail Counter by Date I I—)
Contractor, designer, owner, was advised of above required data by _ phone _ mail Co nter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
E.H. USE ONLY
Plat Pha AnwW
M. PI. Aft tW C
• sit sn IHS -F
TO:. „ Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner�LoCation / AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well
Clearance for bedroom home. Other
Hold final for:
Final clearance O.K. for:
. NOTE:
Environmental
8/92
/
Specialist
4 V.
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER Z—. /- --, [.S 1`�t> O"!� AP # A 6 G 0? C�,—d W
PROPOSED BUILDING USE
"/ SCHOOL DISTRICT FEES "
L�
(paid at District Office)
= &,,�SHERIFF FEES (paid at Building Division)
Residential...... x =$—
unit amt.
Commercial (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
##units amt.
Commercial (sq.ft.). x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office)
5. THERMALTTO DRAINAGE DISTRICT FEES
00.00 (paid at Building Division)
INSPECTION AND PLAN CHECK
$89'. (paid at Building Division)
7. WATER TENDER FEES
(BATTALION ## )
$200.00 (paid at Building Division)
A
CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
REC.
DATE o
_
LATE REC
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT
DATE l/l f" 6' ` C!5—
And when recorded mail to:
Building Division
#7 County Center Drive
Oroville, Ca. 95965
95-043906
AGRICULTURAL STATEMENT OF ACK,NIOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The
propem• described herein is adjacent to land or includ d within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals. including. but not limited to
herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation.
plowing, spraying, pruning, and han-esting which occasionally generate dust, smoke, noise. and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessar,- farm operations. + .
All that real property situate in the Count,. -of Butte. Statelof California. described as follows:
i
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
APN 066-080-014
Date: 12/18/95 PROPERTY OWNERS: al strom
Lee Owen Halstr6m
State of California
County of Butte
On 12/18/95 before me,
Barbara A. Woodward
personally appeared IPP Owen Hal ttrnm personall.
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that be/she/they executed the same in his/her/their authorized capacity(ies), and -
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf.of which the-person(s) acted.
executed the instrument.
WITNESS my hand and official seal. ,
r BARBARA A. WOODWARD v
Comm. # 1010511
V NOTARY PUBLIC - CALIFORNA
Signature '1.G� e' �� cal: 1 Butte county
i
W Comn> Fxplros Dec. 2,1997
%.P.#
I Order No.: 3-54472 WC
LEGAL DESCRIPTION
I
EXHIBIT "ONE" -
All that certain real property situate in the County of Butte, State of
California, being more particularly described as -follows:
Lot 63, as shown on that certainimap.entitled "PARADISE PINES COUNTRY CLUB
ESTATES UNIT 111, filed in the office of the County Recorder of Butte County,
California, on September 141 197111, in Book 38 of Maps, pages 57, 58, 59 and
60.
EXCEPTING THEREFROM all minerals, Ioili,!j.*;(gAs, asphaltum and other hydrocarbon
substances, with provision that apyan;d!all mining operations shall be done
from orifices outside the surface area of the land herein described, and that
no damages shall be done to the s rface of said land.
(A.P. No. 066-070-.014)
of Legal
a
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r •:
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Foran Per Building)
School District i,3 CBuilding Department No.
A.P. Number 66 —070 - D 1 cj Jurisdiction: 0 City � County
Property Owner i—
Property Location/Address 0 l c C
Subdivison ,(AA 12 _ 1 Lot No.
Residential DevelopmentSq. Footage /
No. of Living MHI s Addition (Group R)
Units
Commercial/Industrial = Sq. Footage
New Addition (Including Exterior
Roofed Areas)
o, ..�• -*----
Building Departm nt R . presentative Da
(Floor Plans reviewed by School District Personnel) J`
Dist ict entification No. 'L..� w 1/6 .
Al dzXWje,-' School District certifies that
(Applicant)
(Street
(Phone
has complied with the requirements of Resolution No. by payment of $
repr enting square feet.
AB 2926 $
FULL MITIGATION $
7
Date
Paid by Check # Remarks:
Bank Number 9d
Paid by Cash
IT, suosequent to the 5cnooi uistnct rtepresenmtive signing tnis butte county bcnoois impact ree
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
chools.
