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072-310-041
072-31-0-041 92-3915 BPEM WASHBURN, Gerry Lee 56 Starziak Ln,, Oroville J enw sf 072-310-041- - PERMIT#96-K0vO CHAVEZ, Amador 56 Starziak Ln., Or.oville'I� Mobilehome Utilities 1 � I ELECTRIC—Z90 7' GAS LINE Z,06 -34d COMPACTION TEST REQ A10 \ SUPPORT STRUCT RE N d L -� 072-31-0-041 97-1132 MHI CHAVEZ, Amador .' 56 Starziak Lane, OLoville (MHI/96-2000) ✓� _ �I��� 1 .� 17o? - 3 / 0.[ A7 RESIDENTIAL 072-310-041 PERMIT#96-2000 CHAVEZ, Amador 56 Starziak Ln. Oroville +. Mobilehome Utilities fi 5� d roc y + �1 i� OFFICE COPY . I Address p I GAS Meter By D i EECTRI I Meter By Date JOB FINALED (Date_ Signature ' t t' i. V=C)K' - 0 = Not OK 11. Ext.; Steps -Doors -Landings - =.Not Applicable •=Not MOBILE HOMES - Ready ; Date M991LE HOME UTILITIES(Plans) OK except #'s a i 1. Zoning Requirements - Setbacks-, Easements j 1� Soils; Special MH Support Sketch _ Ga ;°MH Test-DemandVatve-Connector ,Ar Sewer, Location-Test-Fall-C)O-ConErete— _c I ti tib GqeCocaYlnjest-Wrap;/// /'Lft. — / or L°ft./edIPG 7 7. ell Clearance & Disconnect L,>Iater and Sewer Connected -C/O to Grade -HD Approval 5Es and Electricity Tagged Tie Downs -Type -Installation Cert. of Occupancy 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Da Card B- Date Card B-1 E Date Card B-1 V Date Card B-1 Date MOBILE HOME INSTALLATION(Plans) OK except #'s a t Zo 'ng Requirements- Setbacks Easements } F gs; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s Ga ;°MH Test-DemandVatve-Connector 1 A"T!geicity; MH Test -Crossovers -Breakers -Clearances f rain: MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining L,>Iater and Sewer Connected -C/O to Grade -HD Approval 5Es and Electricity Tagged Tie Downs -Type -Installation Cert. of Occupancy - MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-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. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses s9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 96and B-1 Date Card B-1 Date, and B-1 Date Card B-1 Date a Date Card B-1 Date Card B-1 bt POOLS (Plans) OK except #'s 1 f - MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-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. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses s9. Siding; Nailing -Veneer -Stucco -Mesh o r l 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 o r l i o r l = OK O = Not OK No RESIDENTIAL (Single & Duplex) - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-FloodSlope 47. 2. Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ t' Ftg. Depth 5. Stemwalls, Main; Steel-BlockoutsaNrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. Siding -Nailing Veneer 9. D.W.V.; Fall -Fitting -Test -2 Way CYO -Sewer Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Glazing Area -Glass Protection -Skylights -Plastic 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. Shear Walls; Nailing -Bolts 12. Electric Underground Brace Wall Panels 13. Pienums & Ducts; Clearance -Material -Support -Ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Infiltration -Walls -Windows 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr; Vent -Access -Combustion Air Baffle Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 23. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 24. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ranye Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date 90. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing gate FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Pudin-roff Brac.-Truss-Shting.-Rfng. 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 64. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 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: X J ' J, _._. COUNTYOFBUTTE=DEPARTMENTOFDEVELOPMENTSERVICES- BUILDINGDIVISION f 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION -AND PERMIT 96, aoo ASSESSOR PARCEL NUMBER 072-310-041 ZONING AIS BUILDING PERMIT OWNER AiIMADOR CHAVEZ 415 TELEPHONE 938-9117 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1235 AYALA DR #38 SUNNYVALE CA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ gn 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 56 STARZIAK T PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IK Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other ❑ Describe Work: 2 BED20011 2 BATT: 12 Y 60 Mobile Home $ @20.00 60 01) PERMITFEE; $0.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service / 500V OR LESS 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ill 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 ' I . NEW CONST. DWELLING OCCUR SO. OR ( 8 ACC. BUDS. ) 3.50 FT. CNS. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 Ex. Occup. FIXED 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63,00 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 serf -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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 ��_ �slf___ Date Signature of Applicant Owner Contractor ❑Agent An OSHA permit is required f0 xcavations over 5'0" deep and demolition or constructionB of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 166.00 HA2. D. FEES jhTPj FLOOD /`./f/ X ? C PD su _ 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. PERMITEXPIRESONLi#�' yReceiptNo. (Date 20257$ WHITE-O.D.S:-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �..