HomeMy WebLinkAbout072-062-016IC
072-06-2-016 AC 73
AGRICULTURAL EXEMPT PERMIT
JOHN ROBERT SMITH
FEED SHED i 7
072-04-016. PERMIT#94-2571 t
SMITH, JOHN yv�-��• /V y i
45 LOST HORIZON DR., OROVILLE �" 072-062-016 AG 00-133 i
ELE FOR WELL & FUTURE LOT DEVELOPMENT SMITH, JOHN ROBERT
45 LOS'DR.VILLE
072-062-016 PERMIT#94-294 NO AGRICULTURAL "I
SMITH, JOHN R.
45 LOST HORIZON DR.,�ILLE
MOBILEH0ME UTILITIF
ELECTRIC G
GAS LINE
r ,
COMP ION TEST REQ
PORT STRUCT REQ
072-062-016 PERMIT#95-1397 1
SMITH, John R. t
45 Lost Horizon Dr., Orovill —
New Single Family ✓� /��
072-062-016 PERMIT#95-2987
SMITH, John l
45 Lost Horizon Dr., Or-11
l� i
Woodstove/SFb I% l 44
1
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NOzo 3
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public. rL 0b 7-G, E-- Y
ASSESSOR PARCEL NO.,� q O l
ZONING
OWNER 0 Ste/ `�
� (
PHONE NO.�0 kZ
D
OWNER'S ADDRESS
LOCATION OF BUILDING
Alf D i Q
•�
USE OF BUILDING
SIZE OF STRUCTURE p �y q�
' � '
X _ �� SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TyPE
ESTIMATED COST OF CONSTRUCTION
$ D D O
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: 0 �I I - t -
FRONT 11"-f- SIDES -JC, 4Pv- - REAR -2 6 /4vlv-
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to complit the re reme s in effect at that time and before
occupancy. i ��
Date 9 — 3 ®— 0 �9 Signature o
Permit Fee - $60.00
57 le,t No.' 95,
�S
The above
Manager Building Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
FL D I PA L I P.D. I R7?M ISSU
Date `0 5 Uc�
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricuftural•building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. n ZV / YO
I (v
ZONING %�
e.,
OWNER
PHONE _
OWN 'S ADD ESS -
D
LOCATION OF BUII 1,el '
Al
USE OF BUIL JNG�
SIZE OF STRUCTURE
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER �f
(Specify)T_GJ
TYPE OF
ROOF COVERING j
FLOOR�TYPF,
!'
j
ESTIMATED COST OF CONSTRUCTION
$
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: JN I t ► -
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. It. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building. ;
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comp�it the requiremgnts in effect at that time and before
occupancy. 14V 7 _ /
Date
Permit Fee - $60.00
Receipt No. :�6- H —
The above desc ' ed AG Building is exempt from a buil ing permit.
FLOG 1 PRC P. ROOF G ISSU
Manager Building Di isio
By Date `� / OZ>
Ti–
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
`072-062-016 ; PERMIT#95-2987 '
�. SMITH, John,
.45 .Lost. Horizon Dr.';- Oroville
2 Woodstove/SF a,
134 -
1
I
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7.County Center Drive - OroviHQ,"Catffornia 95965 - Telephone (916) 538-7541 �PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 072-062-016
ZONING AR
BUILDING PERMIT
OWNER JOHN SMITH
TELEPHONE
SO, FT, OCC. BUILDING LUATION
OWNERS MAILING ADDRESS 749 HURLETON RD OROVILLE, 95966
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace ,
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 45 LOST ZORIZOn DR
PERMITFEE $
55.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDMSIONSNAME
PARCEL MAP
Solar or heat pump water heater
23,00
USEOFSTRUCTURE
SF Iff Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: WOODSTOVE FOR B:P.#95-1397
Mobile Home I S I GI W
@20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service 000 OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
%`was owner of the property, or my employees with wages as their sole compensation,
(/ wil4 do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL .50
EX. Occup. ouiLe°Ts RES o.°ea
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
Misc.20.00
Wiring
23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
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 Ifthat in the performance of the work for which this permit is issued, I shall
of 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
rkers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwith cc ply wit -those provisions.
_ � _ ate �� 5�
Si at ire of pp (cant - ❑Owner ❑Contractor Agent
n OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
C
CONST. TYPE
TOTAL FEE $ 55.00
D. FEES
I IMP
I FLOOD
I CDF
PARCEL
I PD I HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fes have been
r
BY JP Date
PERMITEXPIRESON
(DI.)
provisions
to do work
paid.
Receipt No. 190463
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�,.��,•;t�A^.r:S-�*i��w„!{11Roryt►'vPw*..-_...•_-.-,.,,.nsr•,.°�i.���"F.'��'� c: ;ytt ���"�'"'ii*�fi."�1d1�i.'�lt Ywr�,+T'�`ua«^iH" `-S Y*�'1;T�:t; ;�.hr'w'" .' i'
COUNTYOF BUTTE - DEPARTMENT OF,p' .', LOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 t
PERMIT APP ICATION DATA SHEET
OWNERosed Building P.yo. (77P
Pro
p g Use S Building Inspector Date
At time of permit. application, I was advised the following data must be submitted prior. to permit processing and/or issuance:
DATE RECEIVED "By
r 2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
24.
25.
26
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans. ..............°............ -
Complete plans, 3/4 sets, signed by preparer of plans. ........:.............
Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
Hazardous Material Form . ............................. .............. .
Energy Design Compliance and supporting documentation.
Statement of Intent for Non -Heated and A/C Buildings . .... :................
Engineered truss details and layout in duplicate (required prior to plan check). .
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
...........
Fees of $ .............
...................
Impact fees as shown on attached schedule . .........:................... .
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer. :.................
Sanitation and plot plan approval Health Department. ............� `
City of Chico plumbing permit........................................10 .
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for (A) Use: (B) Parking: .......
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. .. .
Pre4nspectiion reque-Fs
Pre -inspection for required ,.�nto Buildinglnspedor (Date)
Contractor's license information. (No., Name Style, Classification). ........... .
Certificate of Workmans Compensation Insurance. .......
Owner -Builder Verification (Given to owner , Mail to owner .........
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ....................................... .
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . ........................................ .
Mobilehome utility clearance . ...........................................
Documentation of legal access . ..................... :..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits. .... ................................. .
Plan check list . .....................................................
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 Applica -' - Date /13d
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date r 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 Worksl
M
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 pro erty improvement: YES NO[ -1.
2. I HAVE HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3.- I have contracted. with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR' S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide *the work indicated:
NAME ADDRESS PHONF. TVPF, OF WnRK
SIGNED:
PROPERTY OWNER:
SOCIAL
DATE:
NUMBER: —
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
pecifiedFor your protection, you should be aware that as "owner -builder" you are the responsible. party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
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 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 "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required.to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may,be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacrai►►ci►to, �A::Sui4'.
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� cc/brel ; `
l
Michail C. Viei a, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
RESIDENTIAL
r 072-062-016 PERMIT#95-1397
SMITH, John R.
45 Lost Horizon Dr., Oroville
New Single Family
• f ,
?e
i
. � J h c•.13
9 .t
' i t
r�
1 \
r: •
f
1 x
}
JOB FINALED (Date
r --
Signature
r
J=OK
O = Not OK
Applic
No'Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch '1 -J
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete'
6. Gas; Location -Test -Wrap: ; P L" ft. -'
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance _
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks'Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector`']
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to 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
r
J=OK
O = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except ff's
zo - etbacks-Easements-Flood-Slope ,!� 05- ^
g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth L4
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric: Underaround
13. Pienums & Ducts; Clearance -Material -Support -Ins.
-&-c%Sjilg-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLU ING (Permit) OK exc
e r.: Vent -Ac ess-C- us Baffle
-ter Pipe: Test & Anc or -Nail Protection
- ----- -- - - - -
------------
---- — D.W.V.; Test -Fittings & Anchor -Nail Protection------ ----- -
--- ----19. Shower Pan; Test. First Floor -Tub Access ---- - -
-------- 20. Test -Tub & Shower, -- Second Floor -Tub Access
------------------- ------------------
----_-A_--2'I Gas -Pipe size & Anchors - -
Date ----- ----Card--1------------Date---------Card B-1
----------------ard B---------------- ---Card -----'--�----
Date y� 3- 91. Card B-1 jty3 Date Card B-1
Date ELECTRICAL (Permit) OK except 4's
_-- 22. Fixture & Transformer Clearance -Ins. -Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled _
Installed Close to Edge of Studs & C.J. - - -
-- ---�------------------- - - ---
2C E 'Ground mad p w/Mech: Fastners-Bon Gas ater
--------------------------------------------------- -- --
2 Appliance Circuts in Kitchen & Conductor Size/GFI
----------- - ---. ---------------------------------- ---------------------
28`Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
-------------- ---------------------------- -- ------------------------------
29.
------------- -- ----------29. Range Circ. ! ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. ervice-Riser Conduct? & Croun -Main DLs nnect
--- -- - ---------- --------------
------------ ------------------------------- --•--- ---------------------
-
------------
- 31, Equip. Clearances Panels-Motors-Mech. Equip.