White (applicant), Yellow (building department), Pink (school district) feeform.wk1 (11/94)dmm
COUNTY OF BUTTE
_ BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA-,�(9.16)'991-2751 -
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307'
CORRECTION NOTICE
OWNER + PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed.,lf you have any questions pertaining to this matter, or need additional explanation,
please co ct this office immediately.
Date In
REV 10/92
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
- 2-L
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
CU AtQ
Date — Inspector
REV 10/92
1 1 t•. I I C 1'
E N E' R G Y C E. R 'I' 1: F I C A T 1: O N
_ Otis Ct., Magalia
LOCAXTON A.P. No.
ROOF
Material.
Thickness(inches)
w;,* ;(:nr.r1ON 01 1.NSM ATT.ON
Brand Name
111 e rtnaa 1
itesi.,.;La lce (It Value)
1X'1'LRIOR WALL
Material. FIBERGLASS BATTS Brand Name
SCH[TLLER INT':'.
Thickness(inches) z 'Thetwal Resistauce(R Value)_
CEJLING
Batt' or 111.anlcet '1.,yhe FIBERGLASS BATTS lirarul Name SCHJJLLER INT'
Thi.ckners(Inchet;) 'Thermal RS, s t Rce(1Lt Vuluc) R3SK
Loose FILL. 'Type FI _ Brnnd Name_ h1 tNvTi
PtJ.111.111mil Thi_ckness(.Enches) 16" 1 -lumber of Migs 17 Vit. per R� —lU•
Area covered(ft. ) 577 _ TheT.11ml Res is:tance(it Value) _
FLOOR, ELEVATED
Material. FIBERGLASS BATTS
'1'Ilickncss(i.nche;:) 6�"
FLOOR, SI,A11
Material
'1'hiclaie::s (:i.ucllc ,)
l•l.tdth(Luclles) _
FOUNDATION WALT.,
Material
Thickness(inches)
Brand Name SCHULLER INT.
Thermal Resi.sl:ance(It Value)
Brand Name
Thermal Resistance(It Val -
110 -
Brand Name
Thermal Resi.stance(R Value)
I hereby certify that the above insulation was installed in the above building,
in conformance with the State of California Energy Requirements.
L.oerkc Tnsul.ation Co., Tnc. . 499150
FIRM NAM13/OVINIiR Sl'A'1'1 CON'TRAUPOR'S M-CENSI? NO.
_q �. May 14, 1996
SIGNATURE OF INS'TALLAT'ION APPJ.ICNI'OR DATE
I hereby certify tate ,above insulation and all required items as shown on the
Building Dellar.lmenL' allprcive(i plans and attacllinents have been i.nal:all.e(I as
re(lid.red by the State of Cal..iforlda I',net-l;y Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRPI NAME/OWNER (Please print)
SIGIJ 'i'URIi 01 l E1,.l1 RAL (;ON.I'RAC'J'O.R OWNcR
Z/Izze�e_
S'PA'TE COWRACTOR'S LTC1iNSG 140.
DATE
THIS CER'TTI IGA'TP MUST Ill's ON FILL: Vill'll Tln; BUILDING DIiPAR17,11- '1' PRIOR TO FINAL.
INSPECTION APPROVAl, AND A COPY SIIAI,i, BE 1'(ITYED WJTIIIN THE 111H..I,DTNG .
1 1111! 11— I'M',
E.H. USE ONLY
_
—-f
T
Plot Pl. AttachedAttached7C
Floor Plan Attached pio
Sort to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
e.. e—
Owner Location AP#
Plan Approved 'for: Sewage Disposal ✓ MWSUPPIY: Public Private Well
JCClearance for ---bedroom mobile home. Othe
Hold final for:
Final clearance O.K. for:
NOTE:
EnvironmenaL,H)alth Sialt
2/01)
Date
RESIDENTIAL PLAN CHECIONG GUIDE .
SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS ONLY
OWNER: BUILDING PERMIT NUMBER:
PLAN CHECKER: c4 , c9 a ASSESSOR PARCEL NUMBER:
GENERAL
.iY Zoning requirements: (sideyards and number of permitted living units).
Valuation.
Plans signed by designer. -
Proper description of work on application.
Existing violations on property.
0 Items on data sheet, (Impact fees, Health, Developer fees, License law, etc.).
Recorded notice of violation.
V
AN:
plete parcel size and dimensions.
acks, sideyaz ements tc.
r buildings or structures.
ing, fills, and drainage.
d hazard.ial conditions on creation map, (noise, C.D.F., fire sprinklers, non-combustible, and foundations).
& FAS road setback.
ing or utilities across lot lines (Record form).
FLOOR PLAN: _
Complete to scale plan with dimensions. Ty
[Re
quired windows for light and ventilation (Section 1205). .
quired windows for second exit (Section 1204).
ylights (Chapter 34 & Section 5207).
man impact glass (Section 5406).
quired room sizes, ceiling heights (Section 1207).
F.C.I. in baths, garage, kitchen, and exterior outlets (Article 210-8).
ht fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
cations of water heater, heating and cooling equipment, other electrical or gas equipment.
rage firewall, door size, and closer (Section 503(d)(3) ).
3'0" exterior exit door (Section 3304 (f).
eplace and wood stove location, alcoves and clearance.
oke detectors (Section 1210).
mbing fixtures, water closet clearances and shower size.
Standard bracing or engineered design (Table 25V).
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and cals if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection required.
May 1995 3.2
RESIDENTIAL PLAN CHECIONG GUIDE
SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS
MISCELLANEOUS ITEMS TO LOOK OUT FOR:
Stairway details: landings, rise and run, head clearance, handrails (Section 3306).
Guardrail details (Section 1711 and 33060).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Section -4706).
Proper roof pitch for roof covering (Chapter 32).
Roof covering type - (fire hazard).
Foam insulation - protection.
6" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts.
o exits on three-story dwellings (Section 3303 and see Mezzanines - 1716).
ttic access and ventilation (Section 3205).
Underfloor access and ventilation (Section 2516).
Combustion air for fuel burning appliances - L.P.G. requirements.
oise requirements on duplexes.
Energy design.
1�7ashing at all exterior openings.
.D.F. responsible area requirements.
- �
-
TABLE OF CONTENTS ' TO[
Project Title.......... HALLSTROM RESIDENCE Date........ 12/07/95
Project Address........ 0 -1 -IS CRT - --
MAGALIA | |
Documentation Author... Robert A. Mangrum | B ild |
Company................ PARADISE MECHANICAL
Telephone.............. (916)877-8882/FX 877-3979 | Plan Check / Dat e (
� �
Compliance Method...... MICROPAS4 by Ener -comp, Inc. | Field Check/ Date |
Climate Zone........... 11 ........ ----------.... -..... .... ---_
===============================================================================
|
1,,lICROPAS4 v4.02 File-2HALSTRM Wth-CTZ11S92 Program -TOC )
i User#-MP1342 User -PARADISE MECHANICAL Run-HALLSTROM TITLE 24 �
.... _..... _________________.... ..... ..... ... .... ..... ..... .... .......... ..... ________________........ ......... ..... ... ....... ........
______________________
TABLE OF CONTENTS
Report Page
FORM CF -1R................ 1
~
FORM MF --- 1R ...... ........... 4
FORM C -2R................. 6
HVAC SIZING............... 9
colimyorsurTilBUILDING DEPTONITY DEC� 0 ��c
�� ��� ������� �������������DF:�� � -�� « « ���x
u�n��u~m�,v��� �~~__ _ _ .
