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072-290-048
A GEORGE KREJCI .P A.P. 72-29=48 2701 o_ ff s/s BlackBart Rd...4 mi . east - Black Bart Monu-men't, Hurlton • COP'M; Riulia.l-d Wood, Uroville Permit 2227-73B,E,M i (new single family) 072-29-0-048 92-2777B KREJCI; George - 276 Black Bart Rd, Oroville. contr: George Roofing reroof /sf ( � � '/2� . 072-290-048 PERMIT#96-1284 KREJCI 276 Black Bart Rd., oroville / Cont; George.Roofing Reroof/SF _ 072-290-048 PERMIT#98-0108 KREJ8CI, George 276 Black Bart Rd., Oroville Cont: Harrel Wilson e1-747 &/I_ Add Rec Rm Above Garage 01 072-290-048 #98-2478 KREJCI, GEORGE 276 BLACK BART RD.OROVILL HARREL AUSON COVERED DECK F111#6 //Z(�X I 072-29-0-048 98-90 A GEORGE KREJCI 276 BLACK BART ROAD, OROVILLE (AG EXEMPT-STG FEED) lrI Ir fi r RESIDENTIAL i PERMIT NO. S 072-290-048 W #,98-2478 KREJCI, GEORGE 276 BLACK BART RD.OROVILLI HARREL WILSON COVERED DECK PERMIT EXPIRES EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION s r' tg i }' a SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS t VERIFY Temp. Power Pole 14 , 4 Called PG&E emp. Elec. Service rCalled PG&E Temp. Gas Ser Called PGB JOB FINALED 1 Signature 4 � S CHECKED BY c V=OK 0 = Not OK '=Not NoMOBILE HOMES t Ready MOBILE Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 7,di�ing Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements . Footings; Soils-Size-DepthSpacng-Connectors-Steel �.3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 3. Sewer, Location -Test -Fall -C/O -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures: 4. Water, Location -Test -Easement Needed (Sketch) 6. Carports; Windows -Doors 5. Electricity; Lortion-Clearances-Gmd-/ /Amp -Concrete 7. EI 6. Gas; Location -Test -Wrap; / JUL / /Nat. or/ /"LYt./ /LPG g.; Sils'AnchorsStuds-Rftrs-Trusses 7. Well Clearance & Disconnect 9. Sidi , Nailing VeneerStucco-Mesh 8. Utility Clearance 1 f; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements POOLS (Plans) OK except #'a 2. Footings; Size -Spacing -Marriage Line 1. Setbacks -Easements 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting, Distance -GA 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 10. Exits; Insp.-Sketch 9. Health Department Approval 11. Cert of Occupancy 10. Plumb.; Cir. TestWater Supply Test 12. Permanent Foundation Only: License Decal 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date MISCELLANEOUS Date DE KS, COVERS, CARPORTS, GARAGES lana OK except #'s 1. 7,di�ing Requirements -Setbacks -Easements . Footings; Soils-Size-DepthSpacng-Connectors-Steel �.3. Decks; Girders 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. EI g.; Sils'AnchorsStuds-Rftrs-Trusses 9. Sidi , Nailing VeneerStucco-Mesh 1 f; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date - and B-1WDate Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/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. TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 N O = Not o OK RESIDENTIAL (Single & Duplex) - = Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth Cling. Joist-RfV. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 48. 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth 49. 5. Stemwalls, Main; Steel-BlockoutsANrapped 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-COppies 15. Access & Ventilation 61. Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Cana B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74. 25. Size B es & No. of Conductors Stapled 75. 26. Romex I stalled Close to Edge of Studs & C.J. 76. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 77. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 78. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 79. Insulation -Foam -Looked in Attic 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes p No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 32. Equip. Clearances Panels -Motors -Meth. Epuip. Following Instld./Drive 0 Yes 0 NoAValks Q Yes 0 No/Planters p Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 NoAValks Q Yes 0 No/Planters p Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754y, PRM NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-.-290-.048 ZONING BUILDING PERMIT OWNER RFJCI, GEOPG., I'.F TELEPHONE SO. FT. OCC. BUILDING VALUATION 408 C 5, 304 . OWNERS MAILING ADDRESS 276 31ack Sart 2oad, Oroville CONTRACTOR'S NAME carr.e1 Milson TELEPHONE 533--3994 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $5,304 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ 52.65 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 153.65 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Covered Deck Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�o.A oA LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full force and effect. ` ` / ,e V b �/ License Class (, 3 LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ls� 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' compo sation laws of California, and agree that f I should become subject to the work s' comp nsati n provisions of section 3700 of the Labor Code, I shall ith com wit ose provisions. ^1 X Date f(1- 2_3� ,QU Signat a of Applicant - ❑ Owner ['Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. owEwNG OCCUP. s0 OR AGDNS. ( a Acc. ZDCS 3.50 ; I. NON-RESID. MULTI -OUTLET (97,50 POWER APPARATUS 8 SINGLE 0 '. CIR. Ex. Occup. OUTLET OR FIXTURES B20 O 1.00 Ex. Occup. p7 psR' p,oEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 153.65 FEES IMP FLOOD _ EDF PARCEL I PD 11D IS U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By tl PERMIT EXPIRES ON I the applicable provisions Resolutions to do work een paid. / q DDaat lql&6 ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l V COUNTY OF BUTTE - DEPARTMENT OF _ 1 DEVELOPMENT SERVICES BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ,p 0. (Rev. ;2/96) APPLICATION AND PERMIT 8 -CIT -TI " 'La$°"°"iCa""n 7� - (� ^-d ZOMNO j BUILDING PERMIT OWNER TELEPHONE S OCC. BUILDING VALUATION OWNERS MARINO ADD /""` J CONTRACTOR'S NAME TELEPNIONE CONTRACTOR'S MALJNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENWNEER E NO. Flirt Fee $ 20.00 ARGRECT OR ENGINEERS MALING ADDRESS Permit Fee $ euLDwoAo°aEss Plan Checkin Fee Energy Plan Checking Fee $ (� S *i S PERMIT FEE PLUMBING PERMIT i 7 ,(o Filing Fee 120.00 06,J I LCT No. SUB ION'S NAME PARCEL MAP' USEOFSTRUCTURE Each Trap 7.00 . Solar or heat pump water heater 23.00 SF §( Duplex ❑ Mobilehome ❑ Other Water piping 11 15.00 SPECFY TYPE OF WORK New ❑ Addition Remodel 13 Utilities ❑ tnstnllnfion O Other C] Describe Work: %, 1, Each gas water heater or' vent 15.00 Gas Gas piping stem 1 - 5 outlets 15.00 sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT I Filing Fee ?0.00 Main Service zooA o°sa 1 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect License Class Llc. No. Main Service 200A To 1000A 46.00 OR ADONS.T a+ ASM. erns 3•50s8Or. NMW UUMF ON -REBID. ' MULTwun" @7.50 N+OWER a aNcuE mwc Ex. Occup. °unErORFwnma e+u OL:w OWNER -BUILDER DECLARATION I herebyaffirm under arta of perjury that I am exempt from the Contractors License penalty Pe I rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. Ex. Occup. �0i1MN6 °H ovnETs ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project MIsc. Wiring 23.