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069-110-005
06910-005; `' 93 -1 -764 DAVIS, KE 14/;2) ,. { t 343- LODGEVIEW?DR, OROVILLE NEW � SF 069-11-0-005=' DAVIS8-2933 B E IS;.'•Kevin 343 Lodgeview-Dri've,'Orovill f (add garage)SF f 069-110=005 04-1419 DAVIS, KEVIN 343 LODGEVIEW DR, OROVILLE , y i Cont: OWNER L i ROOM ADDITION -i ;i a • i J ! ! o + i E A ' ! i pGp IF i ` 7 i NOTES i �i i t RESIDENTIAL 069-110-005 04-1419' DAVIS, KEVIN 343 LODGEVIEW DR, OROVILLE Cont: OWNER ROOM ADDITION SPECIAL CONDITIONS CHECKED / BY v SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS , SUB -STANDARD HOUSING LETTER JOB FINALED (Dat) J !� Signature A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041419 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/25/2004 APN• 069-110-005-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 343 LODGEVIEW DR ORO Date: Contractor. Map Index: Description: ADD(320) 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: DAVIS KEVIN &BECKY L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 343 LODGEVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): GI' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DAVIS KEVIN & BECKY L Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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.). ❑ lam Exempt under Article 3 of a Bu9i Ss and '' ns Code Date 2-5 Owner:`�- License #: WORKERS' C PENSATION DECLARATION I hereby affirm under perIffty 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 Architect: is issued. Engineer: O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 320 S. F. Valuation: $20,800.00 Census Code: Policy a: �/ ll7 I certify that in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth/hmply w}t" ose prov' ioDate:v .tib G Ap )( nI. J� • 3 S 5�r l3/ D�— WARNING: Failure to secure workers' compensation coverage is —1'�(vOJ�� 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 s code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i hereby issued under the applicable provisions of the Butte County Code anrVor I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions 9 do work indicated above for which fees have been paid. performance permit By: Date: Name: ,Q PERMIT IRES ON: i9 ' J "D4" 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 docum tpt Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. n Print Name: J ,? /L •S ������'% Signature: Date: ®.0 v�ner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor V = OK 1. 0 = Not OK 2. - = Not Applicable MOBILE HOMES Ne = Not Ready Gas; MH Test -Demand -Valve -Connector Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements 6. 2. Soils; Special MH Support Sketch 7. 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./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -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 Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 5. Elec.; Pool Lighting; 15 Volts-GFI 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- Bea ms- 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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date_.Underfloor (Plans) OK except #'s Date Zoning -Setbacks -Easements -Flood -Slope g., Main, Soils-Elec. Grnd.-/ " Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 12. Electric Underground , ✓ 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Unit Disconnect, Electrical -Plumbing 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 85. 15. Access & Ventilation 16. Insulation DIAL (Plans) OK except #'s E . Steps -Door & Sidelight Protection -Landings Smoke Detector Date Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card B-1 Date Card B-1 Date Bedroom Exiting Card B-1 Date Card B-1 Date G.51,9 Bath Fixtures & Tub Access -Spa PLUMBING (Permit) OK except If's 68-16ec. Trim & Subpanel, Breaker Sizes & Labels 17. Water Htr.; Vent -Access -Combustion Air Baffle Stairs & Rails 18. Water Pipe; Test & Anchor -Nail Protection Fireplace or Stove, Clearance -Hearth 19 D.W.V.; Test Fittings & Anchor -Nail Protection Elec. Outlets at Wood Panel, Int. & Ext. 20. Shower Pan; Test, First Floor -Tub Access Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 21. Test Tub & Shower, Second Floor -Tub Access Elec. Outlets & Receptacles at Kit. Counter 22. Gas Pipe; Sixe & Anchors Garage Fire Door; Swing -Landing -Closure Address Posted 75. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Receptacles in Garage (F.F.I.)-Romex Protection 23. Fixture & Transformer Clearance -Ins. Protection Insulation -Foam -Looked in Attic 24. Elec. Receptacles Spacing -Lights & Switches at Doors Guard Rails & Deck Construction -Post Caps 25. Size Boxes & No. of Conductors Stapled Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 26. Romex Installed Close to Edge of Studs & C.J. Clearance Looked under Floor ❑ Yes ' 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade p-{, �8 39. urnace-Vent Ac s -Comb. Air -Return Air Vent 115 outlet 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 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels , ✓ insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date, _ DIAL (Plans) OK except #'s E . Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.51,9 Bath Fixtures & Tub Access -Spa f 68-16ec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth Gas Test -Meters Tagged, Gas -Electric 71. Elec. Outlets at Wood Panel, Int. & Ext. 92. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure Address Posted 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps Comments at Final: 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ' 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Open 86. Wa jar Well, Disconnect, Electrical, Plumbing % Exterior Elec. Trim, G.F.I. Releptacle-Underground 88. Votilation Throughout House % Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. E r"gy Compliance Certificate -Other Certificates Address Posted 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 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041419 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/25/2004 APN• 069-110-005-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 343 LODGEVIEW DR ORO Date: Contractor. Map Index: Description: ADD(320) 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: DAVIS KEVIN 8r BECKY L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 343 LODGEVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 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 a-ppliiccant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DAVIS KEVIN 8r BECKY L Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). i ❑ 1 am Exempt under Article 3 of a Rini s and s,Code ZS 0 (/ Date Owner: License #: WORKERS' C PENSATION DECLARATION I hereby affirm under per1ffty 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver. Total Square Ft: 320 S. F. Policy a: Valuation: $20,800.00 Census Code: 911', certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section V00 of the Labor Code, I shall forthwith mply whose prov' i s. Date: Ap nt: ��t'odSa i� JZ • 35 WARNING: Failure to secure workers' compensation coverage is unlawful, and 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 i hereby issued under the applicable provisions of the Butte County Cody ?nrUor 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 9 do work indicated above for which fees have been paid. ' 6 Name: By: "'" Y ' Date: ,Q D4AddPERMIT IUIRES ON: 5 -04- ress: 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�documftttenty. Ihereby authorize representatives of Butte//County to enter upon the above mentioned property for inspection purposes.Print Name: � /� S k �/&1�% Signature: �i'�t� Date: C� t Pergn-er 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name Evaj 6- occt& Address 3+3 LoO66 W Ertl 012- /Z.City City O AO U I t_L State C/P__ I Zip s 61 Phone_UD 5 ? , 3 3 ge Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name GGv� CSL city 090 vic L& Address Zip cI ri City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name — C S 7C vC,4'�S Address I)IL city 090 vic L& Stated Zip cI ri Phone 30 59 333 Fax E-mail State License Number APPLICANT NAME Name C—g S Address 30 City of 1_E StateCO-Zip 9SlGC Phone Fax E-mail rea. �W_m/r'A I or office use onI Zoning Flood Zone SRA No Occ. Type Const. VAI Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. JO�w / ,N) l l BP LOCATION AN D' _ l/ D Property Address 3 LvO6;f_(11 CW j9d 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: A -0-),O 7_1d11,1 Sq. Footage 2-61 —54 io�7i ❑ Structure Built without Permit ❑ 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.—P. Amount: {s2 Bldg X52.4 SRA Receipt #�a(o(js2 CKO % Sheriff -. O D SMIP Date: /' } Other S - ( -K"Dy I • Totai REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Res ential, New, Remodels, Additions, and Accessory Structures: / 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! Cil 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑/5. Letter from Engineer or Architect for truss design review. �j 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2." 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and.site plan approval from the Environmental Health Department. ❑ 7. 1 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at.(530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 n'N.•,►ser. �:FJ `^^ -`.Iv-���1�.••�,;:�h:�.Lf�"w,. FL... ?Y.�--"+r-.p4•t;;T �,'�•iNF'.4�'+�'„j�-'.'rn'l...r'�1�r's' ^'.T''".��". '".°•,�c'°k?Ys'�'N"'r �....•,c-' '"+^-tom `--�wr�_�-'^• '•- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 71D�ASSESSOR PARCEL NUMBER Proposed Building Use: �r� 1 ' Counter Technician: -Date:-5,1 / . ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in ordero pply. 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. O 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�gineer or Architect for truss design review. ` 6. Energy co pliance design and supporting docur entation in duplicate. ❑ 7. Statement4f Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. O 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. Site plan A' business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner qh, 14. Hazardous Material Form f� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico O Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) O17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by O 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ...... 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. �❑ 22. City of Chico Plumbing permit .................................................. 