32.T---- - C - -- -- --- - - - -
•CI thes loset Light -Shower Light -Spa Light
----------- ------ -------------------------------------------
- -------------------
\_-3arSmoke Detector -
--- ------------- - ------------------------------------------
-------------------
Date-- -- Card B_1 Date Card B-1
------------------ - ------------------------------
Date y- j- ti to Card B-1 %(fj Date Card B-1
Date MECHANICAL (Permit) OK except h's
C. Ducts Insulation & S_upport
----------- ---- - - - --- - - --------------------------------
- 35: V nt Fan Exhaust above insulation - - --
--------- ----- ------------ - -e--- --
- 36. Condensate Drain &Overflow: Size & Grade
37. Furnance-Vent: Access -Comb Air -Return Air Vent -1 --
115outlet
- -
38.- Attic Access_& -Platform if Furnance in -Attic
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------- --------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
Si Is Proper Material & Anchors
- - - ---- ---
v W its'Studs-Nailing Spacing & Bracing -Plates -Sound
---------------- - ---------------------
-----------------------------------------
Bearing Walls over Girders & Floor Nailing
----------------------
Stop in Walls (rat proof)
- -- - - ---------------------------- ----------------------
' -
ops: Furred Ceilings -Stairs -Chases -Tub
4. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
I,Mg��e�olarce
es -Post Caps -Anchors -Connectors
oist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
Ties or Type A Flue-Fireplace'Throat clearance
4a-7attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
(__�drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
rage Fire Protection Framing
L_51� roperty Line Firewall & Openings
Doors -One 3' -Check Garage -3rd Story, 2 Exits
------ ta��irs��;•Width-Headroom -Rise-Run-Landing- Fire Protection
(•--5p4�lywood on Roof Overhang -Attic Vents -Rafter Outriggers
_
P-155. Siding -Nailing Veneer_
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
t�7. Glazing Area -Glass Protection -Skylights -Plastic
r Walls; Nailin -Bolts
--------------- ------
Insulation-Ce'*
-------------
nfi It rat ion-Walls-Wi ndows Ce-
-------------nfiltration-Walls-Windows /
-------------------------- --
Date c Card B Date _ +9�j Card B-1
Date 4- 3 -�/_ Card B-1 Date Card B-1
Date FINA tans) OK except N's
6 E 4 Steps -Door &Sidelight Protection -Landings
Spoke Detector
ii Furnace; Vents -Clearance -Comb. Air -Connector -
,P -15 Above Floor -Ducts -Meeh. Protection
- ----- --- 6?'r B`yi 000m Exiting
Qhs G5P. , -& Bath Fixtures & Tub Access -Spa
---- ----
fie El e Trim & Subpanel; Breaker Sizes & Labels
--------------- Stai-----Rails ---- ,
6R. -F -,r place or Stove_ Clearances Hearth
- Ele inlets
at -Wood -Panel: Int. & Ext.
Kit.F' t-'& Appliance; Grnd.-Air Gap -Cooking Clearance
lec. Outlets & Receptacles at Kit. Counter
--------------------------
4t—A-7>
- -- -- �r-@a�e Fire Door: Swing -Landing -Closer
49' -A -C" uct in Garage -Damper
-- ----- ----------- ---------- arage --- --
tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. .
In arage; Above Floor -Meeh. Protection
7- Ib.. Ele_c. & Mech. Equip. Listed for Location
----------- tacles in Garage; (G.F.I.)-Romex Protection
ntion-Foam-Looked in Attic ❑ Yes
----- Guardils &Deck Construction -Post Caps
--------- --- - -
n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑'.Yes
----------------------------
80. Following instld.: DrLve-0 Yes No: Walks ❑ Yes No;
Planters ❑ Yes -No '
--------------------------------------------
•BTO'Gvn-Finish
Unit Disconnect. Electrical, Plumbing
. encs Above Roof; Plbg. Appliance -Fireplace. -Clearance to
- Ope rugs
/za�e Well; Disconnect, Electrical, Plumbing --
i¢S Ext for Elec. Trim; G F.I Receptacle -Underground -
tion Throughout House _ _------ -
................. 'Protection-- --------------------
3� rections from Previous Inspections
- - ---- 99
is G est -Meters Ta ed; Gas -Electric
r & Sewer Connected -C/O to Grade -HD Approval
&PrEnergy Compliance Certificate -Other Certificates
-------------------
--------- ---
Dat�ard B-- -Date -- Card B-1
Date Card B-1 Date Card B-1
-- ------------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y, PERMIT No.
APPLICATION AND PERMIT `�����7-
ASSESSOR PARCEL NUMBER 072-062-016
AR. ZONING
BUILDING PER
OWNER
JOHN R SMITH (702)2-67-5580
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
749 HURLETON RD OROWLTY., 95966
1048 R
56,592
176 C
2,288
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER NONE
UNIDJOWN
Total Valuation Is
58.880
LENDER'S MAILING ADDRESS
Fling Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER
NQNF
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
49 LOST HORIZON DR
PERMITFEE
$ 793.75
aROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
5 7.00 35.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF i❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00 15.00
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
TYPE OF WORK
New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 2 BEDROOM'
Mobile Home S G W
920.00
PERMITFEE
$ 115.00
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0:0 0
•
Main Service eoov OR
S ( zooA 0- R11 LELESS ss )
23.00 2-3.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing Section ) with Sti7000 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
1hereby1fiffl6m under penalty of perjury that I am exempt from the Contractors License
Law f the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
I do the work, and the structure is not intended or offered for sale.
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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. )
So.
3.52 FT. -36.69
NEW CONST. MULTI.OUTLET
UTLE
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(8 SINGLE OUTLET CIA. )
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL .s0
EX. Occup. OUTLETS ED PPLNS. OR
( (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 79.65
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.0
Cooling
15.00
Hood
6.50 6.50
Ventilation
PERMITFEE
$ 56.50
Contractor
Policy Number
[eabove 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
ers' compensation provisions of section 3700 of the Labor Code, I shall
forth ithZZ
_ith thos provi '
�
ee mss. Date �� �- �S
Signat a of Applicant - ❑ Owner ❑ Contractor Agent
An;
An HA permit is required for excavations over 5'0" deep and demolition or construction
of over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ . OO
occ
R3
CONST. TYPE
V -N
TOTAL FEE $ 1090.90
HAZ.
D. FEES
X
IMP
X
FLOOD
X
CDF
X
PARfL
O
T
�uE
This permit is hereby issued under the
of the Butte County ode and/or
Indic o e for hi fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date 9/26/95
9/26/96
(Date)
rEReceiptNo.180234-457.25// 185905-633.65
-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIV,�ISION — -„
DEPARTMENT,OF DEVELL60MENT SERVICES
1469 Humboldt Road, Chico, CA -x(916) 891-27.51'`
7 County Center'Dr'ive; Orov4lle, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307 a
CORRECTION NOTICE
OWNER PERMIT f� 0f� O.
A routine inspecti ndicates that the following violaiions of Butte County Ordinances exist at
the above ad ss and should be corrected. Please notify this office when correction of work
is complet . If you have any questions pertaining to this matter, or need additional explanation,`._ =
pie ntact this office immediately.
--T
V
Sy�Afv,Q p/,A 3Q-
'3-., VAffAIT- Q/ A', '
JZ' -7 C Z -e s9-/— In /A-�, -
oA)
t F.
LIQ
fit
■M
Viral
Date NEV 10/92
�
L t4-T� v •�✓ �
t�T l b
r _
X
' COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES `x
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 g
747 Elliott Road, Paradise, CA - (916) 872-6307 =
CORRECTION NOTICE
31? 7
OWNER PERMIT r4o. ; I
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.
tj!,
i
y -e eZ ea r r-ee -
,
ID, 13 /� � J&f- dl 3- 11 - iL
rT�
K f�� roc-,
R
6r -f 5'f -.i /0 e--elr, N I
/l / / /0 r- �iPi /L 4 Ade,,- //* eg A
Date `v V I ti0 Inspector ��� S P E2
REV 10/92
.'Vf
Insulation Certificate
BUILDING OWNER: \!'IJ S/,4 / 1-1BUILDING PERMIT #
BUILDING LOCATION: 9�-
Description of Installation
ROOF
Material
Thickness (inches).
Brand Name
Thermal Resistance (R -Value)
r . CEILING
Batt r Blanket Type P, - 3 ¢fix 24- q8 rr,-4 4Zce Brand Name />?a v:v r
Thickness (inches) Thermal Resistance (R -Value) R: D
Loose -Fill Type - Brand Name
Contractor's minimuni installed weightl lb Minimum thickness inches _
Manufacturer's installed weight per square fooft6 acheive Thermal Resistance (R -Value)
L�EXTERIOR WALL
Material R = I �i�x�& � K���� ice
Thickness (inches) .7
C,,--ZRAISED FLOOR
Material R : 14 x )s x 4Fs • - Kre.R� �.�e
Thickness (inches) (,. - �
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name /�'1� ,� ✓, i1�
,Thermal Resistance (R -Value) R , i 9
Brand Name r✓�Q ,� �, %/e
Thermal Resistance (R -Value) i2 : I ar
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the. building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
/ ntractor (Builder)
/ Signature and Title
Sub -Contractor (Insulation Installer)
Signature and Title
Licence Ntt��e� r/
Date
License Number
Date
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
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER tl fi
V m
Proposed Building Use -
A. P. No. "W - D (o
Building Inspector Date 6456
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 ha a been submitted . ...................................... .
Plot pi
ans,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 . ............................................
-#J6. Energy Design Compliance and supporting documentation . ..................
