The URL can be used to link to this page

Home My WebLink About069-310-021BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6427 JACK HILL DRIVE Owner: Permit No: B08-0913 APN: 069-310-021 ANDREINI, ANGELO LOUIS III Issued Date: 09/15/2008 By KCG Permit type: RESIDENTIAL P O BOX 1134 Subtype: SFD-Custom/Model RED BLUFF, CA 96080 Expiration Date: 09/15/2009 Description: NSF(1747)GAR(441)COV(128) (530) 604-4435 Occupancy: R-3 Zoning: RTI Contractor Applicant: Square Footage: ELLYATT CONSTRUCTION COMPANY ELLYATT CONSTRUCTION ( Building Garage Remdl/Addn 15875 BOLO COURT 15875 BOLO COURT 1,747 441 RED BLUFF, CA 96080 RED BLUFF, CA 96080 (530)736-3569 (530)736-3569 Other Porch/Patio Total 128 2,316 FEE INFORMATION CWIF SF $2,419.76 DBFIRE SRA Fire Plan Review (S $107.00 CWIF SF $2,275.07 DBOMSC Fire Safe Standards Rev $118.98 CWIFAUD Impact Processing Audi $50.00 DBSMIP Residential $12.62 CWIFDDS Impact Processing Fee $50.00 DB R3 Dwelling -Custom, Model 0 $1,789.25 DB R3 Dwelling -Custom, Model 0 $1,192.83 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 Total Charged: $8,229.51 Fees Paid: $8,229.51 Balance Due: $0.00 Receipt No: B7817 LICENSED_ CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ELLYATT CONSTRUCTION CO 849570 / B / 11/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY ASR ER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commerr6mg with Se ron 7000) of Divi 'on 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for and efte of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 09/15/2008 penalty [$500]; Please check one of the following: Conry ctor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is oror on�dreddodollars ($100) or less.) I AM EXEMPT under Section B. 8 P.C. for this reason: 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' Compensa' ws o lifomia, and agree that if I should become subject to the workers' X 09/15/2008 cempe alion provisi sof ett n-3700 of the boy Code, I shall forthwith comply with those provisions. Owner's Signature Date X 09/15/2008 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuan it. I hereby acknowledge that issuance of this permit does not authorize the t is use or pancy of a sid alk-stn?e1'or�pubsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to an er th ntion rope for inspection purposes. I hereby certify that I am the Propertyo r c ropertyowners behalf. CONSTRUCTION LENDING AGENCY 4 G C/ 09/15/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e of Per iZZPrint Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner r OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION* * NO. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 �q A FEE WILL BE REQUIRED AT TIME OF APPLICATION v o I Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY ni'Lprf Ma "When filed, this application and all supporting material becomes subject to the. California Public Records Act. All public inform related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Laa e/N/ FAi Name Mailinddress 043 City e �+ State�� Zip c� O O Phone s. 3,1— Fax E-mail CONTRACTOR Name S r�i y Address Sly S a 0 67o4 City RC Sta' C9 Zip 9�r0 Phone 73,l 3s6 % Fax E-mail ��• a��Cp,✓s�ru��o^' � f/o�iria:/ c.o Lic. # 19 e s Class ,PROJECT LOCATION AP# 06- 310 - o a i Property Address 6- V-7 -7 d o City nig 01/;//C_ 6.0 WORKER'S COMPENSATION Policy 20 6� Numb 7 Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name ,y� O•v Address ARCHITECT/ENGINEER Name Address aa S coy l—%O CitySte � 64e-'n, No GA Zi S Phone 34U _ 9 fe Fax E-mail State License Number ,PROJECT LOCATION AP# 06- 310 - o a i Property Address 6- V-7 -7 d o City nig 01/;//C_ 6.0 WORKER'S COMPENSATION Policy 20 6� Numb 7 Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name ,y� O•v Address NT SPAIVURErole/ i DESCRIPTION OR SCOPE OF WORK: /f�Cw r Sq FT- Living I r7,4 I Garage L{ /4 ( Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Address City No State Zip Phone Fax E-mail NT SPAIVURErole/ i DESCRIPTION OR SCOPE OF WORK: /f�Cw r Sq FT- Living I r7,4 I Garage L{ /4 ( Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning T Flood zoneT--.SZ I SRA C Yes No Occ. Type Const. Conterminous 48 Stptes 2003 NEHRP Seisrpic Design Provisions Spectral Response Accelerations Ss and S1 Latitude = 39534000 Longitude = -121.459000 Ss and S1 = Mapped Spectral Acceleration Values SiteClass B - Fa . 1.00, Fv = 1.00 Data are based ori; a 0.01 deg grid spacing. Period Sa (sec) (g) 0.2 0.53p Ss, SiteClass B 1.0 0.207 S1, SiteClass B Conterminous 48 Stptes 2003 NEHRP Seisrj is Design Provisions Spectral Response Accelerations SMs and SM1 Latitude = 39:534000 Longitude = -121.459000 SMs = FaSs and §,M1 = FvS1 Site Class D - Fay= 1.37, Fv = 1.99 Data are based on a 0.01 deg grid spacing. Period Sa ; (sec) (g) 0.2 0.730 SMs, Site Class D 1.0 0.410 SM1, *Site Class D Conterminous 48 Stptes 2003 NEHRP Seismic Design Provisions Spectral Response Accelerations SDs and SD1 Latitude = 39 634000 Longitude = -121.059000 SDs = 2/3 x SMs a.pd SD1 = 2/3 x SM1 Site Class D - F 1.37, Fv = 1.99 Data are based q' a 0.01 deg grid spacing. Period Sa (sec) (9).. 0.2 0.49'� SDs, Site Class D 1.0 0.27f SD1, Site Class D 4 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0913 Location: 6427 JACK HILL DRIVE Parcel Number: 069-310-021 Owner Name: ANDREM, ANGELO LOUIS III Description: NSF(1747)GAR(441)COV(128) Date: 05/19/2008 By: AAM Sub Type: SFD-Custom/Model Phone: (530) 604-4435 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS E] Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 1:1 F-1 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 M City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 F1 I PARKS & RECREATION DISTRICTS El 1:1 Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 n 71 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 13 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 1:1 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 El M Other: E] m Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 05/19/2008 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 1:1 El Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 1:1 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 F1 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 El E] Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 E] Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 El M Other: E] m Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 05/19/2008 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0913 Job Address: 6427 JACK HILL DRIVE Contractor: ELLYATT CONSTRUCTION COMPANY Fee Description 15875 BOLO COURT RED BLUFF, CA 96080 Printed: 05/19/2008 4:32 pm Account Number Fee Amount Paid Date Pmt Amt CWIF SF CWIFPWRDS SF 1831-0-280-1011001 $1,342.38 CWIFFIREF SF 1851-0-280-1011852 $367.67 CWIFFIREVE SF 1851-0-280-1011853 $709.71 DB R3 Dwelling -Custom, Model 0 DBF R3 DWLNG CSTM/MDL Insp Fe( 0010-440001-4210500-1010( $1,789.25 DBF R3 DWLNG CSTM/MDL Plan Ch 0010-440001-4210500-1010( $1,192.83 05/19/2008 $1,192.83 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010( $107.00 05/19/2008 $107.00 0100-450001-4617240-1010( $107.00 DBOMSC Fire Safe Standards Rev ' 0010-440001-4210500-1010( $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010( $107.00 05/19/2008 $107.00 CWIFAUD Impact Processing Audi 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-440001-4617999-1010 $50.00 CWIF SF CWIFGGF SF 1808-0-280-101001 $667.21 CWIFGGVE SF 1810-0-280-101001 $307.71 CWIFLBRYF SF 1825-0-280-1011826 $240.89 CWIFLBRYM SF 1825-0-280-1011827 $162.04 CWIFLBRYV SF 1825-0-280-1011828 $4.83 CWIFSHERFF SF 1840-0-280-1011841 $314.12 CWIFSHERFJL SF 090807 1800-0-280-1011811 $425.00 CWIFSHERFVE SF 1840-0-280-1011842 $153.27 DBSMIP Residential 1001-0-280-1011298 $12.62 Printed By: Kourtni Graham 89229.51 $19406.83 Balance Due: $6,822.68 At the time of permit 'ca io was advised the above fees are required prior to issuance of the permit. These fe ma c rin clog -process. Signature: Date: 05/19/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-0913 Location: 6427 JACK HILL DRIVE Parcel Number: 069-310-021 Owner Name: ANDREINI, ANGELO LOUIS III Description: NSF(1747)GAR(441)COV(128) Date: 05/19/2008 By: AAM Sub Type: SFD-Custom/Model Phone: (530) 604-4435 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection require S. 05/19/2008 Date S<ignature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Firenrevention/protplan/protplan.html Rev'd 5/7/07 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. . EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY* Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0913 Date: 05/19/2008 Location: 6427 JACK HILL DRIVE Parcel Number: 069-310-021 Owner Name: ANDREINI, ANGELO LOUIS III Phone: (530) 604-4435 Description: NSF(1747)GAR(441)COV(128) Signature of Applicant: FILE Date: 05/19/2008 OA, 0 0 0 0 0 Acetic woR,�y J. Michael Crump, Director Shawn H. O'Brien, Assistant Director +4 AlOt4 1+11i ® Q B U T T E ENCROACHMENT PERMIT NOTICIFICATION 7 County Center Drive Oroville, CA 95965-3397 (530)538-7681 (FAX) 538-4356 In order for the Building Division of Development Services to be able to issue your building permit you inay be required to obtain an Encroachment Permit from the Department of Public Works. An Encroachment Permit is required any time you construct a driveway access to a County Maintained Roadway. If you were required to obtain an encroachment permit prior to issuance of a building permit, then all construction outlined on the encroachment permit must be completed and Public Works final approval must be obtained prior to the Building Division being able to final your building permit. Contact the Public Works Department, 7 County Center Drive, Oroville, CA 95965, telephone 530-538-7681, Fax 530-538-4356, email PublicWorksDeptgbuttecounty.net, if you have any questions. An electronic, fillable version Encroachment Permit Application form is available on line at hqp://www.buttecounty.net/publicworks/Assets/pdf[Permit Encroachment.pd You may request inspection for an issued permit on line at h_ptt ://www.buttecounty.net/publicworks/eServices/Permitlnspection.html. ENCROACHMENT PERMIT APPLICATION CRITERIA 1: There is a 5 -day minimum processing time on all applications. 2: All applications must be filled out completely and signed by property owner/ and/or licensed contractor. 3: "Location of work to be done" includes address of property and / or assessors parcel number and a description of the location (i.e.: distance from the nearest crossroad or other well-defined landmark). 4: Along with the application, a plot map showing the site location of the driveway approach must be submitted. 5: Applicant must place a flag or similar item at the location to help the inspector locate the site in the field for a pre -inspection. 6: If items #2 — 5 are not completed at the time of the pre -inspection, this application will be delayed or returned for additional information. 7: All applicants must have certificate of general liability insurance on file with public works with at least $ 1,000,000.00 general liability coverage with Butte County Public Works listed as additional insured and Butte County listed as a certificate holder. 8: All work pertaining to the encroachment permit must be finalized or bonded for completion before home occupancy. Permittee has up to one year to complete permit requirements. 9: Current permit fee is $73.60 for encroachment permits. 10. If you were required to obtain an encroachment permit prior to issuance of a building permit, then all construction outlined on the encroachment permit must be completed and Public Works final approval must be obtained prior to the Building Division being able to final your building permit. Contact the Public Works Department, 7 County Center Drive, Oroville, CA 95965, telephone 530-538-7681, Fax 530-538-4356, email PublicWorksDent(a)buttecounty.net, if you have any questions. You may request inspection for an issued permit on line at http://www.buttecounty.net/publicworks/eServices/Permitlnspection.html. Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 d 0 0' .O National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number:' B08-0913 Date: 05/19/2008 Location: *6427 JACK HILL DRIVE By: AAM Parcel Number: 069-310-021 Owner Name: ANDREM, ANGELO LOUIS III Description: NSF(1747)GAR(441)COV(128) Sub Type: SFD-Custom/Model Phone: (530) 604-4435 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: ` Title: FILE Date: 05/19/2008 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0913 Job Address: 6427 JACK HILL DRIVE Contractor: ELLYATT CONSTRUCTION COMPANY 15875 BOLO COURT RED BLUFF, CA 96080 Printed: 05/19/2008 4:32 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF SF CWIFFIREF SF 1851-0-280-1011852 $367.67 CWIFFIREVE SF 1851-0-280-1011853 $709.71 CWIFPWRDS SF 1831-0-280-1011001 $1,342.38 DB R3 Dwelling -Custom, Model 0 1825-0-280-1011826 $240.89 DBF R3 DWLNG CSTM/MDL Insp Fe( 0010-440001-4210500-1010( $1,789.25 DBF R3 DWLNG CSTM/MDL Plan Ch 0010-440001-4210500-1010( $1,192.83 05/19/2008 $1,192.83 DBFIRE Fire Inspection (SRA) 1800-0-280-1011811 $425.00 CWIFSHERFVE SF 0100-450001-4617240-1010( $107.00 05/19/2008 $107.00 DBSMIP Residential 0100-450001-4617240-1010( $107.00 DBOMSC Fire Safe Standards Rev 1001-0-280-1011298 $12.62 0010-440001-4210500-1010( $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010( $107.00 05/19/2008 $107.00 CWIFAUD Impact Processing Audi 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-440001-4617999-1010 $50.00 CWIF SF CWIFSHERFF SF 1840-0-280-1011841 $314.12 CWIFGGF SF 1808-0-280-101001 $667.21 CWIFGGVE SF 1810-0-280-101001 $307.71 CWIFLBRYF SF 1825-0-280-1011826 $240.89 CWIFLBRYM SF 1825-0-280-1011827 $162.04 CWIFLBRYV SF 1825-0-280-1011828 $4.83 CWIFSHERFJL SF 090807 1800-0-280-1011811 $425.00 CWIFSHERFVE SF 1840-0-280-1011842 $153.27 DBSMIP Residential 1001-0-280-1011298 $12.62 Printed By: Kourtni Graham 89229.51 $19406.83 Balance Due: $6,822.68 At the time of permit a 'c o , I was advised the above fees are required prior to issuance of the permit. These fee y a ri n checking process. Signature: Date: 05/19/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Oroville Elementary :School: District Building Permit Number: B08-0913 Tax Rate Area No: Assessor's Parcel Number (s): 069-310-021 Jurisdiction: County Property.O.wner (s): ANDREIM, ANGELO LOUIS III Project Location/Address: 6427 JACK HILL DRIVE OROVILLE I Type of Development I Residential Development: 0 No 0 = Sq. Footage: 1,747 No of Living Mobile Home Addition/ *Supplemental to Cr. Demo - existing 0 Units Installation Conversion Permit # g "o Foundation Inspection) sq. ft. Net total sq. ft. Commercial/Industrial: =New = Addition Pr oject Description: NSF(1747)GAR(441)COV(128) i Deed Restricted Sq. Footage: 0 Attach sinned copv of Deed Restriction and Notice of Limits Use aci i Document Sq. Footage: (Including Edenor oo a as k. 05/19/2008 Building D. partment Representative Date District Indentification No. I� J� UZI School District certifies that (Payor) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. (Phone Number) by payment of $ �g _ s9 "representing 1 7i % square feet. AB 2926 $ FULL MITIGATION $ `7 / School istrict resentative Date Paid by Check # Remarks: 1 -ho -41 to (o 9 -,�?/ o Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a Ive signing this butte County Schools Impact Yee Certification Form, the c o0 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 (Cnhnnl r)ictrirtl vP.11nw (Rnilriino rVnarrment) Pink (Annlirant) r1rl.0 Cr.hnnl Frr. Fnrm re.uld I In (JR --- --..q - 17.S i f ' &04.0 �� Gy62hliW h14s-E1y u.l, ND. > VIP, 20. 9 h,ld °X&,854..7 r JIN�6 IIA. &WLMA � '�'K� _ - CARPET •Jc(_Y_LN CA.. �� . . r •' � � I : _I 4FI i �ENId4 - . a 11°� 3I am, 3 21 M I �. I �� .•~Oh TOGO. 1u*IM¢y qtr faS ~ u i4T.�°fi�rl�?_ W1 PANTIV \ 00 2 � I�oJ aa,R Er15 G0• XPi DR. . A` L E TToO YTEVIIOvc ba,41 � f '1 ri , _, N cARPEr b o- EP fib$ ti j n G 1II FOI.•D 9 4' JUl F. TY P. ', 2 . ��•� _ ° °�i X1.8- p f / 1(i Nlgqr 1 N 1 E. 1 �i4jLAj�, � = j 14 oG. If 1 -- If c�a W /L.0EI �R, r �j to gotio �— vtoo kMP.. IA• It I=d�' CAF1 eLE�..yeaJtcMBs— y 6 r- ALL�i, l 1 �..... l✓.o°r.1`AA(l, DIN. w/ r10, t- 4 1& qDR • rl _ F2_I� p BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES O' INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: 06-1823 Issued: 10/18/2006 Address: 6427 JACK HILL DRIVE OROVILLE APN: 069-310-021 Permit Subtype: NSF/GAR Owner: SCOTT SMITH Applicant: SCOTT SMITH T `1 C - 7- -3 Description: NSF/GAR 1747 SQ.FT. MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6427 JACK HILL DRIVE Owner: Permit No: 06-1823 APN: 069-310-021 SCOTT SMITH Issued Date: 10/18/2006 By TMP Permit type: RESIDENTIAL 6299 COUNTY ROAD 25 Subtype: NSF/GAR ORLAND, CA 95963 Expiration Date: 10/18/2007 Description: NSF/GAR 1747 SQ.FT. (530) 865-3712 Occupancy: R-3 Zoning: Contractor Applicant: Square Footage: OWNER SCOTT SMITH Building Garage RemdUAddn 6299 COUNTY ROAD 25 1,747 440 ORLAND, CA 95963 Other Porch/Patio Total (530) 865-3712 11 2,187 FEE INFORMATION County Impact - SFD $2,244.02 Dwelling - Custom, Model $1,627.90 Fund 10 BLDG $1,138.63 Impact Processing Auditor $50.00 Impact Processing DDS $50.00 Res Impact Fees - SFD $2,005.09 SMIP - Residential $11.11 SRA Fees $95.00 Total Charged: $7,221.75 Fees Paid: $7,221.75 Balance Due: $0.00 Receipt No: B351 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil than five hundred 10/18/2006 penalty of not more dollars [$500]; Please check one of the following: Contractor's Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License CIFFERED Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS'COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the 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 improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 the Labor I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Policy Number: Exp. Date: Contractor's License Law.). (This section nee not be completed if the permit is or one hundred dollars ($100) or less.) ❑ IAM EXEMPT under S B. 8 P.C. for this reason: THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS PCERTIFY I UED, I shall not employ any person in any manner so as to become subject to the Workers' Co ensation laws of California, and agree that if I should become subject to the workers'X 10/18/2006 compens ion provisions of Se n 00 of the Labor Code, I shall forthwith comply with those Owers Signature Date pro on . X 10/18/2006 I hereby certify that I have read this application and state that theabove information is correct. I agree to comply with all City and County ordinances, t Sign f Date WA NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 10/18/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ElOwner 11 Contractor OR. � lent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: 06-1823 Job Address: 6427 JACK HILL DRIVE Contractor: OWNER _ I Printed: 09/28/2006 2:02 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt County Impact - SFD SF - Public Works - Veh/Egp 1851-0-280-1011853 $658.17 SF - Public Works - Roads 1831-0-280-1011001 $1,244.88 SF - Public Works - Facility 1851-0-280-1011852 $340.97 Dwelling - Custom, Model N - Permit Fee 0010-440001-4210500-1010 $1,627.90 SRA Fees $1,138.63 07/28/2006 $1,138.63 $95.00 07/28/2006 $95.00 Impact Processing Auditor 0010-0504617998-101001 $50.00 Impact Processing DDS 00104400014617999-1010 $50.00 Res Impact Fees - SFD SF - Sheriff- Jail 1800-0-280-1011811 $288.00 SF - Sheriff Veh/Egp 1840-0-280-1011842 $142.14 SF - Sheriff Facility 1840-0-280-1011841 $291.31 SF - Gen Govt - Veh/Egp 1810-0-280-101001 $285.37 SF - Gen Govt - Facility 1808-0-280-101001 $618.75 SF - Library Vehicles 1825-0-280-1011828 $4.50 SF - Library Facility 1825-0-280-1011826 $224.20 SF - Library Materials 1825-0-280-1011827 $150.82 SMIP - Residential Printed By: Tammie Powell 1001-0-280-1011298 $11.11 79221.75 $19233.63 Balance Due: $5,988.12 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 09/28/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name 1 M I 'f irst Name C J Go Address �,Z �K�� ?_Y City o r 1 4� CA StateeA Zip 1- 0 Phone 5-3-71 Z, Fax 19 6 S -ZS 6 ( E-mail a14– j, APPLICANT INFORMATION CO TRACTOR Name e Address City C/fin't' a City State State Zip Phone Fax Fax E-mail Page Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address 9f Address City C/fin't' a City State State Zip Phone Fax Fax E-mail Page State License Number APPLICANT INFORMATION Name S -M , 14 Sc Address 9f &^1 - City C/fin't' a SRA d State Zip Phone� 7 / Z Fax E-mail Map Book i INES4�10, W� office use only: API oning I Flood Zone 1K I SRA d Yes No Occ• If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of pernfit issuance. Type Const. Subdivision Name Name -- I t,rSc---� �t�✓��au Map Book Page Lot # Planner Date Approved: UVtK I -UK SUBMITTAL REQUIREMENTS K:\FORMSIBUILDING FORMS1BIdgAppiSubRgmts.doc Page 1 of 3 PERMIT, NO.��c6 PROJECT LOCATION API Property Address� �L /�� City ;0i 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 pernfit issuance. LENDING AGENCY Name -- I t,rSc---� �t�✓��au Address Descrip ion or Scope of Work: _____ _–Z--- S/ ^/cam-----------------------..—. J 17 14 r7 Sq FT- Livin . Garage o Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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: by: Receipt M . d Date -52 Amount:�V�Idg 20 L/ SRA Sheriff SMIP Other 76— Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS, The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). - ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form El 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ .Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 7 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: / 7-7_1 -- ASSESSOR PARCEL NUMBER Proposed Building Use: S �"' Permit Technician: Date: -7 y Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 1A). 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. �jI of 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 4VAining 11. Hazardous Material Form 12. Acknowledgement of building permit application without requiredclearances 13. Other l oA - PV 45 G G-�'?L_ d - / o items needed to issue the permit. (May require additional plan review upon receipt of the following items.) �lL�-TL 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by O 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site Ian and business, license approval from the Cit of Bi . s----. �-7_ W -o 6 22. California Department of Forestry plan approval bald Sent by: .. ..... 23. Planning approval for (A) Use: 6rL (B) Parking: (C) Parcel Check:.. t.... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... .29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder. Verification ( _ Given to owner, _Mailed to owner) ..................... O 31. Letter of Signature authorization ......................................... )2. Recorded copy of Agricultural Acknowledgment Statement...... )......... . ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 0 36. Other: O 37. Other: When issued Telephone a /,L 9_20 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: G% _ Date: 7-29-011, 1. Index permit application for a ite Plan Check Letter 2. Additional items required Contractor, designer owne a ata by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, wner, as advised of the above data by Yphone, ❑ mail, ❑ counter, by Date: 9-� rlr6 Contractor, designer, owner, was advised of the ab a f ata by ❑ phone, O mail, ❑ counter, by Date: Plans reviewed by: Date: 1 0 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION v 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner smith APN No: 69-310-021 Permit Type: -J Subtype: App Date: 7/28/2006 Permit No: BP 063' Permit Desc: 0(�-I 3 1`70 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,571.62 Plan Check portion of Permit Fee $1,028.65 $1,542.97 Balance of Building Permit Fee 2 FEMA Flood Elevation Review $109.98 0 3 RYes SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 1 - $204.98 (State Responsibility Area) Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $1,123.65 _ RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION ) $1,233.63 7jV��-� '�'-- FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT z .. , _ " 4 Balance of Building Permit Fees (from No. 1 above) PfA c6n vuein 610n e,$1A ,542.97 Id 5 SMIP* -Strong Motion Instrumentation Program (Enter amount frorti permit system) $11.11 X35 LJ 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 04/15/06 FMFD MH County 1 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 �c R-1 8897.09 7491.04 °c 8582.40 R-2 8390.09 6984.04 8075.40 R-3 7604.09 6198.04 7289.40 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 1 $100.00 $4,349.11 9 WATER TENDER FEE )Not collected when impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,997 MASTER PLAN 771 Comanche Creek $8,341 772 Little Chico Creek $9,088 773 Big Chico Creek New construction, vacant $6,776 774 Lindo Channel land, on 1 acre or less - $8,267 775 SUDAD Ditch Enter 1 or less acre value $7,211 776 Mud -Sycamore Creek $6,275 RECEIPT DATE Tech/Asst 777 PV Ditch.' $8,893 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW �J 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $136 At time of building permit �• $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* i Oroville Elementary091------.