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071-430-020
71-43-0-020 97-0253 E BBS, Robert 1 Hidden sprins Rd, BC ele for well) 071-430- 0 PERMIT#97-0312 TIBBS, Rob .t D. 211 Hidden S ings Rd.,Berry C e New Single Fami 071-430-020 P MI` TIBBS, Robert D. 211 Hidden Spri gs Rd,. 1st Renewal B 97-0312 n, #98-2238 TIBBS, RO ERT 211 HID SPRINGS RD. BERRY CREEK OWNER RESIDENTIAL 071-430-020 PERMIT#97-0312 TIBBS, Robert D. 211 Hidden Springs Rd., Berry Creel New Single Family D n1 t -7. o �i 1 o t I� OFFICE COPY t.y g Address I GAS y Date ELECTRIC % D ' Meter By JOB FINALE Signature i r. S, ✓ = OK O = Not OK = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK exce #'s Zoing-Setbacks-Easments-FI lope Main; Soils-Elec.jffmrjtg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ f' Ftg. Depth RESIDENTIAL (Single & Duplex) 4. Fig. Porches & Decks; Soils -Steel-/ P Ftg. Depth - 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-VJrapped 6a. Hold Downs and Special Anchors 7. Sl�teel-Wrapped (�rs-Fireplace Ftg.-Steel .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer ��i4 2 10. UF. Gas Pipe; Size Anchors - Yard as Piping; Zzd Te6t Water Pipe; Test -Anchors -Regulator -Service Test 1X. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 1,/42r -Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Z -1-P-7 Card B- Date Card B-1 Date B-1 Date Card B-1 Date PLUMBING (Perm' s ter Htr.; VAPPKc-c4efs(CombWon 'Baffle Wat Pipe; Test & Anchor -Nail Protection .V.; Test Fittings & Anchor -Nail Protection J711_.Sthower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date /`.i/p --- Card B-1 Date Card B-1 Date /E1Eq-TRICAL (Permit) OK except #'s E-0er-e & Transformer Clearance -Ins. Protection & Switches at Doors Si oxes & No. of Conductors Stapled 6. Ro nstalled Close to Edge of Studs & C.J. Mound made up w/Mech Fastners-Bond Gas & Water nce Circuts in Kitchen & Conductor Size GFI i 29Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al ---2320. Ran se Circ. / ga Cu -or AI=Oven Circ. / / ga Cu or AI I ,ed Neutral 0 Yes O No ce-Riser Conductors & Ground -Main Disconect Clearances Panels-Motors-Mech. Epuip. fj1otfftre-s--CIoset Light -Shower Light -Spa Light 4. Smoke Detector Date Card B-1 Date Card B-1 Date �'(, Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C,.qucts Insulation & Support t3 . eent-F.a ,U austabove insulation 37. C ensateD in verflow, Grade rna en ccess-Co . Air -Ret Aif`Vent 1. utlef Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date /FRAMING (Plans) OK except #'s L---40. Sits-Prooer Materials & Anchors I --*I- Wa4tsStuds-Nailing Spacing & Braces -Plates -Sound A2'_jBe9`ringWaIIs over Girders & Floor Nailing Stop in Walls (rat proof) re Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. HeaderL& Beams -Size & Bearing " Date FRAMING (Continued) 46. H gers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. ire -Ties or Type A Flue -Fireplace Throat clearance �fc-Access; Size & Romex Protection -Draft Stop -Ins. Baffles S0. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage ire Protection Framing 52_Eu43wtyt ne Firewall & Openings oors-One 3 -Check Garage 3rd Story, 2 Exits 4 c` 54. StaJlsrW�Oth-Headroom-Rise-Run-Landing-Fire Protection �5. Plyw� Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic ----59 Walls; Nailing -Bolts / Dat Card B-1 Date �R Card B-1 Date Date Card B-1 ate C, Z Card B-1 FINAL (Plans) OK except #'s x Steps -Door & Sidelight Protection -Landings , 4 oke Detector 65. F ace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. Protection 6 edroom Exiqpd f_61-eT r& Fixtures & Tub Access -Spa rim & Subpanel, Breaker Sizes & Labels lairair fs &Rails 0O. Flacer StoYE clearance -Hearth pec. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 7 c. Outlets & Recepticales at Kit. Counter wing -Landing -Closure amper 7 tr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. Elec. & Mech. Equip. Listed for Location 7 , c ecep aces in Garage G.F.I. -Romex Protection Insulation -Foam -Looked in Attic joe'Guard rails & Deck Construction -Post Caps 8 . dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Yes 82. Following Instld./Drive 0 Yes g4offialks 0 Yes lanters 0 Yes A. if Disconnect, Electrical -Plumbing Vent Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings at r -Well, Disconnect, Electrical, Plumbing LE-Itxterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throught House 183, -Glass Protection 90. Correclons from Previous In ctions 91. Ga - est -M rs agg , Gas Electric ater ewer Connected -C/O to Grade -HD Approval i ergy Compliance Certificate -Other Certificates Date [( 4j-) Card B-1 Date Y V57 Q Card 13-1 Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Com en a F al: V=OK O = Not OK Not •=NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C)"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete MISCELLANEOUS 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric S. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailinga/eneerStuc co -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -G FI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / /ILIL / /Nat. or/ /Lt./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Sime -Spacing -Marriage Line 3. Gas; MH Test-Demand-VaKeConnector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric S. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailinga/eneerStuc co -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -G FI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ;. T� 623 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please co ct this office immediately. te' Z, "'—•' :. . � —.1 ..- �Kr`� {i.� i — . �,c'�S.�,rt—a"��.L�^3tY g- s� s� COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 97 - 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. 'V— Date . Date 7 Inspector Pu REV 1OX2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violati the above address and should be corrected. Please no :'.N is completed. If you have any questions pertaining to thj please co;tac2s office immediately. Dzte REV 1 .V1Iri,111i Is of Butte County Ordinances exist at Fy this office when correction of work matter, or need additional explanation, c i7- < / A(J 141-25 . ' COUNTY, OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE -7-1 1) L �) :2'7= co/z 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, I please contact.this office immediately. Date ZInspector Ad REV 10/ 2 COUNTY OF BUTTE BUILDING DIVISION A DEPARTMENT OF DEVELOPMENT SERVICP-S 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 87.2-6307 CORRECTION NOTICE y S'. i ,lbs, ?:7-- 03 OWNER I 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, a please c ntact this office immediately. .v 1"'l /• Hw It (�U d�%�%rY/ �� ���•l �" l` C�'� I 'was, ;vg Ail, Date /g�7 Inspector REV 10/92 Y} Insulation Certificate BUILDING OWNER: BUILDING LOCATION: ' Description of Installation 1 t ROOF Material Thickness (inches) BUILDING PERMIT # : 11 Brand Name Thermal Resistance (R -Value) CEILING" �( �� Y ia` Battor BlanketType �1 i3e)- -'-- f +j5_5 Brand Name Thickness ('inches) 2 14 Thermal Resistance.