7 Statement of Intent for Non -Heated and A/C Buildings . ......................
1 8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome da a d manufact rer's install tion instructions, 2 sets. ..........
10. Fees of $ 33.14J�"............................ .
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval ee ./.�Gv . ........ .
13. Flood elevation letter (100 year flood by California Engineer . ............::::
14. Sanitation and plot plan approval Ni 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:
1 ' Contact Land Development.about (A) Improvements (B) Drainage. .......... .
1 Driveway permit (construction approval required prior to occupancy). 04.01( ........ .
Pre4nspedion request
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
ertificate of Workmans Compensation Insurance . ......................... .
. Owner -Builder Verification (Given to owner , Mail to owner ............
eO
corded copy of Agricultural Acknowledgement Statement. d` ...............
25. Letter of signature authorization . ........................................
Copy of recorded deed of parcel Swatio and i t of way )o a, ublic road. .
27. Letter of intent on building use. .�.7 ........ A*.
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 . ...............
'Al Existing violations/expired permits . ......................................
. Plan check list ................................
...........
33. Sy ro
34.
WherW95u issue the permit, process as follows: Mail to owner. Mail to contractor.
V Telephone andhold for kup t office. Deliver with inspector.
Other D
Parcel Creation
Acreage > Applicant Datet��
Copy of Haz-Mat form sent Health Dept. Fire Dept. `-1 Air PollutidC) Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be s
1. Index permit for above iter
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 e Date w- ,I� Plans approved by Date /
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENT DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541
OWNER
PROPOSED BUILDING USE
SCHOOL DISTRICT FEES
(paid at District Office) .........................
2. SHERIFF FEES
(paid at Building Department)
Residential...... x =$ 36
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
�3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units .'amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
RECREATION DISTRICT FEES
(paid at District Office) .........................
A. P. #,! � 5 2 z E2Do�'-ls//--;
DATE pulp
REC. DATE REC
az-
PROPOSED
z
e-6� 5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
SRA FIRE INSPECTION AND PLAN CHECK =89.00
$ ....../
(paid at Building Department)
7. OTHER
8. OTHER
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT DATE'
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC•. ONLY)
Bldg. Permit # cZ S l 3y7
OWNER ���l'� A.P. # --2- —
Plan Checker
Zoning requirements: (sideyards and number of permitted living units).
Valuation.
,Plans signed by designer.
Proper description of work on application.
Existing violations on property.
n data sheet. N.C., fees, Health, Developer Fees, License law, etc).
ec de notice of violation.
.omplete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
r Special conditions on creation map,
ustible, and foundations).
FAU & FAS•road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scalelan with dimensions. lGix�/
p
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
• GFCIs in baths, garage, kitchen, and exterior outlets (Article
• Light fixtures, switches, receptacles, and ext receptacles
tenance of mechanical equipmen
Locations of water heater eating cooling equipment, o her
or gas equipment.
. Garage firewall, door size, and closer (Sec. 503(d)(3)).
. 1 - 3'0" exterior exit door (sec. 3304 M.
. Fireplace and wood stove location, alcoves, and clearance.
. Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
210-8).
for main -
electrical
Standard bracing or engineered design (Table 25V)
'--usual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
O Elevations and wall construction details complete enough to construct
Roof construction details complete enough to.construct building.
r- Fireplace construction details and calcs if necessary.
8!Rafter ties or bearing ridge beam.
V.�'Garage door or porch header sizes.
IT.'Itud heights.
3' Adobe soils - special foundation design.
4. -Retaining walls requiring design.
§-'Special Inspection required.
building
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
• (Sec. 330.6).
Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
jEnergy
am insulation - protection.
" halls and stairways.
ving area over garage - complete 1 -hour separation required on garage side
cluding supporting walls and posts, etc.
o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
tic access and ventilation (Sec. 3205).
derfloor access and ventilation (Sec. 2516).
mbustion air for fuel burning appliances - L.P.G. requirements.
ise requirements on duplexes.
design.
ashing at all exterior openings.
F responsible area requirements.
TABLE OF, CONTENTS TOC
Project Title.......... John Smith Date........ 03/07/95
Project Address........ 45 Lost Horizon
Oroville, CA. 95966
Documentation Author... Wayne Dailey Builting e�
Company ................ Endeavor Homes ,
Telephone .............. (916) 534-0300 -Plan Check Date
Compliance Method...... MICROPAS4 by Enercomp, Inc. Field check/ Date
Climate 7.nne-------- 11
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -TOC
User#-MP1829 User -Endeavor Homes Run-b:smith
I
TABLE OF CONTENTS
Report
Page
FORM CF -1R ................ 1
FORM MF -1R ................ 4
FORM P -2R.................... 6
FORM C -3R ................. 10
HVAC SIZING ............... 13
K
Co-` of,
-
,���� ilk p
CERTIFICATE OF'COMPLIANCE: RESIDENTIAL• Page 1 CF -1R
Project Title.. ...... John Smith Date........ 03/07/95
Project Address........ 45 Lost Horizon
Oroville, CA. 95966
Documentation Author... Wayne Dailey Building Permit
Company ................ Endeavor Homes
Telephone .............. (916) 534-0300 Plan Check Date
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1829 User -Endeavor Homes Run-b:smith
GENERAL INFORMATION
Conditioned Floor Area..... 1048 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 (Package E)
BUILDING SHELL INSULATION
Component
Insulation Assembly
Type
R -value
U -Value
Location/Comments
Wall
R-19
0.063
Exterior wall
Floor
R-19
0.038
Vent.crawl
spc
Roof
R-30
0.038
Vent.attic
spc
FENESTRATION
# of
Interior
Over -
Area
U- Pan-
Shading/
Exterior hang/
Framing
Orientation
(sf)
Value es
Description
Shading Fins
Type
Window Front
(W)
12.0
0.870 2
Drapes.Std
None
None
Metal
Window Front
(W)
24.0
0.870 2
Drapes.Std
None
None
Metal
Window Left
(N)
24.0
0.870 2
Drapes.Std
None
None
Metal
Window Left
(N)
20.0
0.870 2
Drapes.Std
None
None
Metal
Window Back
(E)
6.0
0.870 2
Drapes.Std
None
None
Metal
Window Right
(S)
20.0
0.870 2
Drapes.Std
None
None
Metal
HVAC SYSTEMS
-�
Minimum T
- Duct
Duct
Thermostat
Equipment Type Efficiency
Location
R -value
Type
Furnace
0.785
AFUE
Crawlspace
R-4.2
Setback'
ACPackage
9.70 SEER
Crawlspace
R-4.2
Setback
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL•
Page 2
CF -1R
Project Title.......... John Smith
Date........
03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1829 .User -Endeavor Homes Run-b:smith
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
0.65 EF 40
R-12
SPECIAL FEATURES/REMARKS
1. Opaque and glazing
takeoffs begin at front
right and
proceed clockwise .
2. Glazing assumption:
VIKING ALUMINUM PRODUCTS,
3000 SERIES,
clear double glass,
or better.
***
3. Water heater shall be: STATE INDUSTRIES, MODEL
# PRV-40-*RT,
with minimum energy
efficiency described above
or better.
***
4. HVAC. system shall
be DAY & NIGHT with minimum
energy
efficiency described above .
CERTIFICATE OF COMPLIANCE: RESIDENTIAL- Page 3 CF -1R
.Project Title.......... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1829 User -Endeavor Homes Run-b:smith
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.
DESIGNER or OWNER
Name.... John Smith
Company... Owner/Builder
Address.
Phone... (702) 267-3229
License.
Signed..
(date)
ENFORCEMENT AGENCY
Name....
Title...
Agency..
Phone...
Signed.
. ate
DOCUMENTATION AUTHOR
Name....
Wayne Dailey
Company.
Endeavor Homes
Address.
P.O. Box 1947
Oroville, Calif. 95965
Phone...
(916) 534-0300
Signed..
(date)
MANDATORY MEASURES
CHECKLIST:
RESIDENTIAL
Page 4
MF -1R
Project Title.......... John
Smith
Date........
03/07/95
Project Address........ 45 Lost Horizon
broville, CA. 95966
Documentation Author... Wayne Dailey
Company................. Endeavor Homes
Telephone .............. (916) 534-0300
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1829 User -Endeavor Homes Run-b:smith
Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
er ment
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.30, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets_CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration*controls
a. Doors and windows between conditioned and unconditioned
spaces 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 joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f-) Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R
Project Title.......... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1829 User -Endeavor Homes Run-b:smith
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC.
150(i): Setback thermostat on all applicable heating systems.
150 (j) : Pipe and Tank'insulation. -
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5. Piping.insulated between heating source and indirect
hot water tank.
*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 R-4.2 or ducts enclosed entirely within
conditioned space:
2. Exhaust fan systems have backdraft or automatic dampers.•
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually.
operated dampers.
114: -Pool and Spa'Heating Systems and Equipment
1. System is certified with 780-. thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe 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.
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
---.r--with. pilot-<- 150 Btu/hr.)
LIGHTING MEASURES
Design- Enforce-
' er ment
150(k): 40 lumens/watt or greater for•general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved.
POINT SYSTEM Page 6 P -2R
Project Title.......... John Smith Date........ 03/07/95
Project Address........ 45 Lost Horizon
Oroville, CA. '95966
Documentation Author... Wayne Dailey
Company................ Endeavor Homes
Telephone .............. (916) 534-0300
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Rnne___________ 11
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM P -2R
User#-MP1829 User -Endeavor Homes Run-b:smith
MICROPAS4 POINT SYSTEM SUMMARY
Energy Use Points
Space Heating.......... 1
Space Cooling.......... 0
Water Heating.......... 7
Total 8
*** Building complies with Point System ***
GENERAL INFORMATION
Conditioned Floor Area.....