- � 1&-:2- 0 _ 12a RECREATION DISTRICT FEES* 102--0, Oroville - z- At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: - Date: -Z Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 Date: To: From: Subject: Sore, VV� Department of Development Services Building Division 7 County Center Drive oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX www buttecountY.net FACSIMILE COVER SHEET Number of pages (including this cover sheet): Fax Number: If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: n Review and respond accordingly. or your information only. Sin rely, CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entityto whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by ._►__r . „„ „„4 Yor„rn th.v...orivinal to me. Thank you. i rte' i RECORDING REQUESTED BY Bid%vell Title & Escrow Cumpany AND WHEN RFCORDED MAIL TO N=6 Scott Smith s`nr'Addrm 6299 County road 25 Orland, CA 95963 c1tq•, S,.,r •rro Order Na 00227622-002 2006-0022424 Recorded 1 REC FEE 10.88 Official CountyRecords I TAX 143.80 Butte f I GAtM 16RUBBS I County Clerk -Recorder! I I SA 89 -MN 03 -Nay -2886 1 Page 1 of 2 SPACF. ABOVE THIS LIVE FOR RECORDER'S USF. Ilart:elNo. 069-310-021 GRANT DEED 'THIS FORM IVRNISItED BY BIDWEILTITLE & ESCROW COMPANY The Undersigned Gmntnr(s) Declare(s) Documentary Transfer Tax is $14 3.00 ❑ Cityrrown of 0 computed on full value of interest or property conveyed, or 0 Unincorporated Area O full value less value of liens or encumbrances remaining at the time of sale O Monument Fee of 510.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Jack Lutchansky and Suzanne Y. Lutchansky , husband and wife hereby GRANT(s) to Scott Smith , a single than the following real property in the O City of 0 Unincorporated Arra County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND WIADE A PART HEREOF Jack lAtchansky Suzanne Y. Lutchansky DocumcntDate: April 24, 2006 State ofcalif is _ County ofL-�"�� // } SS. ; ^ per�,�� C.c.G.co before me, Notary Public, personally appeared Jack Lutchansky and Suzanne Y Lutchansky Personally known to me (or proved to the on the basis of satisfactory evidence) to be the person(s) whose name(s) is/am subscribed to the within instrument and ac�mo�cledg o me that helshchhey executed the sane in his/her the �,�mo capacity(ies), and that by his/her/their si ture(s) n,the in mcnt the (S), or the entity upon behalf of hich t person�,sj acted, c ed tete instrument. WITNESS my hand. oXtal scat. FOR NOTARY SEAL OR STAMP SHERRY L. ANDERSON COMMISSION01510842 s a t NOTARYPUBLIC-CALIFORNIA PLACER COUNTY MY COMM. EXPIRES SEP 20. logo MAIL TAX STATEMENTS TO: Same as ovo aTECIGRANTDEED Order No. 00227622-002 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 440, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 4C", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 2, 1978, N BOOK 66 OF MAPS, AT PAGES 9, 10,11, 12 AND 13. AP NO. 069-310-021 ? pft"rMEl�T O O �v..T r� e It o u t4l A�eCIC W0 Department C o u n t J. Michael Crump, Director A of Public o f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] c� Project Description: �- 3 b4u Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. %f am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. _7 Signed: Title: inN 157W4 7-0 4— Date: -7' Z 9— e�� Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program . Revised 5/24/04 4 Sep 27 06 04:39p Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530)538-7785 Fax www.buttecounty.net/dds p.3 OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and Such persons are not licensed as contractors or subcontractors; then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you ifyou do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through Luer own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prcfcssing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN.THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL6Lq TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.0 11 NO) I �/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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4.1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. 1 WILL PROVIDE SOME OF THE WORK BUT 1 HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NSF/GAR Reference Number: 06-1.823 Applicant Name: SCOTT SMITH Signature of Property Owner: G �/" " Date: �� r• BUTTE CUNTY DEVELOPMENT FEE CERTIFICATION FORM EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) sor Parcel Number (s) ��p/�) J��. Building Pen -nit Numbers Asses Property Owner (s) kilo Project Location /Address Subdivision Name New Development Alteration/Addition(s) Mobile home Demo Permit (date issu Comments: �-411 0 X//' =W0,, Assessable Sq. Ftge ) '7417 Type of Residential Development (check one) Single Family -Detached Non -Residential to Residential Mobile home replacement )i cam\ Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD 0 CARD 0 PRPD 0 DRPD certifies that: S'c d o w,4 �1 3060 Applicant Name Phone Number (da 9 9 . uY\)a c� 9scr (,3 Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: 1 ( 0 �-' v0 Dwelling Units @ $ Square Feet @ $ Remarks: per unit for a total of $ per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) �, D ql action: Q Cit Building Department No. ©County Property Location/Address Subdivision Lot No. ..................................................................................... Residential Development; , ," , � r' 0' -, Q ff .$q.�Foofag6 '(No of Living `Mobile Home Addition/'Supplemental to r (Group. ) Units Installation Conversion Permit # *(No foundation inspection) ......................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building P P Department Re resentative Date District Identification No. :) —1 Z 1 lie t �e rh School District certifies that (Applicant) (Street Address) (Phone Number) �rwti� l Com- �i s OL (Q . (City) (State) (Zip Code) has complied with the requirements of Resolution No. rj to —0 9 by payment of $ L+ 5 Ot i representing square feet. B 2926 FIULL MITIGATION $ School District I 0•-a_0 t4 Date Paid by Check # Remarks: 0 le R t Notla : You may protest the Imposition of the fess Identified above by submitting a written prolbast.to the District. In compliance with GowmmeM Code Section 66020(a), within 90 days from the date hes are paid. Fatiure to submit a timely wrlttan protest will prohibit you from challenging the Imposition of the fees In any couR action. If, subsequent to the school District Representative signing this Butte County SchooN Impact Fee Cdri fiadon Form, the School Distrid Is notified by the applicable Local Planning Agency that this project is being rwlewed under the CalNornia Environmental Quality Ad (CEQA). this protect may be subject to additional school fen to futiy midgets Its Impact on the school disbWs'schools. White (school district), Yellow (building department), Pink (applicant). feetam.raa (3I05)d = ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES { 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. �R A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. h11 4 /A VL �%�GrtC�G�o if( rrse ' .OjO� cl of D f .' 4 J f e 1l n' X0'7 Date d ' 10 ' Inspector /04KA�&_ REV 4/05 Phone # 533 d� FOR RE -INSPECTION CALL- 538-7636 OR 891-2834 WHEN RECORDED MAIL TO ANGELO LOUIS ANDREINI III PO BOX 1134 RED BLUFF, CA 96080 MAIL TAX STATEMENTS TO ANGELO LOUIS ANDREINI III PO BOX 1134 RED BLUFF, CA 96080 Trustee Sale No. 0701237DL Loan No. SMITH Ili '(.?corded i ii:2d1 kecurGS I �.JilllGV sif I i<ltLy'F I Cc��:::�i. v�ii girls- kfc�arc�Er I I I FsbG Paue 1 as ? Space above this line for recorder's use only Title Order No. E701117 TRUSTEE'S DEED UPON. .'.' AP"-Q9p -021-000 The undersigned grantor declares: 1) The Grantee herein was the foreclosing beneficiary. 2) The amount of the unpaid debt together with costs was ................... $142,873.79 3) The amount paid by the grantee at the trustee sale was ................... $142,873.79 4) The documentary transfer tax is ........................................................ $'NONE 5) Said property is in CITY OF OROVILLE and ALLIANCE TITLE COMPANY, A CALIFORNIA CORPORA" ;' -D A (herein called Trustee), as the duly appointed Trustee under the Deed of Trust hereinafter c :scribed, does hereby grant and convey, but without covenant or warranty, express or implied, to ANGELO LOUIS ANDREINI III, TRUSTEE OF THE ANGELO LOUIS ANDREINI III LIVING TRUST DATED OCTOBER 12, 1995 (herein called Grantee), all of its right, title and interest in and to that certain property situated in the County of BUTTE, State of California, described as follows: LOT 440, AS SHOWN ON.THAT CERTAIN MAP ENTITLED, 'r :"=LLY RIDGE ES -1 ATES UNIT NO. 4C', WHICH MAP WAS RECORDED IN THE OFFICE OF THE :'DCORD`R OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 2, 1978, N BOOK C33 OF MAPS, AT PAGES 9, 10, 11, 12 AND 13. RECITALS: This conveyance is made pursuant to the powers conferred upon Trustee by that certain Deed of Trust dated 04/27/2006 and executed by SCOTT SMITH, AN U' fl -MARRIED MAN, as Trustor, and Recorded on 05/03/2006, instrument 2006-0022425 of official records of BUTTE County, California, and after fulfillment of the conditions specified in said Deed of Trust authorizing this conveyance. Default occurred as set forth in a Notice of Default and Election to Sell which was recorded in the Office of the Recorder of said County, and such default still existed at the time of sale. All requirements of law regarding the mailing of copies of notices or the publication of a copy of the Notice of Default or the personal delivery of the copy of the Notice of Default and the posting and publication of copies of the Notice of a Sale have been complied with. Trustee Sale , 0701237DL Loan No. SMITH Title. Order No. E701117 Trustee, in compliance with said Notice of Trustee's Sale and in exercise of its powers under said Deed of Trust, sold the herein described property at public auction on 06/14/2007. Grantee, being the highest bidder at said sale, became the purchaser of said property for the amount bid being $143.873.79 in lawful money of the United States, or by credit bid if the Grantee was the beneficiary of said Deed of Trust at the time of said Trustee's Sale. DATE: 6/15/07 ALLIANCE TITLE COMPANY, A CALIFORNIA CORPORATION DEME L IEUR, VICE PRESIDENT STATE OF CALIFORNIA COUNTY OF SACRAMENTO On 6/15/07 before me, JENNY VIALL, a Notary Public ° - 1, personally appeared DEBBIE LESIEUR personally: known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(i.es), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. JENNY VU1LL _Commisslon #r 1608177 .+ Notary Public - Catltomla Sacramento County My Comm. Expires Oct 11. 