(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL n r Brand Name �f_s _ ►'moi Malarial K r V�- Thickness (inches) Thermal Resistance (R -Value) 1 "� RAISED FLOOR Material � G S -S Brand Name Thickness (inches) Thermal Resistance (R -Value) / SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) "'�_-tmal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California A inistradve Code. General Contractor (Builder) License Number Signature and Title Sub -Contractor (Insulation Installer) Signature and Title License Number Date a THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY . SHALL BE POSTED WITHIN- THE BUILDING. JANUARY 1993 1 - � V COUNTY OF BUTTE -DEPARTMENT OF DtVELOPMENf SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P MIT NO. (Rgv.12/96>' APPLICATION AND PERMIT ��� ASSESSOR PARCEL NUMBER 071-430-020 ZONING U BUILDING PERMIT OWNERROBERT D. TIBBS - TE821N0436 SQ.. FT. OCC. BUILDING VALUATION 988 R 53 352.00 OWNER'S MAILING ADDRESS 666 SUTTER ST SP33 YUBA CITY, 95991 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1,500.00 Total Valuation $ 54,852.00' ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 437.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 284.05 BUILDINGADDRESS 211 HIDDEN SPRINGS RD Energy Plan Checking Fee $ 23.00 $ BERRY CREEK PERMIT FEE $ 764.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 • USEOFSTRUCTURE SF CR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 5 7.00 35.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ft Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 BEDROOM Gas piping system 1 - 5 outlets 15.00 .19.00 Building sewer 15.00 1 9_00 Mobile Home I S I G I W 920.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 - Main Service 200AORLLEESS 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w 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. I am exempt under Sec. Business and Professions Code for this reason TO Service To 46.00 NEW CONST. DWELLMain OCCUP. CU OR ADONS. ( & ACC. BUDS. SO 3.5¢,T. 34.98 NON -RES OT M NLCTI OCUTL� TS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 206'.00 BAL 6 .SO Ex. Occup. ouTL=Ts RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 11 ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Fng'cp.T) 19-00 Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 f i comply with those visions. 6* o X _❑ Date _ d_ Ignature o Applicant - ❑Owner Contractor ❑ Agent 11 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TOTAL FEE $1020.63 HAZ. D. PEF$. IMP FLOOD cDF PARCEL PD V/ vi HD Issu This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date -�- Date ReceiptNo. 210029 - 387. X05 ' 6 ,S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINY -INSPECTOR OLDENROD-APPLICANT r-rrl.H,....-rr1�7�.,.vi.�1'1i9..•rv�r^.v".iw•+.^trr.-..J1_r^f�»"tia.ri91..,,-L..,.�..y '�--.��,�'..... .�'r r•. •'v .. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER1 (bKJ 5 P. No. 091- t4o- COLO Proposed Building Use W� Building Inspector Date t� --,0 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items h ve been submitted . ....................................... . 2. Plot plans, /4 s ts, signed by preparer of plans.' ......................... . 3. Complete plans(14 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. -Hazardous Material Form . ............................................ Cfa� Energy Design Compliance and supporting documentation. . 7. Statement of Intent for Non -Heated and A/C Buildings. . 8. Engineered truss details and layout in duplicate (required prior to plan check). ....-1 I -TI 9. Mobilehomg dot n ' ufacturer's installation instructions, 2 sets. ........... Fees Of of $ ............9ngineer .................. . Impact fees as shown on attached schedule. . ........ L California Department of Forestry plan approva f? ........ . Flood elevation letter (100 year flog( by Cali orn. . 4 Sanitation and plot plan approvalyro ✓� L --Health Department . ............3 O 9 a,,-;- 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development.about (A) Improvements (B) Drainage. . Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for required. .. o Build g I�spedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner Mail to owner )..... ::: . Recorded copy of Agricultural Acknowledgement Statement. .. 25. Letter of signature authorization ......................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... ...................... 32. Plan check list . ..................................................... 33. 34. When you issue the erm' , p ocess as follows: Mail to owne Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 2 Acreage Applicant / Date _ Zo 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 toer it issuance: Ci cle new item not 1. Index permit for above items No. 1 d- 2. Additional items readired: k?A-lPJ►/ ked above). Contractor, designer, owner was advised of above required data by _ phone ✓mail Counter by _ Date Contractor, designe , o nwo er was advised of above required data by _ phone _ mail f C me by _ Date Plans checked by Date <� -;2 (0'97 Plans approved by ` � Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ola'' I� E.H. USE ONLY Plot Plan Attache Floor Plan Attached Sent to B.D. TO: Building Department a-2� FROM: Environmental Health SUBJECT: Sanitation Clearance / 1gas R ( L/O,2)oj J;12, N Owner Location -7 Ari-''< AP# Plan Approved for: SeEn aee PS al Water Supply: Public Private Well Clearance for dw g. �ther final for: Ftuarclearance O. .for: (VOTE: mental Health Skeciwri,st Date 8/96 %"�Tr'i`L:`::4'�dt1? {".r'97�:'�:i�;e�'��r`��'�'� '��� .Fn:'g7 .,a. � cny,y.�.t;;t,rW•.., + ^+^ !.,��,r-n+ t..s�• yr -,+_, ..... . COUNTY OF BUTTE -. DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER f ` �5 A.P. # M l— (43b— oa-6 PROPOSED BUILDING USE ,..._DATE Q A9 .t REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due .............. $_103_ d -- Additional Fees Due .. -. $ -- Additional Fees Due ............ $ -- Revised Plan Checking Fee` ....... $ 2. SCHOOL DISTRICT FEES ,1 (paid at District Office) 'Z 46P - / % �3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $po, Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential'(per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) Ok-7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ). $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 0 WIRMEmm-m- W—wo, I ipwo! At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE \ Original -Owner Copy -Building Div. (Rev. 12/96) „y.�: :•::.:;.:: ......,^......:!Y?�?i� ,'a:�2�,.YF,:`i,'+?fG'r::C:R�O'�S'i!.°n�l'A4'':b)•$Rii�.�.`pV�i�i.\ .:•:Y•�..::....... . :.:.. �.......?on..:: ��rc.s:•R�E;:v>EE, xw.. � �tiv:::E,v..i�c:N)My:..;� Y:;t;::2:::;;'t'v;:is�:�;-'.2�:.%::::�:;`.•JF•,;.:..:....:::.::,;�.::;>::s� �:c:�.::::>2.�'%aii'.\':.:SxX{:»i:iQ 'Ea' � Z..iCkT'•:•,2 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. n I personally plan 'to. provide the major labor and materials for construction of the `✓ proposed property improvement : YESk] NO[ I ' 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: C'IT'Y• PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CIT"y: PHONE: - CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to - provide'the work indicated: .NAME ADDRESS PHONE TYPE OF WORK blu�NED: � . PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: - 9 d -- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 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. ork If you plan to do your own w, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: _ 0 If you employ or otherwise engage any persons other than your immediate family' and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed. as contractors or subcontractors, then you may be an employer. = 0 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. 0 There may be financial risks for you if you o noancarry out these obligations, and these risks are especially serious with respect to worker's compensation 0 For more specific information about your obligations under Federal Law, contract 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 In 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 "ownerbuilder" implying that the property owner is providing his or her own labor and material building permit, erroneously equired to be signed by property owners unless they are performing their own personally. Building permits are not r 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. 95314. 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. S nce rel , . `' Micha4l C. Vie6a, C.B.O. Manager, Building Inspection NOTE: This owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER RESIDENTIAL PLAN CHECKING GUIDE SINGLE. FAMILY, DUPLEX AND MISCELLANEOUS -ONLY OWNER: ]K. berg- I t % 6 t5 BUILDINGPERMT!'NUMBER `7 ?-O 5/ Z PLAN CHECKER: i�'�� I�cI A P. NUMBER: Zoning requirements: (side yards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. ,6"" Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). y Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yards, easements, etc. �! Other buildings or structures. Grading, fills and/or drainage. ,Sr Flood hazard. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. dt F.A.S. road setback. A" Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). /7' G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). ,� Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. ,0' Garage firewall, door size and closer (Section 302.4). ,W. Minimum of one 3.0" exterior door (Section 1004.6). JZ. Fireplace and wood stove location, alcoves and clearance. }W Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). ,3! Clerestory requiring balloon framing and/or engineering. 14. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 12 ''0. Elevations and wall construction details complete enough to construct building. p-56 (p/� 2 Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. or Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. J� Header size. Sheetrock nailing inspection required? July 1996 3.2 NUSCELLANEOUS ITEMS TO LOOK OUT FOR* Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). fV Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1-hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). J-Y Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. July 1996 3.3 PERMIT APPLICANT ROBERT D. TIBBS ASSESSOR PARCEL N0. 071-430-020 PERMIT NO. 97-0312 2/26/97 DATE The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: BRACING, LOCATION AND•METHOD USED ARE NOT ON PLANS. I WILL DETAI4 PLAN n BUT YOU NEED TO IDENTIFY MATERIAL USED FOR EXTERIOR SIDING. (kAf B&, � 4 --� PROVIDE ENERGY CALCS. �. WINDOW IN 1ST BEDROOM IS TOO SMALL. MINIMUM SIZE WINDOW IS 17 SQUARE / FEET. (CROSS REFERENCE TO ENERGY). f� PROVIDE HEIGHT OF EXTERIOR WALLS & INTERIOR CEILING HEIGHT. PROVIDE LOCATION OF AND TYPE OF HEATING.UNIT. SECTION VIEW OF HOUSE SEEMS TO SHOW SITE BUILT TRUSS. BUTTE COUNTY DOES NOT ACCEPT SUCH -.TRUSSES. SIZES SHOWN FOR RAFTERS AND CEILING JOISTS ARE OVER -SPANNED. PROVIDE EITHER A STICK -FRAME ROOF / CEILING PLAN SHOWING ALL BEARING OR PROVIDE ENGINEERED TRUSS SYSTEM INCLUDING LAYOUT. 2 X 8 FLOOR JOISTS ARE LSO OVERSPANNED AT 24" O.C. THEY WILL SPAN DIS- TANCE IF PLACED AT 12" O.0 PROVIDE CORRECT SIZE AND SPACING. PLAN CHECK CAN BE COMPLETED AFTER THE ABOVE ITEMS HAVE BEEN SUBMITTE. MARTHA WHITNEY - PLAN CHECKER If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Thursday. LAND OF NATURAL WE A L TH. AND BEAUTY -_ �:.,•. � 'rte BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 2/26/97 FAX: (916) 538.2140 ROBERT D. TIBBS 666 SUTTER ST SP 33 YUBA CITY, CA 95991 Re: B.P.#97-0312 A.P.# 071-430-020 With reference to the above.subject; attached is: [ X] Plan Check List [ J Red Marked Calculations [ ] Red Marked Plans [ ] Other 'Action Required: [}� Comply With Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, MARTHA WHITNEY PERMIT APPLICANT ROBERT D. TIBBS 071 430 020 PERMIT NO. 97-0312 2/26/97 ASSESSOR PAROL N0, DATE The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: /1! BRACING, LOCATION AND,METHOD USED ARE NOT ON PLANS. I WILL DETAIL PLAN BUT YOU NEED TO IDENTIFY MATERIAL USED FOR EXTERIOR SIDING. PROVIDE ENERGY CALCS. WINDOW IN 1ST BEDROOM IS T00 SMALL. MINIMUM SIZE WINDOW IS 17 SQUARE FEET. (CROSS REFERENCE TO ENERGY). 406-0 PROVIDE HEIGHT OF EXTERIOR WALLS & INTERIOR CEILING HEIGHT. PROVIDE LOCATION OF AND TYPE OF HEATING.UNIT. 6. SECTION VIEW OF HOUSE SEEMS TO SHOW SITE BUILT TRUSS. BUTTE COUNTY DOES NOT ACCEPT SUCH TRUSSES. SIZES SHOWN FOR RAFTERS AND CEILING JOISTS ARE OVER -SPANNED. PROVIDE EITHER A STICK -FRAME ROOF / CEILING PLAN SHOWING ALL BEARING OR PROVIDE ENGINEERED TRUSS SYSTEM INCLUDING LAYOUT. /7! 