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason PERMIT FEE : WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 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. Heatin Coolin Hood 6.50 ❑ 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: Ventilation PERMIT FES S Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued. I shall not employ any person In any manner so as to become subject to workers' compensation laws of Caldomia, and agree that i(1 should become subject to the Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE; f53,615_ j "Az o. NEES IMP FLOOD CDP ;Z;c pp HD sstA workers' compensation provisions of section 3700 of -the Labor Code, I shall forthwith comply with those provisions. This permit is hereby Issued under the applicable provisions X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over SD' deep and demolition or construction of structures over 3 stories in height By PERMIT EXPIRES ON Date te Receipt No. WHITE-D.O.S.--B-D.--C- NARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT USEON Y Plot Plan Attached Floor Plan Attached Sent to B.D.[ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance K p-i�- I I'll, ',4 4 Cv.'Ratt� -4 Z -- ?,G (-)D � Owner Location AP# Plan Approved for: Sewage Dispos� Wa r Supply: �Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: 94,�� C9 Environmental Health Specialist 8/96 23 � Date Y Fi rrTy�✓$r,,.�. �u� �-'='�:Ysdi.'W'...r.N.7.��+�1'�i�ti„yr.. Zi_ti.tJ#3t'•F'pf�f.l'1.:�"�'L+Y�.'�,li'�`h'Y6/%+T:;ow,/+Yap.r.-�.�..�y,,,`.,=fytl�4Yi'i�i'i+`�r'4...-,.�t+...+,:�-rr-x-r � „�..-� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: 0 / (�2 Proposed Bin in U . CU?r .�P ding Inspector: Date:�i At time of permit a -cation, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees--------------- 1j3 . Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approvapQ,0 ,An Health Department. City of Chico plumbing permit. -------------------------------------- `� ❑ 16. Plot plan and business license, approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. ---------------------------------------------------- El 23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------=---- 1124. Letter of signature authorization.-------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. -------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------- ❑30. Other: (Date) ,t When�you issue thUermit, process as follows ❑ Mail to owner, ail o ntractor. IIS�d'I elephone 3 and hold for pickup at (_ ce. ❑ D fivIf er spector. Applicant: \ Date: Z% / p Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air P ution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: rj< 'ii:5— Date: j 71f Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. A, Date: October 27, 1998 ffutte.-Count LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Permit Applicant: George Krejci 276 Black Bart Road Oroville, CA 95966 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Permit Number: 98-2478 Assessor Parcel #: 072-290-048 Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Sexton • Date: October 27, 1998 Permit Applicant: George Krejci 276 Black Bart Road Oroville, CA 95966 46 Permit Number: 98-2478 Assessor Parcel #: 072-290-048 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Corrugated fiberglass is not allowed as a roof covering. You need a "Class B" minimum roof covering. 2. We do not allow deck rafters to be attached to rafter tails unless designed by an engineer. 3. Your rafters must be max 24" o.c. to span 12'. 4. Footing are required under your posts. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. Linda Sexton MICHAEL MOONEY 5 A MADRONE AVE. CIVIL ENGINEER OwwLLE, CA 95966 RCE 20647 (916) 533-2131 Butte County December 4, 1998 Department of Developments Services Building Division 7 County Center Drive Oroville, CA 95965 Attn. Linda Sexton Re: George Krejci Permit # 98-2478 AP 072-290-048 Linda, This concerns your plan check letter of October 27, 1998. Item 1) Corrugated Fiberglass roofing will be removed, and has been so noted on the plans. Item 2) I designed this rafter tail connection, and added my requirements to the plans. Item 3) I designed a solution to the over span problem and added it to the plans. Item 4) In as much as the structure (without roofing) supports no Live Loads, and it has no apparent problem supporting its own weight (sits on concrete slab), I believe that construction is adequate. I believe that the structure will remain, sans fiberglass roofing, and will be used to support shade cloth in the summer months. I hope that this meets with your approval. Thank you.for your consideration. Yours, C" t4� OA- 020647 Michael Mooney My license expires 9-30-01 9TFOF CAO -2' OM- Z6CroS� 4o c 72-A VC ?�`� Qz 2, S 42,C)L K2 . �. C IMo IMr�w.K z w� + P� Z 'Z`7o K 2 540 `7.63 W I� 647 m C LIF 41601 Ok �L,5e�'.r`.� , -79 CC) a � �n z 1.2.x" O Gcsc1� �y 3 a-� C�,t�-r • MICHAEL MOONEY - CIVIL ENGI.N.FFR RCE 20647 EXPIRES 9-30=01-_.-... 530-533-2131 _ Date: 10/28/98 TIMBER JOIST 8 RAFTER DESIGN DES/GN DATA 1 Timber Section 2X6 :. ....Depth in: 5.50 . Width in: 1.50 Le: Unsupp ft: 3.00 Fb- Allow psi. 1138.00 Fv- Allow psi. 95.00 Elastic Mod. ksi: 1600.00 -- • Load Duration Factor 1.25-.. Stress Ratio -> > : 1.25 CENTER SPAN No Good! o4c- Span Length ft: 10.00 Uniform DL plf. 10.00 LL plf. 80.00 CANT/LEVER SPAN Cantilever Length ft: 2.00 Partial Length DL plf. 10.00 LL plf: 80.00 X -Left ft: 0.00 X -Right ft: 2.00 - RESUL IS Mmax @ Cntr k -in: 13.38 X -Dist ft: 5.00 Moment @ Cant Suppork-!n: -2.16 REACT/ONS „r - -- Left: Dead Load # : 48.00 - -- Live Load #: 384.00 Right: Dead Load # : 72.00 Live Load # : 576.00 _ STRESSES No Goodl.,-.. Fb.. Allow psi: 1412.2 Fb.. Actual psi. 1769.3- Fv....A.11ow psi: 118.75 -...... Fv.. Actual psi: 77.45 DEFLECT/ONS Center... Dead Load in: -0.061 X -Dist ft : 4.93 DL Ratio 1963 Live Load in: -0.489 X -Dist ft: 4.93 LL Ratio 245 Tota! Defl in: -0.550 X -Dist ft: 4.93 Ratio 218 Cantilever... Dead Load in: 0.035 Ratio 1362:. Live Load in: 0.282 Ratio 170 Tota! in : 0.317 Ratio 151 Page: BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT WIEN WFOO 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. 