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069-540-021
I I IW 091-o 06, 69-54-!.21 1295-91IB9P E4- MCLAIN, Paul 447 Hillcrest Ave, Oroville Cont: Tom Gravison (new sf) 069-540-021 00-0098 SANCHEZ POLACIO,'N4ANUEL 447 HILLCREST, OROVILLE CON'IR: ILD. PRATER REPAIR TO SF 069-540-.021 03-0997' ,SANCHEZ, MANUEL 447 AILCREST, OROVILLE Corit: 9OUDAN, ROGER SFADD, STORAGE & DECKS CK 069-540-021 04-23(--- SANCHEZ, MANUEL E PEI IT AENJfWAL 447 HILLCREST, OROVILLE MATE: Cont: GREENE ROOFING B -P#" - '.-: EXPIRES: ADD'L DECK 4 NOTES -� RESIDENTIAL �7 ✓�_� �' �Q' I s 069-540-021 03-0993 PERMIT NO. _ SANCHEZ, MANUEL i 447 HILCREST, OROVILLE - 1 Cont: SOUDAN, ROGER SF ADD, STORAGE & DECK ' 3� 7 R(ryl, (o D PERMIT RENEWAL BP # 2 Date: t o BP Expires: I 0 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER A OFFICE COPY Address GAS � Meter By — Dat' ELECTRIC Meter By °ate" JOB FINALED (narA Signatur �I R(ryl, (o D PERMIT RENEWAL BP # 2 Date: t o BP Expires: I 0 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER A OFFICE COPY Address GAS � Meter By — Dat' ELECTRIC Meter By °ate" JOB FINALED (narA Signatur J=OK t 0 = Not OK = Not Applicable =Not Ready RESIDENTIAL (Single & Duplex) . . Date UNP.IERFLOOR (Plans) OK except #'s I2 Z ning-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-/, ' Ftg. Depth 33. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 55. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Clothes Closet Light -Shower Light -Spa Light 5. Stemwalls, Main; Steel-Blockouts-Wrapped 35. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 6a. Hold Downs and Special Anchors 60. 7. Slab, Steel -Wrapped 61. 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way - Card B-1 Date Card B-1 10. UF, Gas Pipe; Size Anchors- rd Gas Pi Wig; Size Test 11. Water Pipe; Test -Anchors -Reg tor -Service est 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins MECHANICAL (Permit) OK except #'s 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippie 36. 15. Access & Ventilation 16. Insulation Vent Fan, Exhaust above insulation 76. A.C. Duct in Garage -Damper Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access & Platform if Furnace in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 20. Shower Pan; Test, First Floor -Tub Access FRAMING (Permit) OK except #'s 21. Test Tub & Shower, Second Floor -Tub Access 41. 22. Gas Pipe; Sixe & Anchors „ .42 23. Fire Sprinkler; Test tj n Date Card B-1 P4 Datek Card B-1 Date Card B- Datl Card B-1 Date ELECT ( it) OK except #'s _ 24. Fixtr ransformer Clearance -Ins. Protection 25. El! . Receptacles Spacing -Lights & Switches at Doors 26. Si a Boxes & No. of Conductors Stapled 27. R mex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. 32. Service -Riser Conductors & Ground Main Disconnect Property Line Firewall & Openings 33. Equip. Clearances Panels-Motors-Mech. Equip. 55. 34. Clothes Closet Light -Shower Light -Spa Light Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 35. Smoke Detector 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Date 61. Card B-1 Date Card B-1 Date Insulatio - eilin / a) �„/ /,g• -�(ij Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Card B-1 Date Card B-1 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 76. A.C. Duct in Garage -Damper 38. Condensate Drain & Overflow, Size & Grade 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 89. Ventilation Throughout House 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Inter' xterior WpWanels 62. Insulatio - eilin / a) �„/ /,g• -�(ij 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (P s) OK except #'s 64. K. Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. St�ire-8 Rails 74 --Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Re tacles in Garage (EF.I.)-Romex Protection 80. In ion -Foam -Looked in Attic Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Gla rotection orrections rom Previous Inspections 92. Gas T -Meters Tagged, Gas -Electric 9 er & Sewer Connected -C/O to Grade -HD Approval "Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Dated-" Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK + = NotApplicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location =Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date Elec.; Enclosures; Conduit Entries -Terminals -Listed Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 9. Health Department Approval 10. 1. Zoning Requirements -Setbacks -Easements Light Niche 12. 2. Footings; Size -Spacing -Marriage Line Date 3. Blocking Card B-1 Date Card B-1 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042360 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/06/2004 APN- 069-540-021-000 the Business and Professions Code, and my license is in full force and effect. ,-? License Class: License Number: % Site Address: 447 HILLCREST AVE ORO Date: 101 (o 0iContractor: 10LA, z Map Index: Description: ADD'L OPEN DECK (282) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SANCHEZ-PALACIOS MANUEL E & permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a LOURDES M VALDEZ FAM signed statement that he or she is licensed pursuant to the provisions of SANCHEZ-PALACIOS MANUEL E 8r the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or LOURDES M VA she is exempt therefrom and the basis for the alleged exemption. Any 447 HILLCREST AVENUE violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): OROVILLE, CA 95966-9418 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: SOUDAN CONSTRUCTION, ROGER provided that such improvements are not intended or offered for = sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 50 HASSLER COURT sale.). OROVILLE, CA 95966 ❑ 1, as owner of the property, am exclusively contracting with (530) 589-0799 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does rsoudanconstruction@hotmaii.com not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SOUDAN CONSTRUCTION, ROGER O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 50 HASSLER COURT WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: OROVILLE, CA 95966 ❑ 1 have and will maintain a certificate of consent to self -insure for (530) 589-0799 workers' compensation, as provided for by Section 3700 of the rsoudanconstruction@hotmail.com Labor Code, for the performance of the work for which this permit is issued. License #: 697778 I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this peril is issued. My workers' compensation insurance carrier and policy number are: Architect- Engineer: Carrier: �_ep,It) Policy #: 6 (` 2230-123 2 ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to Total Square Ft: 282 S.F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Valuation: $2,820.00 Census Code: forthwith comply with those provisions. Date: Applicant:n�2 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor J ✓ems tB/9�0¢ s}J��p� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This peril 1 hereby issued under the applicable provisions of the Butte County Code ?nrUer I hereby affirm that there is a construction lending agency for the Resolutions o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) A BY: $"— Date: Name: PE IT XPIRES ON: .1 D - 6 -O 5 Address: Date1 ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substagee o o icial for or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes Print Name- (2 -tz S At3 Signature: Date: J412 0 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor Insulation Certificate BUILDING OWNER: MAIJULL-- BUILDING LOCATION: 4 q i Description of Installation BUILDING PERMIT #: o 3 - 0 "93 ROOF Material a �'k rte+- _ Brand Name Thickness (inches) -3l0 Thermal Resistance (R -Value) . CEILING „ Batt or Blanket Type (`02 + Brand Name Thickness ('inches) Thermal Resistance_(R-Value) Brand Name Loose Fill Type inches Contractor's minimum installed weigh dh lb minimum teucknsistancncs Value) Manufacturer's installed weight per square foot to ache ,iv Thermal l Ree (R-Value) Brand Name materialThickness (inches) 1 Thermal Resistance (R -Value) RAISED FLOOR Material _CX-) � Thickness (inches) ' t i SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL _Material Brand Name anal Resistance (R -Value) Thickness (inches) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. urs► �I'i�rl<oR cJ )u x,15" License Number General Contractor (Builder) Date Signature and Ttile Sub Contractor (Insulation Installer) License Number Signature and Title Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED ��Y 1'� BUILDING. IJ . «COUNTY OF BUTTE (DEPARTMENT OF DEVELOPMENT bERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 03-ffiq �. (Rev.12/96) /_,, APPLICATION AND PERMIT ASS ESSOR PARCELN._ UMBER W540-02� /V. ZONING BUILDINGPERMIT OWNER Sanchez Manuel Sanchez, TELEPHONE SQ FTOCC ;BUILDING VALUATION . OWNERS MAILING ADDRESS 447 Hilcrest Oroville Ca '�ln X321 R 17280.00 " C 130.00 CONTRACTOR'S NAME Roger Soudan 589-0799 TELEPHONE 16 O 112.00 CONTRACTORS MAILING ADDRESS 50 Hassler Ct Oroville Ca 9 966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace _ Total Valuation $ 17522.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ .Q ,,/k. .-. 20.00 Permit Fee $ 189 ARCHITECT OR ENGINEERS MAILING ADDRESS a S Plan Checking Fee- $122.85 � BUILDINGADDRESS Hilcrest Orovi e y 7 10000300MMM Energy Plan Checking Fee $ •00 $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK _ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSI? Addition/storage and ljeC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 'OOVOR LESS Main Service 200A 0R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class I' IL E i N �q 7 -7 -7 R OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: oilI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. \ ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier g 1 e, I -e V, V.•w A Policy Number 7 y "t- . ^t V i h Z C. -2 (The above sections need not be completed if the permit is for work of a valuation � • of one hundred dollars ($100) or less.) D, I certify that in the performance of the work for which this permit is issued, I shall ' not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. y� X - _ Date 4 " �_ — n Signature of/Applicant - ❑Owner ❑Contractor rl Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 storiesinhe`ghkta A ,, Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCSO r". OR ADDNS. ( DW: ACUP. C. S.- 3:5¢FT. # g NOµH6IOT' MULTI OUTLET @7.50 -- -` POWER APPARATUS d SINGLE OURET CIR. Ex, Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ So Ex. Occup. G�EIt°�A R ) E 5:00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 31 2Q -' • MECHANICAL PERMIT Filing Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation/ACA 15 • (� .. __ PERMIT FEE S �y• � Mobile Home Installation Fee $ Energy Inspection Fee $5b • 00 occ CONST. TYPE TOTAL FEE $471.55 HAZ. !. D: Es , IMP FLOOD CDF PARCEL Po HD ISSUE' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. i1 /(f j1% By �f�/ ^Q �jDatte Illli PERMIT EXPIRES ON / Q� ReceiptNo. %� �� r l ` ~ WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BALANCE OF FEES SHEET DATE: PERMIT #:�— ASSESSOR PARCEL�S/�0 � L2-- 1 OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: . $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban _ El Medio North Chico Specific — $ WATER TENDER FEES $ BATTALION # FEMA $- SMIP $ OTHER .�-VIS�L°f�c✓1 �� (_ A# C� RECEIPT NUMBER(S) ����y �" � �� DATE: PERMIT #: BALANCE OF FEES SHEET ASSESSOR PARCEL #: OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE BC RESIDENTIAL IMPACT County Wide Chico Urban _ $ BASIN. El Medio North Chico Specific _ $ WATER TENDER FEES $ BATTALION # FEMA Cb9 $ SMIP $ ' OTHER $ % 4 RECEIPT NUMBER(S) PLAN'REVISION/RETURN Owner's Name: .., Date: ( - /6 US AP#:� Received By: JP Time: Contact Person & Phone Number: PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: 0 Requested b Plan's Examiner — Plan Examiner's Name: 0" Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. / #: C9" Additional Fee Amount: ' � - � Receipt Revised 2/04 AFFIDA VIT REQUESTING D UPLICA TION OF PLANS (California Health and Safety Code Section 1985 1) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file with the Butte County Building Division for o3 -09`13-3 yy q.«<z-s; ^_ L,E Permit Number - 0,1/ — 2 3 9 a, and the building known as ov % < <— F CA 9 s'(:� 'Zr (Residence or Busmeas name) I am aware of the following three provisions of the Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and care incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed .' architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. Current Building Owner: S/4�1 c "t-� .F z i�:�G. en c o s Design Professional of Record: IV) f,�' HA L, Signature of person requesting copies: Printed or typed name of person requesting copies: t1 S� . _. !a• rl"�""'' Date: le9_5 Address: ,260 ,�raL91� �K�E,. l�J�y!!