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068-210-054
HUDSON, LAWERENCE 88 ARBOL AVE, OROVILLE`� Cont: OWNER ADD 84 SQ FT - KTCHN .a 68-21-54 MAX KOENIG 88 Arbol, Oroville ".° �y Contr: George Roofing/g / Permit#373-87.B(reroof/SF).../ 068-21-0-054 93-1731 P KOENIG, WILMA I 88 ARBOL AVE, OROVILLE f�rlgl CONTR: ROYAL FLUSH PLBG- b WTR HTR/SF l 068-21-0-054 93-2209 B I KOENIG, WILMA rj 1/'C \ 88 ARBOL AVE, OROVILLE�/ �� V NEW 2ND STORY DECK RAILING/SF V 068-210-054 02-2819 HUDSON, LARRY & CARRIE 88 ARBOL AVE., OROVILLE CONT: MONTE PRATT RETAINING WALL 068-210-054 04-2618 HUDSON, LAWRENCE SS ARBOL AVE, OROVILLL Cont: C & G PLUMBING INSTALL GAS LINE 068-210-054 05-0435 HUDSON, LAWRENCE 88 ARBOL AVE, OROVILLE Cont: IST.RATE DANIEL REPLACE EX ELEC PANEL 068-210-054 05-0651 HUDSON, LAWERENCE 88 ARBOL AVE, OROVILLE Cont: ARTIC AIRE CHG HVAC PKG UNIT 0(0g R)o vs4 us-� 8U A 101 �XmL ��`� . , e, �e,�, wo 'O"i de'/f.O KOENIG,- Max -- '--Y,225-67F 71618E 477-68B* V1387P 412-68p-,,, &-1-4-2E ,_� 08-68E* 34-17-54 88 Arbol Ave. Oroville CONTR: Gene Martin,3706 Ashley Ave., r ov�1�=_ (*swimming pool - Holida Pools Chico) �o - 6 3 . �a U � or I 2 5 �( NOTES SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 J619 FINALED (Date) -� Signature 7 RESIDENTIAL EMIT NO. 068-210-054 OS -1839 HUDSON, LAWERENCE 88 ARBOL AvE, OROVILLE Cont: OWNER 7�414 G, — - Ff d t ;e if 1 i �S tri SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 J619 FINALED (Date) -� Signature 7 J=OK 0 = Not OK - = Not Applicable . =Not Headyeady . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L W P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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-Connecto? 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s Z ing-Setbacks-Easements-Flood-Slope ?o-'Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg_, Garage; Soils -Ste I-Elec. Gmd.-/ P' Ftg. Depth 4. %., Porches & D ; Soils -Steel-/ r Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 6. 51iemwalls, Garage; Steel- Blockouts-Wra ed . H Id Downs and Special Anchors Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 (,uT Date Card B-1 Date Card B-1 Date Card B-1 Date PLU BING (Permit) OK except #'s 141'.' Water Htr.; Vent -Access -Combustion Air Baffle 13" Water Pipe; Test & Anchor -Nail Protection 1 D.W.V.; Test Fittings & Anchor -Nail Protection VK Shower Pan; Test, First Floor -Tub Access Datq-Z 21. 3est Tub & Shower, Second Floor -Tub Access Date Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler, Test C. Ducts Insulation & Support Date , Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection to E1ec. Receptacles Spacing -Lights & Switches at Doors Mate' size Boxes & No. of Conductors Stapled Date Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in K>Tchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Win: Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Ad -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Dpaft Stop in Walls (rat proof) e'Stops; Furred Ceiling's -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA 214G (Continued) 4;b9hgers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. shear Walls; Nailing -Bolts 62. Insulation -Walls -Ceilings Infiltration -Walls -Windows Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Flns)OK except #'s .Steps -Door &Sidelight Protection -Landings 1W ,)%rhoke Detector Furnace Vents -clearance -Comb, Air-Connector- arage; Above Floor-Ducts-Mech. Protection om Exiting & Bath Fixtures & Tub Access -Spa 617 E ec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.EI.)-Romex Protection 80. In ulation-Foam-Looked in Attic C3wd Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InsUdJ[Mve 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearahce to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House I ss Protection 0410"Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. VAter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Cer fficate-Other Certificates Address Posted 96. Fre Sprinkler Date �,r2 f -CQ Card B-1 W Date Card B-1 Date r' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. 9lothes Closet Light -Shower Light -Spa Light &51/Smoke Detector Datq-Z Card B-1 , r Date Card B-1 Date Card/13-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s C. Ducts Insulation & Support ef Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Aft -Return Air Vent 115 Outlet 40. Attic Access & PlVkrm ff Furnace in Attic to Card B-1 ' Date Card B-1 Mate' Card B-1 Date Card B-1 Date FRA ING (Permit) OK except #'s Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Dpaft Stop in Walls (rat proof) e'Stops; Furred Ceiling's -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA 214G (Continued) 4;b9hgers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. shear Walls; Nailing -Bolts 62. Insulation -Walls -Ceilings Infiltration -Walls -Windows Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Flns)OK except #'s .Steps -Door &Sidelight Protection -Landings 1W ,)%rhoke Detector Furnace Vents -clearance -Comb, Air-Connector- arage; Above Floor-Ducts-Mech. Protection om Exiting & Bath Fixtures & Tub Access -Spa 617 E ec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.EI.)-Romex Protection 80. In ulation-Foam-Looked in Attic C3wd Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InsUdJ[Mve 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearahce to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House I ss Protection 0410"Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. VAter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Cer fficate-Other Certificates Address Posted 96. Fre Sprinkler Date �,r2 f -CQ Card B-1 W Date Card B-1 Date r' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE _Jj!� 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 anv questions oertainino to this matter. or need additional � Date f, 4, v j� Inspector ,+1 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 AQ `"--) k - C, J, G' .+IA► _ "p i. ROOF Z. CELSO Mors 7MpeE._ .. lend IIdmon 0.25 .� _.,.._ B=dfftm jmbmmmft siubob-Ilrbola de arsq■wft tiadftw71Mwdi of V j i1idarmskaa�._._._=:5 _.. J WIMFLOOR/PL 'SER smodobww dft 760a iilwal" os 13 �. F�UlaA7�itAlAtL -�iM erslQirwne . �Iral�es�� _ ilaill�nae CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 06 t 120 �' ��- �ezJ,,i-i,, Com, sem-. Project Address Builder Name Buil Contact Telephone Plan Number �' HER ater Telephone SamWe Group Number 3 �G U Certifying Signature ate Sample House Number Firrn: i �c� w�.0 f`� HERS Provider: Street Addres6X411b / City/State/Zip: Copies to: Builder, HERS Provider and Building Department HERS RATER COMP�NCE STATEMENT The house was: -/2 Tested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested�compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tes d buildings. The installer has provided a copy of CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ucts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ ❑ 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 Ei 1 Enter Tested Leakage Flow in CFM: Mq L 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: L200 ✓ ✓ 3 Pass if Leakage Percentage <_ 6% [ P00 x [__(Line # 1) / (Line # 2)]] ❑ Pass ❑ Fail Residential Compliance Forms March 2005 INSTALLATION CgRTI]FICATE (Page 4 of 12) CF -6R Site ,Address Permit Number INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE Copies to: Builder, HERS Rater, Bolding Owner at Occupancy and Building %+-parrmeyt INSTALLER COMPLI LE STATEMENT The building was: ✓ E?1'ested at Final ✓ 13 ; Cited at Rough -in INSTALLER VISUAL INSPECTIONAT FINAL CONSTRUCTION STA ;F-: Q.- C'emove at least one supply ane one -return register, and vent, that the spaces between the register boot and th•: interior nishing wail are properly sealed. !ffiIf the house rough -in duct leakage test was conducted without an air bandler Installed, inspect the connection points een the air h=dier and the supply and return plenums to verify that the conncctian. points are properly seined. Inspect all joints to ensure that. no cloth backed tubber aehasive duct tape is used ✓ ❑ DUCT LEAKAGE; RE UCTION Procedures for Wd veriflcadon and diarnostic lesfine efalr are available in R,4Clf .4 m.41- ad -e t NEW CONSTRUCTION: ---- Duct Pressurization Test Results kCFM tat 25 Pa) I Measured Entex Tested Leakage Flow in CFNI; ` Values 12,� 1 Fan r""low: Calculated (Nominal: VQIC70oling r' Cl Heating) or v/ 0 Measured 1 2 If Fan Flow is Calcalzatod as 400 cfra/ton x number of tons or as 21.7 cfin/(kBvx/hr) x Heating I ?-O o Capacity in Thousands of Buhr, enter total Calculated or measured fan flow m CF'Mhehe � Vol ✓ 3 Pass if Leakage Perctmtagw< 6% for Final or S 4% at Rough -in: ! L[100 x [ (Lino # 171 (Line # 2111 D Pass D Fail rALTERATIONS: Duct System and/or HVAC Equipment C"A a -Out Eater Tested Leakage Flow in CFM from .Pre -Test of Existing Duct System Prior to Duct 4 Syatem Alteration and/or Equipment Change -Glut. Enter Tested Leakage Flow in CF11i from Final Test of Now Duct System or Altered Duct 5 System for Duct System Alteratiorn and/or Equipment Change -Out. _ Enter Reduction in Leakage for Altered Duct System T 6 inn # 4 Minus Line # 5)] - (Only if Applicable)) 1 7 , Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) E trrs New Duct System - bass if Leakage Percentages 6% for Final of S 4% at hough -in 8 [100 x L _(Liao # 5),' -Lint # 2)11 1 Cl Pass D Fail 'rIEST OR VERIFICATION STANDARDS: For Altered Duct System and /Dr HVAC Equipment Change- hanges ✓ ✓ Out Out Use one of the fotlowln four Teat or Verifleadon Standards, for_eumotiance: 9 Pass if Lrtakage Percentage i; 1.5% [100 x ( Ja gj!(Line # 5) ! j1po(Line # 2)]1 - I G .3 s O Fail 10 ss i Paf Leakage to Cltrtside Percentage S 10% 1100 x t _(Line # 7) / (Line # 2)]] ❑ Pass © Fail Pass if Leakage Reduction Percentage 2:601/9 (100 x (Line # 6) / (Lina # 4)]] 11 and Verification b Smoke Teat and Visual tion ® Pass Q Fail 12 1 Pass if Se "fin of all Acem1ble Leaks and Verification b Smoke Test and Visual [ ection ZI Pas p Fail Pant If One of Lines # 9 through # 11 pass ❑ Pass ❑ Fail v L 1, the underaigped, verify that the above diagnostic test results and the work 1 performed associated with the test(s) is itr coaformancc with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Duets, •Plenums ar►d Fana comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency Standards. Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Naine) (-lvfS 0-100 I -X. 6- tA-IV1_ Rcsidcntial Compliance Forms lanaary 200S BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO51839 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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: 06/20/2006 APN: 068-210-054-000 the Business and Professions Code, and my license is In full force and effect. License Class: "J License Number: 3`Z3c( tct Site Address: $$ ARBOL AVE ORO Date: ' Zo C> Gontractor�:�:� Map Index: Description: ADDITION 189 OPEN 154 p OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner. HUDSON LAWRENCE H &CARRIE M to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 88 ARBOL AVE 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 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).): ❑ 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' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: HUDSON LAWRENCE H &CARRIE M such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for 88 ARBOL AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95966 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: BURTENSHAW CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code 5415 MINERS RANCH RD Date: owner: OROVILLE, CA LIC# 393919 95966 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-589-5266 ❑ 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 License #: is issued. I have and will maintain workers' compensation insurance, as 10 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: Insurance carrier and policy number are: Engineer: Carrier: d (4 t- r41,117 Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 316 S.F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $12,070.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . l S) Date: �, Zv -, v c�' Applicant: WARNING: Failure to secure workers' compensation coverage Is 7 3�V unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of CJ n I C(j7 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. / J F GO QI r7 i CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Butte County Code and/or 1 hereby affirm that there Is a construction lending agency for the Resol lions to do work indica ed a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)\, //���0 �� I Date: �(] V Name: By' X)- 02 Address: PERMIT EXPIRES ON: W (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 represefilatives of Butte County enter upon the above mentioned property for inspection purposes. ` ,two em I. --'- Print Name: (a In u " `vt� Gr ``� Signature: Date: ,1�'" Z f3 "." V ❑ Owner l -Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP051839 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 V 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: 06/20/2006 APN: 068-210-054-000 the Business and Professions Code, and my license is in full force and effect. License Class : _�5 License Number: '3'? 3Rf fr Site Address: 88 ARBOL AVE ORO Date: C '20 -c6 Contractorr l Map Index: Description: ADDITION 189 OPEN 154 p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HUDSON LAWRENCE H &CARRIE M to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 88 ARBOL AVE 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: HUDSON LAWRENCE H &CARRIE M such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 88 ARBOL AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 9.5966 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: BURTENSHAW CONSTRUCTION ❑ I am Exempt under Article 3 of the Business and Professions Code 5415 MINERS RANCH RD Date: Owner: OROVILLE, CA LIC# 393919 95966 . WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-589-5266 ❑ 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 License #: is issued. 1 have and will maintain workers' compensation insurance, as 19 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: C _ Carrier: h q k S7 Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 316 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $12,070.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ��7 5 A Date: J 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 5%1.%7 compensation, damages as provided for in Section 3706 of the Labor /, /� code, interest, and attorney's fees. 'A 556 LU 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 Reso�tions todo work indica ed above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /n -20-�� Date: Name: By �G Co— PERMIT EXPIRES ON: 90`O 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 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 represeptatives of Butte County to enter upon the above mentioned property for inspection purposes. ��'A Print Name: �lQ N u �� �`�� Signature— �" — Oro Date: ( ❑ Owner r& Contractor ❑ Agent for Owner ❑ Agent for Contractor V B. C. Building Permit 01.16.04 pg 1 0_4, 41 ► 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 LA A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 0. Website: www.buttecounty.netldds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last NametJ S©� Fi Name O t: e. y G AJ Address p 1i d D & �o / V, City a Stat Stat Zip �O Phone - O✓ 7 f / )/ 7 •j7 7 Fax E-mail Lic. #3C 5) n APPLICANT NAME CONTRACTOR Name �� /•� Address City Fax Stat Zip Phone Map Book Fax E-mail Planner Lic. #3C 5) n I Class APPLICANT NAME ARCHITECT/ENGINEER Name City B V I/ �,p Address Zip S q j/ 11� y City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME ,o NameAl (sQ /Qli t—f,0C- l/ �,i Address 1 D VV O City B V I/ �,p State Zip S q j/ 11� y Phone 3 �S7V 11 J 7 Fax E-mail APPLICANT SIGNATURE X6�J?M� 4 jwY✓ For office use only: Zoning pertyAAddresl O / � / / V Flood Zone Cros S , S �� SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION �f AP# O(A �/ -- �o —a J 7 pertyAAddresl O / � / / V Cros S , S �� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work 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 b -- Amount: 1_� Q1 ` Bldg SRA Receipt #: �3L�S3q Sheriff SMIP Date: 7 ' Q� Other Total REV 2-24-05 „ SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a perr t. 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! t� 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 inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can ,only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 utte County Department of Development Services DNNE CHRISTOPHER, DIRECTOR WILLDAN o�UTTFo o o 0 0 COU N'�y Scott Rutherford (530) 538-7160 srutherford(cilbuttecountv.net Plans Transmittal For Review Per Contract 7/14/2005 Applicant: lHudson, Lawrence Permit No: 05-1839 Project Type: Addn 068-210-054 100% 70% Plan Check Fees $ 170.47 $ 119.33 $ 170.47 $ 119.33 WILLDAN Fee $ 119.33 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other County Center Drive 0roville, CA 95965 17 co (530) 538-7601 Telephone (530) 538-7785 Facsimile c TO: FROM: ' L SUBJECT: O z DATE: WILLDAN o�UTTFo o o 0 0 COU N'�y Scott Rutherford (530) 538-7160 srutherford(cilbuttecountv.net Plans Transmittal For Review Per Contract 7/14/2005 Applicant: lHudson, Lawrence Permit No: 05-1839 Project Type: Addn 068-210-054 100% 70% Plan Check Fees $ 170.47 $ 119.33 $ 170.47 $ 119.33 WILLDAN Fee $ 119.33 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPRO ED BUILDING USE C (A BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA-F-lood-e-lev.ation-rev'ew...$ --Additional plan checking Fee. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Chec 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$e, Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per -dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A. P. # b - &- DATE 3 RECEIPT # 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) rr `` 8. SMIP 5% cog 9. OTHER 10. OTHER 11. OTHER DATE REC. I , CL20-0(5 K.G 0 K.G• At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE -I' / � -0- Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) COUNTY OF BUTTE-DEPARTNIENT�GF,DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER icgo " 0— _ os— Proposed Building Use: a" Permit Technician. Date: 7/13�§/_ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other R ain'ms needed to issue the permit. (May require additional plan review upon receipt of the following items. 6anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable FireSprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ T), Erosion Control Plan Required........................................................................ psi' 20. 'Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit................................................:....................... ❑ 22. Site plan and business license approval from the C�yYsof Biggs .......................:....: . California Department of Forestla pproval Oipaid. Sent by: tanning approval for (A) Use: GNB (B)Parking: (C) Parcel Check: ............ W 01 ❑ 25. Contact Land Development about —Improvements, —Drainage ........................ :D' 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... t ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... 3 ❑ Legal description, ❑ .H. Title, tie search registration or MCO ......................... 3 ther: Other: L When issued Telephone - and hold for pit C ` � � c4z4e Z_ I have been informed of the above itemsand requirements for obtaining a building permit. �� 7_13—os Applicant: /', / Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required - ' fic) C actor, designe, was advised of the above data by phone, ❑ mail, ❑ counter, b Date: i r, designer, owner, was advised of the above data by ja' phone, ❑ mail, ❑ counter, by Date:W1 D4) Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: I I Date: Structural reviewed y: Date: Structural approved by: Date: Note transfer by. Date: 10 Yellow: Building Division E.M. USE ONLv_ Plot Plan Attached Floor Plan Attached Sent to BD/DS TO: Building Division = Development Services FROM: Environmental Health S BJECT: Sanitation Clearance )IJ nr-i�s Own r Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for dwelling. Other '�h x. �;LQ-2�A L q i( ) ,A 11 Hold final for: Final clearance O.K. for: NOTE: l _lin Envir tal Health Specialist Date Building Clearance 9/2005 I %:i1:Y'i�J.1:. ���f.i' �ri,tP�': ti;� __ •:4�<^;�>'., c� _ '�' s&is•.s ts4x, �:'f�e N*a� �.�... ,7r��--tu,.. . ewr.S`,R.x.�s.Jr_,, i.., k� a z ..bLr:3:! Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is,received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES X'] NO [ ]. 2. I HAVE [� ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: a / 3 — O �5' NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile b'�ia6 ��Vi-: �IL; �I k0 n�IYONs Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. C. Vieir4 C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Public Works Department of C o u n t y o f B u .,. LAND DEVELOPMENT DIVISION ® J. Michael Crump, Director >" € Storm Water Management Program 7 County Center Drive U ( Oroville, CA 95965 p �g (530) 538-7266 �Lic wloF (FAX) 538-7171 National P®llutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE1 4, Project Description: ° ,4.,_ ted Adl DSI Project Location andlor Parcel Number: -0 He Go ,b,;/; -p By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provideti by law. Signed: Title: Date: -7,(3"0S i W I LLDAN Serving Public Agencies December 7, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1839 Assessor's Parcel No: 068-210-054 Description: Hudson-Addn Willdan Project No: 14353-1781-M Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheets through 2 dated 5/05, revisions not dated, by LK. * Energy Calculations: Two (2) copies of a completed Butte County Energy Compliance Package for Residential Additions dated 07/13/05. Energy calculations dated 11/16/05 by Max Ramirez. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the 2001 California Building Code (CBC). • Part 6, known as the 2005 California Energy Code, and Energy Commission Standards (CECS). W I LLDAN Serving Public Agencies CODE ANALYSIS 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. *This information is not consistent with that shown on the plans and permit application. Specific Use Type of Occupancy Type of Construction Stories 1s` Floor Sq Ft 2" Floor Sq Ft Total Sq Ft Dwelling Addition R-3 V -N 1 162 NA 162 Deck Addition R-3 V -N 1 Not Shown' NA Not Shown CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. 5. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms and hallways leading to bedrooms (may be either battery operated or 110 volt with battery backup) as required when the valuation of any addition made to a Group R -occupancy exceeds $1000 per CBC 310.9.1.2 through CBC 310.9.1.5 Y 6. The Title -24 -CF -1R -form shall be signed by the designer, owner or other person taking responsibility for the project design and the Title -24 -documentation author (where different). CES 10-103(a)l and California Residential Manual 1.4.8 7. HERS verification required for verified duct leakage per page 6 of CF -1R energy compliance form. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. SincereLA Isa ustex• Pl he, Cc: Alice Mefford, amefford(a,buttecountv.net, Lawrence Hudson, 88 Arbol Avenue, Oroville, CA 95966 Page. 2 of 2 Butte. County 05-1839 W.dl.daa 1 1353-:1781.-M.PC2F BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number L) • �� Jurisdiction: City E=COunty a Property Owner Property Location/Address C O `► Subdivision Lot No. Residential Development 'Sq. Footage No of Living Mobile Home '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 New Addition �1 Building Department Representative District Identification No. -15 l Sq. Footage (Including Exterior Roofed Areas) C.A• 13- 0(� Date Ov-ev 1 1 P im Ir•-� School District certifies that e. ,-C o.,, s a V -,- (Applicant) (Street Address) (Phone Number) dC—W 9,59 L 1. (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing I y ck square feet. School District 0 S.- 0 ko —00L by payment of $ ( G B 2926 S PULL MITIGATION $ Paid by Check # C Remarks: Q b --1 0 — Date Node*: You may protest the Imposition of the Mea Idendfled above by submitting a written protest to the District, In compliance, with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certlflation Farm, the School District is notified by the applicable Local Planning Agency that this project Is befog reviewed under the California EmdronnMntal QuaNty Act (CEa►). this project may be aub)ed to additional school fees to fully a t date its Impact on the school dhMWs sehoob. White (school district), Yellow (building department), Pink (applicant) Mafonn.xb (3P05)drbm T TITLE 24 REPORT Title 24 Report for: Larry & Carrie Hudson 88 Arbol Ave. Orroville, CA Project Designer: Report Prepared By: Max Ramirez Golden Sun Designs 2565 Zanella Way, Suite F Chico, CA 95928 (530) 894-8236 Job Number: 151605 -Hudson Date: 6/12/2006 BUTTS COUNTY BUILDING APPIR . VE ��a The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2005 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC - www.energysoft.com. EnergyPro 4.1 by EnergySoft Job Number: 151605 -Hudson User Number: 5733 TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Summary HVAC System Heating and Cooling Loads Summary 1 2 3 7 9 EnergyPro 4.1 by EnergySoft Job Number: 151605 -Hudson User Number: 5733 Certificate Of Compliance : Residential (Part 1 of 4) CF -1 R 1arr�& Carrie -Hudson 1,847 ft2 Existing Floor Area: 1,685 ft2 6J,2L2QQ6 Project Title Slab on Grade Area: 93 ft2 Average Ceiling Height: Date �_8_Arb_oLAace�Oxrov�.11e 1.00 Number of Stories: 1 # of Thermostat Project Address Units Zone Type Type Hgt. Area 28&4 Building Permit # GolderLSun_Dssigns _0.94-d Existing=Alterations (530) 894-8236 _OL -A2 Documentation Author N.ew .20-A5 Telephone Plan Check/Date �11eLg Pro Existing=Alterations New 11 Existing --Alterations Field Check/Date Complia ce Method ExistingAlterations New Climate Zone Existing=Altecations TDV Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 57.75 52.50 5.25 Space Cooling 66.96 50.63 16.32 Fans 12.59 11.44 1.15 Domestic Hot Water 12.59 8.17 4.41 Pumps 0.00 0.00 0.00 Totals 149.88 122.74 27.13 Percent better Building Type: Single Family ❑ Multi Family Building Front Orientation: Fuel Type: Fenestration: ❑ Addition DX Existing + Add/Alt (S) 180 deg Natural Gas Area: 323 ft 2 Avg. U: 1.04 Ratio: 17.5% Avg. SHGC: 0.68 BUILDING ZONE INFORMATION Zone Name Floor Area Volume 1% Total Conditioned Floor Area: 1,847 ft2 Existing Floor Area: 1,685 ft2 Raised Floor Area: 1,797 ft2 Slab on Grade Area: 93 ft2 Average Ceiling Height: 8.0 ft Number of Dwelling Units: 1.00 Number of Stories: 1 # of Thermostat Vent Units Zone Type Type Hgt. Area ±VAC_System 1847 1d 77R 1 nn -Conditioned- wetback- 2 -n!a OPAQUE SURFACES Insulation Act. Type Frame Area U -Fac. Cay. Cont. Azm. Tilt Wall Wood_ 72 _0_35.6- -None_ 0=00_ ---180----90 Roof- None 20. 0_50D_ done_ 0=_0_0 SBO _90 -W;;Il_ Wood_ -224 0_35.6_ -None- 0=0_0 x.8.0_90 Floor- Wood_ 1.,685.0...09.9_ -Vone_ 0=0_0_ 0_x_80 Wall_ Wood_ 264 _03.5.6_ -None_ _R=O_.0 _27.0_ 90 -Wall_ Wood_ 325_ 0_356_ done_ 0=0 0_ 0_ 9O Door- None- 8_ -0.50.0_ -None- _t3=0_0_ 0__90 -Wall- Wood_ _2.4.8_ -0.35.6_ done_ 0=0.0 _9.0__9.0 Root_ Wood_ x,.6.8.5_ -0.07k-R_110=0_0_ -18.0 0 FJoot_ Wood_ 112_ -0-0.34- _a=22.0=0 0 -0-----18-0, --Wall_ Wood- x_41 0_09.5_ X15_ _R=0_.0_ -1 0_ 9.0 -Wall Wood- 7 - 0.09.5_ -R-15_ _EZO.O _2Z0_ 9.0 -Wall Wood_ 91 0.0.95 0=15_ -JR00_ _90_ 90 Root Wood_ 205_ 0-032 -EL-30 _8=0...0_ -18.0_ 0 Gains Condition Y / N Status JA IV Reference Location / Comments Remoxed- 0.9A1 Existing_Alterations Removed_ 28-A4 Existing -Alterations Existing- -Al_0.9 .Existing --Alterations Existing_ 20A1 Existing -Alteration Existing- _0.9-A1 ExistingAtterations Existing_ 009=&1 ExistingAlte.rations Existing- 28&4 Existing=Alterations Existing- _0.94-d Existing=Alterations Existing_ _OL -A2 ExistingAlteration s N.ew .20-A5 Existing --Alterations New D9 --A4 Existing=Alterations New _0.9&4 Existing --Alterations New _009&_4 ExistingAlterations New 0J -A17 Existing=Altecations EnergyPro 4.1 by EnergySoft User Number: 5733 Job Number: 151605 -Hudson Page:3 of 9 1 Certificate Of Compliance: Residential (Part 2 of 4) CF -1 R Larry & Carrie Hudson 6/12/2006 Project Title Date FENESTRATION SURFACES True Cond. Location/ Area U -Factor' SHGC2 Azm. Tilt Stat. Glazinq Type Comments L -L1Cindow—tont (S- --7-6-0 --1-280 -tl6A 0_8.0 1t6=B. --18D_ _9D- RemovedSingte-Metal_Clenr -ExistingAlterations 2 Window Front (S) 23.7 1.280 116-A 0_80 116-B 180 90 New Single Metal Clear Existing -Alterations 3 Window Front (S) 52.0 1.280 116-A 0_80 116-B 180 90 Existing Single Metal Clear Existin -Alterations 4 Window Left (W) 8.0 1.280 116-A 0_80 116-B 270 90 Existing Single Metal Clear Existin -Alterations 5 Window Rear (N) 134.3 1.280 116-A 0_80 116-B 0 90 Existing Single Metal Clear Existing -Alterations 6 Window Right (E) 24.0 1.280 116-A 0.80 116-B 90 90 Existing Single Metal Clear Existing -Alterations 7 Window Front (E 61.3 0;340 NERC 0_34 NFRC 180 -9Q New LOW E Exi in -Alterations 8 Window Right (E) 20.0 0.340 NFRC 0.34 NFRC 90 90 New LOW E Existing -Alterations 1. Indicate source either from NFRC or Table 116A. 2. Indicate source either from NFRC or Table 116B. INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LExt. RExt. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 Bug Screen 0.76 8 Bug Screen 0.76 THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Condition Location/ Type (so (in.) Cap. Cond. R -Val. JA IV Reference Status Comments PERIMETER LOSSES Insulation Condition Location/ Type Length R -Val. Location JA IV Reference Status Comments Slab Perimeter 22 None No Insulation 26-A1 New Existing -Alterations Run Initiation Time: 06/12/06 13:39:29 Run Code: 1150144769 EnergyPro 4.1 by EnergySoft User Number: 5733 Job Number: 151605 -Hudson Page: 4 of 9 Certificate Of Compliance : Residential (Part 3 of 4) CF -1 R Larry & Carrie Hudson Standbyl Tank Insul. Water Heater # in 6/12/2006 Project Title Condition Factor Loss R -Value System Name Date (Btu/hr) HVAC SYSTEMS Location Heating Type Minimum Eff Cooling Type Minimum Condition Eff Status Thermostat Type HVAC System Central Furnace 80% AFUE Packaged Air Conditioner 16.0 SEER Altered Setback pre -altered for above Central Furnace 80% AFUE Split Air Conditioner 10.0 SEER Setback HVAC DISTRIBUTION Duct Duct Condition Ducts Location Heating Cooling Location R -Value Status Tested? HVAC System Ducted Ducted Attic 6.0 Altered Yes Hydronic Piping Pipe Pipe Insul. System Name Length Diameter Thick. WATER HEATING SYSTEMS Ratedl Tank Energy Standbyl Tank Insul. Water Heater # in Input Cap. Condition Factor Loss R -Value System Name Type Distribution Syst. (Btu/hr) (gal) Status or RE 1 (%) Ext. Takagi T -K2 Large Gas No Pipe Insulation 1 185,000 0 Altered 0.85 0.00% 0.0 Standard Gas 50 gal or Less Small Gas ple_altered for Above 1 40,000 50 0.57 n/a n/a Multi -Family Central Water Heating Details Hot Water Pump Hot Water Piping Length (ft)_ Add 1/2" Control # HP Type In Plenum Outside Buried Insulation 1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. COMPLIANCE STATEMENT This certificate of compliance lists the building features and 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. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designero�jOAF vi Owner (per Business& Professions Code) Name: p I IB uO OTC—k-11. 1, 11 IJ -Title/Firm: Cq, -� Address: { (S M ;w a S' l Telephone: 6 129 - SQL L Lic. #: G) z (signature) i3-b�o (date) Enforcement Agency Name: Title/Firm: Address: Telephone Documentation Author Name: Max Ramirez Title/Firm: Golden Sun Designs Address: 2565 Zanella Way, Suite F Chico, CA 95928 Telephone: 530 894-8236 (signatur (date) (signature/stamp) (date) Certificate Of Compliance: Residential: (Part 4 of 4) CF -1 R Larry & Carrie Hudson 6/12/2006 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. I Plan Field The DHW System "Takaoi T -K2" is a Laroe Storaae Gas water heater with Pilot Loss = 0 btuh. 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- ..LI.. -- -- p. -- uaL.y v. -v CIFFI M -&-ki Q I -W. rcnnl.a 1-1 II ICUIVYJ OIRJ III YiI WWICJJVIICY VII 111C,Vr-tn Plan Field installation certificate. The HVAC System "HVAC System" incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. EnergyPro 4.1 by EnergySoft User Number: 5733 Job Number: 151605 -Hudson Paoe:6 of 9 1 Mandatory Measures Summary: Residential (Page 1 of 2) MFA R 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 supercede the items marked with an asterisk (') below. 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. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. N/A DESIGNER MENT Building Envelope Measures § 150(a): Minimum R-19 in wood ceiling insulation or equivalent U -factor in metal frame ceiling. ❑ ❑K ❑ § 150(b): Loose fill insulation manufacturer's labeled R -Value: ❑ ❑X ❑ �§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not ❑ ❑X ❑ apply to exterior mass walls). § 150(d): Minimum R-13 raised floor insulation in framed floors or equivalent 1.1 -factor. ❑ 0 ❑ § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: ❑ ❑ ❑ a. closable 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. ❑ ❑ ❑ § 150(0: Air retarding wrap installed to comply witt§ 151 meets requirements specified in the ACM Residential Manual. ❑ ❑ ❑ § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ ❑ ❑ § 150(1): Slab edge insulation - water absorption rate for the insulation alone 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 installation quality standards. Indicate type and El N El CF -6R Form: § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls. ❑ ❑K ❑ 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ❑ ❑X ❑ 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain ❑ ❑ ❑ Coefficient (SHGC), and infiltration certification. ❑ ❑K ❑ 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ ❑X ❑ Space Conditioning, Water Heating and Plumbing System Measures § 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission. ❑ ❑X ❑ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. ❑ ❑K ❑ § 150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ ❑X ❑ § 1500): 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 R-12 or greater. 2. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external ❑ ❑ ❑ insulation or R-16 internal insulation 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 ❑ a ❑ 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. ❑ ❑ ❑ 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment ❑ ❑X ❑ maintenance, and wind. 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed ❑ ❑K ❑ entirely in conditioned space. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation. ❑ ❑ ❑ EnergyPro 4.1 by EnergySoft User Number: 5733 Job Number: 151605 -Hudson Page:7 of 9 Mandatory Measures Summary: Residential (Page 2 of 2) MF -1 R 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 supercede the items marked with an asterisk (*) below. 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. DESCRIPTION Instructions: Check or initial applicable boxes when completed or check N/A if not ENFORCE - applicable. N/A DESIGNER MENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) § 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, ❑ X❑ ❑ 605, and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minumum 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 plenums defined or constructed with materials other than ❑ ❑X ❑ sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and 2. System is installed with: support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause ❑ ❑ ❑ b. Cover for outdoor pools or outdoor spas. ❑ ❑ ❑ reductions in the cross-sectional area of the ducts. ❑ ❑ ❑ § 115: Gas fired fan -type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously ❑ © ❑ 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive ❑ ® ❑ duct tapes unless such tape is used in combination with mastic and draw bands. § 150(k)1: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table ❑ ® ❑ 4. Exhaust fan systems have back draft or automatic dampers. ❑ ® ❑ 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operating ❑ © ❑ dampers. ❑ X❑ ❑ in Section 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment ❑ ® ❑ maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are ❑ ❑X ❑ retardant and provides shielding from solar radiation that can cause degradation of the material. always on option. § 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and are ❑ X ❑ ❑ 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" 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 fan -type 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 (i): Cool Roof material meets specified criteria ❑ ❑ ❑ Lighting Measures § 150(k)1: 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). Ballasts for lamps 13 Wafts or greater are electric 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, ❑ X❑ ❑ luminaire has factory installed HID ballast. § 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50% of the Wattage, as determined ❑ X❑ ❑ in Section 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. ❑ X❑ ❑ OR are controlled by an occupant sensor(s) certfied to comply with Section 119(d). § 150(k)4: Permanently installed luminaires located other than in kichens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy luminaires (except closets less than 70 ft) OR are controlled by a dimmer switch OR are ❑ ❑X ❑ controlled by an occupant sensor that complies with Section fl9(d) that does not tum 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 ❑ X ❑ ❑ certified 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 including 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). § 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sections 130, 132, and 147. ❑ ❑ ❑ Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Section 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 occupant sensors) certified to comply with Section 119(d). EnergyPro 4.1 by EnergySoft User Number: 5733 Job Number: 151605 -Hudson Page:8 of 9 WAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Larry & Carrie Hudson 6/12/2006 SYSTEM NAME FLOOR AREA HVAC System 1,847 ENGINEERING CHECKS 11SYSTEM LOAD Number of Systems 1 Heating System Output per System 37,000 Total Output (Btuh) 37,000 Output (Btuh/sqft) 20.0 Cooling System Output per System 37,400 Total Output (Btuh) 37,400 Total Output (Tons) 3.1 Total Output (Btuh/sqft) 20.2 Total Output (sgftrron) 592.7 Air System CFM per System 1,250 Airflow (cfm) 1,250 Airflow (cfm/sgft) 0.68 Airflow (cfmrron) 401.1 Outside Air (%) 0.0 Outside Air (cfm/sqft) 0.00 Note: values above given at ARI conditions EA 25.0 of 0 Outs 0 cfm 65.7 of Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM ISensiblel Latent CFM I Sensible 1,740 42,944 1,04 1,445 54,290 0 5,238 5,771 0 0 0 0 0 0 0 0 0 5,238 5,771 53,420 1,04 65,833 Luxaire DAYP-(T/W)036N045/70/9 32,369 1,531 37,000 Total Adjusted System Output 32,369 1,531 37,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 pm Jan 12 am RICS (Airstream Tem 65.7 of ■ 105.0 of Heating Coil -�@J Supply Fan 1250 cfm 105.0 of 30 Supply Air Ducts 100.7 of ROOMS 70.0 of K Return Air Ducts 4 (COOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Coolina Peak) 02.9 / 71.4 of Outside Air 0 cfm 81.9/63.5 of 81.9/63.4OF. 55.0/53.4OF Cooling Coil 0 Supply Fa 1250 cfm 55.0 / 53.4 OF Supply Air Ducts Fan 58.9/54.9OF 41.0% R.H. IROOM7S 78.0 / 62.2 of h Return Air Ducts 1,1 EnergyPro 4.1 by Energysoft User Number: 5733 Job Number: 151605 -Hudson Page:9 of 9 NOTES PERMIT NO. RESIDENTIAL 068-210-054 05-0672 HUDSON, LAWERENCE 88 ARBOL AVE, OROVILLE Cont: GREENE & SON ROOrING REROOF 25 SQ 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �f 01 t c�� G I e v� A UA_ 0" 4.4/fir bol oh N6 affv�� JOB FINALED (Date) 3"16 16 os Signature U &kQAIW CHECKED BY J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 50. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BP050672 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/14/2005 APN: 068-210-054-000 the Business and Professions Code, and my license Is In full force and effect. License Class -D License Number:J / Site Address: 88 ARBOL AVE ORO Date: Contractor: ��yt'P'/�y�S dam`^ Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE ROOF 25 SQ.'S COMP Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Coder Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HUDSON LAWRENCE H & CARRI E M to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 88 ARBOL AVE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95966 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GREENS &SON ROOFING 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 PO BOX 2467 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 PARADISE, CA 95967-2467 sale:). 530-873-3940 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). Contractor: GREENE & SON ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code' PO BOX 2467 Date: owner: PARADISE, CA 95967-2467 530-873-3940 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 #: 275057 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carder: fsr TVL`ru� `� Policy#: ,1 �' S3� �Z— otal Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 Issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: s ���--�--- WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 4/(�. 1�cv 2 ���� CONSTRUCTION LENDING AGENCY is lending agency for the This permit Is hereby issued under the a pi able provisions of the Butte County Code and/or Resolutions to Vlo work Indicated above for hich fees have been paid. Jtc\— I hereby affirm that there a construction Civ.) // performance of the work for which this permit is Issued (Sec 3097 . By: Date: 15J/ w Name: PERMIT EXPIRES ON: Address: (gate) ❑ 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 & Safely 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 slate 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. ��QSignature: CPrint Name: ') —� `� _Q Date: .' ❑ Owner ractor ❑ Agent for Owner ❑ Agent for Contractor D. l.. Duuuin4 rwil" L v -,�-v� yH BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP050672 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date 03/14/2005 APN: 068-210-054-000 the Business and Professions Code, and my license is in full force and effect. *7 - License Class; License Number: /r% .27 Site Address: 88 ARBOL AVE ORO Date:Contractor: ��i Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE ROOF 25 SQ.'S COMP Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HUDSON LAWRENCE H & CARRIE M to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 88 ARBOL AVE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95966 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of�property who builds or improves thereon, and who does Applicant: GREENE & SON ROOFING 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 PO BOX 2467 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 PARADISE, CA 95967-2467 sale.). 530-873-3940 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not Apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: GREENE & SON ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code PO BOX 2467 Date: Owner: PARADISE, CA 95967-2467 530-873-3940 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 #: 275057 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. vkI have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and number are: �policy ra;o Fwd k Carrier: E Je otal Square Ft: 0 S. F. Policy#: .10753/. 