14s - ASSESSOR PARCEL NO. (5.70 q�, © CIP- ZONING OWNER � J� � L� PHONE OWNER'S ADDRESS / LOCATION OF BUILDING USE OF BUILDING e5?RA SIZE OF STRUCTURE X ��SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME _� STEEL CONCRETE OTHER (Specify) TYPE OF SIDING A4ynAj1 ROO COV RING 6 FLOOR TYPE ESTIMATED COSTO CONSTRUCTION $ 6 CGg3 S ,¢ X0009'AIO AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows --60/1 FRONT SIDES '2 O REAR 2 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 comply with the requirements in effect at that time and before occupancy - Date ` Date_ �CSignature of Owner Permit Fee - $60.00 The above described AG Building is exempt from build' a permit. ReceiptNo. �� FLOOD P C P. ROOF ISSU N Manager Build Div /W74-14 By Date 4419 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant RESIDENTIAL 072-290-048 PERMIT#98-0108 KREJSCI, George 276 Black Bart Rd., Oroville PERMIT No Cont: Harrel Wilson - Add Rec Rm Above Garage 3j/D � PERMIT Ul OWNER CONTR. ASSESSOR PARCEL LOCATION 1 •` 2' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK - O = Not OK Not =NotReadyyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size•Depth-Spacing-CAnnecbrs-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Dedking-BracingStairs-Rails 3. Sewer, Location -Test -Fall -C) Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /lUtL / /Nat. or/ /'LYt./ /LPG 7. Electric 7. Well Clearance 8 Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK -except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'a 3. Gas; MH Test -Demand -Vale -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPOR GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size•Depth-Spacing-CAnnecbrs-Steel 3. Decks; Girders and/or Joists-Dedking-BracingStairs-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-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 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. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card R -r ti v' = OK O = Not OK - = Not Applicable = Not Ready Date NDERFLOOR (Plans) OK except #'s gSetbacks-Easments-FloodSlope Ng., Main; Soils -Flet. Gmd. / /` Ftg. Depth a 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth RESIDENTIAL (Single & Duplex) Date ELECTRICAL (Permit) OK except #'s acture & Transformer Clearance -Ins. Protection 24. Elec, Receptacles Spacing -Lights & Switches at Doors 126 -Sm -e Boxes & No. of Conductors Stapled 26. Ro Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / /ga. Cu or Al-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral n Yes n No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clo s Closet Light -Shower Light -Spa Light 3 moke Detector Date 5. Stemwalls, Main;'Steel-Blockouts4Nrapped Card B-1 Date Card B-1 Date 6. St IIs, Garage; Steel-Blockouts-Wrapped A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation old Downs and Special Anchors . Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet ab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date`s'_ '2- F 3 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Ht:; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s acture & Transformer Clearance -Ins. Protection 24. Elec, Receptacles Spacing -Lights & Switches at Doors 126 -Sm -e Boxes & No. of Conductors Stapled 26. Ro Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / /ga. Cu or Al-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral n Yes n No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clo s Closet Light -Shower Light -Spa Light 3 moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37.. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date _JRAMING (Plans) OK except #'s SUs-Proper Materials & Anchors 44! Wal tads -Nailing Spacing & Braces -Plates -Sound e g Walls over Girders & Floor Nailing rift -Stop in Walls (rat proof) ire Mops, Furred Ceilings -Stairs -Chasers -Tubs 46.,14eaders & Beams -Size & Bearing Date FRAM!(Continued) rs-Post Caps -Anchors -Connectors 4 ling. Joist Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. -48_F Lace Ties or Type A Flue Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt & Dimensions Garage Fire Protection Framing ffl,.-P-Tperty Line Firewall & Openings Doors -One 3 -Check Garage 3rd Story, 2 Exits �/StaJcs; Width -Headroom -Rise -Run -Landing -Fire Protection �I cwood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer Sh - Mesh -Drip Screed -Fd. Vents-Underflr. Access 68! azing Area -Glass Protection -Skylights -Plastic q , Shear Walls: Nailing -Bolts (� 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date fj,CL Card B- - Date Card B-1 Date ' Card B-1 Date Card B-1 Date ELNA -(Plans) OK except #'s .Steps -Door & Sidelight Protection -Landings Smoke Detector mb, In Garage; Garage; Above Floor -Ducts -Meth. Protection s & Tub Access -Spa 8 Subpanel, Breaker Sizes & Labels .GB -fairs & Rails , learance-Hearth 7 Panel, Int. & Ext. Z2 Kit and: Air Gap -Cooking Clearance pticales at Kit. Counter ng -Landing -Closure Damper tr.; ents sora omb. Air Connector-P.R.V. In Gar�Above Floor -Meth. Protection Elee.riofeCf . uip. Listed for Location eceptacles in darage (G.FI.)-Romex Protection nsul40wr-l`bam-Looked in Attic uar�ails 8' eck Construction -Post Caps 81. VBents & Crawl Hole Door Drainage & Wood -Earth Cle4rance Looked under Floor 0 Yes Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No finish nnect, Electrical -Plumbing -Appliance-Fireplace-Clearance to Openings e , iscon ect, Electrical, Plumbing ail mer E . im, G.F.I. Receptacle -Underground on Throught House 419. Glass Pmteeliem 90 Con S4Qasb=, Previous Inspections 91. Gas jesLlUeiers Tagged, Gas-Eleciric 92 r Connected -C/O to Grade -HD Approval 3. pliance Certificate -Other Certificates Date %�tz 7 1B- Date Card B-1 Date a -1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 276 Black Bart Rd. Oroville Number and StreetCitv County Subdivision Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches 2. CEILING Batt or Blanket Type Fiberglass Batts Brand Name Thermal Resistance (R -Value Brand Name Johns Manville Thickness (inches) 13" Thermal Resistance (R -Value) Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. fib. Minimum Thickness Manufacturers installed weight per square foot to achieve Thermal Resistance (R Value) 3. EXTERIOR WALL R38 inches. Material Fiberglass Batts Brand Name Johns Manville Thickness (inches) 3.5/5.5" Thermal