2W9 Inspection Type FOUNDATIONIFOOTING Inspector Mike McGee (10/2012006 15:37 MJ M) Form footings to grade. Form footings to meet min. per plan footing size. Step footing for level footing 1:10 max slope. Clean footings Provide engingeering or county approved plan for six foot plus wall at garage. .3, -,proved prior to reinstpection. Add Std Comments Add Comment Code Search Link Done A Lc* -�-{ DATE: November 6, 2006 TO: Scott Smith dba Upstate Construction 6299 Road 25 Orland, CA 95963 FROM: Evelyn Mortell, Accounts Payable Oroville Elementary School District, 2795 Yard Street Oroville, CA 95966 RE: Returned Check # 2863 530-532-3000 ext 3006 530-532-3030 fax emortell@ocesd.org Your check # 2863 dated Oct 3, 2006 was returned by the bank. This check was in payment of school impact fees on AP number 069-310-021 for residential development of 1,747 square feet located at 6427 Jack Hill Drive. The original check was for $4,594.61. There is now also a $25 returned check charge. Please provide a cashier's check or money order in the amount of $4,619.61 payable to Oroville Elementary School District. -I have notified the Butte County Building Department to put a hold on your final permit until this has been cleared. cc: Butte Co Building°Department Building Department No. 06-1823 BUTTE COUNTY NOV 0 6 2006 DEVELOPMENT SERNWES 4 �J BU.T.E.000NTY:SCHOOLS IMPACT F.. -EE CERTIFICATION`FORM ;(One fo m10erh8uildioig) stns ire% 9 Ems_ G f ',-i. 577�Ne t j '' 1�1; 1:! t�C t Building Department.No: -~� .Sir r :.:...:.: . r ber fi7 sl Jurisdiction: 0 City Couriity r f� _:Property Owner C (Appl"cant),.. QD l PropertyLocatiorVAddress / 2 ' fi z < r " a .' (Phon" e�Ntimtier) 'Subdivision' ;,::' :...::;; ..:.... Lot =No. 1 5'1 ::Resid&h ar Devdlopment 0 0 7 Q , Sg.. Foo ag t e %! t~ No of L"v"rig: ,Motiile''Iorne. 7tdd"Uon7 Su lemental`:4o ' PP (Group ) . Uriits InsCallation Conyers"on . :E qtTundahoh j spoo n). :.' 'Deed Restr"cted Sq Footag _ Att ned'copy of Deed Restrchon`and;N tice.of.Lm a se F 'li document ( ach{as"g o "ted U ac" ty ) Commercial/.l`ndustrial Sq::,Footag.o.. - New Addition (InGuding Ext@riot' Roofed=Are.as): � Bu►Idin�'Department;Re resentative Date + Dismu ldentificafth.'No ``� '{ -~� .Sir r :.:...:.: . r (Appl"cant),.. (Street`Adcf�ess) ' fi z < r " a .' (Phon" e�Ntimtier) .r� JA 1 5'1 (State).Code) ' has complied with ttie requutments af+Resolutwon i-cl °(G~ y�r by PaYmenYof representing ` 1'1 'i:. squat fee' t �, b B 2926 ULUM ff TI0N r •- S t y School=Distnd Repre enth,04 r �- �� „ UPSTATE CONSTRUCTION 6299 Co Rd 25 Orland, CA 95963 Lic. # 818285 530-865-3712 November 9, 2006 Butte County Building Department 7 County Center Drive Oroville, CA 95965 Re: 069-310-021 Dear Tammie: Please accept this letter as our formal request to cancel the permit on the above noted property as the project has been cancelled due to the recent death of the owner, Scott Smith. Project: APN: 069-310-021 6427 Jack Hill Drive Oroville, CA 95965 Attached is the application for refund. If any additional information is needed, please contact me at (530) 865-3712. Thank you, Christy Pitts Business Manager JJ, r Ulf 0 UT�0 Butte County Department of Development Services 0 0 Building Division ' o 0 . a ..:� 0 7 County Center Drive cOUN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return 04, CLAIMANT'S NAME: MAILING ADDRESS: PHONE: (,�30)L_✓� ��1a ASSESSOR'S PARCEL NO.: ? - L Q - az 1 [Please use one claim form per permit.] BLDG PERMIT NO.: 1 Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT N RECEIPT DAT �21 471 Q Q ZDl 3 DD 59P8 /z RECEIPT AMOUNT: REASON FOR REFUND REQUEST: Check those fees which you wish to have considered for refund: [Building Permit Fees =Sheriff Fees ©SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. sit u K: (Wiyp&82203 - t chi .9 S � siz A Twp Date z 72�-5 rs� Check Number TRI COUNTIES DANK Online Banking BACK of the check Posted on 8/1/2006 Memo: For ($1,233.63) Coppight 0 2004 Tri Cotuities Bank ALL RIGHTS RESERVED re- https:llonline.tcbk.comliGloballCommonIChecklmagingICheckView.asp?account--005540... 11/9/2006 lI/10/2006 10:15 5306652561 UPSTATECONSTRUCTION PAGE 06/08 �� qs-& L(Vi� rjR:TATE CONSTRUCTION 6299 CO Rd 25 + Z33•� 3 Orland, CA 9596 Lica # 818285 (. 530-865-3712' /L6 November 9, 2006 C Butte Couni► Building Dep�;utment 7 county Center Drive PP Oroville, CA 95965 Re: 069-310-021 Dear Tammle: ? S-ao I=fease accept this loiter as, our formal request to cancel the, permit on the above( noted property as the project has been cancelled due to the recent death of the owner, Scott Smith. Pro)ect. APN: 069-310-021 6427 Jack Hill Drive Orovllle, CA 95965 Attached is the application for refund. If any additional Information is needed, please contact me at (530) 865-3712. Thank you, L/ -�- e � - 14� Christy Pitts Business Manager 11/10/2006 10:,15 5308652561 UPSTAT6CONSTRUCTION PAGE 07/08 o�ttTtge Butte Counov Department of Development Services Building D vhv on 7 County Centel' DFiVrz ytr (530) 535-7541 Ornville, CA. 95965 REFUND REQUEST APPLICATION REFUND ruuk.r- ouuowv•w - t . Refunds can only be made upon written request by the person who paid tho fees, whose name is on the receipt issued for the fees paid. Any refund checks will baa payments ontrle to the name on permits not issued, e ceopt. 2. The request must be made within two years from the date of fee p y P years from the date of p6emit issuance for pemyAs issued - if no construction work has been done. 3. Firing fees and pian check fees for work plans checked are not refundable. 8 Fees paid to other County Departments are not covered by this claim. rRUCTt0NS: Submit this application to Development Services for determfnafian of rafuridabtEa fees. A claim will be gated for any fees to be refunded and :,:ent to the addrett below for signature (by the person whose name is on the CLAIMANT'S NAME'. MAILING ADDRESS' PHONE: ASSESSOR'S PARI (Please use one claim form per BLDG PERMIT NO. RECEIPT NO.: NO.: RECEIPT DATE, 127el Q RECEIPT AMOUNT: I /x 5. G 3 REASON FOR REFUND REC WEST, Q�/lli 1z_ _/__ Recei f No, 2 eo- 1 p2 o zl o ✓x"988 �z lel, 7, �/l// a// those fees which you wish to have considered for refund: [�Eluilding Permit Fees =Sheriff Fees =Other (specify): Plans for cancelled permits will be disposed of within 10 RAnuest for Refund. If you want the plans, you may OiCN Signature' KtForms/Refund 4plication 082203 r/ SRA Fees (CDF Fire Planning) Date days upon submission of a prior to that time. _ 11/10/2006 10.15 5306652561 Check Number IDnliOe Banking • Accounts Register . Bill Payments Re ports • Transfer Funds •M i�lBQ� • hiQjp •Si�M • Wins • Sign Dff UPSTATECONSTRUCTION PAGE 08/06 page 1 of 1 TRI C0 `RES DARK �' BACK df the_cbeck .Posted dn. 8/1/2006 For ($11,233.63) Iraffamo CoP@�it :UP4 T,i Counties 6pcttic .4I L RICiEI'Y5 RESERVED , hffv- wii„T,r►,. fnhk.r6m/iCTtshat/�`ommon/CheckImaQrnp-/ChcckView.asp?account=005540... 11/9/2006 r _, M 11/10/2006 10:15 5308652561 UPSTATECONSTRUCTION PACE 01/08 Fax Cover Sheet Upstate Construction 6299 Road 25 Orland, Co 95963 Office: (530) 865-3712 Fox: (530)865-2561 Send to: Butte County Building Dept. From: Upstate Construction Attention: Tommie Powell Date: November 9, 2006 Office Location: Oroville, Ca Office Location: Orland, CA Fax Number: (530)538-21 40 Phone Number: (530) 865-3712 Re: BP#'06-1873 and 06-0985 19, Urgent Reply ASAP Please comment ® Please Review Q For your Information Total pages, including cover: 8 Comments• Tammfe- Attached Is the letter and refund request for both Jack Hilt properties. If there Is any confusion or you need anything else, please contact me at (530) 865-3712. What is the timeframe on receiving the refund? 1 will be in next week to pick up the plans for they are disposed of. Thanks again for all of your help! Christy Pitts Business Manager 11/10/2006 10:15 5300652581 .-Check.'Nuinbel oWine Banking 0 Ace ountS , FZegtster - Bill Payments - Reports 'Transfer Funds a MattLOu j- -x . bet a Site M opt I UPSTATECONSTRUCTID4 PAGE 04/08 Page I D.V I M TRI COV11%MUI NES BANK "e U IT. =7 0 ti&Q& Qt,.w ..,pnjecK Posted on. 7/31/2006 Memo: For ($64.00) Cajoyfight C, 2004 Tfi. Cotmtiv; B"- ALL MGM MERVED 'httos!//onlij.le,tcbk,com/iGlobal/Ct).m.mon/CheckTmaging/C.h,eckVlcw.a,%.p?accoun.t=005540... 11/9/2006 c� a Department of Development Services Building Division 7 County Center Drive 6 proville, CA 95965 (530) 538-7541 (530) 538-2140 FAX www buttecounty.net FACSIMILE COVER SHEET Date: �- To: c� Ol From: Subject: Number of pages (including this cover sheet): Fax Number: If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: n Review and respond accordingly. 7E For your information only. �Sin/c�ere�ly, D CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by —4 ,or„y7, th.P nrivinal to me. Thank you. UP1747NB.C1R CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page.l ---------------------------------------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 ------------ Project Address........ LOT 21, HILL DR. *******--------- OROVILLE, CA: *v7.10* I I Documentation Author... BOB METZGER O.D.S. ******* I Building Permit # I Bob Metzger O.D.S. i I 2231 St.. George .Lane, Ste 70 1 Plan Check./ Date Chico, CA 95926 1 I 530-865-9688 1 Field Check/ Date I Climate Zone............ 11 --------------------- Compliance Method ....... MICROPAS7 x7..10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I ------------------------------------------------------------------------------- MICROPAS7 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = = (kTDV/sf-yr) Design ---------- Design ---------- Margin = ---------- _ ------------------------ Space Heating .. - g......:. - P 21.19 22.51 -1.32 = = Space Cooling.......... 22.79 22.61 0..18 = - Water Heating 12.70 10.79 -------- 1.91 = -------- _ = Total -------- 56.68 55.91 0.77 = _ ***,Building complies with Computer Performance _ *t��_ HERSrVerification Required for Compliance GENERAL INFORMATION ------------- ------ 'HERS_.Verificat ion. ;Required Conditioned Floor Area..... 1747 sf Building Type. ............. Single Family Detached Construction Type ......... New Fuel Type NaturalGas Building Front Orientation. Front Facing 303 deg (NW) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Slab On Grade 1 15723 cf 1747 sf 14.6 % of floor area 0.38 Btu/hr-sf-F 0.29 9 ft CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I' ------------------------------------------------------------------------------- Page 1 CO- 3/6 -o-2 1 UP1747NB.C1R BUILDING ZONE INFORMATION ------------------------- Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned .Type (ft) (sf) Housewrap -------------- ----- ------ ----- ----- ------------- ----- ------- ---------- Residence 1747 15723 1.00 4.0 Yes Setback 2.0 Standard 3.5 SLA OPAQUE SURFACES - U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R -vat R-val Azm Tilt Reference Comments -----------= ----- ---- ----- ----- ----- --- ---- --- --------- -------------- 1 Wall Wood 448-0.102 13 0 303 90 Yes IV.9 A3 2 Wall Wood 194 0.102 13 0 303 90 Yes IV.9 A3 3 .Wall Wood 613 0.102 13 0 33 90 Yes IV.9 A3 4 Wall Wood 416 0.102 13 0 123 90 Yes IV.9 A3 5 -Wall Wood 502 0.102 13 0 213 90 Yes IV.9 A3 6 Roof Wood. 17470.026 38 0 n/a 0 Yes IV.1 A8 7 Door Other 18 0.500 0 0 303 90 Yes IV.S A4 PERIMETER LOSSES ---------------- Appendix Length F2 Insul Solar IV Location/ Surface (ft) Factor R-val Gains Reference Comments ------------ --------------------- -------------- ---------------------- 8 S1abEdge. 