2 X 8 FLOOR JOISTS 0 OVERSPANNED AT 24" O.C. THEY WILL SPAN DIS- TANCE IF PLACED A 12" .0 PROVIDE CORRECT SIZE AND SPACING. PLAN CHECK CAN BE COMPLETED AFTER THE ABOVE ITEMS HAVE BEEN SUBMITTE. MARTHA WHITNEY - PLAN CHECKER If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Thursday. A �J ;I 97--0072.481 Re Fee And when recorded mail to: I Ch eck Building Division 1 Recorded 1 #7 County Center Drive t Of f iciai Records I Oroville, Ca. 95965 County of I Butte I Candace J. Grubbs I j Recorder 1 2:17pm 26 -Feb -97 I PURL 12-00 12.00 XX 3 r AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers, and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte. State of California, described as follows: see \eco \ QesCc����on v DENISE TERRIAH COmmisslon if 1073963 Mfr CPS 1 Notary Pubic Butte County, Califomfa My Commtslon Exp. SEPT. 30,14 Dat y� ) PR R OWNERS: s State of California ) Countv ok�u'�\.e_ ) On before me, personally appeared �C�y personalh known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. - DENISE TERRIAH omitz 107399631`1 i. A.o, , Nota f' �u'd`c , Signature eal:< Butte County, Cu;iom�a My Comm)sslon Erd. ; PPT. 30, i 999 A.P.# 0 1, 1- 4 —00-0 NOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement of Acknowledgement: I 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). OVER ORDER NO. BU -158232-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS 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 APRIL 19, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 17. PARCEL II• A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEETTIN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF LOT 3 IN SECTION 2, TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 89 DEG..50'.18" WEST ALONG THE NORTH LINE OF LOT 3 A DISTANCE OF 449.44 FEET TO THE POINT OF BEGINNING OF THE.FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING, SOUTH A DISTANCE OF 522.64 FEET; THENCE NORTH 89 DEG. 52' 30" WEST A DISTANCE OF 1797.79 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 AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH 00 DEG. 35' 10" WEST, A DISTANCE OF 29.47 FEET ALONG THE WEST LINE OF THE SOUTHEAST QUARTER OF THE. SOUTHEAST QUARTER OF SAID SECTION 35 TO A POINT ON THE CENTERLINE OF CANYON CREEK ROAD, ALSO KNOWN AS ROCKEFELLER ROAD; THENCE.LEAVING THE WEST LINE OF.THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 35, AND RUNNING ALONG THE CENTERLINE OF SAID CANYON CREEK ROAD, NORTH 71 DEG. 06' 05" WEST, 52.99 FEET AND NORTH 53 DEG. 19' 05" WEST, 143.94 FEET; THENCE SOUTH 44 DEG. 55' 05" EAST, 30 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID TRUE POINT OF BEGINNING, SOUTH 45 DEG. 04' 55" WEST, 272.58 FEET; THENCE SOUTH AND PARALLEL WITH THE NORTH. AND SOUTH CENTERLINE OF SAID SECTION 35, TO A .POINT WHICH BEARS NORTH AND PERPENDICULARLY DISTANT 30 FEET FROM THE SOUTHERLY LINE OF SAID SECTION 35; THENCE WESTERLY AND PARALLEL WITH THE SOUTHERLY LINE OF SAID SECTION 35, A DISTANCE OF 980 FEET, MORE OR LESS, TO THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 35 AND THE END OF SAID CENTERLINE. CONTINUED ORDER NO. BU -158232-3 DESCRIPTION - CONTINUED PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER THE EAST 30 FEET OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 18, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 17. t LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. --97-03/P �r�K,1,► , Lol s n-at'j S/c-- NAME: 1 in .sT ' NUMBER: n,"? PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: U FLOOD ZONE: FLOOD MAP: 2 5 © 13 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP V/WA s � � - 3S - Z7, 1/11/v DEED INFORMATION: 2 A DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS`- -I MAP INFORMATION: • I. DATE OF RECORDING LOT BOOK / PAGE /-7 COMPLIANCE WITH OLD SUBDI SION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THEBUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of -road. (pVe-" SI'12q NGS 12-*Aj 2. Maintain a 60 ft.building setback from rig ht-of-way/sef4wiine of COO I- I2lW A-l.nry G �V 67STEK�.� 3. Comply with Zoning code for building setback from road.���-Tt� LANE �j9NLl?) 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the PAnning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. '� - t M e`T� �� a til (� �{ - o �2 5 S'rYLa-r 4 ✓� Y42 �3 L w t 'P(_Ace0 ���� �f48,E A130V,66aOVy�NO TO A-LLa IAJ 22. r-VL�� t' '0 V6 )Lg O� W I L- k9 �--I r'� ► A-rL i2-1 tr-m N C I rJ 6 i�l M 1 t-� 7 a ti -o nn.�s t 1 J Q Y2 G ,4 IR-� AEN s N c� . 23. 1/?- A -e-- t2 -e- 1 IJ A'VL ifA 24. F-1 Y2-6 ter e- A4�s -� N O sH-Aie-� ►(�-o � � r� � CD 3 c Gc-� � c-� �-ovN moi' rc� ctvt2�S 2 5. S e-tf q 9 M 17 'U 12 L- 0 C-" O rt 0 V 1 -'FA -C WE I al, IJ E (Let' - 26 Ala iMdOlWa aw 311118 j0 AIN600 1661 9 2 933 MAW 3H LD 7/96 CAM51 \FORMS.MBLDGPERM.CLR Fv-w•.�ryvlm�rs^t �"t+'� � , �5 � �° i�C'Ys�t�""pr`+w �t:'.:. _ �n` r �"'.' h�«�z-rtrnT.,-y..-� : + _. c.Cn.•-•--^"+•. F a' J ,BUTTE COUNTY SCHOOLS IMPACT -FEE -CERTIFICATION FORM (One Form Per Building) School District O_tC�lil �'e Building Department No. A.P. Number Ctlk q'50-0?a Jurisdiction: 0 City d County Property Owner iC 10 �j 5 Property Location/Address Subdivison ` ; �: Lot No. Residential Development Sq. Footage } 109 No. of Living n .. MHI Addition (Group R) Units FTI. Commercial/Industrial t �x Identificatigr�No. &:A 11 n y (City), (Floor Plans reviewed by School District Personnel) 970092 )I District certifies thlt Sq. Footage N (Including Exterior Roofed Areas) Date r y (Applic nt) JPfiph Number) ` (State) (Zip Code).• has complied with the requirements of Resolution No. —77 by payment of $ r�17. representing g square feet. School District Representativ( AB 2926 $ FULL MITIGA Date I'm Paid by Check # Remarks: Bank Number Paid by Cas I If, subsequent to the School District Representative signing this Butte County Schools Impact Fee ' Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality -Acf (CEOA), this project may be subject. to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm rte.. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, Cal,, ornia-95965 - Telephone (916) 538-75 PERMIT No. (Rev. 12'/96) APPLICATION -ARD PERMIT - ASSESSOR PARCEL NUMBER 071-430-020 ZONING - U POILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,666 :fffTTPr CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'SMAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 437.00/2 $ 218.