Resistance (R -Value) R13/R21 4. RAISED FLOOR Material Fiberglass Batts Brand Name Johns Manville Thickness (inches) 10.25" Thermal Resistance (R -Value) R30 5. SLAB FLOOR / PERIMETER Material Brand Name Thickness Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150LOERKE INSULATION CO., INC. "QQ n(AiaAQj Item -#s— Signature, Date nsta in Subcontractor Co. Name Or TVI-q16General Contractor (Co. Name) Or Owner —f em s Signature, ate Insta ing Subcontractor Co. ame Or General Contractor (Co.Name) Or Owner Item #s Signature, Date Installing Subcontractor (Co. ) ame) Or General Contractor Co. Name Or Owner r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER 0/9,� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 4 k Inspector REV 10192 COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 3 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE r I `7$- AF- 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, pease contact this otfi e immediately. A '4 3 FJ P/► -rte - /!•T� / I Date Is— REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, tCaliforgia 95965 - Telephone (916) 538-7541 PERMIT -ID. (Rev. 12/96) r APPLICATION AND PERMIT� ASSESSORPARCE NUMB 0722EA– 048 ZONING A-5 BUILDING PERMIT OWNER GEORGE KREJCI TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 276 BLACK BART ROAD, OROVILLE 648 R 34,992 CONTRACTOR'S REL WILSON TEL533-3994 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHMECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 317.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 276 BLACK BART ROAD, OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 966.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD FLOOR ABOVE GARAGE (gEcRFATTnN Rno m) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoosOR.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. / / / License Class [' 16 Lic. No. 6,1 � b C/ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 -ACC. aws. so 3.,40 NEW CONST. OUTLET NON-RESID. ANC I @7.50 POWER APPARATU d SINGLE OUTLET SIR. Ex. Occup. OUTLET OR FDTTURES BAL@'.W Ex. Occup. ouTLEEDTs RES D.UNISOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 41'-1 certify that in the performance of the work for which this permit is issued, I shall not emplo any person in any manner so as to become subject to workers' compens on laws of lifornia, and agree that if I should become subject to the wor rs' compe ation ovisions of section 3700 of the Labor Code, Ishall fo i compl ith t provisions. X ' -?� Date SignatAfreVof Applicant - ❑ Owner 9V Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.10 Heating HEAT PUMP 15 . CO — Cooling 15. -CO Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee $ Ener y Inspection Fee Is 46.1)0 O CONST . TV TOTAL FEE $ 704.75 H Z. ,r D. FEES IMP FLOOD CDF _ PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or inclicat9l above fpr which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �� • 9 Date 3t0'��J Dale Receipt No. 231571 289.05 7 c1,S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP CTOR GOLDENROD -APPLICANT Y ,y COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ._--;7-COUNTY CENTER DRIVE - OROVILLEi-GALEhQRNIA 95965 -TELEPHONE (916) 538-7541 j PERMIT APPLICATION DATA SHEET OWNER: 71 �S Pii C.c t, ASSESSOR PARCEL NUMBER: Proposed Building,4,1 d J�p�uilding 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 have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. --- ❑8. Hazardous Material Form. ------------------------------------- C1 9 Manufactured Home data and,' ati ,,instruc 'ons incl din Tie Down Specifications ------------------- Fees of $ �/ S . %�D -�--' �I------- -- -g - -- ---------------------------------------- 3 (7K coa ,�,.�/� � 1. Impact fees as shown on the attached schedule.-�i-'�v-- �- - - -----------------------------�� 9A- --------------- 0 A ❑ 12. California4Department of Forestry plan approval/fees.---------- --------------------------------------------- ❑ 3. Flood elevation certificate. ---------------------------------------------------------------------------------------- *4. Sanitation and plot plan approval Health Department.-----------------------------�------------. City of Chico plumbing permit.----------------------------------------------------------------------;------------ ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------------- C3 ----------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- ------------ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required. Request to Building Inspector on ❑2;1. Contractor's license information. (Number, Name Style, Classification). ❑ 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. '❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------------------- 1129. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone _ (Date), and'hold for pickup at office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date: By: Date: By: 1. Index permit application for the above items numbered: X I ❑ Plan Check Liat 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi n counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Gj69r, � �'c_ / (tel Ac v. —LA Owner Location Plan Approved for: Sewage Disposal -,'>,,-- Other Hold final for: Final clearance O.K. for: NOTE: E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. Water Supply: Public le&n )?-% ,, rpo , I AP# Private Wellk Environmental Health Specialist Da e 8/96 School District A.P. Number Property Owner BUTTE COUNTY SCHOOLSIM ' FEE CERTIFIC/ ION FORM (One for er duildinglf` �0 V B i ing Department No. b�xd 49iJ 'Q ��Jurisdiction: = City X1 County Property Location/� Subdivision Lot No. Residential Development q. Footage No of Living Mobile Home Ad itio (Grou ) Units Installation C reC? f on ©Q Commercial/Industrial M Sq. Footage n (Including Exterior R ofed Areas) Da •,_ Irioor mans //reviewea Dy acnooi uistnct rersonneq District Identification No.� / f0 (p School District certifies that (Al4plicantf alb (Street Address) (City) has complied with the requirements of Resolution No. representing /�f�i� square feet. District Representative Paid by Check # Z Remarks: (State) (Phone Number) 4j-9 W (Zip Code) rY1 by payment of $ l� qa, .1, i� B 2926 $ ULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance wlihi� Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. f 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 (r�-EQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm v�'LrI 13.O .A J�-- z 6►r?r- 61'7( 617( 30 I., Lzf-,44 C P l�t�uk1� �Zlk�cta� Sc-� C. AA,( Q1 I %2 i (�s�lwbO W )TI 6 t) AIC S 111T q rzo Icy) -a C2 u 31scal - C--� Ilii WC L 4 ILr 3.547:' , + 2�2 yM" Pm 7J�1� Rx� . . VIA�T � r �fOle z 4 GF fit l - T rL a X'1� - 1 C3) +- 124�x ���" Tt ANm-%.VJ(c, t "Ca m'�'tQX-01t*(A .60--7 LA) AixAms S- fS Z8 cQj ITE z 49 4:EKA (SrD V n9ci �Aja C;v, RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: , act' BUR DINGP ER PLAN CHECKER: oe'5 A P.NUMBER: a"� Zoning requirements: (side yards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.RA., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). C FLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 37 exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). 