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068-140-014
AP ollllllll1 4428 Olive Hwy., Oroville allow SFRANK KIMBALL 4428 Olive Hwy, Oroville Permit #1762-78E(add dryer 0 misc) SF . > Contr: Superior Elect. � v 68-14-14 Ed Contr: Paul Daugherty 15KAJ'�rErmit#-316-8-8B,P,E,ivi(c6nv garaget room & bath)SF _ 68-14-14 1543-91B, KIMBALL, Frank 4428 A Olive Hwy, oville cont: North St e Alumni 0- 2 (awning/sf �30k 7. ~068-140-014 93-3926 KIMBALL, NEAL CONTR. LARRY WEST oII�V 4428 OLIVE HWY, OROVILLE CONV. COV AREA TO LAUNDRY & STG 06 -140-014 94-0763B,P,E KI=L1ALL, NEAL 4428 OLIVE HWY, UNIT C, OROVILLE CONT: LARRY WEST . 11� q� REMODEL BATHROOM/SF y' 068-140-014 PERMIT#95-0515 KIMBALL, Neal 4428 Olive Hwy, Oroville Cont: Foothill Electric S �� Repair Riser/SF / 068-140-014 PERMIT#96-2074 KIMBALL, Neal 4428 Olive Hwy, Oroville Cont: Larry West Const. Reroof/SF 068-14-0-014 #9-2644\ KIlvIBALL,NEAL y t Aa� ��a1a� 4428 OLIVE HWY #C,OR�VILLE LARRY WEST CONST. ADD WINDOW AND ELE REROU KIMBALL, NEAL 4428 OLIVE HWY, ORO Cont: B SHARP ELLCTR NEW 200AMP SERVICE 068-140-014 04-2398 KIMBALL, NEAL 4428 OLIVE HWY, OROVILL CONT: OWNER �LE ONE TIME TO FINAL91-15 q/1 1 068-140-014 KIMBALL, NEAL OS -330 4428 OLIVE HWY, OROVILLE Cont: LARRY WEST /( REMODEL �'1M �4 068-140-014 064198 KIMBALL, NEAL 4428 OLIVE H En Cont: LARRY GASLINE REPLA B08-0350 068-140-014 MISCELLANEOUS R del REMODEL:I WIN �� EC: 4428 OLIVE HWY KIMBALL NEAL J T UST 0 aa gia-a�3' %q- N�vo - BUTTE CO3INTX i�3�`� 2 3 2009 PLAN REVIEW RESPONSE FORM DEVELOPMENT In order to expedite the review of your plans, please complete the following information and retura this form with you -SC ree-subbuuI this form is not complete, as to all correction iterns, we will not be able to accept your re-submiiial for review. There must be a vali( response to every item requested in our plan correction letter. `By othere' is not considered a valid response, please indicate yow response to each item and the location where the information can be found on the plans/calcs. ATTACK THIS VORM TO A COPY OF YOUR PLAN( REVIENI LETTER AND RMRN W H REifiSED AN<D ORIEiFKAL PLANdS. OWNERS NAME DATE l��L k!�✓II�AG� !'I�iA�. 2 3 2Q0 ASSESSORS PARCEL NUMBER PERMIT NUMBER 2ESPONSF Ff)R PI e►.t ru�ry � rrr�o �..-.-.-.._ ?LAN CHECK REM �� RESPONSE BY- LOCATION ON PLANS/CALCs ;DMMENTS: ,0i/VL s C.,j df"l �- o , ,� - � �. l sT��. �.� �� ve•�w�,� �y l?,�.�. 00 �H��Kr t G LANM RESPONSE BY ,LAN oMtf�tENTs E BY: LOCATION ON PLANSICALCS: rFEhll RESPONSE BY: LAN CCK li•Ei f C)MMENTS RESPDNSE BY - .TION ON PLANS/CALCS- 7 + Butte County Department of Development Services. e�TTe• AREA N ® T E 5 7 County Center Drive, Oroville, CA 95965 / (530) 538-7601 www.¢utt(jcountyneUdds •eOUMsy. (`�/ �)o 'pf4A' RESIDENTIAL 068-140-014 APN: KIMBALL, N.EAL 05-3305 f V 1 s�� Z ' �" <v� 4428 OLIVE FJWY, OROVILL.E % Owner. COW: LARRY NEST REMODEL Site Addresi 4 Contractor. 1 a Type of Permit: • r 1 (�j v r Vr OFFICE COPY Ve Address G •�: ns I AS ;4 { Meter By Date , v ELECTRIC f Meter By - SPECIAL CONDITIONS jI CHECKED BY 0 SRA Q FLOOD CERTIFICATE EQUIRED t 0 FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS t Q VERIFY D USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID 0 ENV HLTH CLEARANCE i " 4 DATE JOB FINALED: "' — -z a _ � SIGNATURE: I„ t30dh. 77nZPA >� +=OK o Not OK MANUFAC%URED HOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID 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 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns -CnnctnsSpiice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide °14 �41 c' ds Pool Drawing t = OK 0 = Not OK RESIDENTIAL (Single & Duplex) 1 DATE JUNDERFLOOR DATE IPLUMBING 1 ing-Setbacks-Easements-Flood-Slope3- Htr; Vent-Acc-Cmbstn Air Baffle Ftg Main; Soils-Elec Grnd Fig Dpth /tr 54Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped57J st Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 98 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/O -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn AC Ducts Insultn & Support 14 Girders Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet to 65 Attic Acc & Pltfrm if Furnace in attic .� o` DATE F MING ill roper Materials & Anchrs DATE F l alts Studs -Nailing Spacing & Braces -Plates -Sound teps-Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing oke Detector 20 Draft Stop in Walls (rat proof) Ml Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 flr6Stops, Furred Ceilings -Stairs -Chasers -Tubs Iry6arage; abv-flr-Ducts-Mech Prtctn Headers & Beams-Sz & Bearing 6T5 droom Exiting 23 Pers -Post Caps-Anchrs-Cnnctns I & Bath Fxtrs & Tub AccSpa Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 7�jj���jjj1 •GI Arc Fault 25 Fyplc Ties or Type A Flue-Frpic Throat Cirnc �Pic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles ;P 7fL/F}ec Trim & Subpnl, Breaker Sis & Labels ;� tairs, Guard/Handrails Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 7lec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs __Irtopchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc - 30 Ext Doors -One 3• -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 3P Duct in Garage -Damper 33 Siding -Nailing Veneer tr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir 34 Stucco Lash -Weep Screed-Fndtn Vnts-Undrflr Acc Mich Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 8YPImb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insulin -Walls -Ceilings 84'guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ❑Yes ❑No 87 St co Brown -Finish 80 -AC Unit Dscnnct, Elec-Plmb 89'Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs DATE JELECTRICAL 90 VW Well, Dscnnct, Elec, Plmb 4�tr & Trnsfrmr Clmc4ns Prtctn ��xt Elec Trim, GFI Rcptcl-Undrgrnd c Rcptcls Spacing-Lts & Switches at Doors S & No Of Cndctrs V tltn thru House 93�Glass oxes Stapled Prtctn mex Installed Close to Edge of Studs & CJ 94� ections from previous Inspctns E: rnd made up w/Mech Fstnrs >i'S Gas Test -Meters Tagged, Gas-Elec 48'Grndng Electrode Bond Gas & Wtr 96 VjW & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97,FFmrgy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL Address Posted AC Wire Sz ga ❑CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga ❑CU or❑AL Oven Circ ga ❑ CU or ❑AL ,peselated Neutral ❑ Yes ❑ No 43 Service -Riser Cndctrs & Grnd Main Dscnnct o` 50 �qp Clrncs pnis-Motors-Mech Eqp Closet Lt-Shwr LtSpa Lt Qlothes Smoke Detector 41 09 m le 0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. I t ---I „p / 0 10 'O la. -e S.0 /. ` ek,Po 4- 1,,','A/ .:_ I&P . i e -A S 1 G� �L J,������ Date C / Inspector ` / �' "'/l / -� t-- REV 4/05 Phone #3 *Z ' 'r �� L FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r _ __ �i�� � �, ��� �� ��' l CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R Telephone Tll /fwl t -=fes "y HERS Rater n n Telep hone Firmllf6,vr�� Street Address: pe), ll dy zlp j Builder N e� Plan Number Sample Group Number -06 to Sample House Number/ HERS Provider: City/State/Zip: (sf leo , C -A 9T592 Copies to: Builder, HERS Provider and Building Department HERS RATER COMPVANCE STATEMENT The house was: v'W Tested ✓ 0 Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked V. on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CFAR may be released on every tested building. The HERS rater must not release the CFAR until a properly completed and signed CF -6R has been received for the sample and tesed buildings. Ga/,,The installer has provided a copy of CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ucts). IV New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in 2mbination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ G MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM,, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: - 2 Fan Flow: Calculated (Nominal: ✓ ooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: 1000 ✓ ✓ 3 Pass if Leakage Percentage 5 6% [ 1`00 x L�(Line # 1) / (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Chana-Out. Enter Reduction in Leakage for Altered Duct System 6 [ . (Line.# 4) Minus (Line # 5)] — (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ �/ 8 Entire New Duct System - Pass if Leakage Percentage:5 6% 100 x Line-# 5 / ®i�fl Line # 2 s % ass ❑Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change-OutV/Use one of the followingfour Test or Verification Standards for compliance: 9 Pass if Leakage Percentage < 15% [ 100 x [_(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage _< 10% [100 x (Line # 7) / (Line # 2)�] ❑Pass ❑Fail Pass if Leakage Reduction Percentage >— 60% [ 100 x [__(Line # 6) / (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection p pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification b Smoke Test and Visual Inspection ❑ Pass D Fail Pass if One of Lines # 9 through # 12 pass D Pass ❑ Fail Residential Compliance Forms March 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 3 of 8) CF -4R Project ddress (/ j"Builder Contac Telephone HE—enzedUt--- Telephone & -2_11V41 Certifying Signature Date Firm: / AC (,Ol�'110LH�`G Street Address: Lam. G� Builder Nole ; Plan Number Sample Group Number Sample House Ni be HERS Provider: City/State/Zip: a/kG C--. -9(007 Copies to: Builder, HERS Provider and Building Department HERS RATER 90MPLIANCE STATEMENT The house was: ✓ 0" Tested ❑ Approved as part of sample testing, but was not tested AsOTbe S rater providing dia.gnostic testing and field verification, I certify that the house identified on this form complies wignostic tested compliance requirements as checked,on this form. ✓nstaller has provided a copy of CF -6R (Installation Certificate). ✓ UTHERMOSTATIC EXPANSION VALVE (TXV) Procedures for field verification of thermostatic expansion valves are available in RA CM, Appendix RI. ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location ✓ ✓ Outdoor Unit Model Cooling Capacity. Access is provided for inspection." The procedure shall consist of Btu/hr Date of Verification ✓ 04� es ❑ No visual verification that the TXV is installed on the system and "Date of Thermocouple Calibration ❑ (must be checked monthly) installation of the specific equipment shall be verified. Yes is a pass Pass • Fail ✓ ❑ REFRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermostatic Expansion Valves Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity. Btu/hr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) "Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement (outdoor air dry-bulb 55 OF and above) Note: The system should be installed and charged in accordance with the manufacturer's specifications and installer verification shall be documented on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 OF rater shall use the Alternative Charge Measure Procedure Procedures or Determining Refrigerant Charge using the Standard Method are available in RA CM, Appendix RD2. F ❑ Yes ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge measurement documented. Residential Compliance Forms March 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 5 of 8) CF -4R 9-12's, e— &47 ' Projec Address �. rY'1 I , Builder ContRt Telephone HERS Rater GL� �_ Telephone Certifying Signature Date I Li3rrh �%�' Builder Nat Plan Number A _ Sample Group Number Sample House Number % Firm: ifft J%� ,P -1-C_ HERS Provider:j����"""' Street Address: 20e 5ew City/State/Zip: M IC6 4)_Y%27 Copies to: Builder, HERS Provider and Building Department HERS RATER WMPLIANCE STATEMENT The house was: ✓ Tested ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify -that the house identified on this form complies with th agnostic tested compliance requirements as checked on this form'. ✓ Ef The installer has provided a copy of CF -6R (Installation Certificate). ✓ ❑ ADEQUATE AIRFLOW VERIFICATION Procedures for field verification and diagnostic testing of adequate airflow are available in RA CM, Appendix RE4.1. Method For Airflow Measurement ❑ Yes ❑ No ❑ RE4.1.1 ❑ RE4.1.2 ❑ RE4.1.3 Measured Airflow: Duct design exists on plans Diagnostic Fan Flow Using Diagnostic Fan Flow Using Diagnostic Fan Flow Usine Flow Capture Hood Plenum Pressure Matchi: Flow Grid Measurement ❑ Yes I. ❑ No Measured airflow is greater than the criteria in Table RE -2 Yes is a Dass cfin/ton Pass Fail ✓ ❑ MAXIMUM COOLING CAPACITY PrnCPdf/YP.0 fnr dvlorminino mnrimvm rnn7i»n Innii rnnnnih, .,., ,., ,;1.1.1 D A!'A / A- - ..4,;_ D c2 1 ✓ ❑ Yes ❑ No Adequate airflow verified (see adequate airflow credit) 2' ✓ ❑ Yes ❑ No Refrigerant charge or TXV 3 ✓ ❑ Yes ❑ No Duct leakage reduction credit verified 4 ✓ ❑ Yes❑ No Cooling capacities of installed systems are <_.to maximum cooling ca aci indicated on the Performance's CF -1R and RF -3. 5 ✓ ❑ Yes ❑ No If the cooling capacities of installed systems are > than maximum cooling capacity in the CF -IR, then the electrical input for the installed systems must be <_ to electrical input in the CF -1R. Yes to 1, 2, and 3; and Yes to either 4 or 5 is a ass ✓ ❑ HIGH EER AIR CONDITIONER Procedures forlerification are available in RA CM, Appendix Rl. 1 ✓ s ❑ No EER values of installed systems match the CF -1R 2 GYYes ❑ No For split system, indoor coil is matched to outdoor coil ?ss 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required)Yes to 1 and 2; and 3 (If Required) is a pass Fail Residential Compliance Forms January 2005 ❑ ❑ Pass Fail ✓ ❑ HIGH EER AIR CONDITIONER Procedures forlerification are available in RA CM, Appendix Rl. 1 ✓ s ❑ No EER values of installed systems match the CF -1R 2 GYYes ❑ No For split system, indoor coil is matched to outdoor coil ?ss 3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required)Yes to 1 and 2; and 3 (If Required) is a pass Fail Residential Compliance Forms January 2005 1. ROOF 51 Im a Now nmn-W Redshm (R-Vdw)� Brad Ne"16 ifts manvft Thwald Rntbnw (R-Vdw) Ehow f4am - johm ANen" dwowpor squMSMIP achimo7bwald ReskAmm (R Vakw) &EXTERIORWALL PARIM3 -m- . --- - Tmckw" 4. RAISED FLOOR & STAR FLOOR / EM mom" Tfdcknn PWbimft kmukftn DV6 9 — & FOUNDATION WALL DECLARATION BMW Name Job= mmdb 7imniNd Raddmm (R-Vakwl_' 213 Brand Nanta Mm ADM& BraladNow 7ftWMd Rodeftnas QtWehwL____� MED ILGJ710, 777M No LE X.w Pir I to, - 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. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/30/2006 APN: 068-140-014-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 4428 OLIVE HWY ORO effect (oL Q License Class: License Number: Map Index: / Date:1— �0 �tJt0 Contractor. 1 V ed T Description: REMODEL (480) CONVERSION TO LIV (142) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: KIMBALL NEAL J TRUST Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior KIMBALL NEAL J TRUSTEE to its Issuance, also requires the applicant for such permit to file a 526 QUAILBROOK CT signed statement that he or she is licensed pursuant to the provisions of SAN JOSE CA 95110 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the,Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: LARRY WEST CONSTRUCTION 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 such work himself or herself or through his or her own employees, 30 LOMA VISTA DRIVE provided that such improvements are not intended or offered for OROVILLE CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 533-5478 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prdfessions Code. The Contractors' State License Law does Contractor: LARRY WEST CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 30 LOMA VISTA DRIVE OROVILLE, CA 95966 Date: owner: (530) 533-5478 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 625871 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 12f I certify that in the performance of the work for which this permit is . Census Code: 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 1 should become subject to the workers' I !��•� f , compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:�-J1� ��" O W e Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work indicated abov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) r (_ Date: 0 G-1 Name: By: .3O. PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code. which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance any official form or document of Butte County. I hereby authorize repres$ntatives of Butte County to enter upon the above mentioned property for inspection purpos S. �%}%�/ W �`� Print Name: Signature: Dale: 0 Owner Contractor 0 Agent for Owner 0 Agent for Contractor i 068-140-014 .