•{.,' Reason for requesting duplicated set of plans: Qlkl6lydAL- A)*1 C Vr-0 'Ios4NS � ..vT:...a N3: sji X: �L'•': ..:,t 4.L' For Building Department Use O Owner Permission received - Date Sent: DateReceived " Professional Permission received - Date Sent: DateReceiwA Receipt Number. JS� (��^/� Match 1996 California Health and Safety Code 19851 Inspection-of-records; duplication ofplans• a. The official copy of the plans maintained by the building department of the city or county provided under Section 19850 shall be open for inspection only on the premises of the building department as a public record. The copy may not be duplicated in whole or in pa=cept (1) with the written permission, which permission shall not be unreasonably withheld as specified in subdivision, ` the certified, licensed-or registered professional or his or her successor, if any, who signed the original-documents and a written permission of the original or current owner of the building,)or, if the building is part ----- of a common interest development, with the written permission of the board of directors or governing body of the association established to manage the common interest development, or (2) by order of a proper court. b. Any building department of a city or county, which is requested to duplicate the official copy of the plans maintained by the building department, shall request written permission to do so from the certified, licensed, or registered professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner of the building or (2), directors or other governing body of the association established to manage the common interest development. C. —The building department shall also furnish the form of an affidavit to be completed and signed by the person requesting to duplicate the official copy of the plans, which contains provisions stating all of the following: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. CL The request by the building department to a licensed, registered, or certified professional may be made by the building department sending a registered letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the plans and sending with the registered letter, a copy of the affidavit furnished by the building department which has been completed and signed by the person requesting to duplicate the official copy of the plans. The registered letters shall be sent by the building department to the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners. e. The governing body of the city or county may establish a fee to be paid by any person who requests the building department of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the building department pursuant to this section. f. The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if, upon request from the building department, the professional does either of the following: 1. Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building department to allow the professional adequate time to respond, as determined to be appropriate to the individual circumstance, but not to exceed 60 days. 2. Refuses to give his or her permission for the duplication of the plans after receiving the signed affidavit and registered letter specified in subdivisions (c) and (d). 19852 Fees; limitations The governing body of a county or city, including a charter city, may prescribe such fees as will pay the expenses incurred by the building department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building department in maintaining the official copy of the plans of the buildings for which it has issued a building permit. The fees shall be imposed pursuant to Section 66016 of the Government Code. 19853 Exclusion of banks, financial institutions or public utilities This chapter shall not apply to any building containing a bank, other financial institution, or public utility. r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042360 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 10/06/2004 APN • 069-540-021-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: _] Site Address: 447 HILLCREST AVE ORO Date: (alfa Ot Contractor: 210647&2_!t,kl%a (I.y.. J. Map Index: Description: ADD'L OPEN DECK (282) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SANCHEZ-PALACIOS MANUEL E & permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a LOURDES M VALDEZ FAM signed statement that he or she is licensed pursuant to the provisions of SANCHEZ-PALACIOS MANUEL E & the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or LOURDES M VA she is exempt therefrom and the basis for the alleged exemption. Any 447 HILLCREST AVENUE violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): OROVILLE, CA 95966-9418 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: SOUDAN CONSTRUCTION, ROGER provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 50 HASSLER COURT sale.). OROVILLE, CA 95966 ❑ I, as owner of the property, am exclusively contracting with (530) 589-0799 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does rsoudanconstruction@hotmail.eom not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 of the Business and Professions Code Contractor: SOUDAN CONSTRUCTION, ROGER Date: Owner: 50 HASSLER COURT WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: OROVILLE, CA 95966 ❑ 1 have and will maintain a certificate of consent to self -insure for (530) 589-0799 workers' compensation, as provided for by Section 3700 of the t danconsrucon rsoudanconstruction@hotmaii.com hotmail.comti Labor Code, for the performance of the work for which this permit is issued. License #: 697778 O'*� I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect- j Carrier: yYl"14'�Q �-rti t� Engineer: En g _ 223CO2-7 Policy #: 6 ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to Total Square Ft' 282 S.F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $2,820.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code'- forthwith comply with those provisions. Lo Date: L % Applicant: 2 7ctiv. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit I hereby issued under the applicable provisions of the Butte County CodA and/or I hereby'affirm that there is a construction lending agency for the Resolutions o do work indicated above for which fees have been paid. - performance of the work for which this permit is issued (Sec 3097 Civ.) ` 10-16-04 By: Date: Name: PE IT XPIRES ON: I ' 6 '0 S Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub star) e o ficial form or document of Butte County. I hereby - authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes , J Print Name: 1� (�L,►3� �� �';ni el iii r�� Signature: Date: ❑ Owner L7 Contractor 0 Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION L 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 — I ,3• (Rev. 12/96) ��' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-540-021 ZONING R-1 BU I LD I NG P ERM IT OWNER Sanchez Manuel TELEPHONE SO. FT. OCC. BUILDING VALUATION 320 R 17280.00 OWNER'S MAILING ADDRESS 447 Hilerest-Oroville Ca 10 C 130.00 CONTRACTOR'S NAME Roger Soudan 589-0799 TELEPHONE 16 0 112.00 CONTRACTORS MAIUNG ADDRESS 50 Hassler Ct Droville Ca 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 17522.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 189.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $122.85 BUILDING ADDRESS Hilcrest Oroy-ille Energy Plan Checking Fee $ PERMIT FEE $ - LAT NO. SUBDMSIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF nddition/stnrage addition/stnand deck Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service z..A oa LEss 23.00 Main Service 200A TO I000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class I Lic. No. 7 7 7 �i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: carrier s-�,?� %J, AA NEW CONST. DWEWNG OCCUP. s0 OR ADDNS. ( DW: ACC. S.3.50E 20 NEW CONST. . NON -RES D. BR U CTI CI�CUT @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup.20 Q I.00 OUTLET OR FORURES BAIL FIXED APPLNS. OR 5.00 Ex. Occup. ourLErs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation IfK 00 extend Eltiets PERMIT FEE S 39.50 Policy Number "7 k '-?� -- -2 1k 1 b - ZG-U "Z (The above sections need not be completed if the permit is for work,of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. l X,�L�L�' ___ Date y °-� Signature Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition gr construction of structures over 3 stories in hei ht. -q-L�k_ Mobile Home Installation Fee $ Energy Inspection F e $46.00 OCC CONST. TYPE TOTAL FEE $471.55 HAZ. F S IMP ROOD CDF PARCEL PD HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By tteor _ PERMIT EXPIRES ON / at Receipt No. WHITE-D.D.S.-B.D. CAN -ASSESSOR PINK-INSPIECTOR GOLDENROD -APPLICANT 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.netldds PERMIT NO. BP042360 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/06/2004 APN • 069-540-021-000 the Business and Professions Code, and my license is in full force and effect. License Cflass :1 License Number: OIL) Site Address: 447 HILLCREST AVE ORO Date: OI (o 6 � Contractor: 0tw—I Z ,D.&d Map Index: Description: ADD'L OPEN DECK (282) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SANCHEZ-PALACIOS MANUEL E & permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a LOURDES M VALDEZ FAM signed statement that he or she is licensed pursuant to the provisions of SANCHEZ-PALACIOS MANUEL E 8r the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or LOURDES M VA she is exempt therefrom and the basis for the alleged exemption. Any 447 HILLCREST AVENUE violation of Section 7031.5 by any applicant for a permit subjects the than five hundred dollars OROVILLE, CA 95966-9418 applicant to a civil penalty of not more ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: SOUDAN CONSTRUCTION, ROGER provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 50 HASSLER COURT sale.). OROVILLE, CA 95966 ❑ I, as owner of the property, am exclusively contracting with (530) 589-0799 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does rsoudanconstruction@hotmail.com not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SOUDAN CONSTRUCTION, ROGER ❑ lam Exempt under Article 3 of the Business and Professions Code Date: Owner: 50 HASSLER COURT WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: OROVILLE, CA 95966 ❑ I have and will maintain a certificate of consent to self -insure for (530) 589-0799 workers' compensation, as provided for by Section 3700 of the rsoudanconstruction@hotmail.com Labor Code, for the performance of the work for which this permit is issued. License #: 697778 @r' I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Cartier:r�'h4ty� ti,l� Engineer: '�., Policy #: ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to Total Square Ft: 282 S.F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $2,820.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. } U) 1 (o Date: I Applicant:�2 ,OA,Jb4fi�rU�� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor s} 1' zkp 1;L 9 04 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit I hereby issued under the applicable provisions of the Butte County CodR anrt/or I hereby'affirm that there is a construction lending agency for the Resolutions o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Bv: Date: Name: PE IT XPIRES ON: ! O • b O 5 Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substa9 o o ficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon` the above mentioned property for inspection purposes I Print Name: 1'�Q �f1tJ Signature: `-� kaz 6 Date: I t1 it, ❑ Owner LrJ Contractor 0 Agent for Owner ❑ Agent for Contractor AM BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name Name Kgk� irst Nam e,�yt „ 1 �•(, ri Address ,ke �� City Vz Vi State T-p State Zip )„ w Phone Phone Fax E-mail E-mail APPLICANT NAME CONTRACTOR Name Name Kgk� Address Zp Address Fax State T-p CityJi tLP State Zip �Y& Phone Fax Planner E-mail Lic. # If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Clas APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zp City Fax State T-p Type Const. Phone Book Fax E_ Planner State License Number APPLICANT NAME Name Address City State Zp Phone Fax E APPLICANT SIGNATURE X For office use only: Zoning AP# Flood Zone Property Address SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP0 BIN # 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. OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by � �ID Amount I . 