Building Type. ...........
Construction Type .........
Building Front Orientation.
Number of.Dwelling Units...
Number of Building Stories.
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint Area.............
Slab -On -Grade Area........
Glazing Percentage.........
Average Ceiling Height.....
1048 sf
Single Family Detached
New
Front Facing 270 deg (W)
1
1
Raised Floor (Package E)'
1
8384 cf
1048 sf
0 sf
10.1 % of FA
8 ft
t
GLAZING
Orientation
Glass Area, ^ o
Glass
a. North
44.0
4.200
b. East
6.0
0.570-a
c. South
20.0
1.910-0
•d. West
36.0
3.440
e. Skylight
0.0
0.000-0
Total
106.0
10.110
t
POINT SYSTEM Page 7 P -2R
Project Title.......... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM P -2R
User#-MP1829 User -Endeavor Homes Run-b:smith
SCORE CARD
Measure
1. Ceiling Insulation (U -Value)
2. Wall Insulation '(U -Value)
3. Raised Floor Insulation (U -Value)
4. Slab Edge Insulation (F2 Factor)
5. Infiltration
=,Ducts in
Unconditioned Space
6. Fenestration
Heat Loss
(U -Value)
0.870 at
7. Fenestration
Heat Gain
0
SC
Effective
0 Fenes-
Shade
0 Fenes-
tration
Open
tration
North
4.200 x
0.766 =
3.220
East
0.570 x
0.766 =
0.440
South
1.910 x
0.766 =
1.460
West
3.440 x
0.766 =
2.630
Skylight
0.000 x
0.000 =
0.000
8. Interior Thermal Mass (Mass/Area)
9. Exterior Wall Mass (Mass/Area)
0.038
0.063
0.038
0.000
Yes
10.11%
Shade
Effective-
ness Ratio
Points
-2
0
0
0
0
2 Sum 1-6 0
0.860
0
0.860
1
0.860
0
0.860
-1
0.000
0
0.000 -1
0.000 0 Sum 7-9
Equipment Duct Effective
Efficiency Efficiency Efficiency
10. Heating 0.785 AFUE x 0.830 = 0.652 AFUE
11. Cooling 9.700 SEER x 0.860 = 8.342 SEER
12. Water Heating Tank External
Energy Size Insulation
Tank Type Heater Type Factor (gal) R -value
Zonal
Control
No
No
Distribution Type
1. Storage Gas 0.65 40 R-12 Standard -
2. n/a n/a n/a n/a R-n/a n/a
-1
1
1
7
Point Total: 8
POINT SYSTEM Page 8 P -2R
Project Title.......... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM P -2R
User#-MP1829 User -Endeavor Homes Run-b:smith
Zone Type
BUILDING ZONE INFORMATION
Floor
Area Volume
(sf) (cf)
# of
Dwell Cond- Thermostat
Units itioned Type
Vent Special
Height Vent Area
(ft) (sf)
HOUSE
Residence 1048 8384 1.00 Yes Setback 2.0 n/a
OPAQUE SURFACES
System Type
HOUSE
Furnace
ACPackage
HVAC SYSTEMS
i Minimum Duct
Efficiency, Location
0.785,AFUE Crawlspace
9.70 SEER Crawlspace
ki
Duct Duct
R -value Efficiency
R-4.2 0.830
R-4.2 0.860
Area
U-
Insul
Act
Solar
Form 3 Location/
Surface
(sf)
value
R-val
Azm Tilt Gains
Reference Comments
HOUSE
1
Wall
68
0.063
R-19
270
90 Yes
TW.19.2X6.16 Exterior wall
2
Wall
40
0.063
R-19
0
90 Yes
TW.19.2X6.16 Exterior wall
3
Wall
164
0.063
R-19
-270
90 Yes
TW.19.2X6.16 Exterior wall
4
Wall
20
0.063
R-19
270
90 Yes
TW.19.2X6.16 Exterior wall.
5
Wall
180
0.063
R-19
0
90 Yes
TW.19.2X6.16 Exterior wall
6
Wall
282
0.063
R-19
90
90 Yes
TW.19.2X6.16 Exterior wall
7
Wall
219
0.063
R-19
180
90 Yes
TW.19.2X6.16 Exterior wall
8
Wall
17
0.063
R-19
180
90 Yes
TW.19.2X6.16 Exterior wall
9
Floor
1048
0.038
R-19
0
0 No
FC.19.2X6.16 Vent.crawl spc
10
Roof,
1048
0.038
R-30
0
0 Yes
R.30.2X4.24 Vent.attic spc
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
12.0 2
Metal
Slider
0.870 270
90 0.88 0.78 Drapes.Std
2
Window
24.0 2
Metal
Slider
0.870 270
90 0.88 0.78 Drapes.Std
3
Window
24.0 2
Metal
Slider
0.870 0
90 0.88 0.78 Drapes.Std
4
Window
20.0 2
Metal
Slider
0.870 0
90 0.88 0.78 Drapes.Std
5
Window
6.0 2
Metal
Slider
0.870 90
90 0.88 0.78 Drapes.Std
6
Window
20.0 2
Metal
Slider
0.870 180
90 0.88 0.78 Drapes.Std
System Type
HOUSE
Furnace
ACPackage
HVAC SYSTEMS
i Minimum Duct
Efficiency, Location
0.785,AFUE Crawlspace
9.70 SEER Crawlspace
ki
Duct Duct
R -value Efficiency
R-4.2 0.830
R-4.2 0.860
POINT SYSTEM Page 9 P -2R
Project Title.......... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM P -2R
User#-MP1829 User -Endeavor Homes Run-b:smith
Tank Type Heater Type
1 Storage Gas Standard 1 0.65 40
SPECIAL FEATURES/REMARKS
1. Opaque and glazing takeoffs begin at front right and
proceed clockwise
***
2. Glazing assumption: VIKING ALUMINUM PRODUCTS, 3000 SERIES,
clear double glass, or better.
***
3. Water heater shall be: STATE INDUSTRIES, MODEL # PRV-40-*RT,
with minimum energy efficiency described above or better.
***
4. HVAC system shall be DAY & NIGHT with minimum energy
efficiency described above .
WATER HEATING SYSTEMS
Number Tank
in Energy Size
Distribution Type System Factor (gal)
External
Insulation
R -value
R-12
CONSTRUCTION ASSEMBLY Page 10 3R
Project Title.......... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM 3R
User#-MP1829 User -Endeavor Homes Run-b:smith
Reference Name .
TW.19.2X6.16
Description ....
Wall R-19 2x6 16oc
Type ...........
Wall
R -Value ........
19 sf-F/Btuh
Framing
5.45
Material .....
FIR.2X6
Spacing ......
16 inches on center
Fraction .....
0.15
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
0. FILM.EX Exterior air film: winter value
1. T.1.11.PLY EXTERIOR T-1-11 PLYWOOD SIDING'(.63 in.)
2c. BATT.R19 R-19 batt insul (cavity = 5.5 in)
2f. FIR.2X6 2x6 in fir framing
3. GYP.0.50 0.50 in gypsum or plaster board
I. FILM.IN.WLL Inside air film: heat sideways
Total Unadjusted R -Values
FRAMING ADJUSTMENT CALCULATION
Cavity Framing
Cavity
R -Value
Frame
R -Value
0.17
0.17
0.77
0.77
17.80
--
--
5.45
0.45
0.45
0.68
0.68
19.87
7.51
Total
U -Value:' (1 / 19.87 x 0.85) + (1 /
7:51
x 0.15) =
0.063
Btuh/sf-F
Total R -Value:
1 /
0.063 =
15.94
sf-F/Btuh
r
CONSTRUCTION ASSEMBLY Page 11 3R
Project Title...:...... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File=B:SMITH Wth-CTZ11S92 Program -FORM 3R
User##-MP1829 User -Endeavor Homes Run-b:smith
Reference Name . FC.19.2X6.16
Description .... Floor Crwl R-19 2x6 16oc
Type ........... Floor
R -Value ........ 19 sf-F/Btuh
Framing
Material ... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.10
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
0. FILM.EX Exterior air film: winter value
1. CRAWLSPACE Effective R -value of vented crawlspace
2c. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in)
2f. FIR.2X6 2x6 in fir framing
3. .PLY.0.63 0.625 in plywood
4. CARPET Carpet & pad
I. FILM.IN.FLR Inside air film: heat flow down
Total,Unadjusted R -Values
FRAMING ADJUSTMENT CALCULATION
Cavity Framing
Cavity
R -Value
0.17
6.00
19.00
0.77
2.08
0.92
Total
IWTI
U -Value: (1 /
28.94 x0.90), + (1 '/ 15.39
x 0.10) =
0.038
Btuh/sf-F
Total R -Value:
1 /
0.038 =
26.60
sf-F/Btuh
Frame
R -Value
0.17
6.00
5.45
0.77
2.08
0.92
15.=39
CONSTRUCTION ASSEMBLY Page 12 3R
Project Title.......... John Smith Date........ 03/07/95
MICROPAS4 v4.02 File-B:SMITH Wth-CTZ11S92 Program -FORM 3R
User#-MP1829 User -Endeavor Homes Run-b:smith
fi
Reference Name . R.30.2X4.24
Description .... ROOF R-30 2X4 24oc
Type ........... Roof
R -Value ........ 30 sf-F/Btuh
Framing
Material ..... FIR.2X4
Spacing ...... 24 inches on center
Fraction ..... 0.07
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
FRAMING ADJUSTMENT CALCULATION
Cavity
U -Value: -(1 / 33.47 x 0.93) + (1 /
Total R -Value:
Framing
Total
6.93 x 0.07) = 0.038 Btuh/sf-F
1 / 0.038 = 26.40 sf-F/Btuh
Material
Cavity
Frame
Name
Description
R -Value
R -Value
0.
