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HomeMy WebLinkAbout071-310-010� r. I e 7.1-31-10 GARY & LINDA CHASTAIN 315 Harrison Springs Rd, BerCreek ContR : Best Line Bldrs " Permit#2097-89B,P,E,M(new single family) 4'71-31-10 92=14�22B CHASTAIN,� Gary &'Linda -315 Harrison Rd, ,Oroville -/ V- 9-3woodstove/sf t T !f 03-1213-• 071-310-010 T' RENEWAL.:- RE SIEGL, CHARLES HERE; N 315 RARRISON SPRINGS RD., BERRY CREEK EXPIRES: . ` ' w° , 3 CONT: OWNER NEW SHOP/STG 071-310-010 04-2754 SIEGL, CHARLES 315 HARRISON SPRINGS RD, BERRY CREEK CONT: OWNER y RENEWAL OF 03-1213(SHOP) F 10 OS-OS27 AROLY ISON SPRINGS RD, BERRY WNER N LVG RM BATH BED �B NEWAL - 0� -Z7 :� U J BALANCE OF FEES SHEET DATE:- `—O PERMIT: ASSESSOR PARCEL #: e5> 7 OWNER'S NAME: 0 L - FEES: (Amount and Purpose): C. 900BALANCE OF FEES: ADDITIONAL FEES: REVISED PLAN CHECK: $ SHERIFF FEE: $ SRA $ ` COPIES $ URBAN AREA FEES $ CSA 87 (North Chico Spec) $ WATER TENDER FEE $ BATTTTALION # THERM DRAINAGE FEE $ OTHER $ OTHER $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDITIONAL. VAL• $ (Check one) COUNTY CITY OF BIGGS (Check one) RESIDENTIAL CO MMERCLA.L 9 CLAIMANT: ADDRESS: CITY & STATE: rIATF nF (`I Alnn- County of Butte Oroville, California GENERAL CLAIM Karoly Siegl P.O. Box 969 Berry Creek, CA 95916 i w9Ainiz% SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 071-310-010 Permit No.: 89-2097 PAID RETAINED REFUND Development Services $ 54.99 $ $ 54.99 THERM DRNG $ - $ - $ - SMIP $ - $ $ SHR $ - $ - $ - TUA $ - $ - TOTAL $ 54.99 $ - $ 54.99 ::<::::< :::B�EAK:DOWN: >:::: AGCO>EJNT::: �i1UfJL�%T:: 101001 DVLPMNT SVC 440-001 4210500 $ 54.99 ` 1011822 THERM DRNG 1800 280 $ 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 1011816 TUA 1800 280 $ - TOTAL $ 54.99 $ 54.99 I, the undersigned, declare under penalty of perlury that the services or arucles claimeo nave Deen penormeo or oeuverea, ano mac mis claim is We and correct as stated. Dated this L day of �r0J&t , 2005, at D 4& O L"L.Lfs , Calif. ® Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been pert med or delivered and that there, is a Budget Appropriation or Specific Board Approval (Check one) for th ame. Dated this .112 day oto =3/zr� , 2005, 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 .PT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services www. b utte co u ntv. n etld d s 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING 10/24/2005 Karoly Siegl P.O. 'Box 969 Berry Creek, CA 95916 RE: . Permit No. 89-2097 APN#071-31.0-01.0 Owner: same On 9/17/2004 a deposit was made in the amount of $54.99, of which $0.00 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $54.99. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen Senior Account Clerk Administrative Division enclosure 89-2097.1tr CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED DET, • V 611, �l REFUND CALCULATION SHEET Karoly Sieg] P.O. Box 969 Berry Creek, CA 95916 03/07/05 APN: 071-310-010 RECEIPT. INFORMATION 412554 Yes NO. Yes No Yes X REFUND BREAKDOWN Title ............................................. .::::::iiBLQG:i:::::::THRM.DRNG: ............................................. ............................................. Fund.:::::::: ............................................. ............................................. 01.0:::::::: ............................................. ............................................. :::::::1800:::::: • Dept ............................................. ............................................. : 440 U01..HRMDRNC Accnt 10500: ......42........ 280.............................. Cash 1'01'D01`:1011822: PAID RETAIN REFUND Op�es; or ..:..:.:.....::.::................................ .................................................. .................................................. .................................................. ROCESS'FEE: _: 54.99 .................................................. ................................................. .................................................. .................................................. .................................................. .................................................. .................................................. .................................................. .....................:......:..:.................. D:RNG $ 54.99 I $ - 1$ 54.99 APPROVAL CHECK: $54.99 Date Reviewed 08/15/2005 DIFFERENCE: $0.00 Scott Rutherford /J (Should be blank) Chief Building Inspector r Tuesday, August 23, 2005 Development Services . 1 BUILDING DIVISION ver. 1.0 Counter Tonia Person Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant Received From Total Received $54 99 �= Total Fees To Collect IF $54.99 Fund 10 (Bldg Permits) $54.99 SRA Fees (Fire) $0.001 SHR Fees (Sheriff) $0.00 SMIP $0.00 Copies/Document Sales $0.00 CUA (Chico Urban Area) -$0.00 TUA (Therm. Urban Area) $0.00 Water Tender Btln #= $0.00 West Chico Fire Station $0.00 Witness Fees $0.00 Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks Type $0.00 Value $0.00 �UT Butte County Department of Development Services o C Building Division OO - T= : = - 7 County Center Drive O �` 0 cOUN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees p2id 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 Development Services for payment processing. CLAIMANT'S NAME: MAILING ADDRESS: ._....: _ ...: ,...,..._tea. � ... PHONE: O ASSESSOR'S PARCEL NO.:U J_ 3 /_ b v L.2 [Please use one claim form per permit.] BLDG PERMIT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 ::_....:..v:.::a.:::.._:':.:...:u:�-•:,ria,. .............tea _ RECEIPT NO.: �:....:Z..�ts i k } — — � rh RECEIPT DATE: RECEIPT AMOUNT: REASON FOR REFUND REQUEST - Ax �� b % foe)/V4 R Check those fees which you wish to have considered for refund: =Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature K:/Forms/Refund Application 082203 Date Iry �UT Butte County Department of Development Services o C Building Division OO - T= : = - 7 County Center Drive O �` 0 cOUN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees p2id 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 Development Services for payment processing. CLAIMANT'S NAME: MAILING ADDRESS: ._....: _ ...: ,...,..._tea. � ... PHONE: O ASSESSOR'S PARCEL NO.:U J_ 3 /_ b v L.2 [Please use one claim form per permit.] BLDG PERMIT NO.: Receipt No. 1 Receipt No. 2 Receipt No. 3 ::_....:..v:.::a.:::.._:':.:...:u:�-•:,ria,. .............tea _ RECEIPT NO.: �:....:Z..�ts i k } — — � rh RECEIPT DATE: RECEIPT AMOUNT: REASON FOR REFUND REQUEST - Ax �� b % foe)/V4 R Check those fees which you wish to have considered for refund: =Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature K:/Forms/Refund Application 082203 Date ...\� 0. �vlr°c.�-����O'7/-Sib-oib AFFIDAVIT REQUESTING DUPLICATION OFPLANS (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 Permit Number - U !1:2., and the building known as �r .T/ D z N C6- (Residence 6(Residence or Business 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 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. l Current Building Owner: f ,Q 2 D L �✓ G L 2 J Design Professional of Record: Signature of person requesting copies: Printed or typed name of person requesting copies: C /S'AA L / L Date: Address: 3 f S 17'C, 2 2 I fyN .S P 1Z -)Al C 2 (- e lam( C A cy� q) 6 - Reason Reason for requesting duplicated set of plans: eeLAZz& ) & G A D D I r) n n/ For Buil(iing Department Use Er )ivner Permission received -Date Sent: DateReceised- ❑ Professional Permission receivetl Date Sent: Date Recei vei Receipt Number: q ( .Z S L! 19c/,j CM California Health and Safety Code 19851 Inspection of records; duplication of plans 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 part except (1) with the written permission, which permission shall not be unreasonably withheld as specified in subdivision (0, of the certified, licensed or registered professional or his or her successor, if any, who signed the original documents and the 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. d. 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 cite 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. 