23. California Department of Fore t plan approval l aid. Sent by:�............. 211 Planning approval (A) Use: plan (C) Parcel ChecK.e D 1 Contact Land Development about _ Improvements, _ Drainage ......................... -� 26. NPDES Form............................................................................................. �❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... O 30. Worker's Compensation Carrier and Policy Number .......:.................................. ❑ 31. Owner -Builder Verification (_ Given to owner Mailed�to owner) ............. ...... C) s-+���( 32. Letter of Signature authorization..- . ...... Vr ❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................. . ❑ 34. Manufactured home utility clearance...............................................V) ........ ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... O 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Lerter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone `r'f 3 7 4au:+: and hold for pickup. I have been info rme of the abbotg itemsa d r quirements for obtaining a building permit. Applicant: �- (O - Date: b 1. Index pe ' application for the above ite s bered: Plan Chec etter 2. Additi9, I items requlwof 777s/ ¢ Contractor, esi fir, o s advised of he a ove data by Qkfone, ❑ mail, ❑ counter, by Date: 1 0 Contractor, designer, ow _ r, was advised of the abo e d to by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: �. Date: L v q Plans approved by:' 3 Date: / 0 O Structural reviewed Date: Structural approved by: Date: Note transfer by: NYW Date: Yellow: Building Division 4�7 �e�f 1�ke55 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER l' A.P. # PROPROSED BUILDING USE Alge1 DATE ,7- / iq a� RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES t g� (paid at School District Office) (form available- after Plan Check) 3. SHERIFF FEES (paid "at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4..URBAN AREA FEES Residential (per unit).. Commercial (Sq. Ftg.).... (paid at Building Division) X, $ # Units Amt. X =$ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER gQIP � 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 durin he plan the king p c ss. APPLICANT DATE Pursuant to G ment 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 projector 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. 2/2003) V S 6-p re t A, f f s r d 0 Job Truss Truss Type Oty Ply WASHBURN RESIDENCE 1.25 TCDL 10.0 Lumber Increase 1.25 R1103852 WASH0107 82 PORCH 7 1 Code UBC97/ANSI95 WB 0.45 Horz(TL) 0.03 9 n/a n/a Job Reference (optional) Longfellow Lumber Co., Inc., Chico, Ca. 95928-7434 5.200 s Dec 2 2003 MiTek Industries, Inc. Thu Jan 08 10:45:22 2004 Page 1 0-2.6 6.11-7 13-9-2 1 20.6.13 25-0-0 29.6-0 31.6-0 1.2-6 6.11.7 6.9.11 6-9-11 4-5-3 4-6-0 2.0-0 40 = 4 3x4 = 14 13 12 11 10 9 1.5x4 11 3x8 = 30 = 30 = 1.50 11 2x4 6.11-7 1 18-5.10 25-0-0 27-M29±-0_ 211-7 11-n-:1 226 2-20 2-20 LOADING(psf) SPACING 2-0-0 TCLL 16.0 Plates Increase 1.25 TCDL 10.0 Lumber Increase 1.25 BCLL 0.0 Rep Stress Incr YES BCDL 7.0 Code UBC97/ANSI95 LUMBER TOP CHORD 2 X 4 DF No.1 G BOT CHORD 2 X 4 DF No.1 G WEBS 2 X 4 DF Std G REACTIONS (Ib/size) 2=939/0-5-8,9=1171/0-5-8 Scale: 3/16'=1' I� CSI DEFL in (loc) Udefl Ud PLATES GRIP TC 0.47 Vert(LL) -0.0813-14 >999 240 M1120 220/195 BC 0.49 Vert(TL) -0.15 13-14 >999 180 WB 0.45 Horz(TL) 0.03 9 n/a n/a (Simplified) Weight: 143 Ib BRACING TOP CHORD Sheathed or 5-3-7 oc pudins. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing, Except: 6-0-0 oc bracing: 7-9. Max Horz 2=-91 (load case 3) Max Uplift2=-15(load case 5), 9=-25(load case 5) FORCES (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/15, 2-3=-1236/0, 3-4=-813/39, 4-5=-813/39, 5-6=-1114/6, 6-7=87/745, 7-8=0/16 BOT CHORD 2-14=0/1055, 13-14=0/1055, 12-13=0/963, 11-12=0/963, 10-11=0/781, 9-10=0/776, 7-9=-706/118 WEBS 3-14=-16/230, 3-13=-416/44,4-13=-55/542, 5-13=-314/38, 5-11=-18/156, 6-11=-20/192, 6-10=-8/110, 6-9=-1869/32 NOTES 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the Wind loads generated by 75 mph Winds at 25 ft above ground level, using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition 1 enclosed building, of dimensions 100 ft by 44 ft With exposure B ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to Wind. If porches exist, they are exposed to Wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads per Table. No. 16-B, UBC -97. 4) A plate rating reduction of 20% has been applied for the green lumber members. LOAD CASE(S) Standard . N 0 �- C 17180 EXP. 06/30/C ST CIVIL �P \0FCAU January 8,2004 A Warning - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE M11.7473 BEFORE USE Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and is for an Individual building component to be „1 Installed and loaded vertically. Applicability of design paramenters and proper incorporation of component is responsibility of building designer- not truss designer. Bracing shown is for lateral support of Individual web members only. Additional temporary bracing to insure stability during construction Is the responsibillity, of the director. Additional permanent bracing of the overall structure Is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection and bracing, consult OST -88 Quality Standard, DSB-89 Bracing Specification, and HIS -91 Handling Installing and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofdo Drive, Madison, WI 53719 i Te Yp�{ R l C 11 An VA BUTTE COUNTY `+ w, i 2 0 200. DEPARTMENT OF DEVELOPMENT SERVICES MAv BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name evw 0- ECSC 1S. Address .3+_3 LoL7G, Lj C—w 012- J2.City City O fLO U I SLG- State Cly Zip %s G6' PhoneS36 e - 3_33g, Fax E-mail APPLICANT I,GNATURE X or once use only: CONTRACTOR Name GGt�� CSL — C S TC—f/CtiS Address 3147 L 6OC (i% cw I)IL City State ,- State Zip Phone Fax Fax E-mail State License Number Uc. # Class APPLICANT I,GNATURE X or once use only: ARCHITECT/ENGINEER Name — C S TC—f/CtiS Address 3147 L 6OC (i% cw I)IL City 090 VIL L State ,- ip c�sy�G F Phone D S� 3S Fax E-mail Lot # State License Number APPLICANT I,GNATURE X or once use only: APPLICANT NAME Name 64f&— , %C—t.-e S Address 347 & c V/C'`v City � ,✓ I t_ E State ca- Zip 9syG� Phone Subdivision Name Fax E-mail Lot # APPLICANT I,GNATURE X or once use only: Zoning `�-}--t Flood Zone SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. a1�- rale BP BIN # LOCATION AP# D 0 l/ d r cid -5 Property Address 3 3 LvDc--CV;ew 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: ?yi /�D01 T/D Sq. Footage S ❑ Structure Built without Permit ❑ 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:—Te Amount: S Bldg q?, SRA Receipt #K�a Sheriff SMIP Date: / j Other � / - " / Total K:\FORMSOUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 PLAN REVISION �Cil �. 1l �• ��� Owner's Name: AP#: . to 2"_ BP#: 1 '1 1 Received By: C= �- Date: Time: Contact Person &Phone Number: PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Ins pec or's Name: ), Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and. locations involved. I WHEN APPROVED, PROCESS AS FOLLOWS: Mail to Own r/Contracttoor at this address: Call I Y 1 and hold for pick-up. ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: O Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm.. Water. Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE] Project Title: P-4.0 J-/ -.1 i/ 101 . . By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading apd/or other perno or other sanctions provided by law. Signed: Title: Date: 05/17/2004 We Kevin and Becky Davis give James Stevens permission to apply for building permits for us at Butte County planning dept. BebkY L Davis Kevin Davis I 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 89172834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name evw 6- occi& o&11.5 Address 3+3 LooG6 V[C_W I2 City G AO U t t_L& State Zip %S G61 Phone 5 g _ 333 Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name 0cwt- &e City 090 VIL L Address Zip cis yGG City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name S Tc—v 6,1t-5 Address 3� (5;C Irl (,� I)IL City 090 VIL L State Zip cis yGG Phone 3a S9q 333 Fax E-mail State License Number APPLICANT NAME Name Address - City vim.✓i L_� State Zip %SyGC Phone Fax E-mail APP ICANT NATURE ix or office use only: Zoning `�-{--► Flood Zone SRA No Occ. Type Const. VAI Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL KF-UUIKtMt:N 15 PERMIT NO. sM PI�l� BIN # LOCATION AP# D� ` Property Address 3 3 LvD6;f_V/C-W 02 Cross Street Sly vC�fZ �-C-r�F 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: /+DOl T/D Sq. Footage 20 ❑ Structure Built without Permit ❑ 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. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by.—P. Amount:S� g Tr SRA Receipt #: _1�6606s2 Date: S- I K'O1 Sheriff d . O SMIP / }}--�7 Other 0� (J - � I Total REV 4-30-04 -T -,k N _ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Oro 'tie ' gDepartment School District r V r Building No. A.P. Number %� //Q QO 5 Jurisdiction: CityCounty Property Owner I` V fA� a' 6 GL k u Davis Property Location/Address 3 43 D !.t p c V t 4'_ VJ D ®r b J r ke Subdivision Lot No. .................................................................................................................... Residential Development Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): €................................................................................................................ :1 Commercial/Industrial Building 0 New Addition Sq. Footage (Including Exterior Roofed Areas) ;? /z/o(4 Date % ^^•» ' moor runs reviewed oy scnooi uistnct rersonneu District Identification No. to 10489 ` � f School District certifies that (Applica t) (Street Address) (Phone Number) C� �. �► a. l b Com. g 5 at L (City) (State) ti (Zip Code) has complied with the requirements of Resolution No. b --04--L�E by payment of $ A] e- j representing3 Z (� square feet. AB 2926 S FULL MITIGATION $ School District Reoresentartive Date Paid by Check # Remarks: 8 6A — b r a-0 GS Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), 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. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm SITE PIAN REVIEW APPLICA/T��ION Date: �� / AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: a Owners Address: G Q LC7 P7. Telephone No.: 33 Situs Address: ��a-- Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home 0 Residential Accessory. ,/&Oro ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval r Site Plan Stamped Approved By ��C�(X/( Date 3 / lo q Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards- and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) Q SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 04 o 7 Index Date: �l ❑ Sacramento River Reclamation District (Approval must be obtained from the Califo 'a Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: ),T-' Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front U 3o( Side Side Street 301 Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 4 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount t Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements T Page 3 of 5 SubdivisionMap/ParceI Map: Map Date of Recording: % 30 //-70 - Lot: 2q7 ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: 6,610 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage- tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4 of 5 Ck 0 0 FE Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 RESIDENTIAL = - 069-110-005 93-764 BPEM DAVIS, KEN 343 LODGEVIEW DR, OROVILLE 1 NEW SF V= OK 0-_ Not OK = =Not Rp88adyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Net. or/ P'L'Yt./ /"LPG 7. Well Clearance & Disconnect S. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ` 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posts-Beams-Rftra: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Spllce-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Slls-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Read y Date/Initials UNDERFLOOR (Plans) OK except #'s ( 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth S. Stemwalls, Mein; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. H owns and Special Anchors / . lab; Steel -Wrapped 8. Pi - 4replace Ftg.-Steel -37,'/,3,63,' . D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test it",W i 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation r 16. Insulation �q 3 Date/Initials PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle 922—Water Pipe; Test & Anchor -Nail Protection & D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. T Tub & Shower, Second Floor -Tub Access / j Gas Pipe; Size & Anchors DateAnittals ELECTRICAL (Permit) OK except #'a 22.-fjiSt6d" Transformer Clearance -Ins. Protection 121.—Elec. Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Coni 26.-ftffiex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Meth. Fastnersas & Water Appliance Circuts in Kitchen & Conductor Size/GFI u ee ire Size / / ga. Cu or AI-A.C. Wire Size / / ga. r Al 42CRange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No Conductors & Ground -Main Disconnect 39!l q 'p: Clearances Panels -Motors -Mach. Equip. Clo hes Closet Light -Shower Light -Spa Light 9' ` 17,e'Z 38Smoke Detector �L( 4 fZ/�AK84: _'.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Material & Anchors 40'Wal uds-Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing 2 raft Stop in Wells (rat proof) 43 Firg,Stops; Furred Ceilings -Stairs -Chases -Tub FRAMING 17AdR 45. Hanoers-Post Cans -Anchors -Connectors ".Ing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. fireplace Ties or Type'A Flue -Fireplace Throat clearance 49-AIM-fteess; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions sUne Firewall & Openings rs-One 3' -Check Garage -3rd Story, 2 Exits idth-Headroom-Rise-Run-Landing-FireProtection on Roof Overhang -Attic Vents -Rafter Outriggers ailing Veneer lash -Drip Screed -Fd. Vents-Underflr. Access 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ^ Date/Initials Plans OK except #'a Ext. Steps -Door & Sidelight Protection -Landings ja_55:.oke Detector urnace; Vents -Clearance -Comb. Alr-Connector- In Garage; Above Floor -Ducts -Mach. Protection . G ..I. & Bath Fixtures & Tub Access -Spa Eiec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails f1kif6-d,,*ireplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. ,Kit Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance &7A-,�50ec. Outlets & Receptacles at Kit. Counter Z2,-41arege"Frr-F600r, Swing -Landing -Closer 73_A.G•.Duci-irrGarege-Demper r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Ingarage; Above Floor -Meth. Protection Ib., Elec. & Mech. Equip. Listed for Location Eiec. Garage; (G.F.I.)-Romex Protection z,7w-l—nsulation-Foam-Looked in Attic ❑ Yes 78 auaLd Bailn B nWk Construction -Post Caps 7AL--Edn Vents R Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive es 13 No; Walks 134 Yes o; Planters ❑ Yes - o Flnish 82. A.C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings tNeMr VVBfI Disconnect, Electrical, Plumbing jAre,Exterior Eiec. Trim; G.F.I. Receptacle -Underground 86. .entilation Throughout House 87. lass Protection 8 Corrections from Previous Inspections s Test -Meters Tagged; Gas -Electric 0. ter & Sewer Connected -C/O to Grade -HD Approval i,ATner Com lience Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE z; BUILDING DIVISION ti DEPARTMENT OF DEVELOPMENT SERVICES ` 1469 Humboldt Road, Chico, CA - (916) 891-2751 - 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work a is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i 4� Lu v C of 4-*- O / Lr an• o r. -I 64JA 1 t'� i11 Date/ Inspector p.� ` . REV 1 ,/92 ~ . 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916).872-6307 CORRECTION NOTICE 7; 747 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t44 -C!�z 144 L4 L 6 X- 4 Aln Q 2 -c 2--:�2 Z—&2-�=L— -%K e Ff �A2r if .4j 7LY. 2-' e IP :/". /..SCI 4-C e04'1V Ole )4 41 • Date Inspector REV 10192 .COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - 7� NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I Date Inspector ,� 9/ : REV 10/92 COUMTY OF BUTTE BUILDING DIVISION BEP//1KF ENT OF DEVELOPMEW SERVICES 114169 Humboldt Road, Chico, CA - (916) 891-2751 7 Caunty Center Drive, Oreville, CA -1916) 538-7541 747 Mon Road, Paradise, CA -(916) 872-6307 CORRECTION NOTICE UA v'S `rf -7(-,,( g PERMIT NO. Ao-FiceFhzqpw:tfmiieaoecthat the%IlowMg violations of Butte County Ordinances exist at tam -H md sbmAd be corrected_ tease notify this office when correction of work FisamngikiBea$ boas=gques6onsperta'uvmgto0& matter. orneedadditional explanation, gds t� ioe iimedrateiy_ L L iiO� f Gam_ C- . 6c-, , j— .i y y. �.— Dm 4,3 Inspector li�vfl� cotmTy O1F BUTTE B1.1111-DMIG DIVISION D>�ARiM11311 OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 Crotty C der Drive, Orovile, CA - (916) 538-7541 747 Ellim Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ! svi ";�-7G PERMIT N AmmOm om eetlimmi m6cme s Ant On fa■ow- - viole"m of Butte County Ordinances exist at be Please notify this office when correction of work -sci�tlai �eaF�siomm;p N iiigtolWo natty, or need addtionalexplanation, �e affim i:iady_ L i /+ /.1v< Dade - t 3 - �i 3kaspeclim swum ACCOUNT NSOLD TO: SHIP TO: (SAME AS SOLD TO UNLESS SHOWN BELOW) ' O. 0. D. ;11.11 STEVENS 02000 � 1 r 343 LtJDGEV I EW DR.. OUR ORDER NO. \ OROV 1 LL.,E , CA . - DATE SHIPPED FILLED BY DELIVERED BY INVOICE NO. 2--244127. INVOICE DATE 04JUN93 ORDER DATE CUSTOMER ORDER NO.IQRDERED BY HOW SOLD SOLD IS DATE PROM. CUSTOMER COPY MEMBER OF :PAYLESS BUILDING SUPPLY DESCRIPTION ITEM NO. UNITS PRICE/UNIT AMOUNT 3 2600 Notre Dame Blvd. Old Johns'tonville Rd. 532 E. Lockeford 2004 W. Center 00059 34..000 490. 00 riff T P.O. Box 1738 P.O. Box 1744 Lodi, CA 95240 P.O. Boz 912 d 07384 .2X3. Chico, CA 95927 'Susanville, CA 96130- (209) 3334389 Anderson; CA 96007 FAYL,I ......' l I II 'II �0 (916) 895.3228 (916) 257.5129 (916) 3652701 ACCOUNT NSOLD TO: SHIP TO: (SAME AS SOLD TO UNLESS SHOWN BELOW) ' O. 0. D. ;11.11 STEVENS 02000 � 1 r 343 LtJDGEV I EW DR.. OUR ORDER NO. \ OROV 1 LL.,E , CA . - DATE SHIPPED FILLED BY DELIVERED BY INVOICE NO. 2--244127. INVOICE DATE 04JUN93 ORDER DATE CUSTOMER ORDER NO.IQRDERED BY HOW SOLD SOLD IS DATE PROM. I PAGE f1� O 'NT TY EOAD DESCRIPTION ITEM NO. UNITS PRICE/UNIT AMOUNT 3 `' 12X 14' DF 2/0 -TF 00059 34..000 490. 00 riff T 41.16" .1/8 X,. 12 GLIJ LAM STIR CAM 07384 .2X3. 000 11..:I.O/! F1. �:I.O„ F30 2 X8X22' OF .2/8TR' O(»��'rJ9 17.34 250.00/1�1E,F1 99.74 5 . 4X6X 14�' OF 2/8TR C)G193 140. irO'. E�50. (J0/' J[:;F T tr :I . OCJ 1., t�X 1'2X24' OF 1 /E.'TR 00305 44 vI�F'T + 14' � 1 6k a2X'4 u' ,. 0F,; 1lE iF2 • Uu3'U 1' Ci,. OO ��� J. 6C, 1. 1 % 1 2 ' 14' OF 2 /I~ TR 002 2q x..000 6915. 00/17Er' T 10 SI VIP 212T' 12 X12,,2 .' 03787 ' 2., 6p/EA 89 .14GA I/ZZ 4X t PLY GDX 02658 ''848'.G' 10.4{3/E.AC:H 925.60 .. 11 19% 2 4,�8 'i i/6) CC Ppr.TS 02818 35,4 .00 595. OO/11SFT 209.44 24 �` 3'/AiR .4 X: (`3/41) 8TLJ1 QIFL.00R: T�.G 02670 68..00 , �9�.. C)Oi 11ti>I :r. '4` 6. 96 ,. /, /8 ;•�, "QC C)UI F;'TEi`iF C0350' 2 2�r EAC:H 1 .."�C7c,� .a t) 2. 18 4', .j QQ 4,".0C. DUnATE MP a.: 'C 0350 35.80;1E:s�DFI'71. ,t3 ' 'Hf U$r-_. AIR BARRIER 9' X 193' 01798. 13506/ 135.00 .. ..I, ,iWIR'p,1=' 6AR' i'/8` 10' ,LONG 04610 1..20/E,A B.40 7 ,(GOOF $,OGTNG 1: 112X 1 • '1 /'i?o(10' ' t3ALV 04587 1 .3O/E A 9.10 62 T" 1:'RE:SCRlC-CN DRIFTWOOD 09421 13. 0O!B1,1IDL 496.00 7; : ,iWCI. 1 '`P I IV' FELT':. 4 SQ DC MP.S °i'* iC 01704 9.. 50/R01_.L : 66.30 +, -..._.. _...:... _ .. NON-TAXABLE .... .. .. TAXABLE " fAL.RGE ' 1 of .00 4.'455'. 30 . O0 . 