174 0.730 R-0 No IV.26 Al To Outside FENESTRATION SURFACES ---------------------- Exterior Area U- Act Shade Orientation (.sf) factor SHGC Azm Tilt Type Location/Comments ------------------ ----- ----- ----- --- ------------ ------------------------ 1 Door Front (NW) 20.0 0.400 0.320 303 90 Standard F1DR/Vinyl/Wood Patio Do 2 Wind Front (NW) 17.0 0.380 0.280 303 9b Standard F1/Vinyl/Wood Operable 3 Wind Front (NW) 25.0 0.380 0.280 303 90 Standard F2/Vinyl/Wood Operable 4 Wind Left (NE) 15.0 0.380 0.280 33 90 Standard L1/Vinyl/Wood Operable 5 Wind Left (NE) 32.0 0.380 0.280 33 90 Standard L2/Vinyl/Wood Operable 6 Wind Back (SE) 39.0 0.380 0.280 123 90 Standard B1/Vinyl/Wood Operable 7 Wind Back (SE) 50.0 0.380 0.280 123 90 Standard B2/Vinyl/Wood Operable 8 Door Back (SE) 17.8 0.400 0.320 123 90 Standard B2DR/Vinyl/wood Patio Do 9 Wind Right (SW) 30.0 0.380 0.280 213 90 Standard R1/Vinyl/Wood Operable 10 Wind Right (SW) 10.0 0.380 0.280 213 90 Standard R2/Vinyl/Wood Operable CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 ---------------------------------=----------- ------------------------------------ ----------------------------------------------------------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE ------------------------------------------------------------------------------- OVERHANGS ---Window---------------Overhang------------ Area Left Right Surface (sf) Width Height Depth Height Extension Extension ------=---- 1 Door ----- 20.0 ----- 1.8 ------ 4 ----- 6 ------ 1.5 --------- n/a --------- n/a 2 Window 17.0 1.8 4 6 1.5 n/a n/a 3 Window 25.0 5 5 2 3 n/a n/a Page 2 UP1747NB.C1R 4 Window 15.0 3 5 3• 2 n/a n/a 5 Window 32.0 4 3.8 2 7.5 n/a n/a 6 Window 39.0 4.2 4.9 3.5 1 n/a n/a 7 Window 50.0 5.5 4. 5 6 n/a n/a' 8 Door 17.8 5.5 4 5 6 n/a n/a 9 Window 30.0 3 2.8 2 8 n/a n/a 10 Window 10.0 2.5 4 3 2 n/a n/a SLAB SURFACES ------------- Area Slab Type (sf) Standard Slab 1747 HVAC SYSTEMS --------- Verified Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type Systems Efficiency EER or TXV Airflow. Draw Capacity ------------ ------- ----------- ----- ------------- -------- -------- -------- Furnace .1 0.800 AFUE n/a n/a n/a n/a n/a ACSplit 1 13.00 SEER 12.0 No No No No HVAC SIZING Verified Total Sensible Design Maximum .Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) ----------------------------------------------------- Furnace 37334 n/a n/a n/a ACSplit n/a 23240 28046 n/a Sizing Location............ OROVILLE RS CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22.27 MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I -------------------------------------------------------------------------.------ Winter Outside Design.:.... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F DUCT SYSTEMS ------------ Verified Verified Verified System Duct Duct Duct Surface Buried Type Location R -value Leakage Area Ducts ------------------------------------------------------- Furnace Attic R-4.2 Yes No No ACSplit Attic R-4.2 Yes No No INFILTRATION TESTING DETAILS ---------------------------- Blower Door Blower Door Leakage Target Leakage Minimum Page 3 —r1 UP1747NB.C1R .(CFM50h/SLA) (CFM50h/SLA) --------------- --------------- 1601 / 3.5 686 / 1.5 WATER HEATING SYSTEMS --------------------- Number Tank External Heater in Energy Size Insulation Tank,Type Type Distribution Type System Factor (gal) R -value ---------------- -------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.67 40 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ------------------------------------------ *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates HERS verified Infiltration. The Homeowner's Manual must include instructions on how to operate the windows And/or mechanical ventilation to achieve adequate ventilation. This building incorporates HERS verified EER. This building incorporates HERS verified Duct Leakage. 0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 ---------------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 I MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I ------------------------------------------------------------------------------- HERS REQUIRED. VERIFICATION ***''Item. iri-..tliis-.section,•require~field testing -and/or *** ***'verificationby a certified home energy rater under *** *** the supervision of a' CEC-approved HERS provider using *** *** CEC_approved'testing',and/or'veiification methods and *** *** must be reported' on -the CF -4R installation certificate. *** This building incorporates HERS verified Infiltration. Target and Minimum CFM values measured at 50 pascals are shown in INFILTRATION TESTING DETAILS above. If the measured CFM50h is above the target, then corrective action must be taken to reduce the infiltration and then'retest. Alternatively, the compliance calculations could be redone without infiltration testing. If the measured CFM50h is below the minimum, then the building must meet Uniform Mechanical Code requirements for unusally tight construction and corrective action must be taken to either intentionally increase infiltration or provide for mechanical supply ventilation adequate to maintain the residence at a pressure greater than -5 pascals relative to the outside average air pressure with other continuous ventilation fans operating This building incorporates, HERS`verified EER.^ This building incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then HERS verification is not necessary. Page 4 UP1747NB.C1R REMARKS CERTIFICATE OF ^COMPLIANCE: RESIDENTIAL COMPUTER_METHOD _-_------_CF71R Page 6 Project_Title .......... _UPSTATE -1747- HOUSE --------------Date._05/22/06_14_22_27 MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I ------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6" of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design' responsibility. DESIGNER or.OWNER DOCUMENTATION AUTHOR Name.... UPSTATE Name.... BOB METZGER O.D.S. Company. CONSTR. Company. Bob Metzger O.D.S. Address. 6299 RD. 25 Address. 2231 St. George Lane, "Ste 70 ORLAND, CA.95963. Chico, CA 95926 Phone... 530-86 .3000 Phone... 530-865-9688 License. N/A Signed.. �' �/ Signed.. (date) (d te) ENFORCEMENT AGENCY Name.... "Title... Agency.. Phone... Signed.. u te) Page 5 I UP1747NB.SIZ HVAC SIZING HVAC Page 1 ProjectTitle UPSTATE 1747 HOUSE Date 05/22/0614_22_27 Project Address ........ LOT 21, HILL DR. *******----------- - OROVILLE, CA.. *v7.10* I Documentation Author... BOB METZGER.O.D.S. ******* I Building Permit # I Bob Metzger O.D.S. I 2231 St. George Lane, -Ste 70 1 Plan Check / Date i Chico,. CA 95926 1 530-865-9688 1 Field Check/ Date I ----------------- Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. 1 MICROPAS7 x7.10 File-UP1747NB Wth-CTZ11S05 Program -HVAC SIZING I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSEI ------------------------------------------------------------------ ------ a] GENERAL INFORMATION Floor Area ................. 1747 sf volume ..................... 15723 cf Front Orientation.......... Front Facing 303 deg (NW) Sizing Location............ OROVILLE RS Latitude.. 39.5 degrees Winter Outside Design...... 25 F Winter Inside Design........ 70 F. Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used..,.... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... 21604 8582 Glazing Conduction and Solar..... 4408 6150 Infiltration ..................... 5378 2055 Internal Gain .................... n/a 2520 Ducts ............................ 5943 3933 ----------- ----------- Sensible Load .................... 37334 23240 Latent Load ...................... n/a 4806 Minimum Total Load 37334 28046 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. Page 1 MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... Project Address........ _ ******* --------------------- *v7.10* I I Documentation Author... BOB METZGER O.D.S. ******* I Building Permit # I Bob Metzger O.D.S. I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chic -o,_, -CA- 9.5926 I I IFieldCheck/Date I Climate Zone........... 11--------------------- - - ------- Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Ene'rcomp, Inc. I MICROPAS7 v7.10 Wth-CTZ11S05 Program -FORM MF -1R I I User#-MP1722 User -Bob Metzger O.D.S. ---------------------------------------------------------------------------- - Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES n/a *150(a.): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling _ 150(b): Loose fill insulation manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b. Outside air intake with damper and control, flue damper and control 2..No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual 150(8): Vapor,barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls .1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have -label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES n/a 110-113 HVAC equipment, water heaters, showerheads and .faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(1): Setback thermostat on all applicable heating and/or cooling systems De- En- sign- force- er ment L De- sign- er L-A -�__" A - -"—^- systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater E 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value 3. The following piping is insulated according to Table 150-A/B or Equation 150-A Insulation Thickness: .1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to'o4 Table 150-B and Equation 150-A M 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely -S.ip LcitY -in conditioned space . 7 Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation *150(m): Ducts and Fans .1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604; 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL'3�1A, or UL"r818`�or aeroso an sea t-hai Meets e — requirements of UL 723.. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall.be used e(W 2. Building cavities,.support platforms for air handlers, and plenums defined or constructed with materials other.than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support -platforms may -contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the -cross-sectional area of the ducts 3. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands 4. Exhaust fan systems have back draft or automatic dampers 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material {p 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operatinginstructions, no p electric resistance heating and no pilot light 2. System is installed with: a. At least 36 inches of pipe between filter and 'heater for future solar heating b. Cover for outdoor pools or outdoor spas. .3. Pool system has directional.inlets and a circulation pump time switch 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(1): Cool Roof material meets specified criteria P&4�s�(D I ��u��_____ _ MEASURES , De- En- sign- force u/a er ment - J zoO(u)z: azoo orrzoAcY LnmzmazauS oTaou THAN ooT000m azo- cootaio only high efficacy lAmPm as outlined in Table 150-n, and do not contain a medium screw base socket ` (o24/o26). Ballast for lamps 13 watta or greater are electronic and have an ' output ---~-~-~y no ^~"s than -.20 kHz 159'Wz: uzsu z�r �^ ^�a�z uuu - oo�000u azo/ 000�a�o ---- ---- ---- ~ 9u e�f:ioacy lamps: as out1_i-oeu'-io-crble '150-c, luminaire has factory installed ozo ballast q zso(u)z: Permanently installed luminaires in kitchens shall ----- �--- be high uigb ezfioauv lumioairos' Up to 50 percent of the wattage ' as determined in Sec. 130(o), of permanently installed luminaires in kitchens may be in luminaires that are not xi«x efficacy ` luminaires, provided that these luminaires are controlled by awitcbea separate from those controlling the uiqu efficacy luminaires loO(k)a: Permanently installed luminaires in bathrooms, ---�- �� garages, laundry laumury zooms, utility zunmu shall be uiou efficacy luminaires OR are cootzolleu.by an occupant - comply_wito ^ooc ' ""=s not curo'nu automatically or have an always on option ---~-------'`----' � 150(k)4: eezmaneutzv installed luminaires located other than iouitcuens,, bathrooms, garages, laundry rooms, and utility.rooms shall be ui9u efficacy luminaires* (except closets ' -less than 70 fta), on are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(u) that does.not turn on automatically or have an always on option u 150<u>5: Lumibairea that are zeoeoaeu into insulated ceilings ---- -�-- are approved a»pzoveu coz zero clearance insulation cover (zo) and are certified air tight to ASTM -E283 and labeled as air ` tight (AT) to less tuau'z.O ccm at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently— mountedto a residential building or to utuer buildings on ' the same lot shall be high efficacy luminaires (not in- cluding lighting' around swimming pools/water features or ' other article 680 locations) OR are controlled by occupant oeoaocu with integral photo control certified to comply with Section 119(u) �{ 150(k)7: Lighting for parking lots for u or more vehicles oualZ--- ---- ----' have lighting that complies with Sec. zaO, 132and 147 Lighting zor parking garages for o or more vehicles shall have light .1 ' ' ng �ua� complies with aec z]O 131 u 146 zsU(k>8: Permanently installed lighting in. the enclosed, non - dwelling ---- � ----' � spaces of low-rise residential �buildings with --oz or more dwelling unitsauall be uion efficacy l�oa---- OR ' are controlled by an uoounaot oe000z(a) certified to ' o»mnlv with aectiob 119(u) - �i O IF APPLIES GENERAL NOTES SHEETE 1, ALL PENETRATIONS THRU THE .BUILDING ENVELOPE (CLG. WALLS AND FLOORS)lb 66 CAULKED, SEALED OR WEATHER STRIPPED. _SHIM SPACES AROUND EXTERIOR DOORS OF THE BUILDING ENVELOPE TO BE INSULATED. 