1983 Exclusion of banks, financial institutions or public utilit:- This chapter shall not apply to any building containing a bank, other financial institution, or public utility. BALANCE OF FEES SHEET DATE: PERMIT #: ASSESSOR PARCEL #: OWNER'S NAME: OkI 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 $ G I OTHER $ 091 RECEIPT NUMBER(S) J �`` 6 N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50527 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 05/13/2005 APN: 071-310-010-000 the Business and Professions Code, and my license is in full force and effecLicense License Class: License Number: Site Address: 315 HARRISON SPRINGS RD BCK Map Index: Date: Contractor: Description: ADDITION (760)COV(120) 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: SIEGL KAROLY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P O BOX 969 signed statement that he or she is licensed pursuant to the provisions of BERRY CREEK, CA the Contractor's State License Law (Chapter 9 commencing with Section 95916 7000) of Division 3 of the,Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Applicant: SIEGL KAROLY Code: The Contractors' State License Law does not apply to an P O BOX 969 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BERRY CREEK, CA provided that such improvements are not intended or offered for 95916 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). •I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and P(ofessions Code. The Contractors'. State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:E_" //''01— Owner: License #: 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 Architect: is issued' Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 880 S. F. Valuation: $51,320.00 Census Code: � 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 c 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 forthwith comply with those provisions. V Date: Applicant: ✓ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hppi5by issued and Kthe appcable • rovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Clv.) Resolutions do work irEaa ove or hic fees have been paid. p�� `J —' � performance of the work for which this permit is issued (Sec 3097 J .S ^ By: Date: Name: ^ / PERMIT EXPIRES ON: Address: Date O 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, aterials_❑ handling and use of hazardous materials. - 0 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 ,..o comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County County to enter upon the above mentioned property for inspection purposes. � � , � L Print Name: / 1,49 L/ L � / l } Signature: Date: Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEP A TMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS Q �, 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 I OFFICE #: (530) 538-7541 ° A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds 0 "PLEASE PRINT CLEARLY" OWNER Last Name irst Name' ( A nbL r /` Address x / City /��r Gb2C�� State C� Zip ry�c�l.6 J 1 Phone "0 0990 Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name A /1 1 �1 v F �y CJ Address SRA I Yes No City Type Const. State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name 4 13 6 V61 - Address SRA I Yes No City Type Const. State Zip Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name AJ- 4 13 6 V61 - Address SRA I Yes No City Type Const. State Zip Phone Lot # Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 31 s Am &,L in 4 4 P/L llv6,T' A FFlood Zone I SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP05® BIN # LOCATION AP# /— 7/0 — 0/0 Property Address 31 s Am &,L in 4 4 P/L llv6,T' A City Q 6-2' Cross Street c/LC-61-( WORKER'S COMPENSATION Policy Number N Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name N Address Descriptio or Sco of Work: 10/7'10AI G t/6 Ap'w f (�7- 72-M Jglji2� Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt #: Amount: -f Bldg Date: f fb Other � Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 r%%m N L0O O utte County Department of Development Services JNNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: SUBJECT: z DATE: WILLDAN Scott Rutherford (530) 538-7160 sruthe rford CcDbuttecountv.net Plans Transmittal For Review Per Contract 3/24/2005 Applicant: Sie I, Karol Permit No: 05-0527. Project Type: Add/Lrm/Bthrm/Bdrm - APN: 071-310-010 ; 100% 70% Plan Check Fees $ 428.92 $ 300.24 $ 428.92 $ 300.24 WILLDAN Fee $ 300.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate - Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDIN DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C" I<z�G / ASSESSOR PARCEL NUMBER` Proposed Building Use: /` (>pi /TI6�/�% (% u' Ci) Counter Technician: �j Date: \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /ti 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . f N 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. N4 I N 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. t rl 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 find 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 \ ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. \❑ / n/ 16. Other*,i? E.N. g4E 0NLY Piot Plea Attechod • Roos Plan Anscho; Soret to G.D. I TO: Building Department . FROM: Environmental Health SUBJECT: Sanitation Clearance K401%)SLE 6(.- 31 s� tJA-Cts-g� Ep 2 s ``H f3) Owndr Location AP# \ Plan Approved for: Sewage Disposal Water Sup ly: Public Privy W II l Clearance for _--dwelling. Other �11� rn ,c Hold final for: -" Final clearance O.K. for: NOTE: Environmental Health 8/96 COUNTY OF BUTTEp6_';-v S72--7 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER SI d f /4t Ge 4/y A.P. # PROPROSED BUILDING USE "D/77 � I J DATE c RECEIPT # DATE REC. Vyy/ 1. BUILDING PERMIT FEES /� (�� --- Balance Due ..................... $ (� 1 --- Additional Fees Due........... $ �evised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES 1 Imo!®� (paid at School District Office) (form available aft lan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ ff units rim[. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $5 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECKS 2 2 B► S �>I9:9 at at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ j'n �y. r[ . t+m[. 2 Ol OTHER �l r e `, J At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed'during the Aan checking process. APPLICANT DATE 2"Z---� DS_ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Butte County Department ofDevelopinent Services°�%)Tr�° 7 County Center Drive ° ° , ° Oroville CA 95965 ° (530) 538-7601 Telephone °._- "' _o ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health,. Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation: clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: � Applicant Name: /1�4/L k --I C 6 L APN: C�;) _12 I -- -/U - 0J0 Building site address: R p, Permit No.: I have read, understood and accept the terms and conditions as expressed herein submission of the above -referenced building permit application and my signature below SIGNATURE OF APPLICANT as indicated by my 2- 2 S--o-S" DATE Copy to Applicant/EH/File K:Fonns/B1dgPermitwithoutClearances 020705 i3'.--'.�' 'i •, �,' '?�'iwi'•f!i`:Cid;�:.F.t •.' ��fi.: `�,A_ .:q,c - �aw.�...a ,fi. li• ' ' � _P'. ,`'�.'r' �aM. �F,I.i� =i; ta'-IL '•r>.ccse ..u...0 -•CT .:.,rr- �,ekG!EW...APIE •!:.'R45L3[sx :w, �•v a:en +N€": �;�.c-r. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [,C] NO [ ]. /2. I HAVE [>C] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. .I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRES S PHONE TYPE OF WORK SIGNED: /PROPERTY OWNER: DATE: -Z— z -S-- b5" NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd H/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING' GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. -If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic el C. Vieiri C.B.O. Majager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Q AFW aNT �°o�uT7* ok- Department of Public Works ° 1/ 0 CB 0 o o u n t y o f u t t e ° ° J. Michael Crump, Director LAND DEVELOPMENT DIVISION \G G Storm Water Management Program � c0 U IR / 7 County Center Drive AUC Wo�,�9 OroA 95965 (530) 538-7266 FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE] Project Description:= �bl 7WVJ P-YQ�i OA-,n'I Project Location and/or Parcel Number: 0-71— By %1— By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: C)Lt"/V &f) - Date: 2- Z S— 0 -5- w Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One fonn per Building) School District v 1 ` 1 t `� Building Department No. - A.P. Number (' �� U 1 v Jurisdiction: City County Property Owner Property Location/A Subdivision Residential Development Q Q Sq. Footage c) No of Living Mobile Home—diuon/ -Supplemental to (Group R) Units Installation Conversion Permit # _ *(No foundation inspection) :.................................................................... _..., Commercial/Industrial Q Q New Addition Building Department Representative Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date Di trict Identification No. 050302 School District certifies that U � (Applicant) (City) has complied with the requirements of Resolution No. representing i_ square feet. School District Representative (Phone Number) (State) (Zip Code) by payment of $ I da • C/o JAB 2926 = FULL WrIGA710N Date Paid by Check # Remarks: x Notice: You may protest the Imposition of the toss Idendfled above by submitting a written protest to the District. In compliance with Government Cods Section 66020(a), within 90 days from the date fess are Pald. Failure to submit a timely written protest wllfprohibit you from challenging the Imposition of the hes In any court aetlan. If, subsequwd to the School District Representatt" sipning We Butte County Schools Impact Fee Certification Ford, the School District Is .trifled by the applicable Local Planning Agency that this project Is being .mvlewsd under the California Ernrlronnw"lil Gudky Ad (CE"A this project may be subject to addMlonal school teas to fuly mitigate.its 14%n t on the school dbtrleft schools. l Yellow (building department), (Pink (school district) fesform.xls ito/oa)dmm r t<. N;�rSWI LLerving ,DA�N April 28, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax: (530) 538-2140 117 C street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com COUNTY OF BUTTE PLAN REVIEW Status: APPROVED Willdan Project No: 14353-1523 Jurisdiction Job No: 05-0527 Assessor's Parcel No: 071-310-010 Applicant: Karoly Siegl Description: Siegl-Addn/LrmBthrmBdrm Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2rid page of this letter. The revisions were in response to a.previous plan review and comments listed in our letter dated April 22, 2005. The plans and documents provided for this review that have been found in compliance with the applicable codes are: • Plans: Two (2) copies, sheets 1 through 3 dated 1/23/05, by Barry Rubanoff. • Structural Calculations: Two (2) copies pages 1-4 dated 4/25/05, by Jim Pursell, P.E. • Certificate of Energy Compliance -Existing plus Addition: Two (2) copies dated 2/22/05, by Barry Rubanoff. • Certificate of Energy Compliance -Existing: Two (2) copies dated 2/22/05, by Barry Rubanoff. • Truss Calculations: Two (2) copies dated 2/17/05, by Endeavor Homes. • Miscellaneous Documents: Two (2) copies letter regarding removal of header dated 4/28/05, by Jim Pursell, P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC." • Part 3, known as the California Electrical Code and abbreviated herein as "CEC." • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC." • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC." • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS." CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Specific Type of Type of V Floor 2 nd Floor Total Sq Use Occupancy Construction Sprinklers Stories S Ft Sq Ft Ft Existing R-3 V -N No 1 612 NA 612 Dwelling Dwelling R-3 V -N No 1 760 NA 760 Addition Covered. R-3 V -N No 1 120 NA 120 Porch CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Michael LeBeau Plans Examiner Cc: E-mail Alice Mefford at: amefford@buttecounty.net Karoly Siegl Box 969 Berry Creek, CA 95916 Page 2 of 2 Ricardo Guzman, S.E. Structural Plan Check Engineer W lldan 14353-1523 .PCH Butte Councy 05-0527 i 1 c.