FILM.EX
Exterior air film: winter value
0.17
0.17
1.
SHNGL.ASPHLT
Asphault shingle roofing
0.44
0.44
2.
BLDG.PAPER
Building paper (felt)
0.06
0.06
3.
PLY.0.63
0.625 in plywood
0.77
0.77
4.
AIR.RF.3.50
3.5 in & greater air space: heat flow up
0.80
0.80
5c.
BATT.R30
R-30 batt insul (cavity > 9.25 in)
30.'00
--
5f.
FIR.2X4
2x4 'in fir framing
--
3.46
6.
GYP.0.63
0.625 in gypsum or plaster board
0.62
0.62
I.
FILM.IN.RF
Inside air film: heat flow straight up
0.61
0.61
Total Unadjusted R -Values
33.47
6.93
FRAMING ADJUSTMENT CALCULATION
Cavity
U -Value: -(1 / 33.47 x 0.93) + (1 /
Total R -Value:
Framing
Total
6.93 x 0.07) = 0.038 Btuh/sf-F
1 / 0.038 = 26.40 sf-F/Btuh
HVAC SIZING Page 13 HVAC
Project Title.......... John Smith Date........ 03/07/95
Project Address........ 45 Lost Horizon
Oroville, CA. 95966
Documentation Author... Wayne Dailey
Company ................ Endeavor Homes
Telephone .............. (916) 534-0300
Compliance Method...... MICROPAS4 by Enercomp, Inc
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.02 File-B:SMITH Wth-CTZi1S92 Program -HVAC SIZING
User#-MP1829 User -Endeavor Homes Run-b:smith
GENERAL INFORMATION
Floor Area .................
1048 sf
Volume .. ..... ..........
8384 cf
Front Orientation..........
Front Facing 270 deg
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
Description
Opaque Conduction and Solar......
Glazing Conduction ...............
Glazing Solar ....................
Infiltration .....................
Internal Gain ....................
Duct"s.....:......................
Sensible Load....................
Latent Load......................
Minimum Total Load
Heating Cooling
(Btuh) (Btuh)
(W)
5648
3314
3689
2398
n/a
3345
4769
1958
n/a
2100
1411
656
15517
13771
n/a
2754
15517
16526
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.,
el ;.
V
Bti.*E* COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
)'School District. Building Departm nt No.
M
A. P. Number —U �J�I�/ Jurisdiction: �_J City County
Property Owner
Property Location/Address 174!5
6 057` /�/� /ZQ•r/
Subdivison Lot No.
Residential Development [�
No. of Living MHI Addition
Units
Commercial/Industrial
�{ New Addition
Sq. Footage d/Vs�/
(Group R)
Sq. Footage
(Including Exterior
Roofed Ar as)
Date
,(Floor Plans reviewed by School District Personnel) ""
District Identification No,
FLSchool District certifies that
(Applicant)
(Street Address) (Phone Numb)
(City) (State) (Zip Code) _.
5b
has complied with the r//ellq'uiir(elments of Resolution No. — /��_%y_- ick by payment of $
representing /U 7"d square feet. An 2926 $
FULL MITIGATION $
9J
District Repro' `tive , Date
Paid by Check # Remarks:
Bank Number 90
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkf (11/94)dmm
f,3+f COUNTY OF BUTTE
Department of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965
Chico: 1469 Humboldt Rd., Chico CA 95928
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Ph: 916-538-7541
Ph: 916-891-2751
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no) �.
2. I (have/have not) /Z f-" signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. 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
NOTE:
Property Owner
Social Security
Date On
nber –
2
This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
00z -OGS =Allo
All that real property situate in the County of Butte, State of California, described as follows:
A11 that '`certain real property situate=.in: the..Cbunty of Butte,
State of California, described as.follows:
�' Parcel'ro2, as shown on that certain f flap ofa portion of Lots 155
:;and 156. of 'Oroville Wyandotte "Fruit Lands Unit .No. 5, which Map
n�was filed }in the office�of� „Ghe Recorder of the Ccfiinty of Butte,
taee > C ifortria; iri �titi 7�t" `SOtt" i �t9 � i` ::Parcel Maps,
EXCEPT,ICVC3 a
c ial >ecoYr
Z.
_., •.. ^�
HFR)FROM that portion
1.4
-ZA Deed recorded June
si at page 514.
Date: Uri/ Z �y r 9�
Stateof California )
County of )
On before me, a
personally appeared JI a � _
thereof conveyed to the County
13,. 1980 in Book.2522 of Offi-
'RECORDER'S MEMO:—
POOR RECORD IS DUE TO
PROPERTY OWNERS: QUALITY OF ORIGINAL DOCUMENT
77,('.,� ,
u
,1�1_kl�
personally known to rde (or proved to me on the basis of satisfactory evidence) to be the person() whose name(s) is/ane
subscribed to the within instrument and acknowledged to me that he/she/4hey executed the same in his/hep4heir authorized
capacity(ies), and th.1 by his/her-/4hei>r signature(s) on the instrument, h rs n s) or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal. "" BETTY VANCE
� COMM. # 1028328 z
Notary Public —California
BUTTE COUNTY
Signature /,//GHQ'- Seal: ®� MY Comm. Expires MAY 30. 1998
A.P. Il�c/Il�/i1vj:r(rl �J(�;+� END OF DOCUMENT
94-45388 Js
Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
I
Bui'iding Division - FOR RESIDENTIAL DEVELOPMENT
�t
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building
permit.
I
;
The property described herein is adjacent to land or included��
P P Y J
I
Ree Fee 6.00
within an area zoned for agricultural purposes, and residents
I
Cash 6. b0
of this property may be subject to inconveniences or
Recorded I
discomfort arising from the use of agricultural chemicals,
Official Records I
including, but not limited to herbicides, pesticides, and
I County of I
"
fertilizers; and from the pursuit of agricultural operations
Butte
including, but not limited to cultivation, plowing, spraying,
Candace J. Grubbs I
pruning, and' harvesting which occasionally generate
i Recorder I
dust,smoke, noise, and odor. Butte County has established
w?s 16pm 31 -Oct -94 I
PUBL XX 1 ..
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
A11 that '`certain real property situate=.in: the..Cbunty of Butte,
State of California, described as.follows:
�' Parcel'ro2, as shown on that certain f flap ofa portion of Lots 155
:;and 156. of 'Oroville Wyandotte "Fruit Lands Unit .No. 5, which Map
n�was filed }in the office�of� „Ghe Recorder of the Ccfiinty of Butte,
taee > C ifortria; iri �titi 7�t" `SOtt" i �t9 � i` ::Parcel Maps,
EXCEPT,ICVC3 a
c ial >ecoYr
Z.
_., •.. ^�
HFR)FROM that portion
1.4
-ZA Deed recorded June
si at page 514.
Date: Uri/ Z �y r 9�
Stateof California )
County of )
On before me, a
personally appeared JI a � _
thereof conveyed to the County
13,. 1980 in Book.2522 of Offi-
'RECORDER'S MEMO:—
POOR RECORD IS DUE TO
PROPERTY OWNERS: QUALITY OF ORIGINAL DOCUMENT
77,('.,� ,
u
,1�1_kl�
personally known to rde (or proved to me on the basis of satisfactory evidence) to be the person() whose name(s) is/ane
subscribed to the within instrument and acknowledged to me that he/she/4hey executed the same in his/hep4heir authorized
capacity(ies), and th.1 by his/her-/4hei>r signature(s) on the instrument, h rs n s) or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal. "" BETTY VANCE
� COMM. # 1028328 z
Notary Public —California
BUTTE COUNTY
Signature /,//GHQ'- Seal: ®� MY Comm. Expires MAY 30. 1998
A.P. Il�c/Il�/i1vj:r(rl �J(�;+� END OF DOCUMENT
E.H. USE ONLY
Plot Plan Amclml
Floor Plea Attached
Seat to B.D. �—
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
To--6WRI,"4-07a'
`� cS •
� Lo r
Owner % Location CTYk�
Plan Approved for: Sewage Disposal v Water Supply: Public _
AP#
Private Well
Final clearance O.
Environmental Health
Q/o1)
Date
�'�- moo,
� cv-
EV 0 a
AP,- 0"' ' "D
Butte County
Environmental Health
Signa urere
cauntVJI►We
OROVILL.E, CALIFORNIA
GENERAL CLAIM
CLAIMANT: JOHN R. SMITH
ADDRESS: 749 HURLETON RD
CITY & STATE: OROVILLE, CA 95966 IMPORTANT:
9/25/95 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
PLANS TO PUT MOBILE HOME ON PROPERTY DID NOT GO THROUGH.
(B. -P.#94-2947, RECEIPT #170462 DATED 10/23/94, A.P.#072-062-016
OWNER: JOHN R. SMITH).