A P P �� 0 v E 0
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Pape 1 CF'
Project Title.......... HALLSTROM RESIDENCE Date........ 12/07/95
Project Address........ OTIS CRT ---------------------
MAGALIA
Documentation Author... Robert A. Mangrum | Building Permit # |
Company................ PARADISE MECHANICAL | /
Telephone.............. (916)877-8882/FX 877-3979 | Plan Check
| |
Compliance Method...... MICROPAS4 by Enercomp, Inc. | Field Check/ Date 1
Climate Zone........... 11 ------------------------
1
--------------------
| MICROPAS4 v4.02 File-2HALSTRM Wth-CTZ11S92 Program -FORM CF -1R '|
| User#-MP1342 User -PARADISE MECHANICAL Run-HALLSTROM TITLE 24 |
_______________________________________________________________________________
GENERAL INFORMATION
Conditioned Floor Area..... 1594 sf
Building Type.............. Single Family Detached
Construction Type ......... New
Building Front Orientation. Front Facing 160 deg (S)
Number of Dwelling Units... 1
Number of Stories.......... 1
Floor Construction Type.... Raised Floor (Package E)
BUILDING SHELL INSULATION
Component
Insulation
Assembly
Type
R -value
U -Value
Location/Comments
_____________
Wall
___-------
�
R-13
________
0.088
________________________________________
FRONT WALL, LEFT WALL, BACK WALL
Area
U-
RIGHT WALL
Roof
R-38
0.025
Attic-
tticDoor
Door
R-0
0.330
Solid Wood
Floor
R-19
0.037
FLOOR
FENESTRATION
# of
Interior
Over -
Area
U-
Pan-
Shading/
Exterior
hang/
Framing
Orientation
(sf)
Value
es
Description
Shading
Fins
Type
___________________
Window
Front
(S)
_____
20.0
_____
0.750
____
2
_______________
None
___________
None .
____
Yes
--------
Metal
Window
Front
(S)
12.0
0.780
2
None
None
Yes
Metal
Window
Front
(S)
24.0
0.750
2
None
None
Yes
Metal
Window
Front
(S)
66.0
0.750
2
None
None
Yes
Metal
Window
Left
(W)
30.0
0.750
2
None
None
None
Metal
Window
Left
(W)
10.0
0.610
2
None
None
None
Metal
Window
Left
(W)
30.0
0.750
2
None
None
None
Metal
Window
Back
(N)
12.0
0.750
2
None
None
Yes
Metal
Window
Back
(N)
3.0
0.750
2
None
None
Yes
Metal
Window
Back
(N)
6.0
0.750
2
None
None '
Yes
Metal
Window
Back
(N)
24.0
0.750
2
None
None
Yes
Metal
Skylight
Horz
6.0
0.750
2
None
None
None
Metal
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
===============================================================================
Project Title.......... HALLSTROM RESIDENCE Date........ 12/07/95
===============================================================================
| MICROPAS4 v4.02 File-2HALSTRM Wth-CTZ11S92, Program -FORM CF -1R �
1 User#-MP1342 User -PARADISE MECHANICAL Run-HALLSTROM TITLE 24 |
_______________________________________________________________________________
HVAC SYSTEMS
------------
11 i n i mum
___________Minimum Duct Duct Thermostat
Equipment Type Efficiency Location R -value Type '
_______________ ____________ _____________ _______ ____________
Furnace 0.810 AFUECrawlspace R-4.2 Setback
ACSplit 10.00 SEER Crawlspace R-4.2 Setback
WATER HEATING SYSTEMS
_____________________ .
~^ Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
______ ----- _----- ___________________ ______ ________ ______ ------------
Storage
_________Storage Gas PipeInsulation 1 0.64 EF 50 R-12
SPECIAL FEATURES/REMARKS
________________________
6L62 -LLS XA/ZBSB-LLB(9T6) ... auoqd
69606 "WO Wiavdw:j
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IVOINUH33W Waumd -Auedwoj
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NOHinV NOUVIN3wom
(040p)
" 'PaubTs
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/sainleay lelmadS aq4 UT PaJeMTPU1 ST PajAeA S1 1e1..1J Mnleal BMlpeqS AUV?