� PERMIT NO. 2097-89B,P,E,M PERMIT EXPIRES Temp. Elec. Service OWNER GARY & LINDA CHASTAIN CONTR. Best Line Bldrs Called PG&E ASSESSOR PARCEL 71-31-10 LOCATION 315 Harrison Springs Rd,BC 1 Signature j exvtt-ed� 'u0 of%&_ C U- V Temp. Power Pole 1 c.� Called PG&E r2�� Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 1 J0B FINALED (Date) Signature = OK' 0 = Not OK ' = Not Readyiable MOBILE HOMES IN MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -Bt Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4.. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1' Date Card -B1 Date Card -B1 Date = uK o = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UND FLOOR (Plans) OK except #'s Z Date FRN (Continued) -' oni -Setbacks;-Easements-Flood- ope gers-Post Caps -Anchors -Connectors V -41-F g., Main; Soils-Steel-Elec. -/ & ;" Ftg. Depth ACCI . oisf-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth iL.i ace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. DepthAt ' ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped --59-G2r--e- ire Protection Framing 7. Slab;,. Steel -Wrapped ro y Line Firewall & Openings 8. P' rs-Fireplace Ftg.-Steel xt. Doors -One T -Check Garage -3rd story, 2 exits X. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test idth-Headroom-Rise-Run-Landing-Fire Protection 10. as Pipe; Size -Anchors lyw ed"on Roof Overhang -Attic Vents -Rafter Outriggers 04'Water Pipe; Test -Anchors -Regulator -Service Test 5&. -Ti -ding -Nailing Veneer 12. Electric; Underground cc esh-Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. azing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts on tj I .g. 59. Insulation-Walls-Clg. �l 60. Infiltration -W I ndws Card -B1 Date - Card -81 Date Card -131'" aid -B1 Date Card -B Date -- Card B1 Date Card -B Dat and -61 Date Date P GING (Permit) OK except #'s Xater Ht. Vent -Access -Combustion Air- Baffle Date FIW fPlans) OK except #'s . mer Pipe; Test & Anchors -Nail Protection 1 t. Steps -Door & Sidelight Protection -Landings 09'D.W.V.; Test-Fttngs & Anchors -Nail Protection 2. SMoke Detector 19. Shower Pan; Test, First Floor -Tub Accesse3-Furnace- Vents -Clearance -Comb. Air -Connector - I age; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 4. Bed Exiting G.F. & Bath Fixtures & Tub Access -Spa lec rim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date fairs &Rails Card -81 Date Card -B1 Date(J�6ALqplace or Stove; Clearances -Hearth . Elec. Outlets at Wood Panel; Int. & Ext. Date EL RICAL (Permit) OK except #'s if F ure 8 Transformer Clearance -Ins. Protection it ixt. &Appliance; Grnd. -Air Gap -Cooking Clearance E . Receptacles Spacing -Lights & Switches at Doors . Elec. Outlets & Receptacles at Kit. Counter Boxes & No. of Conductors -Stapled oor; Swing -Landing -Closer ex Installed Close to Edge of Studs & C.J. � .uct in G age -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Above Floor-Mech. Protection p. Ground made up w/Mech. Fasteners Bond Gas &Water er 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. rIb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al ecept cies in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu .or Al. Insulated Neutral Yes No nsulation-Foam-Looked in Attic ❑Yes r ails & eck Construction -Post Caps 0 r ' e -Riser Conductors & Ground -Main Disconnect 9 I Hole Door -Drainage & Wood -Earth quip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 32. CI s Closet Light -Shower Light -Spa Light 80. Following instld.; Drive s o; Walks C3 Yes o; Planters ❑ Yes o moke Detector town- inish Card -131 Date Card -131 Date 8 , i; isconnect, Electrical, Plumbing Card -131 Date Card -131 Date Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to O ngs. Date MECHANICAL (Permit) OK except #'s . W ell; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Supportfor Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation . V ion throughout House 36. Condensate Drain & Overflow; Size & Grade AWr. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. rections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 8 . Ges�est-Meters Tagged; Gas -Electric 9 a -ter & Sewer Connected -C/O to Grade -HD Approval i. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92• Roofing Certificate Card -B1 Date Card -B1 Date Card -81 Card -B1 atey yard -B1 Date Date Card -131 Date i Date FR NG,(Plans) OK except #'s Sj1W'Prqper Material & Anchors Card -81 Date Card -131 Date . W St .ds -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: Be g ells over Girders & Floor Nailing 4r top in Walls (rat proof) 4 it tops; Furred Ceilings -Stairs -Chases -Tub 4 eader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C2 97_ 19 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4�.Cl _� �SCfi.�,c-JS /✓ •c ✓ �.o i .1�` � l� �00 i'• lora '� «-fi o�'i r VII. r 0.S 10 5 Date Inspector - REV 11/91 '{'�'...Y i.,.l.TY�.: �. �✓r-•t}+'y�.-%�C�ytia�r'tr..��.w.-...^-�i,..r+-,. _.. .��t•..�.-..�...-.-+'r'--�.. .�r�-.�v.--_..:y.+�:.A" . ''.COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 315 Ile ,56ti S/oiNgf f9 PERMITNO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Z Z_. Inspector REV 11/91 ENEItGY CEItTIF I CIP ION ' LOC TION A.Y. No. DESCKMION 01' INSULATION 'ROOF Material ' Thickness(inches) EXTERIOR WALL Material Fiberglass Thickness (inches) 6144 CEILING Batt or Blanket Type Thickness(iri 11 ) Loose .Fill Typ Minimum ThicknesWnches) UIZ" Aiea covered(ft. ) FLOOR, ELEVATED Material Fiberglass Thickness(inches) FLOOR, SLAB Material 1 Thickness(inches) Width(inches) FOUNDATION WALL - Material Thickness (inches) Brand Name Thermal Resistance (R Value) Brand Name Certainteed Theniial Resistance(R Value) ..l Brand Name Certainteed Thermal Resistance(R Value) Brand Name Certainteed Number of Bags Wt. per ba lb. Thermal Resistance(R Value) j> Brand Name Certainteed Thermal Resistance(R Value) brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insula tion was ins.tallcd in the above building in conformance witli the State of California Energy Requirements. Shasta Insulation # 530235 FIRM :/UWI..ER SPATE CONTRACTOR'S LICENSE NO. �:. Q o -99 SIGNATURE OF INSTALLATION APPLICATOR- DATE I hereby certify the abo vi• insulation an.l all required items as shown on the Building Departri.ut appri)vc.d autos and attachments have been installed as required by the State'' of C;►lifornia Energy Requirements. All equiPrtient, (Ievices :nj(l m;1terials. arc of the quality Prescribed or are specifically nppruved l,v clic State of Cal ifbruia. 41NAMEE/O LAVER (P ea.s e print). STATE CONTRACTOR'S LICENSE NG. 1-- % S RE OF. lol -61, r c'TOR, cri "cR HATE IS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FIKAL INSPECTION APPROVAL AND A COPY SIfALL BE POSTED WIT11IN T1IE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P R IT NO. /01'X ASS S7R P3CFL NrUMB R `-J( f ZONIN BUILDING PERMIT o SR 4 ' (vim r TELEP o E S0. FT. 0 C. BUILDING V UATION O ER'S ILIN DD SSk)I- //�1��-j��jy ` L/� y 1If CO TR ACTOR'S N ME u' r TELEPHO E 7' C OR'S MAi ING AD 55 ` � I/ ` I P qs� Fireplace C TRUCTION LENDER UNKNO7WN Total Valuation $ 4,00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ A77ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ R I ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS U S Cr,- ✓ C Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 /0.00 flo V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 S D 19 Each pas water heater eLyint 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - I r 5.00 Building sewer 5.00 IT. 00 Mobile Home S I G I W 0.00 en TYPE OF WORK New% Addition❑ Remodel tilities ❑ Installation[] Other ❑ Describe work: j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /Q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW der penalty of perjury (check one): I dec9%� am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio'n's Coude and my license is in fullforce and effect. License No. �/� /�7 �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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC P OR ADDNS. ACC. BLDGS. I/22SQft NEW CONSTFi U TI.OUTLET NON-RESIO BRA CH CIRC TS 2.50 ea /POWER APPARATUS .