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. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fiieplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. tJ,- 9AAAS Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Header size. Sheetrock nailing inspection required? July 1996 3.2 Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). ,Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1-hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. ' Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. �# � � � ba.11o�/1 ,tea-P'�� � � � G•C July 1996 3.3 TABLE OF CONTENTS TOC Project Title.......... Addition for Krejci Date........ 12/18/97 Project Address........ 276 Black Bart Rd. ******* Oroville *v4.51* 0/0 Documentation Author... Neal Kuopus ******* Buildkng Permit Calctech oZ. 1835 South Villa Ave Plan Check ate Palermo, CA 95968 916-534-5066 Field Check/ Date Climate Zone. ..... 11 Compliance Method....... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-KREJCICO Wth-CTZ11S92 Program -TOC User#-MP1320 User-Calctech Run -Stand-alone Addition TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 3 FORM C -2R ................. 5 FORM C -3R ................. 8 HVAC SIZING ............... 13 •-�. -MEW CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Addition for Krejci Date........ 12/18/97 Project Address........ 276 Black Bart Rd. ******* Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check/ Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-KREJCICO Wth-CTZllS92 •Program -FORM CF -1R User#-MP1320 User-Calctech Run -Stand-alone Addition GENERAL INFORMATION Conditioned Floor Area..... 648 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 15.6 % of floor area Average Glazing U -value.... 0.53 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Insul Assembly Type Type R -value R -value R -value U -value Location/Comments Wall Wood R-21 R-0 R-21 0.056 FRONT, RIGHT, BACK LEFT Wall Wood R-21 R-0 R-21 0.057 TO STAIRWELL Door n/a R-0 R-n/a R-0 0.330 TO STAIRWELL Wall Wood R-21 R-0 R-21 0.060 TO ATTIC F1oorExt Wood R-25 R-0 R-25 0.036 TO GARAGE Roof Wood R-11 R-27 R-38 0.025 TILT CEILING FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Window Right (S) 18.0 0.510 2 Drapes.Std None None Vinyl Door Back (E) 53.4 0.550 2 Drapes.Std None Yes Wood Window Left (N) 20.0 0.510 2 Drapes.Std None None Vinyl Window Left (N) 9.8 0.510 2 Drapes.Std None None Vinyl HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Electric 3.41 HSPF None R-0 NoSetback HPPackage 9.70 SEER None R-0 NoSetback CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZ11S92 Program -FORM CF -1R User#-MP1320 User-Calctech Run -Stand-alone Addition SPECIAL FEATURES/REMARKS No ductwork installed R-25 floor insulation per Form 3 R-21 wall insulation per Form 3s R-38 ceiling insulation per Form 3 Wood frame dual -pane clear french doors and sidelights Glazing U -values per MFR'S. NFRC Testing & Certification Vinyl frame dual -pane clear glazing required ELEC.RES.3.4: 3.413 HSPF room electric resistance AC.9.7: 9.7 SEER room air conditioner HWH: NO CALCULATIONS 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.... Harold Wilson Company. Address. Phone... License. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Neal Kuopus Company. Calctech Address. 1835 South Villa Ave Palermo, CA 95968 Phone... 916-534-5066 Signed.. _)JU�1, gJ1TJg-1 (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Project Title.......... Addition for Krejci Date........ 12/18/97 Project Address........ Documentation Author... Climate Zone. ..... Compliance Method...... 276 Black Bart Rd. ******* Oroville *v4.51* Neal Kuopus ******* Calctech 1835 South Villa Ave Palermo, CA 95968 916-534-5066 11 Building Permit Plan Check Date Field Check Date MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-KREJCICO Wth-CTZ11S92 Program -FORM MF -1R User#-MP1320 User-Calctech Run -Stand-alone Addition 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- 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, 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. NA -0c, Oft wt�' ON er ment *150(a): Minimum R-19 ceiling insulation. 9-39 150(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. �-a5 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, 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. NA -0c, Oft wt�' ON MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZllS92 Program -FORM MF -1R User#-MP1320 User-Calctech Run -Stand-alone Addition 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. WCL 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.�L 150(1): Setback thermostat on all applicable heating systems. �l 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 601 and 603; 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 78% 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. u 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception:.Non-electrical cooking appliance 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. -yo1c, COMPUTER METHOD SUMMARY Page 5 C -2R Project Title.......... Addition for Krejci Date........ 12/18/97 ******* Project Address........ 276 Black Bart Rd. Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Fie Chec Date Climate Zone. .. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-KREJCICO Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Stand-alone Addition GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing.Percentage......... Average Glazing U -value.... Average Ceiling Height..... 648 sf Single Family Detached Addition Alone Front Facing 270 deg (W) 1 1 ReducedYear Raised Floor 1 5832 cf 648 sf 0 sf 0 sf 15.6 % of floor area 0.53 Btu/hr-sf-F 9 ft MICROPAS4 ENERGY USE SUMMARY ZONE Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 15.08 18.62 -3.54 Space Cooling.......... 19.50 12.51 6.99 Total 34.58 31.13 3.45 Yes NoSetback *** Water Heating not calculated *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing.Percentage......... Average Glazing U -value.... Average Ceiling Height..... 