-.;ntir....ti.°�./'.',,..r,r+ini•:i -4.� rtw�ti5+rt r._�.r•-r:.�:re;rw.�..yt,tL,,•:.,ti;�,iiSE`�;',:.�...�yJ�,^t��,j � '.w cf9"r ,�.,,"• ' �.�,,,=epi-'�.w.. � 'L' . ' COUNTY OF BUTTE - DtP"X1,MEN.. G P-VELOPMENTSERVICES - BUILDING DIVI i6N y 7 COUNTY CENTER DRIVE -bROVILLE, CALIEPRNIA95965 - TELEPHONE (916) 538-7541 H' PERMIT APPLICATION DATA SHEET �' ®vsrnS //�� // OWNER �'Vi C( J O G�� t/o P. o. tOo &Oil Proposed Building Use Building Inspector Date 81C99-19 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 v been submitted . ........................................ 2. Plot plan sets, signed by preparer of plans. .. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... ° 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . x!11. Impact fees as shown on attached schedule. ... 94, � .A�;Qp�.... . 12. California Department of Forestry plan, approval/f s i- : '. aaa6.7.8. . . .. 1 Flood elevation letter (100 year flood) by Cal 'y�( nia gine WL 4 Sanitation and plot plan approvalCJ 4 V� Anealth Department............ . City of Chico plumbing permit .................................... . P 9P ..... ` 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. . J.. . T16. Driveway permit (construction approval required prior to occupancy). . 20.' Pre -inspection for Poea"se�°" reguW- required. . to Building Inspectororor , (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. �:........................ V22 Owner-Builder Verification (Given to owner Mail to owner::4. Recorded copy of Agricultural Acknowledgement.Statement.5. Letter of signature authorization. ......... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... t 29. Documentation of legal access. .. 1;1 .................. :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits:"...................................... 32 Plan check list . .................................................... . L+� r When you issue the permit, Process as follows:y Mail to owner. Mail to contractor. %� i Telephone,, and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage t.' Applicant ,I' Vy ` n�� ' 1V Date ,1— Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. . Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items Nd� 2. Additional items required: �- it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by G Q3onlS Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works j �NGSl? �tAf r. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �,, �P Mfg'Do Owner Location O4n Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom obile r Hold gyral for: Final clearance NOTE: for: Environmental Health Q/n1) H.H. USE ONLY Plot Pbn MOW Poor Plan Attached Sect to B. / 0/7a--3 10 -01� I AP# / Private Well Date �. y r«•+err � wyca..�;tr �wo'*y ��"����+tT'.,��^T.jf�} 1I' ;j;;j� 'Y�f � 4 .i° *4ZE�lX �� ; � ''" • l t- C ;- ray ... ii ,. . •' �., � 5 Attention Property Owner: An "owner -builder" building permit has, been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES" NO[ ]. 2. I HAVE(] ' HAVE NOT[ ] signed an application for a .building permit for the proposed work. 3. I have contracted with the following person (firm) to- provide the .proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: -' NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: /_ PROPERTY OWNER: 17� ae4y 16ad-10S SOCIAL SECURITY NUMBER: DATE: !P 2'�% 040_ NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER ;r ,.` 3 4 xk.� f1 � ,t { fi - '�•' � :i, t f.. n, i w F � .. ., J.t A. � �£ �.v..•...�_ ?: A:1 _ _ �........F....:.".KS••. ,Y,• Y �. .4.� .µ _ .�.. ! w, •rrte�. 9 6 `=032nV V 1 Rec Fee And when recorded mail to: I COP Building Division Recorded I Cash #7 County Center Drive Official Records I Oroville, Ca. 95965 County of I -9.00 1.50 10.50 ' Butte Candace J. Grubbs :r Recorder I 2:40pm 3 -Sep -96 I PUBL XX 2 AGRICULTURAL STATEMENT OF ACT(NOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be,recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals. "including, but not limited to herbicides. pesticides, and fertilizers: -and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning. and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. - All that real property situate in the County of Butte.. State of California. described as follows: Date: '�A2 ���� PROPERTY OWNERS: t�►'nc�c�v ✓ ✓�S�s State of Californ,< County of SG C ) On P—? -7-16 before me, G ��'q personally appeared �jADO R g ' CHA Utz personali known to me (or proved to me on the basis of satisfactory evidence) to be the person s) whose name(s)(IjNre subscribed to the within instrument and acknowledged to me thathe/ he/thev executed the same in hi er/their authorized capacity(ics), and that by is er/their signature(s) on the instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. s 2� Comm. # 1050$63 pJOTgY S1JBLIC • CALIFORPBA ::s3 Coro Cowty s Signature�— $CJI' Q. AH Comm. Expires Apr. 11, 1999 ORDER NO. BU -151839-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 4, 1984,'IN BOOK 97 OF MAPS, AT PAGE(S) 10. PARCEL II: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 60 FEET, LYING EASTERLY OF THE EASTERLY BOUNDARY OF THE OROVILLE FEATHER FALLS RELOCATION ROAD, OF THE NORTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL III: vp AN EASEMENT FOR ROAD PURPOSES OVER THE SOUTH 60 FEET OF THE WEST 60 FEET OF THE NORTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION'13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL IV: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE'41 1984, IN BOOK 97 OF MAPS, AT PAGE(S) 10. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: .: PERMITI.: Owners: Name: Owners: Address: Mobilehome Year of Manufacturer Manufacture: Serial number ` Insignia or 3-3g or V.I.N. f Fj HUD number: Official approving Installs on: Date: If the mobilehome is moved or relocated, the mobile'home installation acceptance shall become invalid. This form shall not be used whirr the mobilehome is installed on a foundation system. r 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor .. S •. i � . 1. .n.. ,± n r'..'.5,... •-. .., , _.. _._. _. . _. _.... .... ... : <i,i'�,.. n. �. .r f ... � r . ... .. .., .. t � .._ .- ...1 A COUNTY OF BUTTE - DEPARTMENT OF'bEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PE MI NO. (Rev. 12/96; APPLICATION AND PERMIT J� ASSESSOR PARCEL NUMBER 072-310-041 ZONING BUILDINGPERMIT OWNER AMADOR CHAVEZ TELEPHONE SO. FT. OCC. BUILDING VAL N OWNER'S MAILING ADDRESS 56 29 STARZIAK LN OROVI L CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 56 STARZTAK IN Energy Plan Checking Fee $ PERMIT FEE S LOTNO. - SUBDIVISIONS NAME ARC PEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P 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 ❑ Llfilities ❑ InstallationOther ❑ Describe Work: FOR UTILITY PERMIT #96-2000 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE 4 ELECTRICAL PERMIT Fling Fee 20.00 - Main Service z on OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. . ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. B.S. SO 3.5¢FT. NON-RESIDNEWCONST ANCI C�CUT @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFaTUREs BAS@' o — Ex. Occup. Duxt rs gFw 6.) 0"EA. 5.00 Temporary Service 23.00 :. Mobile Home Facilities 20.00 Misc. Wirin d 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by 'section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE 3 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.) 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 Ose provisions. � Date /— DS' ture o pp Icant ❑ Owner ❑ Con ractor ❑ Agent %- An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ: I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L'l �- .r:t, r+ ,.:i ...r ,,. M11it .; - rs i�rp:� �1 �. gr: �t .. ,� ,.�-T,.•�, _ ya. . �b /.'t.i:"'^�'�i:�-�rn1..7�.f-�: i.�..iw�.(�'^�'��F'.��i'� ,. �•� t r-'Y'Y' i+; yf� .]I..,� i 'ct�� .�,SY '.�{rT. • ��C ? TY OF BUTTE DEPARTMENT OF F DEVELOPMENT SERVICES -BUILDING DIVISION Y 7 COUNTY CENTER DRIVE - OROVILLE, CIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC Proposed Building Use: Building Inspector: Date: At time of permit application, I was advise_ d the following data must be submitted prior to permit p ces mg a d/or issuance: Date Received By ❑ 1. All items have been submitted.-------------------------------------' ---------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3.-Complete plans, 3/4 sets, signed:by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- --------------------------------------------------- 117. ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. azardous Material Form. ----------------------------------------------- =-=-------------------------------------- _. ,. Manufactured Home data and installation instructions including Tie Down Specifications.-� ------------- % ❑ 10 Fees of $---------- ---------------------------------------------------------------------------- Impact fees as shown on the attached schedule.----------------------------------------------------------------- �� 0 - ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- -------------------------------------------------------- 1113. ❑13. Flood elevation certificate. --------------- ------------------------------------------------------------------------- -------------------------------------------------------------------------------------- 0 ❑ 14. Sanitation and plot plan approval Health Department.------------------------------------------- ---------------------------------------- 0 ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -------------------- -------------- --❑ C319. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required.. Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- <, ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- " . Recorded copy of Agricultural Acknowledgment Statement. --------=----------------------------------------- Letter of intent on building use. ----------------------------------------------------------------------------------- anufactured 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: ------- you issues the ermit r es, as follows ❑ Mail to owner, []Mail t ntractor. 'IlTele hone Jp� — and hold for pickup at 1 office. ❑ Deliver with inspector. 