0D Bldg SRA Receipt #: LN heriff SMTP Date: 14q1b Lf Total REV 6-16-04 LOCATION AP# 0 -OSI Property Address H �n �LS l/ i Cti Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 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. OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by � �ID Amount I . 0D Bldg SRA Receipt #: LN heriff SMTP Date: 14q1b Lf Total REV 6-16-04 escri tion or Scope of Work: 1 Sq. Footage a ❑ Structure Built without Permits 0* 14 am. -#4 ❑ 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. OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by � �ID Amount I . 0D Bldg SRA Receipt #: LN heriff SMTP Date: 14q1b Lf Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (1VO FAXES!). 11 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the endneer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! . ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING,PERMIT APPLICATION K:\ ORMSMILDING F0RMS13IdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ' .. v .. .. ,. .....-. • : �. w.�� `-,ti.�47z - ^..moi.. . -t �. - ._.r .. - .. .. . > ....tv.'�.... ..Yy''.r . y 'Y�-.is- i. �."r-''..-..+.'Y;ti ..- .>.� •. , i . 1 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:, S60C4j::Z ASSESSOR PARCEL NUMBE V/J r _,SqfjC)a I Proposed Building Use: V qp ?2 Counter Technician. Date: CSE I U Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1 ' lf�/ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . C� 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner Cl a 14. Hazardous Material Form /b I 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 0 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 9. Soils Report and/or Engineered Foundation required ........................................... ........ 0. Erosion Control Plan Required..................................................................t Fees as shown on the attached Schedule of Fees Due Sheet...........J{t.ctA.l, ..� 22. City of Chico Plumbing permit........................................................................ 171 3. California Department of Fore try plan approval ❑ paid. Sent by: ............. tanning approval (A) Use: (B)Parking: (C) Parcel Ch _9JE_� -Pp 01_ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form.............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: vr, /'� , ---� Date: 6- `I"dg 1. Index permit application for the aboveite u ed: 0 Plan Check Letter 2. Additional items required Aw Contractor, designer, owner, was advised of the ove dla,15yV0 phone, Cl mail, ❑ counter, by Date: Contractor, designer, ow pr as advised -o e a6ove datalby El phone, ❑ mail, ❑ counte , b Date: Plans reviewed by: l•� Date: Plans approved by: Date: 3 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division NOTES RESIDENTIAL PERMIT NO. _ 069-540-021 _ 04-2360 SANCHEZ, MANUEL 447 HILLCREST, OROVILLE Cont: GREENE ROOFING ADD'L DECK 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 53. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6. Stemwalls, Garage; Steel -8lockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Siding -Nailing Veneer 7. Slab, Steel -Wrapped 59. 8. Piers -Fireplace Ftg.-Steel Shear Walls; Nailing -Bolts 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Elec. Trim & Subpanel, Breaker Sizes & Labels 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stairs & Rails 11. Water Pipe; Test -Anchors -Regulator -Service Test 71. 12. Electric Underground 72. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 73. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 74. 15. Access & Ventilation 75. 16. Insulation 76. A.C. Duct in Garage -Damper Date Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access _ 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Stucco Brown -Finish 23. Fire Sprinkler; Test A.C. Unit Disconnect, Electrical -Plumbing 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 89. 24. Fixture & Transformer Clearance -Ins. Protection 90. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 91. 26. Size Boxes & No. of Conductors Stapled 92. 27. Romex Installed Close to Edge of Studs & C.J. 93. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 94. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Date 32. Service -Riser Conductors & Ground Main Disconnect Date 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Comments at Final: 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK. . = Not Readyable • MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Carports; Windows -Doors 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect Date 8. Utility Clearance Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Setbacks -Easements Card B-1 Date Card B-1 Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 6. 3. Gas; MH Test -Demand -Valve -Connector 7. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 8. 5. Drain; MH Test -Fall -Flex Connector 9. 6. Water; MH Test -Regulator -Connector 10. 7. Water and Sewer Connected -C/O to Grade -HD Approval 11. 8. Gas and Electricity Tagged 12. 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Card B-1 Date ` Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ' 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men=Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date ` Card B-1 PLAN REVISION Owner's Name: S I/1 C BP#: Date: Contact Person & Phone Number: Time: 3' ;2L -L) PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑�*Engineering 3- *Plan Revision ❑ *Requested by Building Inspector's Correction Notice - Inspector's Name: ❑ Requested by Plan's Examiner - Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum 'revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: L� Minimum $54.99 Receipt #: 4' " u� 10 I Fee not required for revisions requested by plans examiner prior to issuance of pen -nit. Additional Fee Amount: Receipt #: Revised 2/04 PLAN REVISION Owner's Name: Z BP#: Date: Contact Person & Phone Number: PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering X *PlanRevision ,b -O -t ' ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call and hold for pick-up. ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: Minimum $54.99 Receipt #: 41 �'O� C) ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School Distract U v �,`` `� yi"Q� Building Department No. A.P. Number 0— 1 S N o" Q 2 h Jurisdiction: City ®County Property Owner NI Ct Al V ff /,, Gt .N C I-VProperty Location/Address /J IN -7 W /4/ Subdivision Lot No. Residential Development © Q ................................................................................................. Q Q Sq. Footage Z] A No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit #0IV— i ......... .......................................................... *(No foundation inspection) .._... , Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition Sq. Footage (Including Exterior Roofed Areas) 9 3u a Date r District Identification No. School District ceR�es that �f (Applicant) I7 7 (Street Address) has complied with the requirements of Resolution No. representing 0L/ square feet. School District Representative Paid by Check Remarks: (Phone (State) (Zip Code) 03 —Q _ / c� by payment of $ /1//,4- ,IAB 2826 : FULL MITIGATION $ iv Date Nofte: You may protest it* Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Government gads Section 66020(a), within 80 days from the date fan am paid. Failure to submit a timely written protest wlil'prohibh you from challenging the Imposition of it* fees In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fes certification FOrm, the School District Is no~ by tit applicable Local Planrdn8 Agency that this project Is being rwiswad under the California Envlronrnswrtal Quality Act (CEQAh this profaA may be subject to addklon\d` school fess to fully mkipats.its Impact on the school dbblctle schools. White (SDDlicant), Yellow (building department), Pink (school district) feeform•xis 110/03►dmm A SITE PLAN REVIEW APPLICATION Date: AN fU6�- �GiIJ" _ O 2% Permit Number (if applicable) 1151-2560 Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential Single Family Addition ❑ 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: Parcel Size: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ ' Applicable ❑ 'N/A Brief Explanation (if necessary): &L= ` DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Sta ped Approved By Date Page 1 of 5 t ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: .(See attached) • Flood Zone: )C • Flood Panel No.: d<815 -C Index Date: 6 — - ❑ 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 (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------- ------------------------------ ------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit. ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: I &f: q Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. a CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2 .3.0 1 Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. a CDF approval needed for encroachments into SRA setbacks. Page 2of5 w J Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ 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 ❑ Ye Comments: 77s s'cc ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 12 Subdivision Mm//Parcel Map: Map Date of Recording: J". 12 `� ICY( Lot: 2 ( ❑ Use Permit/Minor Use Permit Book: I&) Page: 8 5 Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑■ Page 4 of 5 J 0 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 1l F -14 :�,• #. �ma� o^� ga�v,A m� m"°� o aa3 �om� �"�,�� �oom�o�nU°,Z a°'^ -..u>; foo ��k��a� qiom�h,�nm " `1 Al �iqo olio o " ,,op�m ado tia '4 q N oDa �� '�y���Z��oomy�o��e `+oh ti� Pm Uo tom � ��'�a � �a 3am� a ��ti o�o�ti `� H°�h �t�• o �onD �Ilk, e , o N� q m k��ti em^ ma�oa,,e°. T, 51 ;�, SK y��aa�o�m� � nti " A ma�cy ovi my Ria ah . ti o , titin ti � mai a tim � .Ro'^ya�� o^ ITN nD � ti' oe ti oe�a' otio ^o ti Rt v �noe roti �, �s �l Io ohs B ^, o �IN m o In el is 13 v �am �ooZN • hr am � ax � Dyp !1 lipp"l r°4 1.22 D Q �jC mm1M 2r 10) i N f ©00®®000DO©000©000000 �PPPPPpPPt�.t.%1 Pu PZPPPp, 4 p aa mp� �D .y ypu� wOSm V_uS���Q�1p NtN�,��;M • 3T333�� � � , fry of opAps�p�pcp?poppCpo�,��g,"�d��44oAi��p�s'pw l 000.0oOp6O�Np880P0pp�o�6Q000 a�00p$;p v O • n � ��s��H�va • ^3^� `o'C%sr�o `� . PPZP WP'Z��PpPp�P a��ao"..dataq,�~�a�a� CC p �`OA^jOW� ai \uiwb,��6GiA ,� pi A Alps' ��WA�f�3AA� A A O$p��p�Nw eotf��,,boo obop�o 00 N�ONb Oy�"o �OO,ON�O . a b• u p,��Q' \71 am y anon N g oR 0 n v sec \ u � ID W N T Wi I RECORD DATA M.O.R. 72 RIS (RS)-6//TTE CO. R/I✓ MAP E-040 (RO-36 MO.R. 5 UN/T 1 K.R.E. (0j)-1645 OR 4/6 (R3)-43M.O.R. 44 uN/T 3 K.R.E. (Ds)—/730 oR 74 (R4)-20 M.O.R. 4 MONTE Y/STA TERRACE SUB. UNIT 1 K£L1 % {'0,3,c E3. TAT E.? --- 1 , IT 1 ro•`ut�I I4 IORu. F' .�' Lt 39e.10 (R.) 594.20'(M) -- �I G4.4 mwa 22 � /py •R,.Odr:07 •eG. <] gRUL. Z 6 c" sem. I�Gr� ;� ap 1 yiV' "ffi37v1t3B��3940g 41 31 33 px,34 X35 an Ac. an kn . r� aAc 8anAc. • osaNA<; 10427K. •0.2iMe` Q24H QaX'ICN aii 4. S O E Flo'C-- I I.•Eoa >;ruc ..�� �•-��_�E — �uT—. � �� .soNE - _l...x� I . / 6 N 1"t 100• 81 y 267 '6's / 0.0.0 e i / 42 R T DETAIL C ✓t ,1 � E R 2es.2e • 1 DETAIL •E n v' 43 )M Ir SS Iy E 00 44 DETAIL A• �_1�tVVI`L HIDE,AIL B� 21? A/ /OR / s osLLCRESTAVENUE RIGHT f a WAY DEEDED TO BUTTE COUNTY ? O.R. 149 $,$ 29 n' E DETAIL 'D• DETAIL ;4- \ �3 6G It = 260 I____ KELLY RIDGE —__ UNIT 6 yrs LEGEND 46 ®— FNQ POINT AS INDICATED $ 3 cty a 54 Ae. o—NOTHING FOUNO-NOTHING SET $ �$- 77• z211°� '/ I• ; • — FND. 3/4 MOOED GGED R.G.E. 13042 H ..H eS3e'ea'frR1 I (p o—FND. 2' LP. 7A06ED R.C.E. 13062 QY� o u �NTERL NE MONUMENT 8-17 p Lo, 41' -.k— AND. 3/4 LA 7A60ED R.C.E. 9033 � H b c. ■—SET 4/4LA R.C.E. 13062 —LET 2- I.P. R.G.E. 13062 00 . 4 — JET BUTTE COUNTY STD. 8-/7 DETAIL -C- DETAIL -B_ CENTERLINE. MONUMENT e� • . • — SET R. R. SPIKE Y ti (R)—RADIAL ;. RuE.—PUBLIC uT/LITY EASEMENT DIE.—DRAINAGE EASEMENT y 6.3.L.—BU1LD/N6 SETBACK LINE 01 .".4 E � BEARING AND CURVE DATA LOT Ati 1 �c�- N~ �( AA 0 A-6'IB'4640N) R6/050. L� D A -06'32'54-(4)X635.00' L-54.09'(a)(M) A,06 33'06-(M) DETAIL `D" DETAIL E © A-2'4/'05 fM) R-SM00'(OJI)(M) L -43.45'(M) 4.3'56'1170) R -970.00•410(M) L-66.64YN) A-1'17*21"(M) R-970.00'(D,)(M) L -21.82'(M) A-14'19.26" R-260.00• L-70.00• 5� © A-/9.2623- R-200.00' L-95.00' cU 2At LO1 (R) A-7'33'/2• R-970.00' L-134.08*(02)(14) . "4 gT �i ��' (DA -11.32'00"(M) R-/30.00•fROIA0 L-26.17YM) A -6'59'33•(M) R-950.00 OWN) L-1/5.94YN) ¢ Q A -6'27'04•(M) R-950.00'(D.)