648 sf Single Family Detached Addition Alone Front Facing 270 deg (W) 1 1 ReducedYear Raised Floor 1 5832 cf 648 sf 0 sf 0 sf 15.6 % of floor area 0.53 Btu/hr-sf-F 9 ft Vent Special Height Vent Area (ft) (sf) 2.0 n/a BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat Zone Type (sf) (cf) Units itioned Type HOUSE Residence 648 5832 1.00 Yes NoSetback Vent Special Height Vent Area (ft) (sf) 2.0 n/a COMPUTER METHOD SUMMARY Page 6 C -2R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Stand-alone Addition OPAQUE SURFACES SPECIAL FEATURES/REMARKS No ductwork installed R-25 floor insulation per Form 3 R-21 wall insulation per Form 3s R-38 ceiling insulation per Form 3 Wood frame dual -pane clear french doors and sidelights Glazing U -values per MFR'S. NFRC Testing & Certification Vinyl frame dual -pane clear glazing required Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE - New 1 Wall 52 0.056 21 270 90 Yes MW.21.2X6.16 FRONT 2 Wall 147 0.057 21 270 90 No GW.21.2X6.16 TO STAIRWELL 3 Door 17 0.330 0 270 90 No None TO STAIRWELL 4 Wall 48 0.060 21 180 90 Yes AW.21.2X6.16 TO ATTIC 5 Wall 150 0.056 21 180 90 Yes MW.21.2X6.16 RIGHT 6 Wall 163 0.056 21 90 90 Yes MW.21.2X6.16 BACK 7 Wall 186 0.056 21 0 90 Yes MW.21.2X6.16 LEFT 8 F1oorExt 648 0.036 25 n/a 0 No FG25.2X12.16 TO GARAGE 9 Roof 324 0.025 38 270 9 Yes R.38.2X4.24 TILT CEILING 10 Roof 324 0.025 38 90 9 Yes R.38.2X4.24 TILT CEILING 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 - New 1 Window 18.0 2 Vinyl Slider 0.510 180 90 0.88 0.78 Drapes.Std 2 Door 53.4 2 Wood Hinged 0.550 90 90 0.88 0.78 Drapes.Std 3 Window 20.0 2 Vinyl Slider 0.510 0 90 0.88 0.78 Drapes.Std 4 Window 9.8 2 Vinyl Fixed 0.510 0 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - New 2 Door 53.4 6.7 8 2 0.6 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Electric 3.41 HSPF None R-0 1.000 HPPackage 9.70 SEER None R-0 1.000 SPECIAL FEATURES/REMARKS No ductwork installed R-25 floor insulation per Form 3 R-21 wall insulation per Form 3s R-38 ceiling insulation per Form 3 Wood frame dual -pane clear french doors and sidelights Glazing U -values per MFR'S. NFRC Testing & Certification Vinyl frame dual -pane clear glazing required COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Stand-alone Addition SPECIAL FEATURES/REMARKS ELEC.RES.3.4: 3.413 HSPF room electric resistance AC.9.7: 9.7 SEER room air conditioner HWH: NO CALCULATIONS CONSTRUCTION ASSEMBLY Page 8 3R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-Calctech Run -Stand-alone Addition Parallel Path Method Reference Name . MW.21.2X6.16 `i Description .... Wall R-21 2x6 16oc Type ........... Wall R -Value ........ 21 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ..... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value O. FILM. EX 1. PART.BD.0.63 2. BLDG.PAPER 3c. BATT.R21 3f. FIR.2X6 4. GYP.0.50 I. FILM.IN.WLL Exterior air film: winter value 0.625 in particle board Building paper (felt) R-21 batt insul (cavity = 5.5 in) 2x6 fir 0.50 in gypsum or plaster board. Inside air film: heat sideways FRAMING ADJUSTMENT CALCULATION Cavity Total Unadjusted R -Values Framing 0.17 0.17 0.82 0.82 0.06 0.06 21.00 -- -- 5.45 0.45 0.45 0.68 0.68 23.18 7.62 Total U -Value: (1 / 23.18 x 0.85) + (1 / 7.62 x 0.15) = 0.056 Btu/hr-sf-F Total R -Value: 1 / 0.056 = 17.75 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 9 3R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-Calctech Run -Stand-alone Addition Parallel Path Method Reference Name . GW.21.2X6.16 Description .... Wall R-21 2x6 16oc Type ........... Wall R -Value ........ 21 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. GYP.0.63 0.625 in gypsum or plaster board 0.56 0.56 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.R21 R-21 batt insul (cavity = 5.5 in) 21.00 -- 3f. FIR.2X6 2x6 fir -- 5.45 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 22.92 7.36 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 22.92 x 0.85) + (1 / 7.36 x 0.15) = 0.057 Btu/hr-sf-F Total R -Value: 1 / 0.057 = 17.41 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 10 3R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-Calctech Run -Stand-alone Addition Parallel Path Method Reference Name . AW.21.2X6.16 Description .... Wall R-21 2x6 16oc Type ........... Wall R -Value ........ 21 Hr-sf-F/Btu Framing 0. Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.060 = 16.57 hr-sf-F/Btu Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 lc. BATT.R21 R-21 batt insul (cavity = 5.5 in) 21.00 -- lf. FIR.2X6 2x6 fir -- 5.45 2. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 22.30 6.74 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 22.30 x 0.85) + (1 / 6.74 x 0.15) = 0.060 Btu/hr-sf-F Total R -Value: 1 / 0.060 = 16.57 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 11 3R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Stand-alone Addition Parallel Path Method Reference Name . FG25.2X12.16 Description .... Flr Garage R-25 2x12 16oc Type ........... F1oorExt R -Value ........ 25 Hr-sf-F/Btu Framing Material ..... FIR.2X12 Type ......... Wood Description .. 2x12 fir Spacing ...... 16 inches on center Framing Frac.. 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. GYP.0.63 0.625 in gypsum or plaster board 0.56 0.56 2c. AIR.FLR.3.50 3.5 in & greater air space:. heat down 1.00 -- 2f. FIR.2X12 2x12 fir -- 11.14 3c. BATT.R25.0 R-25 batt insulation 25.00 -- 4. PLY.0.75 0.75 in plywood 0.93 0.93 5. CARPET Carpet & pad 2.08 2.08 I. FILM.IN.FLR . Inside air film: heat flow down 0.92 0.92 Total Unadjusted R -Values 30.66 15.80 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 30.66 x 0.90) + (1 / 15.80 x 0.10) = 0.036 Btu/hr-sf-F Total R -Value: 1 / 0.036 = 28.02 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 12 3R Project Title.......... Addition for Krejci Date........ 12/18/97 MICROPAS4 v4.51 File-KREJCICO Wth-CTZ11S92 Program -FORM 3R • User#-MP1320 User-Calctech Run -Stand-alone Addition Parallel Path Method Reference Name . R.38.2X4.24 Description .... Roof R-38 2x4 24oc Type ........... Roof R -Value ........ 38 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 24 inches on center Framing Frac.. 0.07 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description 0. FILM.EX Exterior air film: winter value 1. SHNGL.ASPHLT Asphalt shingle roofing 2. BLDG.PAPER Building paper (felt) 3. PLY.0.50 0.50 in plywood 4. AIR.RF.3.50 3.5 in & greater air space: heat flow up 5. BATT.R27.0 R-27 batt insulation 6c. BATT.RII.0 R-11 batt insul (cavity > 3.5 in) 6f. FIR.2X4 2x4 fir 7. -GYP.0.50 0.50 in gypsum or plaster board I. FILM.IN.RF Inside air film: heat flow straight up FRAMING ADJUSTMENT CALCULATION Cavity Total Unadjusted R -Values Framing Cavity Frame R -Value R -Value 0.17 0.17 0.44 0.44 0.06 0.06 0.62 0.62 0.80 0.80 27.00 27.00 11.00 -- -- 3.46 0.45 0.45 0.61 0.61 41.15 33.62 Total U -Value: (1 / 41.15 x 0.93) + (1 / 33.62 x 0.07) = 0.025 Btu/hr-sf-F Total R -Value: 1 / 0.025 = 40.51 hr-sf-F/Btu HVAC SIZING Page 13 HVAC Project Title.......... Addition for Krejci Date........ 12/18/97 Project Address........ 