77F%t ue1 r6L, Applicant: 4".,k�G_,C Date: " Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, 11 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 unter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi counter, by Da 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. r^�rt4"�•°i%�Sj^.�5�.'�'CjikY.'yt�l7+i�:��Yb:OYi"!q'��f-.�+p.�'"ti�et�"�+ Y�a� - ...`,,..-r....>..rr..-•-'twe,rf �v'"f`Y'-^�".",.r-�-.�*�a....;,✓':�,+`er+v'�Nf�'\tF:w�a��v. ;rf�n.'i ;, COUNTY OV BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION' 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A. P. 0-3 0--0q/. PROPOSED BUILDING USE DATE (lJ `7 REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................. $ . -- Additional Fees Due ..:.......... $ -- Additional Fees Due ........ $ -- Revised Plan Checking'Fee' ....... $ A I TAI 2. SCHOOL DISTRICT FEES Dm; I �t (paid at District Office) ' SHERIFF FEES (paid at Building Division) R2� Residential ........ x $360.00 = $ �OO Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x . _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) . 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of ;permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees maybe changed during the plan checking process. APPLICANT \ `' (6' 3, DATE Original -Owner Copy -Building Div. (Rev. 12/96) N . n., insrn` 4� O 06 W 1 v e r_\A, Tho5T 6f LochTF-b w►Tuk,j P-50, NOX H I\ M Pv P?zQeq-T y L(4 £I 9-� T �Qiv� > • w qy ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SMA} L C6k4j°L.Y WITH CURRENT EDITION OF NEC, UMC AND UPC. NOTE: All Materials & Work hIR Shall Be In Accordance with Recognized Glood Praotiees and of a Quality Prescribed for the Specified use In the Uniform Building, Plumbing & Mechanics) Codes and the National Electrical Code. a .� kvvo' �N S. o �vptl ��psE� ANO Ati E o OF Sio AAV SNA 3 0 • ��@� �`N�SN of p o f N.� PM Tbis set of plans and speelftm tons MM be kept on the job at all times and it is unlawtil to make an,Y chenges or alterations on same without written per�cion from the Department of Publlo Works, CoVnty of Butte. S�e,w �c 0 U Gr 00 • S-c� 0,1 t� Go Foy FD A2� 05--v 'C GNid a5 sU� iy,c�5 c° q The attached Fire Safe requirements must be cOmpieted as specified and approved by C.D.F. aP cr \ nec aQ n . l s•a� 65-7-77 O A ✓ ) /t -k AP4 is —3 (-- y i CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [/Iq 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. L f 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius �(] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�1 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. ��?, �g Page 1 of -1, COU BII "'h" PAR '-Na �rn -7 2 - AP AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. ] 1. All parvels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal .of Vegetation and Fuels. Disposal, including -chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fiscal inspection of a building permit. Page 2 of 3 u ^� AP # �6-zaoa PERMIT # [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves �h4�r/Ez �+-�,•�02 NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1-0t of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 a7 �� A AP # �6-zaoa PERMIT # [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves �h4�r/Ez �+-�,•�02 NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1-0t of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 a7 �� Mobilehome Manufacturer: )IA 5 t ✓'o o Manufacture Year: 19 P If other than single wide, furnish Setup Model Number: Width: i a (ft.) Length: (an (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets: FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete blocker Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ..................................................................................:............. Main Beams Line2................................................................................................ ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams •, Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 ine 1 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` ou?E cvun 1 OVEJUI�Ojtjr pjFjTMEN1DfOVEDUvIR 0 Line 1 Piers: Size minimum: r 1 x Spacing maximum: I t` From ends -maximum: ` Line 2 Piers: Size minimum: [ / ] x [30]. Spacing maximum: 5 6 ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front):" Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` ou?E cvun 1 OVEJUI�Ojtjr pjFjTMEN1DfOVEDUvIR 0 M.H.I.-2 2. Assessor's Parcel Number: 3. Installer's Name: O(w M c- Y� 4. Is the site currently under permit? Yes[kj No[ ] Permit No. 5. Is the site an existing site? Yes[ ] NoV] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? ,Jo Amperes. 7. What is the mobilehome site circuit breaker rating? /25` Amperes. 8. What is the electrical rating of the mobilehome site? OC) Amperes. 