(M) L -106.96"(M) S Nes �yE �\\ © Al63'3B'33"E 50.00' (R2)(R�)(M) N.Q.C. BASIS of BEARING _ TME BASIS OF BEARING FOR THIS SURVEY 15 THE SOUTH LINE OF DETAIL F DETAIL -G- LOTS 99-/05 OF KELLY RIDGE ESTATES UNIT NO.1 TAKEN AS ` N 06'30.00-E PER 36 M.O.R. S. .' � /J Cn / c� iytW I i" ✓uCci.ol c�� 1�r m, 14R� Q7T% tc.cyE Scna `Q0 r, , v24,198a. -a,9 aA C E 257 \\m =S1 / m 47 $ Tc � / y O.S4 Ac. 240.06' .2. Sly / -A -ri a1 Ac. / ,q10 -7Cp LA _ OR. ,. ; u 11 ( 1• LOCATION MAP 1•• 112 MILE _ 49 0.44 Aca� b 7 M'\ / DETAIL 'F • 50 0 I 0.42 Ac...t a� z•i/t ��Y Z• `DETA/L �• 4p� —Nes. 'S2•f (a)(MNR.) 0,� IDOLS DAM MINERS RANCH RESERVOIR Kelly Midge Estates V3Mft No. $ cooac�--ASSOCIATES ENGINEERING CONSULTANTS 2080 PARK AVENUE OROV IU -E , CALIFORNIA 96968 SHEET 2 OF 3 SHEETS Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 1, 2004 Manuel Sanchez 447 Hillcrest Avenue Oroville, CA 95966 Subject: APN — 069-540-021 Dear Mr. Sanchez, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2360, and has found your application in compliance with the established, planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Attached, please find a copy of any use permits, or map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sincerely, Chris Tolley Assistant Planner COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive-.Oroville, 'California 95965 • Telephone (530) 538-7541 2 (Rev. 12/96) APLICATION ANDPERMIT 'f ASSESSOR PARCEL 69 540-021 ZONING-1 BUILDINGPERMIT OWNER Sanchez Manuel TELEPHONE SQ, Fr, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 447 Hilcrest Oroville Ca 320 R 17280.00 10 C 130.00 CONTRACTORS_•Roger Soudan 589-0799 TELEPHONE 16 0 112.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ 17522.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $189.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $122.85 BUILDING ADDRESS Hilcrest Oroville Energy Plan Checking Fee$ 2-3.00 PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF nddi ti nnjstora�4e and deck Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm. under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class (3 Lic. No. eg 7 7 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Ay{c I, as owner of the property, or my employees with wages as their sole compensation, II-- will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. a ACC. BLDS. 3.5¢x; .20 NOpLp�IDT MULTI -OUTLET �a 7,50 POWER APPARATUS 8 SINGLE 0 rLET CIR. EX. Occup. OUTLET OR FIXTURES 6 00 @ 2' 1.w Ex. Occup. DFIx�eED�A RLNS. DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ ii _9n WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ncompensation insurance carrier and policy number are:_xtend Carrier 1c, -a. i vv.A� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation SO duets 1� • 0 PERMIT FEE $ 39.50 Policy Number -2 t 13 -- -2 b - -2 c� e, 'Z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 14�.- (") Signature Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" d e and d molition _9rconstruction of structures over 3 stories in he ht. (} • Mobile Home Installation Fee $ Energy Inspection F e $46.00 occ CONST. TYPE/ ETOTAL FEE $471.55 HAZ. IMP FLOOD ZCDF I PARCEL,Po HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. n DR7 By to 7 r1 PERMIT EXPIRES ON De Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIINK-INSFECTOR GOLDENROD -APPLICANT �� �-� C)QA1 � COU N T Y OF BU iTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION 7 County Center Drive • Oroville, CaPtfomia 95905 ► Telaphona (530 538-1541 B�R>r4T o. �r.tu96) APPLICATION AND PERMIT 13 " 0 b () 0 2 ) 27M _ I BUILDNG FER11tIiT YVl ^, ill— -1111 IzMaR"'az1 30. FT. I OCC. BUILDING VALUATION CRs WE f I =--Kwa ",m ,Mm 0=Q m eam�s erannwa ADD�as D &-;� E S -r, , 7z Q arcs . ase= R - / :�b_�I PAY= Me USEOFSTRUCTtm C� �, �3 A e— aF jU,-CCeipl= D M*Beboms D Mer �r TYPi: OF WORK Nae C Addrbn 0,' d 0 UiSes 11O ar 0 LqLDes Wort:Ad � , �eJ D ; 5� j O82s,�, 5qaA . *?BtW FEE PUD SRS e AOVN'P RECUVIal ib '�R�#i !'ilk � � •�� "TO La ?Vr zwo COAMIA =9 I i 2—'2—, e-0 Valuation %L. S 2o.D0 Fes :heabn Fes 2e� Pfen Chug Fes S a • 5' r PERMIT m _ cr I nFia Feel 20.D0 Trak7.DD Soisr hest Waiar hadw 23.OD Wem w6w 15.00 rah yy or vard I S.DD m ping wstm 1 =gets 15.DD a%Ma„ sower 1 S.DD NbbDa HomsI S 13 1 W N, @20.DD t�>>rrir I� s 20.00 b m Sri=( ou so Iva% 1= CUAWL• R .:- • 0--= ( Duna Da Fomm ) I I eat ra �;; I H=e Fee I 2 D. DO 0.50 PERMIT FEE S Nbble Home Instilis5on Fee 5 l N Energy tnspe_-5on Fee q TOTAL FEE $ This permB is hereby issued under She appir_able prvv:s►nrs of the Buhe County Cvie and/ar Resvh&,— s b dv vmrk inc aced above fir whiff fees have been paid. By . DsiB - F3��ipiFls. F; --?MIT D71RBS DN .�� � _ _ _ _ -.. �.. - ������� ....n ...�D �f•�,10 X11 Rte.. e.nA. A'�OI I�A�.T 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: L _ "� UL L... ASSESSOR PARCEL NUMBER Proposed Building Use: )0 Counter Technician: Date: %l " /— y Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 414. .. Plot plans, 3 or 4 sets, signedty the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! 0 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. a Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other aining items needed to issue the permit. (May require additional plan review upon receipt of ttheefolloowin. items.) ees as shown on the attached Schedule of Fees Due Sheet......C5`!.... !�`"' 5. Statement of Intent for Non -heated and A/C Buildings .............................................. on and=p.l-app> ovafifrorrrtlre Lnonxn tal-HeadtlrDep - r� y jV4 ❑ 17. City of Chico Plumbing permit .......................... ................. .....:... ........... 18. California Department of Forestry plan approval paid. Sent b . ...��............... 19. Planning approval for (A) Use: 0) B)Parking: (C) arc 1 heck: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). f2. Pre -Inspection for required ................ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 4. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits................................:........................ ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ Other: When issued Telephone and hord for pickup. 7/)- yilpo 3, 9, P�-, 41/41ap I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: y/`— 1. Index permit application for the abovvitems u er Plan Check Letter 2. tional ite required esig , owner, was a sed cf th abo a by ❑ phone, ❑ mail, ❑ counter, by _Date: �/� 3 ontractor esigner, owner, was advised of the a e ata by ❑ phone, ❑ mail, ❑ counter, by j2: Date: "gyp ans reviewed by: Date: 01P Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: _ Note transfer by: , t. Date: K Yellow Ruildine r)ivisinn 1I OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 _ SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ / Revised Plan Checking Fee L .............$j �12. SCHOOL DISTRICT FEES `dUt� I ` `on (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # ^� / DATE J RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE /-1— 7-0 3 Pursuant to GovernmediCode Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) CLAIMANT: ADDRESS: CITY & STATE DATE OF CLAIM County of Butte Oroville, California GENERAL CLAIM Roger Soudan 50 Hassler Court Oroville. CA 95966 10/13/03 v SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet Permit No.: 03-0993 PAID RETAINED REFUND Development Services $ 557.55 $ 517.55 $ 40.00 SRA $ 43.00 $ 43.00 $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 600.55 $ 560.55 $ 40.00 w. .:. `f7.:.:.:::::: ....::: CQYJ ..::'AMOUNT': Development Services 440-001 4210500 $ 40.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL $ 40.00 $ 40.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been pe orm or delivered, and that this claim is true and correct as stated. Dated this / �� day of Win. 2003, at U I Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check grteT1Vr b4 same. Dated this day of , 2003, at Oroville Head or Authorized Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. REFUND CALCULATION SHEET CLAIMANT: Roger Soudan ADDRESS: 50 Hassler Court CITY & STATE: Oroville, CA 95966 DATE OF CLAIM: 10/13/03 APN: 069-540-021 RECEIPT INFORMATION N U MBER:1375946 DATE: 4/7/2003 ISSUED TO: Roger Soudan Construction CHECKM 15471 AMOUNT: $600.55 PERMIT #: 03-0993 Yes No Yes No Yes t REFUNDS: X VERIFIED X No CHECK: $40.00 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 10/13/2003 Michael Vieira Building Manager REFUND BREAKDOWN BLDG SRA SHERIFF 440-001 0100 280 DETAIL PAID RETAIN REFUND 4210500 4617240 1011811 BLDG ....................................... FILING FEES Buildin 20.00 -20.00 -20.00::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............................ ............ Plumbing .............. .......................... Electric 20.00 20.00 Mechanical 20.00 20.00 20.00 ......::::::::......:::::::: .............. .......................... ......:::::: PLAN CHECK ............................ ............ Plan Check 184.93 122.85 62.08 62.08 .:::::::::::::::::::::::::::: .............. .......................... :::::::::::: Ener 23.00 -23.00 ............................ -23.00 ::::::::::::::::::::::::::::: ............ :::::::::::: INSPECTION .............. .......................... Energy 46.00 -46.00 -46.00 ::: :::::::::::: SRA -BLDG .............. .......................... Building $46 46.001 46.00 PERMIT FEES Building 284.50 189.00 95.50 95.50 .............. ::..... .......................... ............ Plumbing ............................ ............ Electric 22.12 11.20 10.92 10.92 .............. .........I................ :::::: Mechanical 19.50 -19.50 -19.50 :::::::::::::: ............................ :::::::::::::::.::::::::::: ............ OTHER BLDG .............. .......................... Overcharge REFUND PROCESS FEE BUILDING TOTAL 557.55 517.55 40.00 40.00 .............. .....................::: »» .......................... >::.::::.:::: . SRA - FIRESRA - FIRE .............. .......................... ............ Fire $43 43.00 43.00 SHERIFF - $360 SHERIFF Sheriff; OTHER NON -BLDG OTHER $ 600.55 $ 560.55@ $ 40.00 $ - $ - $ - $ 4U.UU BLDG SRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 CHECK: $40.00 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 10/13/2003 Michael Vieira Building Manager County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Roger Soudan Cdkz—a—; a— ADDRESS: 50 Hassler Court CITY & STATE: Oroville, CA 959wcr' DATE OF CLAIM: 10/01/003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet Permit No.. 0 PAID RETAINED REFUND Development Services $ 557.55 $ 517.55 $ 40.00 SRA $ 43.00 $ 43.00 $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 600.55 $ 560.55 $ 40.00 ........................................................................................... .......................................................................... ........................................................................................... ............. .............................................................. :::::.�. ............................................................................ ATOWN:::::5:: ::BidDGET:::ACCOUNT: . .............. .............. ':AMOUNT::: ............... Development Services 440=001 4210500 $ 40.00 SRA 0100 4617240 $ - Sheriff 280 1011811 $ - Other $ - TOTAL $ 40.00 $ 40.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2003, at Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2003, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. REFUND CALCULATION SHEET CLAIMANT: Roger Soudan ADDRESS: 50 Hassler Court CITY & STATE: Oroville, CA 959 b DATE OF CLAIM: 10/01/003 APN: 069-540-021 RECEIPT INFORMATION NUMBER: 375946 DATE: 04/07/2003 ISSUED TO: Roger Soudan Construction CHECK #: 15471 AMOUNT: $600.55 PERMIT #: O —OV -3 Yes No Yes No Yes No PRIOR REFUNDS: X FEES VERIFIED X REFUND BREAKDOWN DETAIL BLDG FILING FEES Electric Mechanical PLAN CHECK Plan Check Ener INSPECTION Energy SRA -BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical OTHER BLDG Overcharge REFUND PROCESS FEE BUILDING TOTAL SRA - FIRE Fire $43 SHERIFF - $360 Sheriff C411i0l- 3,Wk Q3�slt' APPROVAL Date Reviewed Michael Vieira Building Manager BLDG SRA SHERIFF 440-001 0100 280 PAID RETAIN REFUND 4210500 4617240 1011811 20.00 184.931' 122.85 46.00 46.001 46 284.50 ' 189 22.12 11 19 557.551 517 43.00 43 $ 600.55 $ 560.55 CHECK: DIFFERENCE: _ be blank) ........................................ ............................ .............. ............................ .............. ............................ .............. .......................... .......................... .......................... ........... ........... ........... -20.00 -20.00::::::::::::: ............................ ::::::::::::::::::::::::::::::::::::::::::::::::::: ........................................ ............................ ........... ........... -20.00 -20.00 :::::::::::::::::::::::::::::::::::::::::::::: .............. .......................... 62.08 62.08 -23.00 -23.00 ....................................... .............. .......................... ::::::::::::::::::::::::::::::::::::::::::::: ............................ .............. .......................... ........... -46.00 -46.00 :::::::::::::::::::::::::::::::::::::::::::::::::::: .............. .......................... 95.50 95.50 .............. .......................... 10.92 10.92 -19.50 -19.50 :::::::::::::: ............................ :::::::::::::::::::::::::: ........... :::::::::::::::::::::::::::::::::....:::::: .............. .......................... .............. 40.00 40.00 .............. SRA - FIRE .......................... ........... SHERIFF OTHER $ 40.00 $ - $ - $ - 40.00 BLDG SRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 be blank) Butte County Department of Development Services' Building Division 7 County Center Drive 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 the 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 to Develo ment Services for payment processing.. S NAME: ......__.. .. -: ., - ..�:i.ix.i.:....<x..x.. a -x_-.-.x-:.-.-xx-.x.x. �. x�rx��r..,, �.x<x ,x....x..x.x..x. x...xY _.CLAIMANT .xx - x MAILING ADDRESS:4 MWIVa. 01 Poll�,� z a V' (_ z > ..fflT i - .... tt, 5*� 11. VA N ....... ......... ................. 1;.—F..XW.n.x .. Un— - ............ ............ ...... Wq PHONE: _..... x..,...........,xax.<.x,:............. o x,xxxx ; x y.. xa.xx.x..,..xx•.xx.irxx .: x °y_xr< IWN=M PARCEL NO.. . ....„ASSESSORS x .fixx x [Please use one claim form per permit.] ^: ..: xxaxxvx.xaxxx,x^xxxxxx.. ,n.n.x<assxxx.xxx�:xxxx e. �..... xxxxx,.xxxvxxxxxxxxxxx..e. G.v :x ii..: i a xxfvxx x �nss BLDG PERMIT NO.. .;;...�. ..: ° r= �,.:.x:,.:=:::,iix ,.xx,xxx.. xx,xx.,xxx..x..<.a..xx..xa.x.; xvixx ..xx........ x.xxxx.xx.xx;:..x,.x..xxxxxx xxxxx, x,„..xxxxxxx::xxxxrxrezieiiie':.�.y,.x.....,an,.eeu:�:x_,,..,..:,,....,,,.:......rr.....,,....nceeaiee�.=x:..,�_,,. Receipt No. 1 ReceiptNo. 2 Receipt No. 3 x. -. .: 14r ::..::;:.::..:.::...:.;.::.:..........i.....:...........ii... x.x... , .xxxx tr :.;..x. .a RECEIPT NO.. ::::..:::::::.::......:.....:::::::..::.........; _ .; �� — - ' RECEIPT DATE: —....:xxx . ..... — — G x.yS !:•`.- .x•..x:::..::; .x.`...........i x;.i."•x.yxxax:..,x::'':�,':x'=:°.xn,x,xxx.xx,a:xx+,: , - 59:dk'.xixix,x:x..x.•„xx„nxx::,::x.:.xnxx::x:x::,,xx•.x.....:...1 ....... .::: :a .... .::.ry„ �x: ,x..x - :.:.4:n:::..".:::'::::::..c:::.:::::::::::::: RECEIPT AMOUNT: ,. . . /.' xx...x,xxxx,.. <x xx ,x..x.rxxx<.x. ,.... °C.. say x.x.xxxx..xx.x< ..xxx.x .x.xa xx x.,., :..:OF - ::...: , .. x.x,,.xxx.,,,, ,nn.: ...xa., _ xxxxx..xxxx.,gx xxxxx::.:..; .x, REASON FOR REFUND REQUEST: • ' ..........x::nxnxxnxxxx.. x:n ...,x,::::ri <, ----...x....,....._..._......:_......._:,...,__......_....-..............-......-...._......._......_.......-_—: _.... - - -- -- - xx..xx ...xxxx... ......i:...u.......:.:..i...; x.�...,.xx. xx.:xxxxx... ,..:.�, _ ......._.._..._... _. 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N. ,.xxxxx.,x,xaxxxxxx.xxxx.xxx. . xxxxxx.xx<xx: i�4.i:•••xi:i:.•vi:.y.xiii.•v:":.ii.. , _ xxxx„x..,x , r.xx::x..,::xxxx.:: •.E:i.ii.i.x..ii.5i:.",iia ".•:ii:aSi:":ii".ii.iii.i.: �'p� xx..xxxx...xx.rx.rxxxxxxx..x.x.....k.x:xr.x..axxxx. ::kxx.::.xxxx<.. x.rrrxxx.::xxx: .xx..xx.x.,,....x..x::x<...... .. ...xxx.<x:.x :x::.•' xx.x.xxx.x:..,. x.::..x,xr:xrxxx::, , £.xxxix, xxxx xxxxxxxxxxxx.xx,..x,xxx. xx r:xxxxxx.xxxax.xxxxxxxxxx:n.xx::xx.xxx.xxxxx::xxxxxxxxxxxxxx xxx„xxxx,.xxxrxxa,x::.x<.xx,x.,,:,xxx.xn..xx.,,.xx::.xxx,:..xx.,:xxx x.x..,xxx::xxxx...•ix :xnrx::xxx.xx.n::rzx::x.xx:,::.xx::::..x..xx::xx.nx xxx.xx.x,xxxxx.xx..xxx..x.x. xx.n.x,,.xx.xx x xxxxxx: xxx. xxx.a.xx+,...xax� ,<n::x xxxxx.xxx .xx...x...x..x.. xxxx=>.x x<ia.,xx.a-...xxxxxxxxxx.. xxxx i ..,. xxx<x : 8x.r�.:� .x,x,xxxx:xxxrc.xx:xxx.xx xxxxxxx:r .xx�:x,x..x x : sx Check those fees which you wish to have considered for refund: MoBLding Permit Fees Sheriff Fees SRA Fees (CDF_ Fire Planning) „xx.,xxxxx.xx.xxxxx,x,x....x..............,:. x.xxxxx..x<.....x.......::......x.......,x,.xxxxxxxxxxxx::.x xx..xn ,xx x,.x,,.:x....:.x:::xx...,.x.xx.x.,..xxx xx; x:x:::<::::.::x::x,:xr,xx.x::ix,x,x,xx,.x.xx.x.xxxxx,xxxx,xxn::,::..x„......::xxxx xx,.xx.x•x::x.x:xxxx.xxnx.x..x.:,xxx..::xx.xx.x.......x::..................::......xxx::xxxx.,:.......::xxx..xx... x::,. xxxxx::x:x:xxxx xx ....xxxxxx,:.xxx::::.x::.xx:.x::xxx::..x. x...a. (p fy) • ,-.. .iiiix.xiixxiii:x:x.x.i.i..x... .x.ixx......x...x.::..xx.<.xxxx.....xx.xx...xx.........xxxx..xxxx..xxx.,•xxxx.n.xxxxxxx.xxxxxx..xx,xxx....<.xxxx«x.::xxxxxxix.:x,.x,:. i Ot isi...i.xxi:ii...£.i.i..i..i..x.x xx.iii.x:.x.xx.xxx..ii.xiii.xxxxtiR..iii.x..x.£:xxixi...ix.i.....ii.ix.ii.i.i......:i...i.. 0 her s ecl Plans for cancelled permits will -be disposed of within 10 working days upon submission of a . 'Request for Refund._If_ _o__u__want-the= lans. _ _ou-ma. _ ick -them, u _ prior to that time. , : ....... ._._.... __ _...................................... :,x,x:k,;:....:.k,;:::i_.iu::.;:::.i::::x;k ;:_n ' , :k:_:.-.:,::.::::::::::..::i:.:kr'.:.::,.:::.._::.::-;;: .: ¢::xx:xxrvxxrxxx:.rr-....x:xxx:--...r.:r.:n::a::nvc.xxxx.::vrc.._r......rxxxu<.:x::<xx.-xay.rv.xxzxxx: xaxxxr.v...rn'aaxx-xx, - ..... •<v::..xxx-e .:-r :..s+'<iv+:u ::: .x:r<<xxxx....az:v<x.:>::::zx:roux:-xrcxxx::n•x.:x::<r:;:.u.n:r-:eczaxna::.Gni, �v:v:: - _ _ - •:x<..... ...0 : r -:u•.xx: x.:::x.xx.:...xi<u-._xxx<x:_x<i::::xxx.xzxzxxx,x::_ :x <x .n::x:..:.: .....::: xxxx.:s:..._,zx.xr:_ixxx.::.ax<._::x::.,:rzx:aix::i: _ _ a::uav::av::uxxx.¢<x<azre-nz,:x:r...::::::.e::x:xxvxzxxxx::x.x_.:.xu::zxxxxz<::z:.sze:::zx:::a:a::.c:x.uxxx::::rxzxxaxxx::zxxnxxx.:<rxxxa - - .<x«aa< rx r.<• •.r,.xxzxxxa:,:'s. •v ••• •x xxr.x-•_... ,. .e. r".'iri - uxx.. x.xvssxx,zxx:,xxa.>. . rli..”' 4:`enyi«<<vvxx r..x ,.x. �:,xxXV Ri tzuv + $ - .. Sighature Date K:/Forms/Refund Application 082203 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) r LeV` School District 0/_0VI ff a Building Department No. A.P. Number017— , Jurisdiction: City County Property Owner / / I o v V C t ✓A&., e— C Property Location/Address L% ~% / /� ♦ s u?'11--e /"P Subdivision Lot No. I (Group R) Sq. Footage (Including Exterior Roofed Areas) Date _ moor rians reviewea DY acnooi uisinci rersonnen . District Identification No (p 1441 School District certifies that+ &-A^-,LA-pj S u` -k- 4-A- Z (Applicant) (Street Address) (Phone Number) t (City) (State) (Zip Code) has complied with the requirements of Resolution No. cit OX LTJ by payment of $ � C_ .., • ,��•" "ems'`-�"S�=,Y"?`' .:t`-,"' .. _ �- I ._ .. _ �F..__ - <, - - - '" ...3.-.....- ~ representing square feet. AB 2926 $ FULL MITIGATION $ School District Date e— Paid by Check # Remarks: (0 t\ •- 51E- u • O ;1.- ( Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with' Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm s- R ................................................................................................. Residential Development "�`'�`No ` '�• I ' " ` -`'" '�'r of;LiyingJ .Mobile`Home Addition/ *Supplemental to „ Units Installation Conversion Permit # '(No foundation insp ................................................................................................... Commercial/Industrial • �� N New Addition I (Group R) Sq. Footage (Including Exterior Roofed Areas) Date _ moor rians reviewea DY acnooi uisinci rersonnen . District Identification No (p 1441 School District certifies that+ &-A^-,LA-pj S u` -k- 4-A- Z (Applicant) (Street Address) (Phone Number) t (City) (State) (Zip Code) has complied with the requirements of Resolution No. cit OX LTJ by payment of $ � C_ .., • ,��•" "ems'`-�"S�=,Y"?`' .:t`-,"' .. _ �- I ._ .. _ �F..__ - <, - - - '" ...3.-.....- ~ representing square feet. AB 2926 $ FULL MITIGATION $ School District Date e— Paid by Check # Remarks: (0 t\ •- 51E- u • O ;1.- ( Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with' Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm s- R Roger Soudan Construction 50 Hassler Court Oroville, CA 95966 589-0799 CSLB# 697778 April 7, 2003 Butte County Building Department. Oroville, CA. 95965 Re: Jack and Lila Clabaugh-209 Wakefield Drive Edwards -77 Blazeford Gultch Rd Sanchez---Hilldale Dear Building Official: Please consider this letter authorization for Evan Castillo to. obtain the necessary permits for the repairs and addition for the above-mentioned residences in Oroville. Our work compensation policy is State Fund group 713-7816-2002. These repairs are being completed as a result of a fire, with the except ion the Sanchez addition. Any consideration in expediting the permit would be greatly appreciated by the homeowner. Thank you in advance your effort on this matter. S' Roger Soudan AAC 4�z 03 Vv yz- 4 X pos I s . CP -LC U LATI o N -J ^-Pn(:FA�-g-s 5;/-z3 ' raJO Lo ick 4-X(a pom5- Murr rse coNriNuous, 22-141 50 SHEETS AMPAO 22-142 100 SHEETS 22-144 200 SHEETS u C j3 vii 0 b� A 0 -(�-77X R5 yj 21- K ..--14-'K. 0,(-7x 0.!iM6. �35 e327 Co D /2A -Y S 6D Cf;=1,3 Co4-13 'Sr.e-,O D i tav t 1, 473 1,05 1 vJ3 5A -Y AK. Z 00, VES 4 0 0 -(4`-0 o? 6S OS X( n `1.31:� ✓-- �3 - Q '0000, ne" 6v mr- A P P IR, i103*j?�. LK, Afl 2jD( t3 14 K 0,(7x'OA�M!5� i4a) 6-0" I ht. f of I Fb S GD R, Ta 4 k 3 Co 4-13 1 .�O D 1,473 FESS G". &x.(AF 9-1 C4 QW, I i - X31ILL q117R 0U L��� 1 DfN 96 iG EAT -A-PPR 'k MD �UyI� t7_ 0 5 29 031? �{� j� p,-Ov U i Mil a �ems.- ���.,--r. .r e -('•c' 1'` o e rJa, c=.�€.i ,�L.1R Y _ c i.'- �°IFS• r E sm MIN MSN 4_ tt 1 i JOB FINALED (Date) Signature RESIDENTIAL 69-54-21 1295-91B,P,F-1,bh I '. MCLAIN, Paul 447 Hillcrest Ave, Oroville j Cont: Tom Gravison ; (new sf) t r � j1 T p %.Ls - �Uf rn�r �✓�'� ,t � ryF , t' • � � J CG�� � ( /UuG� IP'-`d'� 411 r`' - ,� ,%� Vy Vq OFFICE COPY Address- ddress GAS f GAS Meter By Da I4140k I Meter By a t f, T`OFFICE COPY ! Address I 'Imnar Date By� ! J ELECTRIC `I Meter By Date i JOB FINALED (Date) Signature V=OK 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL = Date UNDERF OR (Plans) OK except #'s _ o ing-Setbacks-Easements-F9od=Slope Main; Soils-Elec(jrr� .-4& Ftg. Depth ✓f Fig., Garage; Soils-Steel-Elec. Grnd.-/j'1efg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -8lockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.V.Y.-Fall-Fitting-Test-2 Way C/0 -Sewer Test Gas " e. Size -Anchors - ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 1 nutn & Ducts; Clearance -Material -Support -Ins. A4 -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date / Card B-1 Date 0 cj Card B-1 Da ,y^ Card B-1 Date Card B-1 Date PLU 11NG (P mit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection 18 .W.V.; Test -Fittings & Anchor -Nail Protection ,, Shower Pan; Test, First Floor -Tub Access _ 192f%st Tub & Shower, Second Floor -Tub Access _ Gas Pipe; Size & Anchors Date k, ( Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors _ L.�Slze Boxes & No. of Conductors -Stapled L,26 omex Installed Close to Edge of Studs & C.J. kLe-Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 127-�2_Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed.Wire Size / / ga. Cu or Al-A.C.-Wire Size /,61 ga. Cu 04,70 29. Range Circ. 61 ga. Cu o Al-' van Circ. / / ga. Cu or Al. I ulated Neutral U Yes ❑ No Service -Riser Conductors & Ground -Main Disconnect •quip. Clearances Panels-Motors-Mech. Equip. ya2`Clothes Closet Light -Shower Light -Spa Light 0 -el -oke Detector Date Card B-1 Date Card B-1 Date rCard B-1 V Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support _ Vent Fan; Exhaust above insulation ondensate Drain & Overflow: Size & Grade Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet I,81i!Attic Access & Platform if Furnance in Attic Date Card B-1 'd4j Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sils. Proper Material & Anchors L.4B. falls Studs -Nailing, Spacing & Bracing- Plates -Sou nd_ _ . Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) fire Stops; Furred C&yTgs air -Chase -T 44 eaders & Beam -Size & Bearing Single & Dur;lex) Date AMING (Continued) Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties -Pu rlin-root Brac-Truss-Shthng.-Ring. ,LroFireplace Ties or Type A Flue -Fireplace Throat clearance j40:.-Xitic Access; Size & Romex Protection -Draft. Stop -Ins. Baffles %A9'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 56-1dra9e-Fife Protection Framing y Line Firewall & Openings Ext. Doors -One T -Check Garage -3rd Story. 