276 Black Bart Rd. ******* Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-KREJCICO Wth-CTZ11S92 Program -HVAC SIZING User#-MP1320 User-Calctech Run -Stand-alone Addition GENERAL INFORMATION Floor Area ................. 648 sf Volume .. ..... ............ 5832 cf Front Orientation.......... Front Facing 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 Description HEATING AND COOLING LOAD SUMMARY 270 deg (W) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 3481 2148 Glazing Conduction ............... 2150 1397 Glazing Solar .................... n/a 3219 Infiltration ..................... 3317 1362 Internal Gain .................... n/a 1200 Ducts ............................ 0 0 Sensible Load .................... 8948 9327 Latent Load ...................... n/a 1865 Minimum Total Load 8948 11192 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. 072-290-04'8 PERMIT#96-1284 KREJCI 276 Black Bart Rd., oroville Cont; George Roofin.a, .Reroof/SF 6111)1j�IqJ7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,-' 7 .County Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541 f PERMIT NO. APPLICATION AICD PERMIT AJ ASSESSORPARCELNUMBER� -f ,•'' ,� �. ��; 1f ZONING BUILDINCrPERMIT OWN Y TELEPHONE 589-5858 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAKING AD RESS 276) Et ,, , f . CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ORESS 6.10 Lincoln Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 11 fln ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ 4UILDINGADDRE I 2Y5 IAack Bart' Aad Okci iitc k 5p,6 e PERMITFEE $ R LIMB 1)1 E ITS Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510yN,S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTUR SF ;C{7 Duplex ❑ Mobllehome ❑ ' Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK 1 New ❑ Addition ❑ Remodel ❑ Utilities. ❑ Installation ❑ Other ❑ Describe Work: Tear/of f — Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service / a OV OR LESS 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION i 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 C-'39 Lic. No. 452266 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to const►tact the project. k. ❑ 1 am exempt under Sec. BLsiness and Professions -ode for this reason NEW CONST. DWELLING OCCUR. OR ADONS. ( a ACC. BLL ) s0. 3.SQ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 (aPs NGLE APPARATUS CIR. ) Ex. Occup. (OUTLET OR FOCTURES) BAL @ 1.50 FIXED APPWS.OR EX. Occup. (OUTLETS (RESID.I EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 -s:,• - PERMNTFEE $ ontracfor ' 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 andolicy number are: Carrier Cdlde:n Eagle Ins. 8o, MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ivWC_341205-00 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,/ X Cyt- 4,�lt_ ,�� DateCl�� �fI'_ —: — SignAtu" of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 37.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HO ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON/' applicable provisions Resolutions to do work been paid. Date t (Date) Receipt No. � WHITE-D.D.S.-B.D. AN RY-ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cali rnia 95965 -Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER �. „� D ZONING BUILDIN PERMIT OWNE , TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1000 comp $600-00 OWNER'S MAILING AD KESS CONrRACTOR'S NAME TELEPHONE R'SMAILING CONTRACTODRESS 6810 Lincoln ri A 95965 Fireplace CONSTRUCTION LENDER UN104OWN Total Valuation 1$17.00 Filing Fee $ 20.00 LENDER'S KWUNG ADDRESS Permit Fee $ 1700 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADD RE SS 276 Black Bart Road Oroville CA 95965 PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF :P Duplex ❑ Mobilehome ❑ Other SPECIFY 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: Tear/off Mobile Home S G W @20.00 PERMITFEE ; Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C-39 Lic. No. 452266 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. s0. OR ACDNS. ( a ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATOUTLETUS ) a CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 O I. BAL .0500 Ex. Occup. FIXED OUTLETS D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 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 Golden Eagle Ins- Co- MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections nee not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f ith comply with thos provisions. / X Date�[Q `Z Sign re of Applicant - ❑ Owner &In Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD COF PARCEL I PD I HD ISSU 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 J34Date PERMITEXPIRESON'- (Date) Receipt No. 20 L7 5.3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i �--0-048 L72 -GI Ge 92=2777B orge 276 Black Bart Rd, Oroville f'George reroof/Roofing 3�i �A') (61 i i i ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICAT-IQN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R .•, / Q7aC "L7 / / ZONIN -'5 BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION 9WpJ R'S M IL'INB ADDF3ESS % J J i r, t ` 1 ,' 'j �, 1 f 90NTRACTO 'S NAME - TELEPHONE_ CgXTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan,,Checking Fee $ EnerXlPlan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD}NG ADDRESS - >' f �( ll :l Permit foe $ G, PLUMBING PERMIT Filing Fee 15.00 -+' Each Trap 5.00 r Solar oi heat pump Water heater 20.00 LOT NO. SUBDIVISION NAME ^d�ttM4'Iw ..r PARCEL MAP .:4.p,.. Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 TYPE OF WORK New r` Addition a Remodel C Utilities ❑ Installation Other Describe work: _ f,�rL112 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I dere under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full ,force and effect. License .Jo. `'� < -.4 <<. Classification i ` -Ex. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM 3.60 sq.ft. OR ADONS. l ACC. BLDG S. // NEW CONSTR. MULTI.CUTLET NON•RESID• BRANCH CIRC ITS I @ 5.00 POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AO 76d Occup. ORj UTLETS ED PRESID IEA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 'i The permit is for $100.00 (valuation) or less. ' I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �L ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Conttactor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ities, judgments, costs, and expenses which may in any way accrue agains Aaid County,ifi consequence of the grannQng of this permit. �' " ''r : f '' '"%. X..�' / 'i' i k l Date i f -_C_ p-� Signature of Applicant — Owner❑ Contractor E]Agent, An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P occ CONST TYPE ! !._. TOTAL FEE $ '" r x) HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of thea B to County Code and/or resolutions to do work indi abode for which fees have been paid. �D RECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date • G - 93 Receipt No. !� Z• 151 WHITE-D.P.W., YELLOW-ASSESSpR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R 07.2 ZONLN BUILDING PERMIT o ER TEGEgPHONE !� SO. FT. OCC. BUILDING VALUATION r OR'S I N ADD SS NTRACT 'SNA E 1 TELEPHONE ,COI TRACTOR'S MAILING ADDR 5 O Fireplace CONSTRUCTION ENDER - UNKNOWN Total Valuation is , LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 31 1—cp ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ EI ��, AD R Permit fee $ PLUMBING PERMIT Filing Fee 15.00 CA C 6 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New' Addition Remodel❑ Utilities❑ Installation El Other Describe work: e— -- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1500 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I de tare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in full Joe d effect. License No. Classification F-1APFIXED I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP.&) 3.64 sq.ft. OR ADONS. ACC. BLDGS. NEW CON5TR ULTI.OUTLET NON-RES,E BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.& ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76d NS Ex. Occup. OUTLETS (PRESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ities, judgments, costs, and expenses which may in any way accrue against pid County co equenc of the gr of this ermit. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ I HAz 0FEES I IMP I FLOOD CDF I PARCEL PD Ho- ISSUE This permit is hereby issued under the applicable -)rovi- sions of the B to County Code and/or resolutions to do Work indi a e for which fees have been paid. OR OF PUBLIC WORKS By Date X-6 PERMIT EXPIRES Date a 4"9?3 Receipt No. 12— Z51 � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NUMBER - B 2227-73B,E,M P 14 PERMIT EXPIRES OWNER George Krejci .CONTR: Richard Wood, O.roville LOCATION (A.P. 72-29-48 270' off s%s Black Bart Rd. k mi. east Black Bart Monument," Hurlton Zoning COUNTY OF BUTTE Departmep:t of,tublic Works BUILDING INSPECTION RECORD Setback Foundation ,, -/ Piers & Girders Rgh. Plumbing . z: 7-:-!- Bond Beam Gas Piping & Test �- Plmg. Topout Furnace Garage Vents' Rein. Steel Framing Wtr. Htr. Firewall !?AeE�'�/ ELECTRIC Temporary, Final DATE GAS Temporary Final Forms _ Fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. 7 Final J"�� I REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS //` 7 County Center Drive OroN611e, California 95965 6 tlo ` Telephone: 534-4541 APPLICATION AND PERMIT aurnunce represeniaiives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X (�C�irC�(. �l.0 �� ( Date Signature of Peerrmmiitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provis.ons of the Butte County Code and/or resolutions to do work incicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By e, - — e Building permit expires Date ._....._�.•.•-+••--• BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor (2�� Total Valuation Mailing Address G– Permit Fee Plan Checking Fee &/or Penalty ��O ` Telephone No. Permit Fee Building AddressS/,� wCe;:�5, PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Do / A7 ,,tt % oC • 1_1<e 4 I40t'c 1, it Each Trap 1.50 %S Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — •2 — t �'j Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ S $ /91 NEW ADDITION ❑ UTILITIES ❑ OTHERELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,c Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ SUb-panel (12 or less) (morethanl2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures baIW10 Receps., switches & fix outlets 207425 E b. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: r Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 2'2 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE L $ ll aurnunce represeniaiives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X (�C�irC�(. �l.0 �� ( Date Signature of Peerrmmiitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provis.ons of the Butte County Code and/or resolutions to do work incicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By e, - — e Building permit expires Date ._....._�.•.•-+••--• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oro°W lle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X, �`w Date Signature of Permitee or Agent Receipt No. c7 7 -3t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS BY LDate 1 Z - 7 - Fluilding permit expires Date 7�Z BUILDING Owner Y `® t SQ. FT. OC . BUILDING VALUATIO v Mailing Address Ir O - Telephone No. Fireplace 60/j ,/- Contractor I 42.4lNdG Total Valuation - — 6c Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressQ S` S .2 7PERMIT PLUMBING No. @ FEE FILING FEE $2.00 1�ii /�nrc�l f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.�c. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration arcel a P 60' R/W m r Improvements- p ovements Lawn sprinkler system 2.00 Bldg. Plans R c'd Parcel Approval I Plans Approval Permit Fee $ $ -Bldg. NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.001 O Main service incl. 1 meter Additional meters, each ✓ 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook - g p or Oven 1.00 Water Heater or Space Heater 1.00 LIII fixture b��a�l rdlo • !� e ps., switches & fix outlets ZD�f�S CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: � ZM/ Hood, Ex. Fan or F.A. Furn. Motor 1.00 .ljp Evap. cooler, gar dis . or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No./ 4fie��tc3 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. iecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 4,06 Heating OG Cooling Ventilation Hood 2.00 GV Permit Fee $ $ G I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $Tgq e authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X, �`w Date Signature of Permitee or Agent Receipt No. c7 7 -3t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS BY LDate 1 Z - 7 - Fluilding permit expires Date 7�Z