&) (SINGLE OUTLET CIR. EX. Occup�OUTLETS OR FIXTURES Z0050t t Lsao Ex. Occup. OUTLETS FIXED P(RESIO OR—__.t 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department U11-.1-11C a hCLA ertificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 4 40-0 Q Coolin g Hood 3.00 190 Ventilation I Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstsaid County in consequence of the granting of this permit. X �' /�i✓J r_ /�� -' Date _4229- Signal "re of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPC ISC ... L 1L ..CIEIJ PD ND VISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ADIRECTrlF UBLI By6 PERMIT EXPIRES Date — the applicable provi- resolutions to do fees have been paid. WORKS Date Y14 U Receipt No.14 /5a S o,2 VZ U WHITE•D.P.w.. TELLO -Ae s r. P&)94PqS,1V. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT` OF PUBLIC WORKS - BUILDING DIVISION OWNER Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILUE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ;v- Vii{ PERMIT APPLICATION DATA SHEET Permit No. D �/ eJ ! r I A. P. No. _ Building Inspector _4%,6 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate` signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7.054N' ineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ..... , . ..... . .................................... 10. Chico Urban Area fees paid 11. Park fees paid ................................................... 12. d 1A School Distrl t fees paid ................. 13. Sanitation approval from /►^� ► ; 41n- Health Department ... , 2 - 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred ... _ Pre-Insperequest to p q � Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. — 2�Recorded copy of Agricultural Acknowledgment Statement ............ -2-z 24. Lett r of signatthorization..................................... 25.e t 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 5j �40462 and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitte p or to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date Contractor, designer, owner, was advised of above required data by—phone—mall _ ou er by date Plans checked by Date Plans approved by _Date7t: .Sets of plans on hold in �le cabinet AP folder Copy—DPW TO Buildinv Dezartment t' FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locat on U AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearaucnce O.K. for: Water Supply Clearance for/ < edroo mobile Other NOTE *** Sanitarian C RLcur.n,.--o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. All that real property situate in the County of Butte, State of California, described as follows: 6� 141 yj 61 U A J # RD 40 a -VQ OCJZ-4�) OOQ100clJ'5�6 oZA?-A 4k s42"to ✓ �Ja-x t Ul ivr- � i ns 30 x /F qA ts� i`cu0, rie%v I %.ZQ Jze� ,.n �t..,La�(J �o :�riP � �y ✓moi %�2 Soc-At.V3 %�cpil ceQ yJ� ao S4t�, CPA 7� e� �r4�� 1.��ittoQ /i`I�� , l�ot�aec0.�.� Re �? 01l /0) l`f7� c.� ��/< S2 l� �l�+�os� alb �t��� 9� AA -.e -XI r 1(3 �� U)ts'r, a d"4 -a"" � �'l rt/ �� � Pe �eA..��J QI e" -;Z00, 0 /--007 /Qa�Qr ct.r r u^ c�P 7`r T74 /.t54 -t; l ac e0c-'5 P -e a is S-u� CU -,V --C) Thoc(O A o, O -S flP� . 5% a -IN til c J7csra^�R �� P�, / FoP ; /�a,�-e So uJA b ri � j , Y7' L'' u/�f-� a dAdOl r e7 o+' y6 r oy` )2P C$it.< <'6C4 c{2 CLL- - Ja u h � �� Q meq S `i 8Q� . 3`/ X33 " �► -� � -e a a 9, cf s 4 yy lie )��� Sc�D� of'rCAW � a d dd��cPi�.� �� � a ��o, o p� l /-oor /��r�S C�vW� /a '�•4 �Lg14 f�ne�e apanJ D D , s 3 / o/'; a,� u�,c Q cs7 a�ao 6� �/ 3, ��; %�� c� �Jrn (� �3 IJ , �/6 �� ct� ' Cc�� 1 Date:' July 13, 1989 a d/Isi-cu—.e e/ lo-?, y9 t:E6 PROPERTY OWNERS: j.1 V�C_ a stai Gary D. Chastain State of California) On this the 13th day of July , 19 89 before me, ) SS. the undersigned Notary Public, personally appeared County ofSacramento) Linda L. CYC -►stain and Gary D. Chastain, Personally known to me. D Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL ' IONN W. URDA i 9 3 NOTARY PUBLIC • CALIFORNIA SACRAMENTO COUNTY My Comm. Expires April 26,1990 Present A.P. No. / -� / -�D 'J n'W.Ur4 Notary Public The property described herein is adjacent 89-027488 ; Rec Fee 9.00 to land or included within an area zoned ; Check 9.00 for agricultural purposes, and residents Recorded of this property may be subject. to incon- Official Records ; 2 veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte ; but not limited to herbicides, pesticides, Candace J. Grubbs ; and fertilizers; and from the pursuit Recorder ; of agricultural operations including, i i : 2Gam 24 -Jul -89 �; RB 3 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has.established agricul- tural zones which have as a priority use for productive agricultural. purposes, and residents within said .zones and on adjacent property should be prepared to. accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 6� 141 yj 61 U A J # RD 40 a -VQ OCJZ-4�) OOQ100clJ'5�6 oZA?-A 4k s42"to ✓ �Ja-x t Ul ivr- � i ns 30 x /F qA ts� i`cu0, rie%v I %.ZQ Jze� ,.n �t..,La�(J �o :�riP � �y ✓moi %�2 Soc-At.V3 %�cpil ceQ yJ� ao S4t�, CPA 7� e� �r4�� 1.��ittoQ /i`I�� , l�ot�aec0.�.� Re �? 01l /0) l`f7� c.� ��/< S2 l� �l�+�os� alb �t��� 9� AA -.e -XI r 1(3 �� U)ts'r, a d"4 -a"" � �'l rt/ �� � Pe �eA..��J QI e" -;Z00, 0 /--007 /Qa�Qr ct.r r u^ c�P 7`r T74 /.t54 -t; l ac e0c-'5 P -e a is S-u� CU -,V --C) Thoc(O A o, O -S flP� . 5% a -IN til c J7csra^�R �� P�, / FoP ; /�a,�-e So uJA b ri � j , Y7' L'' u/�f-� a dAdOl r e7 o+' y6 r oy` )2P C$it.< <'6C4 c{2 CLL- - Ja u h � �� Q meq S `i 8Q� . 3`/ X33 " �► -� � -e a a 9, cf s 4 yy lie )��� Sc�D� of'rCAW � a d dd��cPi�.� �� � a ��o, o p� l /-oor /��r�S C�vW� /a '�•4 �Lg14 f�ne�e apanJ D D , s 3 / o/'; a,� u�,c Q cs7 a�ao 6� �/ 3, ��; %�� c� �Jrn (� �3 IJ , �/6 �� ct� ' Cc�� 1 Date:' July 13, 1989 a d/Isi-cu—.e e/ lo-?, y9 t:E6 PROPERTY OWNERS: j.1 V�C_ a stai Gary D. Chastain State of California) On this the 13th day of July , 19 89 before me, ) SS. the undersigned Notary Public, personally appeared County ofSacramento) Linda L. CYC -►stain and Gary D. Chastain, Personally known to me. D Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL ' IONN W. URDA i 9 3 NOTARY PUBLIC • CALIFORNIA SACRAMENTO COUNTY My Comm. Expires April 26,1990 Present A.P. No. / -� / -�D 'J n'W.Ur4 Notary Public 89- 16267 e� ORDER NO. BU -104214-3 DESCRIPTION ALL THAT' CERTAIN REAL. PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I • PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 10, 1974, IN BOOK 52 OF MAPS, AT PAGE(S) 9. RESERVING THEREFROM A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE NORTHERLY 30 THEREOF. PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES. OVER A STRIP OF LAND 60.0 FEET IN WIDTH, LYING 30.0 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT THE SOUTHEAST CORNER OF PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 10, 1974, IN BOOK 52 OF MAPS, AT PAGE(S) 9; THENCE SOUTH 44 DEG. 32' 43" WEST, A DISTANCE OF 81.91 FEET TO THE BEGINNING OF A 200.0 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 25 DEG. 14' 4011, AN ARC DISTANCE OF 88.12 FEET; THENCE SOUTH 69 DEG. 47' 22" WEST, A DISTANCE OF 45.05 FEET TO THE BEGINNING OF A 250.0 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 59 DEG: 34' 3311, AN ARC DISTANCE OF 259.95 FEET; THENCE NORTH 50 DEG. 39' O111 WEST, A DISTANCE OF 42.14 FEET TO THE BEGINNING OF A 200.0 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 26 DEG. 53' 01111 AN ARC DISTANCE OF 93.84, FEET; THENCE NORTH 23 DEG. 46' 00" WEST, A DISTANCE OF 102.49 FEET TO THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III• A RIGHT OF WAY FOR ROAD PURPOSES, 60.0 FEET WIDE, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT A POINT FROM WHICH THE NORTHWEST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 12, TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M. BEARS NORTH 82 DEG. WEST, 160.0 FEET, MORE OR LESS; THENCE FROM SAID POINT OF BEGINNING, THE FOLLOWING COURSES AND DISTANCES: SOUTH 37 DEG. CONTINUED 89- 1 626 , ORDER NO. BU -104214-3 PARCEL III - CONTINUED EAST, 192.0 FEET; NORTH 77 DEG. EAST, 193.0'FEET; SOUTH 5 DEG. EAST, 174.0 FEET; ,SOUTH 27 DEG. WEST, 291.0 FEET; SOUTH 9 DEG. WEST, 196.0 FEET; SOUTH 4 DEG. EAST, 127.0 FEET; SOUTH 9 DEG. WEST, 205.0 FEET; SOUTH 35 DEG. WEST, 127.0 FEET; SOUTH 35 DEG. WEST, 127.0 FEET; THENCE SOUTH 15 DEG. EAST, 184.0 FEET TO AN ENGINEER'S POINT "L" SON THE SOUTH LINE OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 12; THENCE THE FOLLOWING COURSES AND DISTANCES: SOUTH 15 DEG. EAST, 100.0 FEET; SOUTH 9 DEG. EAST, 200.0 FEET; SOUTH 18 DEG. WEST, 365.0 FEET; SOUTH 52 DEG. WEST, 314.0 FEET; SOUTH 30 DEG. WEST, 280.0. FEET; SOUTH 53 DEG. WEST, 150.0 FEET; SOUTH 70 DEG. WEST, 318.0 FEET; SOUTH 62 DEG.. WEST, 450.0 FEET; SOUTH 63 DEG. WEST, 138.0 FEET; NORTH 25 DEG. WEST, 138.0 FEET;. NORTH 29 DEG. EAST, •326.0 FEET .TO ENGINEER'S POINT "W", WHICH. IS THE PROPOSED LOCATION OF STORAGE TANK; THENCE FROM ENGINEER'S POINT "W" NORTH 51 DEG. WEST, 124.0 FEET TO NORTH SPRING AND FROM ENGINEER'S POINT "W" SOUTH 89 DEG. WEST, 140.0 FEET.TO SOUTH SPRING. END OF DOCUMENT w �� CIfA5Y7�i� Apf 7-9 % 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS`ITEMS TO LOOK OUT FOR (CONY D) -4---Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof covering (Chapter 32). of covering type -:(fire hazard). R. of ties or bearing ridge beam. arage door or porch header sizes. A'.- Adequate bracing. -19-.--Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. � exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 14L1.Attic access and ventilation (Sec. 3205). --3-Underfloor access and ventilation (Sec..2516). -combustion air for fuel burning appliances. raise requirements on duplexes. ,dobe soils - special foundation design. .17-'lle- taining walls requiring design. Un ual shape,.size-, or split level house requiring lateral design. 