2 Exits 45 'Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer ._46r-64aeeo Mesh -Drip Screed -Fd. Vents-Underflr. Access 157-�Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts L3'T Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 zf4W Date Card B-1 Date FIN (Plans) OK excep s E t. Steps -Door & Siaelight Proiection-Landings Smoke Detector \ Furnace; Vents -Clearance -Comb. Air -Connector - In Garaoe: Above Floor -Ducts -Mach. Protection G .I. & Bath Fixtures & Tub Access -Spa a . EI c -Trim & Subpanel; Breaker Sizes & Labels fairs & Rails 6 . Fireplace or Stove; Clearances -Hearth E ec. Outlets at Wood Panel; Int. & Ext. l<t.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance L7'f. Elec. Outlets & Receptacles at Kit. Counter ,72r6erage-Fire Door; Swing -Landing -Closer 23 o r. D i, rr p Garage -Damper 7�Wtr-Firr.; Vents -Clearance -Comb. Air-Connector-P.R.V. W,4iaaraTe-Above Floor-Mech. Protection tib., Elec. & Mech. Equip. Listed for Location (7 . ec. Receptacles in Garage; (G.F.I.)-Romex Protection '().7!I s1f'on-Foam-Looked in Attic ❑ Yes uard Rails & Deck Construction -Post Caps 7 n.'Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.: Drive Yes No; Walks ❑ Yes No: Planters ❑ Yes ONo Brown -Finish C. nit; Disconnect, Electrical, Plumbing Lfi. ents Above Roof; PIbg.-Appliance-Firep lace: Clearance to Openings , 4 -Water -Welt; Disconnect, Electrical, Plumbing Ext rior Elec. Trim; G.F.I. Receptacle -Underground La"e_ojoeflon Throughout House lass Protection p&RLrmctions from Previous Inspections W Test -Meters Tagged; Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date Q jm 4 Card B-1 JX Date Card B-1•. Date/aW. 1,Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=OK O = Not.O!; r ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer: Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) _ 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"h./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector _ 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval _ 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch _ 10. Cert. of Occupancy Date Card B-1 Date Card B-1 f Date Card B-1 Date Card B-1 i. MISCELLANEOUS Date DECKS. COVERS, CARPORTS, GARAGES, (Plans)OYf4xcept #'s Soi Is -Size -Depth -Spacing -Con nectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg -Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. FrmOiffi rs-St rs-Tr es 9. SI Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date ltr 9 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date f POOLS (Plans) except #'s 1. Setbacks -Easements 2. Soils: Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test r - Date Card B-1 Date Card B-1 Date -"'Card B-1 Date Card B-1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r, 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE r f PERMIT NO. A routine inspection indicates that the following violations of County Ordinance 1' exist at the above address and should be corrected. Please notify this office 3 when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise- Phone -872--6307 i5 i; CORRECTION NOTICE R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this m er, or need additional explanation, please contact this office immediately. - �7 rs rIse_s 3If2 — ✓u_,...0 /.`ham u,;G� Date /e / Inspector " _ • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 4? a '-, 1.2 %6 — ER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector /T�'•+ k �~- COUNTY OF BUTTE -' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER ' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ;.c 'Y t f -S ..i 1 1 j 1 i Date C , / Inspector AMER F COUNTY-, OF BUTTE DEPARTMENT OF PUBLIC WORKS _`'—A_196'Me�ryorial Warr., Chico — Phone: 891-2751 7 County Center Drive, Oroville —Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 7 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corfection of work is completed. If you have any question pertaining to this matter or need additional explanation, please contact this office immediately. Date �Z i� Inspector �/ �f , Date �Z i� Inspector �/ �f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Mq a,, 1A /Z 95- OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist,at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date �� %� Inspector- /ye -r OWNER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date _ � Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 • 7 County Center Drive, Oroville — Phone: 538-7541 • 747 Elliott Road, Paradise— Phone: 872-6307 ti CORRECTION NOTICE .ti VNER ' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 3�r ' a:1 Date- Inspector �'% — AiN e - 'ra X. +,•,4 a; xis rr' �Y r:2 4' . 3a ' a:1 Date- Inspector �'% — AiN R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediateiv. Date �i/� / Inspector G96A= McClain Permit No.. — 477 Hill Crest LOCATION ROOF Material Thickness(inches) E N E R G Y C E R T I F I C A T r O N 69-54-21 A.P. No. DESCRIPTION OF INSULATION EXTERIOR WALL Material_ Fiberglass bates Thickness(inches) 60" CEILING Batt or Blanket Type Fiberglass Batts Thickness (incites) 92" Loose Fill Type Fiberglass .Minimum Thicknesl(Inches) Area covered(ft. ) 2160 FLOOR, ELEVATED Material Fiberglass Batts Thickness(inches) 64" _— FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness (incties) Brand Name Thermal Resistance (R Value)—* Brand Name Qwens [or ing Thermal Reeistance(R Value) R1199 ^� Brand Name Owens-Corninq -- Thermal Resistance(R Value) R30_____, Brand Name Owens-Corninq lb. Number of Bags_ Wt. per bag _3�. Thermal Resistance(R Value) R30 Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name r - Thermal Resistance(R Value)_._: Brand Name Thermal Resistancem Value),__,,,..,._. I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements, LOERKE INSULATION CO. INC. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.- �� qSG tdATURE OF INSTALLATION APPLICATOR DATE I hereby certif1eabrovednsion andand all attachmentsirehaveitems as ehown been inet811edQa$th9 Building Department 8pp plans required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) TUREM GENERAL STATE CON/T'RACTOR'S LICENSE NO. DATE r THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION:APPROVAL AND A_Copy. SHALL BE POSTED WITHIN THE BUILDINGv Tnn„aYv 14Rft COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive Orovllle, Callfornla 95985 - Telephone: 918/538.7541 _ -� APP-LICATfON AND PERMIT ----r 66-54-21ZONING ee eR-1 BUILDING PERMIT OWNER Paul McLain T E C-E-137HONE SQ. FT, OCC. BUILDING VALUATION 2127 108,477 OWNER'S MAILING ADDRESS P.O. Box 426, Oregon House, CA 95962 768 M 13,824 CONTRACTOR'S NAME Tom Gravison TELEPHONE 589-3457 634 C 8,242 CONTRACTOR'S MAILING ADDRESS _ 4996 Royal Oaks Dr., Oroville 95966 Fireplace "A" 1,500 CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 132.0 3 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 515.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 2 57.75 Energy Plan Checking Fee $ 19.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Y 7 Hillcrest Oroville Permit fee $ 798-25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 14 2.00 24.00 Solar or heat pump water heater 20.00 LOT NO. 21 SUBDIVISION NAME At, p PARCEL f Afl. Kelly Ridge 0% �C� _ D�L�� Water piping , 5.00 - Each qas water heater or vent 5.00 USE OF STRUCTURE SFTN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New a Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3RR Permit Fee $ 54. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V oR LESS 10.00 10.00 1SS 100 AMP OR LE Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.S�I3 SSS Classification. (� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed cor'tract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ADONS. 1 ( DWELLING OCCUP.ACC. BLDGS. Id) +h0sgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) /POWER APPARATUS e (SINGLE OUTLET CIR. ) / Ex. Occup\OUTLETS OR FIXTURES 200500 BAL030 Ex. OCCUp. FIXED PR OUTLETS (RESID.)EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 92.40 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. (� I have placed on file with the County of Butte Building Department N a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating split 16.00 6.00 v er Cooling g 3 ton 11.00 11.00 Hood 3.00 3.00 Ventilation 1 __3..00 Permit Fee $ 33.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in conWquence of the granting of this permit. X Date Z - , Signature of Applic - Owner El Contractor Agent❑ An OSHA permit is required or excav tions over 5' deep and dem lition or construct- ion of structures over 3 sto ' hi Mobile Home Installation Fee $ Energy Inspection Fee $ 30,0Q___ co PE / T L EE $ 007. _ HAz.I PARK F COF I PAR4 PD I D ss This permit is hereby issued unser the appiicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab ve for which fees have been paid. DRE OR OF UBLIC WORKS By Date 6 PERMIT EXPIRES Date S'�jrp`Q Receipt No. - �1 J °z WHITE-D.P.W.. YELLOW-ASBEeSOR. PIN - NSPECTOR. OLDENROD-APPLI ANT t • ,. yT .r"i't: rj'i-.r,ti•:\y+'i '^T•., --tea i. • i .l IR l� „ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER R�t!Ve 0R601LLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET A/, Permit No. OWNERj (/ L /2" ! /T �(/ t �' # Al./1fP. No. l� Prop) sed Building Use 51C IIs. Q'r Building Inspector U' Date -'At time of permi�„applicatiop I was Advised the following data must be submitted prior to permit processing and/or issuance: at t DATE RECEIVED APPROVED 1N -All items)�havve /been s4mitted. �.................................... 2 j� tpt�ans in duplicate/triplicate, signed by preparer of plans ........ 3. Cotmpllete�lans in duplicate/triplicate, signed by preparer. of plans . . 4. Compete engineered plAns and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings . ............. . 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data includirig manufacturer's installation instructions�10 ...0,/q� r .. �.. . Fees of ��...... ....... ' • 11. Chico Urban Area fees paid' .................. 12. Park fees paid. . School *D* istrict fees paid .............. s 4 Sanitation approval from L-014-8= Health Department 15. City of Chico plumbing permit. 1. 16. Plot plan and business license appro al,�f om City, of (see City for other requirements)'- 17. Planning approval for (A) Use(B) Parkingf—' ... . 18. Improvements may be required. Contact Land DevelopjInnent Section_DPW ' �(�19 Driveway permit (construction approval reduVed prior to occupancy) 3:21 � .3 r% 20. Pre -Inspection for ° required... Pre-Inspec. request to Building Inspector (Date) 21. Contractors license information -(N6- e ame Style, Classification) ... 22. Certificate of Work manstcompe4%tloh Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... _Aele Recorded copy of Agricultural Acknowledgment Statement..,...; .... �716rq,) � 25. Letter of signature authorization ............................ t..... . 26. 27.+ When you issue the permit, process' as follows: Mail to owner. Mail to'contractor. Telephone Sb 3 l5 7and hold for pickup at office. Deliver w/inspector's Other Applicant X9._ Date 5 Z 11 Copy of Hdz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date_ Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permittiis9�Lance:X(: ircXne�w item not checked above). 1. Index permit for above items No. 2. Additional items required: ontractor designer, owner, was advised of above required data by �one�naiI—counter by.Qd1—.date 5`x`91 actor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Daje_TPlans approved by�Date s .Sets of plans on hold in Copy—DPW File cab' G_SIAP folder 'Rrl TO: Building.Department FROM: Encroachment Permit Section RE: Driveway Clearance owner .location AP # Driveway permit /oo$ A @leXey has been issued for the above property. Si ature date f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, .California 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT ASSESSOR PARC&L NUMBER ZONING BUILDING PERMIT - OWNfiRTELEPHONE S0. FT. OCC. BUILDING VALUATION OWNERS AILING ADDRES! /12160 aAl O use MQS �i6�/Tff Ly 49 � 24 cc ACTOR'S NAME VPSOA) TELEPHONE re -1-3q,5 -7 CONTRACTOR• MAILING ADDRESS n �a lq/ Q �_s /� ,'f / Fireplace CONSTRUCTION LENDER g /VC vre UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee IF g $ 10,00 Permit Fee $ 5,/S, -S0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ •'`J[o V' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j I eize Permit fee = PLUMBING PERMIT Filing Fee 10.00 Each Trap Z 2.00 0 Solar or heat pump water heater 20.00 LOO. ( SUBDIVISION �yAME LL1717 !!//// ,^,/, 12 1UGr PARCEL MAP Water piping 5.00 �D® Each gas water heater or vent 5,00 , USE OF STRUCTURE SF�Duplex❑ Mobilehom@❑ Other ✓✓T SPECIFY Gas piping system 1 - 5 outlets 5.00 . 60 Building sewer 5.00 ,p p Mobile Home S G 10.00ea TYPE OF WORK New.