00 i3 - - �8 • __-.b ;U I 0.00 % PER MONTH j 0. `!4 % ANNUAL PERCENTAGE RATE):will IMPORTANT X be charged on All Accounts Past Due.. ' Read Terms and Conditions governing this sale on reverse side. �J The following terms and conditions govern the sales of The Seller, whether made pursuant to oral or written orders to its representatives or salesmen. TAXES Buyer shall pay to Seller the amount of any and all taxes, excises, or other charges which Seller may be required to pay or to collect for any government, national, state.or local, upon, or measured by the production, sale, transportation, delivery or use of the merchandise sold hereunder. FORCE MAJEURE Delay in delivery or non-delivery in whole or in part by Seller shall not be a breach of this sale if performance is made impracticable by the occurrence of any one or more of the following contingencies, the non-occurrence of which is a basic assumption or which the agreement is made: (a) Fires, Floods, or other casualties; (b) Wars', Riots, Civil Commotion, Embargoes, governmental regulations or martial law; (c) Seller's inability to obtain necessary materials (finished or otherwise) from its usual sources of supply; (d) Shortage of cars or trucks or delays in transit; (e) Existing or future strikes or other labor troubles affecting production or shipment, whether involving employees of Seller or employees of others, and regardless of responsibility or fault on the part of the employer; and (f) Other corvtingencies of manufacture or shipment, whether or not of a class or kind mentioned herein and not reasonably within Seller's control. WARRANTY Seller agrees that any merchandise deliveredphereunder found to be defective in material or workmanship will be repaired or replaced by the Seller without additional charge for the merchandise. This warranty is made in lieu of any other warranties or conditions including merchantability or fitness for a particular purpose. The remedies under this warranty are exclusive and by accepting this merchandise the Buyer agrees to these conditions and waives any other warranties, conditions, expressed or implied. Buyer assumes all risk and liability with respect to results obtained by the use of such merchandise whether used alone or in a combination with other products. No claims of any kind whatsoever, whether based on breach of warranty, the alleged negligencQ of selleF, or otherwise, with respect to merchandise delivered or for failure to deliver any merchandise shall be greater in amount than the purchase price hereunder of the merchandise in respect of which damages are claimed; and failure of buyer to give written notice claim within 30 days after delivery of merchandise shall constitute a waiver of buyer of all claims with respect to such merchandise. --,TFRMS.AND CONDITIONS TO GOVERN . w� -- — STITUTESTtit ENTIRE CONTRACT WITH RESPECT TO THE SALE AND PURCHASE OF THE MERCHANDISE SPECIFIED HEREIN.' No mo i kation o Ehis sale shall be effected by the acceptance or acknowledgement of purchase order forms specifying different conditions, and nor modifications shall be effective unless in writing signed by the party claimed.to be bound thereby. STATE OF JURISDICTION This sale shall be deemed to have been made in, and shall be construed in accordance with the laws of the Stete shown in Seller's address. DELIVER AND,ACCEPTANCE OF TITLE OF GOODS 14 Title to the materials shall pass from the Seller to Buyer upon delivery thereof to Buyer or his agent and thereafter shall be Buyer's risk. Claims for shortages, I breakage or for any nonconformance with the terms and conditions of the order shall be noted on the Seller's delivery receipt by the Buyer at the time of delivery; otherwise, the Seller shall not be responsible for any such claims. If delivery is by common carrier, delivery by the Seller to the carrier at point of origin shall constitute delivery to the Buyer and thereafter the shipment shall be at Buyer's risk, and claims for loss or damage must be filed by the Buyer against the carrier. Title to goods loaded onto Buyer's conveyance at Seller's warehouse passes to the Buyer at the Seller's loading dock. If, upoh delivery at job site, there is not present at the job site an employee of the Buyer authorized to accept delivery and sign a delivery document evidencing delivery of material as listed on this invoice document, then the Seller reserves the right to deposit the material at the delivery area previously designated by the Buyer without obtaining a signed receipt therefor, and the Buyer agrees to liability for payment'of this invoice as if it were signed by an authorized employee of the Buyer, unless the Buyer has previously instructed the�Seller not to deposit material at the designated delivery area without obtaining a signed delivery receipt from an authorized employee of the Buyer. FINANCE Acceptance of materials by the Buyer indicates his agreement to pay the rate of finance charge specified on the face hereof. RESTOCKING CHARGE All returned goods by Buyer must be accompanied by the Buyer's copy of original sales ticket. A 15% restocking charge will be assessed by the Seller on all returned goods. ESTIMATE DISCLAIMER This estimate is designed solely to provide the contractor/consumer with a rough estimate of the amount of material used in the given project. The material . estimate will be based upon calculations or data provided by the contractor/ customer and such estimate assumes, among other things, normal and typical building and construction techniques. The actual amount of material used may vary from the material estimate due to a number of factors. Consequently, no representation or warranty has been made that the actual amount of material used will not vary from the estimate. Installation Certificate: Residential. CF -6R BUILDING OWNER: I(ey l N 0A Vt5 BUILDING PERMIT BUILDING LOCATION • 3V Lo Oli�-C V16-6� ole,6111t LC- ,, CA 95C1�Ll, An installation cartiiicate is required to be pasted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified an the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned. verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment.is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydropic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Cartifled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficiency Typo and Piping Before Over- Equipment heat pump. etc.) Model Number (AFUE. etc.) Location ' R -Value SizingStuh Capacity (Btu h) Pay .v��i{T CEC Cartif led Cooling Equip. Compressor Unit Actual Distribution Duct or . Type (air cond. anuf. Make & Efficiency Type and Piping heat pump. Model Number (SEER) Location R -Value The b ilding design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the orgy, Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Sianature ate HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energy External ;Nater Heating CEC Certtfled Rated' Tank Factor ort Tank /System Type Manuf. Make & Input (kW Capacity Recovery Standby Insulation i (storage aas etc) Model Numberff or Stuh) (gailons) Eiciency Loss(%) R -Value s 453 41 1. For small gas storage (ratea inout S 75.000 Ptwhr). electric resistance and heat pump water heaters. list Energy Factor. For large gas storage water heaters i rates input >75.000 Bttuhr), list Rated Input. Recovery Efficiency and Standby Loss. For instantaneous gas water heaters. list Rated Inout and Recovery Efficiency. For instantaneous electric water heaters. list Rateo Inout. FAUCETS & SHOWER HEADS All faucets and showerneaas instailea are listed in the Commission's Directory of Candied Faucets and Showerneads. purs ant to Title 24, Part 6. Subcnaoter 2. Section 111. Sionature 0 to Plumoing Subcontractor (Co. Name) or General Contractor or Owner �TIiIS- CERTIFICATE- MUST BE -PROVIDED -TO THE BUILDING'DEPARTMENT-PRIOR -TO 'FINAL -INSPECTION APPROVAL MAD A COPY_SHALL_BE-_POSTED WITHIN THE BUILDING: - JANUARY 1993 k ZiL Kcvl� _ -- r?NeaaY c�ltlY►iAAlIaN i I•OC A'f NQ111� ' tw c tl r t a 1____ ------- ,fit t/ kl►aa(ll�cllaa) ursc:Ki�'f1An av jnaut�►zYan trx-rVitIUN UAW. F IN-RU_ASS BAttS Hacartfll 3 57F & 611 't'11 t4k1►atla (l llcllaa) A.P. N4.. ' brood mss® 111pr�r1 R�at9cel►c• iP YMlua) Ck l 1• l Nli a F pF Rh_ SS Nac c of k t +nkat ►'rP .-�--�- 1 'l'ht4k�aaa(lucllaa) 9- t.puaa will 'l'rpe M11l111uu, 1,111OW00(Yucbeai�------ A1eq cuv417114(4,- ) tldcurlal 'CII I Cignaaa (t ucl►ea) twCa►lp1 •CI►lckllaaa (tncllee) Ill/lcl►(ltic haa)_ I+llllNpATINN IIAI.1. ltN C a ►- t a t�_----- '1'Il lckl►ne1011 tau) N><404 nw►�N-ciNl Thlrf"t V1►L/,a) R13 & R19 't'1140641 ,N�atacaace(R Yatua) R30,�_ AraO n400 liwillow of 11444 VC. par "is a1►�rttwl Rliatacanca(N Ya itrA(14 NttRw r __._—_--- T11arRw1 Sa111atanca(B Valu/:) =_--- Nrr04 Nsef(l ------- — 'fllarwal I��alaCtlnctlIt Ytlue)-----._.:.___--- Broa4 Nowr 't'1►9ca►tll RewtY�allcC(R llm Y 1►aru4Y Ge►clfy c1►ac rile alla Ilk h tClGMlttQcw�aM�aarBYtRe9"traaallca. 4011 fanue1lce withli e cac r"--�i�1lnla ynt1E/a.lut'a 'v V Q APpt.iCA'fl1N iGH •file lIF 1N TAI.1J)%1'" N elt.ove 4u l 1 a l ub STAIR GAtfil'aACfCR a t.YceNae tt�. September 17 1993 ap certlfY ,10 0144 atluve lllalllatlpr►4AaF�aGlWlanCylllavellla� luatlalladuaacl►a 1 Ilec Y lana_ pulllltult Uullarl'N►enC appruve4 P kpgwtrwl►anca. . �Cyutra'1 4Y ll/tl BFattl u► Catlfor11t11 �111ir� d cat. tl11Q watarlttl• Aro of the qu111ttY praacrl"ll a el'a All a9ult,lwagic. A Gailtorat4. ��u41flou1ly tllev ovoj ibr 041 dctlka t 4 k l'laaad Nrlur)�rr NTATR RQHfRACTOa a I.ICVNSK IIA. >r pti ------------ �s..vo a w A!RAI'AIALTQR qua AAIB iii' �: I I jj�I •ri ertiti;i Certifica THE UNDEJ GNED MANUFA ;dantifie,4! 138J and ffidekCd Q! ! i ufactured in ordance with the i j N Alli, Standard A190.1 a NE C3. �,. Proof laa Job Name I.�, I., I ii •. �. Job Location OCustomer'srdel!I ,SAC -2663 i i I�Y . Signature !� d Wa is i Company i �,W. -�; IT IS HEREB ;CERTIFIED that tt manufacturel . hich carries a col audit by Ame is an Wood System) of the mane '° ow 1, j the adequa ,}f glue bond. pd0� • _ �!L . I I' AMER:cAN w000 sysT i ill -'F.'-11 r.• .717 INEEAED WOOD SYSTEMS AP Aq 6 -of Conformance N°. 14'718 HEREBY CERTIFIES that the structural wood products ivc Mark of Adi6666ii Waal Cyat6ma (AWO) ward man- ations indicated below. Structural Glued Laminated Timber d joints Mfgrs Order No. I ' Quality Control gss Date Ore on Aural glued laminated timber production of the above-named mark of American Wood Systems (AWS) is subject to regular audit consisting of the inspection with reasonable frequency uate sampling to verify the quality of glulam construction and Y wenasi H. u'Manoran Executive Vice President SO CORPORATION OF AMEA(CAN PLYw600 AssocblTON 'u COUNTY OF BUTTE - DEPA�TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75 93 ,_7 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-110--005 ZONING RT -1 BUILDING PERMIT OWNER Kevin Davis TELEPHONE 589-3338 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S de MEew DRive. Oroville 95966 TELEPHONE Owner 1,725 R 320.00 3,276.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace A 1,500.00 Total Valuation $ 93,096.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 570.50 $ 285.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 890.75 Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 71 5.00 35.00 Solar or heat pump water heater 120.00 LOT NO. 297 SUBDIVISION NAME Kelly Ridge Estates PARCEL MAP 38-5 Water piping 1 1 7.00 7.00 Each pas water heater or vent 1 1 7.00 7.00 USE OF STRUCTURE SF [j Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.001 5.00 Building sewer 1 15.00 15.00 Mobile Home is G W @ 15.00 TYPE OF WORK NewFX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New 3 Bedroom Single Family Permit Fee $84.