�_ 06-1198 ✓ KIMBALL, NEAL N 01 E S 4428 OLIVE HWY, OROVILLE T' -Cont . LARRY WEST CONST °M GASLINE REPLACEMENT APN: Permit No. Owner. Site Address: Contractor. Type of Permit: o S - 33oS /'C�rio�¢lI f x OFFICE COPY Address GAS �— Meter By Date `"_1 ELECTRIC Meter By Date SPECIAL CHECKED BY 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: C. - SIGNATURE: /Q.CiCI s-'/�� 4 +=OK A = Nnt nk MANUFACTURED HOMES MISCELLANEOUS--. DEL__j Lj PERMANENT FOUNDATION SOFTSET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-Cirncs-Gmd Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Labellinsignia Numbers Serial Numbers ' -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 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel •3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handralls 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds4btrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls ao- da _ DATE JPOOL.S 1 Setbacks -Easements 2 Soils; CompactioriStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Lting; Distance-GFI 5 Elec Pool Lting; 1S wilts -GR 6 Elec.Encisrs;'Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w%5' Crcitng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche „ 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or. Slide Pool Drawing +=OK 0 - Not OK .RESIDENTIAL DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg DRth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalis Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic 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-RgWService Test 12_ Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 8 fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers & BeamsSz &• Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frpic Ties or Type A Flue-Frplc Throat Cimc 26 Attic Acc; Sz & Rmx Prtctn4ir'aft Stop -Ins Baffles 27 Bdrm Wndws or Exiting DoorsSlll Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall .& Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof OvrhngAtUc Vnts-Rftr Outrgrs _ 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws 40 `1 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 GFI 47 Subfeed Wire Sz g ❑ CU or [I AL AC Wire Sz 03 ❑ CU or ❑AL 48 Range Circ c. ❑CU or El AL Oven Circ Qe 0 CU or ❑AL Insulated Neutral ❑Yes E-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirnes pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector ngle & Duple 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub Ace 58 Gas Pipe; Sz & Anchm 59 Fire Sprinkler; Test 60 Yard Gas Piping �g �P DATE IMECHAKICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Fumace-Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrrrt if Furnace in attic 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv flr Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drn e & Wood -Earth 86 Clmc Dmge Planters [l Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frpic-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 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 d� ofi o`er 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. BP061198 B. C. Building Permit 01-16-04 pg 1 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: 05/22/2006 APN: 068-140-014-000 the Business andProfessionsCode, and my license is in full force and Site Address: 4428 OLIVE HWY ORO License Class:y' License Number: Date: Contractor: �� Map Index: Description: replace existing gas line 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 Owner: KIMBALL NEAL J TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a KIMBALL NEAL J TRUSTEE signed statement that he or she is licensed pursuant to the provisions of 526 QUAILBROOK CT the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SAN JOSE, CA 95110 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: WEST CONSTRUCTION, LARRY Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 30 LOMA VISTA DRIVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of (530) 533-5478 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: WEST CONSTRUCTION, LARRY pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 30 LOMA VISTA DRIVE Date: Owner: OROVILLE, CA 95966 (530) 533-5478 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 License #: 625871 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 the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. I 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those//provisions. Date:! �QDIo C(7> Applicant: WARNING: ailure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of ) compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issuedun er the pllcable ovisions of the Butte County Code and/or ecdo been 1 hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions work indicat abov for whit ees have paid. / 2 performance /�G By: CCC �— Date: Name: Address: PERMIT EXPIRES ON: _5--;_> 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner o 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 any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo Print Name: /��Signature: Date: 4' 10 ❑ Owner Q/Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WELL BE REQUIRED AT TIME OFAPPLICA TION Website: www'.buttecounty.net/dds "PLEASE PRINT CLEARLYrr OWNER INFORMATION Last Name Klin b4 �� First Nae /�/ Address 5Z6 60,U R I t frcu k cr City SAN State c q- Zip Phone Fax E-mail CONTRACTOR Name Address 3U Lorh� V1j�A-. City Q)?oI/IZ State Gk Zip Phone �, Fax E-mail Lic. # Z -7 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City d VIAL Address Zip 7rf6vl City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address 3 Lo Y1i/� vi"? 0 otz - City d VIAL State Zip 7rf6vl Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address UN �_r 13 �`f Z OL/IlL W Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K-\FnPKAC\RI III nimr, FnPhAC\RIrinAnnlSithRnmtc rinr PERMIT NO. BPQs �� 9 BIN # PROJECT LOCATION AP# a6r I Property Address UN �_r 13 �`f Z OL/IlL W City uILL� d Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be Pana 1 of 9 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: 01;7 Receipt #: D Date: ��22 Amount: SRA Sheriff SMIP Total RF\/ R-I9-nr SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and 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 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538.7541 PERMIT NO. BP053305 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/30/2006 APN: 068-140-014-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address 4428 OLIVE HWY ORO effect. I Class: 19 License Number:/ License Map Index: Date: "4J& Contractor: L —494�' 6V ed Description: REMODEL (480) CONVERSION TO LIV (142) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: KIMBALL NEAL J TRUST Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior KIMBALL NEAL J TRUSTEE to its issuance, also requires the applicant for such permit to file a 526 QUAILBROOK CT signed statement that he or she is licensed pursuant to the provisions of SAN JOSE, CA 95110 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the,Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ;,,Applicant: LARRY WEST CONSTRUCTION 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 1 such work himself or herself or through his or her own employees, 30 LOMA VISTA DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 533-5478 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: LARRY WEST CONSTRUCTION and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 30 LOMA VISTA DRIVE OROVILLE, CA 95966 Date: Owner: (530) 533-5478 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: 625871 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #:' Valuation: $0.00 the the for this is I certify that in performance of work which permit Census Code: issued, I shall not employ any person in any manner so as to - become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4 j�2 J6�75 Date: �'�0= I "V _CU r 0 "' Applicant: T / WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of - compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work indicated abov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) I -. 3� _. O !� Date: l Name: By: PERMIT EXPIRES ON: 3O' U!I 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner 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 any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos s. L%� z� ""(/ g -S -r Print Name: Signature: Date: 0 Owner Contractor 0 Agent for Owner 0 Agent for Contractor SITE PLAN REVIEW APPLICATION Date: TA-rA AP# Permit Number (if applicable) �)- Bin Number. APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Site Address: L/g2e 6t.:Gv4 Proposed Use: Zone: C�_t Residential ❑ New Single Family Residential ❑ Single Family Addition 91 Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: )o ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form GP: K DEVELOPMENT SERVICES INFORMATION (For Staff Use) r Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date c fid' 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: ` • Flood Zone: x • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: ,C-- ( General Plan: G Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Izoi Side At O Side Street Rear p 1 Height Waterway N/A N/A N/A : ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required' ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Co n' Sftandards for Deed Creation:❑ No ❑ Yes Comments: l tT 5�� -r f� IBI�5;sCD p i C ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements [] Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: 91 Page: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name/,. bA LL Firs'�JkeAL_ Address `I Qt(li ILDYDO%- c r /�/ City 5,4N f0 s Stated Zip Phone Fax E-mail CONTRACTOR Name 1,494V Address 3a Lom'q V".5A, City rjprjwz/_� StateG,,� Zips �6 Phone Sy7�, Fax E-mail Lic.# � Classe APPLICANT NAME ARCHITECT/ENGI NEER '; Name City �� Address Zip City State Tip Phone Fax E-mail State License Number APPLICANT NAME Name LAS b/2S� Address 3& Lore V , l 4- �2 . City �� Statec/ Zip Phone -33 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone I SRA I 4s J No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. C)5, 72 BP BIN # LOCATION Property Address City lq`fzS OLIU� f(j/V 9001LLL Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descri 'on or Scope of Work: cccy\y, l Sq. Footage t/""r ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: �D— 8/5,'75 Bldg SRA Receipt #: Sheriff gcw4o SMIP Date: Other � a -J g ' ' q� / Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1 ` ASSESSOR PARCEL NUMBER C)u Proposed Building Use: 1 -: V Permit Technician: Date: f I G Items required in order,to apply for a permit. All boxes MUST be checked OR marked NA in order t pply. ,5 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 faxesl ❑ 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 A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. 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 ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Ijemaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) OR� 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... vw18. 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: ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: 4.��.......! • 3d • l9 0� ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 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. ................................ Cl 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. - El description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: �an In When issued Telephone �� and hold for pickup. I have been inforr ed of thre above items and requirements for obtaining a building permit. Applicant: / V APP � Date: 1. Index permit applicati n for thgabove items numbered: Plan Check Letter ditional items req fired ontractor, esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: 'i- -6Ch Con or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: d Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date:1.4 Plans approved by: Date: , Structural reviewed by: / Date: Structural approved by Date Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner KIMBALL, NEAL Application Date 12/21/2005 APN No: 68-140-014 Permit No: BP 053305 Permit Type: REMODEUCONVERSION 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Areal Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $714.87 $285.95 6428.92 -Balance of Building Permit Fee 0 ---- J 0 _ $204.98 $285.95 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $285.95 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $428.92 $428.92 �I RECEIPT DATE Tech/Asst 4 5 6 7 7a 8 Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMPACT FEES - RESIDENTIAL* CHICO STORM DRAINAGE JPer Dwelling Per Dwelling Per Dwelling Applications After 2114/05 x SFD ,, MFD a MH County 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.53 6757.08 7633.49 �� R-1 8031.53 6850.08 7726.49 °c R-2 7541.531 6360.081 7236.49 R-3 6780.531 5599.081 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00 KOurtnl DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value RECEIPT DATE Tech/Asst 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works 10a Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit 11a $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville Elementary 091 dal '13l11)(a I Aadn-J 12a RECREATION DISTRICT FEES* At the time of permit applica 'on, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: i / Date: ) 2 L �O Pursuant to Governr66nt co96 Se on 66020, you are hereby notified those Items followed by an " " may have been imposed on your project. You have 90 days from the date of approval o the ppAect or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment C de Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 School District A.P. Number Property Owner a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. 'r us, 1 `t'Q• (.))f Jurisdiction: Q City 1County �J'ec'k \ C, rr�qr_' A Property Location/Address 44V_6 05>33&5 Subdivision Lot No. Residential Development ...................................................... Q ............ 0 `•. Sq. Footage I No of Living. y Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # :................... *(No foundation inspection) .................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial Q Q New Addition Building Department Sq. Footage Date (Including Exterior Roofed Areas) v_S -- - t District Identification No. %.t)— 2 A ( r School District certifies that 1 V e a-1 t Y� b t < (Applicant) (Street Address) (Phone Number) 6V_a CIO 9 Sol b to (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0? —6 by payment of $ representing square feet. 1FB 2926 $ ULLMITIGATION$ School District Paid by Check # ��.•- r Remarks: 9 b 7, 1+ 0.— t -3 o.a b Date Notice: You may protest the Imposition of the teas Identified above by submitting a written protest to the District, In compliance with Govemment Code Section 66020(a), within 90 days from the date hes are paid. Failure to submit a timely w.0 n protest will prohibit you from challenging the Imposition of the fess In any court salon. If, subsequent to the School District Representative signing this Bulb County Schools Impact Fee certification Form, the School Dtstrkt 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 ties to fully mitigate Its Impact on the school districts schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xla (3M5)drbm CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... ADDITION Date..11/29/05 06:28:50 Project Address........ 4428C OLIVE HWY.--------------------- OROVILLE *v7.10* Documentation Author... MARTIN ALVIS Building Permit # M & T Energy Analysts P.O. Box 534 ; Plan Check / Date Chico, CA 95927 530-899-8532 Field Check/ Date Climate Zone........... 11 --------------------.- Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. --------------------------------------=---------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM CF -1R. User#-MP2308 User -M & T Energy Analysts Run-HOUSE ------------------------------------------------------------------------------- ----------------------------------------------------------------- ----------------------------------------------------------------- MICROPAS7 ENERGY USE SUMMAR-Y _ ---------------------------- Energy Use (kTDV/sf-yr) ----------------------- Space Heating.......... Space Cooling.......... Total Standard Proposed Compliance Design Design Margin ---------- ---------- ---------- 46.69 21.64 68.33 40.66 24.30 6.4.96 6.03 -2.66 3.37 _ *** Building complies with Computer Performance -k* HERS Verification Required for Compliance ** Water Heating not calculated GENERAL INFORMATION ------------------- cHERS Verification.......... Required Conditioned Floor Area..... 180 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Fuel Type Propane Building Front Orientation. Front Facing 325 deg (NW) Number of Dwell-=ing Units... 0.2) Number of Buil=ding Stories. 1 Weather Data Type.......... Full -Year Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Slab On Grade 1 1381 cf 180 sf 13.3 0 of floor 0.4 Btu/hr-sf-F 0.35 7.7 ft BUTTE COUNTY BUILDING DIVISION APPROVED area CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title.......... ADDITION Date..11/29/05 06:28:50 ---------------------------------------------------------------------=--------- ------------------------------------------------------------------------------- MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M & T Energy Analysts Run-HOUSE ------------------------------------------------------------------------------- BUILDING ZONE INFORMATION Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap -------------- ----- ------ ----- ----- ------------- ----- ------- ---------- HOUSE - Existing Residence 180 1381 0.20 0.4 Yes Setback 2.0 Standard No OPAQUE SURFACES PERIMETER LOSSES Appendix Length F2 Insul Solar IV Location/ Surface (ft) Factor R-val Gains Reference Comments ------------ --------------------- -------------- ---------------------- HOUSE - Existing 5 SlabEdge 38 0.730 R-0 No IV.26 Al FENESTRATION SURFACES U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Shade Gains IV Location/ Surface Type (sf) or R-val l-val Azm Tilt Existing Reference Comments ------------ HOUSE - ----- Existing ---- ----- ----- ----- --- ---- --= --------- -------------- 1 Wall Wood 69 0.102 13 0 325 90 Yes IV.9 A3 OUTSIDE 2 Wall Wood 45 0.102 13 0 145 90 Yes IV.9 A3 OUTSIDE 3 Wall Wood- 154 0.102 13 0 235 90 Yes IV.9 A3 OUTSIDE 4 Roof Wood 180 0.025 38 0 n/a 0 Yes IV A A18 PERIMETER LOSSES Appendix Length F2 Insul Solar IV Location/ Surface (ft) Factor R-val Gains Reference Comments ------------ --------------------- -------------- ---------------------- HOUSE - Existing 5 SlabEdge 38 0.730 R-0 No IV.26 Al FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ------------------ HOUSE - Existing ----- ----- ----- --- ---- -------- ------------------------ 1 Wind Back (SE) 8.0 0.400 0.350 145 90 Standard BGLASSI/Vinyl/Wood Opera 2 Wind Back (SE) 8.0 0.400 0.350 145 90 Standard BGLASS2/Vinyl/Wood Opera 3 Wind Back (SE) 8.0 0.400 0.350 145 90 Standard BGLASS3/Vinyl/Wo6d Opera CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... ADDITION Date..11/29/05 06:28:50 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M & T Energy Analysts Run-HOUSE ------------------------------------------------------------------------------- Area Surface (sf) HOUSE - Existing 1 Window 8.0 2 Window 8.0 3 Window 8.0 OVERHANGS ---Window--- ------------ Overhang Left Right Width Height Depth Height Extension Extension ----- ------ ----- ------ --------- --------- 2.0 4.0 1.5 0 n/a 2.0 4.0 1.5 0 n/a 2.0 4.0 1.5 0 n/a SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ HOUSE - Existing Standard Slab 180 HVAC SYSTEMS ------------ Verified Verified Verified Minimum Refrig Charge Adequate Efficiency EER or TXV Airflow ----------- ----- ------------- -------- 0.900 AFUE n/a n/a 13.00 SEER 11.0 Yes DUCT SYSTEMS ------------ Verified System Duct Duct Duct Type Location R -value Leakage ------------- ----------- ------- ------- HOUSE - Existing Furnace Attic ACSplit Attic n/a n/a n/a Verified Verified Maximum Fan Watt Cooling Draw Capacity ---------------- n/a n/a n/a No No No Verified Verified Surface Buried Area Ducts -------- --------- R-6 Yes No No R-6 Yes No No SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- * Items in this section should be documented on the plans, *.k ** installed to manufacturer and CEC specifications. and **W verified during plan check and field inspection. This building incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). I.f a cooling system is not installed, then HERS verification is not necessary. Number System of Type ------------ Systems ------- HOUSE - Existing Furnace 1 ACSplit 1 OVERHANGS ---Window--- ------------ Overhang Left Right Width Height Depth Height Extension Extension ----- ------ ----- ------ --------- --------- 2.0 4.0 1.5 0 n/a 2.0 4.0 1.5 0 n/a 2.0 4.0 1.5 0 n/a SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ HOUSE - Existing Standard Slab 180 HVAC SYSTEMS ------------ Verified Verified Verified Minimum Refrig Charge Adequate Efficiency EER or TXV Airflow ----------- ----- ------------- -------- 0.900 AFUE n/a n/a 13.00 SEER 11.0 Yes DUCT SYSTEMS ------------ Verified System Duct Duct Duct Type Location R -value Leakage ------------- ----------- ------- ------- HOUSE - Existing Furnace Attic ACSplit Attic n/a n/a n/a Verified Verified Maximum Fan Watt Cooling Draw Capacity ---------------- n/a n/a n/a No No No Verified Verified Surface Buried Area Ducts -------- --------- R-6 Yes No No R-6 Yes No No SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- * Items in this section should be documented on the plans, *.k ** installed to manufacturer and CEC specifications. and **W verified during plan check and field inspection. This building incorporates a HERS verified Refrigerant Charge test or a HERS verified Thermostatic Expansion Valve (TXV). I.f a cooling system is not installed, then HERS verification is not necessary. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title. ..... ADDITION Date..11/29/05 06:28:50 MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M & T Energy Analysts Run-HOUSE ------------------------------------------------------------------------------- SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------------------------------- This building incorporates HERS verified EER. This building incorporates HERS verified Duct Leakage. ('HERS REQUIRED VERIFICATION �__—_. -------------------------- Items in this section require field testing and/or * verification by a certified home energy rater under *-� the supervision of a CEC-approved HERS provider using CF.0 approved testing and/or verification methods and must be -reported on the CF -4R installation certificate.*� Trhis buildinjOncorporates a HERS verified Refrigerant Charge test or—a HERS verified Thermostatic Expansion Valve (TYV). If a cooling system is not installed; then HERS verification is not necessary. (tiffs building dncorporates HERS verified EER. This building im—r�porates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then.BERS verification is not necessary. I 9 REMARKS J CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... ADDITION Date..11/29/05 06:28:50 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M & T Energy Analysts Run-HOUSE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER Name.... LARRY WEST Company. WEST CONSTRUCTION Address. 30 LOMA VISTA OROVILLE CA. 95966 Phone... 510-533-5468 License. Signed.. i2 -Wo �d (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... MARTIN ALVIS Company. M & T Energy Analysts Address. P.O. Box 534 Chico, CA 95927 Phone... 530-899-8532 Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 ----------------------------------- Project Title.......... ADDITION Date..11/29/05 06:28:50 Project Address........ 44280 OLIVE HWY. ****** --------------------- OROVILLE *v7.10* Documentation Author... MARTIN ALVIS ***k*** Building Permit # M & T Energy Analysts P.O. Box 534 Plan Check / Date Chico, CA 95927 530-899-8532 ; Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM MF -1R User#-MP2308 User -M & T Energy Analysts Run-HOUSE ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling ✓ 150(bj: Loose fill insulation manufacturer's labeled R -Value .-- *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) v *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor ✓ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire ✓. opening of the firebox b. Outside air intake with damper and control, flue damper and control ✓' 2. No continuous burning gas pilot lights allowed y 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual 150(8): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form ✓ 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... ADDITION ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Date..11/29/05 06:28:50 MICROPAS7 x7.10 File-WST180 Wth-CTZ11S05 Program -FORM MF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification •�- Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES De- En- sign- force n/a er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(i): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater ✓ 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A ✓" 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A U/- 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space 7. Solar water -heating systems/collectors are certified by the✓ Solar Rating and Certification Corporation *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 ------------------------------------- Project Title.......... ADDITION Date..11/29/05 06:28:50 --------------------------------------------- - MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM MF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE ------------------------------------------------------------------------------- UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used ✓' 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts •� 3. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands i 4. Exhaust fan systems have back draft or automatic dampers f 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers Loo 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light f 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating ✓, b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(1): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES De- En- sign- force 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: n/a er ment contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 4 Project Title.......... ADDITION ------------------------------------------------------------------------------- Date..11/29/05 06:28:50 MICROPAS7 v7.10 File-WST180 Wth-CTZ11S05 Program -FORM MF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE and have an output frequency no less than 20 kHz ✓ 150(k).1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on.option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft2)1 OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always on option 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified air tight to ASTM E283 and labeled as air / tight (AT) to less than 2.0 CFM at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(4) 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds �ERMIT NO. VBP042398 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: 08/13/2004 APN: 068-140-014-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4428 OLIVE HWY ORO Date: Contractor. Map Index: Description: ONE TIME FtANL FOR BP 9.1-1543 DECK OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the AND AWNING 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 falter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: KIMBALL NEAL J TRUST signed statement that he or she is licensed pursuant to the provisions of KIMBALL NEAL J TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 526 QUAILBROOK CT she is exempt therefrom and the basis for the alleged exemption. Any SAN JOSE, CA 95110 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): GY 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: KIMBALL NEAL J TRUST pp such work himself or herself or through his or her own employees, 4 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3Aof the Business and Professions Code V Date: j - U Owner: 1 -Ul') WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: V Total Square Ft: 0 S. F. Policy #: • Valuation: $0.00 lY I certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - _ This permit is hereby issued under the applicable provisions of the Butte County Ccdn anNor I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resoluti ns work indicatedd abbovvee for which fees have been paid. 1 ' - D performance permit B ' J Dater D/a1 Name: -� y' " V Address: PERMIT EXPIR SON: 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. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby ennter upon the above mentioned property for inspection purposes. authorize representatives of Butte County to enter T"r Vi✓ n L �7 - Xj 1 B+ Print Name: V �/ Signature: I V�� C/ a 3 V `" Date: �1 Owner O Contractor 0 Agent for Owner ❑ Agent for Contractor 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 PERMIT NO. BP042398 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: 08/13/2004 APN- 068-140-014-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4428 OLIVE HWY ORO Date: Contractor: Map Index: Description: ONE TIME FIANL FOR BP 91-1543 DECK OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the AND AWNING Contractors' State License Law for the following reason (Sec. 7031.5 . Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: KIMBALL NEAL J TRUST signed statement that he or she is licensed pursuant to the provisions of KIMBALL NEAL J TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 526 QUAILBROOK CT she is exempt therefrom and the basis for the alleged exemption. Any SAN JOSE, CA 95110 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 4Y 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 (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: KIMBALL NEAL J TRUST such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and 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: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code :s �13-U Owner: N:�A Date: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 CY I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: O 1 a T Applicant: n/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor (/ ly L� code, interest, and attorney's fees. _ l CONSTRUCTION LENDING AGENCY ' This permit is he eby issued under the applicable provisions of the Butte County CadR and/or I hereby affirm that there is a construction lending agency for the Resoluti ns work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �' 16 Name: By: DJJa11te: Address: PERMIT EXPIR SON: V Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.1 / /VCAL L I'- Kim Hl -�L Print Name: Signature: 7Yet-C_� C Date: �$I Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNT I 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.netldds PERMIT NO. BP042287 �y-Z,3le 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•- 08/13/2004 APN• 068-140-014-000 - the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4428 OLIVE HWY ORO Date: Contractor: Map Index: Description: UPGRADE SVC PANEL 200 AMP 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 Owner: KIMBALL NEAL J TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a KIMBALL NEAL-J. TRUSTEE signed statement that he or she is licensed pursuant to the provisions of 526 QUAILBROOK CT the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SAN JOSE, CA 95110 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: B SHARP ELECTRIC INC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P O BOX 1390 provided that such improvements are not intended or offered for OROVILLE, CA 95965 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 533-5218 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State -License Law does Contractor: B SHARP ELECTRIC INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 1390 OROVILLE, CA 95965 ❑ I am Exempt under Article 3 of the Business and Professions Code (530) 533-5218 Date: Owner: License #: 391993 !� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of /A the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft— Valuation: — = Policy #: Census Code OFFICE COPY Qr�ll certify that in the performance of the work for which this permit is Address issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. M Date: -) - ELEMeterCTRIC / � Date ��--7777TT 5401' Applicant: >�' .L/1_/L_/�-t'/��J WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees., Y �� ' f6 .7 . � r• /0 CONSTRUCTION LENDING'AGENCY This Nd, rill is hereby issued under the applicable provisions of the Butte County Coda ?nrllnr I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to d c i dicated above for which fees have been paid. \ �' � performance BY:Date: Name: J 1 Address: PERMIT EXPIRES ON: 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. ❑ 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 Butte Countyto enter upon the above mentioned property for inspection purposes..�/ /of r� Print Name: ! `I L77 l /� I / �v V �} (i Signature: Nue—'^ w-� Yl ��( J Date: �) 3 -OL� I� Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042287 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/13/2004 APN: 068-140-014-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4428 OLIVE HWY ORO Date: Contractor: Map Index: Description: UPGRADE SVC PANEL 200 AMP 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 Owner: KIMBALL NEAL J TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a KIMBALL NEAL J TRUSTEE signed statement that he or she is licensed pursuant to the provisions of 526 QUAILBROOK CT the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SAN JOSE, CA 95110 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: B SHARP ELECTRIC INC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P O BOX 1390 provided that such improvements are not intended or offered for OROVILLE CA 95965 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 533-5218 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor' B SHARP ELECTRIC INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 1390 ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 �� ) 3-v � `�^'� 4 � (530) 533-5218 Date: Owner. License #: 391993 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (3 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �) 3 — 0,)L Date: Applicant: 1 V �' .�.11/l/V►X/�000tol WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 1/0 )0 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anti/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to c i dicated above for which fees have been paid. , U Name: By Date: ='a Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached'are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Countyto enter upon the above mentioned property for inspection purposes. ` � � Q Print Name: ! �!7 J. /�, j / A o h li L Signature: / `r Z4,' — J Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name ' LL irst Name Address 5240 &1d A If 7- City�'A DSt State ZpFs`!D Phone�0 -L •�71 Fax E-mail CONTRACTOR Name Address IVO f0 r City �u�-" State a Zip Phone'73 57/ e Fax s 3� cY rf2-- E-mail Lic.#391 fy I Classer/b APP "T SIGNATURE X IL For office use only: ARCHITECT/ENGINEER Name 4�. � C^�•p.y�l �� e„¢ Address SRA City I No State Tip Phone Map Book Fax E-mail Planner State License Number APP "T SIGNATURE X IL For office use only: APPLICANT NAME Name 4�. � C^�•p.y�l �� e„¢ Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APP "T SIGNATURE X IL For office use only: Zoning Property Ad res VLIUE �LE1Vr Flood Zone Cross Street 1 SRA Yes I No Occ. Type Const Subdivision Name Map Book Page T -t# Planner Date Approved: UVtK t -UK SUBMITTAL REQUIREMENTS PER ITT NO. I lA rk'Ej LOCATION AP# b4o6. 14-6 •O 1 Property Ad res VLIUE �LE1Vr Cross Street 1 WORKER'S COMPENSATION Policy Number Carrier T& "V If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of pennit issuance. LENDING AGENCY Name -,gL,4 Address 91 Description or Scope of j fork: /t F&t 2.0-0.4 AVICr Sq. Footage 0 Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: h--"rj Amount 1 I Bldg SRA Receipt #: 4-070-n Sheriff SMTP Date: S 3 •U4- Other I I O . _.Total SUBMITTAL REQUIREdIENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to .mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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 -sig ed by the engineer Mobile, Manufactured, or Modular ]Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FA)ES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION AFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 t LID i 0 204-72-V PRE -INSPECTION REPORT OWNER: DATE: 8 • 3.04 44 28 O L_I vG 14W 012a A.P. O �8. 14-o o 14- L�CATI�N: � � CONTRACTOR: t> ZONING: REASON FOR PRE -INSPECTION ELE ✓�. DATE TO INSPECTOR: 8.4 PERMIT HISTORY ( ) NONE (XSEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Cominercial/Usage: _ t �— Residential # of Units: Currently Occupied AbandonedNacant: _ Electric: Electric Currently Condition of Electric ( ) Yes ( ) No ( ) On ( ) Off Gas: Currently ( ) On ( ) Of Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE ( ) Yes Hold for permits or verify: Inspector• 73- i/9 home # of Units: ( ) No Date:"c, 0 o�0 A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name! GL First Name � Address �°^' $a fm 46/RAe4 a e,! City 54A� /� �!� State �1,e Zp�sl`D Phone0 2w 2, -3.?f 7 Fax E-mail CONTRACTOR Name Address R® Alt /.Ff 4) City 4:P/ � State Zip foltor Phone,.Oy3 Fax E-mail Lic.#�Ql�l� Class AReUCA79-T SIGNATURE X For office use only: ARCHITECT/ENGINEER Name 1 Address SRA City No State Zip Phone Map'Book Fax E-mail Planner State License Number AReUCA79-T SIGNATURE X For office use only: APPLICANTNAME Name 1 Address SRA City No State Zip Phone Map'Book Fax E-mail Planner AReUCA79-T SIGNATURE X For office use only: Zoning Property Address gjr 641vo: vu/y Flood Zone Cross Street SRA Yes No Occ• Type Const Subdivision Name Map'Book Page Lot # Planner Date Approved: VVCK 17UK 5UP3n119TTAL REQUIREMENTS P%i' 241a NO. 1_3WE"A LOCATION AP# btz,& • 14-6 O 1 Property Address gjr 641vo: vu/y Ci filar Cross Street WORKER'S COMPENSATION Policy Number 2's Carrier T A) 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 f Address Description or Scope ofjtork: Sq. Footage ❑ Structure Built without Permits ' ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will. be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: l2r'j Amount Bldg SRA Receipt #: Q 07 p Sheriff SMIP Date: S -3 •QQ- Other 110._ Total FRANK KIMBALL 4428 Olive Hwy, Oroville Permit ##1762-78E (add dryer misc ) SF A Contr: Superior Elect���\�� 68-14-14 / Contr: Paul Daugherty j-kLail PErmit#316-88B,P,E,M(conv garage t bed room & bath)SF 68-14-14 1543-91B KIMBALL, Frank 4428 A Olive Hwy, roville cont: North S e AluminDuD11 (awning/ f.) k �at qZ 11-1 �00 068-140-014 93-3926 KIMBALL, NEAL 11% � b CONTR. LARRY WEST -` �1I� 4428 OLIVE HWY, OROVILLE CONV. COV AREA TO LAUNDRY & STG 068-140-014 J 94-0763B,P,E KITIBALL, NEAL 4428 OLIVE HWY, UNIT C, OROVILLE CONT: LARRY WEST REMODEL BATHROOM/SF y" 068-140-014 PERMIT#95-0515 KIMBALL, Neal 4428 Olive Hwy, Oroville-'' Cont: Foothill Electric q Repair Riser/SF 068-140-014 PERMIT#96-2074 KIMBALL, Neal 4428 Olive Hwy, Oroville Cont: Larry West Const. I Reroof/SF 1I y 068-14-0-014 #9 -2644 KIvMALL,NEAL /'i A �\a\a� 4428 OLIVE HWY #C,ORVILLE LARRY WEST CONST. ADD WINDOW AND ELE REROU 1 '• RESIDENTIAL 68-14-14 1543-91B T: KIMBALL, Frank 4428 A Olive Hwy, Oroville cont: North State Aluminum (awning/sf) JOB FINALED (Date) Signature J=OK O = Not OK Not = Nei Readyat2le MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders 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. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -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. Etec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main 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 2. Soils; Special MH Support Sketch ' 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders 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. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -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. Etec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main 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 RESIDENTIAL' (Single & Duplex) R Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning-Setbacks-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth .47. Fireplace Ties or Type A Flue-Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils-Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel-Wrapped 52. Ext. Doors-One 3'-Check Garage-3rd Story, 2 Exits 8. Piers-Fireplace Ftg.-Steel 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 10. Gas Pipe; Size-Anchors 55. Siding-Nailing Veneer 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area-Glass Protection-Skylights-Plastic 13. Pienums & Ducts; Clearance-Material-Support-Ins. 58. Shear Walls; Nailing-Bolts 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Insulation-Walls-Ceilings 15. Insulation 60. Infiltration-Walls-Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test -Fittings & Anchor-Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 63. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access-Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances-Hearth 22. Fixture & Transformer Clearance-Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing-Landing-Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage-Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation-Foam-Looked in Attic 0 Yes 30. Service-Riser Conductors & Ground-Main Disconnect 78. Guard Rails & Deck Construction-Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor 11 Yes 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes O No; Walks O Yes ❑ No; Planters C1 Yes 0 No 81. Stucco; Brown-Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate-Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing each time you visit job site) (NOTE: An entry must be made jf COUNTY OF BUTTE - DERAi7, .NT OF PUBLIC WORKS 7 County Center Drive - Oroteille, Lam fornia 9E5 - Telephone: 916/538-7541 " APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL E NUMB 03 2M ru-� _ /*_ f ZONING BUILDING PERMI OWNER TELEPHIONE FRANK KIMBALL 533-5467 OWN66R'S MAILING ADDRESS 144 Canyon Highlands Dr. Oroville, Ca. 95966 SO. FT. OCC. BUILDING VALIIIATION 288.0 13 3,744-00 CONTRACTOR'SNAME TELEPHONE North State Aluminum 343-7956 CONTRACTOR'S MAILING ADDRESS 3029A Esplanade Chico, Ca. 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 3 N/A FilingFee LENDER'S MAILING ADDRESS N/A Permit Fee 44.00 $ 10.00 $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. , Plan Checking Fee George W. Sening 81151 ;Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS 716 Alhambra Blvd. Sacramento, Ca. 95816 Penalty $ 22.25 $ $ BUILDING ADDRESS -- -- x4428 A Olive Hwy Orovi-1ie,�Ca.__c)5966 _._ -- - - Permit fee $ 76.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 00 Mobile Home S G W JtOEe TYPE OF WORK New ❑ Addition g Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: Install 12'x24' attached NSA awning _ (aluminum) . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): a 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. �244caA Classification $—� _C-61 � C-43. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ADDNS. ( ACC. BLDG S. h¢sgft NEW RESIQ,CONSTBRANCH NON -R ESID BRANCH CIRCUITS 2,50 ea POWER APPARATUS e %SINGLE OUTLET CIR. ) Ex. Occup( p OUTLETS OR FIXTURES z0 0 50c ALO30 eAL030 Ex. Occup. OUTLETS FIXED (RESID )RE'A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 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' Filing Fee 10.00 Heating Cooling g Hood 3.00 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, judgments, costs, and expenses which may in any way accrue against ainst said County in con que e�ranting of this permit. c- �, Date ri /12 /91 Signature of Applicant — Owner ❑ Elv Contractor Agent L� 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 $ 3cc I CONSTTYPE TOTAL FEE $ 76.7 HAZ cuA PARK SCHL FL PAR PD s This permit is hereby issued under sions of the Butte County Code an.4/or work indicated a e for which fees 1 TOR PUBLIC BY PE MIT EXPIRE Date / the applicable provi- resolutions to do have been paid. WORKS ate Receipt No. v WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAFfAETdT,�PF- BLIC WORKS - BUILDING DIVISION / � * 7 COUNTY CENTER DRIVE - OROVILLE, CAL-IFQRNIA 95965 - TELEPHONE: 916/538-7541 I PERMIT APPLICATION DATA SHEET .�..� Permit No. JIB Ll OWNER ' // i1 I 11'1 a (4°' A. P. No. 0C Proposed Building Use ✓1 Building Inspector Date 5 /4, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from ©I/'o U I (( Cs- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 11 The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---jnail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter b date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder i COPY—DPW TO Buildino Department FROM: Environmental Health SUBJECT: Sanitation Clearance �l ya8 A ohve, Owner - - (/, Location APS Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Water Supply Clearance for ie. Other c�- "�C- c;2 NOTE *** Sanitarian Date t-lA 1 F: - a___qjPLOT PLAN FOR PERMIT APPLICATION THROUGH: ' NORTH STATE BUILDERS (Div. of Nodo"i-Slate Aluminum, Inc.) 3029A ESPLANADE • CHICO, CA 95926 Telephone: (916) 343-7956 • Fax: (916) 343-1776 l_ocalioic: _l1_ fca$PARCEL #: Omer .....-_vaLv��---MailingAddress: _MA---- Woik To Re Peitormed:..kiaw"' `cam .------- -------- --- -This set of and i kept o fob at all tirx e enY changes or al! Written permission Fran Works, County of Butte.:: V=: All Materials & Workn Accordance with Recognized Good Pr of a Quality Proscribed for the: Specif ( In the Uniform Building, Plumbing & :Codes and the National Electrical Cod 00--n—, 1 g� mcfficatio MOT'be is and it is to rations on 71, hout the.Dep ublia V=: All Materials & Workn Accordance with Recognized Good Pr of a Quality Proscribed for the: Specif ( In the Uniform Building, Plumbing & :Codes and the National Electrical Cod 00--n—, 1 g� PERMIT NO. - M' PERMIT EXPIRES n OWNER FRANKLIN KIMBALL CONTR. Paul TlaughertY ASSESSOR PARCEL 68-14-14 z LOCATION 4498 C. (11 i va 14L7\7' Ornvi 1 l in 0 OFFICE COPY Address Date Temp. Power , ELECT R , Called K Meter By Date Temp. Elec. Service / Called PG&E Temp. Gas Service y Called PG&E JOB FINALED (Date) Signature = OK _ 0 = Not OK' = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -1211 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Date Card -81 Date Card -B1 Date Card -1211 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -Bt Date Card -81 Date = OK 0=Not O �.N.ot plicable RESIDENTIAL (Single and Duplex) = Not Ready Date UND FLOOR (Plans) OK except #'s Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped Piers -Fireplace Ftg.-Steel F!IZ( �est-2 way C/O -Sewer Test 10. Gas Pipe; Sizes -ichors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLU G (Per 't) OK e e t #'s ter Ht. V t-Acc -Com stion Air 01"Water Pipe; Test & An hors -Nail Protection 1 .W.V.; Testft& Anchors -Nail Protection • est, First Floor -Tub Access 20._TesLZula4-4hower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 at Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fhfture & Transformer Clearance -Ins. Protection c. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. 08'Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water -2i. 2-Appttance Circuits in Kitche 5& Conductor Size 28. Subfeed Wire Size / / ga C or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Se ice -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. . lothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 33. ly . Ducts Insulation & Support . Vent Fan; Exhaust above insulation 36'Gon'den sate Drain & Overflow; Size & Grade ;36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 47!Ric Access & Platform if Furnace in Attic Card -61 Date Card -61 Date Card -B1 Date Card -131 Date Date F MING (Plans) OK except #'s 38. §ills, Proper Material & Anchors 49'Walls Studs -Nailing, Spacing & Bracing -Plates -Sound . Boring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 42. F• a Stops; Furred Ceilings -Stairs -Chases -Tub . Header & Beam -Size & Bearing Date FRAJIIttNG (Continued) . FWgers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46-Firepface Ties or Type A Flue -Fireplace Throat . ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles AX-15d-rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing 6"rqperty Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd story, 2 exits . Sta' , Width -Headroom -Rise -Run -Landing -Fire Protection &I-151yWood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58.Insulation-Walls-Clg. a _ 59. Infiltration-Walls-Wndws Card -B1 Date ,?% Card -B1 Date Card -B1 Dat Card -B1 Date Date FIN (Plans) OK except #'s E . Steps -Door & Sidelight Protection -Landings S -e Detector Furnace- Vents -Clearance -Comb. Air -Connector - I arage; Above Floor-Ducts-Mech. Protection Broom Exiting .I. & Bath Fixtures & Tub Access -Spa 1115'-5 Elec. Trim & Subpanel; Breaker Sizes -Labels -^ 66'Stalrs-& Rails place or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 69-i6t•-Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance -70-Eh c -Outlets & Receptacles at Kit. Counter -ft.-6wage Fire Door; Swing -Landing -Closer S.. -Duct in Garage -Damper LZ87'`11tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In rage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location •,?6-EleyrReceptacles in Garage; (G.F.I.)-Romex Protec. Xel`nVlation- in Attic o Yes e�,`Gd Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth / Clearance Looked under Floor D Yes 79. Following instld.; Drive E3 Yes Walks 0 Yes o; Planters ❑ Yes o No -r8A-9tucco; Brown -Finish 81-2�Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to r Well; Disconnect, Electrical, Plumb! for Elec. Trim; G.F.I. Receptacle-Und lation throughout House .e87. fictions from Previous Inpections t,8T S,a's Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval pliance Certificate -Other Certificates Card -B1 ZrUDate and -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE ' s DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE k�-Z�Mlxo Q 0 OWNER PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date I' I J . . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, California.95965 - Telephone: 916/538-7541 /� ,, ` / APPLICATION AND PERMIT A SSESS/DR�PAR�EI.� NUMBER /{!TL ..N? BUILDING PERMIT OWNER/R7 1" L TELEPHONE ,SQ. FT. OCC, BUILDING VALUATION ? OWNER' MAILING ADDRESS CO A TO 'S NA r TELEPHON CON R TOR• M ILIN DD ES ,% , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ •-Q Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5,_DC9 Each pas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 6� Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ RemodeA Utilities LL❑ Installation ❑ Other El Describe work:/ -'QCT- 70 ��/!7 ��. Permit Fee $ d Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license IS In full force and effect. License No. Classification El 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 05 , OR ADDNS. ACC. BLDGS h¢Spft NEW CONSTR. TI.OUT NON.RESID 2,50 ea BRANCH CIRCUITS) S POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp 20@50c OUTLETS OR FIXTURES 20@030 FIXED LNS. Ex. OCCUp. OUTLETS APP (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep.harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons uence of the granting of this permit. ,2/.,/,go X Datesions Signature of Applicant — Owner OJ Contractor 11Agent EJ 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 $ ` TOTAL PERMIT FEE $ , OCCUP. CONST.TYPC ISCHOOLI'L.ODIPARCIILI PID Ho ISSU This permit is hereby issued under of the Butte County Code and/or wor icated above for which ^IR CTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 5��/Bo O Receipt No.�g WHITE-D.P.W., YELLOW -ASB ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -79 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;1CAL`I �RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER 1' ' lC Z -L-- r ' Permit No. A. P. No, 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 APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC -Buildings. 8. Fees of $ . . . . . . . . �9. Letter of signature authorizatio 0. Sanitation approval from _ e a I t h Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec.request to (Dote) 17. Pre -Inspection for_ _ _. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — — 20. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check)__ 22. - - --- When you issue the permit, process as follows: Mail t i owner, Mail to contractor - Telephone and hold for pickup Deliver w/inspector. — Other V -,L`-f,—� A p p I i c, Copy of plans sent Health Dept., Fire Dept.,,' Othel Date 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—phone---naiI—counter by date Contractor, designer, owner„ was advised c? above required data by—phone —ma W—counter by date Plans checked by —*6 -els of plans on hold in Copy—DPW Date Plans approved by Ile cabinet AP folder Dat ~w. TO Buildino Department �{ FROM: Environmental Health SUBJECT: Sanitation Clearance % EJ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply f� Hold final for: Water Supply Final clearance O.K..for: %� Water Supply Clearance for _ Other (� (Wy&-R?-T71/.l NOTE *** Sanitarian Date 0 FOR M % ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET :PACKAGE "A" (Additions) Owner /'�.C�d, �► ,,� (� i vo Climate Zone Permit # Floor Area ti c�/� �-c�Q The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZOND11 ZONE 16 APPLIES TO NEW AREA r/CEILING R-30 R-38 ALL .R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING U-.65 (Dual). U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG ,--'or .36 Shading Coefficient LVEST - .36 Shading Coefficient L LOOSE FILL INSULATION (Density) FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) (/DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 '/LIGHTING KITCHEN.& BATH NOT LESS THAN 25 LUMENS/WATT /MAXIMUM GLAZING 16% OF -AREA PLUS.REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 I *1 HEATING. VENTIIATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector. orientation collector tilt rated y -intercept rated slope ❑ Other *1 (describe) (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) E3 Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P..S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administrati o e. i SIGNATURE OF Ift'rDESIGRER OR APPLICANT—' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calif6rnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ul v ASSESSOR PARCEL NUMBER 68-14-14 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 144 Can on Hi hlands Dr. Or ville CA 5 66 CCI.TRAC `. OR'S NAM ' PAUL D TELEPHONE 533-2840 1st renewal permit CONTRACTOR MA. LING ADDRESS 1788 Palermo Rd., Palermo CA 95968 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 40.25 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4428 C Olive Hwy. Permit fee $ 50.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Otherconv. ga_raQ t� bedroom S CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[--] Other ❑ Describe work: 1st renewal of permit #316-88 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000 AMP V OR ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under pen I y of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification ❑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 t Ntrpason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.Ei OR ADDNS. ACC. SLOGS. , /Zosgft NEW CONSTR TI -OUTLET NON-RFSID BRANCH CIRCUITS) 2.50 ea APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES .209300 e AL9 30 FIXED APPN Ex. OCCUp. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): L_i 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 Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Oiinst said County in consequence of the granting of this permit. Date nature 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 50.25 occuP- CON"1T,TYP1,J SCHOOL •i000 PARCEL PD ND sSUE 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 2-5-90 Receipt No. WHITC-D.P.W., YELLOW-ASSES30R, PINK-INePCCTOR, COLD CNROD-APPLICANT O D � `l1r 3 /7g COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephpeie: 534-1541 APPLICATION AND PERMIT ' 'r g. a arca rovo ans pprovo NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: r / Permit Fee BUILDING ELECTRICAL - r Owner i// /i". 1. �� SQ. FT. OCC. BUILDING VALUATION Main service 600V OR LESS 100 AMP OR LESS Mai I i ng Address EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Telephone No. EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. 1 DWELLING OCCUP. Si ACC. BLDGS. NEW CONST. RFS1n_ NnN- R Contractor // Mailing Address �� r �j, �� ,, Fireplace Total Valuation ,r , Telephone No. Permit Fee � / - Building Address I/�� .7 r �s-,La}- Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 6:-t •=� Repair drainage or vent piping 1.50 A. P. No. ^ t yr 1, , U Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W:C: Sanitation. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bld Plans -R c'd P I A I PI A I Lawn sprinkler system 2.00 g. a arca rovo ans pprovo NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: r / Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. 1 DWELLING OCCUP. Si ACC. BLDGS. NEW CONST. RFS1n_ NnN- R (MULTI.OUTL T l BRANCH CIRCUITS Ex. OCCU13(OUTLETS OR FIXTIIRE EX. OCCU P• FIXED APPLNS. OR OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring License No. )<'f- t Classification R �� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of .Workmen's Compensation Insurance. El I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X /� . [ ��.. Date Signature of Permitee or Agent Receipt No. / 74;:111-1 Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i @ FEE $3.00((. 5.00- 2.50 .00 2.50 25.00 1.00 2.00 10.00 15.00 - 6.25 r' • i $3.00 Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �����/���r� Date Building permit expires Date �f �� vcl d L r v6- H wy a Q 91 0 oed x Z3� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 Telephone` 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address 45W3 Fireplace Total Valuation ' Telephone No. a Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. .- 1d -- / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W 1 I Improvements Each additional outlet .30 Building sewer 5.00 137da—P1 ---ems I Parcel A roval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER' Permit Fee $ • ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,QQ 600V OR LESS Main service 100 AMP OR LESS 5•0 Single Family Duplex E] Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST -OR ADDNS. C DWEACCLBL GS.LING CCUP. �) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW RFSID, BRANCH CIR T NEW CO ID BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS 8 NON • R RESID, SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 5 L@ 9 OR Ex. QCCU / FIXED APP LNS,D.) EA) 2•�� P•\OUTLETS (RESI Temporary service 10.00 License No. ROT Classification Mobile Home Facilities 15.00 Misc. Wiring 6.25 . � I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X ►�_ i� Z_ s rz+Y Date /^- Signaturre off Permmiiteee�or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ MECHANICAL PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood I J 2.00 Permit Fee $ Land Development Fee TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRECT R OF PUBLIC WORKS l 1� By Date ! '�i� ;7 g permit expires Date � 0 •. d t �' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT "7 Owner: A. P. # Address: Date of Inspection 75S Tenant: L)a X 0Q 3 Inspector ,�e Building Location: Type of Inspection __z_______ 1. Housing / / 2. Financing 3. Change of Occupancy to / /4. Other spec if 9a-" - Present use of building: ��. ; A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5.' Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit -:,------ 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply:[ 13. Rubbish and garbage facilities: 14. Comments: B.. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: . C. Electrical 1. 2. 3. 4. Service and ground: Receptacles: Fusing: Comments D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments• (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description):.2 f 2 2. 3. / A. Information only - file. / / B. Hold for teal (10) days, then write letter. / / C. Write letter. D. Other: - " 068-14-.0-014 #98-2644 KPvIBALL,NEAL 4428 OLIVE HWY #C,OROVILLE LARRY WEST CONST. ' ADD WINDOW AND ELE REROU _ t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 1 PE MIT No: (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 06,9--140-014 ZONING (11 BUILDINGPERMIT OWNER tr]uRAjj�. "FA?, TELEPHONE TELEPHONE FT. OCC. BUILDING VALUATION OWNER'S HARING ADo��s ?LO 01TATLI'.i2f? )Y {.«.. cA't J. Nn tip ?''A 0511(1 { ` Yi- . I or) 0. c" r> CGNTtiI., T Ct)?J T TE NO 1; �7, i. N co' 51l'fA'u?I'1TEJk; �-QZOV.TLLF, CONSTRUCTION LENDE�Ri Fireplace LENDER'S MAILING ADDRESS Total Valuation $ It ,>('X ? - OC) ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ D 0 Permit Fee —20. $t - ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkin Fee $ sul�D�r,&gDDq�,IV� �� iTMTT,T r 44 LY tJ Energy Plan Checking Fee $ $ f)?!�1VjT.T,c PERMIT FEE $ f LOT;40, �„ SUBDN610N'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 07) tJ7 L7110" A"'11 t'X'$n'1rrP rT,rr, rT"1r'1TT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 "OOV 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.,�� License Class R 6et., Lic. No. (i'L�> l �� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, 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 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.50FT, NOµRESIU T. MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EI(, OCCU OUTLET OR FDRURES B20 @ 1.00 LNS Ex. Occup. oMDs RESID.OE., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1Q 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' cc pensation laws of California, and agree that if I should become subject to the wo ers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith c� ply with those provisions. X rt Date � %!� �Z Signa rffi Applicant - ❑ Owner yr Contractor ❑ Agent An Or H ermit is required for excavations over 5'0" deep and demolition or construction of Struc _ es over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAz. D. FEEs IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Gr By / ,. - , . , .` _ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date pg�e j ReceiptNo.2 11911 WHITE-D.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 qg L E NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-140-014 ZONING C1 BUILDING PERMIT OWNER KIMBALL, MEAL TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADSCT., `�b OTJAILBROOK CT. , SAN JOSE CA 95110 N,V§TCONST LEPHONEcr,V"S T3-54 78 "TACUNIT'L"M OPOVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ .b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $��. 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4428 OLIVE M4Y .UNIT C Energy Plan Checking Fee $ $ OPOVILLE PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ADD 'JINDO"I AND "'EROUTT, ELEC CIRCUIT Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200A OR LESS 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.o �Y5 -%/ License Class � �CfV". Lic. No. o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, 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 200A TO L000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( b ACC. BLDS. 3.5¢FT. ,NO .ESIUT. MULTI.OUTLET 97,50 POWER APPARATUS B SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDMRES @'•50 BAL Q .SO FIXED APPWS. OR Ex. Occup. O.RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = s� 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 of 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' cc pensation laws of California, and agree that f I should become subject to the wo ers' compensation provisions of section 3700 of the Labor Code, I shall fo withcTLPI with those provisions. X Date /����9 q Sign f Appllcant - ❑ Owner Contractor ❑ Agent An OS ermit is required for excavations over 60" deep and demolition or construction of struovfes over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I HA2. I D. FEES IMP I FLOOD 77PZ;q PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. d By Date PERMIT EXPIRES ON Osie Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVEMPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ll /y, - ZONING BUILDINGPERMIT OWNER Ad- 1z U TELEPHONE SO. FT. OCC. BUILDING VALUATION l000 OWNERSaL.. 