TOTAL AMOUNT PAID................................$232.00
RETAIN REFUND PROCESSING FEE ............ $25.00
RETAIN PLBG & ELEC FILING FEES .......... $40.00
RETAIN PLAN CHECK FEE...................$23.00
RETAIN SRA PLAN CHECK FEE...............$46.00
RETAIN SRA PLAN CHECK FEE...............$43.00
TOTAL AMOUNT TO BE RETAINED ................$177.00.'
AMOUNT TO.BE REFUNDED ............................. TOTAL
$55.00
f, the undersigned, declare under penalty, of perjury that the services or articles claimed have n performed or delivered, and that this
claim is true and correct as stated. �// (
Dated this ....L ................. day of—�,�?:....... 19 �-+ at�a�C �....... Calif.
,� S(gnsturo of Clslmertt
t
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles ep�eclfi bovghave been performed or de-
livered and that there In a Budget Appropriation a or Specific Board Approval a (Check one) for the /
Dated this......25TH .................. day of ...SEPTEMBEi 19-9.5-: OROVILLE._.... Calif. ....._.................... ��.
DepaRment Head or Authorized Deputy
Dept. Esp. 4617240—(43.00)
Code...1.cLi0-QQ2 .................... Code , ..................PAYABLE FROM .CinKSDN?� 4.h.1/A1...RMITS............... F
............ UND
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
1
s
CLAIMANT'S NAME
MAILING ADDRESS
REFUND CLAIM APPLICATION
ASSESSOR PARCEL �oZ �' C, �� - �� 6 PERMIT " < f / r
RECEIPT NUMBER(S)
Request a refund of fees paid on the above receipt number(s) for
the following reasons:
wv6 C
v __V1 .-) " - (Z;i -'j- (7".\ --1 6 cc� nn n &J
mole -Irons
Please refund' any applicable • fees in the following categories: �; 1
(Check those categories which you wish to have refunded.)
] Building Permit Fees [ ] Sheriff Fees
[ ] SRA Fee (CDP Fire Planning) [ ] Urban Area Fees
Disposition of plans:
[ ] Plans returned to me at counter.
[ ] Please mail plans to me at above address.
[ ] Please dispose of plans.
S I GNATURE
DATE 4-,2-1 L J
r
FOR BUILDING DIVISION USE:
Receipt Information:
Number: .4
Date: /D �d'S`� 9�f
Issued To: �� ��� d�C'
Amount: $� v
r
Fees Retained:
� OU
Processing Fee: $ 02 J
Bldg Filing Fee $
✓ P.1 bg Filing Fee $ C> 0 o O
V E1ec Filing Fee $ c9 D 0 O
Mech Filing Fee $
Energy P/C Fee $
Plan Check Fee $ a3 . oG
✓S,cR p�c r-� yc ,o
Inspection Fee $ �f3, oo e N
Total Amount Retained $
TOTAL REFUND DUE
X
I '
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - OrovilJe, California 95965 -Telephone (916) 538-7541E IT No.
• APPLICATION AN- b PERMIT /
ASSESU7 PpRC.�,/JNM U1 f
L IIOL ll V
ZONING Ani
BUILDING PERMIT
OWNER
JOHN R. SMITH
TELEPHONE
8Q, FT, OCC. BUILDING VALU kILDfr
OWNER'S MAILING ADDRESS
45 T.00,T HORTZON DR, i
CONTRACTOR'S NAME
01ME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
PERMIT FEE $
-
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT Na
'SUBDIVISION'S NAME
PARCEL MAP
�'�" g
Water piping 15,00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SFO Duplex ElMobilehome CR Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00 rn on
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities R Installation 1:1Other ❑
Describe Work: 1 BEDROW HUD APPROVED
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 1 20.00
Main Service ( BOOV LESS OR LESS ) ♦ 23.00
200A OR
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. .
OR ADDNS. ( a ACC. BSD
LOS. ) 3.5, so
NEW CONST. MULTI -OUTLET
.NON-RESID. 1 BRANCH CIRCUITS ) @7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
EII am exempt under Sec. Business and Professions Code
forthis reason
POWER APPARATUS
( 8 SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES ) 200 1.00
BAL. @ .50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.1 EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring20.00
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $ Lf0. 00
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, jud ants, costs, and expenses which may in any way accrue against said
un n sXZa granting of is permit.
Date �dy� J ��
nature of Applicant -)A Owner ❑ Contractor ❑ Agent
OSHA permit is required for excavations over 5"0" deep and demolition orindicated
PAnnstruction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 143.00
HAZ.
D. FEES
IMP
�--
FLOOD
X
CD pAR�L pD
D ssu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
above for which fees have been paid.
By Date
PERMIT EXPIRES ON /t 5
I tel
/
Receipt(��J\
WHITE•D.D. S.• .D. CA ARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
+""7.{+gFrr,fi. •'r+p-�.� �iy* *ja'±' +�'* sl"8F r�`F+rh n; •�.c--,. ,.. .. r` . .- �`�` i..
COUNTY OF BUTTE - DEPARTMENT ;OF- DEVELOPPENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER'DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT,APP,.LICATION DATASHEET
OWNER L70 A �m , f Y ! P. o. � ta (Cp
Proposed Building Use r:: Building Inspector Date
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 ha been submitted . ....................: f................ .
2. Plot plans, 3 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:C Hazardous Material Form...........e...................................
W6 Energy Design Compliance and supporting documentation . ..................
'"(7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layoui in duplicate (required prior to plan check). ..:.:
�-� 9. Mobilehome da a and m u actt rer' I allation instructions, 2 sets. ...........
10. Fees of $ %s'o � t .0 .s ....................... .
Impact fees as shown on attached schedule. . .
. California Department of Forestry plan approval i /. OA;16- �
13. Flood elevation letter (100 year flood), by C ornia Pgaine��er. .
14. Sanitation and plot plan approval ►b V i Health Department . ............
15. City of Chico plumbing permit. ..... .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. •.......... .
, Driveway permit (construction approval required prior to occupancy). .. ._ .V�
20. Pre -inspection for Preanspec61n- gtcR°
p 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 ............ .o :?! 7
24. Recorded copy of Agricultural Acknowledgement Statement . .................. / i
14�13� 0��
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 . .................................
w 28. Mobilehome utility clearance...
29. Documentation of legal access . .................. `� .:................ .
30. Documentation of 501/6 subdivision developed or (A) Road improvements completed
and (B) Parcel meets Toning area and frontage requirements . .............. .
31. Existing violations/expired permits . .................... '................ .
32. Plan check list. ^.................................................... A—
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone SO- an h for pickup. at V; office.
�Deliver with inspector.
Other N y =�
Parcel Creation '.
Acreage Applicant .Dte
Copy of Haz-Mat form sent Health Dept. Fire ep . Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to p r it issu c : (Cirdl� n w item o ecked above). i4
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
E.H. USE ONLY
Plot Plan Attached �—
Floor Plan Attached
V, Scot to B.D. / G
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�d S K �s � o J4 14 a r)' 2-0 kv Y
Owner / Location
Plan Approved for: Sewage Disposal L/ Water Supply: Public _
Clearance for —L bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
R/91)
AP#
Private Well
• Date
lOroc �� COUNTY OF BUTTE - DEPARTMENT OF DEVELQPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califoltnia 95965 - Telephone (916) 53877541 PERMIT NO.
APPLICATION ANOYERMIT
V
ASSESSOR E UMB R �- D - , *'�
•
zoNNO
.r^; 'i%�BUILDING•PERMIT'nt�M�� `
' • :•.a r�fak'it'X'�'SA'L+.P9...:.. 1.=.., I,''
OWNER, -- .3
•.I
TELEPHONE
-SO. FT., OCC. ',Kat 13UILDING.VALUATION
OWNADDRESS r. .�
b t J�0 i^ 1`f"kj�'"' �,
g 1?
..i' ;it * 'r r.Y i Y r -Ki• M•S' yi¢�1+�' rf�''a r
x ), ,FA,. .,r'. CIT S. i f�- , ^.
CONiRACTOR'SNAME _ -
TELEPHONE
•wxr
TRACTOR'S MAILING ADDRESS
"
Fireplace
CONSTRUCTION LENDER r -
UNKNOWN
..Total Valuation $
LENDEWS MAILING ADDRESS
"
Filing Fee _ $ '
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING RE '„
ry
PERMIT FEE $
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
Oro Vp
l�
Solar or heat pump water heater 23.00
LOT No.
SUBDIVISION'S NAME
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome� Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New O Addition O Remodel El Utilities Installation O Other O
Describe Work: A
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
_
OR LESS
Main Service ( IV ) 23.00
200A OR LESS
Main Service ( TOOA TO IOOOA ) 46.00
NEW CONST. DWELLING OCCUP.
BLDS. ) 3.50 FT.O.
OR ADONS. ( & ACC. g
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O 1, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. , Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
NEW CONST. / MULTI.OUTLET
•NON-RESIO. I BRANCH CIRCUITS ) @7.50
( POWERAPPARATUS )
8 SINGLE OUTLET CIR. I`* -
Ex. Occup. ( OUTLET OR FIXTURES
Ex. Occu FIXED APPLNS. OR
p' (OUTLETS IRESID.1 EA. ) 5.00 {,
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $ s�(CltO ,
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood t6H.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities , judgments, costs, a d expenses which may in any way accrue against said
Count7n co equence of granting of thi ermit.