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnessPOWER and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. (DWELLING OCCUP.al OR ADDNS. ACC. BLDGS. v. 3.69 sq.f[. A 60.40 NEW CONSTR. U TI -OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 / APPARATUS &) SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS.I, EX. OCCUp. OUTLETS (RESID,)REAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 93.90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. 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 Central LPG Cooling None Hood 1 6.50 6.50 Ventilation Permit Fee $ 30.50 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 ty in c equence of the granting of this permit. z, Date ? 3 ignature of Applicant - Owner Contractor ❑ Agent ©� An OSHA permit is required For ex ovation ver 5'0" deg and demolition or construct- ion of structures over 3 stories ' fight. - Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ CONST TYPE VN TOTAL FEE $ 1,139.15 H` oF, EFS 1/ IMP PLOOD/ (� COF PA CEL PD HD Iss- This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D CTOR OF PUBLIC By PER IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS q Date / Receipt No. 135897 L7' �� WHITE-D.P.W.. TELLOW-ASSZS R PINK -INSPECTOR. GOLDENROD -APPLICANT `-r•.,.`flwk�+�.w''`.nY�'�r"�`+�yvi�+�i�!4�r'^r�w}ni`�.rtt-i�''��''�'�¢'��'�/ f COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE -OROVILLE,CALIFORNIA95965 !TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER &A) Z)AILI A. P. No. (aq -1/0- Ong Proposed Building Use SF - 3BV- Building Inspector i&0 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted. ....................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer'of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ......... .................. .............. . 6. Energy Design Compliance and supporting documentation . .................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. 10. Mobilehome data and manufacturer's installation instructions, 2 sets. . Fees of $ . .......................... ................ - c 11. Impa( shown on attached schedule. .............................. -�---- 12. 1'.sr�s California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year flood) by California Engineer. .................. Sanitation and plot plan approval/ OA - POO Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. . Driveway permit (construction approval required prior to occupancy) %�- ----19. 20. . . .........::...- Pre -inspection for required. .. os�°l� 9 �sp�rst (Date) 21. Contractor's license information. (No., Name Style, Classification). ........... . 22. Certificate of Workmans Compensation Insurance. ......... ....... 1� 23. Owner -Builder Verification (Given to owner ,'Mail to ownerk). .. :... l3 24. Recorded copy of Agricultural Acknowledgement Statement. ' K25. Letter of signature authorization . ................ ............... 26. _ Copy of recorded deed of parcel creation and 60 right of way to pa publicroad... ,..:_ 27. Letter of intent on building use . ........................................... 28. Mobilehome utility clearance . ..........................`............... 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................ " .................... . 32. 33. Plan check list. _ Elt7-;Ag 21J FO r.M.4 ti D nJ...................................... . 34. -" When you issue the permit, process as follows: Mail to owner. Mail to contractor. y/ Telephone S89 - 3336 and hold for pickup at o2tot3 'Ile office. Deliver with inspector. Other Parcel Creation Acreage �• Applicant Date .3 a Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per i issuanc ne i em not ch ked above). 1. Index permit for above items No. / 3 2. Additional items required: X'~ Contractor, designer, owner, was advised ofabove required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date' _ Plans checked by Date Plans approved by Date 3 30- 9.3 Sets of plans on hold in File cabinet AP folder G41Z L, Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance �;�✓/� Pz V� owner location AP # Driveway permit 0130-Z40 has been issued for the above property. date si ature COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS'- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER A.P. NO . d(P C% . //D - DD SJ PROPOSED BUILDING USE 5 '' DATE REC. # DATE REC 1. School District Fees (paid.at District Office) Sheriff -Fees (paid at Building Department) 00 ,, Residential ......... X unit amt. Commercial(per-sq.ft.) X =$ sq.ft. amt. 3. Urban -.Area Fees (paid at -Building Department Residential (per unit) X _$ #. units amt.. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) „ ....................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE.S3 PERMIT NO: -27-93 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the. Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: March 25, 1993 Applicant: KEVIN & BECKY DAVIS (Jameq R_ RtPyens) Applicant Address: 343 Lodgeview Drive, Oroville, CA 95966 Applicant Phone No.: 589-3338 589-3338 Property Location (S): 343 Lodgeyi ew Drive Kelly Ridge Estates - Unit 1 - Lot 297 A. P. No. (s): 69-11-05 Fees due: LOAPUD Facility Charge $900.00 Due. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: �`-,� - ����.� Y'4 j+yr- N Yt'MF+.vw..r•_r„-.�,...`a.-awF.w^'.,""Yv..nP�'"•'.*�r,^.'y+ii.: ����� ����~~�� .w„ry�,; - •:..; •M��.+�.,/T'�•'",�+�' ��^•. M s �, r: e. V. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM .Z (One Form'Per Building) School District (/� " Cil�i� Building Department No. A.P. Number `110 - 005 Jurisdiction City County Property Owner Tl e U i N ft U iS Property Location/Address 31/3 0016E0/E4►i Un- 01,Py1//•e Subdivison Lot No. Residential Development Sq. Footage 1712'5 ` No. of Living MHI Addition 't. (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior 4 . Roofed Areas) Building Department. Representative , Date (Floor Plans reviewed by School District Personnel) District Identification No. (o School District certifies that IVY (Applicant) (Street Address) (Phone Number) (City) (State) E,,. // (Zip Code) has complied with the requirements of Resolution No. q j� /7� by payment of '$ � � a2 S- representing square:feet. School District Representative Date Paid by Check Number Remarks: Bank Number -SLay Y Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CE(QA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) Reyt>irn to DPW AGRICULTURAL, STAT04ENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT' Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described.. herein. is.. adjacent to land_ or included within an area zoned. 1� I . Rec - Fee 5.00 . for agricultural purposes, and residents -.1 5.00 of this property may be subject "to incon-1 ,Cash Recorded= t veniences or discomfort arising from the = Off icial-''Records,l�1 use of agricultural chemicals, including, .tk CountYy .of but not limited to herbicides, pesticides, „� and -fertilizers; and from the pursuit Candace J."Grubbs'- t^ of agricultural operations including, Recorder 4:-.•{•Iyrw� but not limited to cultivation, plowing, -9:24am --1=Apr-93 I-«�PUBL X i spraying, pruning, and harvesting which —_ '='~�=''--; -,,,7 . - occasionally generate dust, smoke, noise; and odor. Butte -County has-esteblished agricul= tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should 'be prepared to accept such inconvenience. or discomfort from normal, necessary farm operations. = ,... ' All that .zeal Traperty.;. `situate in . the County of Butte, State- - of California`, ' `described as follows: 7'# Z 7 Uti t �. . / . o�/1C-L LY 2%0�4F Date: 6?5 366 K y L . p,av/ PROPERTY OWNERS: ,y v 19 day of State of ) On this the �o `r7(m C�I'1 7 3 , before me, the SS. undersigned Notary Public, personally appeared County of Dom) bac S Personally known to me.roved to me on the basis Tof satisfactory evidence. =@LINDA SEAL to be the person(s) whose name(s) E SAGE subscribed t6the within instrument andacknowledged thatCALIFORNIA executed the same for the purposes therein contained. IN WITNESS UNTY Oec.23 1994 WHEREOF, I hereunto set my hand and official seal. Present A.P. No. _069-110-0o.5 ( Notary Vb is 1- � r.�A_r� �S --- --_ G; v E.......,....a �rl'1_i_Ss,�o✓_1 -I:C�_ �'�.r.►1eS _,._Sevens Tc� 5; iti... ►Y1 ��e _K.. _._.cJSS_i he;SS __�__/�2S_`}�vt.;,✓t _.cv�.��ocS _ V _ - w COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNEk-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 ma' labor -and -materials for construction.of the proposed property improvement yes or no) 2. "I (have/have not)yy 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 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: / ` I Property Owner Aalt� Social Security Number � Date q- / - `/_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and -Safety Code..-- This ode: This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # G 3 OWNER �. C� f��1iJ A.P. # eZ2 GENERAL Plan Checker Zoning requirements: (sideyards and number of permitted living units). Valuation. 3' Plans signed by designer. roper description of work on application. �-.' Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc)." Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings.or structures. Grading, fills, drainage. Flood hazard. �6. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). CIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- "ance of mechanical equipment. ` Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). . 1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210)., Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and Foundation plan complete enough to construct building. design. plans. i4 Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. fter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. . Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails VL Sec. 3306). uardrail details (Sec. 1711 & 3306(j). rick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). oof covering type - (fire hazard). oam insulation - protection. 6" halls and stairways. --Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines tic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). 8/91 on garage side - 1716). Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes. - - S—. Energy design. Flashing at all exterior openings. . CDF responsible area requirements. I Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent rr�� to land or included within an area zoned 93 1 G I for agricultural purposes, and residents I of this property may be subject to incon- Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 9:24am 1 -Apr -93 I 93-12936 Rec Fee 5.00 Cash 5.00 PUBL X 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .nedl.:propert y.