2. ALL EXTERIOR PANELS EDGES TO BE CAULKED. 3. ANY ACCESSESS TO ATTIC SPACE OR CRAWL SPACE FROM CONDITIONED SPACE TO BE FULLY WEATHER STRIPPED. 4. EXHAUST FANS TO HAVE BACKDRAFT DAMPERS. 5. FIRE PLACES TO HAVE. a) 0 . COMBUSTABLE AIR TO F.P. BOX W/ MIN. DUCT CROSS-SECTIONAL AREA OF 6 SO. INCHES b) DAMPERS TO 'DUCT - CCESSABLE FROM INSIDE F.P. AREA . c) FLUE .DAMPER-.-TIGHT..-F LTTI NG 8 ,. A READILY ACCESSABLE d) TIGHT -FITTING F.P. DOORS OR HEAT CIRCULATING DEVICE 6., A/C DUCTS TO BE I NSTALLEDPER lq Ckl U. M. C. 8 I NSULATED < 1 " I NSUL ..- GAS EQUIP..) 8 ( 2 " I NSUL .-HEATPUMP' EQU I P . ) 15# DENSITY TYP . v_ . t sA 7, MAIN LIGHTING SOURCE IN ALL BATHS 8 KITCHEN TO BE FLOURESCENT OF - ,4.p . LUMENS/ R. g, FAUCETS 8 SHOWER HEADS TO BE WATER SAVING TYPE 8 CERTIFIED BY C.E.C. 9, W.H. TO HAVE. a) 1'-6" HIGHT PLATFORM. b) . VENT T HRU ROOF. c) ADEQUATED CONBUSTABLE AIR VENTING_ b R-4 INSULATION 5'-0" TO & FROM UNCOND. SPACE. e) R-12 INSULATION WRAPPING .F 1 LLL WED_ B`{ f) R-4 INSULATION ON CIRCULATING SYSTEM. g) CERTIFIED BY C.E.C. 10. GAS COOKING APPLIANCES NOT TO HAVE CONTINUOUS BURNING PILOT LIGHT. li. A/C UNIT TO HAVE a) SIZED 8 CERTIFIED BY C.E.C. b) SET -BACK THERMOSTATS. 12. INSULATION INSTALLER TO BE CERTIFIED BY STATE & LOOSE FILL INSULAT- ION TO HAVE MANUFRS. LABLED R -VALUE 13 BUILDER TO SUPPLY TO OWNER ALL INFO. PERTAINING TO THE. OPERATION . OR TREATMENT OF ALL APPLIANCES 8 DEVICES RELATED TO ENERGY OR WATER USE. 14. ALL WDOS. @ CONDITIONED SPACED DUAL -PANE. DOORS 8 WDOS. TO BE FUL- LY . , WEATHER STRIPPED. 15.. CAULK' BETWEEN BOTTOM PLATE AND CONC. FLOOR. 16. PROVIDE INSULATION BAFFLES @ EAVE BLOCK VENTS. 17. USE ELECT. OUTLET GASKETS 19 O.S. WALLS. IS WATER 'HEATER TO HAVE P -T VALVE WITH DISCHARGE TO OUT SIDE. 19. REF. FRZRS. FLUR. LAMP BALLAST TO BE CERTIFIED BY C..E.C. CON TRACT- OR -OWNER TO SUPPLY MAKE AND MODEL. UP1747NB.C1R CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title....:..... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 Project Address........ LOT 21, HILL DR. ******* --------------------- OROVILLE, CA. *v7.10* I I Documentation Author... BOB METZGER O.D.S. ******* I Building Permit # I Bob Metzger O.D.S. I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chico, CA 95926 I I 530-865-9688 1 Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- I MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS7 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = = (kTDV/sf-yr) Design ---------- Design ---------- Margin = ---------- - ------------------------ = Space Heating.......... 21.19 22.51 -1.32 = = Space Cooling.......... 22.79 22.61 0.18 = = Water Heating.......... 12.70 10.79 1.91 = = Total 56.68 55.91 0.77 = *** Building complies;with=Computer;Performance *** tHE_ RSVer.ifica-tion Required for Compliance GENERAL INFORMATION ------------------- HERS Verification.......... Required Conditioned Floor Area..... 1747-5f Building Type .............. Single Family Detached Construction Type ......... New Fuel Type ................. NaturalGas Building Front Orientation. Front Facing 303 deg (NW) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Slab On Grade 1 15723 cf 1747 sf 14.6 % of floor area 0.38 Btu/hr-sf-F 0.29 9 ft 0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 --------------------------- - - -- ------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14.22.27 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- I MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I ------------------------------------------------------------------------------- Page 1 BUILDING DM$iwv� APPROVED W f UP1747NB.C1R BUILDING ZONE INFORMATION ------------------------- Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap -------------- ----- ------ ----- ----- ------------- ----- ------- ---------- Residence 1747 15723 1.00 4.0 Yes Setback 2.0 Standard 3.5 SLA OPAQUE SURFACES U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments - - - - - T ------ ----- - - - - ----- ----- ----- - - - - - - - - - - --------- -------------- 1 Wall Wood 448 0.102 13 • 0 303 90 Yes IV.9 A3 2 Wall Wood 194 0.102 13 0 303 90 Yes IV.9 A3 3 Wall Wood 613 0.102 13 0 33 90 Yes IV.9 A3 4 Wall Wood 416 0.102 13 0 123 90 Yes IV.9 A3 5 Wall Wood 502 0.102 13 0 213 90 Yes IV.9 A3 6 Roof` Wood 1747 0.026 38 0 n/a 0 Yes IV.1 A8 7 Door Other 18 0.500 0 0 303 90 Yes IV.S A4 PERIMETER LOSSES ---------------- Appendix Length F2 Insul Solar IV Location/ :Surface (ft) Factor R-val Gains Reference Comments ------------ --------------------- -------------- ---------------------- 8 S1abEdge 174 0.730 R-0 No IV.26 Al To Outside FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ------------------ ----- ---=- ----- --- ------------ ------------------------ 1 Door Front (NW) 20.0 0.400 0.320 303 90 Standard F1DR/Vinyl/Wood Patio Do 2 Wind Front (NW) 17.0 0.380 0.280 303 90 Standard F1/Vinyl/Wood Operable 3 Wind Front (NW) 25.0 0.380 0.280 303 90 Standard F2/Vinyl/Wood Operable 4 Wind Left (NE) 15.0 0.380 0.280 33 90 Standard L1/Vinyl/Wood Operable 5 Wind Left (NE) 32.0 0.380 0.280 33 90 Standard L2/Vinyl/Wood Operable 6 Wind'Back (SE) 39.0 0.380 0.280 123 90 Standard B1/Vinyl/Wood Operable 7 Wind Back (SE) 50.0 0.380 0.280 123 90 Standard B2/Vinyl/Wood Operable 8 Door Back (SE) 17.8 0.400 0.320 123 90 Standard B2DR/Vinyl/Wood Patio Do 9 Wind Right (SW) 30.0 0.380 0.280 213 90 Standard R1/Vinyl/Wood Operable 10 Wind Right (SW) 10.0 0.380 0.280 213 90 Standard R2/Vinyl/Wood Operable 0 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE ------------------------------------------------------------------------------- OVERHANGS ------------Overhang------------ Left Right Depth Height Extension Extension ----- ------ --------- --------- 6 1.5 n/a n/a 6 1.5 n/a n/a 2 3 n/a n/a Page 2 ---Window--- Area Surface (sf) ----- Width ----- Height ------ ----------- 1 Door 20.0 1.8 4 2 Window 17.0 1.8 4 3 Window 25.0 5 5 OVERHANGS ------------Overhang------------ Left Right Depth Height Extension Extension ----- ------ --------- --------- 6 1.5 n/a n/a 6 1.5 n/a n/a 2 3 n/a n/a Page 2 UP1747NB.C1R 4 Window 15.0 3 5 3 2 n/a n/a 5'Window 32.0 4 3.8 2 7.5 n/a n/a 6 Window 39.0 4.2 4.9 3.5 1 n/a n/a 7 Window 50.0 5.5 4 5 6 n/a n/a 8 Door 17.8 5.5 4 5 6 n/a n/a 9 Window 30.0 3 2.8 2 8 n/a n/a 10 Window 10.0 2.5 4 3 2 n/a n/a SLAB SURFACES ------------- Area Slab Type (sf) Standard Slab 1747 HVAC SYSTEMS ------------ Verified Number Verified Verified Verified Verified Maximum System of Minimum Refrig Charge Adequate Fan Watt Cooling Type Systems Efficiency EER or TXV Airflow Draw Capacity ------------ ------- ----------- ----- ------------- -------- -------- -------- Furnace 1 0.800 AFUE n/a n/a n/a n/a n/a ACSplit 1 13.00 SEER 12.0 No No No No HVAC SIZING Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load Capacity Capacity Type (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) ----------------------------------------------------- Furnace 37334 n/a n/a n/a ACSplit n/a 23240 28046 n/a Sizing Location............ OROVILLE RS CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 -------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE ------------------------------------------------------------------------------- Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range............... 37 F f . DUCT SYSTEMS ------------ Verified Verified Verified System Duct Duct, Duct Surface Buried Type Location R -value Leakage Area Ducts ------------------------------------------------------- Furnace Attic R-4.2 Yes' No No ACSplit Attic R-4.2 Yes No No INFILTRATION TESTING DETAILS ---------------------------- Blower Door Blower Door Leakage'Target Leakage Minimum Page 3 UP1747NB.C1R (CFM50h/SLA) (CFM50h/SLA) --------------- --------------- 1601 / 3.5 686 / 1.5 WATER HEATING SYSTEMS --------------------- Number Tank External Heater in Energy Size Insulation Tank Type Type Distribution Type System Factor (gal) R -value ---------------- -------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.67 40 R- n/a SPECIAL FEATURES AND MODELING ASSUMPTIONS ----------------- ------------------------ *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates HERS verified Infiltration. The Homeowner's Manual must include instructions on how to operate the windows and/or mechanical ventilation to achieve adequate ventilation. This building incorporates HERS verified EER. This building incorporates HERS verified Duct Leakage. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE I ------------------------------------------------------------------------------- HERS REQUIRED VERIFICATION *** Items in this section require field testing and/or *** *** verification by a certified home energy rater under *** *** the supervision of a CEC-approved HERS provider using *** *** CEC approved testing and/or verification methods and *** *** must be reported on the CF -4R installation certificate. *** This building incorporates HERS verified Infiltration. Target and Minimum CFM values measured at 50 pascals are shown in INFILTRATION TESTING DETAILS above. If the measured CFM50h is above the target, then corrective action must be taken to reduce the infiltration and then retest. Alternatively, the compliance calculations could be redone without infiltration testing. If the measured CFM50h is below the minimum, then the building must meet Uniform Mechanical Code requirements for unusally tight construction and corrective action must be taken to either intentionally increase infiltration or provide for mechanical supply ventilation adequate to maintain the residence at a pressure greater than -5 pascals relative to the outside average air pressure with other continuous ventilation fans operating This building incorporates HERS verified EER. This building incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the CF -4R. If the measured CFM is above the target, then corrective action must be taken to reduce the duct leakage and then must be retested. Alternatively, the compliance calculations could be redone without duct testing. If ducts are not installed, then HERS verification is not necessary. Page 4 UP1747NB.C1R REMARKS U CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6 -------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -FORM CF -1R U.ser#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 174,7 HOUSE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... UPSTATE Name.... BOB METZGER O.D.S. Company., CONSTR. Company. Bob Metzger O.D.S. Address. 6299 RD. 25 Address. 2231 St. George Lane, Ste 7 ORLAND, CA.95963 Chico, CA 95926 Phone... 530-865-3000 Phone... 530-865-9688 License. N/A Signed.: c !/i/-� �" Signed.. (date) (date) ENFORCEMENT AGENCY Name.... Title.. -Agency.. Phone... Signed.. Fol (date) 0 Page 5 UP1747NB.SIZ HVAC SIZING HVAC Page 1 ----------------------------------------- Project Title.......... UPSTATE 1747 HOUSE Date..05/22/06 14:22:27 Project Address........ LOT 21, HILL DR. ******* --------------------- OROVILLE, CA. *v7.10* I l Documentation Author... BOB METZGER O.D.S. ******* I Building Permit # I Bob Metzger O.D.S. I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chico, CA 95926 I I 530-865-9688 I Field Check/ Date I Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-UP1747NB Wth-CTZ11S05 Program -HVAC SIZING I User#-MP1722 User -Bob Metzger O.D.S. Run -UPSTATE 1747 HOUSE ------------------------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 1747 sf Volume ..................... 