1-118 1 lashing at all exterior openings. Q �� a8'3•/b Y- , 5/89 RESIDENTIAL PLAN<,,CHECKING GUIDE ' (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER (Wt A.P. # 71 ~B/- O GENERAL �ning requirements: (sideyards luation. Plans signed by designer. rrgy Design and Compliance. Existing violations on property. 6 Items on data sheet. and number of permitted living units). PLOT PLAN �mplete parcel size and dimensions. �tbacks, sideyards, easements, etc. �9ther buildings or structures. 4/�ing, fills, drainage. 5< ood hazard. ecial conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. required windows for light and ventilation (Sec. 1205). g/ Required windows for second exit (Sec. 1204). ,4'. --,,Skylights (Chapter 34 & Sec. 5207). loe"an impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). Is in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance Lf mechanical equipment. ocations of water heater, heating and cooling equipment, other electrical or equipment, and plumbing fixtures. ..Jewtrae firewall, door size, and closer (Sec. 503(d)(3)). ]Il!1 -3'0" exterior exit door (Sec. 3304(e)). 71replace and wood stove location, alcoves, and clearance. �4W.o Smoke detectors (Sec. 1210). STRUCTURAL DETAILS tll Foundation plan complete enough to construct building. i�� r construction details complete enough to construct building. EE vations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. —. !. i.replace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR irway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). ,-3--Brick or stone veneer (Chapter 30). COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ` APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' 071-31 ZONING - -, BUILDING PERMIT OWNER Gar t nntiin TELEPHONE .393-M15 SO. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDRESS 7488 1?altn trod Dr. 8ncrr� to 95831 CONTRACTOR'S NAME TELEPHONE CON TRACTOR'S MAILING ADDRESS Fireplace A 1.500,03 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $45.00 PLUMBING PERMIT Filing Fee 15.00 315 Thrrlmn Rd., n Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME 1 PARCEL MAP 52--01% Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: 1.'codotow, _ Mt 2097-89 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS j$,50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification rte,+FIXED I,rsJ 1, as the owner, or my employees with wages as their sole compen- !� sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.50 sq.ft. OR ADDNS. ACC. BLDGS. // NEW CONSTRUL I -OUTLET @ 5 00 NON.RESID BRANCH CIRC ITS APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 75,4AL 45 APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstsaid County Uj.-consegq ence of the granting of this permit. / t ( f , •' X ..-�� �---'� u--- r �"^"'� Date �►l � �_ Signature of Applicant — Owner Contractor ❑ Agent 1:1 %%%wo An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories ss7in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $35,C0 HAz I DFEES I IMP I FLOOD COF PARCEL I PD HD ISS This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do rk inch ted above for which fees have been paid. �' DIRECTOR OF PUBLIC'WORKS BY 1 j.; '.' r f.`. (l .{/� Date , PERMIT EXPIRES Date - ' Receipt No. If �� ? l; WHITE-D.P.W.. YELLOW-ASSr33OR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT0. gZ-Mo ASSESSOR PARCEL NUMBER 071-310-01 - ZONING * 1 i " BUILDING PERMIT OWNER Gar Chastain TELEPHONE S0. FT. OCC.1 BUILDING VAtUAT N_ OWNER'S MAI ,&ADDRESS 7488 Delta Wind Dr.Sacramento CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace A 1 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $1,500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME 1 PARCEL MAP 1 52-09 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFE@ Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlet~; 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherFK] Describe work: Woodstove _ RE: 2097-89 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification a I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP," ACDNS. ACC. BLDGS. // 3.64aq.ft. NEW CONSTOR NON.RESID R BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS TS (RESI D.) EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 -15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal ounty jA-sonseq ence of the granting of this permit. X C Date S ! Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $45.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISS E I This permit is hereby issued under the sions oft a Butte County Code an work ' di teWaor;wWhif By PEAPAY EXPIRES Date applicable provi- or resolutions to do shave been paid. WORKS Date S1 19 Receipt No -._J -/_C6 Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE - QROVIL E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ~ PERWT jRjR CA� MN DATA SHEET'01. 341, Permit No. o P OWNER c a Cc A. P. No. 7/ --3,/ Proposed Building Use 15:. -Building Inspector Date ±i l-9 -L At time of permit application, I was advised the following data must be submitted prior to permit proc6sing and/or issuance: 001. All items have been submitted . ............. DATE RECEIVED APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) ,9. Mobilehome installation data including manufacturer's installation ; instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................. 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit. ................................. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... �5 24. Recorded copy of Agricultural Acknowledgment Statement ......... ' 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: X, Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appli f. Date 71AZ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked. above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phoKL!'ati_counter b��Cdetg Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR ARCEL NUMBER ZONi G� - ITELERHONE BUILDING PERMIT OWN EF4 a } L.as4c, v` 3 -163 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS L B 14CL U tnol 04, mac. CONTRACTOR'SNAME j TELEPHONE CONTRACTOR'S MAIL G ADO ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuatio $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ S� PLUMBING PERMIT Filing Fee 15.00 3 1 r r I5 o n Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION 2i NAME PARCEL MAP ,5 2 40'0 q Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: _ p—�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 l 600V OR LESS Main service 200A OR LESS 1 18.50 Main service 200ATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.Nl 3.54 sq.ft. OR ADONS. ( ACC. BLDGS. NEW CONSTR. ULT'.OUTLET@ 5 00 NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. j Ex. Occup(OUTLETS OR FIXTURES L20 754 FIXED APLNS. Ex. OCCUp. OUTLETS (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �Virin 15.00 9 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor i MECHANICAL PERMIT Filing Fee 15.00 i Heating Cooling g Hood 6.50 j Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si natuA 9 Applicant – Owner ❑ Contractor El ❑ re of An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 storiesin height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P ; occ CONST TYPE on I TOTAL FEE $ HAz 1 0FEES I IMP FLDDD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS j By Date PERMIT EXPIRES Date Receipt No. �� 6 —�� Z 'IMITC•O. P. W., YELLOW-ASSC330R. PINK -INSPECTOR, GOLDENROD -APPLICANT a ?66180 AVW s>wom onend d0 IdW Hine JO A1Nnoo COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, O,rawille, CA 95965 Phone: 916-538-7541 '. OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the -proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, rvise, and provide the major work: Name N Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner ( Social Security Security Number __!� Date S'— 7 —.12- NOTE: 9Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- m" ed to issue the permit. PLAN REVISION Owner's Name: it��l�.(—�C��`PS Date: ' p( (51-1 Contact Person & Phone Number: `2 `Zu" AP#: a 21- A16-0/0 Received By: 7p' Time: % �m PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *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: SIVA X Minimum $54.99 Receipt #: �_?e?so Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538- 5 1 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMSEZ)c 1 I y 3 ( O oto VV ` ZONING BUILDINGPERMIT OWNER i 1 C a✓t�S E iT- SO. FT. OCC. BUILDING VALUATION .OWNERS N7RES LV BQX CONTRACTOR'S DQE �' TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ T Is ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD SS -6,5 iJ✓ 1 (' ;Y-0 U �, Energy Plan Checking Fee $ $ C+ l PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE �� S y� r��"i7`� SF ❑ Duplex ❑ Mobilehome ❑ Other �}' Lo f- / 7 D � SPECIFY Solar or heat um 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: ale, �� np ,�, rf�_� -�_� G�� Male,' W `4 rk Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S W) 03 -tzl3 S i' l KC.�' , „ toM of 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zm>A TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLAS. SO 3.5QFT, LNjpEWL}R6T. 10, MULTI.OLITLET 97.50 POWER APPARATUS a SINGLE oLmET cIR. Ex. Occup. OUTLET OR FD=RES 00 BAL @ .500 Ex. Occup. our EL D Esi6.)o EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' comply with those provisions. _ X (\ / Date Y — % �. oP'1 _ Signature of Applicant - C7 Owner `R Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HOZ, D. FEES IMP I FLOOD CDF pgRCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the B tte County Code and/or Resolutions to do work indicat d bove for h' fees have been paid. n /-�' / IXk 7 , O - By Dateej PERMIT EXPI ES ON �' ((., 060 pare Receipt No. 4 ( Z S 'sem- ( WHITE-D.D.S.