X / - _Date Z G
gnature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCCCONST. TYPE TOTAL FEE F
Al Q
HAZ. D. FEES IMP F100 CDF PARCELPO 110 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 EXPIRES ON
(Deter
Receipt No. i �_
WHITE-D.D.S.-B.D. CANARf-A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
This set of plane and speciScations MUST,#ie' ,
kept on tha�job at all tures and it iri uu xfi f`fc3'. '
make any -changes or alterations -on same Without `
written permission from tteY: De "ent
/O qY Pt�bj c�.
BUTTE CO. H ; _ _ -
. DEPT.
of 4=0rsEcRY
T _._.... j
-
n� v ' a, sj��r�� t:ed ALL STRUCTURES AND EQUIPMENT INCLUDINd ,
�Ei� r i\ iB SHALL 13E CLEAR OF ALL EASEN4ENTS:
r i 5 1 1'l cv Gln �0
I _ �.'a.pp, 4 LtI 'Y.+ qtr t . ii5_. _ _ _ ..
..�F o hof .:3� FT. FROM TIDE SIDE 4ND . ?o . _ -- a-
s=
- ;..r attics 1-60.... -T, FROM THE REAR PROPERTY L0,1 .-S" AE y0
''dE SHALE. 8�= _... i' _ ;. - -
.FRAM TWE ROAD CENTEF�Li,
GLIrAF+-OF STRUCTURES AND EQUIPtAENT EXCEPT .: 0d y �.....:.
FOR A 2 :�T, EAVE OVERHANG.
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, ` - - .. '�� ,y` _. _ T _. ..�/ ALL._ .. _i'�y::._ •�:_. .`�'.�-.,�,_ _ ' _:Y. - � Af_ / � .__ :`�' ti�} \r .. _ :• "t ° t -v � ill �'\� ��t y,..,f!•. ,v{,,.t 1
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d.. _r:._.. r. .�.._l}L_ __�y—`;' ,. �, .-»...T��,:,,:,;.,,r., R- r. �` 'C.y'f >d _;4.w-.«li-� i ,, _. .� �[ -.5 7 ,-.. �•
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707,931
APPROVED
Butte Coul'Ety.
la"5 -Environmental _Hpal
C/ - a s- y
--------- ----
Date
Signature
TOOMti*O!
E VIE MU,
BEAR i.U.f) LA
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AP#
CDF FIRE_SAF_ E REQUIREMENTS
94- (7W Jt ff f�
PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other app 1rte-iant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
�c]
/
1273.03
Grade. Not to exceed 16 percent unless paved.
1273.04
Driveway Radius
1. No roadway shall have a horizontal inside radius of
I"
'curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
L/N
2. The length of verti^wl curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or'divert water shall be not less than 100
feet.
]
1273.05
Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
1273.05
Turnouts. Shall be a minimum of 10 feet wide and 30
I
feet long with a minimum 25 foot taper on each end.
[�]
1270.10
Width. All driveways shall provide a minimum 10 foot
\
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of :2.-,
7z.- 06 Z -r10 q4 - z,?u7 ,Jt Kw
AP # PERMIT # NAME
1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[ 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[�] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[}�] 2'. The gates must be located at least 30 feet from the
/ roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[�] 1. All parcels 1 acre and larger shall provide a mini-
_ mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�(] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction ,r fi_ial inspection of a building
permit.
Page 2 of 3
7ZAIZ-/,� 9Li- Z9t/7
AP # PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
NAME
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
Metal or no doors on side toward property line with insuffi-
cient setback
Class A or B roof with enclosed eaves
Interior automatic sprinkler system per NFPA 13D
Glass area not to exceed 10% of wall area toward property
line with insufficient setback
Siding from the following list:
Stucco 3 coat
Hardi-Board.or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
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CDF FIRE _ SAF'E'REQUTAEMENTS�
tT7t 11W
PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which' equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apF irtezant-structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
�c] 1273.03 Grade. Not to exceed 16 percent unless paved.
/ 1273.04 Driveway Radius
I" 1. No roadway shall have a horizontal inside radius of
I" curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[/] 2. The length of ver:i^.�l curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
I feet long with a minimum 25 foot taper on each end.
[�] 1270.10 Width. A11 driveways shall provide a minimum 10 foot
\ traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of ? ,
_q
AP#
CDF FIRE _ SAF'E'REQUTAEMENTS�
tT7t 11W
PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which' equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apF irtezant-structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
�c] 1273.03 Grade. Not to exceed 16 percent unless paved.
/ 1273.04 Driveway Radius
I" 1. No roadway shall have a horizontal inside radius of
I" curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[/] 2. The length of ver:i^.�l curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
I feet long with a minimum 25 foot taper on each end.
[�] 1270.10 Width. A11 driveways shall provide a minimum 10 foot
\ traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of ? ,
[ 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
�] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
K] 1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[Xj 1276.02 Disposal of Vegetation and Fuels. Disposal, including
/ chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction ,r fi.ial inspection of a building
permit.
Page 2 of 3
06
SPK 17W Jt ffA/
; AP APERMIT
#
NAME
1`1273410
Turnouts.
Driveways exceeding
r
150 feet'* �in length, but
�.'
less than
800 feet in length,
shall provide a turnout
near the
midpoint of the driveway. Where a driveway
exceeds
800 feet, turnouts shall'be provided no more
than 400
feet apart.
[ 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
�] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
K] 1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[Xj 1276.02 Disposal of Vegetation and Fuels. Disposal, including
/ chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction ,r fi.ial inspection of a building
permit.
Page 2 of 3
9Ll- Z9g7
AP; # PERMIT #
Other Requirements
[ ]
'If Building Setback is 15 to 30 Feet:
- Class'A or B roof
- Enclosed eaves
r 77+ JOM
zNAME
[ ] if Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed i0% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
072-063-016 'PERMIT#94-2571
SMITH, JOHN
45 LO . ST HORIZON DR., OROVILLE
ELE FOR WELL & FUTURE LOT DEVELOPMENT
a
OFFICE COPY
Address
DttL--
ELECTRICA
Meter By P Date 7v:
COUNTY OF BUTTE - DEPARTMENT OP DEVELOPMENT SERVICES - BUILDING DIVISION
— County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO,
APPLICATION AND PERMIT Z - `71
ASSESSOR PARCEL NUMBER 7
ZONING
AR
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
749 HURLEMN RD OROVILTY, Q5966
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LIC ME NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
45, 103T HORIZON
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other POT SERVT(;F'
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition C)Remodel ❑ Utilities ❑ Installation O Other O
Describe Work: SERVICE FOR WELL
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
(LOT DEVELOPS)
Main Service ( 200A OR LESS )
23.00 • 00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.SO,
OR ADDNS. ( a ACC. BLOS. )
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
'License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Businend Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1.00
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESID.) EA. )
•
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
/❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
\ Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
71,,00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequen 'of the gra Ing of this permit. C�
/ .,/`' - Date l ` �� -
nature f Applicant - ❑ Owner' ❑ Contractor'Agent
FAn OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 71.00
HAI.
I D. FEES
IMP
I FLOOD
I CDF
PARCEL I PD
HD
ISSUF�
Y
This permit is hereby issued under the applicable provisions
of the•, Butte County Code and/or Resolutions to do work
indicat bove for which fees have been paid.
! j
By ! L---flate 9
PERMIT EXPIRES ON /
(Datel
Receipt No. 167597
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'_'
I�. COUNTY OF BUTTE ,
BUILDING DIVISION
PFPARTMENT 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
2j 710�
is NER 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�-/h''s office immediately.eol
4'=
mil/C.r��cT�
s
lit! (2 �" s'�°.� /��` ��'-�'✓.� W
L {i�
J
Date Inspector
REV 10/9
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 MIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 072-04-16
ZONING
A
BUILDI PERMIT '
OWNER JOHN SMITH
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
749 HURLETON RD OROVILLF, 9996
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAULING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 415 LOST HORIZON
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex D Mobilehome O Other P-O.j,E SF'RVTCR
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition O Remodel D Utilities O Installation ❑ Other ElContractor
Describework: SERVICE FOR WELL
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
(LOT DEVELOPE)
Main Service ( 00AORLESS 101 OR LEI )
23.00 123.
Main Service ( 200A TO 1oo0A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
gO
3.5C FT,,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
' license No. Classification
1, as the owner, or my employees with wages as their sole compensation, will do
he work, and the structure is not intended or offered for sale. (Sec 7044)
❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
&SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup.FIXED APPLNS. OR
(OUTLETS IRESID.1 EA. )
5 --
5.00 .07-
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPEC
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
ompensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
71.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgme s, costs, and expenses which ay in any way accrue against said
in cons Lien of th ra ' of this C� / p
r Date / `! !
re pplicant ❑ Owner D Contr ctor Agent
FAnOSHApermit is required for excavations over 5"0" deep and demolition or
ction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 71.00
H
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
1
This permit is hereby issued under the applicable provisions
of th Butte County Code and/ r Resolutions to do work
Ind' a bove for w 'ch fees ave been paid.