15723 cf Front Orientation.......... Front Facing 303 deg (NW) Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design...... 25 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 75 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 ' HEATING AND COOLING LOAD SUMMARY -------------------------------- Heating Cooling Description (Btu/hr) ----------- (Btu/hr) ----------- --------------------------------- Opaque Conduction and Solar...... 21604 8582 Glazing Conduction and Solar..... 4408 6150 Infiltration ..................... 5378 2055 Internal Gain .................... n/a 2520 Ducts ............................ 5943 3933 Sensible Load....... ........... 37334 23240 Latent Load ....................... n/a 4806 ----------- . Minimum Total Load ----------- 37334 28046 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air; outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC'designer's responsibility to consider all factors when selecting the HVAC equipment. 0 Page 1 .; MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... Project Address........ ******* --------------------- *v7.10* I I Documentation Author... BOB METZGER O.D.S. ******* I Building Permit # I Bob Metzger O.D.S. I I 2231 St. George Lane, Ste 70 I Plan Check / Date I Chico,_ _CA - 95.926 I I I Field Check/ Date I Climate Zone........... 11 ------- ______________ Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROI User#PMP1722 lUser-Bob Metz Wth-CTZ11S05 _Program_FORM MF -1R Metzger OI g .D.S. T _..- -- J Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES n/a *150(a.): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b: Outside air intake with damper and control, flue damper and control 2..No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual 150(g): Vapor barriers mandatory in Climate Zones 19,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2:0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form 116-17: Fenestration Products,•Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage . 2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA 150(i): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling n/a De- En- sign- force- Jer ment De- En- sign- force er ment 8-L, , tL- wC*a ,C "A ��pa, C -- systems line insulation 1. Storage gas water heaters rated with an Energy Factor f C� less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R12 or greater 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated on the exterior of the tank showing the R -value 3. The following piping is insulated according to Table 150-A/B or Equation.150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to .water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B N 2. Cooling system piping (suction, chilled water, or zh brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely --'SJ0 Lc in conditioned space .. 7. Solar water -heating systems/collectors are certified by the Solar Rating and Certification Corporation *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to - meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL.181, ULlA—or UL'181$-`or'aeroso=sea7a'n`t7Thfi5 mee-UF-Me—' ----- <- requirements of UL 723. If mastic or tape is used to seal _ openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other.than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause, reductions in the cross-sectional area of the ducts 3. Joints and seams of duct systems -and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands 4. Exhaust fan systems have back draft or automatic dampers 5. Gravity ventilating systems serving conditioned space have either automatic'or readily accessible, manually operated dampers 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material {p 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional. inlets and a circulation pump time switch 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(1): Cool Roof material•meets specified criteria moszoomrzAL Lzsuzzmn MoAaouno De- En- sign- force o/a oz meot zsO<k>z: xzna orrzoAoY LnazmAznEo ocuon THAN ooroonu uzo: contain only high efficacy lamps as outlined in Table . 150-n, and do not contain a medium screw base socket ^ (o24/o26}. Ballast for lamps lJ watta. oz greatez are electronic frequency and have an output ----------------'---------- ' v 6o less cuna.zn kHz ------ ---` '------' E�~/ zo�1u>l: ursa Errzoaoz z000 - Vnr000u uzo: contain ---- ---� ----' ~^ gu eff!ooaby lamp's ~ava ea�.14aec/-im'-zaulez5O~o, luminaire has factory installed ozo ballast q zso(k)z: -Permanently installed luminaires in kitchens shall ---- ---- ---� be high efficacy lumioairoa' Up to 50 percent of the wattage, as determined in Seo. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided tuit these luminaires are controlled by switches separate from those controlling the high � � efficacy luminaires ' t� 150(k)3: Permanently installed luminaires in bathrooms, ---- ---- ---- . eaz*«eo, laundry rooms, uti1�� rooms shall be uiou efficacy, luminaires OR are ooutcolleu.bv an occupant °�"=ozthat / ' . uoos not 'turn'on automatically or 'have an always on optiou15 ----�------------ 1s0(k)4: Permanently instilled luminaires located other tuau _ in- kitoxenn^ bathrooms, garages, laundry rooms, and utility.rooms shall be xinu efficacy luminaires (except closets ' less than 70 ztu)' OR are controlled by.a dimmer switch mn'aze controlled by an occupant sensor(s) that complies ' with Section 119(u) that does not turn on automatically or have an always on option x^ 150(x)5, Luminaires that are raoaooad into insulated ceilings ---- ---- �--- aze approved for zero clearance insulation cover (zo) and ' are certified 'aic tinut'to AaTmooxs and labeled as air ' tight (uz) to zeas than'2.0 CFM at 75paooala 150(b)6: Luminaires providing outdoor lighting and permanently `---- mounted to a residential building or to utuer buildings on the same lot aua'l be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 600 locations) OR are controlled by occupant sensors with integral photo control certified to comply ' with Section 119(d) �\ 150(u)7' Lighting for parking lots for 8 or more vehicles shall— have lighting that complies with oec' zsO, zsu' and 147. Lighting for narking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, lJz, and 146 150(k>8: Permanently installed- lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR ,are controlled by an occupant sensor(s) certified to ' comply with seotiob zzs(u) tv ` IF APPLIES GENERAL NOTES SHEET E 1. ALL PENETRATIONS THRU THE .BUILDING ENVELOPE (CLG. WALLS AND FLOORS)1n 6E CAULKED, SEALED OR WEATHER STRIPPED.° .SHIM SPACES AROUND EXTERIOR DOORS OF THE BUILDING ENVELOPE TO BE INSULATED. 2. ALL EXTERIOR PANELS EDGES TO BE CAULKED. 3. ANY ACCESSESS TO ATTIC SPACE OR CRAWL SPACE FROM CONDITIONED SPACE TO BE FULLY WEATHER STRIPPED. 4. EXHAUST FANS TO HAVE BACKDRAFT DAMPERS. 5. FIRE PLACES TO HAVE. a) 0. S. COMBUSTABLE AIR.TO F.P. BOX W/ MIN. DUCT CROSS-SECTIONAL AREA OF 6 SO. INCHES b) DAMPERS TO ' 'DUCT ACCESSABLE FROM INSIDE F.P. AREA . c) FLUE .DAMPER .:.TIGHT -FITTING 8 READILY ACCESSABLE d) TIGHT -FITTING F.P. DOORS OR HEAT CIRCULATING DEVICE. 6. A/C DUCTS -TO BE INSTALLEDPER lA X11 U.M.C. 8 INSULATED 0- I NSUL . - GAS EQUIP, . ) 8 (2 " I NSUL .-HEATPUMP. EQUIP.) 15# DENSITY . TYP . f- . 't $Ah-% - 7. MAIN LIGHTING SOURCE IN ALL BATHS 8 KITCHEN TO BE FLOURESCENT OF 4O LUMENS/WATTS OR GRATER. 8. FAUCETS 8 SHOWER HEADS TO BE WATER SAVING TYPE 8 CERTIFIED BY C.E.C. 9. W.H. TO HAVE. a) 1'-6" HIGHT PLATFORM. b) . VENT T HRU ROOF.. c) ADEQUATED CONBUSTABLE AIR VENTING_ d) R-4 INSULATION 5'-0- TO 8 FROM UNCOND. SPACE. e) R-12 I NSULAT.I ON WRAPP I NG .LF ku.0 w ap. joY MAtjU E-k"TUIjC fl,) f) R-4 INSULATION ON CIRCULATING SYSTEM. g) CERTIFIED BY C.E.C. 10. GAS COOKING APPLIANCES NOT TO HAVE CONTINUOUS BURNING PILOT LIGHT. 1l A/C UNIT TO HAVE a) SIZED 8 CERTIFIED BY C.E.C. b) SET -BACK THERMOSTATS. 12. INSULATION INSTALLER TO BE CERTIFIED BY STATE 8 LOOSE FILL INSULAT- ION TO HAVE MANUFRS. LABLED R -VALUE 13 BUILDER TO SUPPLY TO OWNER ALL INFO. PERTAINING TO THE OPERATION OR TREATMENT OF ALL APPLIANCES 8 DEVICES RELATED TO ENERGY OR WATER USE. 14. ALL WDOS. @ CONDITIONED SPACED DUAL -PANE. DOORS 8 WDOS. TO BE FUL- LY WEATHER STRIPPED. 15. CAULK BETWEEN BOTTOM PLATE AND CONC. FLOOR. 16.' PROVIDE INSULATION BAFFLES @ EAVE BLOCK VENTS. 17. USE ELECT. OUTLET GASKETS ea O.S. WALLS. 18 WATER HEATER .TO HAVE P -T VALVE WITH DISCHARGE TO OUT SIDE. 19. REF. FRZRS. FLUR. LAMP BALLAST TO BE CERTIFIED BY C.E.C. CON TRACT- OR -OWNER TO SUPPLY -MAKE AND MODEL. n a SITE PLAN REVIEW APPLICATION Dater X %/o(, AP# Permit Number (if applicable) Bin Number 069 —3/0 -0,z-1- APPLICANT INFORMATION ' Parcel Size: Owners Name: �C Owners Address: Ida,, -d C" ?5- 94 Telephone No.: Q J`— 3 7/ -2 - Site Address: GL Q/1C'1/tX-C Proposed Use: Zone: Residential New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ' ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form GP: 4--D C- DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑Resolve Problems Prior to Approval ❑ Resolved By C�� Date g Z 0(Q 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: U – I Applicable Building Setbacks: General Plan: L DP— ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front %D , 501 O S L 7 Side i Side Street Rear S� Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Map: J Map Date of Recording: ,2 Lot: Book: b Book: Page: a 3 O'NER'S CERTIIF.ICATE WE, SOUTHERN CALIFORNIA FINANCIAL CORPORATION, AS OWNER OF THE LANDS1NCLUOED WITHIN "KELLY RIDGE ESTATES UNIT 4C" AS 'SHOWN WITIIIN THE COLORED BORDER LINES ON THE ANNEXED MAP.. DO HEREBY CERTIFY THAT WE ARE THE ONLY PERSONS WHOSE CONSENT IS NECESSARY TO PASS CLEAR TITLE TO 'SKID LAND AND WE CONSENT TO THE PREPARA- TION AND RECORDATION OF 'SAAD MAP AS 'SHOWN WITHIN THE COLORED BORDER LINES. THAT PORTION OF SOUTH FORK COURT, JACK HILL DRIVE , SUGARLOAF COURTHIGH ROCHCKS COURT AIKEN COURT, WOODMAN DRIVE , FALL RIVER COURT , MT. RATEL COURT , ANO FA LCO COURT. AS SH OWN WITHIN THE COLORED BORDER LIKES ON SAID MAP, IS HEREBY OFERED FOR DEDICATION AND GRANTED IN FEE FOR PLSLIC USE FOR COUNTY' RCAD PURPOSES. WE AL50 OFFER FOR 'DEDICATION, AND DO HEREBY DED-ICATE FOR SPECIFIC PURPOSES, TIIE FOLLOWING. - (1) EASEMENTS FORLIGHT AND AIR OVER TH05E 'STRIPS OF LAND LYING BETWEEN THE FRONT AND/OR SIDELINES OF LOTS AND THE LINES SHOWN HEREON AND DESIGNATED "SETBACK LINE° ("S.B.L.") SAI D'STRIPS TO BE KEPT OPEN AND FREE OF BUILDING. (2) RIGHTS OF WAY AND EASEMENTS FOR WATER, GA S. 'SEWER AND FOR OVERHEAD AND UNDERGROUND 'WIRES FOR ELECTRIC AND TELEPHONE SERVICES, TOGETHER WITH ANY AND RLL APPURTENANCES APPERTAIN. ING THERETO ON, OVER, UNDER AND TOGETHER WITH THE RIGHT TO TRIM OR REMOVE THE NECESSARY TREES. TREE LIMBS OR BRUSH ON THOSE PORTIONS OF LAND MORE PARTICULARLY DESCRIBED AS FOLLOWS: (A) A QTR IF OF LAND EIGHT IB) FEET IN WIDTH WITHIN THE LOTS AN' CONTIC'^'1S TO ANY STF.E ET OR OTHER PUBLIC WAY (B) A STRIP OF LAND SIX 161 FEET IN WIDTH WITHIN THE LOTS AND CONTIGUOUS TO ALL SIDE AND HEAR LOT LINES. 1C) TYNE STRIPS OF LAND DESIGNATED AS PUBLIC UTILITYEASEMENT (P.U.E.) IN THE LOCATION AND OF THE WIDTH SHOWN HEREON. (3) RIGHTS OF WAY AND EASEMENTS FOR DRAINAGE PIPES AND OTHER 0R A'INAGE WAYS TOGETHER WITH ANY AND ALL APPURTENANCES AP PERTA'1 NI NG THERETO ON, OVER AND UNDER THOSE 'STRIPS OF LAND DESIGNATED "DRAINAGE EASEMENT" 1"D.E.°1 IN THE LOCATION AND OF THE WIDTH 'SHOWN HEREON. (0) RIGHTS OFWAV AND EASEMENTS FOR A NGRESS AND EGRESS AND PUBLIC UT I L'ITIES ON. OVER AND UNDER THOSE'STRIPS OF LAND DESIGNATED AS COMMON PRIVATE DRIVEWAY EASEMENT ("C.D.E.") IN THE LOCATIONS AND OF THE WIDTHS SHOWN HEREON. SO ERN CALIFORNIA FINANCE A L 'CORPORATION A'SSI'STANT VICE PRESIDENT STATE OF CALIFORNIA I COUNTY OF L 0e AJ Cl ) 68 ON -A 4!1 x I , 1977. BEFORE ME-#A4641'rr EAr",KL,f' A NOTARY PUBLIC. 'IN AND FOR LOe AJticAsi CoUNTY. STATE OF L'nl: i_Mls PERSONALLY APPEARED .. KNOWN TO ME TO'BE THE ANA V:Lt QaA.9 COF THE CORPOR TION 'THAT EXECUTED THE WITHIN INSTRUMENT AND ALSO KNOWN TO ME TO BE THE PERSON WHO EXECUTED IT ON BEHALF OF SUCH CORPORATION AND ACKNOWLEDGED TO ME THAT SUCH CORPORATION EXECUTED THE'SAME. 