-B.D. CAN -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 OWNER -BUILDER VERHIC.ATION Attention Property Owner: An "owner buildee' bu ld;ng permit has been applied for in your name and bearing your signature. Please complete and retum this information at your earliest opportunity to avoid unnecessary delay in processing -and issuing your building permit No building permit will be issued until this verification is received. I personally plan to provide the major labor and materiahs for constueiion of the proposed property ' ovenient : YES'0 NO ❑ V2.I HAVE?HAVE NOT ❑ signed an application for a building pem it for the proposed work I have contracted with the following person (firm) to provide the proposed constra.ction: NAMES: � 4 PT)1. Y c l—/%I ADDRESSz P n. Cizst:�r j2� P . _ _ PHONE: I g D _'D i ` o CONTRACTOR'S ucENSE NO. � �) � 4. I plan to provide portions of this worn but I have hired the following person to coordinate, supervise, and provide the major work NAMM ADDRESS: CITYc PHONE: CONTRACTOR'S LICENSE NO. VL • PEI • r� r r �• r e. r e r �e Ir _.�.� e e e• z e d- e n a e e . P11-11IT-L ADDRESS PHONE TYPE OF WORK SIGNED: DATE: S& NOTE: Tkfs Owner -Builder Verykztion is required by Section 14831 and 19832. of the California Health and Safety Code. M ver kation must be completed and OWNER BUILDER INFO TION Dear Property Owner. ` n spe ed'z a bm &g p�aseen hbsubmitted in yanr name yourself as the builder of ProP�3' vemenis Foryourprotection, You should be aware that as'roWner buil• yva are the respoasible party ofrecord on such a Pew Buildingpermift are not required to be signed by property owners unless they are personally peafotming their own work- If your work is being pefMmed, by someone other tip yourseg you may protect yourself from possible "abW y if that person applies for the properpera2ft in his or her name. license � �m are required by law to be licensed and bonded by tiie State of Cai¢aaua, and to Rave a busium chY or c -D They are also required by law to put their license number aPOY• On,all peamfor which they be aware of the LM W do Your own Wolk � the mon of various trades that you plan to subcontract; yon should wing infoanefion for your benefit and protection; + Ifyou employ or otba w m MWge MY persons oto 9= your immediate family, and the work (mcinding materials and other costs) is $300 or more for the entire prcdeok or and such Persons are not licensed as co�ac6ors sub ac ors, fi�en you may be an employer, ♦ If you are an emP1oM you nmst regrstar WA the State and Federal Governments as asemployer subject to several obligations mcbdrag state and i-deral and y� are wow � dbabUy n ire cosism tag withh,oldiag; Zdwd social security taxes. a , Tyre may be financial risks for »aemPloyme�. =add waft* diM& with. respeat is worker's � �Y Dirt thess obiigwions, and tress risks are espsaialiy sedans safion ' tee. ♦ For=zm specific mon abmt yom obligations mom Federal Law if You wish, 'he U.S. Small its , cMtract the %al Revenue Sam= (and, State Law, ca�act the Depazimen2 ofBerefit p . �' Far mare spm-,clfic about your obIigadoas undea aymenis and the Division of hxhm aal A.ccidentL if dk-- Sft=tnre is intended for sale, proPMly owners who are not licensed Contractors are allowed to per£arm their woad" 'on't- �FkY , without a licensed contractor or subs, only n limited A frequent practi= of ngizeased P=OW PmSssiag io be yrs is to P impbtg dw the property owner is or and a moaner bu27de�' building permits are act required to be signed by a g his or h� own labor and maierzal p�sonaBy. BmIding mar about licensed b obtained�' aM Pig ibex oven work pemonagy. comaumity Or at 1020 N SUVA SM&wtkthe Stale Li use Board is yoia Please � � GA. 95814. P `Owner Bm'klw Veaifimboe on ibe revers-- side of ties filar so 9,-d we can con&m that yon IM aware of d1M matters, The building PmMit will rot be iws nogg the veaificatior is retnmed. OTS TFrir Orvrrer BerlRforrlrafori is required by Sediori IB830 of tfie Corrfa Heaidi mrd Safely Code COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ti OR3AON ffo 0 1 ZONING U BUILDINGPERMIT OWNER SIEGL CHARLES TELEPHONE 990-0990 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 969 BERRY CREEK CA 95916 432 U 7,776.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 64.35 BUILDING ADDRESS 315 HARRISON SPRINGS ROAD BERRY CREEK CA.959 Energy Plan Checking Fee $ PERMIT FEE $ 183.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other (;N pSTnLI C.E SPECIFY z Solar or heat pump water heater 23.00 Water piping 15.0019 Each as water heater or vent 15.00 SS TYPE OF WORK New N Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: PRIVATE SHOP/STORAGE Gas piping stem 1 - 5 outlets 15.00 5. Building sewer 15.00 L5. Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. j� 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section i 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) i certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers)' compensation provisions of section 3700 of the Labor Code, I shall forth comply with those provisions. _�� -2 Q o - Owner ❑ Contractor Qignature of Applicant 4Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heig Main Service zooA TO I000A 46.00 NEW CONST. DW ."NG OCCUP. so.15 .10 OR ADONS. ( a ACC. S.3.5QFT ONST NONNEW RESIDD MULTI -OUTLET 97,50 POWER APPARATUS a SIN GLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup. BAL o I:w Ex. Occup. o.EDrs AaD°E'A,5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 35.1Q MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 326.45 Li VN HAZ. — o. FEES IMP — — FLOOD Y COF = PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate for which fees have been paid. B Date 7-17-03 Y PERMIT EXPIRES ON 7-17-04 Date ReceiptNo.I %:;W3tT5 WHITE-D.D.S.-B.D. CANARY -AS ORr PINK -INS ECT OLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION + 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 y��� �T O ev 12/961 APPLICATION AND PERMIT (� ASSESSOR PARCEL NUYBEA0 7/ r 3 /O O/ Q / ZONNQ BUILDING PERMIT OwNER \ 1 c TELFP/IONE �qv d 99� So. FT. OCC. BUILDING VALUATION 3— L MAaJNO D0.P56 / Tlz !CWEAS RA R'S NAME i7 EI�PNOME CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FiGA Fee $ 2D.00 Permit Fee _12 tj ARCHRECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee auoDusGfoDREss Energy Plan Checking Fee $ ' J PERMIT FEE $ ROT NO. SUBDIVISIONS UWEPARCEL -7 MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 , USEOFSTRUCTURE Z�L SF ❑ Duplex ❑ Nbbilehome ❑ Other ,S k6 �� fc V s Solar or heat um water heater 23.00 Water piping 1 5.00 /,s" �-- Each as water heater or vent 15.00 /S �— TYPE OF WORK New � Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Mar ❑ P r, Describe Work: Gas piping stem 1 - 5 outlets 15.00 45 --- Building sewer 1 5.00 j — �— Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 mov oR LESS Main Service 2oGA OR LESS 23.00 S}� ;(�^ _' p•a ,{�., /� a�-� J'' T U v 0 r �D� .4J ^ C. � ' CI Grp fit' J ry C Dn vpxTo 1 SR At S'�vtr O �� 4 ��� � � �� � � _ AWOWA�` / &Ae NVl.Vy%w Vvb �� a1��O Main Service 2"A TO IoOoA 46.00 NEIN CONST: OWEiLPITi OCCUP. SO. OR ADDIS. a ACC. BIOS. I 3.5¢Fr. / ONS BRANCH MULTFO MQUr @7.50 !ION RESID. PDWF7i APPARATUS a su+GLE olmtT cIR. R.00 Ex OCCLI SAL O .w . OUTLET OR Fix-nmi!FEE$ Ex. Occup. lJTit'rS ESID.OES.00 Temporary Service 23.00 Mobile Home Facilities 20.0 Wise. Wirin 23.00 PERMIT JS MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation EE,_ PERMIT FEt S ` Mobile Home Installation Fee $ Energy Inspection Fee $ PE TOTXL FEE $ wS. Fr 1 00 CD, EL IS4ri This permit is hereby issued nder 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 (Date F-1 og.00 ' 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 ,Q PERMIT APPLICATION DATA SHEET /� OWNER: -SSL_. ASSESSOR PARCEL NUMBER 0 7f/ 0 Yl5 d 5 / Proposed Building Use:�/L _ Counter Technician: Date: Items required in order to apply for a permit. 6boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Y' 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... 0. Letter of intent for non-residential buildings ........................... ,............................. 11. Detached Accessory Building Form filled out by the owner.. GjL� ...................... ghlS1ID � 12. Hazardous Material Form................................................................................ _ ❑ 13. Other .... aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) l�tivnei�rit� or 161P Ids.& N7, e'01+ T6./I Fees as shown on the attached Schedule of Fees Due Sheet.. ............................... Statement of Intent for Non -heated and A/C Buildings .................................... ......... Sanitation and plot plan approval from the Environmental Health Department in 03 ity of Chico Plumbing permit ........................ *Pacel . lifornia Department of Forestry plan approval Paid. Sent. .................. ❑ 19. Planning approval for (A) Use: ©}C (B)Parking: � (Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other:' When issued Telephone and hold for pickup. I have been informe of the above items an requirements for obtaining a building permit. PPI' ant: _ DDat: 1. Index permit application fort ov s numbered: ,. 