�Addition ❑ model ❑ Utilities ❑--Imt"allation❑ Other ❑ Describe work: Permit Fee s !sIeL, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 0,0 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare Under penalty Of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason ELLING o NEW CONST. / 0ACC. BLDG OR ADONS. C $ 1�2¢sq ft NEW CONSTR. ULTI.OUTLET NO N..ESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES 2ALO 30 eAL93ot FIXED APPLNS Ex. Occup. OUTLETS IIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 2, 710 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to ihe•W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 10.00 Heating S 0 lftek-e Cool in 9 1-6 IV j. (i•o Hood 3,00 ,00 Ventilation f ®p Permit it Fee $ c> Contractor I certify that 1 -have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33sQstoriess in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 00 occ CONST TYPE TOTAL FEE $ �o ! HAz. CUA PARK scHL FLD c0F PAR PD I Issue This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. �(� G -��Z �� WHITE-D.P.W.. TELLOW-ASDElSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r BUTTE CONTY SCHOOLS'DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. NumbergL/ Building Department No. School District/W/G City County [W Jurisdiction Property Owner '0141/t Ac t.. Al Project Location/Address /1ln?s-f- 090 C4 - Subdivision Lot Number Residential Development: a F--]Sq..Footage;:2. 2-7 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) .� Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. % 1 School District certifies that r (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip�Code) has complied with the requirements of Resolution No. J9-, -D (� by the payment of $ 2 / o2 7 representing ,J360, /p6square feet. l S- School District Rep esentative Date PAID BY CHECK NO. BANK NO PAID BY CASH RU R rA= white -applicant, yellow -building department, pink -school district t s SCHOOL.FEE (8/88) PERMIT N0: 45-91 Lake Oroville Area Public Utility District 1960 Erin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County. Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Maw 14 1 19 91 Applicant: Paul McClain (Ace Gravi con) Applicant Address: 447 Hill Crest Avenue., nmvi 1 1 p., CA 95966 Applicant Phone No.: 529-345-7 Property Location (s): A. P. No. (s): Fees due: 447 Hillcrest Aven Kelly Ridge Estates - Unit 8 - Lot 21 69-54-21 $900.00 SC -OR Facility Charge Due - Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR ` ll'/ Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306) . 21-1 Guardrail details (Sec. 1711 & 3306(j). r c or stone veneer (Chapter 30). erior plaster - weep screeds (Sec. 4706). Pxoper roof pitch for roof convering (Chapter 32). 6/Roo co_ering type - (fire hazard). am insulation - protection. 36" halls and stairways. -9---jiving area over garage - complete 1 -hour separation required on garage side inclu_11-trg supporting walls and posts, etc. ,10: Two—exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). , l��ttic access and ventilation (Sec. 3205). 1 Un floor access and ventilation (Sec. 2516). l�stion air for fuel burning appliances - L.P.G. requirements. e-r-e:quirements on duplexes. 1 .�ergy design. 16— Flashing at all exterior openings. a RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONL-X) Bldg. Permit OWNER PC L&6Z A.P. # Plan Checker GENERAL I.,/Zoning requirements: (sideyards and number of permitted living units). Y aaluation. YP ans signed by designer. Proper description of work on application. 5—ung violations on property. Items on data sheet. (W.C., fees, Health, 7-. —Rec-orded notice of violation. PLOT PLAN 1! t mplete parcel size and dimensions. tbacks, sideyards, easements, etc. er uildings or structures. �ding, fills, drainage. Fl�ood hazard. Secial conditions on creation map, Usti. and foundations). & FAS road setback. Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN 1�� mpl e to scale plan with dimensions. 2. R ired windows for light and ventilation (Sec. 1205). . Required windows for9second exit (Sec. 1204). kylights (Chapter 34 & Sec. 5207). g/_Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). 7�/G s in baths, garage, kitchen, and exterior outlets (Article 210-8). ight fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. V.F* firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 (f). place and wood stove location, alcoves, and clearance. e detectors (Sec. 1210). bing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS I. Standard bracing or engineered design (Table 25V) —2—nusua shape, size, or split level house requiring lateral design. 31- ndation plan complete enough to construct building. �.-ievations oor construction details complete enough to construct building. and wall construction details complete enough to construct Roof construction details complete enough to construct building. fireplace construction details and calcs if necessary. 91 Rafter ties or bearing ridge beam. 9r�' rage door or porch header sizes. 1V Stud heights. z=. Ad-e-be1oils - special foundation design. 1 -2 ---Retain' g walls requiring design. k3--Sjxeera-T Inspection required. building. Return to DPW AGRICULTURAL STATEINOIT, OF ACKNOWLEDGEMENT FORiRESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte ^County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 91-019P63 to land or included within an area zoned for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the , County of use of agricultural chemicals, including, i Butte but not limited to herbicides, pesticides, Candace J.�. 'Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 12:40pm 16 -May -91 but not limited to cultivation, plowing, spraying, pruning, and harvesting which 92s - I Ree Fee 5;00-" 1 Cash 0160, 1 � ; I XX 1 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All fhat real property: situate in the County of Butte, State of California, described as follows: BEG1Q)')10G AT -T-HE 5o0T41WT_2)TERL. CGF(i,)Z R of LC -)T- 24 10 SR10 t<ELLY Els(-M-rEs 'utN17 -�Q,-%IE�Cc T� Q)R-rk CG2,11,,, IC)� T,1y VAERsr Aua�6 -TN� SoUTNERLY L- SAF- ()C Sq'() Lo-T 2 1 1'1 e v J 1 f�11V� CA` 15B.0 � 1 To R PONT RT -TNF- SoAST�,RLX CoR�)VS o� SAID LOT 24 f�tJo TNS �UTN - �J�SCoR�ER aF LOT 21 tr SRIC) RlpQ)E ESTR TES HES) U- r�oR _T -w -750, 2y FT, 30o4 ER57 A Lo�G -SNE 5OU-r-OF-RA Ly LINE o� Sfl t D SOT 2) A_T _t) C�- 0� MS FT To A Pb 1 �)T A S0 _TN E F_ 1v of SA10 C�_ 1'�T�_R Date: ICO 00 0� - QR LL 4 R� _ �f Z1 �y � &--c�aT s 8 PROPERTY 0 �� State of On this the �� day of 19 0 Ll , before me, the SS. undersigned Notary Public, persofnally appeared County of 6U -r ) SUSAN MCCLAIN Ot 111111 t11N11N/I III N I U 11111 IN 111 NN 11 NN11111� OFFICIAL SEAL JESSIE HART 3 ❑ Personally known to me . iX Proved to me on the basis w';� NOTAaY PUBLIC — CALIFORNIA of satisfactory evidence. Ott COUNTY OF BUTTE to be the person(s) whose name(s) IS Comm. Exp. August 16, 19911S subscribed to the within instrument and acknowledged that SHE IIINII1gt1111111111111N1111111111111N11HN111N111■ executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public END OF DOCUMENT x x Manuel E. Sanchez-Palacios 447 Hillcrest Avenue Oroville, CA 95966 (530) 589-2819 Thursday, March 29, 2001 PS (NN "-,S- Butte County Building DepartmentC, #7 County Center Dr ,� �q� Oroville, CA 95965 AV�. A$, AO Dear Sirs, I will like to request a copy of the blueprints of my house. The parcel number is 069540021. Please note the address as above. I enclose a check for $23. You can call me when they are ready, or you can mail them to me. Sincerely, Manuel Sanchez-Palacios Manudl Sanchez-Palacios 447 Hillcrest Ave. Oroville, CA 95966 Butte County Building Department #7 County Center Dr Oroville, CA 95965 069-540-021 00-0098 SANCHEZ POLACIO, MANUEL 447 HILLCREST, OROVILLE CONTR: R.D. PRATER REPAIR TO SF 7-771-U.i r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Wl/"'to ASSESSW;5&N&iLI-' 1 �1 ZON °moi BUILDING PERMIT OWNERS T SAh 'REZ/POLACIO, MANUEL TELEPHONE SO. FT. OCC. BUILDING VALUATION ^ FIST `IS non j .OWNERS LING.•ADDRES�S 1 4AY f-J*f1 =FST AVE, OROVILLE 95966 CONTRACTOR'S NAME tt , ;~i;(ATER TELEPHONE co ..RA�TgHs �X �Jtj.s PALERMO CA 95968 ' CONSTRUCTION LENDER Fireplace n 1 15 5M LENDER'S MAILING ADDRESS Total Valuation $ q ARCHITECT OR ENGINEER LICENSE No. Filin Fee $ 20.00 Permit Fee $ 61, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILOW47F ILLCREST, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ I nn LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑K Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑`i Describe Work: REP= WIROW IN FRONT/TAKE OUT IMP BURNING STOVE, REPLACE 14/ 0 CLEARANCE FIREPLACE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 .(commencing with Section 7000) of Division 3 of the Business and Professions Code,p and my license iS.16i-full force and effect. License Class Lic. No. 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. I Business and Professions Code for this reason ' Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. So 3.5¢FT; °�,pT MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE 0LRLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 p 1'00 BAL p .so Ex. Occup. oFIUXTLEEDTSA RES D.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATIONMECHANICAL I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section X 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co hien 'atiop� surance carrier and policy number are: Carrier , �'or ;f -z"11) Policy Number ;P,T a) 4 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ/ an"y'person in an manner so as to become subject to workers' compensation law of Cal' - 19, and agree that if I should become subject to the workers' com e satin i'ovis ns of section 3700 of the Labor Code, I shall P forthwith comp wit o e p visions. X Date / Signature of Applicant - ❑Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. PERMIT Fling Fee 20.00 ~Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ E3 OO HAz. D. FEES IMP FLOOD CDF pgRCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ` / R �/t By' W _ Date ! 7^W - 4� PERMIT EXPIRES ON ete Receipt No. - WHITE-D.D.S.-B.D. CAN RY-ASSESSOR PINK-11WIPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF`DEV511�OPMENT SERVICES - BUILDING DIVISION J )► 7 County Center Drive *. Oroville, California 95965 • Telephone (530) 538-7541 P IT NO. (Rev. 12466) APLICATION AND PERMIT � ASSES$Q�}i�RCJ4LI V 021 Z°"'° 1 BUILDING PERMIT OWNEPSANCHEZ/POLACIO, MANUEL TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 2,000 OWNER&4I" NftfttfREST AVE, OROVILLE 95966 OONTR .06'S "MATER TELEPHONE cONTTT'T S ` IIs PALERMO CA 9596CONSTRUCTIONCONSTRUCTON MY` .3� Fireplace 0 1 gn0 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 611-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINfa(�RELLCREST, OROVILLE Energy Plan Checking Fee $ PERMIT FEE Swi nn LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF C� Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: REPLACE WINDOW IN FRONT/TAKE OUT WOOD BURNING STOVE, REPLACE W/ 0 CLEARANCE FIREPLACE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license iso force and effect. License Class Lic. No. �7 L—��� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' c"enqbtiourance carrier and policy number are: Carrier Policy Number tvlo.3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the perfor ce of the work for which this permit is issued, I shall not employ ny er n in an manner so as to become subject to workers' compens5 on law f Cal' 19 and agree that if I should become subject to the workers' mpe to ovis' ns of section 3700 of the Labor Code, I shall forth wit wit o e p visions. / X _ Date G U� Signature A ant ❑ Own Contractor ❑Agent An OSHA permit is required for excavatfons over 60" deep and demolition or construction of structures over 3 stories in height. q Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( . NO NEWR.DT MULTI.OIU LE @7.50 POWERAPPARATUS 8 SINGLE OUTLET CIR. EX. OCCU ouTLET OR FIXTURES BAL 1:5000 Ex. Occup. DuiEI°E,L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ wi nn HAZ. D. FEES IMP I FLOOD I CDF' PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. c By to �� / t� PERMIT EXPIRES ON / I Mle RecelptNo. C61 WHITE-D.D.s7 D. C N RY-A SES OR PINK -I PECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville; CaWornia 95965 • Telephone (530) 538.7541 PER IT Nc Rev. ; APPLICATION AND PERMIT 6 NilffORVARClLNU1l61 �^� �_�� G mNwo ] / BUILDING PERMIT . OWNER/YEP //t�� C -5/71 J1 ��'` muz"ONE SO. FT. OCC. BUILDING VALUATION OWNER'S Miura �oo� `Fe oONfMCrosm WM! T TELEPHONE ooNrwcroRs MAt,NO AD7W OONSTRUCnON LENDER uENOER,s mAU4 ADORI= Fireplace Poll Total Valuation S aRCHMCT OR E4006 H ucEME No. Filing Fee E 20.00 ARCHf = OR ENGINEERS wuNG ADOREse Permit Fee S a� Plan Checking Fee S eu"u"N"' oREss Energy Plan Checking Fee i S PERMIT FEE t rorNo. susaysloNswure PARCEL MAP PLUMBING PERMIT FMg Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome (3 Other ¢� Each I r 7.00 water 3.00 Solar or hent heater 2 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities O -Installation O Other O Deperlbe Work: e� l� ` Z� �9 Gas piping system 1 - 5 outlets 5.00 Building sewer 15. Mobile Home I S I G I W @20.00 F'rx"g.4m ff", PERMIT FEE �g5gog'��3 0c) Ex. Occup. ounFr Ex. Occu �0A oRmtTs Temporary Service Mobile Home Facilities Misc. Wirina 5.00 23.00 20.00 l PERMIT FEE —;Z MECHANICAL PERMIT I Fling F99T 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occco' TvvE TOTAL FEE $ ,ff WIZ. 10. FEES I IMP I F1D00 I COf f PARCEL I PO I NO 1651.E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Dara :Certificate of Compliance: Residential Climate Zone 11 - Project Title Ne . t4 to Building Permit Y ProjectAddreas � '1 �f _T(G�S'�'— (/� p Checked By / Date Documentation Author Telephone Pltforarnent Agency Use Only BUILDING DATA Glass Area %Glass BU North /3 Z lv Z- ;. Conditioned Floor Area Number of Stories Z East Slab/Raised floor /S. Number of ,Units South [Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight : 7Z (] Multi -Family (MF) [ ] Existing -Plus -Addition Total 3 BUILDING SHELL INSULATION Component Insulation Locaffon/Commenits Type R -Value <at+aa .ta gtlrage, r21 -cal, etc.