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 711 HIDDEN SPRINGS R Energy Plan Checking Fee $ 1!7171 $ PERMIT FEE $ 233.50 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK -New ❑ Addittio' ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ oDescribe Wrk: RENEWAL OF PERMIT #97-0312 Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee 20.00 600V OR LE 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw 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 200A TO 1000A 46.00 NEW CONST. DWELLG OUP. INCC OR AD DNS. ( g ACC. BLOB. SG 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. ANC C", c TS @7.50 APPARATUS ISI.OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 100 BAL p .W Ex. Occup. ou7lEE0T5 AEESSIo.oFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this 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 mariner 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 fort ith omply with those provisio L q X ��—e�rJ ! —_1 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 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 $ 238.50 HA2. D. FEES IMP I FLOOD I CDF PARCEL I PD NO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fe have BC PERMIT EXPIRES ON 3-17-99 the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CAS! `ARMY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 `)�i NO 0 2• I HAVE V. HAVE NOT ❑ signed an application for a building permit for the proposed w6dL 3. I have contracted with the following person (firm) to provide the proposed construction:.:..; :. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: -Thu Owner -Builder Verification is required by S—ection Ig83Ia-nU7932—ofW— California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. • ; OWNER BUILDER INFORMATION 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 parry 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 5300 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, 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 1'united 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 contrac!grs 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. +irely, Vi ira, C.B.O. ,uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health andSafely Code- OVER ode OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - OrovilliL, California 95965 - Telephone (916) 538-754,1-� D E NO. (Rev. 12/96) APPLICATION AND PERMIT `� bb ASSESSOR PARCEL NUMBER 071-430-020 ZONING U BUILDING PERMIT jr OWNER ROBERT D. TIBBS TETIQ[[,,11NEO436 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 666 SUTTER ST SP. 33 YUBA CITY, 95991 CONTRACTOR'S NAME OWNER OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS HIDDEN SPRINGS RD Ener Plan Checking Energy g Fee $ BERRY CREEK $ PERMIT FEE s LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ELECTRIC FOR WELL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service loon oa UEos 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Section 7000 of Division 3 of the Business and Professions Code, (commencing ) and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. SO 3.5¢FT: NEW CONST. MULTI -OUTLET NON -RESIST ANC CI /c 1.7.50 OWER APPARATUS 6 SINGLE OUTLET CIH. Ex. Occu OUTLET OR FocruREs ens p':ao Ex. Occup. oU ETS (RESo.1 OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE TYnw ERMIT FEE $ 66. no WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 h ' h comply with those pro n X _ Date - /,3 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICpk PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 NAZ. D- FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT E IRES ON I ____/z 9 /gy ate Receipt No. 209889 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..r...�r�'�•��iYrhl����'�`�'��J�-t:; ..� .."T� ����'(1!!Y�`.1sY"��.!'�ib1��.'^'Tr-•y "1�\N�4..+w''Y�rt. }.. ..N_K.✓r'-'i'.'t,. y_ nw...M...n.r.� COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 r PERMIT APPLICATION DATA SHEET OWNER O b, � S No. Proposed Building Use L f L wP Building Inspector A?2 Date �3 At time of permit application,. I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1, All items have been submitted . .................................... . . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans : ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of,$ :.......... f :..................... . 11. Impact fees as.shown on attached schedule.�. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (cons )u •tion approval required prior to occupancy). . . 20. Pre -inspection for ��' c it to *4I spection requeis required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :............ .. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date �~ C? Acreage 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 _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works .. . r����<:>�>:::a::%:::>r:�:•u�ig;%��tf.� a :.`� .`i�1..' ..`�S�o-��F;S..�%s�::?ata:'•">�siAiy?3¢:w%��3:�`011....., ... ..+r,„•:::. ::::•:;:?+•:'•w.::rti:w:... .. at;:, •::;:a��_ ,i.'i.:.:'9fxd ::a.::>Z \\ •:� .......:..........��rs:a�i:'thl�.s�is.♦ r::::•::::.,.:: •:.:.:•:::. 3: '. ;ic%Xe�i;R:?0de'",. :ayia�'•t 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 IQ provide the major labor and materials for construction of the proposed property improvement: YES[J NO[ ). ' .2.: I HAVEK] • HAVE NOT[ J 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: d D if3 (3 5 ADDRESS: G ss CITY kz, PHONE: R2) o u CONtRACTORIS LICENS NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: Az ADDRESS: CITY: 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: NAvfE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: �( SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. that as "owner -builder" you are the responsible party of record For your protection, you should be aware 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. ork, with the exception of various trades that you plan to subcontract, you If you plan to do your own w should be aware of the following information for your benefit and protection: and the work (including 0 If you employ or otherwise engage any persons other than your immediate family, 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. 0 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 contnbutions. 0 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. 0 For more specific information about your obligations under Federal Law, contract 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 "ownerbtulder" building permit, erroneously implying that the propertyowner 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. 