"suoi;equalAc aldlqlnw uT IlInq aq o; ueld BulplInq alBuTs e joy 1_)all1wqnsi
ST anuelldwan 4o aqem14Tqjam sjqq uaqM -AqT11:qjsuodsaA UBIsap 1:JeAaA0
44TM JenpTATPUT aqq Aq pauBjs uaaq seq alenT411Aam s1qI -waq; quawaldwi:
ol suallelnBai 53A1JeJJS7:Ujwpe aqj !sue 'suoTqe1nBay 4o a1:]o3 eTuAo4j1e,,)
aq, 4o 9 pue I slAed 'VZ.aTITI qqTm ATdwom o; papaau suoTlenly1mads
amuewAo4jad pue saAnlea4 BulplInq aqq sqs1 1 amueTIdwon 4o ajenT41Ijam slqj
LN3W31VIS 30NVIldWO3
VZ 31111 1AIONIS11WH-UnN IVOINUH33W Miovmd-nsn zt2Td1.41-#jasn
;II-An-wmnA-wejBojA 7ARIT711-WIM WN1qjWH7.aTT4 M - 5A bRuAnMITW
26/LO/ZT ........ alea 30N3alS35 WOMSMUH .......... a1111 ImayoAd
AT -43 2 aBej IVIINMISM 13ONVIldWOO JO 31V7IJIIN33
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R
===============================================================================
Project Title.......... HALLSTROM RESIDENCE ^ Date........ 12/07/95
Project Address........
Documentation Author...
Company................
Telephone..............
OTIS CRT
MAGALIA
Robert A. Mangrum
PARADISE MECHANICAL
(916)877-8882/FX 877-3979
1 Buildinp Permit # |
� |
| Plan Check / Date |
| |
Compliance Method...... MICROPAS4 by Enercomp, Inc. | Field Check/ Date 1
Climate Zone......,.... 11 ---------------------
===============================================================================
| MICROPAS4 v4.02 File-2HALSTRM Wth-CTZ11S92 Program -FORM MF -1R |
| User#-MP1342 User -PARADISE MECHANICAL Run-HALLSTROM TITLE 24 |
_______________________________________________________________________________
Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent 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 mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
__________________________
Design- Enforce-
er , ment
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(i): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5
MF71R
===============================================================================
Project Title.......... HALLSTROM RESIDENCE Date........
12/07/95
===============================================================================
| MICROPAS4 v4.02 File-2HALSTRM Wth-CTZ11S92 Program -FORM
MF -1R �
| User#-MP1342 User -PARADISE MECHANICAL Run-HALLSTROM TITLE
_______________________________________________________________________________
24 |
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
______________________________________________________________
Design-
Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC.
150(i): Setback thermostat on all applicable heating systems.
-----
150(j): Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5. Piping insulated between heating source and indirect
hot water tank.
_ ... .................. _
*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
_______
114: Pool and Spa Heating Systems and Equipment
~
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
8]\�/
pump time switch.
��\_______
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot < 150 Btu/hr.).
u�
LIGHTING MEASURES
_________________
Design- Enforce-
er ment
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved. I z ........ . .
COMPUTER METHOD SUMMARY
Page 6 C-21:z.'
===============================================================================
Project Title..........
HALLSTROM RESIDENCE
Date........ 12/07/95
Project Address........
OTIS CRT
--------7 -------
MAGALIA
� �
Documentation Author...
Robert A. Mangrum
| Building Permit # |
Company................
PARADISE MECHANICAL
| |
Telephone..............
(916)877-8882/FX 877-3979
| Plan Check / Date |
Compliance Method......
MICROPAS4 by Enercomp, Inc.
� Field Check/ Date |
Climate Zone...........
11
------------------_--
===============================================================================
| MICROPAS4 v4.02
File-2HALSTRM Wth-CTZ11S92 Program-FORM
C-2R �
1 User#-MP1342 User-PARADISE
_______________________________________________________________________________
MECHANICAL Run-HALLSTROM TITLE 24 |
=================================================================
=
=------------------------------
MICROPAS4 ENERGY USE SUMMARY
___________________________Energy
=
EnergyUse
Standard Proposed
Compliance =
= (kBtu/sf-yr)
= _______________________
Design Design
Margin =
= Space Heating..........
__________ __________
12.35 12.98
__________ =
-0.63 =
' = Space Cooling..........
13.99 16.64
-2.65 =
= Water Heating..........
13.63 10.21
3.42 =
=
_..... .... _....