1 Plan Check Letter 2. AdditiQgal items requ' ed Contrac , designer wrier as ad cf the above data by ❑ phone, ❑ mail, In counter, by Date: on ractor, designer, owne , was advised of the above data by ❑ phone, ❑ mail, ❑ co ter, by Date: `7 Plans reviewed by: Date: (o— X7;,— r) 3 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division .)r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Anachod Flool Plan Ano ad Saw to G.D. D_ 2/50AJoJP�2,,�1 �l ©7'/ 3/4 Po/b Own4r Location AP# Plan Approved for: Sewage Disposal ✓ ' / r Water Supply: Clearance for dwelling. Other a7` x /'? o; Hold final for: Final clearance O.K. for: NOTE: n Public Private Well y_/ Environmental He 8/96 Eels �✓ras o 3 Date COUNTY OF BUTTE -3 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 /, SCHEDULE OF FEES DUE OWNER PED BUII.DING USE a 1. BUILDING PERMIT FEES n G v Balance Due ....................... $ r Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (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 04- IL. Amt. A.P. # 07/J/0 DATE hs/3-- RECEIPT # DATE REC. 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 ��7 1116;vl�- $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. t At LICANT P9, TE (,2�{ ` Z SS: D ursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7,nd 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) O.B.- OWNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this v cation is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 09 NO ❑ CPI HAVE It HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: DRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provi e-prtions of this work, but I have hired the following person to coordinate, supervise, and provide - or work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR CENSE NO. 5. I will provide some of the work but I have contracted (hired following persons to provide the work indicated: NAME ADDRESS PHONE T OF WORK SIGNED: PROPERTYOWNER: k7WALD(Zl'fL (> f— �0 DATE: NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is "$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your. community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned a 4rely, C. Vi ira, C.B.O. , Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER A THU 07:21 FAT 916 388 1443 I GI NORTHERN REG. MGR.. 14 gb OaA I. APPROVED Butte County Envi'ronmental Health Date S Si t ure i t ---------- OcINVIRONMENTAL HEALTH. 'APP, 2 4'20 7 COUNTY-tENTER Oftt: w Li J U.4 V ►:.`� '• Q�a.CIRH•a1A _ .. .._ _ r�''�.' �,• 'f•tl ? 'I•.i�''-�y�• �'t qik I ,10.002' g - TI n, 14 gb OaA I. APPROVED Butte County Envi'ronmental Health Date S Si t ure i t ---------- OcINVIRONMENTAL HEALTH. 'APP, 2 4'20 7 COUNTY-tENTER Oftt: w Li J U.4 V ►:.`� '• Q�a.CIRH•a1A _ .. .._ _ r�''�.' �,• 'f•tl ? 'I•.i�''-�y�• �'t qik I ,10.002' 24'-0" 18'-3" _9" 13'-6" _9 4030 A WP. CONC. BP L=4'-0" GFI PAD BP L=4'-0" ENVIRONMENTAL HEAL X66 5030 FG. ALT. 4'-0" I o > SHOWER BP APR 2 1Qp� L —_ —_ ROD & CURTAIN 1 ATH t T COUNTY CENTER DRIVE 3 �I. N N N NIL W ---1 + rJ o XUI o K v I TANKLESS LM Q ¢J W.H. V.T.O. M . l 468 — o cO cn � ap APPROVED SHOP I Butte Conn Enviro mental Health M ~ �--------Date --- � 3630 CONC. _ PAD $ �netU r 4 LT.. gp 6040 SL. WP, ALT. CON ONC GFI BP L=4'-0" I L=2'-8" PAD 100 AMP q SUB PANEL i i -5" 13'-8" 24'-0" FLOOR. PLAN 432 SQ. FT. ci I 560 9-7 ' 9k oOv�TrFo 71- Inter -Depart o o emorandum TO: -777 y 7-t FROM: gS5 5440 SUBJECT: DATE: 1 �coF r ef";-,1�d d2 A.0 � p � $ ,a f -ba c �� � lite✓ 5 �14- 1. Ceiling Insulation U -value 0.50 -200 Number of stories 36 R -value One Two Three R-0 -120 -59 -40 R-19 -10 -5 -3 R-30 -2 -1 • -1 R-38 0 0 0 U -value 0.50 -200 -99 36 0.30 -118 -59 -39 0.10 -32 -16 -11 0.08 .23 -11 -8 0.06 -14 -7 -5 0.04 -5 -2 -2 0.02 5 2 2 0.00 14 7 4 2. Nall Insulation U -value 0.80 0.50 0.30 0.10 0.08 0.06 0.04 0.02 0.00 Single - Family Multi - Attached Family -77 -51 -8 -5 -6 -4 0 0 -212 Single - -107 .Family R -value Detached R-0 -102 R-11 -11 R-13 -8 R-19 .0 U -value 0.80 0.50 0.30 0.10 0.08 0.06 0.04 0.02 0.00 Single - Family Multi - Attached Family -77 -51 -8 -5 -6 -4 0 0 -212 -160 -107 -132 -100 -67 -74 -56 37 -11 -8 -6 -5 -3 -2 2 .1 1 9 6 4 15 11 8 22 16 11 3. Raised Floor Insulation -19 -13 -6 Insulation in Floor -14 -9 -5 0.70 Number of stories -6 -3 R -value One Two Three R-0 -24 -12 -8 R-11 -5 .2 -1 R-19 0 0 0 R-30 4 2 1 U -value 0.9 -5 .1 0.60 -218 -103 37 0.50 -180 -85 -55 ' 0.40 -142 -67 -44 0.30 -103 -49 32 0.20 -64 -31 -20 0.10 -24 -12 -8 0.08 -17 -8 -5 0.06 -9 -4 3 0.04 -1 -1 0 0.02 6 3 2 0.00 14 7 5 Controlled Ventilation Crawlspace 6 35 Number of stories -46 R -value One Two Three R-0 -15 -10 -7 R-5 -4 -5 -4 R-11 .1 3 -2 R-19 0 .2 -2 t 4. Slab Edge Insulation 6 8 9 Number of Stories 29 R -value One Two Three R-0 -13 -8 -4 R-5 .1 -1 0 R-7 0 0 0 F2 factor 0.90 -19 -13 -6 0.80 -14 -9 -5 0.70 .9 -6 -3 0.60 -4 -3 -1 0.50 0 0 0 0.40 5 3 2 5. Infiltration (Air Leakage) Specification Points Standard 0 Interior Thermal Mass •:,tenor Slab Floor Raised Floor Mass Stories Stories ,CF,A One Two Three One Two Three 0.0 -10 -6 -4 -2 -1 .1 0.1 -9 -5 -3 -1 0 0 6. Glass Heat Loss 6 12 4 0.3 -8 -4 .2 0 1 1 Total 10 4 na U -value 6 0.5 0.7 -7 -6 3 .2 .1 -1 1 2 2 2 2 3 Percent 10 4 5 .51 to .41 to .31 to 0.30 or 0.9 -5 .1 0 2 3 4 Glass Single Double .60 .50 .40 less 1.1 -5 -1 1 3 4 4 50 -190 -85 -63 -41 -20 1 1.3 -4 0 2 4 5 5 40 -141 -59 -42 -25 -8 8 1.5 -3 1 3 5 6 6 35 -117 -46 -31 -17 -2 12 20 -1 3 4 6 7 8 30 -93 34 -21 -9 3 15 2.5 0 4 6 8 9 9 29 -88 -31 -19 -7 5 16 3.0 1 5 7 9 10 10 28 -84 -29 -17 3 6 17 3.5 2 6 8 10 11 12 27 -79 -26 -15 -4 7 17 4.0 3 7 9 11 12 13 26 -75 -24 -13 -3 8 18 4.5 4 8 10 12 13 14 25 -70 -22 -11 -1 9 19 5.0 5 9 11 13 14 14 24 . -65 -19 -9 1 10 19 5.5 6 10 12 14 15 15 , 23 -61 -17 -7 2 11 20 6.0 7 11 12 15 16 16 22 -56 -14 -5 4 12 21 6.5 7 11 13 15 16 16 21 -52 -12 -3 5 13 22 7.0 8 12 13 16 17 17 20 -47 -9 -1 7 15 22 7.5 8 12 14 16 17 17 19 -43 -7 1 8 16 23 8.0 8 12 14 16 17 18 18 -39 -5 3 10 17 24 8.5 9 13 14 17 18 18 17 -34 -2 4 11 18 24 64 7o% 1.2 1.4 1.6 1.1 2 22 16 -30 0 6 13 19 25 4.5 4.6 S 52 5.4 56 •56 6 62 64 75% 1.3 15 1.7 1S 15 -25 2 8 14 20 26 14 •13 -21 -17 5 7 10 12 16 17 21 22 26 27 10. Exterior Wall Thermal Mass 12 -12 9 14 19 23 28 Exterior Single- 1.4 Single - 1.1 2 22 11 -8 12 16 20 24 28 Wall 4.7 Family 5.1 Family 55 Multi 10 -4 14 18 21 25 29 Mass 23 Detached 2.7 29 3.1 33 Attached Family 9 8 0 4 16 18 19 21 23 24 26 27 30 30 0.00 56 0 6.1 0 6S 0 90% 1.5 1.7 2 '22 24 26 2.6 3 32 3.4 0.20 0.40 38 2 5 4.3 2 4 4.7 1 2 5.1 53 55 5.7 5.9 62 64 6668 0.60 95% 7 1.6 6 25 4 2.9 3.1 33 3.5 17 3.9 4.1 42 4.5 4.1 0.80 5.2 10 5.6 8 6 5 7. Shading 6.7 (Shade Open) t00% 1.7 1.00 21 2.3 13 26 10 16 6 4.2 4.4 4.6 4.9 5.1 5.3 5.5 1.20 5.9 16 U 12 6.7 8 105% Effective Percent Glass 2 22 2.4 1.40 26 19 3.9 14 4.3 9 4.7 4.9 (percent glass x SC) 56 5.6 1.60 6.2 22 66 16 7 11 U 21 2.3 2S 27 29 3.1 13 3.6 36 4 1.80 4.4 22 4.6 19 5.2 12 Effective %Glass North East South West Skylight 18 10 6 12 4 na 16 9 6 11 4 na 14 7 6 10 4 na 12 6 6 9 4 na 11 5 5 8 4 na 10 4 5 8 4 4 9 4 4 7 4 5 8 3 4 6 4 5 7 2 3 5 3 5 6 2 3 4 3 6 5 1 2 3 2 6 4 1 1 2 1 6 3 0 0 0 0 5 2 .1 .2 -3 -2 4 1 -1 -4 -6 -3 3 0 .2 -6 -11 3 0 na = not allowed -3 -3 -17 3 8. Shading (Shade Closed) Effective Percent Glass (percent glass x SC) Effective Slab Edge Insulation (assumes ducts in attic) •Infiltration Sum of 1-6 Glass Heat Loss %Glass North East South West Skylight 18 -9 -32 -46 -45 na 16 -8 -27 39 -38 na 14 3 -23 -32 -31 na 12 -5 -18 -25 -24 na 11 -5 -16 .22 -21 na 10 -4 -14 -19 -18 33 9 -4 -13 -16 -15 -54 8 -3 -10 -14 -13 -46 7 -3 -8 -11 -11 -38 6 -2 -6 -8 -8 -30 5 -1 -4 -5 -6 .23 4 -1 -2 -3 -3 -17 3 0 -1 -1 -1 -11 2 0 1 1 2 -7 1 1 2 3 4 -3 0 1 4 4 6 0 na = not allowed 2.00 22 21 14 1. Heating System SE or HSPF Slab Edge Insulation (assumes ducts in attic) •Infiltration Sum of 1-6 Glass Heat Loss -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 . -5 +5 +15 more ).72 6.60 0 0 0 0 0 0 (assumes ducts in attic) ).75. 6.88 4 4 3 3 3 2 a. Noah ).80 7.33 11 10 9 8 7 6 - b. East - ).85 7.79 16 15 13 `12 10 9 or ).90 8.25 21 19 17 15 13 11 less -15 -5 +5 +15 more ).95 8.71 26 24 21 19 16 14 -6 -5 -3 -2 -1 Effective SE or HSPF 8.5 (SE or HSPF x duct efficiency) 0 Effective -25 or -24 to -14 to -410 +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -94 -85 -76 -08 -59 -50 na 3.41 -57 -52 -46 -41 -36 -31 0.40 3.67 -43 -39 .35 31 .27 .23 0.50 4.58 -13 -12 -11 -10 -8 -7 0.56 5.13 0 0 0 0 0 0 0.60 5.50 7 6 6 5 4 4 0.70 6.42 21 19 17 ' 15 13 11 0.80 7.33 32 29 26 23 20 17 0.90 8.25 43 37 33 29 25 22 1.00 9.17 47 43 38 34 30 25 Zonal Control Adjustment System Type Resistance 10 9 7 6' 5 3 Other 6 5 4 4 3 2 12. Cooling $�item Slab Edge Insulation S. •Infiltration 6. Glass Heat Loss SEER U -value [0.037) 7. (assumes ducts in attic) -8 a. Noah Sum of 7-10 - b. East - -25 or -24 to -14 to -4 to +610 16 or SEER less -15 -5 +5 +15 more 8.0 -6 -5 -3 -2 -1 0 8.5 -2 .2 -1 -1 0 0 8.9 0 0 0 0 0 0 9.0 1 0 0 0 0 0 9.5 3 3 2 1 1 0 10.0 6 4 3 2 1 0 10.5 8 6 5 3- 2 0 11.0 10 8 6 4 2 0 120 13 10 8 5 3 0 13.0 16 13 9 6 3 0 K7S3 Effective SEER b 4.2. 1e1 exposed (SEER x dud efficiency) Sum of 7-10 X Effective -25 or -24 to .14 to -4 to +6 to 16 or SEER less -15 •5 +5 +15 more 5.0 -16 -13 -10 -6 -3 0 6.0 -5 -4 -3 -2 -1 0 6.6 0 0 0 0 0 0 7.0 3 2 2 1 1 0 8.0 9 7 5 4 2 0 9.0 13 11 8 5. 3 0 10.0 17 14 10 7 3 0 11.0 20 16 i2 8 4 0 120 23 18 14 9 5 0 13.0 25 20 15 10 5 0 3.6 Zonal Control Adjustment 4.2 44 10 8 6 4 2 0 _ No Cooling System Installed 10y.. Stories --•- 06 0.1 One 0 0. 