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single, double) (yoller blind. etc.) (shadescreen. etc.) (gesbo) (metal/wood) North M TL - North L -North ( ) East ( ) East ( ) South South West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (inches) Location/DCScrlption (kitchen6 bath. etc.) r HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) R� 7z ;! 7 Z_ a. rr- �o wiAa.4r�►ii.i�► �IDAFJ�Rr�1R7mM� Maximum Furnace Heating Output: % %2 Btuh HOT WATER SYSTEMS Tank 7- V E D Manufacturer/Model # System Type (storage Sas, etc.) Capacity or approved equal) Si a R ) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) -r t Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain that mewums regardless of the complimm approach used. Items marked with an asterisk (•) may be superseded by more suingern compliance mquue'ments fisted on the Certificate of Compliance. When this checklist is incorporated into the permit documents the featma notedslfaU be considered by all parties as binding minimum component performance speafications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCUP ION DESIGNER ENEORCEMElrr Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R -I9 weighted average. §2.5352(bY. Loose full insulation manufacturers labeled R -Value. • §2.5352(c): Minimum wall insulation in fumed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(ky Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pemthnch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352(f) Vapor barriers mandatory in Climate ?ones 14 and 16 only. §2-5317: InfiluatioNExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows weathersuipped: all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with 02-5351 meets CEC quality standards §2.5352(d): Installation of Futplaces 1. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pikxs allowed. HVAC and Plumbing System Measure §2-5352.(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback themwsm on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception p: Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. ONoff switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measure §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CFC. Indicate make and model number. 75 COMPLIANCE STATEMENT This certificate of oomplianc a lists lir. Wilding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Cliaptrr2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to ray subsequent purdmser of the building. Designer Name: TttWFum: Address: Telephone: Lie. N: (signature) .(dace) Documentation Author Name: Tide/Fum: Address: Building Owner Name: TttkJFum: Address: Telephone . (signature) (date) Enforcement Agency Name: Agency. Telephone: 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories -46 R -value One Two Three R-0 -103 •49 -02 R-19 -8 -4 .2 R-30 .2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 - -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - -46 R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -6 -3 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor - 0.60 -144 Number of stories -46 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -11 -6 -4 - 0.60 -144 -70 -46 0.50 -120 -58 -08 0.40 -95 -46 •30 0.30 -69 -34 .22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Single- Stab Floor Number of stories Mass R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 A. Slab Edge Insulation 4 j -90 -37 -26 - -0 Number of Stories 35 R -value One Two Three '. R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -3 5 12 0.90 -4 -0 .1 0.80 -1 -1 0 . 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points SZottGBtd 0 o. 6. Glass Heat Loss Total Single- Stab Floor Effective Percent Glass Mass U -value East Percent :West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -0 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 .3 3 9 15 21 -34 -7 -2 ' 4 10 15 20 -01 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -0 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12• 14 16 18 20 7..Shading (Shade Open) EReedve Percett class (percent Sim x SC) Effective Single- Stab Floor Effective Percent Glass Mass %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 -25 -65 8 -5 -17 4 0 2 -3-- 1 3 3 0 1 2 1 1 3 2 0 -11 1 r-9--- 3 1 -1 •-1-_ -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -23 3 0 -4 jB. Shading (Shade Closed) Single- Stab Floor Effective Percent Glass Mass Family (percent glass X SC) Multi Mass Stories Anached /CFA One Two %Gte&a North Eed Sotto West Skylight 18V -14 48. -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 1 -6 -8 -7 -23 3 0 -4 .5-- -4 -16 2 1 -4- -2 3.5 -9 1 1 1 1 1 1 •4 0 2 3 4 3 0 na . rat allowed 3 7 8 10 9. Interior Thermal Mass Interior Single- Stab Floor Raised Floor Mass Family Stories Multi Mass Stories Anached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -0 .1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 .1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 ' 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Mass Detached Anached Famt y 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or KSPF (assumes dues In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m Sum of 1-6 f SEER One -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 .7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 6 5 4 ERective SE or HSPF 11.0 10 (SE or HSPF x duct efficiency) 4 Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 ' 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 4 -4 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m f SEER One -5 •4 rt -3 (assumei duds In attic) Two + 3 3 .. Sim of 7-10 2 2 1 -25 of .24 to r14 to .410 +6 to 16 or SEER les& -15 l -6 wS +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 .6 -5 -4 -0 v . 8.9 -5 .4 -4 -0 -2 -2 9.0 -4 -0 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 '- 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9_ 6 None -37 -24 -18 -15 -12 10% Solar EffedveSEER -1 -1 0 0 (SEER xduct efficiency) HWR -18 -12 Stan of 7-10 -7 -6 Effective -25 or -24 to -1410 -410 +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 -30 .25 -21 -17 .13 .9 6.0 -12 -11. -9 -7 -6 -4 6.6 -5 4 -4 -3 .2 -2 7.0 0 0 0 9� 0 0 8.0 9 8 6 �5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories One -5 •4 rt -3 -2 -2 Two + 3 3 .. 2 2 2 1 • i 1 _ Single -Family Qetached and Attached C_ Unit Size (si) Water :139 120^ 1700 2200 2700 Heater Credit or • 1 to to to • or Type Type lets 11699 2199 2699 more SG None 0 i` 0 0 0 0 or Solar 12 ' 1 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 10% Solar -1 -1 -1 0 0 45% HWR -18 -12 -9 -7 -6 80% WSB -25 -16 -12 -10' -8 0 POU -18 _ -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 29 Solar 7 5 4 3 2 4.4 POU 3_ 2 1 1 1 IE None -28 -19 _ 14 -11 -9 1.9 Solar 8 5 4 3 3 3.3 POU -10 -6 -5 -4 -3 ' 4.8 Multi-Famity(lndividuaf units) 5.4 20% 0.3 0.6 Unit Size (so 1 Water 1.4 699 700 1200 1700 2200 .Heater Credit or 10 to 10 or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4.. 3 HP HWR 9 5 3 2, 2 4.5 WSB 9 4 3 2 2'. 40% POU 9 5 3 2 2 SE None -45 -23 -15 -11 y -9 3.4 Solar 2 1 1 0 0 4.9 HWR -23 -12 -8 -6 -5 . 0.9 WSB -25 -13 -8 -6 -5 2.3 _F_QU _23 -12 -8 -6 -5 IG None -8 -4 -3 -2 } -2 5.3 Solar 6 3 2 1 1 1.1 POU 1 0 0 0 1 IE None -30 -15 -10 __-8 -6 4.1 Solar 18 9 6 4 4 5.6 POU -8 -4 •3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. - Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 4R 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures q O or R -value 1381 U -value [0.0301 - Iq or R-value[11) U-value(0.098j -) q or R -value [ 191 U -value [0.0371 or R -value 101 F2 factor [0.771 Standard I)I& - I Cn Type (double) U -value [0.651 46 Total Glass 1161 % Glass SC Eff. % Glass CprL% x 7-7 4 -It 91 2� 3 x = 3�• � X 2. X = Point Scores 0 0 1-7 Sum 1-6 % Glass S Eff. 90 Glass 1 4 Z X Z• x X =37� 2, x = ( r �-- v X TYPE 1 MASS AREA _© $ GOND. FLOOR AREA Interior a TYPE 2 MASS AREA $ Exterior Wall Mass ND . FLOOR AREA Sun 7-10 , %Z X 91• _ , &0 3 SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72t6.61 ' `HSPF [0.56✓5.15I V X I 3 9- = %. SEER [9.5] Duct Efficiency (0.74] Effective SEER [7.031 S ZIP Type (SG] Credit [none] !�j - _ Point Total: ✓�� Interior MasslCFA T"R 2 PASS1. - 74U t tarpet"C•4.t ♦ ?RPE I WkS3'(UIRC a 4.2. ie: exposed slab) e 1 �e.d l� r. ----- - 0% 6% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 6546 70% 75% 80% 8576 90% 95% 100% 105%. 1109. 115%. 120% 125` O9. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.S 2.7 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 33 3.1 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 2.7 2.9 3.1 9.3 3.S 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% O.S 0.1 0.9 1.1 1.4 1.6 1.8 2 22 24 2.8 2.8 3 3.2 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 23 27 3 32 3.4 3.6 39 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.8 1.8 2 2.2 2.4 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.S 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 19 2.1 2.3 ZS 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 S.9 6.1 6.3 6.5 80%. 1.4 1.6 1.8 2 22 2.4 2.6 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 909. ' 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 22 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 29 23 2.8 9 3.2 3.4 3.6 9.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110%. 1.9 2.1 2.3 23 77 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.S 5.7 S.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 73 125%. 21 2.3 ZS 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. - Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 4R 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures q O or R -value 1381 U -value [0.0301 - Iq or R-value[11) U-value(0.098j -) q or R -value [ 191 U -value [0.0371 or R -value 101 F2 factor [0.771 Standard I)I& - I Cn Type (double) U -value [0.651 46 Total Glass 1161 % Glass SC Eff. % Glass CprL% x 7-7 4 -It 91 2� 3 x = 3�• � X 2. X = Point Scores 0 0 1-7 Sum 1-6 % Glass S Eff. 90 Glass 1 4 Z X Z• x X =37� 2, x = ( r �-- v X TYPE 1 MASS AREA _© $ GOND. FLOOR AREA Interior a TYPE 2 MASS AREA $ Exterior Wall Mass ND . FLOOR AREA Sun 7-10 , %Z X 91• _ , &0 3 SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72t6.61 ' `HSPF [0.56✓5.15I V X I 3 9- = %. SEER [9.5] Duct Efficiency (0.74] Effective SEER [7.031 S ZIP Type (SG] Credit [none] !�j - _ Point Total: ✓�� Ca m {:;LANI{rlINC.; DIVISION - {3I.11 LDING PLAN APPROVAL. s i.irt n I signal{r r r I t 4IP411 D DFIVYL Apt f --- R�- ,Ito vi �w _ I ' , Appalor IY j d l ,-`SIP e Je011 "d TOS 1_ _..'? v%' lam. 1-0 r1Jr1 . Dyy ' - r l t �t { fi 9-- I� s � Lbd )j G,..__, _. , 4 1 . a,a 5 q� _ ' d � / ,{ � ' '" �+ A ' ` ? '✓ i � _ 't-= ,.Y-,�.. of ih; �; i L-T � N PIK , : - ''s I _ w f; I • ��a +6 �� $rte � 12--4-ifat � c� OMIT _ i joA) j w Z i r -� i40 { r i' � __ - �- 7IF I � _I G_ I ,- _ ; - , 4 7 { 4M `Pv ,, .. J_BUTTCOUNTYAje.. led "g BUILDING DWISION �ri — T�m - f-- T doajek Tbf id APPROVED r k9�V I vvv 1 t . Aon 0170 AVID �F' 1.0 44vv. , C.T,UNIA1.UELINE . BOO.2622-1340 a ORDER #079504-08 I a N!T ,ta_U ...: �,. ... S - -- ---I ---- _._ ILI ION 1 - - 1 I- - - - - - --- --- -- -