`sit:uate in .the County of Butte, State of California, described as follows: Z-© l # -ci 7 / i% A/ I l 7 Dr %lC L LY R/R6:L C S' 7,4 7c s , Pte- D 1� 7- i 10 Date: 31A 6A5 PROPERTY OWNERS: `-=EP4 sem. iD /-Vr State County CJ 3Cc K y 4 • PAVIs C -vile v of ) On this the cZ day of _71-7G(t C� 1943 , SS. undersigned Notary Public, personally appeared of G) eC[� \,f before me, the c% l�eS El Personally known to me.roved to me on the basis Vof satisfactory evidence. to be the person(s) whose name(s) OFFICIAL SEAL ed that subscribed to the within instrument and acknowledged > LINDA M. LE SAGE g ® e NOTARYPUBLIC CALIFORNIA executed the same for the purposes therein contained. IN WITNESS BUTTE COUNTY 1F My Comm Expres Dec. 23. 1994 WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 069- %10-OoE Notary Odblic END OF DOCUMENT 069-11-0-005 '98-2933 B,E RESIDENTIAL DAVIS, Kevin 343 Lodgeview Drive, Oroville (add garage)SF PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION i. CHECKED L BY SRA FLOOD CERTIFICATE REQ._ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS _., VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK ' O - Not OK *-N`tR Applicable MOBILE HOMES Date MOBILE HOME UnUTIES Fhns) OK mmept #'a I. Zoning Requhmenb - Setbacks - Easements 2. Sods; Special MH Support Sketch 3. Sewer, Loeadorr7nt-Fal.Cp-Corx"ta 4. Water, Leeatior► Needed (Sketch) 5 Electricity; Loation0mmnoesGmd-/ /Amp.Concreta 8. Gas; LocatiorrTerAVirap; / /'L'R. / /Nat or/ /L'tr./ /LPG - 7. Well Clearance 3 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Dam Card B-1 Date Card B-1 Dam MOBILE HOME INSTALLATION (Plana) OK mocept #'a 1. Zoning Requiranahts Setbacks Easernents 2. Footings; Size- a Ianiage Line 3. Gas; MH 4. Electricity; MH kers-Clearances _ S. Drain; MH Test-Falfiek Connector 8. Water. MH Ti;sFRegkd W Corrector 7. Water and Sewer Corrected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Irufalation CerL 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Perrnanerd Foundation Orgy: L lmmh Decal Dam Card B-1 Date Card B-1 Dam Card B-1 Date Card B-1 MISCELLANEOUS Date ECKS VERS, CARPORTS, GARAGES lana OK t #'s 1 . equirernenhSetixds£asenherhts 2. tines; SodsSixe-DepthSpackve ry�ectorsSted Decks; Girders and/or JoiatsD eking-BracingStain-Rads 4. Wood Awn.: Posta-Beams-Iikrs.-Cornectore Shthg.-Rfg.�Bradng 5. Alum. Awn.: Cdumna4CornecdonsSp5ce-DecaEEndosures 8. Carports; Windows -Doors 7. Electric 8. FmV.; Sts-AnchorsStuds-Rftrv-Trusscs - 9. Siding: NadingVeneerStueoo-Mesh 10. Root; Shthg-Roofng 11. Ext: StepoDoors-Landings 12. Braced Walt Panels Date Card B-1 Dam Card B-1 Dam Card B-1 Dam Card B-1 Dam POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Sols; Compaction -Structure Stability 3. Pool Structure; Steel-Connections-7hidness Dead MerAining 4. Elea.; Receptacles and LigI ft. Dxrhnce4W 5. Elec.: Pod Lighting; 15 Vdm-M 8. Elec.; Enclosures; C x*A En6kwTmnina%AJd9d 7. Elec.; Bcnckxr Metal w/g-Circulating Equip. -Heater 8. Elea.; Grokndng; Equip. w.6 Circilattng Equip. -Pool Lghtg. - neboardaln: to Main in Conduit 9. Health DepaM>entAppmAd 10. Plumb.: Cir. TestWater Supply Test 11. Light Niche Dam Card B-1 Dam Card 8-1' Dam Card B-1 Date Card B-1 Not OK RESIDENTIAL � a v Not Applicable Not Ready Date UNDERFLOOR (Plane) OK except f1F's 1. ZonuvSetbacks-Easments-Flood-Sk)pe 2. Ftg., Main; Sols-Elec. Gmd. / /' Ftg. Depth 3. mg. Garage; SalsSteet-Elec. Grnd/ /' Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. StemMrans, Main; Steel-Blockouts-Wrapped 6. Stemwans, Garage; Steei-Blockouts-Wrapped 6a. Holo Downs and Special Anchors 7. Slab, SteeHNrapped S. Piers -Fireplace mg. -Steell 9. D.W.V.; Fan -Fitting -Test -2 Way CAD -Sewer Test to. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-MaterialSupporNns. 14. GirdersSills-AndwrBdWJ0isbiWtv-Ct0Pies 15. Access & Ventilation (Single & Duplex) 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING P%wmilj OK wwPt f 17. Water Htc; Air Baf e 16. Water Pipe; Tess & ArrchorNaa Protec4on 19. D.W.V; Test Finings & AnchorNait Protection 20. Shower Pan; Test, Fest Floor -Tub Access 21. Test Tub & Shower; Second FtooFTub Access 22- Gas Pipe; S'ote & Andras Date Card B-1 Date Card B-1 Date Card B-1 Dale Card B-1 Date ELECTRICAL. f'arrr' OKex=ept#'s 23. Fodure & Transh mm Clearance-trrs. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Box & No. of Condudtons Stapled • 26. Romex stared Close b Edge of Studs & C -L 27. Equi. Ground made up v0lech Fastrwls ofd Gas & Water 28. 2 Appliance Ckaft in Kffthm & Conductor Size GR 29. Subfeed Wire Size! /ga. Cu or A 4LC. Wire Size / / ga Cu or AI 30. Range Circ. / /Sa Cu or AFOven Cit. / / ga Cu or AI Insulated Neutra( d Yes U No 31. Service -Riser Conductors & Ground -Main Mcatect 32. Equip. Clearances Pane"otors-Meth. Epuip. 33. Clothes Closet L%# Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except X's 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire -Stops, Furred Ceilings -Stairs -Chasers -Tubs •45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps-Anchors-Connectons 47. Cling. Joist-Rttr. Ties-Puffin-mif Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection-Oraft Stop•Ins. Baffles So. Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions 51. Garage Fire Protection Framing 52. Property Cine Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width4*adroom-Rise-Runr4-and4V-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh-Orip Screed -Fd. Vents-Underflr. Access 58. Glaring Area -Glass Protection -Skylights -Plastic 59.Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Wa ns-0erkngs 62. lnfiltrati«rWansMrodows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb. AkConector- in Garage: Above FloorDucts-Meeh. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures E Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int & Ext 72. Kil. Fust & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit Counter 74. Garage Fire Door: Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.: Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78 Elec Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Orive 0 Yes o NoMalks o Yes a No/Planters Q Yes o No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Ctearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -CAO to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75�/ PRM NO. (Rev. 12/96) APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER 069-11-0-005I ZONING 1 BUILDING PERMIT . OWNER KEVIN DAVIS TELEPHONE 1989-4-351 SO. FT. OCC. BUILDING VALUATION 720 Uw' f 960 .OWNERS MAILING ADDRESS 343 LODGENTEW DR, nROVTT.T F. CONTRACTOR'S NAME OWNER I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. . Filing Fee $ 20.00 Permit Fee $ 144.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIN&2 ffEtODGEVIEW DR, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ - LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New iD Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW GARAGE Gas piping stem 1 - 5 outlets 15.00 Building sewer. 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 46.00 WE NG gOUOOOA NEW CONST. DWE7IING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢Fr. REOSDNEW RANCH MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. ouXT rs RESIDPPUNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) *1 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 those provisions. X t%c1\ Date /a -d-3-9W Signature of Applicant wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over So" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE -. TO FEE $ HAZ. FEES P FwoD CDP D u This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON '— �rCT� I applicable provisions Resolutions to do work been paid. � g Date`f ® O pate) Receipt No. J3 1 V WHITE-D.D.S.-B.D. CANARY- SSESSOR P1111 -INSPECTOR GOL ROD-APPL CANT IJ "V L;UUM I T Ul- OU I I t - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 (Rev. 12/96) APPLICATION AND PERMIT — � "o 1771� BUILDINQPERMIT T�fO1'1II SO. FT. OCC. BU LDI Q VALUATION COMMAM" ft" %Ca V) e, cam"Va"Is maimADOR9e 00N*TWJCnOM usom LIME a wni+o AMAM ARCHfft= OR WOMORM ARClfrFCr OR 81101MV MAIM AOORdi Total Valuation Filing Fee Permit Fee Plan Checking F Energy Plan Chi WTM eUM°IMINUM .ARcn wr PLUMBIN, USEOFSTRUCTURE Each Trap Solar or heat pu SF 12,'Duplex O Mobilehome O Other Water piping `f ecry Each as water TYPE OF WORK Gas piping New O Addition O Remodel O L Mn O InstaMon O Other 0--' Building sower Describe Work:&2�� Mobile Home PERMIT FEE i ELECTRICAL PERMIT Main Service =00R"= Main Service 201ATO tOOM wEw 50— . owau+o oocuv OA ADONS. A ACL. tie % L'W 19 Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 23.00 KEE fi Ex. Occu p. ounce OR FKMQ0 Ioz ':so Ex. Occup. o= Wim. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE S 12-0 MECHANICAL PERMIT Fling Feel 20.00 I Hood 1 1 6.501 PERMIT FEt: S Mobile Home installation Fee $ Energy Inspection Fee 1 $ occ COMM TYPE TOTAL FEE $ 3(J r 7--6 KAZ O. nJ?9 WP FL000 CDf WPM f0 1O bSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �— ReceiptNo. PERMIT EXPIRES ON COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 4/CU -."'ASSESSOR PARCEL NUMBER: 66 Proposed Building Use: ��/¢i214�Ic Building Inspector: Date: / �� "� e :- R At time of permit applicationdvised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications-----------'------- Feesof $-------------------=----------------------------------------------------------------- l ac fees as shown on the attached schedule. ------------------------- ---- ------- ---------- - --------------- ❑ 12. California Department of Forestry plan approval/fees. %�-L------------------- Ell 3. --------------- ❑13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ---------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on - (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- El 22. Workers' Compensation carrier and policy number. -----------------------------------------; ----------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 13) - -------------------------------------- 2 . LLeter of signature authorization. ------------------------------=------------------------------------------------- 5 ' ecorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- tter of::Home ton building use. ------527. Manufacutility clearance.