Total 39.97 39.83
0.14 =
= =
= *** Building complies with Computer Performance *** =
=================================================================
GENERAL INFORMATION
----------------------
Conditioned
__________________
Conditioned Floor Area.....
Building Type..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type..........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint Area.............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Ceiling Height.....
1594 sf
Single Family Detached
New
Front Facinp 160 den (S)
ReducedYear
Raised Flooi
12952 cf
1594 sf
1594 sf
0 sf
15.2%ofFA
8.1 ft
(Package E)
COMPUTER METHOD SUMMARY Page 7 C -2R
===============================================================================
Project Title.......... HALLSTROM RESIDENCE Date........ 12/07/95
1 MICROPAS4 v4.02 File-2HALSTRM Wth-CTZ11S92 Program -FORM C -2R |
| User#-MP1342 User -PARADISE MECHANICAL Run-HALLSTR8M TITLE 24 �
----------------------------------------------------------------------------------
OPAQUE SURFACES
-----------------
Area
______________Area U- Insul Act Solar Form 3
Surface (sf) value R-val Azm Tilt Gains Reference
______________ ______ _____ _____ ___ ____ _____ ____________
HOUSE
Vent Special
Height Vent Area
(ft) (sf)
______ ---------
2.0 n/a
Location/
Comments
------------------
I
_______________
l
Wall
BUILDING
ZONE
INFORMATION
160
Floor
-----------------------------
________________________Floor
# of
WALL
2
Area
Volume
Dwell
Cond- Thermostat
Zone Type
(sf)
(cf)
Units
itioned Type
______________
HOUSE
_________
_________
_____
_______ ____________
Residence
1594
12952
1.00
Yes Setback
OPAQUE SURFACES
-----------------
Area
______________Area U- Insul Act Solar Form 3
Surface (sf) value R-val Azm Tilt Gains Reference
______________ ______ _____ _____ ___ ____ _____ ____________
HOUSE
Vent Special
Height Vent Area
(ft) (sf)
______ ---------
2.0 n/a
Location/
Comments
------------------
I
_______________
l
Wall
2/4
0.088
K-13
160
90,Yes
W.13.2X4.16
FRONT
WALL
2
Wall
202
0.088
R-13
250
90
Yes
W.13.2X4.16
LEFT
WALL
3
Wall
371
0.088
R-13
340
90
Yes
W.13.2X4.16
BACK
WALL
4
Wall
152
0.088
R-13
70
90
Yes
W.13.2X4.16
RIGHT
WALL
5
Wall
110
0.088
R-13
250
90
No
W.13.2X4.16
RIGHT
WALL
6
Roof
1194
0.025
R-38
0
0
Yes
R.38.2X4.24
Attic
0.750
7
Roof
436
0.025
R-38
160
14
Yes
R.38.2X4.24
Attic
Slider
8
Door
20
0.330
R-0
160
90
Yes
None
Solid
Wood
9
Door
18
0.330
R-0
250
90
No
None
Solid
Wood
10
Floor
1594
0.037
R-19
0
0
No
FC.19.2X8.16
FLOOR
10.0
FENESTRATION SURFACES
# of
Vent
SC
SC
Interior
Area
Pan-
Frame
Open
U-
Act
Glass
Int
Shading/
Surface
___________
(sf)
_____
es
____
Type
_________
Type
______
value
_____
Azm
___
Tit
___
Only
____
Shade
____
Description
----------------
______________HOUSE
HOUSE
1
Window
20.0
2
Metal
Slider
0.750
160
90
0.88
0.78
None
2
Window
12.0
2
Metal
Slider
0.750
160
90
0.88
0.78
None
3
Window
24.0
2
Metal
Slider
0.750
160
90
0.88
0.78
None
4
Window
66.0
2
Metal
Slider
0.750
160
90
0.88
0.78
None
5
Window
30.0
2
Metal
Slider
0.750
250
90
0.88
0.78
None
6
Window
10.0
2
Metal
Fixed
0.610
250
90
0.88
0.78
None
7
Window
30.0
2
Metal
Slider
0.750
250
90
0.88
0.78
None
8
Window
12.0
2
Metal
Slider
0.750
340
90
0.88
0.78
None
9
Window
3.0
2
Metal
Slider
0.750
340
90
0.88
0.78
None
10
Window
6.0
2
Metal
Slider
0.750
340
90
0.88
0.78
Npne
11
Window
24.0
2
Metal
Slider
0.750
340
90
0.88
0.78
None
12
Skylight
6.0
2
Metal
Fixed
0.750
160
0
0:88
1.00
None
________________________
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WAH 6 e8e6 9NIZIS JVAH
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. -�9//
Tk 9'F z2OWNE��m /f-sstssarg .