0 0 0 0 Two + 5 4 -- 3 2 1 29 113. Water Heating 33 Single -Family Detached and Attached 4 -- Unit Size (sQ 46 Water 1199 1200 1700 2200 2700 Heater Credit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 j or Solar 12 8 6 5 4 HP HWR 9 6 4 3 3 3.9 WSB 17 12 9 7 6 ' POU 9 6 4 3 3 SE None 39 -26 -19 -15 -13 3o% Solar -2 -1 -1 -1 -1 09 1.1 HWR -18 -12 -9 -7 3 1.e 2 22 24 WSB 2 2 1 1 1 3 POU -18 -12 -9 .7 -6 IG None -2 -1 -1 .1 -1 43 Solar 10 7 5 4 3 4.9 POU 7 5 3 3 -2 IE None -28 -19 -14 -11 -9 a7 Solar 10 7 5 4 3 1.5 POU -7 -5 -3 .3 -2 26 Multi -Family (individual units) 32 i Unit Size (sQ 11 Water 699 700 1200 1700 2200 Heater Credit or to ao to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 3 3 HP HWR 10 5 3 3 2 21 23 2S 27 WSB 29 14 10 7 6 14 POU 10 5 3 3 2 SE None -46 -23 -15 .12 -9 4.6 Solar 2 1 1 0 0 5.3 HWR -23 -11 -8 3 -5 5.9 WSB 22 11 7 5 4 0.9 POU -23 -11 -8 -6 -5 IG None -2 -1 -1 0 0 3 Solar 11 6 4 3 2 3.1 POU 8 4. 3 2 2 IE None -28 -14 .9 -7 -6 4.9 Solar 22 11 7 6 4 56 POU -4 .2 .1 -1 -1 3. Raised Floor Insulation 4. Slab Edge Insulation S. •Infiltration 6. Glass Heat Loss UX U -value [0.037) 7. Interior MasslCFA -8 a. Noah - - b. East - -�- -. c. South Credit [nonel d. West TT r SASS e. Skylight 8. Shading (Shade Closed) . _.-.. _ -- :._ _ ..... _.._ pp Type [double] U -value [0.65] 90 Total Glass (161 - Sum 1-6 % Glass Sc . _ Eff. % Glass - - $ X K7S3 (nIMC b 4.2. 1e1 exposed Slab) ' X .09� X 0% 5% •107G IS% 20% 2S% 30% 3S% 40X 4S% SOX SS%- box 6St 70% 75X 110% 6S1r. Sox 95% 1113% 105% 110% 115% 120% 1251. 0% 0 0.2 04 06 0.6 1.1 1.3 1.5 1.7 1.9 21 23 25 27 29 32 14 3.6 3.6 4 4.2 44 4.6 4.6 5 53 10y.. 0.2 0.4 06 0.1 1 1.2 1.4 1.6 1.9' 21 ' 23 25 21 29 11 33 3.5 3.7 4 4.2 4.4 46 4.6 5 52 S 4 20x o.3 0.6 0.0 1 12 1.4 1.6 1.6 2 22 24 21 29 3.1 13 1S 17 3.9 4.1 43 4.5 48 5 52 5.4 55 3o% o.s 0.7 09 1.1 1.4 1.6 1.e 2 22 24 26 26 3 3.2 3.S 3.7 3.2 4.1 43 4.5 4.7 4.9 S.1 5.3 5 5 " 58 40% a7 o.9 1.1 11 1.5 1.7 1.9 22 24 26 26 3 32 3.4 16 11 4 4.3 4.5 4.7 4.9 5.1 53 5-5 5 7 59 SOX 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S 27 3 12 14 3.8 11 4 42 4.4 4.6 4.1 5.1 5.3 5.5 5.7 5.9 6.1 S5% 0.9 1.1 1.4 1.6 1.6 2 22 24 2.6 16 3 12 35 3.1 19 4.1 41 4.5 4.7 4.9 5.1 53 56 56 6 62 w% 1 12 1.4 1.7 1.9 21 23 2S 27 2.9 3.1 3.3 35 3.1 4 4.2 4.4 4.5 4.6 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% « 1.1 1.3 1.5 1.7 1.9 22 24 26 26 3 12 14 36 11 4 4.3 4.5 4.7 4.9 $.1. S3 5S 5.7 5.9 6.1 64 7o% 1.2 1.4 1.6 1.1 2 22 2S 21 2.9 11 13 3.S 3.7 3.9 4.1 4.3 4.5 4.6 S 52 5.4 56 •56 6 62 64 75% 1.3 15 1.7 1S 21 23 25 27 3 12 14 3.5 11 4 42 4.4 4.6 4.6 5.1 5.3 S5 5.7 5.9 6.1 6.3 63 00% 1.4 1.6 1.1 2 22 2.4 26 21 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 55 56 6 62 64 66 15% 1.4 1.1 1.9. 2.1 23 25 2.7 29 3.1 33 3.5 11 4 42 4.4 4.6 4.6 5 52 54 56 59 6.1 63 6S 67 90% 1.5 1.7 2 '22 24 26 2.6 3 32 3.4 3.6 38 4.1 4.3 CS 4.7 4.9 5.1 53 55 5.7 5.9 62 64 6668 95% 1.6 1.6 2 . 22 25 27 2.9 3.1 33 3.5 17 3.9 4.1 42 4.5 4.1 S 5.2 5.4 5.6 5.1 6 6.2 6.4 6.7 fig t00% 1.7 19 21 2.3 25 26 3 12 3A 16 16 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 U 6.S 6.7 7 105% 1.1 2 22 2.4 26 26 3 3.3 3.5 3.7 3.9 4.1 4.3 4S 4.7 4.9 5.1 5.4 56 5.6 6 6.2 64 66 66. 7 110% U 21 2.3 2S 27 29 3.1 13 3.6 36 4 4.2 4.4 4.5 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 65 6.7 69 7.1 115% 2 22 24 2.6 26 3 3.2 14 3.5 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 6.2 6.4 6.6 6.6 7 7.2 120% 2 2.3 25 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 S 5.2 S.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 23 2S 26 3 32 3A 16 3.6 4 4.2 4A 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 16 _ ....._ ._._ .. SCORE CARD Measures - - Point Scores 1. Ceiling Insulation _R 3 or R -value (381 U -value (0.0301 2. Wall Insulation /Z l q or _ .. _...... _ --�- R-value [ 19] U -value [0.066] 3. Raised Floor Insulation 4. Slab Edge Insulation S. •Infiltration 6. Glass Heat Loss UX U -value [0.037) 7. Shading (Shade Open) -8 a. Noah - - b. East - -�- -. c. South Credit [nonel 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 IN -lass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating $ X Interior Nlfs1CFA Euarior Wall Mass ,7�)- X SE or HSPF or Effective SE or 10.7216.61 R -value [191 UX U -value [0.037) 8.7 SEER (8.91 -8 or -�- -. R -value [7] Credit [nonel F2 factor [031] -- - Standard _ _ . _.-.. _ -- :._ _ ..... _.._ pp Type [double] U -value [0.65] 90 Total Glass (161 - Sum 1-6 % Glass Sc . _ Eff. % Glass - - $ X c/. 4 X /. 5/ X .09� X = '� % Glass SC Eff. % Glass X _iv _ - - X t5 $ X Interior Nlfs1CFA Euarior Wall Mass ,7�)- X SE or HSPF Duct Efficiency 10.781 Effective SE or 10.7216.61 HSPF 1036/5.151 UX / _ 8.7 SEER (8.91 Duct Efficiency [0.741 Effective SEER [6.591 Type (SGJ Credit [nonel D.. tom. •s•,, ... r. +5- _t { Sum 7-10 ue�rtiticate of Compliance: Residential Climate Zone 16 CpQ44 ST -•/A) Project TRW — -- 31r /-f'�/�a2 iSt1 See-�Jt.-s Project Address tt 11 Chtcicea ay / 1—ua DocumentaUotr Author Telephone Enforcement Agency Use Only BUILDING DATA _i_ U�VdtiZ- r,��tt,Ti& tZot.t_/irc• Notzh ( ) Glass Area Conditioned Floor Area% of Stories North East t,/D Slab/ Y . St: Al -Number Number of Units t__ South 9 [ ] Single Family Detached (SFD) [) Addition Alone West �-- (] Single Family Attached (SFA) [ ] Existing Building Skylight T ype/Covering [ ] Multi -Family (Nff•) [ ] Existing-Plus-Addidon Total_ B UILDING SHELL UgSULATION Component . Insulation Location/Comments Type R -Value (attic, to garage, typical etc.) Wall .............• Wall .............. Roof ............. 38 'Roof ........... - Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Orientation Interior • • ~ Exterior Overhang (sf) (single, double) (roller blind etc.) fe}tra�•evw. _... North ( ) _i_ U�VdtiZ- r,��tt,Ti& tZot.t_/irc• Notzh ( ) East ( ) East - ( ) ►t . South ( ) �� •� SOU Lh West ( j ft West ( ) Skylight......: ---- .�-. THERMAL MASS - - T ype/Covering Area — Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/ % Glass 4—� 'i i Framing Type; (ntetalltwood) etc. - LAA u,"VVt _ l0 3 /�- '' . 7 - HVAC SYSTEMS Minimum Duct Type (ftwnace, air Efficiency Location Duct Output _ Manufacturer/ Model # conditioner, hest pumD) (SE, SEER.HSPF) (at(ic etc.) R -Value (Btuh) (or -approved equal) Jf Maximum Furnace Heating Output: / tt3 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Featurt(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE l�wrisc rrsidcntial buildings sutb eros to cti Star>L'ards mast contain three mrsares repr*+4= of the corn Pl:ance approach used Rennes nuked wntn an asrnst (•) may be atyexseded by more S=gcnt compliutre reduutments listed on the Cau fKare of Com pian¢ When thu chocklist u ircapa•atcd thm Ott: permit documents. Inc feantsea noted shall be casvoeed by all panus as butotng m rumum component pvformtanec spoofrsuons for the mandatory mrsswea whether they K sho, elsowhee un the oocvmetta a on this checkba only. DESCRIMON DESICNER DiMRCEa/ENr Building Envelope Memar s • 12.5352(a): Minimum ceiling insulation R•19 weighted avenge. 42.5352fbk Loose fill irtsttluion nwxtfatauner's labeled R -value 12.5352(cr• Minimum wall insulation in (rimed walls R.I 1 freighted average (docs not apply to catcnor mass walls). 12.5352(tk Slab edge 'vuulation - .rater absorpiot rate no greater than 0.3X, vete vapor transmnsvon rate no greater than 2.0 pemftnnch_ 12-5311: Insulation specified or installed m¢s CalifomLa Er4W Commission (CEC) quality standards, lndcue type and form. §2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: lnfiltruion/Eafdcation Controls s_ Doors and wv%dpws between eonditronnl and tuteonditioned spaces designed to Limit air leakage b..Doors and windows cenirwA e Doors and window t wtherstripped. sd joins" peneo=iorts r•..Ik A and soled 62.5352(c): Special infiltration barrier installed to comply with 12.5351 meets CEC quality .rte %der s 12.5352(dx Installation of Futpla es 1. Masonry and factory -built furplacm have a. Tight fining• closeable metal or glass door b. Outside air intake with damper and control c- Flue damper and centra 2. No continuous burning gas pilots alloarcd. HVAC and Plumbing System Measures - §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach takulations. §2.5352(h) and 2.5315: Setback thcnrx= on all applicable heating sr - 12 -5316(a). Ducts constructed. installed and inmlatcd per Chape'10. 1976 LIMC. 12-5316ft Exhaust rf%L=s have damperconsroLL 12-5314(c} Gwrvrd spats heating equipment has intermitlett ignition devices, 12-5314: HVAC equipme m water heaters.show•et}eads and faucets ce ifted by the CEC. 12-5352(} Water heater insulation blanket (R-12 or greater) or combined inttriorkxterior insulation (R-16 or greater): fust S foot of pipes closest to tank insulated (R-3 or greater). =- 12-S312(Fsception I): Pipe insulation on steam and stearn condensate return At rocircutatrrtg piping. 12-5319(d)- Swimming Pool Heating r 1. System has: a. On/off switch on heater. b. Wcathcrproof instruction plate on heater. e Plumbed to allow for solar. 2 75 percent thenal efficiency. 3. Pool cover. a. Time clock 5. Diroetional eratu inIcL Lit'htimg and Appliance Measures r §2-533 2(1-r Lighting - zs Itmtcnywatt or greater f«general lighting in kitchens and bathrooms. §2-5314(eY Gas fired appliamcs equipped with intermitter ignition devices. ' 12-5314(1): Refrigerators, refrigerator-fnxres, frcees and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificsse of Compliance 1s,3 the bcu2ding features and pteorm.ance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2, Subchapter 4• Article 1 of the California Administrative code This artificwc has been signed by the uld.ividual with overan design responsibility and the building owner. who shall retain a copy of it and transmit the mxdflcate to any subsequent purchaser of the building. .Designer Building Owner Name • Ti:kJFmtL Name: - Ae�e=: TiLk/F-u t Addr=: VI Telephone - Te Lie. I: kpitortc (siyrtatsrr) (elate) (sign rtae) (date) Documentation Author Enforcement Agency Nuns Name: TitkJFimt Ac—Y Add:rss. Tele pitorte a