95314. Please complete the "Clwner 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. S nSerel Iviicha4l C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER OWNER:ri LOCATION: /a ' (mow rLe- C CONTRACTOR _ ?RE -INSPECTION FOR P I S DATE TO INSPECTOR: PERMIT HISTORY: ONE [ ]AS FOLLOWS: A -PA 0/- ZONING: (�- TYPE OF OCCUPANCY: 4i ; BUMDING INSIECTOWS REPORT ig Description: [ ] Commercial/Usage: [ ] Residential/9 of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. [ ] Yes [ )No Electric is currently : [ ] On [ ] Off Condition of electrical? Natural( ] 'Propane( ] None[ ] Currently On[ ] Off[ ] Obvious problems: itation: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Potable water: es[ ] No[ ] Obvious Sewage Problems: Recommended: ]Issue [ ]Hold for:_ Date: T Title 24 Compliance Documentation Tibbs Residence 211 Hidden Springs Road Berry Creek, CA SolarCraft Energy Consulting 881 Notre Dame Drive Woodland, CA 95695 1992 Energy Efficiency Standards (Micropas v4.50) BUTTE MLit-11ITY .. f- . 00 i i NO �.. Ri- o 3c TABLE OF CONTENTS TOC Project Title.......... Tibbs Residence Date........ 02/24/97 P t Add 211 H'ddd ******* ro�ec res......... i en SpriR ngs Berry Creek CA *v4.50* Documentation Author... Bruce D. Lampinen ******* Building Permit Solarcraft 881 Notre Dame Dr Plan Check / Date Woodland, CA 95695 916-662-2506 Field Check/ Date Climate Zone.. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 Fite-TIBBS Wth-CTZ11S92 Program -TOC User#-MP1143 User-Solarcraft Run -Tibbs Residence TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM C -2R ..... ............. 3 HVAC SIZING ............... 5 CERTIFICATE OF COMPLIANCE: RESIDENTIAL ' Page 1 CF -1R Project Title.......... Tibbs Residence Date........ 02/24/97 Project Address........ 211 Hidden Springs Rd ******* Berry Creek CA *v4.50* Documentation Author... Bruce D. Lampinen ******* Building Permit Solarcraft 881 Notre Dame Dr Plan Check / Date Woodland, CA 95695 916-662-2506 Field Check/ Date Climate Zone.. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 Fite-TIBBS Wth-CTZ11S92 Program -FORM CF -1R User#-MP1143 User-Solarcraft Run -Tibbs Residence GENERAL INFORMATION Conditioned Floor Area..... 988 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 1 Number of Stories... ...... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 11.1 % of floor area Average Glazing U -value.... 0.87 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Insul Assembly Type Type R -value R -value. R -value U -value Location/Comments Wall Wood R-19 R-n/a R-19 0.065 front, left -garage back, right Floor Wood R-19 R-n/a R-19 0.037 over crawlspac Roof Wood R-38 R-n/a R-38 0.025 attic Door Wood R-0 R-n/a R-0 0.330 solid wood FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Window Front (W) 16.0 0.870 2 Drapes.Std None Yes Metal Window Front (W) 12.0 0.870 2 Drapes.Std None Yes Metal Window Left (N) 16.0 0.870 2 Drapes.Std None Yes Metal Window Left (N) 16.0 0.870 2 Drapes.Std None Yes Metal Window Left (N)Zo-n" 0.870 2 Drapes.Std None Yes Metal Window Back (E) 16.0 0.870 2 Drapes.Std None Yes Metal Window Right (S) 5.0 0.870 2 Drapes.Std None Yes Metal Window Right (S) 5.0 0.870 2 Drapes.Std None Yes Metal Window Right (S) 7.5 0.870 2 Drapes.Std None Yes Metal HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Furnace 0.800 AFUE Attic R-4.2 Setback ACSplit 10.00 SEER Attic R-4.2 Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Storage Gas Standard 1 0.60 EF 40 R-0 SPECIAL FEATURES/REMARKS VA . � 'U CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title .......... Tibbs Residence Date........ 02/24/97 MICROPAS4 v4.50 File-TIBBS Wth-CTZ11S92 Program -FORM CF -1R User#-MP1143 User-Solarcraft Run -Tibbs Residence COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. ENFORCEMENT AGENCY Name.. . Title... Agency.. Phone... Signed.. (date) DESIGNER.or OWNER DOCUMENTATION AUTHOR Name.... Robert Tibbs Name.... Bruce D. Lampinen Company. Company. Solarcraft Address. 211 Hidden Springs Rd Address. 881 Notre Dame Dr Berry Creek CA Woodland, CA 95695 Phone... 916-821-0436 Phone... 916-662-2506 License: Signed.. Signed.. u * 1 (q 4v ( ate) I ( ate-) ENFORCEMENT AGENCY Name.. . Title... Agency.. Phone... Signed.. (date) COMPUTER METHOD SUMMARY Page 3 C -2R Project Title........... Tibbs Residence Date........ 02/24/97 Prot Add 211 H'dd S Rd ******* �ec res......... i en p. ng. Berry Creek CA *v4.50* Documentation Author... Bruce D. Lampinen ******* Building Permit Solarcraft 881 Notre Dame Dr Plan Check/Date Woodland, CA 95695 916-662-2506 Field Check/ Date Climate Zone..... ... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. . MICROPAS4 v4.50 Fite-TIBBS Wth-CTZ11S92 Program -FORM C -2R User#-MP1143 User-Solarcraft Run -Tibbs Residence MICROPAS4 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 12.07 11.84 0.23 Space Cooling.......... 15.97 16.64 -0.67 Water Heating.......... 19.02 18.31 0.71 Total 47.06 46.79 0.27 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... 988 sf Building Type.............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Raised Floor Number of Building Zones... 1 Conditioned Volume.......... 7904 cf Footprint Area......... . 988 sf Ground Floor Area...... . 988 sf Slab -On -Grade Area....... 0 sf Glazing Percentage......... 11.1 % of floor area -Average Glazing U -value.... 0.87 Btu/hr-sf-F Average Ceiling Height..... 8 ft BUILDING ZONE INFORMATION "'Urrp 14 Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 988 7904 1.00 Yes Setback 2.0 n/a OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE 1 Wall 160 0.065 19 270 90 Yes None front 2 Wall 256 0.065 19 0 90 No None left -garage 3 Wall 172 0.065 19 90 90 Yes None back 4 Wall 287 0.065 19 180 90 Yes None right 5 Floor 988 0.037 19 n/a 0 Yes None over crawlspac 6 Roof 988 0.025 38 n/a 0 Yes None attic 7 Door 20 0.330 0 270 ' 90 Yes None solid wood 8 Door 20 0.330 0 90 90 Yes None solid wood "'Urrp 14 COMPUTER METHOD SUMMARY Page 4 C -2R Project Title.......... Tibbs Residence Date........ 02/24/97 MICROPAS4 v4.50 File-TIBBS Wth-CTZ11S92 Program -FORM C -2R User#-MP1143 User-Solarcraft Run -Tibbs Residence FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE 1 Window 16.0 2 Metal Slider 0.870 270 90 0.88 0.78 Drapes.Std 2 Window 12.0 2 Metal Slider 0.870 270 90 0.88 0.78 Drapes.Std 3 Window 16.0 2 Metal Slider 0.870 0 90 0.88 0.78 Drapes.Std 4 Window 16.0 2 Metal Slider 0.870 0 90 0.88 0.78 Drapes.Std 5 Window 16.0 2 Metal