1-L-- ❑ 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply w,itrh' those provisions. Date:��cc��`� 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. _ /2 412 -(,W/ � Q l 1'nGU,74 S CONSTRUCTION LENDING AGENCY This permit is hereby issued under the p i able provisions of the Butte County Code ancLor I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated abov,6 fory4hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)_t� By 17ADate: / Name: PERIRES ON:- EXPt T1_ (l(,ga/� Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives ofButte County to enter upon the above mentioned property for inspection purposes. Print Name: " VG- = Signature: _ f `Y —0 Date: ❑ OwnerFactor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Na D First I}ame e G Address q8 4 e Z> City tZip g ' 3 ydPhonJ34✓ City a_ rF E-mail APPLICANT NAME CONTRACTOR Name City Address Address City City c�` s r� Stag Zip 7 Phone (� y73 D Fax E-mail State License Number Lic. 4� APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Name Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPL ANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCA�T�IOON 54 Pr Address c� OVy X 0 4I Cit I Cross Stre t �sU,&_ )'FLc7 WORK R'S COMPENSATION Policy N/ 7�.51 9 2__ Carrierj �Jt�P,_ 3 :1 ) If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. c Other Total LENDING AGENCY Name Address Description or S ope of Work: ad Sq. Footage 9-15' ❑ 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: c� / . `S" Bldg SRA / Receipt #:�/,� �! Sheriff •'s I SMIP Date: c Other Total Page 1 of 2 REV 2-24-05 t SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ - 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BP050651 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/10/2005 APN: 068-210-054-000 the Business and Professions Code, and my license is in full force and effect. ;' , C ?_0 License Number: ?_3-4q 122 License Class-: ' Site Address: 88 ARBOL AVE ORO Date: 1�L-0OBJ Contractor: %>�'L`i 1 G l�1�1i1I' Map Index: Description: chg hvac pkg unit 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 aHUDSON Owner: LAWRENCE H & CARRIE M permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 88 ARBOL AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 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 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ARTIC AIRF OF CHICO INC PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 2350 PARK AVENUE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95928 proving that he or she did not build or improve for the purpose of 530-895-3330 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: ARTIC AIRE OF CHICO INC pursuant to the Contractors' State License Law.). L)I am Exempt under Article 3 of the Business and Professions Code 2350 PARK AVENUE CHICO, CA 95928 Date: Owner: 530-895-3330 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 234913 ❑ 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 issued. Architect: a, 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 andpolicynumber are: lam Carrier: . c,2- Total Square Ft: 0 S. F. Policy#: �AA X Valuation: $0.00 ❑ 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: �7,T 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' ued up er the plicable provisions of the Butte County Code and/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 do ork indicated abov for whic es ve been paid. By Date:/ Name: PERMIT EX S ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 off Butte County to enter upon the above mentioned property for inspection purp�osses. ^ � Print Name: C \ �LJiRJ 4P� Signature:.'/ � Date: 'Q Owner Cl Contractor jeer WA -gent for Contractor B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** CONTRACTOR OWNER Last Name City � me Address Phor- ��_ City onDi ti �___ E-mail State cb Class Pho e.z , Fax Fax E-mail State Ucense Number CONTRACTOR Nameg� i�`�t✓ ( \'� Address _,�,Ahzy City � Statejk z:- Phor- ��_ Fax E-mail Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITEC IIENGINEER Name Flood ZoneSRAI Address City State Zp Phone 'Map Book Fax E-mail Planner State Ucense Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood ZoneSRAI Address City SC�tp. , I it 8 Phone 'Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning ProaAddress Flood ZoneSRAI Cross treet Yes No Occ. Type Const Subdivision Name 'Map Book Page Lot # Planner Date Approved: OVERFOR SUBMITTAL REQUIREMENTS C PERMIT NO. BPOS ,, BIN # LOCATION AN n65 _I In ProaAddress C;h, Cross treet WORKS 'S COMPENSATION Policy Number 43;5 Carrier (AC.t 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 Address Description o ope of Work: Sq. Footage �.-�Q ❑ 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 ReSmds 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 bye Amount ✓ -Bldg lel SRA Receipt #: �/ Sheriff �2 V SMIP Date: /D �� �S Other Total 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. BPO50436 B. C. Building Permit 01-16-04 pq 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 02/14/2005 APN: 068-210-054-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. '9 2 / q License Class: License Number: COQ Site Address: 88 ARBOL AVE ORO Map Index: Dale: Contractor: Description: REPLACE EX ELEC PANEL 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: HUDSON LAWRENCE H 8, CARRIE M permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 88 ARBOL AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ISTRATE, DANIEL owner of property who builds or improves thereon, and who does 5463 such work himself or herself or through his or her own employees, FOSTER RD. provided that such improvements are not intended or offered for PARADISE, CA. sale. If however, the building or improvements are sold within one 95969 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 530-872-8833 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: ISTRATE, DANIEL and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 5463 FOSTER RD. PARADISE, CA.95969 ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 530-872-8833 License #: 829964 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 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' Qcompensation 4"as3o provisions of Section 3700 of the Labor Code, I shall / forthwith comply with those provision Date: �� -- Qr, - Z �\ JJ 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 I hereby affirm that there is a construction lending agency for the This permit is hereby Issued under the applicable provisions of the Butte County Code nd/or Resolutio t ao work indicat d abov r w 'ch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date. Name: BY PERMIT EXPIRES ON: Address: ate) ❑ 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 S 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 he above informati rrect, and that I am the owner or the duly authorized agent of the owner. I agree to comply with u tion. I acknowle ge itis unlawful to alter the substance of any official form or document of Butte County. I hereby all county and state laws rela�County authorize representatives of pon th above me Toned property for inspection purposes. Print Name: - Signature: r Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name / _ w red C(�_ -uta First Name f i 2 U olSo � Address 8 Ll r J� o A 4--e- --2City City O MV'/f' Stated Zip 1 [b 1 1 N Phone j r� 3 p� �31� S3 /Q ` 1 Fax E-mail CONTRACTOR S Name n 12) I st rCt e Address 4 T -O 5 -rem jZ c City -Ta ra of i s State C j4- Zip g j G I Phone 2 D > o Fax E-mail Lic. p2 q c Classc APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Flip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address �Q g r O I � bo /�s'j Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP 0SD �3 BIN # LOCATION API QG8 lf5Y Property Address �Q g r O I � bo /�s'j City �rOUr� P 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: C eta n e-r'e-R Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 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: V v Bldg � ��[[ SRA Receipt #: 'zl'► Sheriff Date:d / /q/co— Page q co SMIP Other Total REV 7-27-04 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement. of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry, plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7-27-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE All: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042618 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: APN: 068-210-054-000 the Business and Professions Code, and my license is in full force and effect. 7 License Class: &6s L � 3 � License Number Site Address: 88 ARBOL AVE ORO Date01-216 elContract Ma Index: p Description: INSTALL 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: HUDSON LAWRENCE H & CARRIE M permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of gg ARBOL AVE 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: C & G PLUMBING owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1950 KITRICK 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 530-533-7696 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: C & G PLUMBING pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 1950 KITRICK OROVILLE, CA 95966 Date: Owner: 530-533-7696 _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #• 588567 ❑ 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 issued. Architect: 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 insuranceang policynumbe r are: �t Carrier:_ Total Square Ft: 0 S. F. �j/�„� 7 2— _ Policy #: Valuation: $0.00 ❑ 1 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 compensation provisions of Section 3700 of the Labor Code, e, 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 er by issued under the applic ble provisions of the Butte County godA nd/or I hereby affirm that there is a construction lending agency for the Resolution wo*indicated ove fo is ees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 7 O Name: By: /an�te: PERMIT EXPIRES ON: 66 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 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 o ficial form or document of Butte County. I hereby authorize repres Lrtatives of Butte County to enter upon the above mentioned property for inspection purp S. I Print Name: I Signature: `// Date: ❑ Ownercontractor 0 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Lasta ,OXFAor/ip irs Name �h22 Ad ress ! �� Address zip :S � Phone�3v^ S 33 `"�C 9 J) P one Fax E-mail CONTRACTOR Name Address St Address zip :S � Phone�3v^ S 33 `"�C 9 J) Fax E-mail Zip CI _ APPLICANT NAME ARCHITECT/ENGINEER Name St Address P'!o o ^5.33 _ 36) City E-mail State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name ,/✓ Address Sv A City�� v ✓ � St S � � P'!o o ^5.33 _ 36) Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Pr eJ A 81ddress Flood Zone Cro , S reet SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. Bpap4 BIN # LOCATION AP# �=aio' Pr eJ A 81ddress Cro , S reet 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 IDescription or Scope of Work: OVER FOR SUBMITTAL REQUIREMENTS Ll K:IFORMSWILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 Sq. Footage 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(__W"\ Amount: Bldg Gff� SRA Receipt #: aI `v Sheriff SMIP /-7 / Other Date: l t/ Total REV 7-27-04 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). El 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 merunas can omy 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 K:\FORMSIBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 i NOTES RESIDENTIAL X 068-210-054 02-2819 PERMIT NO. _ HUDSON, LARRY Esc CARRIE 88 ARBOL AVE., OROVILLE CONT: MONTE PRATT RETAINING WALL SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 12j'wdlbw�l_ JOB FINALED (Date) - Signature .0 K Y i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 12j'wdlbw�l_ JOB FINALED (Date) - Signature .0 K J = 014 0 = Not OK . = NotReadyabfe DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect . 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except#'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch. 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements . 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve . 5. Electricity; MH Test. 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except#'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date 35. Smoke Detector Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 36. A.C. Ducts Insulation & Support 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Hangers -Post Caps -Anchors -Connectors 34. Clothes Closet Light -Shower Light -Spa Light 48. 35. Smoke Detector 49. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 36. A.C. Ducts Insulation & Support 52. 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Property Line Firewall & Openings 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 54. 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting - 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive O Yes 0 No/Walks O Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION s. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 9_ r 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date �� UZ�Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 DZ0, 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-210-054 ZONING BUILDING PERMIT OWNER OWNERS MAILING ADO ESS 88 AREM WE. CONTRACTOR'S NAME 9 QROViLLE5GA TELEPHONE TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 COTlt.LQC O $S OOO.00 CONTRACTORS MAILING E&RISS CN LENDER % CONSTRUTIO Fireplace LENDERS MAILING ADDRESS Total Valuation $ � 000, 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 162.00 - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee s 105.30 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 287.30 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: RF'f'ATNTNG- WA -11 M7� GAPAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDA 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 A*full force and effect.POWER 5t License Class - Lic. No. �i(:oCrsr OWNER -BUILDER DECLARATION I 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 Main Service zooA TO I000A 46.00 NEW CONST. DWEWNG OCCUP. ADDNS.�TLS. ( � 5Qso. FT. MUACCOuOR NEW CONST. NON-RESID. 97.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDTTURES zo @ ,.00 BAL @ .50 Ex. Occup. 0' EDs R= DE... 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers"compensa ' !> su�nce carrier and policy number are: Carrier Policy Number (The above sections need not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with os ovision X _Date R. Signature of g Applicant - Owner 'Contractor ❑ Agent permit is reir d for excavations over 5'0" deep and demolition or construction An OSHA 4 of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 287.30 HAZ. D. FEES IMP FLOOD _ This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON COF PARCEL PD HD ISSUE the applicable provisions Resolutions to do work been paid. p x at1® d Uz �0d Dat AeceiptNo. WHITE-D.D.S.- . A SS OR PINK -INSPECTOR GOLDENROD -APPLICANT 'lam•" , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA` 95965'Phone (530)538-7541 Fax (530)538-2140 C PERMIT APPLICATION DATA SHEET G OWNER: T ," `� ` ✓`�Y� ASSESSOR PARCEL NUMBER O' 010, 054l Proposed Building Use: n'l'nG. Counter Technician: Date: Icia - 0a Items required in order to apply for aper it. All boxes MUST be checked OR ma ked NA in order to apply. 1.. Plot plans, 3 or.4 sets, signedk the preparer of the plans. -- 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. t 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. - (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... P 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑. 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 5. Statement of Intent for Non -heated and A/C Buildings ..................................... .. . 16. Sanitation and plot plan approval from the Environmental Health Department in 0 G ❑ 17. City of Chico Plumbing permit........................................:................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items d requirements for obtaining a building permit Applicant: Date: V 1. Indexermit application for th a v p pp bo a Mems numbered. Plan Check Letter 2. Additional items required Contractor, designer,. owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above ata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: O /7 v Z Plans approved by: Date: / 017 - Structural reviewed by: Date: o Z Structural approved by: . / Date: U o t Note transfer by: /u Date: Vrlln- Rnildino r)i.ricin., FNEW 8-21-0-054 IG, WIC 93-2209 B. RBOL 2ND AVE, OROVILLE STORY DECK RAILING/SF f i ,r —'t�'�-y1ca'' f*�Tgs�-r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 9 APPLICATION AND PERMIT �--� ASSESSOR PARCEL NUMBER 068-210-054 ZONING 1 BUILDING PERMIT OWNER 1411ma Koenig TELEPHONE 533-890 SQ. FT. OCC.1 BUILDING VALUATION i Est. 300.00 OWNER'S MAILING ADDRESS 88 Artiol Ave. Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 300. LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $15.00 ARCHITECT OR ENGINEER LICENSE No. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 88 Arbol Ave. f3rtrovill@ Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF FA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 615.001 TYPE OF WORK New ❑ Addition _ Remodel Ell Utilities ❑ Installation ❑ Other Describe work: New Railing On 2nd Floor DecV } _ Approx 32 Feet Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 Main service 200A TO 1000A) CONTRACTORS LICENSE LAW I declare under enact of perjury (checkone): penalty r p I y )• ❑ 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.SINGLE License No. Classification 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) ❑ 1, 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 OCCUR.!! OR ACDNS. ACC. BLDGS. ) _37.50 3.64 sq.ft. NEW NON•RESID R. BRANCH CIRCMULTI-OUTLEUITS ` 5.00 POWER APPARATUS e OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES 20 76d A FIXED APP LHS. OR EX. Occup. OUTLETS IRESID.) EA.) j 3.00 Temporary service 15.00 Home Facilities Mobile Ho 15.00 Misc. g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I 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 15.00 Heating Cool in g 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 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 said County in consequence of the granting of this permit. X I 7'A Date ' 7 y Signature of Applicant — Owner g Contractor ❑ A ent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. g Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $30.00 HAz 1 1)FEES I IMP I FLOOD I CDF I PARCEL I PO HD ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above fprlwhich fees /• ff DIRECTGR F PUB C,WORKS BY � / �/ PERMIT EXPIRES D`aie applicable provi- resolutions to do have been paid. 9�. �t� Of 3�tSU Receipt No. WHITE-D.P.W.. TELLOW-ASStSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 068-210-054 ZONING BUILDING PERMIT OWNER TELEPHONE Willma Koenig 533-890 OWNER'S MAILING ADDRESS 88 Arbol Ave. Oroville 95966 SQ. FT. OCC. BUILDING VALUATION Est• 300.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 300.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 30,00 PLUMBING PERMIT Filing Fee 15.00 88 Arhol Ave.- Oroville Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 1 @ 15.00 TYPE OF WORK New.— Addition,_ Remodel j❑ Utilities❑ Installation[ Other ® Describe work: New Railing on 2nd Floor Deck _ Approx 32 Feet Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License ;Jo. Classification 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 OCCUPM OR ACDNS, l ACG. BLDGS. I _37.50 3.60 sq.ft. NEW ULTI.OUTLET NO N•RES, SID D. BRANCH CIRC ITS @ 5.00 POWER APPARATUS e OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 1.20 760 FIXED APPLNS. OR EX. Occup. OUTLETS IRESI D.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g 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 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 again o/sst said County in cequencetof the granting of this permit. ��f�i Date 7 � $ignarure of Applicant — OwnerI contractor ❑ Agent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ I HAz DFEES IMP I FLOOD I CDF I PARCEL I PD HD Issu This permit is hereby issued under the of the Butte County Code and/or work d ated ab v f which fe DIR F PUB By PE I E PIR S a e applicable provi- resolutions to do a been paid. KS ^ D to Y Receipt No. 143580 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Teiechone 9i6 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING (8 05 4 �,. C ' BUILDING PERMIT OWNER ;1 IAAe N TELEFj10NE s33-�s�r� SQ. FT. ; OCC. BUILDING VALUATION pWNEY3'S M y// MOO( RE S U e �u, �� / '/ o CONTRA OR'S NAME TELEPHONE MAILING CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Qp Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ bJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j-� O /� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other • SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New a Addition L Remodel L_' Utilities ❑ Installation❑ Other t2f- Describe wol/rrk�k: An2 Aa fq. �/(i �D Ooh_ J)ec��J32, fea--t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.al WOR ACDNS. ACC. SLOGS. I 3.64 sq.ft. NEW CONST R. MULTI -OUTLET NON.RESIO BRANCH CIRCU, TS @ 5.00 POWER APPARATUS e OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d AL_ P 464 Ex. Occup. OUTLETS ((RESID IREA.) I 3.00 Temporary service 15.00 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 15.00 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 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct_ ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ _3 HAz 1 0FEE5 I IMP FLOOD COF I PARCEL I PO I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 3 S8� WHITE-D.P.W.. YCLLOW.A3SE3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to.provide -the major labor and materials for construction of the proposed property improvement (yes or no) _ 2. I (have/have not) ��_. signed an application for a building permit. . for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions of this work,.but I have hired -the following person to coordinate', supervise, and provide the major work: Name Address City Phone Contractors'Lidebse No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Cz Date 7 % 1� /17 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Permit#373-8i Max Koenig 88 Arbol COUNTY OF BUTTE - D0_PAR-'Ii!_MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 l� APPLICATION AND PERMIT -ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER( KOCnjGLADDRESS TELEPHONE 533•-089n SO,. FT. O/CC, BUILDING VALUATION I !' O WNaER•S 08 Arbol Oroville CONTRACTOR'S NAME r'rP_nrcrP Pnofincr TELEPHONE I ti33—f393 CONTRACTOR'S MAILING ADDRESS T1.0. Box 729 Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 31 Arbol Permit fee $ 'Y- / /'• 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 SFn, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea. i TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: Ronf i ncT _ I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS 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 Business and Professions Code and my license is in full force and effect. 4S22FF C—'Z2 License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP..) +/Z2sgft OR ADDNS. ACC. BLDGS. NEW CONSTFL MULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) / Ex. Occup\OUTLETS OR FIXTURES SAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 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 Filing Fee 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 consequence of the granting of this permit. X - Date J2-5-97This Signature of Applicant — Owner ElContractor❑ Agent Zwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OcCUP. cONST.TYPC I I FUDO PARCEL PD I ND ISSUE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS �� ByZf'" ,. t /%✓�/.GDate 'i' /I /,V Z ' PERMIT EXPIRES Date ccstories Receipt No. nr WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA9 t'MMT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND P RMIT P RMI T NO. ASS ESDkPAg+C[L NUMB R ZO I BUILDING PERMI OWNER Max Koenig T LE H N 533-0890 SO. FT. OCC. BUILDING VAL ATION IS CO) 60 LICA OWNER'S MAILING ADDRESS 88 Arbo1 Oroville CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 Oroville Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1A 01) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 88 Arbol 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 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ® Describe work: Roofing _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov 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): FRI 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. 452266 Classification C-39 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP., OR ADDNS. trd ACC. BLDGS. 2/20sgft NEW CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS tr\\ (SINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES .20020 090 Ex. Occup. OUS P TTS (RESID )LNS 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. Q 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 Filing Fee 10.00 Heating 1 Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 sai ounty in consequence of,'the granting ofthispermit. Q(;This X Date 2-5-87 Signature of Applicant — Owner ❑ Contractor ❑ - Agent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over.3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.T7P_EJ FLOOD PARCEL I PD I ND I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT UBLI BY PE IT XPIRES Date the applicable provi- resolutions to do fees ve been paid. K$ ate Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L861- 6 93A smuoM allsnd d0 'IdX) a!snn �jo A! rMoo t KO068-21-0-054 93-1 .`� � • �~± 731 P ENIG, WILMA 88.ARBOL-AVE, OROVILLE CONTR;.ROYAL FLUSH PLBG c VTR HTR/SF -. ... _-�•rox-S'1<�r; +--u.a; •'..ygi�r�.H .,��..r��... ��;';7'�,ej� '' 'y� _+� •app.. er r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillar California 95965 - Telephone: 916.'538-7541 APPLICATI N AND PERMIT t ASSESSOR PARCEL NUMBER 068-210-054 ZONING 11C BUILDING PERMIT OWNER WTLMA KOENIC TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 88 ARBOL AVE OROVILLE CA 95966 CONTRACTOR'S NAME ROYAL FLUSH PUG TELEPHONE 1 '513-4128 CONTRACTOR'S MAILING ADDRESS P O BOX 266, PALERMO CA 95968 Fireplace CONSTRUCTION LENDER NONE UNKNOWN I Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ A''R''CHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 88 ARBOL AVE.. V Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New—: Addition Addition _ RemodelL Utilities❑ Installation[ Other ❑ Describe work: REPLACE, GAS WATER HEATER Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO IOOOAI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License .JO. Classification U 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) F] I, 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 _37.50 NEW CONST.(DWELLING OCCUP" 3.6asq.ft. OR ACDNS. ACC. BLCGS. NEW CONSTIRULT"OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 I POWER APPARATUS ek %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS (RESID )EEA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g 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 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 said County in consequence of the granting of this permit. X - Date Signature pp ❑ Contractor 2 Agent ❑ ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct -143964 Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE i TOTAL FEES 22.00 HAz I DFEES IMP I FLOOD I CDF I PARCEL PD I HD IssU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do - /, work indicated above f :which fes�faave been paid. d �. i DIREC�Q F PUBLJ VWV RKS By Date J,, PE MIT XPIRE Date F t Receipt No. :_71 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMJ"1T OF PUBLIC WORKS 7 County Center Drive - Oroville, California 5965 - Telephone: 916.538-7541 eat APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 068-210-054 ZONING , BUILDING PERMIT OWNER WILMA KOENIG TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,y 88 ARBOL AVE. OROVILLE CA 95966 CONTRACTOR'S NAME ROYAL FLUSH PLBG TELEPHONE 4128 CONTRACTOR'S MAILING ADDRESS P 0 BOX 266 PALERMO CA 95968 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 88 ARB Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.001 7.00 r USE OF STRUCTURE SF u Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New Addition, 1 Remodel] Utilities Installation❑ Other ❑ Describe work: REPLACE GAS WATER HEATER Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v 0 LESS 200A OR LESS 18.50 Main service 200ATO1o0OA) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions _Code and my license is in full force and effect. License ,Jo. b 0 6 3 Classification �,r ��o ❑ 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) Fl 1, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 3.6Q 5q.ft. NEW CONSTR ULT' -OUTLET NON-RES'D BRANCH CIRC ITS @ 5 00 POWER APPARATUS& (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 761 Ex. Occup. FIXED ETS II RESID,)REA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation 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 again said i County n consequence of the granting of this permit. % X 7 , 4—S-9_3 Date Signature of Applicant — Owner 9 pp � Contractors Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 22.00 I I HAz 1 OFEES I IMPJ FLOOD I CDF I PARCEL PD HD I I SS This permit is hereby issued under the Bions of Butte County Code and/or work ' di ated ab f"FB DIR BY PE EXPI • S Date applicable pI r solutions to do s ave been paid. RK$ D to Receipt No. 143964 WNITE•D.P.W„ YELLOW-ASS[SSOR, P{NK•INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLiC WORKS 7 County Center Drive - Oroville, California 4,965 - Telephone. 916.'538-7541 APPLICATIQ4 AND PERMIT PERMIT NO. ASSE!7P CEL UMBER ��'1 (q' "T zo BUILDING PERMIT OWNER W /• l TELEP ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI IN ADD ESS vc i 2 Y C N CTORAMr - HONE TELE` P R'S AILING ADD SS Q Cr- _ v 12 O eo l s Fireplace CONPTUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC 1 ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD N ADDRESS r e � 1r ' �-- Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF O� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition _ Rem el ❑ Utilities(N Ilation❑ Other ❑ Describe work: C C Q _ Wo fe r da a r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000AA OR LESS 18.50 20OR LESS Main service 20CATO I000A1 37.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, 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 OCCUPM 3.64sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI.OUTLET @ 5 00 NON.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. / Ex. OccuptOUTLETS OR FIXTURES 20 @ 76d FIXED Ex. Occup. OUTLETS PLNS R RESID )EA.) 3.00 Temporary service 15.00 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 15.00 Heating Cooling I Hood 6.50 I Ventilation Permit Fee $ t 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date signature of Applicant — OwnerElContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigh . Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $oec) 00 HAZ OFEES IMP I FLOOD I !o PARCEL Po Ho I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt NO. WHIT[-D.P.W.. YELLOW-ASSE7e0R. PINK•INSPECTOR, GOLDENROD -APPLICANT H Ex'�'stming J Kitchen Remove ex. window & door PHD2 4 5068 Patio door 2 PHD2 PHD2._ L=2'8" ILS A 10'-4" Ilk L=510" 21' 3068 Shelf & Pole �I E:2 R&R ceiling$ in these rooms Upgrade exi Wiring Insulate w/A130 3068 II Bedroom I II 11 I1 I1 11 11 Remove ex. door i 3068 single lit 4x8 header 4x4 post for covered porch 90 �cV I in � u (2) 2650 SH PHD2 J 2 7' 31' A2 L=2'8" 6' _Marble craft counter with built in sink w Lower this section of counter top w to accommodate sitting N I I _ Takagi TK2 or eq. water heater to I I N oreplace ex. T c - II co � J V O QJ � V W L O ' O 'Cr 3010 XO Marble craft shower pan n T _j Ln 15'-4 3/4 with seat & 72" high panels �/E�ej��0'f 1 �! (1) 0 �� L e p Q O BUTTE COUNTY 0 co 0 2-010 BUILDING DMISIONO a -J " p APPROVED < Ll_ < oo Q - Existing walls - Walls to be removed��� - New Walls Cl/l�/vbo 1/2" gypsum board nailed Q 7" oc over Date 5/7/06 1 studs @ 16" oc > scale 1/4" = 1' Drawn by A3/8" OSB sheathing nailed w/8d Q 12" Brian Burtenshaw field, 6" edges Page 1 Of .4 1/2" OSB sheathing CCX @ eaves 2x6 rafters 2' oc - 2x8 ridge 2x4 studs 16" oc typ. 3/8 OSB sheathing Hardi Plank siding typ. @ new construction Floor 6" above grade min. Match ex. ceiling ht. typ. R-13 Insulation typ. walls Match ex. floor ht. tvp. New roof comp. shingles to match existing R-30 Ins. typ. ceilin x6 Ceiling joist -collar tie 2" II Fire blocking I 14x6 header , to replace wall - lower I ceiling in shower 11 II II 11 7R-19 Insulation typ.nder floor I I 4x8 header I 4x4 post I Existing house foundation ------ ---�I ----, Existing footings and stem wall I I for future addition 31'L 4'-4" L Raised floor constructio I I I Existing House I I foundation & walls I I I I 2x6 Floor joists 16" oc I II II °° 1 3/4 Sturdi floor Raised floor construction ih I I I I I I I I I this area ---— ------- — --- — I Under floor access — –T --------- — III I I 12x12 cont. ftgs. typ. I I I I 2 #4 rebar cont. typ. III I 1/2 x 10 Anchor bolts 4' oc 12 " from ends & splices typ. I 2x8 floor joists 16" oc typ. 1 3/4" Sturdi floor III I I I I 1 18x18x12 conc. ftg. I I ❑ CBSQ44-sds2 I I I I BUTTE COUNTY 4x4 df#1 post I I IJilI BUILDING MLMISION 11 I I A-PPROVED Under floor access I I 1 III I I Existing footings and stem wall I 1 -for future addition III 1 I I I O L Q ro U U W — L O L JLf) L L aj O 0 N 000 4—J 4-J _ O Q # Q 00 00 C1. Q i Date 5/7/06 Scale 1/4' = 1' Drawn by Brian Burtenshaw Page z of 4 Existing House 3068 11 - -J I1 Kitchen i I I' ,I I' ,I ,I Bedroom I' I' ,I I' I' Remove ex. window ' & door II ,I 5068 Patio door 10'-4" 21' Remove ex. door C 3068 single (2) 2650 SH 2 7' Shelf & Pole 0 3068 C II II O O J II U n II 4'-2 3/4" PT girders, joists & 'posts typ. this section 4x6 header 44 post for covered porch Garage 5'-5 " typ. 4x4 posts anchored to ex. 4" conc. slab w/A644 - cont. to support handrail PT 2x6 ledger attached to ex. rim joist w/2 - 4" Ledgerlock lags @ 16" oc PT 2x6 joists @ 16" oc w/ LU26 hangers 9 1/2 `x 1 3/4 LVL attached to 4x4 posts w/ 5" Ledgerlock lags - 2 per post Hand rail @ 3' ht. - 4" max. spacing typ. over 30" above grade Evergrain or eq. composite decking 1. 