--------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: When you issue the ermit,rocess as follows ElMail to owner, //❑��Maaillt�to contractor. El Telephone ` � � and hold for pickup at 6)' o ce. ❑ Deliver with inspector. Applicant: Date: c/'C Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by Erphone, ❑ mail, ❑ Building Division counter, b Date://,Y Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi n counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil din iv' ion counter, by D e• Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: _ Yellow Copy - Department of Development Services, Building Division. ry+ � T; :'r � /�� ,jt��..�Y'�� �`r"v�'�`hj, ``r ' Y:1Z, _,,,`y�y� ,j � <.. 't tyy�}� �` �/y� i 'y(�� ,� �jY .•c{��,�4� .'. �`.j,,} f'. �ry ., "!`�1i'!1 �r'��,�•,;iT" •.'F T� I�i�f" k' iy+i�.ti1 �'b'Yt,l.:•e[-'�"I T� N—f'�i �'• L ','1' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER €?/ / /�-t/< 5 A.P. # PROPOSED BUILDING USE CJ`ti/J--r,'C' DATE 1.BUILDING PERMIT FEES -- Balance Due ................ Additional Fees Due ........... RECEIPT # DATE REC $ / ZC) -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x. $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE .INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time.of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) COUNTY,�OF BUTTE DEPARTMENT OF DEVELOPMEAV S) RVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE�CW95965-TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES OWNER /C 'y/ �. i�11—U! S PROPOSED BUILDING USE 1. BUELDING PERMIT FEES -- Balance Due ............. =- Additional Fees Due ........... -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... Q A.P: # -/YD DATE Z-:9 ' y RECEIPT # DATE REC 2. SCH09e rS - CT FEES _ (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units 'Commercial (sq. ft.). x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. - Amt. 5. RECREATION DISTRICT FEES (paid at District Office) i 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION ANDiPLAN.CHECK aPPC ` LCT 23` $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER ' 1, At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT - ���•� Si /oh ` DATE 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 Div. 2nd Copy - Applicant 3rd Copy - Owner - f - .(Rev'. 2/97) V O.B.- I 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 NO ❑ 2. I HAVE k 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: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. 1 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE:- ✓ % "qz _. 9 EL 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. OVER Inter-Depart";�;'em®r®ndum TO: Land Development Section, DPW FROM: Building Division, DPW SUBJECT: Improvements and Storm Drainage Clearance DATE: We have recently received an application to construct a by (owner and/or contractor) at (location) (use) -A. P. No. Permit Appin. No. and he has been advised to contact your section regarding requirements. Would you please advise, by signing this memo, when you have cleared the improve- ments and storm drainage facilities for this project so we may issue the required permit. .F. Glander JFG:dd Chief Building Inspector Improvements and drainage plans approved for construction. Improvements and drainage not required for construction.. Other (specify) (signature) (date) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ple s/e//Fontact this office immediately. ///^/' 0 Date �—� Inspector�/ IZ REV 10792 77 17 T-91.5 7 t4AN&C-Af Wqjo 10 f TP 37 371Z.A/F. It S1MP$&N.,T1E- LU52.8 I-ro BUTTE COUNTY dUILDING DEPARTMEN' A7��6 QVIFP -M1 DO u, 6 k/C C. 0.- T i` I j ft i t K1`;',V1N $-.3z5C/r .01403-'. . APPROVE Y SCALE: -31? 333 DRAWN BY DATE: 2.1 REVISED T A)IL DRAWING NUMBER Point System Summary: Climate Zone 11 1. Ceiling Insulation or R -v ue [381 U -value [0.028( , 2. Wall Insulation or value [91- u -value [O.o65j 3. Raised Floor Insulation or R -value (191 U -value [0.0371 Point Scores 4. Slab Edge Insulation or Fi-value [OJ F2 tacax [0.75] 5. infiltration Any Ducts in Unconditioned Space. ( / N)IN, 6. Fenestration Heat Loss_ __ Type U -value (0.651 Total 9f. Fete3.1161 1-6 7. Fenestration Heat Gain % Fenestration SCshade open Eff. % Fenes. Shade Etf Ratio North �� x -71 East x South x = . r West x = Skylight x Overhangs? ( Y / N ) .8. Interior Thermal Mass or % Exp. Slab 1201 Int Mass/CFA 9. Exterior.Wall Mass Ext Wall Mass 10. Heating System Z g x :.. �3 - • ��j AFUE or HSPF Duct Effie. (1 story: Effective AFUE Zonal Control [78% or 6.81 0.83; 2+ story: 0.881 or HSPF Adjustment 101 11. Cooling System � x . q SEER 110A1 Duct Etfic• (1 story: Effective SEER Zonal.cancot 0.81; 2+ story: 0.871 Adjustment (01 12. Water Heating System 1 1r)G 16y Heater Type Energy Factor Ext. Ins. R-vatue Auxiliary input Oistrlbubon (SG501 (0.531 (121 (None( (sToi System 2 Heater Type (None) Energy Factor Ext Ins. Rwalue Auxiiiary input Distribution Point Total: 1. Ceiling Insulation R-vacua Number of stones Famtl R -value One Two TTiiee` R-0 -74 -48 -27 R-19 -5 -4 .2 R-30 -1 •1 0 R-38 0 0 0 2. Wall Insulation. -23 Inlwlatdon In Floor .75 Single- Single - -4 -4 Family Family MuIOt- R-vacua Det=ed Attached Famtl R-0 -72 -57 -03 R-11 -7 -6 -4 R-13 •5 -4 -3 R-15 -4 -3 -2 R•19 0 0 0 • R-21 1 1 1 3. Raised Floor Insulation •32 -23 Inlwlatdon In Floor .75 •50 ilure6or of irons! -4 R•0 -14 -9 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 2 1 , 4. Slab_ Edge Insulation Number of Stones R -value One Two Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss 7. Fenestration Heat Gain (based on Shaoe Eftectiveness Ratio) Elf • % Fen- astra- iron North .87 .67 .52 51 or to to or more .86 .66 -less East .87 .67 .52 or to to more .86 .66 .51 � or less South .87 .67 52 or to to more .86 .66 .51 or less West .87 .67 .52 or to to more .86 .66 .51 or iess skylight .67 .66 or or mote less 18: -5 -4 .3 -2 -21 -20 -15 -12 .26 .23 •16 .12 -36 •32 -23 .16 .75 •50 i6% -4 -4 .2 -1 •18 -i6 -13 -10 •21 •19 . -13 -9 -31 -27 -19 -14 .65 . " 14% -4 -3 .2 .1 -14 •13 •11 -8 -16 .14 .10 .7 •26 •23 .16 •11 •55 .38 12% -3 -2 •1 -1 -11 -10 -8 -6 -12 •10 .7 -d .21 -18 -13 -8 -46 •31 119E -2 -2 •1 0 -10 -9 -7 -6 .10 -8 -5 -3 -19 -16 -11 -7 -41 •28 109: -2 -2 -1 0 -8 -8 -0 •5 -0 •7 .4 -2. •16 -14 -9 -6 -37 -25 9% '-2 -1 .1 0 -7 -7 •5 .4 -6 .5 •3 .1 •14 -12 -8 -5 -32 -22 8% -1 -1 -1 0 -6 -5 -0 •.4 .4 .4 -2 0 -11 -t0 -0 -4 -28 -19 71/. -1 -1 0 0 -5 -4 -4 -3 •3 •3 •1 0 -10 -8 •5 •3 -24 -17 6% -1 -1 0 0 -4 •-d .3 .2 .2 .2 -1 0 -8 -7 -4 -2 -20. -14 5% -1 0 0 0 -3 -3 -2 -2 -2 -1 0 0 -6 -5 -3 ) -16 -12 4% 0 0 0 0 -2 -2 -1 -1 -i •1 0 1 -4 -4 -2 0 -12 -10 3% 0 .0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 . i -9 -7 2% 0 0 0 1 0 0, 0 0 0 0 1 1 0 0 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 i 1 1 1 1 0 0 0 0 3 3 3 3 0 0 5. Infiltration (Duct Air Leakage) Du= in Unconditioned* Space 0 No Du= in Uncortantoned Space 3 8. Interior Thermal Mass Hour With Duets (R-42) Exterior Method A (Slab -on -grade Construction Only) Percent LJ -Value One Detached Two -25 or Three Exoosed Story Total 1.31 1,21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 :51 .46 .41 .36 .35 Percent or to to to to ' to to to to to to to to to to or Fenestration more 130 1.20 1.10 1.00 .90 .80 .75 70 65 .60 55 .50 .45 40 less 501/. -100 -76 -69 -02 -55 48 -01 -38 •34 •31 -27 -24 -20 -17 -13 -10 401/6 -77 -58 . -52 -47 -41 -36 -30 -27 -25 -22 -19 -16 -13 -11 -0 •5 35% -66 49 -44 -39 -34 -29 -25 •22 .20 .17 -15 -12 -10 -7 •5 -3 301/. -54 -40 -36 -31 -27 •23 -19 -17 -15 -13 -11 -8 -0 -4 .2 0 281/. -50 -36 -32 -28 -25 -21 -17 -15 -13 -11 -9 -7 -5 •3 -1 1 26% -45 -33 -29 -25 -22 -18 -14 -13 -11 -9 -7 -5 -4 -2 0 2 24% -41 -29 -26 -22 -19 -16 -12 -11 -9 .7 -6 -t •2 •i 1 3 227. -. -36 -25 -22 -19 -16 -13 -10 -8 -7 -5 -4 -2 -1 1 2 4 20% -31 -22 -19 -16 -13 -11 -8 •6 ' .5 -4 -2 -1 1 • ' 2 3 5 18% -27 -18 -16 -13 •it -8 -6 -t -3 •2 •1 1 2 3 4 6 16% =22 •14 •11 .10 •0 6 3 •3 •1 n 1 2 3 4 6 7 14% -18 -11 -9 J -5 -3 -i 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 -t -2 -1 1 2 3 4 4 5 6 7 8 9 109: -0 -t -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 8% -t 0 1 2 3 4 6 6 7 7 8 8 9 9 to 11 8. Interior Thermal Mass Hour With Duets (R-42) Exterior Method A (Slab -on -grade Construction Only) Percent Family Family One Detached Two -25 or Three Exoosed Story 0 Stones Stories 0 2 •3 7 .2 4 •1 10 8 -2 0.80 .1 10 -i 20 i4 0 9 0 17 0 30 1.40 1 14 .1. 1.60 1 . 40 17 3 :23 2 14 1 SO 19 4 1 3 1.• 2 s0 85% 5 7.2. 3 4 2 . ;0 2 6 90% 4 7.6 2 80' 5 8 3 5 95% 3 90 11 9 7 6 4 3 100 8.7 10 13 6 9 4 4 2 Method B Effective AFUE or HSPF less Ira •5 Slab Floor .15 Raised Floor Mass 32 Ennes Sum of 1.6 Stones /CFA One Two Three One Two Three 0.0 -11 -8 -0 -1 .1 0 0.1 -10 -7 -6 0 0 0 0.3 A -6 -5 1 1 1 05 -8 -5 -4 2 2 2 1.0 -6 -3 -1 4 4 5 1.5 -0 .1 1 6 6 6 2.0 -2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 '6 • 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 . 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.6 8 9 11 .18 17 17 9. Exterior Wall Thermal Mass Hour With Duets (R-42) Exterior `Single- Single- Muni Wall _(amity Family Family Mass Detached Attacaled -25 or 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 ---9 8 6 0.80 12 10 7 1.00 i4 12 9 1.20 17 13 10 1.40 18 14 11 1.60 w11 17• 17 1.80 :23 18 14 2.00 24 19 14 10. Heating -System Hour With Duets (R-42) Wam l isomig -am SEER Poen Seem 1000 1499 Sum of Houses With Ducts (R4.2) .25 -14 .4 Spin Pckg -25 or -24 to -14 to -4 to Sum of 1.6 AC AC Gas Spirt Pkg •25 -24 -14 .4 +6 16 AFUE HP HP or to to to to or - HSPF HSPF less -15 •5 +5 +15 more 78% 6.8 6.6 0 0 0 0 0 0 80% 7.0 6.8 1 1 1 1.• 0 0 85% 7.4 7.2. 5 4 3 2 2 1 90% 7.8 7.6 8 '7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 16 or AC Effective AFUE or HSPF less -15 •5 (AFUE or HSPF x duct efficiency) .15 Effective One Story House 32 -19 Sum of 1.6 0.83 Gas Split Pkg -25..- -24 -14 -0 +6 16 AFUE HP HP or to to to to or •7 NSPF NSPF less -15 •5 +5 +15 mtini One Story House -1 0 0 0 0 0 33% 2.9 2.8 -62- -53 -44 -34 .25 -16 401/6 3.5 3.4 -00 -34 -28 . -22 -16 -10 501/6. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 .4 .3 .2. .2 .1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 801/6 7.0 6.8 13 it 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 2D 17 13 10 6 Two or Three Story House 0 7.0 6.8 -11_ 32% 2.9 2.8 39 -SS 48 -37 -26 -15 40% 3.5 3.4 -46 -39. -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -6. . -5 -3 .