'mss /9� MY COMMIS ION WIRES NO Ry PUBLIC.NO RY OFFICIAL SEAL MARGARET E METCALi AeiMM Mel[ TAtnOAATA 4 ®.e9"Ot4 tlC SURVEYOR'S CERTIFICATE I. CARL D. RODOLF. , HEREBY CERTIFY THAT A AM A REGISTERED CIVIL ENGINEER OF THE 'STATE OF CALIFORNIA;' THAT THE ANNEXED MAP OF KELLY RIDGE ESTATES UNIT AC CORRECTLY REPRESENTS A'SURVEY MADE UNDER MY SUPERVISION IN SE PT., 1976 :'THAT THE SURVEY IS COMPLETE AS SHOWN: THAT THE MONUMENTS WILL BE OF THE CHARACTER AND WILL OCCUPY THE POSITIONS INDICATED AND WILL BE SET BY SEPT. , 1979. AND THAT'SA'ID MONUMENTS WILL BE 'SUFFICIENT TO ENABLE THE SURVEY TO BE RETRACED. DATE Mor. 9/ /978 �an.L & CARL U. RODOLF, R.L.E. IA260 COUNTY CLERK'S CERTIFICATE 1 DO HEREBY CERTIFY THAT ON THElS DAY OF Aptr_ �_t THE BUTTE COUNTY BOARD OF SUPERVISORS OFFICIALLY APPROVED THE SU IDI VISI ON MAP OF KELLY RIDGE ESTATES UNIT AC THE RECEIPT OF SATISFACTORY 5ECURI TY IN THE AJ[)ITOR •S ESTIMATED AMD AT OF TO INSURE PAYMENT OF TAXES WHICH ARE A LIEN OUT NOT YET PAY -A5.- Bf: WAS ACKN OW LEOGFD. THOSE PORTIONS OF SOUTH FORK COURT, JACK HI I.E. DRIVE. SUGARLOAF COURT, HIGH ROCKS COURT, AIKEN COURT. WOODMAN DRIVE. FALL RIVER COURT, MT. RATCHEL COURT, AND FALCO COURT AS SHOWN W:TH IN THE COLORED BORDER LINES ON SAID MAP AND OFFERED FOR DEDICATION AND GRANTED IN FEE FOR PU B I.IC USE WERE ACCEPTED ON BEHALF OF THE PUBLIC FOR COUNTY ROAD PURPOSES, TY.OS'_' EASEMENTS SPECIFIED UNDER (2). AND 13) Oi THE OWNER'S CERTIFICATE OF THIS MAP WH!CH WERE OFFERED .FOR DEDICATION AND DEOICA TF.D FOR SPECIFIC PURPOSES WERE ACCEPTED ON BEHALF OAF THE PLBLI C. COUNTY CLERK BY -kAl AUDITOR'S CERTIFICATE 'I. W. R. LAWRENCE, AUDITOR OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA. DO MERE BY CERTIFY THAT THERE AAE NOTA% LIENS 'AGA.INST KELLY RIDGE ESTATES UNIT OCAS HERE ON 'S E T . FORTH OR UNPAID STATE, COUNTY, MUNICIPAL OR LOCAL 'TAXES OR SPECIAL ASSESSMENTS NOT YET PAYABLE: 'TA%ES OR ASSESSMENTS WHICH ARE A LIEN BLUIT NOT YET PAVA LE: 'I ES IA TE TO BE IN THE AMOUNT OF ljj%1 B8 • �tI.K�ET.W.cJI� "" �� - COUNT AUDITOR COUNTY sw,,EYOR'S CERTIFICATE 'I, CLAY CASTLEBERRY, COUNTY 'SURVEYOR OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA, DO HEREBY CERTIFY THAT'l HAVE EXAMINED 7HE FINAL MAP OF KELLY RIDGE ESTATES UNIT ACAND THAT .'IT AS 'SUBSTAN. TIALLY THE '5 AME AS WHAT APPEARS ON THE TENTATIVE MAP ON FILE AND ANY APPROVED ALTERATIONS; THAT ALL THE PROVISIONS OF THE 'SUBDIVISION MAP ACT OF THE 'STATE OF CA L'IFORNIA, AND ANY LOCAL ORDINANCES APPLICABLE AT THE TIME OF APPROVAL OF SAID TENTATIVE MAP HAS BEEN COMPLIED WITH AND'I AM SATISFIED THAT THE MAP :IS TECHNICALLY CORRECT. a-5 ,s l� T)—&'DATE CLAY CASTLEBERRY, RCE IA224 1 COUNTY 'SURVEYOR RECORDER'S CERTIFICATE RECORDED IN THE OFFICE OF THE RECORDER f BTTE OUNTY 'STATE OF CALIFORNIA, AT THE REQUEST OF ` ��'��.+._.1 THIS-- DAY OF 22�1.�A 1978, AT_=MINUTES PAST )/ O'CLOCK -..M., AN MAP BO0K4/" AT PAGES 4/0./ /Aw /3 RECORDER NUMBER 3299E LOUI-SE KL'JENOER, COUNTY RECORDER SUBDIVISION NO. //o KELLY RIDGE ESTATES UNIT 4C A PORTION OF THE W.I/2 OF SECTION 6 ,T.19N.. R.5 E., M.D.M. COUNTY OF BUTTE ,CALIFORNIA MARCH, 1978 OWNER B SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ENGINEERS: MURRAY McCORMICK INC. SHEET I OF 5 SHEETS ORO-/11-1. /Y1•/.P W17M O.W.R. WAS5 •. CAV re u• 1 9. n' : lai.N' iR. r : v%)s, to 4Y1 Y-.1 417 so° .^428.eq 4 367 zs 41/6'PR'� 471 - _ - .r ` n e '�' i_ --., i. sg. 4Yi `,� •.d, a �e. Z 416 y!`:. 'v ry0' ~y'.I N�b.,q•t6• j "' BASIS OF BEAR NMS , O 366 .':�7 ' yy�i7R a- 1;- i')i •q'P!� //. yy `:' KC: LY R:DUE ES`> :.. I.VFT 4A BOOK {i N 0 R \ - 410 :w �• '"��v �J!tPw.o PAGIa. n,ae,so g.. q9t d• <i0 .@�"`' f�b iii 480o / e./3 i.A%°�• 1AC1< d lya ORO-In, 11/2" /.p wry a *. u,, �` > w z a •,q i'W.R. BRASS CAP SHEE7 /NOEX NO SCALE a- - ;s •e• s 499. igs 431 493 nw Ic e I r s- . r i a I H LEGEND 494 497 \ a� yr 4i7 `: w Y \:. 491 �. .M ss.1r- -. '1'��i��•fe ytP � I. OUND MONUMENT AS SHOWN ........ ........................../ ` Z \5`7'Y \ a I ��, A'� A�tp. d4 ��'�. "• 1i9 �' SCT 2" \ 3' IRON PIPE TAGGED RCE 111W...................... IS y. Air_ 445$ �avnr �' b+ 434 505 \ t , w , Hive....- igs�� .•Mr:® �mL N.: �_t. _ !' 1 NOTHING POUND, NOrNINO Ser ..........................."....p 9 1vY00oe' gi j7&' 160"P r.. •4 , .491 GC// $' /!.g �. SET CENTERL iNE MONII`.IENT. BUTTE CO STD 5"17............12 . y 90S ` e1 .tip rO F N- 0, ILIy ,age V W'� 5\L78 \� y��'k•o,,. q: s �i '•r•ee e.4n.4J.7:•A9"e•r+ A�:'��. ••:.. �R. �,4,.89� C&a O� EU-6 4?RO_Ptli0l. a/d.•ii�dTTtaa•s'tiPp �� ._,P✓�,k., 4 4'a/ 35•ry_� c ,� RADIAL LINE........................1..............................`5..-.1..SRR.'.' `C.S.R. A.'..ffT. . .rn: ) 490 u -- 507 BUILDING SEI3ACK LINE 5 R L 487-WycObd0PRIVATE DRIVEdAY EASEMENT.. ........ \ - '1,:>• it q"- .ifs ii fR- T ..I.-i a.s `s " DRAINAGE EASEMENT 10 E 1................... \v 477 d+mom% 1 i • ��aII n •„� nle - rr4.1. s y,�'.Z97� ^ i 5i79 Y g{ n s }� nq� s $ i �: it R .oa + 1 = PUBLIC UT11.1 TY EASEMENT IF U E.i............. . � j'" o - 48 - "5'K � 495 lid, argb•m•WIR� , 3 \ 4" 9,. •6. s� a..- C 'P „iNr4M �t�Y �3 9 p•a, �: 1 1 DEPART•v,ENT OF WATER RESOURCES.................... R.W.A. M /. h j 47689. a4 '� �InNRIs i- � jlfisr y si J ^` a 499 STALE OF CAL;FORN1.A 1 r �t7- I ALI. LOT CORNERS NOT IND;CATEO BY THE ABOVE CYVI- \ rW�475 - \d 1A 9d' �- A, ').A'yl '..ORO-/18./Y1"I.P WI7N ARE 10 BE MARKED BY 3/4" IRON PIPE WITH TAG RITE Idtw 5/. \ r. ' • .b'`tta�'inocKs co a! ..,... T il. c� 49! o.w.n. anwss cav \ a P �� 6 a 11da• t' ir� teao� 8 ' ' � .s°•'r - tea" a R..,P •r o J � � - s J �14,1ei,'•5. 4 �a - '-es�a2r 8 _ .�. •�L�,�� a, a.e p a4 y4 " �r• ,�a. 4142 ` F(�tr a w a 479P AC ne AGe6 465ti o 44/by.� Lars 47.5-31 Ac. SUBDIVISION NO.L� 479 47? ' 47� .; (YX6 LarA 0. ?7.4.0 ?KELLY RIDGE 1 P bb '•- 444 �' SIRfE75 /6. 208 At w'_.; a ib• i 9aA/aaRr W.O/t A4 ESTATES UNIT 4C ,Ati•-? i`' \GG3 \ 46 /' 443 :r M,/ A PORTION OF THE W.1/2 OF SECTION 6 , T.19N., y,•6 R. 5 E.. M. D.M. of 0W.R. BASS `PW"" COUNTY OF BUTTE ,CALIFORNIA `- o.w.n. enAss CAP SCALE: I"= 100' MARCH 1978 SEE 514EEi 2 OWNER 9 SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ENGINEERS: MURRAY Mc CORMICK INC. SHEET 3 OF 5 SHEETS COPY of Document Recorded AND WHEN RECORDED MAIL TO: 2 -Aug -20062006-0039483 BUTTE COUNTY BUILDING DIVISION Has not been compared with 7 COUNTY CENTER DRIVE original OROVILLE, CA 95965 ` BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT . Section 26-8 of the Butte County.Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to- land or included within an area zoned for agricultural purposes, and residents of this property' may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte',County has -established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such. inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 514'0, !fT S�lo6d.� oN ii/.oT• c"74,.l 1,",410 ENrrrz�� ii G� 1/ 1 C,4/ M.a O 77e_ Coq, Date AI : CD PROPERTY OWNERS: - State of California ) County of C (t t1 h ) 1, O On before me .personally appearedpersonally N known to me (or proved to me -on the basis of satisfactoryevidence) to be the person(s) whose name(s) is/are subscribed to the withinAnstrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/th it signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s).acted, execuiid.thpiliotrument., WITNESS my hand and of Is al. FEUX Signature Seal: �L COMM.SHAWN 1632420 W —� NOTARY PUBLIC•CALIFORNIA In GLENN COUNTY My Comm Lcplrea JAN 18.•2010 A.P. # �, �. •..; _....,a. �,-. Feather River Recreation 1200 Myers Street Oroville, CA 95965- 0 (530) 533-2011 Registration Receipt Date: 08/01/2006 Receipt #: .19791 User ID: 002 Site: PAYEE INFORMATION I PAYMENT INFORMATION Scott Smith JACK HILL DRIVE Oroville, CA 95965 Amount Charged ....................... $1106.00 Total Amount Due ....................... $1106.00 Amount Paid ....................... $ 1106.00 Balance Due ....................... Customer #: 005391 PAYEE ACCOUNT INFORMATION 882-4424 (530) - (530) Prior Balance ....................... $ 0.00 Used To Pay Fees ....................... $ 0.00 Current Balance ....................... $ 0.00 Cash $ 0.00 ID #: Check $ 1106.00 Check #: 2316 Bank #: Card $ 0.00 Card #: Card Type: Memo $ 0.00 Memo #: IMPACT FEES ENROLLEE(S): AN Scott Smith Activity: 9124.105 MISC. REVENUE Fees: $ 1106.00 Customer # 005391 Location: MUNICIPAL AUDITORIUM Amount Applied: $ 1106.00 From07/01/2006 To06/30/2007 Sa - Times 08:OOA 05:OOP Amount Owed: $ 0.00 FEATHER RIVER RECREATION AND PARK DISTRICT AGREEMENT WAIVER, AND RELEASE I have carefully read the description of the class(es) for which Uwe are registering and in consideration for being permitted by the Feather River Recreation and Park District to participate in the activity listed, I hereby waive, release and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activity. This release is intended to discharge in advance FRRPD (its officers, employees and agents) from any and all liability arising out of or connected in anyway with my participation in said activitiy, even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above. It is understood that this activity involves an element of risk and danger of accidents and knowing those risks I hereby assume those risks. It is futher agreed that this waiver, release and assumption of risk is to be binding to my heirs and assigns. I agree to indemnify and to hold the above persons or entities free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of my death or injury or property damage that I may sustain while participating in said activity. Parental Consent: (to be completed and signed by parent/guardian if applicant is under 18 years of age). I hereby consent that my son/daughter, , participate in the above activity. I hereby execute the above Agreement, Waiver and Release ; on his/her behalf. I state that said minor is physically able to participate in said activity. I herby agree to indemnify and hold the persons , and entities mentioned harmless from any loss, liability, damage, cost or expense which they may incur as a result of the death or any injury, or property damage that said minor may sustain while participating in said activity. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND FEATHER RIVER RECREATION AND PARK DISTRICT AND I SIGN OF MY OWN FREE WILL. Name(Print) Signature Date �}�-yvvv va vv�-yvov. 7n DATE: TO BUILDING DEPT: PROJECT: LOCATION: I HAVE REVIEWED THE TRUSS CALCULATIONS AND DETAILS IN REGARDS TO THE ROOF STRUCTURE OF THIS PROJECT CONCERNING SIZES, SPANS, PITCH, ETC. WITH RESPECT TO MY SATISFACTIO IT APPEARS THAT THE TRUSS CALCULATIONS AND DETAILS CONFORM THOROUGHLY WITH THE PLANS DRAWN FOR THIS PROJECT. 'ALL. LD�QcACi aL TC-f�(h O -IC— &(�M Mel, BOB METZGER e,)Acc.o CA. 6t5gZ.4, 865-9688 or 342-9688 SIGNED EXTENT OF HEADER DOUBLE. PORTAL FRAME (TWO BRACED WALL PANELS) EXTENT OF HEADER SINGLE PORTAL FRAME (ONE BRACED WALL PANEL) MINNET HEADER 6' TO 18' i• - FASTEN TOP PLATE TO HEADER WITH TWO i TYPICAL PORTAL •' ROWS OF 16D SINKER NAILS AT 3' O.C. TYP. 1000 LB I FRAME .i STRAP CONSTRUCTION �t 1000 LB STUP OPPOSITE SHEATHINGsyl % FOR A PANEL SPLICE •j FASTEN SHEATHING TO HEADER WITH 8D COMMON OR.. (IF NEEDED), PANEL I' • GALVANIZED BOX NAILS IN 3' GRID PATTERN AS SHOWN AND EDGES SHALL BE 'I 3" O C. IN ALL FRAMING (STUDS, BLOCKING, AND SILLS) TYP. BLOCKED, AND OCCUR •; WITHIN 24" OF MID- "` HEIGHT. ONE ROW OF '• • MIN. WIDTH = 16" FOR ONE STORY STRUCTURES MIN. WIDTH = 24" FOR USE IN THE FIRST OF TWO TYP. SHEATHING -TO - FRAMING NAILING IS STORY STRUCTURES REQUIRED. ' MIN. 2x4 FRAMING IF 2X4 BLOCKING IS I MIN. USED, THE 2X4'S MUST •�3/8" MIN. THICKNESS WOOD DOUBLE BE NAILED TOGETHER STRUCTURAL PANEL SHEATHING 2x4 POST WITH 316D SINKERS I MIN. 4200 LB TIE -DOWN DEVICE (EMBEDDED INTO CONCEI E AND NA ED INTO FRAMING) ! MIN. 1000 LB Pt TIE DOWN SEE SECTION 2308.9.3.2 DEVICE 'u For SI: 1 foot = 304.8 mm; 1 inch = 25.4 nun; 1 pound = 4.448 N: FIGURE.2308.9.3.2 ALTERNATE BRACED WALL PANEL ADJACENT TO A DOOR OR WINDOW OPENING Vk) ri Al A -411 O A -411 a y _.. ---------- J l At Qv LWOW - .� Kj d