By ate
PERMIT PIRESON
(Date)
Receipt 167597
.D.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD-APPLICANT
`
"'y,�M��-.�;✓"��'7"Wn�c.'istfd+'^I`'�� lK�,rp._�,��.., -. _n ..,. �+.-- -,i F'r"s �:rwr+r w.l'C,`?�'.�1�""'rt•�i',1�`"�-rv.»,y.�y.gay.:y,;,fll..ilYf'�rfJ�+Y`rt')rs,.,Nt.,-u.....�yrt •[H -»"n,.;
~ • � i„ .� ,r ; � .Iii, .i' ,..- ,�,y..
COUNTYOF BUTTE-DEPARTMENT,tDF�DE1/ELOPMENT SERVICES - BUILDING DJVISIO,NZ
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA95965 -TELEPHONE (9167541
'PERMIT APPLICATION DATA SHEET
3 a -o l- i
OWNER A. . No.
Proposed Building Use Building Inspector Date
/ OE
f At time of hermit application, I was advised theialowing data must be submitted prior to permit processing and/or issuance:
}t DATE RECEIVED BY
y,
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 $ ..........................................
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. .............
1r"Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage. ...........
19. Driveway permit (constructio a proval required prior to occupancy). ..
Freansp' con reque�
20. Pre -inspection for 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: V Mail to owner. .Mail to contractor:''.
Telephone and,hold for pickup at office. Deliver with inspector.
. , Other
Parcel Creation/
Acreage Appli �c"4-
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
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above)..
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
;sGi�i GG7-� li.Z
7 LL .
I
�I
�I
AlI
_ �
Y
�I
1
PRE—INSPECTION x,
OWNER:LTV \ DATE_ /�3 L
LOCATION: 4S Tl)Y'I A.P. # Md -o(al u-
�� T
CONTRACTOR: ZONING
PRE—INSPECTION FOR:
m
------------------------------------------------
------------------------------------------------
PERMIT HISTORY: NONE AS FOLLOWS:
TYPE OF OCCUPANCY
BUILDING USAGE:
DATE TO INSPECTOR
FIELD — INFORMATION
TENNANT:
[� OCCUPIED Q HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
[� HEATED—COOLED PERSON CONTACTED
OTHER COMMENTS:
ACTION RECOMMENDED:
ISSUE OLD FOR /�r�, ��.�P /�� �y✓
OTHER:
I.V4
u
DATE
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICA�:ION AND PERMIT
ASSESSOR PARCEL NUMBER -7�
ZONING /1
\
BUILDING PERMIT
OWNER \
TELEPHONE
SQ. FT, OCC. BIJILDING VALUATION
OWNEWS M gE93 �1
c TnTOWS NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
LENDEWS MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS T r , �, r
�y�/
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
FO j �/, Nwl %
SF ❑ Duplex ❑ Mobilehome O Other. _ �� l V
sPEaFr
TYPE OF WORK
New O Addition EIRemodel ❑ Utilities ❑ Installation O Other ❑
DescribeWork:
Y--- L7�� / V t tj -Fb 4,
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
Contractor
ELECTRICAL PERMIT_ _
ser -Ace(" 200A OR LESS )
Fili_n_g Fe_e 20.00
1 23.00 1_33.on
Main Service ( 200A TO 1000A )
I 46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( A ACC. BLDS. I
SG.
3.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
cense No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
he work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
for this reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $ 100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
O I hall not employ any person in any manner so as to become subject to the Worker's
ompensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked. '
NEW CONST. MULTI.OUTLET
NON•REsID. ( BRANCH CIRCUITS )
FT•
@7.50
POWER APPARATUS
(6 SINGLE OUTLET CII )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00 I
BAL. 50 '
EX. Occup.FIXED APftN.£ OR
(ouTLETS IREs1D.I EA. )
5.00
Temporary Service
23.00 '
Mobile Home Facilities
20.00
c. Wiring
23.00
V
PERMIT FEE S
&Oo— -,—I
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - O Ow ier O Contractor O A ent
An OSHA permit is required for excavations ov —5"0" deep and demolition or
construction of structures over 3 stories in height.
Contractor
Mobile Home Installation Fee S
$
Energy Inspection Fee
occ
CONST. TYPE
TOTAL FEE $ -
HAZ.
1 D. FEES
I IMP
I FLOOD J
CDF
PARCEL
PD
I NO
I 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 EXPIRES ON
/Gere/
d
Receipt No.
WHITE-D.D.S.-B.D. _CANARY-ASSSOR PINK -INSPECTOR GOLDENROD-APPLICANT11 1
s --'5kA
RESIDENTIAL
072-062-016 PERMIT#94-2947
SMITH, JOHN R.
45 LOST HORIZON DR., OROVILLE
MOBILEHOME UTILITIES
f
�r
1
JOB FINALED (Date)
Signature
s
1
a
J=OK 1
O=Not OK
Not = otReady
able MOBILE,HOMES
Date
MOBLL
Y.,HOME UTILITIES (Plans) OK except #'s
Zo 'ng Requirements-Set acks-Easements
Soils; Special MH Support Sketch
Wer; d tion-Test-Fall-C/O Concrete
r, Location-Test-Easement Needed (Sketch)
5. lectr' ' ; Location-Clearences-Grnd-/ /Amp-Concrete
s; Location-Test-Wrap: / /"L"ft.
/ /"Nat. or/ /" L" it./ /"LPG
-Owell Clearance & Disconnect
Utility Clearance
Date _
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks Easements
2. Footings; Size-Spacing-Marriage Line
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test-Fall-Flex Connector
6. Water; MH Test-Regulator-Connector
7. Water and Sewer Connected-C/O to Grade-HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_
Boxes- Enclosures-Panelboards-Ins. to 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
J=OK
O = Not OK
a` NotReady
RESIDENTIAL (;
' =`Not Ready
Date UNDERFLOOR (Plans) OK except ft's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main: Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wra pped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
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 ft's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
---------- --- -------------------------
17. Water Pipe: Test & Anchor -Nail Protection
--------- --- ----------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
- - ----- --- -----------------
19. Shower Pan; Test. First Floor -Tub Access
----------------
- ----------------------------------
20. Test -Tub & -Shower.--Second Floor -Tub Access
------------------
21. Gas Pipe: Size & Anchors
------------------------------- --------------- ----------------------------
Date Card B-1 Date Card B-1
------------------------ --------------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except n's
22. Fixture & Transformer Clearance -Ins. Protection
- -----------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---------- ---------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
- - - -------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------------------------------
26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water
----------------------------------------------------- ------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
- -------------------------------------------------------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
-------------- ------------------ ----------------------------------------------
29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- ----------------- ------------ ---------- - - - --- - - -
30. Service -Riser Conductors & Ground -Main Disconnect
------------------------ --- ---------------------- ------------------------------
31. Equip_ Clearances Pane Is- Motors_Mech_ Equip.
------------ ---------------------------- - --------
32. Clothes Closet Light -Shower Light -Spa Light
--- - -- --------------------------------------------------
33. Smoke Detector
-------------------------------.--------------------------------------------------
Date Card B-1 Date Card B-1
------------------------------= - -- -------------------------------- ---------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except h's
34. A.C. Ducts Insulation & Support .
------------------------------------------------------
35. Vent Fan Exhaust above insulation
------------------------------------------
------------- 36. _Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
----------------------------------- _ -------------------------------------------
Date Card B-1 Date Card B-1
. .
-------------------------------------- --- -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4 s
39. Sils. Proper Material & Anchors
------- -------------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------ - ---------------------------------------------------- ---
41. Bearing Walls over Girders & Floor Nailing
---------------------------------------------------
42. Draft Stop in Walls (rat proof)
------------ ------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
-----------------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
- 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-------------- ---
55. Siding -Nailing Veneer
---------------------- --
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
--------------------- -- Y 9
57. Glazing Area -Glass Protection -Sk li hts-Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-------------------
-D-------------------------
ate Card B-1 Date Card B-1
----------- --
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except tf's
61. Ext. Steps -Door & Sidelight Protection -Landings
-----------------
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
---------- - - ------
64. Bedroom Exiting
------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
-------------------------------
------------- 66.-Elec.
----------------------------66._Elec. Trim & Subpanel; Breaker Sizes & Labels
- ------------
67. Stairs & Rails
--------------------------------------- --
68. Fireplace or Stove: Clearances -Hearth
------------- -------------------------
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
-
71. Elec. Outlets & Receptacles at Kit. Counter
- -------------- -
72. Garage Fire Door; Swing -Landing -Closer
--------------------------------------
73. A.C. Duct in Garage -Damper
------- -
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
75. Plb. Elec. & Mech._Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7-,. Insulation -Foam -Looked in Attic ❑ Yes
-------- --------------
-------------
----------------
78.-Guard-Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
- - - - - - --------------------- ----------------------
80. Followin instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes Cl No
-----------------
-------------
-------------- -
81 Stucco, Brown -Finish
82. A.C. Unit: Disconnect, Electrical, Plumbing
------ -------------------- 9 PP P --
83. Vents Above Roof; Plb A fiance -Fire lace. -Clearance to
Openings
------- ------------------------ -
84. Water Well; Disconnect, Electrical, Plumbing ,
•------------ ------------------------ -- --
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
. _ . - - --------------------------- :------
87. Glass Protection
88. Corrections from Previous Inspections `
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to.Grade-HD Approval T -
--------- ------------ -----------------------------------
91. 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:
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"
�T4
OWNER PERMIT NO. r
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation, . r
please contact t *a office immediately.
/ems T S
Date ( A-0 Inspector
REV 10/92
COUNTY OF BUTTE r
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
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.
Date // Inspector /,4gtZ
REV 10192
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