NAME .R
l S`TrO i! �'-e NUMBER: ' _ 0_7
PRINT LAST NAME FIRST
COUNTY ZONING \
DESIGNATION: ' % FLOOD ZONE: FLOOD MAP:
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS' OR MAP
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO. LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION: p e e L /
DATE OF RECORDING r6'PT LOT � 3
BOOK, :30 PAGE 5 — 60
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
'PAGE 23): YES NO. IF YES,. MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP:. ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road. µ
2. Maintain a Z 5- ft.building setback from right-of-way&*nterline of 6 77
3. Maintain a 100 ft. leachfield setback from all existing wells.
_ 4. Maintain a ft. leachfield setback from
5. Pay water tender fees in the amount of $ to. Battalion Number of the Butte County Fire Department.
�0 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
7. Connect to a public water supply.
8. Connect to a public sewer system.
_ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance.with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel. r. I • ;
_ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ f �M .
•
11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
Iii
_ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. PaMent to be mado to the Plarotkig Dh sion-
_ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
— 15. Deer• Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 16. Pay school impact mitigation fees. r
X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
_2S_ 20. /o' Q/L W&Y'-r17 C /�✓G�
21.
22.-
23.
24.-
25.
5� ( Z AON
03AI303H
LD 9/95 - CAWP51 \FORMS. K\BLDGPERM.CLR
RESIDENTIAL
x066-070-014 PERMIT#97-0726
VINCENT, Jim
13787 Otis Ct., Magalia
Cont: Ken'Hebert
:Add Cov Over Ex Deck/SF
JOB FINALED (Date 430 -_
Signature
V=OK
O = Not OK
Not '=NotReady
ble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
DECKS, C21EaVARPORTS, GARAGES Plans OK except #'s
1. Zoning Requirements - Setbacks - Easements
equirements-Se cks-Easements
2. Soils; Special MH Support Sketch
Foo' oils- ' ep onnectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test- Wrap; / /'Uft.
/ /Nat. or/ /'L"ft./ /LPG
7. Elec 'c
7. Well Clearance & Disconnect
rmg.; Sils-AnchorsStuds-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
and B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
POOLS (Plans) OK except #'s
2. Footings; Size -Spacing -Manage Line
1. Setbacks -Easements
3. Gas; MH Test Demand Valve -Connector
2. Soils; Compaction -Structure Stability
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
5. Drain; MH Test -Fall -Flex Connector l
4. Elec.; Receptacles and Lighting, Distance-GFI
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 Volts-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
8. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
9. Tie Downs -Type -Installation Cert.
8. Elec.; Grounding; Equip, w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
10. Exits; Insp.-Sketch
9. Health Department Approval
11. Cert of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
CELLANEOUS
Date
DECKS, C21EaVARPORTS, GARAGES Plans OK except #'s
equirements-Se cks-Easements
Foo' oils- ' ep onnectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec 'c
rmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
-� r B-1 Date Card B-1
Date
and B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip, w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
_
OK
O = Not OK RESIDENTIAL (Single & Duplex)
No
- = Not A lira'=
Iv
Not Ready
Date
46.
UNDERFLOOR (Plans) OK except.#'s
1.
Zoning-Setbacks-Easments-Flood-Slope
2.
Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htc; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Ranyle Circ. ! / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral Q Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
86.
Water Well, Disconnect, Electrical, Plumbing
Date
87.
Card B-1 Date Card B-1
Date
88.
Card B-1 Date Card B-1
Date
89.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
46.
FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting..-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing-Bo'ts
60.