22' Ex. 4" conc. slab & retaining wall v BUTTE COUNTY BUILDING DIVI' E E � Datt!r-5/ /o6 Scale 1/4-" = 1' Drawn by Brian Burtenshaw Page 3 of 4 O M 4J � V rp V 4� W •� > O ryLAi p v^ L1 Q V- N O _ 06 W Q Q -V 00 i2 Q 00 E � Datt!r-5/ /o6 Scale 1/4-" = 1' Drawn by Brian Burtenshaw Page 3 of 4 N 0 Septic Tank 51' t ing -------------------- - --------------- .Existing conc footings, j retaining wall, conc. slab Y .I I;l 250' PLANNING DIVISION - Use: __ D; Parking: Lan Other. Signature: Existing House Floor extended for bath remodel ng deck )sed deck M. 21MOM-1-1 Co BUTTE r � 1� � ) : Dae 5/7/o6 J,y No Scale Drawn by Co Brian Burtenshaw Page 4-of4. 186' 88 Arbol Ave. O 2 QJ L V V 4� `6 '> O�1 i ADO O Iu O 4- > Q N a o -mo o 4-) O - O Q C1 Q ooQ Co BUTTE r � 1� � ) : Dae 5/7/o6 J,y No Scale Drawn by Co Brian Burtenshaw Page 4-of4. 186' 88 Arbol Ave. IM Kitchen Remove ex. window & door Exn�stn�ng House 3068 Shelf & Pole EL II R&R ceiling$ in these rooms Upgrade exa wiring Insulate w/Fk130 3068 II Bedroom I Remove ex. door I 3068 single PHD2 5068 Patio door (2) 2650 SH PHD2 A � PHD2 PHD2 L=2'8 10'-4" Ilk L=510" 21' 2 7' 31' A L=2'8" 4x8 header 4x4 post for covered porch 90 LOu J I% � Marble craft counter with built in sink Co r- Lower this section of counter top w to accommodate sitting Co bo 11 NIS, - Takagi TK2 or eq. water heater to i LOVED I I O y O replace ex. C) C C�� II v c° -� M I I J 3010 XO Marble craft shower pan with seat & 72" high panels 5'-4 3/4" ------------ j 1 - Existing walls BUTTEIJIY Walls to be removed BUIL DIMS 'a-Nl 'k - New Walls 1/2" gypsum board nailed @ 7" oc over 1 studs @ 16" oc �-7 s� 3/8" OSB sheathing nailed w/8d @ 12"'� �� field, 6" edges 7�� l Date 5/7/06 Scale 1/4-" _ 1' Drawn by Brian Burtenshaw Page 1 of 4- C Ln 4J •� � 1 I` v W O r J ® �0 O N _ 000 ® O - o ® 0 < 4 LL < 00 C1. 00< l Date 5/7/06 Scale 1/4-" _ 1' Drawn by Brian Burtenshaw Page 1 of 4- 1/2" OSB sheathing CCX @ eaves 2x6 rafters 2' oc - 2x8 ridge R-30 Ins. typ. ceiling Ceiling ioist-collar tie 2" c New roof comp. shingles to match existing II Fire blocking I 14x6 header to replace Match ex. ceiling ht. typ. I i wall - lower R-13 Insulation typ. walls 11 ceiling in shower 2x4 studs 16" oc typ. i 1 3/8 OSB sheathing , I Hardi Plank siding typ. 11 @ new construction -19 Insulation typ. i I under floor Rr I I I 4x8 header I 4x4 post Match ex. floor ht. t p. I I Existing house foundation Floor 6" above grade min. rl F - — — — — — — — — L_ — — — —r�� �-Existing footings and stem wall — — — — — — — — — — — — I J I for future addition 31'L 4'-4" L L Raised floor constructio — I I I I Existing House I 1 foundation & walls I I I I 2x6 Floor joists 16" OC I II II 0D 1 3/4 Sturdi floor I I I Raised floor constructionr, I I I I I I this area ' 1 L — — — — — — — — — — — — — — I I Under floor access I � Slab on grade w/ 6x6 10 ga. I I wire mesh over 1 ca I 6 mil. vapor barrier I I I I 10'-4" 10'-8" 21' 2 7' -T 12x12 cont. ftgs. typ. I I I 2 #4 rebar cont. typ. III I I 1/2 x 10 Anchor bolts 4' oc III I 12 " from ends & splices typ. I 2x8 floor joists 16" oc typ. III 1 3/4" Sturdi floor I 18x18x12 conc. ftg. ❑ CBSQ44-sds2 4x4 df#1 post Under floor access I I III I 1 Existing footings and stem wall -for future addition III C O L Q v v ,max � W i O L L J ® LA L Qj O V < T- a� N ro O 10 O o0 4-J : J O 4J 0 Q 00 Q Dat 5/7/06 Scale 1/4" _ 1' Drawn by [man Burtenshaw Page z of 4- ■ Existing 6' Q06 Shelf & Pole II Kitchen I I� w I 3068 I I, w Bedroom I I II � II Remove ex. window & door Remove ex. door 3068 single lit 0 14'-2 3/4" 5068 Patio door U (2) 2650 SH 10'-4" 21' 2 7' PT girders, joists & posts typ. this section 4x6 header 4x4 post for covered porch Garage 5'-5 " typ. 44 posts anchored to ex. 4" conc. slab w/A1344 - cont. to support handrail PT 2x6 ledger attached to ex. rim joist w/2 - 4" Ledgerlock lags @ 16" oc PT 2x6 joists @ 16" oc w/ LU26 hangers 9 1/2 x 1 3/4 LVL attached to 44 posts w/ 5" Ledgerlock lags - 2 per post Hand rail @ 3' ht. - 4" max. spacing typ. over 30" above grade Evergrain or eq. composite decking 2 2' Ex. 4" conc. slab & retaining wall F;.l �i G ��•�5 e 4 ' �4_a �, Vim'' F R i v-1 Da e 5/7/06 Scale 1/4" _ 1' Drawn by Brian Burtenshaw Page 3 of 4 O l/1 V 4� C6 °> >1 O L '— L 0 d- ra ro i dj O Q r" N 0`ob V .O O QJ 4 --JL, :�5 Q O Q 0 Co 4 Ci Q 00 Q Da e 5/7/06 Scale 1/4" _ 1' Drawn by Brian Burtenshaw Page 3 of 4 250' Swimming Existing House Pool O v� l = Septic Tank Floor extended for •� l bath remodel L Q - - - - - - - - - - - - - - - - - - - - T l -' -------'----'----w--' - ,V — - - R Existing deck U Q� l l Existing conc. footings, Proposed deck l retaining wall, conc. slab 06 l , l lr- l�l - i O � l . ° tY rp J 1. l l L 4J O xY, l O > r- 1 l >�' 51' l-1 600 4—J z, O _O Q # �- Q 000 Q Y f BUTTE CO %'s CM y t' Dat 5/7/ob No Scale Drawn by Co Brian Burtenshaw Page 4of4 NZ 186' 88 Arbol Ave. FKANNING ISION - BUILDING Date PLAT ANF'ROVHi. aping: Lands Ocher. Signature: CANTILEVERED RETAINING WALLDESIGN ELL & FOOTING DATA VERTICAL LOADS LATERAL LOADS Retained Height = 5.50 ft Axial DL on Stem = 274 plf Lateral Load Acting on -W_Z1 bWe Soil = 0.50 ft Axial DL on Stem =' 280 Plf Stem Above Soil _ 0.00 psf 9na iP%rltfit = 1,25 ft ....Eccentricity = 0.00 in Add'1 Lateral Load - 0.00 if -Width- = 1.75 ft Surcharge over Toe _ 50.0 psf Dist to Load Start = 0.00 t 71 Total Footing Width = 3.00 ft Surcharge over Heel _ 0.0 psf Dist to Load End = 0.90 ft }Tooting Thickness = 12.00 in Note: Toe Surcharge Resists Overturning Key Depth = Key Width = 0,00 0.00 in in SOIL DATA ADJACENT FOOTING Toeto Key Dist. = 0.00 ft Allowable Bearing = 1500 psf Vertical Load = 0.0 # SLIDING CHECK Active Lateral 30.0 pcf Load Eccentricity _ 0.00 in Ft,u Friction = av 0.35 ....Max Press. = 0.0 pcf Footing Width = 0.00 ft Soil to tueglect = 0.00 in Slope Press. = 0.0 pcf Ftg. CL to Wall = 0.00 ft Lateral Pressure = 620 # Backfill Slope = 0.0 :1 Vert. Position of Ftg.' - Passive : Pressure = 239 #' Passive Press. = 250.0 pcf Above/Below: [+/-] _ 0.0 ft - Friction = 623 # Soil Density = 110.0 pcf Spread Footing ? No Add' 1 Force Required = 0.0 # Soil Ht over Toe = 0.00 in SUrMARY FOOTING DESIGN Pressure @ Toe = 1140.6 psf Soil Press. Mult. Toe Heel f'c = 2500 psi Pressure @ Heel = 233.0 psf By ACI Eq 9-1 = 1643 336 ppsf : FX = 40000 psi Allowable Press. = 1500 psf Mu -Upward = 1142 .125 ft-# Min. As Percent = 0.0014 Ecc. of resultant = 3.96 in Mu -Downward = 219 297 ft-# Omit SP Under Heel ? No Max. Shear @ Toe = 6.61 psi Mu -Design = 923 -172 ft-# Toe Heel Max. Shear @ Heel = 0.00 psi One -Way Shear: # 4 '@ 16.81 15.04 in o/c Allow. Ftg Shear = 85.00 psi Actual = 6.6 0.0 psi # 5 @ 26.05 23.31 in o/c Factors of Safety: Allowable = 85.0 85.0 psi ; # 6 @ 36.97 33.08 in o/c Overturning= 41 :1 Cover over Rebar = 3;50 2.50 in # 7 @ 48.00 45.11 in o/c Sliding = 1. 9 sl IT = 8.50 9.50 in # 8 @ 48.00 48.00 in o/c Ru = Mu/bd"2 = 14.2 2.1 psi # 9 @ F 48.00 48.00 in o/c ,. SUMMARY OF FORCES &MOMENTS Overturning Moments Resisting Moments Origin of Force... # ' ft ft -4 # ft ft-# Active Soil Press. - 633.8 2.17 1373.1 0 0 0 s Soil over Heel = 0 0 0 453.7 2.63 1191.1 Soil over Toe = -15.0 0.33 -5.0 , 0.0 0.00 0.0 Sloped < Soil @ Heel = 0 ` 0 0 0.0 0.00 0.0 Adjacent Ftg. Load = 0.0 < 0.00 0.0 0.0 0.00 0.0 Surcharge Over Heel = 0 0 0 ' 0.0 0.00 0.0 Surcharge over Toe = -13.6 0.50 -6.8 62.5 0.63 39.1 Axial Load on Wall = 0 0 0 274.0 1.75 479.5 Load @ Proj.'wall = 0.0 0.00 0.0 0 0 0 Averaged Stem Wts. = 0 0 0 540.3 1.66 896.8 Added Lateral Load = 0.0 0.00 0.0 0 0 0 Footing Weight ;' - 0 0 0 450.0 ` 1.50 675.0 Key Weight = 0 ' 0 0 0.0 0.00 0.0 Vertical Component of 'Active Pressure = 0 0 0 0.0 0.00 0.0 Totals - 605.1 # 1361,3 -ft-# 1780.5 # 3281.4 ft-# Resisting Totals Used For Soil Pressure 1780.5 # 3281.4 ft-# (Vert. Component of Active Pressure Removed) (continued on next page....) V4.4C1 (c) 1983-96 ENERCALC MOONEY, KW -0601576 - MICHAEL MICHAEL MOONEY CIVIL ENGINEER `'PCE 20647 EXPIRES 9-30-05 5A MADRONE AVE OROVILLE, CA. 95966 530-533-2131 j Date: 09/05/02 ' Page: CANTILEVERED RETAINING WALL DESIGN MUS (.;...continued) STEM SUMMARY Top Stem: From 4.00 ft to Top of Wall " ("M u Grout 8.00in Mason w/ # 4 @ 16.00in� d= 3.75in 4ca 15d*VertbCL ' f'm= 1500.Opsi, FS= 22000.Opsi '_ 24' Horiz LDF= 1.00, n= 25.78 Solid Grouted, No Spec. Insp. Wall Wt.= 75.00psf, Bar Embed= 12.Oinm Mactual` 16.9 <= 521.2ft-# �"- 0- c r�.u., Solid Grout ; .= 4 tri' Vert T Vactual = 0.37 <= 19.36psi w "4Qb24" Horiz f Interaction Value = 0.084 f� a T N � M Second Stem From 3.00ft to 4.00ft 8.00in Masonry w/ # 4 @ 16.00in, d= 3.75in flm= 1500.Opsi, Fs= 22000.Opsi �t LDF= 1.00, n= 25;78 Solid Grouted,,No Spec. Insp. HEEL {top} : ° 5 " o c. N M ': 5 Wall Wt.= 75.00psf, Bar Embed= 12,Oin roe (bot) : s ° o. c. m Mactual = 78.1 <= 521.2ft-# Vactual = 1;03 <= 19.36psi_ ¢ HaRiz. as sHoww Interaction Value = 0.207 Third Stem From 2.10ft to-3.00ft 8.00in Masonry w/_# 4 @ 16.00in, d= 3.75in f''m= 1500.Opsi, Fs= 22000.Opsi LDF= 1.00, n= 25.78 r- cr Solid Grouted,,No Spec. Insp. Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mactual = 196.5 <= 521.2ft-# Vactual = 1.90 <= 19.36psi Interaction Value = 0.440 Fourth StemFrom 2.00ft to 2.10ft 12.00in Masonry w/ # 4 @ 16.00in, d= 5.75in f'm="1500.Opsi, Fs= 22000.Opsi LDF= 1.00, n= 25.78 Solid Grouted,,No Spec. Insp. Wall Wt.= 118.00psf, Bar Embed= 12.0in Mactual = 214.4 <= 1050.Oft-# Vactual = 1.32 <= 19.36psi Interaction Value = 0.246 Bottom Stem' From O.00ft to 2.00ft 12:00in Masonry w/ # 4 @ 16.00in d= 5.75in f!m= 1500.Opsi, Fs= 22000.Opsi LDF= 1;00, n= 25.78 Solid Grouted,,No Spec. Insp. Wall Wt.= 118.00psf, Bar Embed= 6.Oin Mactual =831.9 <= 1050.Oft-# Vactual = 3.26 <= 19.36psi Interaction Value = 0.846 V4.4C1 (c) 1983-96 ENERCALC MICHARL MOONEY, KW -0601576 ASTM A 615, GRADE 40 MINIMUM 3) BLOCK Grade N, fm = 1500 psi at 28 days 4) GROUT fc = 2500 psi at 28 days 5) MORTAR Type S, 1800 psi at 28 days 6) LAP SPLICES 20" Minimum lap. 7) BACKFILL Backfill to be non -expansive, granular material.