Slider 0.870 0 90 0.88 0.78 Drapes.Std 6 Window 16.0 2 Metal Slider 0.870 90 90 0.88 0.78 Drapes.Std 7 Window 5.0 2 Metal Slider 0.870 180 90 0.88 0.78 Drapes.Std 8 Window 5.0 2 Metal Slider 0.870 180 90 0.88 0.78 Drapes.Std 9 Window 7.5 2 Metal Slider 0.870 180 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS -Window- overhang- -Left Fin- -Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght - - - - - - - - - - HOUSE 1 Window 16.0 4 n/a 2 4 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 12.0 4 n/a 2 4 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 16.0 4 n/a 2 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 16.0 4 n/a 2 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 16.0 4 n/a 2 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 16.0 4 n/a 2 4 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 5.0 2.5 n/a 2 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 8 Window 5.0 2.5 n/a 2 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 9 Window .7.5 2.5 n/a 2 0.5 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency Furnace 0.800 AFUE Attic R-4.2 0.830 ACSplit 10.00 SEER Attic R-4.2 0.810 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value 1 Storage Gas Standard 1 0.60 40 R-0 SPECIAL FEATURES/REMARKS HVAC SIZING Page 5 HVAC Project Title.:...:..... Tibbs Residence Date........ 02/24/97 Proet Add 211 H"U;,4.4U;,4.4S d ******* lc .... i en v, ngs R Berry Creek CA *v4.50* Documentation Author._ Bruce D. Lampinen ******* Building Permit Solarcraft 881 Notre Dame Dr Plan Check / Date Woodland, CA 95695 916-662-2506 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-TIBBS Wth-CTZ11S92 Program -HVAC SIZING User#-MP1143 User-Solarcraft Run -Tibbs Residence GENERAL INFORMATION Floor Area:........:....... 988 sf Volume ..................... 7904 cf Front Orientation.......... Front Facing 270 deg (W) Sizing Location...:........ OROVILLE RS Latitude ........:.......... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... No Exterior Shading Used...... No Overhang Shading Used...... No Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 5252 2691 Glazing Conduction ............... 3811 2477 Glazing Solar .................... n/a 3442 •Infiltration ..................... 4496 1846 Internal Gain .................... n/a 1875 Ducts ............................. 1356 1233 Sensible Load .................... 14914 13564 Latent Load ...................... n/a 2713 Minimum Total Load 14914 16277 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. PkI Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential building subject to the standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (") may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the documents, the features noted shall be permit considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. 1 Description Designer Enforcement ' Building Envelope Measures ' 150(a): Minimum R-19 ceiling insulation. §§150( Loose fill insulation R-38 ): manufacturers labeled R-Value.3$— ' :§150(c): Minimum R-13 wall insulation (does not apply to exterior mass walls).— § 150 d : Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete concrete raised floors. R-19 § 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor ' transmission rate no greater than 2.0 pernr/inch. § 118: Insulation specified or installed meets California Energy Commission quality n/a standards. Indicate type and form. see plans §116-17: Fenestration Products, Exterior Doors and Infrltration/Exfrltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. ' b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped• all 'oints and penetrations caulked and sealed. 150() Vapor barriers in �4 see�lans mandatory Climate Zones and 16. 1500: Special infiltration barrier installed to comply with §151 meets CEC standards. n/a nTa quality ' 150 e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door. b. Outside air intake with damper and control. c. Flue damper and control. ' 2. No continuous burning gas pilots allowed. see plans SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES ' 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. seeIn ans 150(i): Setback thermostat on all applicable heating systems. see plans 1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g. unfired storage tanks or backup solar hot water tanks) have insulation blanket(R-12 or greater) or combined interior/exterior rnsulation(R-16 or greater). ' 2. First 5 feet of pipes closest to water heater tank, non -circulating systems, insulated(R4 or greater). 3. All buried or exposedpiping insulated in recirculating sections of hot water system. 4. Cooling system prpmg below 55 F insulated. ' 5. Piping insulated between heating source and indirect hot water tank. see plans •§150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R4.2 or ducts enclosed entirely within conditioned space. ' 2. Exhaust fans stems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned spacehave either automatic or readily accessible, manually dampers. see plans § 114: Pool and Spa Heatink Systems and Equipment 1. System is certified 78 /o Thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" pr between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. n/a § 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning light (Exception: Non -electrical cooking appliance wrtli < 150 Btu/hr.) pilot pilot see plans tLIGHTING MEASURES §I50(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC(insulation cover approved). see plans Revised January 1992 1 r. Gum 1071-430-020 #98-2238 RESIDENTIAL TIBBS, ROBERT 211 HIDDEN SPRINGS RD. BERRY CREEK OWNER OPEN DECK PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Pow - Called Temp. Elec Called Temp. Gas Called JOB FINAL Signak I V=OK O = Not OK •=NottRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s / 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ / L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Value -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date D K , COVERS, CARPORTS, GARAGES lana OK except #'s / 9. /-irig Requirements -Setbacks -Easements Pfjwngs; Soils-Size-DepthSpacing-Connectors-Steel ks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing VeneerShxxo-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Datj Date t h Card B-1 Date Card B-1 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability . 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plats) OK except #'s V. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth 3. Flq. Garage; Soils-Steel-Elec. Gmd/ /° Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size BEes & No. of Conductors Stapled 26. Romex 1 stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI -A -C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters p Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: l ` 1a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75 13M IT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUI OE. 071-430-020 ZONING BUILDING PERMIT OWNER TIBBS, ROBERT TELEPHONE SO. FT. OCC. BUILDING VALUAT O . OWNERS MAILING ADDRESS 211 HIDDEN SPRINGS R. BERRY CREEK 208 1456.00 CONTRACTOR'S NAME OWNER TELEPHONE 589-2791 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1456.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 .00 BUILDINGADDRESS 211 HIDDEN SPRINGS RD. Energy Pian Checking Fee $ BERRY CREEK $ PERMIT FEE s 78.00 LOTNO. SUBDNISION'SNAME ° EMAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service =,v, 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.PSINGLE License Class Lic.No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 10, 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 200A TO 46.00 NEW CONST. DWEWNG OCC CU OR ADDNS. ( a ACC. BLns.UP. SO 3.5¢Fr: NEW NON-pESID. T.MULTI.TIQUTITS @7,50 OWER APPARATUS a OUTLET CIR. Ex. Occup.OUTLET ORFOLruREs 20�'�00 BAL o ,50 Ex. Occup. OMED D a� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -for by section 3700 -of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this 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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Jmlywit ose isions. X Date — 0 Sign ture of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 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 $ 78.00 HA2. —r. D. EEA IMP FLOOD Y CDF PARCEL _ PD H ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. /Dat/ p �I (/� / / jbwb) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Plot Plan Attached �— l Floor Plan Attached ^• . I Sent to B.D. / s, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner" Location �— AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other emelt FXaL Hold final for: Final clearance O.K. for: NOTE: 0-0)v Environmental Health Specialist 8/96 Date d, c COUNTY OF BUTTE DEPARTMENT OF DEV,ELO MBNT SERVICES - BUILDING DIVISION rr 7 COUNTY CENTER DRIVE - OROVILLE, CALIIF , 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NU,OBER: e�) / Proposed Buildin Use:}:' uilding Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or i`suance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ -----------------------------------------------------------------------------------=- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- rSaanitation and plot plan approval �ealth Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- . r- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----- ------------------ 0 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization.-------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C,.D $ .--------------- 030. -------------- ❑30. Other: -_--_- When you issue the t, prg ess as follows C1 Mail to owner, ❑ it to contractor. � en d� / j Telephone and hold for pickup at re. ❑ Deli w' ector. Applicant: /Date : Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: / By: 1. Index permit application for the above items numbered: rf ❑ Plan Check List ,.2. Additional items required: f Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuildingAvision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil#j Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13 phone, ❑ mail, ❑ Building Di 'sion counter, by Date' Plans reviewed by: Date: Plans approved by:Date: .d Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. •• OWNER -BUILDER VERIFICATION ... W . Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �1. I personally plan, to provide the major labor and materials for construction of the proposed property improvement: YES NO 13 2. I HAVE O HAVE NOT 84igned an application for a building permit for the proposed work, 3. I have conuvAe fi with the following person (firm) to provide the proposed construction:` I NAME: o Pf�.�` i l t3 ADDRESS: )1 14> on -4j S OW CITY: 1>sz ✓, iy C : e f c :.`' CONTRACTOR'S LICENSE NO. F 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prpvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO)NNER: SOCIAL SECURITY NUMBER: DATE: 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 OWNER BUILDER INFORMATION - Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property`•, improvements specified. Foryour protection, you should be aware that as "owner -builder" you are the responsible parry ofjecord on such a permit. Building permits are not required to be signed by proper, owners unless they are personally perforating 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 bug*' license from the city or county. They are also required bylaw to put their license number on all permits. for which.they apply. r, 'y... If you plan to do your own work, with the exception of various trades that you plan to subcontract, yotti, ldl k be aware of the following information for your benefit and protection: ' '• 'i ?�? A ♦ If you employ or otherwise engage any persons other thanyour immediate family, and the work (including and other costs) is 5300 or more for the entire project, and such persons are. not licensed as contracLos,.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:am subject to several obligations including state. and. federal income tax.withholding, federal social securit_ytaxes: workers compensation insurance, disability insurance costs; and unemploytnent c?mpensation contributions: ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially sMous with respect to worker's compensation insurance.; ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service land, 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. =s` - 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 66r'Iii@61 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 contrac!prs 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 d* you... are aware of these matters. The building permit will not be issued until the verification is returned. p. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder,lnformation is required by Section 19830 of the Callfornla fleapit and Safety Code - OVER t; 4: dj". 0 "O i M, 1 G O M, 1 "D Q T -- L w CU --I )400,�-) _-e_ .i ryx%�a )Z L --I )400,�-) _-e_ .i 07I-4p_�7 . GO A in. high with Is to be not L 07I-4p_�7 . GO A in. high with Is to be not a