2g !MSS 1 0 �� � CONTRACTOR'S NAME �I TELEPHONE p v, fr CONTRACTORS MAILING PORESS 3o A0' CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ d& t�A ARCHITECT OR ENGINEER LICENSE NO. Filing Feb $ 20.00 Permit Fee $ S. C( -:Z ARCHITECT OR ENGINEM S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I, 2 y Energy Plan Checking Fee $ $ Dr PERMIT FEE S UV LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Eachas water heater or vent 15.00 TYPE OF WORK New Jd_Addiitieon ❑ Remodel ❑ UbGbes ❑ Instillation ❑ Other ❑ Describe Work: 6T //G�%f�lDliJ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2200A OR LLESS 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 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: ❑ 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. ❑ 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 Main Service 200A TO LSA L46.00 NEW CONST. OWEILNG OCCUR OR ADDNS. ( & ACC. SMS. 3.5Q S rNpµRa,D.MULTI-OUTLET 97,50 POWER APPARATUS d SINGLE OUTLET a EX. Occup. OVrtEr OR FIXTURES BAS 200.00 I.50 FIXE. OR Ex. Occup.o7—D APPESUiS,D, 5.00 �,Gv Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 2— IT" a 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 (rhe above sections need not be completed it the permit is for work of a valuation of 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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE pp TOTAL FEE $ HAz. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Palo) ReceI tNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1*�=iS?"'3:: r -c, c'C'�]tn�x+'=FSc+.7i�'.,r�'+•"x"'rro�?k"`w_4'��p"f�;'��:",'�';rd,'!k�,'.{,,�y,�-�'?7i'+�,fv^�`.".-2�<ii�«'"�'T'e'p: a oo 068-1407014 PERMIT#9672074. .-� KIMBALL, Neal. 4428 Olive Hwy, Oroville Cont c'' Larry West .Const .. Reroof/SF COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,"California 95965 - Telephone (916) 538-754 PERMIT NO, APPLICATION AND PERMIT zX ��<!'" S16 ASSESSOR PARCEL NUMBER 068-14-0-014 ZONING BU DING PERMIT ' OWNER NBAL KIMBALL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 543 OTIAILBOOK COURT SAN JOSE CA 95110 CONTRACTOR'S NAME LARRY WEST CONST TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 44 I PERMITFEE $ 47.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE YX SF [T Duplex ❑ Mobilehome ❑ Other i SPECIFY - Water piping 15.00 Each gas water heater or vent 15.00 Gas piping i in system 1- 5 outlets 1 5.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑- Describe Work: REROOVICUP 17 I — I Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service a V oR LESS ( zooA oR LEss ) 23.00 Main Service ( 200A TO I000A ) 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 2 ? / License Class g Lic. No. (" .% OWNER: BUILDER DECLARATION i 1 hereWaffirm under penalty of perjury that I am exempt from the Contractors License . Law for the following reason: ❑ 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. ❑ I, 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.SO. OR ( 8 ACC. BUDS. ) 3.50T. CNS. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1 00 Ex. Occup. FIXED APP S. OR p. (ouTLETs RESID.) EA 5.00 Temporary, Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compehsation laws of California, and agree that if I should become subject to the worket's' compensation provisions of section 3700 of the Labor Code, I shall forth lith compl with those provisions. X _ __ --Dale _ G e f ppfca ❑ Owner Contractor ❑ Agent ,Sigyru5tjr AnA,pe mit i required for excavations over 5'0" deep and demolition or construction of `s over3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 47.00 HAZ. 1 D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date PERMITEXPIRESON / Date Receipt No. �tn t�7 WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV N 7 County Center Drive - Oroville, California' 95965 - Telephone (916) 538- 4 PERMIT NO. -007 APPLICATION AND PERMIT 117 ASSESSOR PARCEL NUMBER 068-14-0-014 ZONING BU DINGPERMIT OWNER NEAL KIMBALL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 543 QUAILBOOK COURT, SAN JOSE CA 95110 CONTRACTOR'S NAME LARRY WEST CONST TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION (ENDER UNKNOWNTotal Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ 47.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF PDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑x Describe Work: REROOF/COMP 17 — Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO t000A ) 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. 69 9-9 , % 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: ❑ 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. ❑ I, 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 OCCUR OR ADONS. ( a ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWERAPPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 6AL .SO Ex. Occup. (OUTLETS(RESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall noteloy any person in any manner so as to become subject to workers' coIp sation laws of California, and agree that if I should become subject to the work s' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply with ose provisions. �' j 9/ Date _ Si natNof Appla ❑ Owner Contractor ❑ Agent S'mit required for excava ions over 60" deep and demolition or construction of ruC�tures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have PERMITEXPIRESO applicable provisions Resolutions to do work been paid. D to I(Datof Receipt No. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t r T �s raj I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMEN—SERVICES - BUILDING DIVISION 7 .County Center Drive - Orovilleq California"95965 - Telephone b316) 538-,z1541PER1 IT NO, APPLICATIONAND PERMIT y 6-5 ASSESSOR PARCEL NUMBER 068-14-14 ZONING C1 BUILDING PERMIT OWNER NEAL KIMBALL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 543 QUAILBROOK CRT CONTRACTOR'S NAME FOOTHILLTELEPHONE ELECTRIC CONTRACTOR'S MAILING ADDRESS 541 CASA DR PARADISE Fireplace CONSTRUCTION LENDER UNIRJOWN Total Valuation Is LENDER'S MAILING ADDRESS y Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 4428 OLIVE WY Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 &LLO`T NO. S UBDNISION'S NAME PARCEL AP Solar Or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE Each gas water heater or vent 15.00 4 SF ❑ -, .Duplex; ❑ Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 ' SPECIFY I Building sewer 15.00 TYPE OF WORK y Mobile Home S G W @20.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑K Describe Work: REPAIR RISER PERMITFEE S Contractor [Ex. LECTRICAL PERMIT Filin Fee 20:00 ervice ( 2o0AAORLEESS ) 23.00 ervice ( 200A To I000A ) 46.00 I ST. DWELLING OCCUR SO. LICENSED CONTRACTOR'S DECLARATION S a ACG. UTLE ) 3.SQ FT.ST. MULTI -OUTLET I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter. BRANCH CIRCUITS @7.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( POWER APPARATUS& SINGLE OUTLET CIR. !and my license is in full force and effect. .,� cup. (OUTLET OR FD(TURES zo p I.o9 License Class (� Lic. No. /) 49 7 BAL so cup. (oUTLETS(RESIO.)OeA5.00 OWNER -BUILDER DECLARATI N I hereby affirm under penalty of perjury that I am exempt from the Contractors Licenserary Service 23.00 Law for the following reason: Mobile Home Facilities 20.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Misc. Wiring 23.00 will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. PERMITFEE $ 43.00 ❑ 1 am exempt under Sec. Business and Professions Co �e for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations:( Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. PERMITFEE $ My workers' compensation insurance carrier and policy number are: Carrier Contractor Policy Number Mobile Home Installation Fee Is (rhe above sections need not be completed if the permit is for work of a valuation I Energy Inspection Fee Is of one hundred dollars ($100) or less.) • occ CONST. TYPE - "Certify that in the performance of the work for which this permit is issued, I shall TOTAL FEE $ 43.00 not employ any person In any manner so as to become subject to Workers' HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD HO ISSUE cmp nsation I ws of California, and agree that if I should become subject to the vTor rs' co ens ti n provi 'ons o sec . n 3.706 of the Labor Code, 1 shall fo with c ly 'tfi 'hose visio _ This permit is hereby issued under the applicable provisions of the Butte County Cod an /or Resolutions to do work / X _ Date OF indicated abo for whic fee have been paid. ignat re of App icant - ❑ Owner ❑ Contractor ❑ Agent �./ An OSHA permit is required for exca ations over 5'0" deep and demolition or construction—�,1 Date 0 of structures over 3 stories in height. _ Receipt No. 175579 PERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMEN— SERVICES -BUILDINGJ41 7 County Center Drive - Oroville, California 95965- - Telephone 916) 53 PERMIT NO. APPLICATIOKAND PERMIT (�: 0,57 _15 ASSESSOR PARCEL NUMBER ZONING BU DING PERMIT 068-14-14 C1 OWNER TELEPHONE SO. FT. OC BUILDING VALUATION NEAL KIMBALL . OWNERS MAILING ADDRESS 543 QUAILBROOK CRT CONTRACTOR'S NAME TELEPHONE FOOTHILL ELECTRIC CONTRACTORS MAILING ADDRESS 541 CASA DR PARADISE Fireplace CONSTRUCTION LENDER UNIQJOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. " Pian Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 4428 OLIVE HWY Penalty $ BUILDING ADDRESS _ PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 SF IK Duplex ❑ Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home S G W @20.00 New ❑ Addition O Remodel ❑ Utilities O Installation O Other Ox REPAIR RISER PERMITFEE $ Describe Work: Contractor ELECTRICAL PERMIT Filing Fee 20.'00 - Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION = NEW CONST. DWELLING OCCUP. OR ADONs" ( s ACC. BLDS. ) SO. 3.5{t Fr. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter = NEW CONST. MULTI"OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, - ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. and my license is in u11 force and effect. / Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 icense Class - Lic. No. `�� / / (p J Ex. Occup. ( PRESID.)EA ISAL .50 OWNER -BUILDER DECLARATION OUFIXED TLETS 5.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Temporary Service 23.00 Law for the following reason: Mobile Home Facilities 20.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, j Misc. Wiring will do the work, and the structure is not intended or offered for sale. 23.00 ri nn ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. PERMITFEE $ 43.00 O 1 am exempt under Sec. Business and Professions Code for this o Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 O 1 have and will maintain workers' compensation insurance, as required by Section P Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. PERMITFEE $ My workers' compensation insurance carrier and policy number are: Carrier Contractor Policy Number Mobile Home Installation Fee Is (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee Is of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall Occ CONST. TYPE TOTAL FEE $ 43.00 not a loy any person in any manner so as to become subject to workers' c mp nsation I s of California, and agree that if I should become subject to the HAZ. I D. FEES IMP FLOOD I _. CDF PARCEL I PD HD ISSUE or rs' co sati rovi "ons 0 seof the Labor Code, I shall c " n fo with c y hospe visio ' This permit is hereby issued under the of the Butte County Cod an /or applicable provisions Resolutions to do work X Date : indicated abo for whit fee have been paid. ignat re of icant - ❑Owner Contractor ❑ Agent - n OSHA permit is required for exca 'ations over 60" deep and demolition or constructi 3 IP -17 - of structures over 3 stories in height. A FReceiptNo. 175579 PERMITEXPIRESON ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) a w�_ -, -» .+., °',..+ .... -... ,. ,._.. 1•..:,r. - J -..... #t �. 'yy -Q .. '^ ae �e,� �.i•r c r r _ y .., -1 .. sT> w - a -a ., . Y; 7a1Yi i d'68-140-014 +, ..94=0763B,P,E y +"' KIMBALL, NEAL OLIVE HWY, UNIT, C', OROVILLE r 'CONT: LARRY: WEST ' REMODEL BATHROOM/SF s. q3- 37, -Ice x COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive - Oroville, 04lifornia 95965 - Telephone (916) 538- 41 PERMIT NO. APPLICATION SAND PERMIT APr4=f4 �} ZOI INGc1 BUILDING PERMIT OWNNEER�� NEAL KDMALL TELEPHONE SQ, FT, OCC. BUILDING VALUATION __UDNW_ OWNER'S MAILING ADDRESS 543 OUAILBROOK Cr.,SAN JOSE CA 95110 3000 CONTRACTOR'S NAME LARRY WEST TELEPHONE 533-5478 CONTRACTOR'S MAILING ADDRESS 2 VIA LATON OROVILLE CA 95966 Fireplace CN�STTRUCTIONLENDER N-LENDER'''SlJ7MAILING UNKNOWN Total Valuation $ ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDREss 442$ LIVE V PERMIT FEE $ 74.00 UNIT (' PLUMBING PERMIT Filing Fee 20.00 Each Trap 2 1 7,00 14.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE I SFS❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1Utilities ❑ Installation ElOther REP10DEL BATHROOM Describe Work: PERMIT FEE $ 34.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvORLESS ) 2.A OR LESS 23.00 Main Service ( 200A TO t000A ) 46.00 NEW OR ADDNST ( DWELLING 6ACC. S OS. ) 3.5C FT. 3.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) (11 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code an y license is in full force And effect. License No. /_2 �/ Classification [yFj ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occu FIXED APPLNS. OR p' (OUTLETS (RESID.1 EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 23.50 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree t��++save, indemnify and keep harmless the County of Butte against all liabilities, judq ents, costs and expenses which may in any way accrue against said County in consequence of the granting of this permit. M t� X A I) Date ///�%• � 7, /� Signature of Applicant - ❑ ;OwVer O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 131.50 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD IV This permit is hereby issued under of the Butte County Code and/or indicated,e�ove for which f es have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work i, been paid. �y Date _ lDa tel 156569 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVAELWIMENT SERVICES 7 County Center Drive - Oroville, California 'A65 - Telephone APPLICATION AND' PERMIT - BUILDING DI 19,110N (916),538- 41 PERMIT NO. ATr§R PQRC,F�ND�1�EFj f•CF if (+ ZONINGc1 BUILDING PERMIT OWNER NEAL KIMBALL TELEPHONE SO, FT, OCC. BUILDING VALUATION CONTR 3000 OWNER'S MAILING ADDRESS 543 QUAILBROOK CT., SAN JOSE, CONTRACTOR'S NAME LARRY WEST TELEPHONE 533-5478 CONTRACTOR'S MAILING ADDRESS 2342 VIA LATQN, DROULLE CA 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 74.00 UNIT C PLUMBING PERMIT Filing Fee 20.00 Each Trap 2 1 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFX] Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation 1:1Other ,� Describework: REMODEL BATHROOM PERMIT FEE $ 34.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( " OR LESS 2 ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) SD. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code an y license is in full force d effect. License No. Classification ❑ I, as the owner, or my employees with wages s tsaaheir sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20AL. . Ex. Occu FIXED APPLNS. OR p• ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 2-3.50 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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, judg ents, costs, nd exp uses which may in any way accrue against said County in co equence of a ra Ing of this permit. q X Date A G� / Signatu of p icant ❑ w er Contractor ❑ Agent An OSHA pe it is required for excavations over 5"0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 131.50 HAZ. D. FEES IMP FLOOD CDF PARCEL FO HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which f shave paid. By Date cu PER MIT EXPIRESON IDa tel 156569 [Rec.,-,%No. _.ITS.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT . o V=OK O = Not OK -=Nt Applicable MOBILE HOMES ' =Noot Readyeady Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements-Setbacks-Easementa 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Locatlon-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location-Teat=Wrap: / /"L"ft. / /"Nat. or/ P'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 Teat -Demand -Valve -Connector 4.. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 8. Water; MH Teat -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 ' r 'T v MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steell 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftre.-Connectors Shthg :Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. 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 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 4 V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDE OOR Plans OK except #'s Zoning -Setbacks -Easements -Flood -S e 2. Ftg., Main; Soils-Elec. Grnd. Ftg. Depth Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hol wns and Special Anchors Z -7 -SI -ab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test eter Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. W ter Htr.; Vent -Access -Combustion Air -Baffle f , 3 eter Pipe; Test & Anchor -Neil Protection . D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 4,24-Size,Boxes & No. of Conductors -Stapled LZ5!Aomex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING, Plans OK except #'s Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 44_BearirVCrWefis o?7 er Girders & Floor Nailing $'42: Draft Stop in Walls (rat proof) 48-F,ire•StopS; Furred Ceilings -Stairs -Chases -Tub 1,A4.' Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45:- Hangert=Po§t-Ceps-Anchors-Connectors 46.-Ging-deist-Rf"ies-Purlin=roof Brec-Truss-Shthng.-Rfng. 4I_5[aplace-Ties-or-TypF"1 Flue -Fireplace Throat clearance __48_Attae-Aoeess•,-Stze-"omex Protection -Draft Stop -Ins. Baffles _49._8ng Doors -Sill Hgt. & Dimensions 50. Garage FinLPsotectt0fi Framing wa& Openings LA2Ext. Doors:89&-_'%'-6heck Garage-3rd.6kw*,2_Ex1ts 6"tairs7WIdth- ear -Rise-Run-Landing-Fire Protection 5!.:plyw_oo --orr oR of-Uverhang-Attic Vents -Rafter Outriggers ceding -Nailing Veneer -5 . ucco ash -Drip Screed -Fd. Vents-Underflr. Access ' -Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAlana OK exce t #'a / 14 . Ext. Steps -Door & Sidelight Protection -Landings ctor - learance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection • • •• es & Tub Access-SDa V66.. Elec. Trim &: ) 11,49. Elec. Outlets at Wood Panel; Int. & Ext. -?@& Appliance; Grnd.-Air Gap -Cooking Clearance _ _ s at Kit. Counter 74. tr. �-Comb. Air-Connector-P.R.V. n Garage; Above Floor -Meth. Protection V5. Plb., Elec. & Mach. Equip. Listed for Location 75. (G.F.I.)-Romex Protection in Attic ❑ Yes nstruction-Post Caps Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 8fas>=as}��+ •Drive Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes �No trical, Plumbing Vents Above Roof; Plbg -Appliance-Fireplace: Clearance to act, Electrical, Plumbing . Exterior Elec. Trim; G.F.I. Receptacle -Underground Commonts at Final: revious Inspections Gas -Electric I -C/O to Grade -HD I J COUNTY OF BUTTE - DEPARTMENT OF D�YELOPMENT SERVICES - BUILDING DIVISION 0 7 County Center Drive - Oroville, Ca!4 f rn'ia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT qs-�� ASSESSOR PARCEL NUMBER 068— 140-0 14 ZONING (21 BUILDING PERMIT OWNER HEAL KIMBALL TELEPHONE SQ. FT. OCC. BUILDING VALUATI N 68 C -7m 3340 -30 OWNER'S MAILING ADDRESS 543 QUAILBROOK CT SAN JOSE 95110 CONTRACTOR'S NAME LARRY WEST TEL533 5478 CONTRACTOR'S MAILING ADDRESS 2342 VIA LATON Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ T_ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4428 OLIVE HWY PERMIT FEE $ X58.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CY Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition CARemodel O Utilities ❑ Installation C)Other O Describe Work: CONY. COV AREA TO LAUNDRY & STORAGE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 100V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( 8 ACC. BLDS. ) S 3.50 FTO.. CONTRACTORS LICENSE LAW I dylare under penalty of perjury (check one) l�f I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions ode an m license is in full force And effect. y License No. Z Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 Ex. Occu FIXED APPWS. OR p' ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building cosction, and hereby authorize representatives of the County of Butte to enter upon th _�ove mentioned property for inspection purposes.o I also agree o save, indemnify and keep harmless the County of Butte against all liabilities, ju gments, costs, and expenses which may in any way accrue against said County in onsequ ce o . the granting of this permit. 9 X DateIz -13- / 3 Sign re A ca O Owner Contractor ❑Agent An OSHA ermit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ coNST. hvr>f ��% TOTAL FEE ' 58=00 HAZ• D. FEES IMP Fl 00 COF PARCEL PD HD I I WeE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC ORKS A By Date 2 /3 PERMIT EXPIRES ON 1 Z Z r Date) Receipt No. WHITE-D.D.S.-B.D. CAIAO -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,• J, • �'-�'-•� �YRT•�•TJ'�T � � ,',i1Y� •Y`M?/�++��yj����K�.J'^ ' t)�`i-. ��+'r T"�"�./�M••.,� P '�.'!I'h: �'_,�: f'J+^'�7f'-';tr..�G'R:: ,3�i�(b`..✓1�+ (7'� ,.y�ti..y..... �. COUNTY OF BUTTE -DEPARTMENT 0FVgVEfC6PMENTSERVICES -BUILDING DIVISION ,r l 7 COUNTYCENTER DRIVE - OROVILLE, CALI&NIA95965 -TELEPHONE (916),938-7,541 PERMIT APPLICATION DATASHEET OWNER A v/ P. o. Proposed Building Use Cp h V1/ ` J� FBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ix 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 prepare f plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with�wet signature on plans . ............. 5. Hazardous Material Forma .............. ................................ 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. 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) by California Engineer . ................. . 14. Sanitation and plot plan approval 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). ..P`�"� 10" Inspector 20. Pre -inspection for r required. . to Building �"spa. .d„ (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. When you issue theper it, process s follows: Mail owner. Mail to contractor. Telephone 2 and hold for pickup at /� office. Deliver with inspector. . Other Parcel Creation CJ Acreage Applicant, j:Z 16Date 1,- Copy of Haz-Mat form sent Health Dept. Fire Dept. - /Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date r 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 _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date 'oZ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works X ' CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title.......... ADDITION Date..12/23/08 14:42:06 Project Address........ 4428A OLIVE HWY. ******* OROVILLE *v7.30* Documentation Author... MARTY ALVIS ******* I Building Permit # M & T Energy Analysts P.O. Box 534 Plan Check / Date Chico, CA 95927 530-899-8532 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.30 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE MICROPAS7 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kTDV/sf-yr) Design Design Margin Space Heating.......... 33.72 31.95 1.77 Space Cooling.......... 30.42 33.95 -3.53 Water Heating.......... 32.15 29.28 2.87 Total 96.29 95.18 1.11 Building complies u with Computer Performance u GENERAL INFORMATION I HERS Verification.......... N fired Conditioned Floor Area..... 1048 s �. Building Type .............. Singe Family Detached Construction Type ......... Addition Alone Fuel Type ................. Propane Building Front Orientation. Front Facing 0 deg (N) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... I Raised Floor 1 9432 cf 0 sf 13.4 % of floor area 0.4 Btu/hr-sf-F 0.35 9 ft BUTTE COUNTY DEC, 3 0 2008 DEVELOPMENT SERVICES CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R . Page 2 Project Title.......... ADDITION Date..12/23/08 14:42:06 MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M &,T Energy Analysts Run -HOUSE HOUSE 1 Wall Wood BUILDING ZONE INFORMATION 0.074 19 Floor 0 # of # of Cond- Thermo- Vent Vent Verified A5 Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap HOUSE A5 OUTSIDE 3 Wall Wood Residence 1048 9432 1.00 2.0 'Yes Setback 2.0 Standard No Yes IV.9 A5 OPAQUE SURFACES 4 Wall Wood U- Sheath- Solar Appendix 270 Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments HOUSE 1 Wall Wood 284 0.074 19 0 0 90 Yes IV.9 A5 OUTSIDE 2 Wall Wood 95 0.074 19 0 90 90 Yes IV.9 A5 OUTSIDE 3 Wall Wood 264 0.074 19 0 180 90 Yes IV.9 A5 OUTSIDE 4 Wall Wood 257 0.074 19 0 270 90 Yes IV.9 A5 OUTSIDE 5 Roof Wood 1048 0.025 38 0 n/a 0 Yes IV.1 A18 5.0 6 FloorExt Wood 1048 0.048 19 0 n/a 0 No IV.20 A4 OVER GARAGE Orientation HOUSE 1 Wind Front (N) 2 Wind Front (N) 3 Wind Back (S) 4 Wind Back (S) 5 Wind Back (S) 6 Wind Back (S) 7 Wind Right (W) 8 Wind Right (W) FENESTRATION SURFACES .Exterior Area U- Act Shade (sf) factor SHGC Azm Tilt Type Location/Comments 20.0 0.400 0.350 0 90 Standard FGLASSI/Vinyl/Wood Opera 20.0 0.400 0.350 0 90 Standard FGLASS2/Vinyl/Wood Opera 15.0 0.400 0.350 180 90 Standard BGLASSI/Vinyl/Wood Opera 15.0 0.400 0.350 180 90 Standard BGLASS2/Vinyl/Wood Opera 15.0 0.400 0.350 180 90 Standard BGLASS3/Vinyl/wood Opera 15.0 0.400 0.350 180 90 Standard BGLASS4/Vinyl/Wood Opera 20.0 0.400 0.350 270 90 Standard RGLASSI/Vinyl/Wood Opera 20.0 0.400 0.350 270 90 Standard RGLASS2/Vinyl/Wood Opera OVERHANGS i -Window- Overhang Area Left Right Surface (sf) Width Height Depth Height Extension Extension HOUSE 3 Window 15.0 3.0 5.0 2.0 1.0 n/a n/a 4 Window 15.0 3.0 5.0 2.0 1.0 n/a n/a 5 window 15.0 3.0 5.0 2.0 1.0 n/a n/a 6 Window 15.0 3.0 5.0 2.0 1.0 n/a n/a 7 Window 20.0 4.0 5.0 2.0 1.0 n/a n/a 8 Window 20.0 4.0 5.0 2.0 1.0 n/a n/a i CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... ADDITION Date..12/23/08 14:42:06 MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE I' HVAC SYSTEMS Verified Verified Verified Verified Verified Maximum System Minimum Refrig Charge Adequate Fan Watt Cooling Type Efficiency EER or TXV Airflow Draw Capacity HOUSE Furnace 0.800 AFUE .n/a. n/a n/a n/a n/a ACSplit 13.00 SEER No No No No No HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) HOUSE Furnace .18514 n/a n/a n/a ACSplit n/a 13737 16578 n/a Sizing Location............ OROVILLE RS Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS Verified Verified Verified System Duct Duct Duct Surface Buried Type Location R -value Leakage Area Ducts HOUSE Furnace Attic R-6 No No No ACSplit Attic R-6 No No No WATER HEATING SYSTEMS Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor (gal) R -value DHW 1 Storage Gas Standard 1 0.62 50 R- n/a REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... ADDITION Date..12/23/08 14:42:06 MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -FORM CF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER Name.... LARRY WEST Company. LARRY WEST CONSTRUCTION Address. 30 LOMA VISTA OROVILLE CA 95966 Phone... 530-533-5478 License. Signed.. /2' 6_OOd' (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... MARTY ALVIS Company. M & T Energy Analysts Address. P.O. Box 534 Chico, CA 95927 Phone... 530-899-8532 Signed.. �Jl�. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... Project Address........ Documentation Author... Climate Zone.......... Compliance Method..... ADDITION 4428A OLIVE HWY. ******* OROVILLE *v7.30* MARTY ALVIS ******* M & T Energy Analysts P.O. Box 534 Chico, CA 95927 530-899-8532 11 MICROPAS7 v7.30 Date..12/23/08 14:42:06 Building Permit # Plan Check / Date Field Check/ Date for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.30 File-WST1048N' Wth-CTZ11S05 Program -FORM MF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturer's labeled R -Value _XX_ *150(c): Minimum R-13 wall insulation in wood framed walls or _XX_ equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors _XX_ or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances _XX_ and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox _XX_ b. Outside air intake with damper and control, flue damper and control - XX 2. No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 _XX_ meets requirements specified in ACM Residential Manual _XX_ 150(g): Vapor barriers mandatory in Climate Zones 14,16 only XX 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than.0.3o, water vapor permeance rate no greater than 2.0 perm/inch _XX_ 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form 116-17: Fenestration Products, Exterior Doors and Infiltration/ _XX_ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have . _XX_ label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification 3. Exterior doors and windows'weatherstripped; all joints _XX_ and penetrations caulked and sealed XX SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES De- En- MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 Project Title.......... ADDITION Date..12/23/08 14:42:06 MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -FORM MF -1R User4-MP2308 User -M & T Energy Analysts Run -HOUSE sign- force n/a er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance _XX_ with ASHRAE, SMACNA or ACCA 150(i): Setback thermostat on all applicable heating and/or _XX_ cooling systems _XX_ 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater 2. Back-up tanks for solar system, unfired storage tanks, or _XX_ other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value _XX_ 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B XX 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 psi, _XX_ meet requirements of Table 123-A XX 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind XX_ 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space 7. Solar water -heating systems/collectors are certified by the _XX_ Solar Rating and Certification Corporation _XX_ *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used 2. Building cavities, support platforms for air handlers, and _XX_ plenums defined or.constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts 3. Joints and seams of duct systems and their components _XX_ MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 Project Title.......... ADDITION Date..12/23/08 14:42:06 MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -FORM MF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands 4. Exhaust fan systems have back draft or automatic dampers 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. .System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(1): Cool Roof material meets specified criteria XX RESIDENTIAL LIGHTING MEASURES n/a 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic XX XX XX XX XX —XX- -XX- -XX- -XX— De- X_XX_XXXXDe- En- sign- force er ment and have an output frequency no less than 20 kHz XX 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, luminaire has factory installed HID ballast XX 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires XX 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option XX 150(k)4: Permanently.installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 4 Project Title.......... ADDITION Date..12/23/08 14:42:06 MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -FORM MF -1R User#-MP2308 User -M & T Energy Analysts Run -HOUSE rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always on option _XX_ 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are certified air tight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascals XX 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings,.on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) XX 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 XX 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) XX HVAC SIZING HVAC Page 1 Project Title.......... ADDITION Date..12/23/08 14:42:06 ******* Project Address........ 4428A OLIVE HWY. OROVILLE *v7.30* Documentation Author... MARTY ALVIS ******* Building Permit # M & T Energy Analysts P.O. Box 534 Plan Check / Date Chico, CA 95927 530-899-8532I Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7:30 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.30 File-WST1048N Wth-CTZ11S05 Program -HVAC SIZING User#-MP2308 User -M & T Energy Analysts Run -HOUSE GENERAL INFORMATION Floor Area ................. 1048 sf Volume ..................... 9432 cf Front Orientation.......... Front Facing Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Description Opaque Conduction and Solar...... Glazing Conduction and Solar..... Infiltration ..................... Internal Gain .................... Ducts............................ Sensible Load .................... Latent Load ...................... Minimum Total Load 0 deg (N) Heating_ (Btu/hr) Cooling (Btu/hr) 7952 3740 2520 3246 4517 1726 n/a 2060 3525 2964 18514 n/a 18514 13737 2841 16578 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. SITE PLAN .. . :... ............. .. .. .. .. . -- ............ .. .............. ............. .. _ .. ........... .. .............. .. .. .. .. ' �xt=�=new ..........4 AIM .. .. .. 1! '. - .. .- . - .. .. .. ... ............. .. .. .. .. .. .. .... .. .. ............ .. ............. .. .. ... . _..--. .._ . f 1 ....... :........... ........... ..:..:_........................ :.. .......... - _77- .. .. _ ... -- .. _............ .. .. .. ........ .. ... .. .. .. ..... Y -. .. .. .. .. .............. .. .. .. .. .. .. ............ .. .. .. ,� I .. .. .. .. ............. ........... i.....i...... �......;.....:...... i......i .. .. .. ....... .. ....j. .. ...t. .. .. .. .:...... .. .. .. ... .. .. .. ._ .. .. .. .. .. .. .. .. ........... .. _ ..... .. ..... .. .. .. .... :: : :.................... I i ........... :.....�.....:......:......:....:' ............----- ..........::..:::..... .. .... .. . :.......... .. .. ..... ...... .... .. _� ......?.....:...... :...... :..... :...... :...... :..... :...... .................... ....... ............. .... .. .. .. - 200, . ..... .... 77 i............. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..i .. Assessor's Parcel Number W1®— ®0 ©— ®M U Scale: 1" _ Owner Name Address / Phone //No. Site Location _AM A V H U I Contact: Name Phone Yl - 1-7��7-?7 1"v �,z,2,. .......... ...i ............. ............ .. _.................._ .. ::... <......:................. >..... ...... ...... >..... ;...... ; .. .. .. .. .. .. ..... .. .. .. .. .. ... .. .. .. .. ...... .................... l...... ....... ......l...... . .. .. .. .. .. _ .. .. .. .. .. .. .. 'J 5.....:......•......i ................... .. .. .............. FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acnes 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: . . .. .. .. .- . -- ... .. .. ...... ; .. �................ ............................ ...... !...... ... ...i.....}.... ... ........... ............. ............................ .. .. ..;..... j .. .. .. .. _ ............ .. .. .. .. .. .. .. �. .. .. .. .. .. .. .. .. .. .. ....f t. . .�.... .. .. .. .. .. ............ ... ............................... .{.... .......................................................... I ..... t...... ......}............. ...... ..... {......;..................... .. .. ... .. .. _ .. .. .. .. .. .. .. .. .. ..................i .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .••I .. .. .. _ ............ .. _ ............ .. .. .. .. .. ............. .. .. .......... .... ....! .. .. .. .. .. .. .. .. .. .f. .. .. .. .. .. .! .. .. .. _ ... .. .. .. .. .. .. .. .. .. .. .. ....... !. ... r.... .. ... .. .. .. .. .. .. ....................... ............ .. . .. .. .. .. ... .. .. .. .. .. .. .. .... .. .. .. .•I :......:..... �......:........... .. .. .. .. .. .. .. .. .. .. .. �. ....i. .. .. .. .. ............. .. ...... ................. ....... ............... .. .•I .. .. .. .. .. .. .................. .. .. .. .. .. .. .. .. •I .... .. .. .. .. .. .. .. ................ .. .. .. .. .. .� Assessor's Parcel Number ®®®— ®0 ®- a a Scale: 1" _ Owner Name NV�i- 4 IVI 07A� Address / Phone No. Site Location Contact: Name Phone UI �L-�7fL� P2�P-L7`2 2—� t7 —- 1 %r,,/ Octcbwa= . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres - - 4.W PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: .. . _ ...... j.... {.... .. .. .. .. ....s. . .r.... ....j. ... i.....j. ....i. . ............ .....F . . . ......a............ e ..... ........................:...........}.....�............ t............ F...... }...... ......l......}............� .- j...t.... .. ............ .. .. .. .. .. ....i. .. .. ...j... .. ...{ j. ... ............. .. ...........................}... .. ................. .. ............. .. ... {.... . . . .. .. ----- _ .. .. .................... .. .. .. .. .. .. t. . . . . . . . . . . . . . . i .. .. _ .. .. .. ........ .. .. .... .. .•.� ........................... i.....i......j......}............ j...... r ...........j......s..... i...... {...... .. ...j. .. .. ...i.... .. ... I. ... .... _ ... .. .. .... .. .. .. ... .. .. ................. . . j... .. .. ... .. .. .. ......................j. .. .. .. ....i. .. .. .. .. ..�.. .... .. .. .. .. .. .. .. .. .. .. .. .. i .. .. .. .. ............ .. .. ............ .. .. ............ ............ .. .. ..i . . . . . . . . . . . . . . . . . . . i . .. .............. .. .. .. .. .. ............. ............ .. ... ..................................................... .. .. ..}........... ............ {......j......s.......... SITE PLAN Assessors Parcel Number E] Q ® — ®0 ®— ®0 �] Scale: 1" _ Owner Name (\f • V 4 M 07A Le� Address / Phone No Site Location, Contact: Name .Phone ��IE,wG�j �L-�ff�L/L FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acnes - 4.00" ' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: A! rC / c ,loll Ex.I s.j-i E.xlsrltic- 3_�_I L 2e3< - 4-. 4— b—Z— W r wig O i �uIS jI I \ x T; "N v1 ki \r � 0 �m FLOOR PLAN Owners: Neal and Ann Kimball LARRY wes•rcovs'rRl:crioN m n 4428 A Olive Highway Nc\,,. Remodeling R RoomAdditi—S Lic. #625871 Phone 00311, 513.547s Oroville Ga. 95966 30 I..nma Viem 1)61c O,o,iue. CA 951*6 �^ m B _moist A/obiAeAswhfre 1n e en flS /, en S: P%lch-Iii pet foot Min. ! :f•,1 d t ��/ 4. - L'�eck Sehedede J4, th/ckneis .wdj ma, Foscio D Nor. A, Q A, Co/vAnn he:9ht V ?"0 Cod -/4=o'Aw,ax it a-SP eA�1apmIty.Lsf'� 1 �;5 I I /�0 /.30 t• P Mat Gn fl ` pO�.,b�,"`I'^4' • SS' O C/ OP l I 4 N I' �j 9 See SHteatn/a `�•'[ -• 1 L_ (TJ•P) .) . � ;_!br 1Kieknes] 0. I /S?f i 300 e�-I For thickness &v&4edolk 6063-T6 Alma 00 Bam6eo•wt COLUMN Cip'? COL[/MN INSERT Foscio (Optio-l) 6 • DECK 606 3-76 Alum- 3004-N/4 A/um. SDOS-H/8 A/rn `-- I Y •x/•-S/oned holes /68.7 t oxide {o! 235• i �, 7. ./0' Tisi � i. is X SIC "cut, Ade fosuo dro/nogc I /'q weep holt \o lr.o- /0 /0 /0 Too 4 sdei / rS 'I � o P1 -oxide for t(/�- with me we/yhted IISphte L va. ht.J ofoSeio of »e. coveMn9 =/20 PLAN y� _ b i r- err .28' .032' - R--060 �' I i II I �- PLAN -.•� I. (TrR) (Tjp) (TYP) 750 7 h 9K0-3,{10ho/e --.1%__ .. l PLAN • ��--�i • Length • 2.35' - d.� 12 SOUR£ COLUMN COLUMN BRACKET 1nrt12A Gds. rerf. NSfo// cels. vrrT - - ELEV. I I t^C ELEV. SECT EL Ell' SEcT 3�S.�U4Rr COLUMN 3004-H36 A/um 6069-T6 A/rAn. C 8i $M1� AWN/NG W)TH NO OYERNANG /08SMS eCIC / `o8"s to S e C (eacd>sed i Deck 'e .tslee r I ��B per eo/ LnL Cop /!9'A(arsyl or Co/ Anser£.Ltlper CO/) Z- / 0 Co/ Cd..broekel SEcr. A, f$SMS eC'c. B -SMS E C �" /eneAlsvd onyl , Deck . /cfosdo LOpribno!J .040 Alum 3000-H36 or OLUMN LAP 0 .048`S7ce/ ASTM A996 Grt2d'c�YS= 40 kti. oo � �P r/vets or '/f SMS &12^C..'- ASTM A3L Steel , / 5 U beam spbcc SG �O zts I /so I AWN/N6 ' i'V/TN OYERNANO '�_ I - • ELPIC `-.ta•.ti9 roil I �BXI'� N'eod Screttr_'��•>--• T . Z-'BSMS, eo end G./4'e to penetrote of, o EAR TN ANCNO•R BRACKET k (1 foto0 slid ssl7oO/A7feo6er BIZ Of Ambi/chert 9I: I I ej Nut .18SMS C G'c O: ! U Exist .o p �• f J ut 1 dllbiAC•hoaie LM Week f, 3.00 Far" splice End Fotcio Z Xl B Non9er BOX BEAM FASC/A END FASC/A cOcl-T6 A/un7 t A Y SECT. Br -5063-TGAAuto GOG/- '• - `8 SMS C 94 7 3. SSS a! Dg P.722 N A A4_93 0 � `� M I i � �. r- Ndir-966X4'0 • beck V, End fo rci • 12a N I ~, I 0x2 EARTH ANCHOR �� V 7P Usc of o.e+-+aye soar Ndi.-9Gort f � II I r _EARTH ANCMOR I SECT. A' OGL FASC/A SPL/CE MEMBER '- Use in Poor yoodslai/ _ h typ COC3-TGMu•.) @ ctrEluL rOtcs 'B SMS e c SE[T C/ 7So n o, i I. design ideas: 10 list. twee • to oar: rlr N L7eck eSMS etG O: BI ' \ My a toed 10 oaf: UPI '/a sc0.+wed .Ith upon fool Insect N -`]l, F+ep•_ fvp• Krwningi:�n l.I to rwAl lr rafor•el• t..n•luc.nt or A Wick•/A/G &I'L t + �'��y�J[�/ a v �y�7(��p��yL tivnf«r«t f1a 101• SIC Kr«ninq of pt for. -116 thiknos.. 6063-T6 Alc rrr �c _ �. •\„ ��' 7. tsh wn:nq ftri ctur. wl l Ira att•ere �• thereto In • •lolble lomat i«, - escrowed i«ntlfl- ' I cation 1n•igni e. [moi/ YP tO i. •lu.lnw «•Iqn «o atrnses .re according W I /SLZ to Alu.. Assoc. 1971 soars. with • factor of Safety for building erotluCts. HANGER ® A - Bor been !� � ' O 3 -TG A/un/ O/O. corsraucllor emits '110 SACS w�S�'dio. c%1lm SMS w/f§-did. .:�+ C' tFoi conn def., 7If• Fey 41 Ce( evty I. carry all footings tae• to fire undisturbed tonjoaT%fe alCto/ CarnposAfe Ane11a/ see Cone Slab ' �` wI 1. woo. /eslg sol I ernwr• . 510 0./. �L^_f 1. Concrete .NII haw • Strength of 2000 PSI. ncop�••ene wosr5er negareAfe .fhoSeSer I IAF Redhead ma g .1.e 3. At tt«ini.shot Ir .1-iw'd1et other. .SECT �. C2 pry (4 foto/) Ih�J�/f� ,A ore/ectrvpAered 1 1 y• rlwnited or • - I bbb f B winced with •t«1 orirr •ed art finish. ' B COL krcAT rGQuo�wAdS�An I I ierf/ ; I i. s9 -«I fes[ener. %"II me stainless. CoL C /(9 -/on l or * lree?•d pu/bat fto/ae Co/ Cop / or�wA onaSor •Iraeinha• or tea= e1a[ed. •9 1x5''8 peied. ( IB lof 203'�per onersor 1 S. sws -she.[ rel fcr�rf. yR for row/ ' Cd.insrit/(/peren/J 3� �/ tr•• l •M.. a.n ed. T I B 6roekd - r.n.l •Well new 1n^ dl•. cn�o.in rel -.w -�_ L - •�. •" ' • ' n«er6. ar Enclosures shell rot «Itt[Iod t0 ml.feq. Z -F �Cd CoL.broatet I M V Earls anoxia -'/o-7 Doubt Awe Foscio SECT. Fr SECT F, CONCRETE SLAB �� L -Z XZ X� /nato�rerti'cal A EA -TM Awaoa cores Sp/ice FOSCAO r K 1. Earth anchor WII be as rufacwded by Lt E ' a, air. F .SpGet t, 0 A. e. clone. Co. yE•r[h •ncnor II - woeel 1410 _ y EARTH ANGNOR �T Earth anchor /1 - wo«1 x130 Steel arterial fh•11 nowe V, �►� /Y,' ni is ado, meld I'/= •Mtn. - • V, f[r.n tn. Al «res .nen a qa wnit.d. 1L / O'MAil. 3.00e/or �• •� :� E 6 >e �- Sall It On orll be «fire ash $Plite� An "P/fee �'Co/ hl 3• Ede/ sen - talose w11-q..da so" A" 1 /�,000.Y.042'• PLAN PLAN BhL i� P 3 9raw:, hard cher. 11l-grseed tinit • e d hod. se saw.• I + + I FaseAr 1 o/aw..n Co �c1aY, taae~c rs«ihehdwior, Idose tLwarM. sihW �I~' I fSp/ice •• - GONG 3-7G Akan f e edtaE P/-.t!•X/L'/_'. Prc cyto c > nor fo growl. 1 I I nlenber •f14.1 -c- c/Con 'AAurr Send se11ys containing Jorge laruets of ce.e•cted Send. c1e yy CUBE FOOT/NG SAFETY STAKE PFdtpnotc; wit nor "It' •I /Z' I P I e In I do oniZed wotcr following ESoll [ Mer• fnall not ed used in [r 2- BSMS I T I Sfce/-A36 q yeas° rinse. Spec No, /ZZ/78- rencearect fill. foow fir ••ntl, wt eby. r ' r r tri B A CJE OAA/ W/ T.H C_ OL (/MA/ ' dol n - ane f•turatee sl 1 t. /O Go P/ ASWA36 Slee/ 'rx 1 3ACo/ /F. S. - .- - r / FASC/A SPL /CE (8.toto/1 - 'S• ELEV ELEV ►"T-' �-f�- _Floc4 r,'c Porder e 1375 I e // Z-'BSMS(8sorotJ �OJC BEAM SPL/CE BET/✓EEN' COLS.-' Rox /4EAAyf �SPELli[`E AT � L S• "B'Redneod onehor, I yT ~ '`� -Y o: 3'Af: rdppcd gdK o s-38 Any+ pu//ouhJ57i A PI-/2•Y/L'x/LGo O o- SCNEDu4E-AWN/NG w/TN NO OYERNANG SGNEDULE-ArvN/NG W/TN OYERNANG /Ce%brockel edunn fo /2• / ASrM Ase steel YP 1 �'B w / i r wsA- k.,a � �},B I MODEL PROD NO. P TK. k coLL1 S/ob, Spike drfwo OOT/ TA80 /O 3'Y Co/ 72 /O '9-0' Z -O' 7=6•ON' T-/ 71-10• ob Sh "-P/o1e I. (TrR) (Tjp) (TYP) 750 7 h 9K0-3,{10ho/e --.1%__ .. l PLAN • ��--�i • Length • 2.35' - d.� 12 SOUR£ COLUMN COLUMN BRACKET 1nrt12A Gds. rerf. NSfo// cels. vrrT - - ELEV. I I t^C ELEV. SECT EL Ell' SEcT 3�S.�U4Rr COLUMN 3004-H36 A/um 6069-T6 A/rAn. C 8i $M1� AWN/NG W)TH NO OYERNANG /08SMS eCIC / `o8"s to S e C (eacd>sed i Deck 'e .tslee r I ��B per eo/ LnL Cop /!9'A(arsyl or Co/ Anser£.Ltlper CO/) Z- / 0 Co/ Cd..broekel SEcr. A, f$SMS eC'c. B -SMS E C �" /eneAlsvd onyl , Deck . /cfosdo LOpribno!J .040 Alum 3000-H36 or OLUMN LAP 0 .048`S7ce/ ASTM A996 Grt2d'c�YS= 40 kti. oo � �P r/vets or '/f SMS &12^C..'- ASTM A3L Steel , / 5 U beam spbcc SG �O zts I /so I AWN/N6 ' i'V/TN OYERNANO '�_ I - • ELPIC `-.ta•.ti9 roil I �BXI'� N'eod Screttr_'��•>--• T . Z-'BSMS, eo end G./4'e to penetrote of, o EAR TN ANCNO•R BRACKET k (1 foto0 slid ssl7oO/A7feo6er BIZ Of Ambi/chert 9I: I I ej Nut .18SMS C G'c O: ! U Exist .o p �• f J ut 1 dllbiAC•hoaie LM Week f, 3.00 Far" splice End Fotcio Z Xl B Non9er BOX BEAM FASC/A END FASC/A cOcl-T6 A/un7 t A Y SECT. Br -5063-TGAAuto GOG/- '• - `8 SMS C 94 7 3. SSS a! Dg P.722 N A A4_93 0 � `� M I i � �. r- Ndir-966X4'0 • beck V, End fo rci • 12a N I ~, I 0x2 EARTH ANCHOR �� V 7P Usc of o.e+-+aye soar Ndi.-9Gort f � II I r _EARTH ANCMOR I SECT. A' OGL FASC/A SPL/CE MEMBER '- Use in Poor yoodslai/ _ h typ COC3-TGMu•.) @ ctrEluL rOtcs 'B SMS e c SE[T C/ 7So n o, i I. design ideas: 10 list. twee • to oar: rlr N L7eck eSMS etG O: BI ' \ My a toed 10 oaf: UPI '/a sc0.+wed .Ith upon fool Insect N -`]l, F+ep•_ fvp• Krwningi:�n l.I to rwAl lr rafor•el• t..n•luc.nt or A Wick•/A/G &I'L t + �'��y�J[�/ a v �y�7(��p��yL tivnf«r«t f1a 101• SIC Kr«ninq of pt for. -116 thiknos.. 6063-T6 Alc rrr �c _ �. •\„ ��' 7. tsh wn:nq ftri ctur. wl l Ira att•ere �• thereto In • •lolble lomat i«, - escrowed i«ntlfl- ' I cation 1n•igni e. [moi/ YP tO i. •lu.lnw «•Iqn «o atrnses .re according W I /SLZ to Alu.. Assoc. 1971 soars. with • factor of Safety for building erotluCts. HANGER ® A - Bor been !� � ' O 3 -TG A/un/ O/O. corsraucllor emits '110 SACS w�S�'dio. c%1lm SMS w/f§-did. .:�+ C' tFoi conn def., 7If• Fey 41 Ce( evty I. carry all footings tae• to fire undisturbed tonjoaT%fe alCto/ CarnposAfe Ane11a/ see Cone Slab ' �` wI 1. woo. /eslg sol I ernwr• . 510 0./. �L^_f 1. Concrete .NII haw • Strength of 2000 PSI. ncop�••ene wosr5er negareAfe .fhoSeSer I IAF Redhead ma g .1.e 3. At tt«ini.shot Ir .1-iw'd1et other. .SECT �. C2 pry (4 foto/) Ih�J�/f� ,A ore/ectrvpAered 1 1 y• rlwnited or • - I bbb f B winced with •t«1 orirr •ed art finish. ' B COL krcAT rGQuo�wAdS�An I I ierf/ ; I i. s9 -«I fes[ener. %"II me stainless. CoL C /(9 -/on l or * lree?•d pu/bat fto/ae Co/ Cop / or�wA onaSor •Iraeinha• or tea= e1a[ed. •9 1x5''8 peied. ( IB lof 203'�per onersor 1 S. sws -she.[ rel fcr�rf. yR for row/ ' Cd.insrit/(/peren/J 3� �/ tr•• l •M.. a.n ed. T I B 6roekd - r.n.l •Well new 1n^ dl•. cn�o.in rel -.w -�_ L - •�. •" ' • ' n«er6. ar Enclosures shell rot «Itt[Iod t0 ml.feq. Z -F �Cd CoL.broatet I M V Earls anoxia -'/o-7 Doubt Awe Foscio SECT. Fr SECT F, CONCRETE SLAB �� L -Z XZ X� /nato�rerti'cal A EA -TM Awaoa cores Sp/ice FOSCAO r K 1. Earth anchor WII be as rufacwded by Lt E ' a, air. F .SpGet t, 0 A. e. clone. Co. yE•r[h •ncnor II - woeel 1410 _ y EARTH ANGNOR �T Earth anchor /1 - wo«1 x130 Steel arterial fh•11 nowe V, �►� /Y,' ni is ado, meld I'/= •Mtn. - • V, f[r.n tn. Al «res .nen a qa wnit.d. 1L / O'MAil. 3.00e/or �• •� :� E 6 >e �- Sall It On orll be «fire ash $Plite� An "P/fee �'Co/ hl 3• Ede/ sen - talose w11-q..da so" A" 1 /�,000.Y.042'• PLAN PLAN BhL i� P 3 9raw:, hard cher. 11l-grseed tinit • e d hod. se saw.• I + + I FaseAr 1 o/aw..n Co �c1aY, taae~c rs«ihehdwior, Idose tLwarM. sihW �I~' I fSp/ice •• - GONG 3-7G Akan f e edtaE P/-.t!•X/L'/_'. 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S 7 r AL 7- SAFE7► STAKE S �,,,,,�,• tee/ co/ any Y A- Safetyy stoke d / Z Co/, /2 4096 f • 4,s,x/>i'S/otfed e.ar• -' j•B -EX2X;fi VID See Bose Z'onn oyes Ari AS 7MA365feel SECT• giQledheod y p/K XO=3 /� h e � •aen..h�� �lehori✓S-/f'or A3eStee/ u SAFETY STAKE •� a...�.�. ATTACNEO MOB/LENOMEAN'r ..ez4 S-/4, orCruo/ j•• /v. - 'y Steel-A3C .rrfo.to pu//ou1'2o3� = Bi9° I-fi t+ o► 7r`"`re•�ewer. 1y i ' ""� �. "�'••••+dord RETE 1• Sec Schoch/e r % r - 307/ ESP& NRDE TE PAG - CQAt/CREtC SLA u2tr�r f /.gawwww-owneiiabie� CM/CO, CA. 9S9Pc (9/4) 343-7.'456 A'9%/41"a, CC/BE FOOT/NG , --i sen- a- sE:/ Q• A34 Steel dipped 90/v- or c/ecrMOO/oted ti Z-1 OEC 2 i 1111111"•"' • r9-. m - .:111 .iaAlOe► OLg? Z��i G fls1C ;r LATE FOOT/N6 • - -....r...9- u �•I J c CN /a u'eu _ 1 rTi MuI►t � �L�vA�i:iuN RIGHT .ELEVATION ry 11 rro WIVIri Af 9 (:5,0~14—' 4 PLAN INC=DIVJSINO. BUILDING PLAN APPROVAL --� Z o> Z(O r ParkIAq: Other' , ell_ PROPOSED REMODEL Ob�° NEW CONSTR. C� EXIST.o CONSTR. c = = TO SE "IREMOVED I.- J - J m .J Z w0 J� Lu _� O � fnWG = w W T-' e7 - Lu C J _�. %�o � O co N GAP CSC O f CFfiLiCKidC r�cw� 1n61JYV �......r..LJ1 BUTTE COt NNlATS JL S IZDI I NG DIVISION APPROVED lucn N TO BE PER LATEST (CODES• _ .__, _ _ ._ _ _ _ .. _ .__ __ S< w E N T C $e CMC - ELECT. CODE •EFFEC WE ainn005 j ENERGY CODE- EFFECTIVE 110/i/ � It shall be the responsibility of .'EXISTING FLOOR PLAN q ars � the BUILDER i the ! /}n CONTRACTOR to verify all conditions and dimensions ! frL. J prior to commencing work, and shall provide all blocking f 1 , cand flashing required for a complete job. yG�'i ` Dimensions to have preference over scale. i