Brace Wall Panels
61.
Insulation-Walls-Ceilin s
62.
Infiltration -Walls -Wins' ws _
c�
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor [I Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes Q No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Through( House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN
G
� 7 County Center Drive - Oroville, California 95965 - Telephone (916) PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
066-070-014
ZONING
RS
B DING PERMIT
OWNER
JIM VINCENT
TELEPHONE
871-4789
SO. FT. OCC. BUILDING VALUATION
66 coy
OWNERS MAILING ADDRESS
17
CONTRACTOR'S NAMETELEPHONE
KEN HEBERT
'
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 13787 01IS
Energy Plan Checking Fee
$
CT KAGALIA
$
PERMIT FEE
66.00
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
X
SF Q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition 15 Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: COVER OVER EX DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
aoov oR LESS
Main Service 20.AORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.8
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
O 1, as.owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
VI , as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( To
46.00so
CCU000A
NEW CONST. DWEWNG OCCUP.
DWE200ALLING
OR ADDNS. ( 8 ACC. BLDS.
SO
3.50FT.
ST
NON -R SLID. MULTI.O ,TLU
97.50
PSINGLE OUTLET OWER APPARATUCIR.S
Ex. Occu OUTLET OR FucruREs
zo p 1.00
sru o ,50
Ex. Occup. oursAEW.SIDOE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
Vof one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensate n provisions of section 3700 of the Labor Code, I shall
forthwith comply with hose provis ns.
//
X _ Date �® 7
S' nature of Applicant - ❑ Owner ❑ Contractor ❑ gent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 66.00
HA2.
D. FEES IMP
FLOOD
CDF
pgRCEL
pp
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
�%- / /
By ,E Ji(�(
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Y Pt -2
(Date)
ReceiptNo. 210168 -
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
X
v ;�+
x --7 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUI
7COUNTY CENTER DRIVEOROVILLE,CALIFORNIA 95965 -TELEPHONE( 6)
OWNER �l I
Proposed Building
PERMIT APPLICATION DATA SH
C_k__
Building Inspector
ET
A�6o
/_PMG DIVISION
5538-7541
el6 6"- 490_0 re
Date z -(-7D7-77
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
P DATE RECEIVED BY
1. All items have been submitted . ........................ .
...............
2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature 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 slits. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule. ..................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) y al' ornia Engineer . ................. .
14. Sanitation and plot plan approval G /� Health Department.
............
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). . .
-Pre4Aspeation reGue-fa
20. Pre -inspection for
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
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.
Wher,,you issue the ermit ro es s follows: Mail t owger. Mail to contractor.
V Telephone 3 and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation„)h
Acreage Applican tWl?*'_�VM�C&A�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 permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner was advised of above required data by phonemail Counter by Date
Contractor, designer, owner, was advised of above requi'reii"++data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by _ lz Date
.x
Sets of plans on hold in File cabinet _ AP folder
Copy - Department of Public Works
r E.H. USE ONLY
Plot Plan Attached S.
Floor Plan Attached
Sent to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Vim.► / '1 c6 I o e4QrZ O
Owner cation ' / AP#
Plan Approved for: Sewage D' sal Water Supply: Public ✓ Private Well
Clearance for dwelling. ther n
Hold final for:
Final clearance O.K. for:
(VOTE:
Environments Ith Spec alist
8/96
/4 9
Date
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Nor?-
SlAct wt 144ve NOW'.
lzecit utia (,A
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Environmental Health
SIM Il AJ �NT
APR 1 0 1997Q�Is ar
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This set of plans -anal speoiiioations MUST be t / � 4
kept on the job at all times and it is unlawful to �J VIA)
Cq JVT
make any changes or alterations on same without t `�
written permission bom the Department of Public
Works, County of Butte.
eEfl--)� jr" geQu6-sr- F--CrL- A e.-
( �-.. f
&POSE
No'i'E: All M &P Workmanship Shall Be ln'
A=rdano Recognited Good Practices and
Df a Quality , scribed for the.3.peei8.ed use
In the. II orae Building, Plumbing & Mechanical
;odes a e National Electriosd Oode.
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