-2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 / 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 90% 7.8 7.6 153 3 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Control Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Adjustment for No Tank Insolattoo Nuiioer ci WRW Mntn Wath Hewer Tvoe One Tae SG50 .2 .5 SG;!) J -a SE •5 -0 HP .2 .4 House Shm Adjustment • House size (rte) subtotal -Issa Hour With Duets (R-42) Wam l isomig -am SEER Poen Seem 1000 1499 Sum of 7.9 .25 -14 .4 Spin Pckg -25 or -24 to -14 to -4 to +6 to 16 or AC AC less -15 .5 .5 +15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12:0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 8 11 9 Effective SEER 4 8 SG75 Al 0.48 (SEER x duct efficiency) 1 -1 -12 Eft SEER -2 Sum of 7-9 6 5 -5 Solis Pckg -25 or -24 to .14 to -4 to +6 to 16 or AC AC less -15 •5 +5 .15 more One Story House 32 -19 0.83 5.0 4.9 -29 -23 -17 •11 -4 0 6.0 5.8 •16 •13 -9 .6 -2 0 7.0 6.8 •7 � -4 •3 -1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0' 11.0 10.7 12 10 7 4 2 0 120 11.6 15 12 9 6 2 0 13.0 12.6 18 14 .10 6 3 0 14.0 13.6 20 16 it 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 4o (IN -4 -1 •3 5.0 4.9 •35 -27 -20 -13 •5 0 6.0 5.8 -21 -17 •12 -0 .3 0 7.0 6.8 -11_ -9 •7 -4- -2 0 8.0 7.8 -0 -3 -2 -1 .1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 iZO 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 • 10 6 3 0 15.0 14.6 20 '16 11 7 3 0 Adjustment for No Tank Insolattoo Nuiioer ci WRW Mntn Wath Hewer Tvoe One Tae SG50 .2 .5 SG;!) J -a SE •5 -0 HP .2 .4 House Shm Adjustment • House size (rte) subtotal -Issa 1000 Wam l isomig -am to Poen Seem 1000 1499 30 -17 •5 .25 -14 .4 -20 -it .3 -15 .g 3 -10 _6 ..2 . •5 3 •1 0 0 0 5 3 1 10 6 2 15 9 3 20 it - 3 ZS 14 4 House Shia Adjustment Zonal Contras Adjustment House Sae ply subtotal ism 2000 Water melting to or Poen Score 1999 more 30 0 3 •25 0 2 .20 0 2 -15 ' 0 1 .10 0 1 .5 0 0 0 0 0 5 0 0 10 0 -1 15 20 0 0 -1 1 .2 25 0 .2 Zonal Contras Adjustment All 6 5 4 2 1 0 12. Water Heating One Watt Heater - No AuxW= y Cn dus Oltmieinbit Syu�n2 Real Systems Water cwnzn Etingy Sib HWR AW No Timm Dame Hewer Tvoel Imes Factor POU Insid clrt SG50 . At 0.53 0 3 1 -0 -5 0 - 063 5 8 6 .4 0 S ` 0.73 8 11 9 0 4 8 SG75 Al 0.48 -2 1 -1 -12 -7 -2 am 3 6 5 -5 -1 4 am 7 10 8 -1 3 7. SE Alt 087 -20 -12 -17 -41 32 -19 0.83 -17 -0 -13 38 -28 -16 IG' Al OPO 2 S 3 IE Ali O93 -21 -12 HP 6 11,13.15 1.80- 4 7 S -5 -1 .4 Two Wow Heaton - No AnzMary Credus SG50 Illi 0.53 .7 .4 -0 •17 -12 -7 o.M 1 5 3 -0 .4 1 0.73 6 10 8 -2 2 7 SG75 AN 0.48 -12 -0 -11 -M -17 -12 1 3 0 -11 -6 -1 0.68 6 8 7 -4 1 6 SE A9 0.87 -22 -14 -19 -46 •35 -22 493 -16 -7 -12 -39 •28 -15 Ir 4o (IN -4 -1 •3 IE Ai 0.93 -21 -12 HP 6.11.13,15 1.80 .1 3 1 •10 -6 0 Mandatory Measures Checklist: Residential MF1R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checidist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pemvinch. §118: Insulation sDecified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces oesioned to limit air leakage. b. Manufactured fenestration products have label with certified 1.1 -value. and infiltration certification. . c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(Q: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a Closeable metal or glass door b. Outside air intake with damper and control c. Rue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC eduipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenovextenor insulation (R-16 or greater). 2 First 5 feet of pipes closest to water heater tank norrrecirculalino systems, insulated (R-4 or greater). 3. All buried or exposed Piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. §150(ml: Ducts and Fans 1. Ducts constructed, installed and seated to comply with UMC Sections 1002 and 1 Wit: ducts insulated to a minimum installed value of 84.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave backdrah or autornatic dampers 3. Gravity ventilating systems serving conditioneo space have either automatic or readily accessible. manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certifieo with 78% thermal efficiency, on-off switch, weatherproof operating instructions. no eiectric resistance neatind and no pilot light. 2 System is instaiteo with: a. At least 36' pile oetween filter and heater for future solar heating. b. Cover for outcoor cools or out000r spa. 3. Pool system nas cirecconal inlets ano a circulation Dump time switch. §115: Gas-fireo central turnace. pool neater, spa neater or household cooking appliance have no continuously burins pilot light. (Exception: Non -electrical cooking appiiance with pilot < 150 Btwhr.) Ughting Measures §i 50(k): 40 lumenswar, or oreater for general lighting to kitchens and rooms with water closets: and recessed ceiiing fixtures iC iinsulation ccveri approved. DESIGNER I ENFORCEMENT COMPUANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply"with Title 24, Parts 1 and 6, or the Catirornia Code of Regulations, and the administrative regulations to Implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in mtlftipte onernations, any shading feattue that is varied is indicated in the Special Featues/Remarks section. Designer or Owner (Per aualnese A Professions code) TidafFirm: Address: Telephone: Lir. f: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signatureistamp) (oate) Documentation Author, Name: Tide/Frm: Address: Teteph e: ignature► (dare) Certificate of Compliance: Residential Climate Zone 11 ProjectTitle ! _ f tion BUILDING DATA 49A=ched(SFA_) Area_,Detached (SFD) (SFA) [ ] Multi-Fatnily (NM 51-5 -76,V Building Permit N Chocked By / Dates- Fnroroanatt Alteacy Use Only Number of Stories - Z North Number of _Units Z East South [ ] Addition Alone West [ ] Existing Building Skylight [ ] Existing -Plus -Addition Total B UU,DING SHELL INSULATION Component Insulation Locatiion/famments Tvoe R -Value (Anc, to 2aratte. ty kat etc:, Roof ............. T Roof............. Wall .............. Wall.......... Floor ............. Floor ............. Slab Edge....: FENESTRATION -Eenestration Area Shading Devices .Type Interior . Exterior Area % / �. Overhang Framing Type North ( ) _ C- /11&1� North ( ) East ( ) East ( ) South Sou I:h ( ) West ( ) West ( ) - Skylight......: �---- THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc) (SO (inches) Locacion/Descriotion (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location conditioner, heetvutnn) (AFUE,SEER.HSPF) (atldo, etc.) Duct Heat Pump R -Value Thermostat Tyne (sR1 ; t or pkg) IIOT WATER SYSTEMS Tank R Value Svstem Type (storage gas, etc.) CaDacity Number Enerav Factor ext k Tns_ „1h _qtri hr,t-inn S7_ SPECIAL FEATURES/REMARKS i Il CD_F FIRE ;SAFE 'REQUIREMENTS -- t �AP# - PERMIT #[ N E Undex authgritylof PRC 4290, Lhe following checked items are required by the Butte. C ounty Fire Department and are made a part of this permit. These requirements arct,Minimums and will be superseded by Butte County 3.0a al regulations kT is ck: equal or exceed these standards., Field inspections will:ho. 'made by the Butte County Building Department for compliance. [ ' 121P 00 .Maintenance of Defensible Space. To ensure continuzd ' maintenance of properties in conformance with these (i standards and measures and to assure cont inued,w.yail- ' e:bility, access and utilization of the defensible space provided for in these .standards, annual- maintenance must be provide for by the land owner. DrividwAy Standards , ] ,, 12'73.02 Surface. All driveway surfaces and_. structures{bridges, 1273,.07culverts and other apF•.zrteaant structures which supple- + Ment the roadway.:bed or shoulders): shall provide unob- I, structed access to conventional drive vehicles, inclid- ins sedans and fire apparatus weighing up to 40,0'00 j pounds. i ' [ 1273.03 Grade Not to exceed 16 percent unlesa paved. 1273.04 DrivewayRadius [�(] X No roadway shall have a horizontal inside radius of feet additional sur- curvature of less Lhan 50 and face width of 4 feet shall be added to curves of` 50- 10Q feet`xadius; 2 feet, to, those from 100-200 feet. [ 2. The Length of, vertical curves in roadways exclusives. ' ` - c+f gutters, ditches and drains a structures desr,'gned g ' tishold or divert water shall be not less that, 100 . feet. [� 1273 .0 5 Turnarounds. If required, will Dave a minimum turning the radius of 40 feet frem the center of road. [ 1273.05 Turnouts. Shall, be a''minimum of 10 feet wide and 30 ;feet long with a lminimum 25r foot taper on each end. 1270,10 Width.i All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical'clearance of 15 feet along its entire length. Y P 1 'Page 1 of 1, ', , zA% AP # PERMIT;# NAME _ [x] 1273.10 Turnouts: Driveways exceeding 150 feet in length, but less than 800 feet in length,, shall provide a turnout near the midpoint of the driveway. Where a driveway - exceeds 80.0 feet,, turnouts shall be p;rovded no more than 400 feet apart. ] 1273.10 Turnaround. A turnaround shall be provided at all feet in length building sites on d+:iveways over 30C and shall,,bn within 50 feet or the building. 1273.111 Gates' i ( 1. Gate entrances shall be at least two feet wider than the roadway it Serves.. [ 2. The be o aI at least 30 ,feet from the y op allow:a vehicle to stop 1 ateandus without obstructing traffic on that roadway, ( ] 3. Where_a one"way road''with a single traffic lane � pr.'ovides, entrance, a SO: foot turning radius shall be used, _ 1 Fuel Modificat on J 1276,.01 Setback for Structure Defensible Space., All parcels 1 acre and 'larger shall provide a mini - mum30 foot, ,setback for buildings And accessory bu ildings from utl^property linea and/or the -center of the road: For parcels less, than 1 acre, local jurisdiction shall provide for the same;practi-a1 effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of' flammable vegetation and fuels caused by, site 'development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of ldin road construction )r f-4. inspection of a bui g permit, t Page 2 of 3 2 a` Rebar, con muo P may be required by tan f.' � of k` hold6 wall and ,footitrumust a and 6ot:. �n of stemwall. Additional rebar � g xtend under garage door opening, (;, 4. In the Srst storyofa two y story building, each braced wall panel shall be in accordantie t66� ee deiai'k'fih? , Except,'that the plywood sheathing shalt be provided on both faces And d&- down devjb4c�it`gli 'bapaci l not be less than 3000 pounds. Nailing to be staggered for sheathing, applied to both faces. , 5.1►ltecnate-Braced Wall Panel's cannot be used ori the second floor of tWo - storildmgsr(ilh�B:C, 2326,1 1A). ,'ar dingle PIR 1An- (1Nith ncicd modif cations tor two story' w0dings} i