9. Is the main service remote from the mobilehome site? Yes[X] No[ ] If it is, what is the rating? a00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? YesF] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- /a5` - /-P// Amperes - b) The main service: Load- (-9, - A)lz Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[}(] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3,1 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION F May 1995 8.5 ABESCO_ENG INEERED .; COMBINATfON TIE -DOWNS MANUFACTURED HOME TIE—DOWN CALCULATIONS AND.., �. SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN & GENERAL NOTES DESIGN LOADS: * WIND --------- 15 PSF * SOIL BEARING ---- 1000 PSF * TIE DOWN STRAPS- 3150# WORKING LOAD TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FOR TYPE 1., CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1 /4" x .035 ZINC PLATED. * EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.) *CROSS DRIVES -------- 1727# CALCULATED) *,CONCRETE.SLAB ANCHORS- 1390# CALCULATED) GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE -DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE -DOWNS. ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE *INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH- AUGER THAT CANNOT BE INSTALLED. -t 5. FOR ALL .TIE -DOWN INSTALLATIONS, THE ,MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. el (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS -BEAMS --CAN -ALSO BE_' C,'_,SHAPED_OF RFC SHAPED. 6. END `-TIE-DOWNS CAN BE .LOCATED WITHIN 18" OF EITHER SIDE OF%CHASSIS BEAM AXIS AS SHOWN. CHASSIS - BEAM o (ONE - END TIE -DOWN MANDATORY �. ao AT EACH END OF "I7 BEAM) T 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN ENGINEER APPROVAL STATE APPROVAL • v :: ;�N�►rrl,E�11..6� T/,EOBI,�/i� ,�1/�.f/J7 �ESSI/y -^ % T3 APPROVED Cot Q ��1.�^ �j SUBJECT TO CGRNS NOTED -,;:r 61791 17 1 _ Expi27 C f OF a�,�E ` C C -: i ihorite o��gpprove any omission or Approval does not deviation _from requir. nfs of%applicable State laws and regulations. � �0/-California Departmentoin and" �9 nibs �Lt+�W� Development r J� St�AN.e 5`TA Da S gyil� 'i SPA - v i - —s . m THIS TIEDOWN S1fSTEM MEETS THE`REOUIREMENTS ,i This Plan Approval nEz fires_= a OF SECTION" 1336.3, SUBSECTION a) PACIFIC CONSULTING ENGINEiRS ;' ` �' :`�; f3'»Y• 2150 BELL AVE. " SUIfE 145 N` ABESCO ;4 SAC. CA. 95838. -PH: 916-564-6028 5851 FLDR PERKINS F �'�' �SI�C:"CA:-95828 PH: 91 . .r E-1 iL " Z ABESCO- TIE -DOWNS .o Z W W irlpW y. Z 2'I EVENLY I SPACED LENGTH VARIES <\ TRIPLE WIDE \ N Z 0 0 .o SIDE TIE -OWNS (SEE NOTE BELOW) <\ 3 o \ om I W W 00 r Z <�DOUBLE WIDE WN �T T - T ► 2' 1 EVENLY SPACED�EVENLY SPACED I EVENLY SPACED I2' T— LENGTH VARIES �• SIDE -DOWNS: MIST BE WITHIN 24" OF THE '"EKI F SSIS BEAM. E WNS: CAN BE LOCATED WITHIN 18" OF ID OF CHASSIS -BEAM. ONE TIE -DOWN D VEACH END OF "I" BEAM. S GE;:E1, ENERAL NOTE #6) L2'[ EVENLYSPACED � EVENLY[SPACED I.2' 1 �- LENGTH' VARIES / Pc5 E EARTH AUGE MAX. LENGTH OF 36' 54' 72' MFG'D. HOME MINIMUM NO. OF 2 3 4 I SIDE TIE—DOWNS CROSS DRIVE ANCHORS CABESCD NAME STAMPED IN1 42' 52' HEADS OF TIE -DOWNS J MFG'D. HOME t i 1 3 4 5 6 7 SIDE TIE—DOWNS m � NAN,• o° ° CROSS es m #607 #606 STEEL #406 PIER DRIVE ANCHOR' #608 SPLIT STRAP W/BUC BOLT -ON TOP BOLT & NUT 0 I #601 30" #614 STEEL T.D.A. STRAP W/HOLE #604 CONCRETE #602 48" SLAB ANCHOR W/ #615 CONCRETE #616 STABILIZER T.D.A. #SH 5822 SLEEVE SLAB ANCHOR PLATE ANCHORS (DRY) (WET) SIDE TIE -DOWNS (SEE NOTE BELOW) _ SIDE TIE -DOWNS (SEE NOTE BELOW) r' 3 0 < \ SINGLE WIDE W W r \ J W Z W W irlpW y. Z 2'I EVENLY I SPACED LENGTH VARIES <\ TRIPLE WIDE \ N Z 0 0 .o SIDE TIE -OWNS (SEE NOTE BELOW) <\ 3 o \ om I W W 00 r Z <�DOUBLE WIDE WN �T T - T ► 2' 1 EVENLY SPACED�EVENLY SPACED I EVENLY SPACED I2' T— LENGTH VARIES �• SIDE -DOWNS: MIST BE WITHIN 24" OF THE '"EKI F SSIS BEAM. E WNS: CAN BE LOCATED WITHIN 18" OF ID OF CHASSIS -BEAM. ONE TIE -DOWN D VEACH END OF "I" BEAM. S GE;:E1, ENERAL NOTE #6) L2'[ EVENLYSPACED � EVENLY[SPACED I.2' 1 �- LENGTH' VARIES / Pc5 E EARTH AUGE MAX. LENGTH OF 36' 54' 72' MFG'D. HOME MINIMUM NO. OF 2 3 4 I SIDE TIE—DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF 32 42' 52' 62' 73' MFG'D. HOME MINIMUM NO. OF 3 4 5 6 7 SIDE TIE—DOWNS CONCRETE* SLAB ANCHORS MAX. LENGTH OF 34' 42'50' S9' 68' MFG -D. HOME MINIMUM NO. OF 4 $ 6 7 8 SIDE TIE -DOWNS 0 3c a z 3: 0 0 u (A La 4cl CROSS DRIVE TIE.'DOWN END TIE -DOWN CHASSIS #406PIER BOLT -ON TOP SIDE TIE -DOWN STEEL cl #614 STL. f b \0. #606 #608 SPLIT \ STRAP STRAP 0 . \ BOLT & NUT #607 -CROSS °R Jtio 090 STEEL STRAP CONCRETE: DRIVE ANCHOR 12" SQUARE: 2 " I DEEP GROUND LINE . . . . . . . . . . . . 7' INSTALLATION INSTRUCTIONS DETAIL TYPICAL CROSS DRIVE*) 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. (WITH CONCRETE 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING.: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "A. NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL),- THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE ENCASED IN- CONCRETE AS SHOWN IN DETAIL "A", WITH EACH ONE BEING INDEPENDENTLY CONCRETED. ............................................................................................................................................................................ ............... CONCRETE TIE -DOWN INSTALLATION END TIE -DOWN INSTRUCTIONS CHASSIS #604 DRY #406 PIER 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" BOLT -ON TOP. THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SIDE TIE -DOWN SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. 615 WET I . PLACE CONCRETE ANCHOR INTO WET CON 4506 2. ALLOW CONCRETE TO PROPERL' Y DRY. -1 !7 AP ............ CHA SSIS •CONNECTION t. ATTACH STRAPS TO CHASSIS B AN` NER -SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLI OFF EXCESS STRAP AND THEN TIGHTEN/ 'o UNTIL STRAP IS SNUG. 't.. END TIE—DOWN =� T•1--E—DOWN '„ SPLIT BOLT z_I SEAM :,CHASSIS & JUT #406 PIER - :SSE "I" BEAM .O SSIS BOLT -ON TOP GROUND LINE o 0 NOTE •#5, SHT. I 'FOR TIE -DOWN INFORMATION "'SIDE TIE=DOWN #616 T.D.A. -_�` STABILIZER ; bid PLATE s, #614 STL. 60 �, .10 #606 STRAP Ho o• STEEL - cR°��� GoG. STRAP, ` ~o NOTE: _. -VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL Kb %. DETAIL <<A,; ^M (TYPICAL) ,SEE DETAILt�A�� +� ` ft. - • (TYPICAL) INSTALLATION INSTRUCTIONS DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT . INSTALL 1/2" A307 DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, BOLT UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. ks, 2. ATTACH STRAPS TO CHASSIS' BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS' :.-• *=-= _ STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. =•:. BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS CONTRACTORS WARNING: NOTE #5, SHT. 1 FOR NOTE,•#5, SHT. 1 FOR CHECK FIRST FOR UNDERGROUND UTILITIES. TIE -DOWN INFORMATION TIE -DOWN INFORMATION O ov O _:', :,..:..:�:; !-•�_.•: :�'-'.�••`_ ''•? FINISHTURNINGANCHOR INTO THE GROUND UNTIL '''T'•' : =' `� PLACE STABILIZER. PLATE '. ANCHOR HEAD IS FLUSH WITH STABILIZER PL;•TE. NEXT TO SHAFT B r'"� ' THIS PROVIDES -SECURE I : : ANCHOR AND CRISSIS :.rt:, NSTALL GROUND ANCHOR ._,,,:- "t :• :::. • PROTECTION AGAINST LATERAL :EI JNT GROUND, LEAVING = BEAM, AND DRIVE -INTO. 8'--OF'SHAFT•--XP_QSED. GROUND: _ MOVZMENT.,, 7c` d CONTRACTORS VERIFICATION — ,CLR jF THAT I HAVE•I_NSTALLED THE ABESCO'ANCHORING SYSTEM AS PER THE•:{NSTAL TI fN, INSTRUCTIONS.. W E NO MODIFICATIONS TO -THE ANCHORING, SYSTEM OR TO THE' BUILDIN ' STRU R .-. aC. NAME':_—_�-------------- CONTRACTORS LIC.#---�-----__--- �T��' .. S16NATURE:---------- .r M Xyl � 9G ` Y Xyl � 9G OWNER PERMIT MH .UT IL CLEARANCE INSPECT ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YES NO YES NO Size Load' Type 'Size Length j 4 il�iwfw L° BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 9 School District . DD 1/i '16 Q/h_ Building Department No. A.P. Number c 1 a —31e) oql Jurisdiction: City County Property Owner i+ r P VWO1- U `l WG.z__ Property Location/Address e � ,llJ V t�V17 G -'C Subdivision Lot No. Residential Development Sq. Footage . No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage jincivaing txtenor /n Roofed Areas) Date District Identification No.��Q •- School District certifiesLhat }. .. t. '(Applicant) 4 (Street (Phone Number) 1. (City) (State) has complied with the requirements of Resolution No. `Dk representing square feet. School District Representative Paid by Check # Remarks: (Zip Code) by payment of $ / / , ou 1�111 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 with 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. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project=may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm N r LAND DEVELOPMENT G� BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. ! o — 0000 13,,srl, I 14ATTI.r' CMA uti) OWNERS A.P. NAME: 0,have-z- NUMBER: PRINT LAST NAME FIRST COUNTY ZONINGnn DESIGNATION: /`7 5� FLOOD ZONE: ,1 1, FLOOD MAP: 4 G L APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: S O/ Ac PARCEL CREATION BY DEEDS OR MAP STA 22iAc Ln/, DEED INFORMATION: DATE OF CREATION: DEED REFERENC LEGAL ACCESS PROVIDED: -YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT LOT Z BOOK c) % PAGE �b COMPLIANCE WITH OLD SUBDIV ION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): • YES 10 NO . IF YES., MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. ' 1. Maintain a 50 ft. building setback from centerline of road. S'?r.,Ar/Z z- oft L L Al. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. ' Connect to a public water supply. 9. Connect to a public sewer system 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pllanning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impart mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease.in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. tf'S r 7Z 5- Nt vI r W i T741 Al a5'0 © F A/V r -Trf 22. e7l- i M e- rem rV c , /V C5 3 0 tz- v✓/ /2 &r. /3A-/L/2-(ew &F- 5e,-cy✓L/ ta, anT/c-/�Lj5, Ivor 23. R) eXcE2fii A C/26 .�'24. -<',-a5- c)' -7 M 1v Fn OF L1sA-CH l-f-fe"� 5 i 1-3 +c X 4-12- e As 25 26 0 A1 111(18 40710 UNa ONVI 300 9661 h 0 d3S ®3AI3338 LD 7/96 CAWP51 \FORMS.K\BLDGPERM.CLR And when recorded mail to: Building Division #7 County Center Drive Oroville,�Ca. 95965 .96-0325901 1 Recorded I Official Records I County of I Butte I j Candace J. Grubbs I i Recorder I i 2:40pm 3—Sep-96 A� Rec Fee 9.00 COP 1.50 Cash 10.50 .f t PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte. State of California. described as follows: Date: PROPERTY OWNERS: f (-rvt.c� coo ✓ Sins State of Californi• ) County of S ( ) On P-2-7-16 before me, LOA) G personally appeared MADOR personalh known to me (or proved to me on the basis of satisfactory evidence) to be the person s) whose names is arc subscribed to the within instrument and acknowledged to me thate// he/they executed the same in hF her/their authorized capacity(ics), and that by is er/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Comm. # 105063 L Y 0 C NOTARY PUBLIC • CAllF RNIA *maCrsCe Signature Seal: Comm. Apr. 1 1, 1999 A.P.m 09 X3) D • 0�� VOTE TO RECORDER: DO NOT RECORD THIS SIDE " „ A•_.- Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS:.9:00a.m. - 3:00p.m. (Monday - Thursday). OVER 0 DESCRIPTION ORDER NO. BU -151839-3 ALL THAT CERTAIN REAL PROPERTY* SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 4, 1984,'IN BOOK 97 OF MAPS, AT PAGE(S) 10. PARCEL II: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 60 FEET, LYING EASTERLY OF THE EASTERLY BOUNDARY 0'F THE OROVILLE FEATHER FALLS RELOCATION ROAD, OF THE NORTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHEAST- QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL III: AN EASEMENT FOR ROAD PURPOSES OVER THE SOUTH.60 FEET OF THE WEST 60 FEET OF THE NORTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL IV: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE -RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,, ON JUNE 4, 1984, IN BOOK 97 OF MAPS, AT PAGE(S) 10. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. .l, W� ell NZ f3 j f3 j L 0 I J I I� l L 0 I J 6� N !Yi M le tC+ AN EQUAL OPPORTUNITY EMPLOYER WOMEN, MINORITIES, AND HANDICAPPED ARE ENCOURAGED TO APPLY IMPORTANT MESSAGE FOR :P= 3 z I DATE' - Z- TIME/ -P--3-5 P.M. 11/I OF l6 PHONE AREA CODE NUMBER EXTENSION TELEPHONED PLEASE CALL CAME TO SEE YOU W ILLCALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL SPECIAL ATTENTION MESSAGE �ytv I a r +�:..1..� D -l► SIGNEO TOPS�iJit FORM 3002S 9 APR if NO ' 3uft OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Eugene Buchanan ADDRESS: 35 Indian Rock Dr. CITY & STATE: Oroville, CA 95966 IMPORTANT: DATE OF CLAIM: February 16, 1993 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR- SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT ' Owner has decided not.to do work. Permit #92-3915B,P,E,M, AP#072-310-041,.. Receipt #129551, dated 11/5/92. Total Permit Fees Paid ----------- ---------------- $188.25. Retain Building Permit Filing Fee------ $15.00 Retain Plumbing Permit Filing Fee------ 15.00 Retain Electrical Permit Filing Fee---- 15.00 etain echanical Permit Filing Fee---- 15.00 Total Permit Fees Retained----------------------- 60.00 TOTAL REFUND DUE -------------------------------- $128.25 TOTAL. $120 25 1, the undersigned, declare under penalty of perjury that the services or articles cla d(hebeen performed or dellverad that thioclaim is true end correct ea st00to�Dated this f�day of ......, 19,� et ................................. Calilw:.YK.. .......... :....... .. Lr` Sf erure of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above been been performed or de- livered and that there is a Budget Appropriation ❑orSpecific Board Approval (Check one) forthr Dated this ,,,,,,,,16th,,,,,,,,,,,,,,,, day of „February 1993 at Oroville Calif.' r�,,;,,,'•,,,,,,,,,; ........................... . Department Head or Authorized Deputy Dept. nn �1 Exp. D Code LFLIQ-S/O.f.. ............. Code . 4.2.1Q.�QQ......................PAYABLE FROM.......0QQ9.�...... FPx.mi.t.S............. ..............:................. FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. j CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i r S pe1- ll , c.,. � gll�Itat�cC TE d b, r c{ �v r�.f {�p O m� Se✓v «� Aovs n.a+ %4,'s4-rc-�r•o� f'►.._ b.,.�b.; ' �:� .�,�-� pl-op1w pO1 4' C lerk o -q fZ.c bcair)[ /• ' mow. P.o �, s e �„v-� 3. _��e�Q.e� � �✓T �%� _,.-.cies a41 aw �czSe c_E'r+c.Sn.A kis pe_r 3 o z- A x.13 C P r ef3 / _ '?'ate /_G_O_SL COS �.1 ' W du/_d NP-�� �'�✓ �(,'Vd�/5'T�YQrs tl 1 j . _ � — '4 � �` .i °� , 1* ,^r � �« 1 -,;_ t 4 � � c.<. '1 .i � Y ; �_ 1 ,` ! � t t t\ 7 �� � �� c-- ♦ .7 irk 1. � , +� +'�.. ..i .. �. ��. ,Y r ` ! 1 1. � � 1. � • i 1 -,;_ t 4 � � c.<. '1 .i � Y ; �_ 1 ,` ! � t t t\ 7 �� � �� c-- ♦ .7 irk 1. � , +� +'�.. ..i .. �. ��. 5-0eq, N- ,� � r � ti i / _ 1 :i �af t 11.E f 4 �]� t � ♦ t � '�w.. 4 ' �.. � 1� - I\ . � ♦ fit- - � t Z' 1r '",t ` t� , --. t '1 .. a ..2 t . ! ., -- 13u OROVILLE, CALIFORNIA GENERAL CLAIM vr0V,'//e Ieoienrry Se A oe CLAIMANT:e_,(Ay ADDRESS: r i>. zz�l-' ,C�O�'%� 0 - CITY & STATE: 0,40 V(4L nel IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING. GOODS OR SERVICES - COUNT BUILDYING pp DEepTUTT6 FEB 12 1993 DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT a ® o v % ? r Ct 7'ZZ 72 A6 e _ ' a `ii .... a1. TOTAL O S I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this %� day of ............... 19 et „(i /Oi/il�........ Calif... ...... ��� r ..... .. • .. - ign�is merit .. I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval F__J (Check one) for the same. Dated this .................................... day of ............................. 19......, at .............................. Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code Code ................................................PAYABLE FROM............................................................................................ FUND ............................................ DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not fits with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay .payment considerably. Eugene Buchanan 35 Indian Rock Drive, Oroville, CA 95966 Dear Mr. Buchanan; 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 February 16, 1993 RE: Building Permit #92-3915 A.P. #072-310-041 I am sending you a new claim form for signature. We cannot refund school dis- trict fees, as they are paid to the school district. We also cannot refund filing fees, but the remainder is refundable. Please return the signed form to us for processing. As to the reason for_ not doing the required plan checking, our plan checker determined the building plans did not meet the conventional construction pro- visions of Section 2517 of the Uniform Building Code(UBC) and therefore engi- neered design is required. (The permit application was made on November 5, 1992 and the contractor, Gerry Washburn, was advised of this requirement on November 12, 1992 and he picked up his plans). I talked with Gerry Washburn by telephone on February 11, 1993, when he called complaining about the requirement for engineered design, and advised him to review the plans for conformance with Section 2517 and the wall bracing require- ment. If he believed the plans complied with the code, I told him to bring the plans back in and we would review them again with him. Should you have any questions concerning this matter,. please contact me at this office at (916)538-5741: JFG:hla cc: Gerry Washburn P.O. Box 5831 Oroville, CA 95965-5831 Enclosure Yours very truly; W hV J.F. Glander Manager, Building Inspection S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 072-310-041 OWNER ZONING ' A-5 BUILDING PERMIT T LEPHONE 532-2340 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Oroville 95966 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 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 SF[J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New[ Addition[] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1am I licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification T --f. 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 200ATO1000A, 37.50 NEW CONST. DWELLING OCCUP.N OR ADDNS. ( ACC. BLDGS. 3.64sq.ft. NEWCONST R. ULT' -OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 761 FIXED APPLES. OR EX. OCCUp. OUTLET'S (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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. 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 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting.of this permit. XDate4W. j0_>= S-- 9' Z l' a Signature of Appnt — 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz OFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- si ons of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY PERMIT EXPIRES Date Date Receipt No. WHITE-D.P.W,. YELLOW-ASB[930R, PINK-INSPECTOR..I GOLDENROD -APPLICANT e Arf ti 'z I 3� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCELh'{JMBER - 31 1 ZONING A is 5H � BUILDING PERMIT OWNER �.. e- `" 75LEPHONE S0. FT. OCC. BUILDING VALUATION E'S M OVINRA LING ADDRESS E S , Lia 3 / De vd /e 9 596 2 V CONTRACTOR'b NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 25 o LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 155.00 Permit Fee Plan Checking Fee $ 2 S�D $ ZS ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 2O, Penalty $ BUILDING ADDRESS /y'e Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater t2:0:0. 0 LOT NO. SUBDIVISION NAME PARCEL MAP 7>10 Water piping 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF L) Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 j Mobile Home S G W @ 15.00 TYPE OF WORK New [�Additfon❑ Rernodell❑ Utilities[] Installation[] Other ❑ Describe-, work-:-' 1 ; �P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee .,yP . ar1. �,� W-0511 Main. service 200A, LESS 8.50 OR y. } 1 ?� I'decfare under penaltjof per u h ' �t r Y I ryf('Check One) ;+�3�.-^- am licensed under provisions -of Chapt..9, Div. 3 of the Business and. P?ofessions Code and my license: is in fulQl force and effect. License No. 3—Classification U 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. 200k`rOJ000 , 4'i �- r 5p � ., -A NEW CONST. DWELLING OCCUP y�r/^ OR ADDNS. ACC. BLDG3.. /. ',' 3:6d:eQ f� rC5 g� NEW CONSTR. U L E T NON.RESID BRA C CIR S @ S.00 r POWER APPARATUS QI SINGLE OUTLET CIR. EX, OCCUp�OUTLET3 OR FIXTURES ZO 76 Al 46 EX. Occup. FIXED APP LNS. 1 OUTLETS (REBID.)OR EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 H I Permit Fee $ 50.730 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 of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. t shall not employ any person in any manner so as to become subject the W. C. laws of California. e to Applicant: If after making this statement, should you become subject W. C. provisions of the Labor Code, you must forthwith comply with such ions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating U>rtn po Cooling M7 , Hood 6.50to Ventilation Permit Fee s Contractor oxCertificate ify that I have read this application and state that the above information I agree to comply to all County Ordinances and State Laws relatinglding construction, and hereby authorize representatives of the Countyot enter upon the above-mentioned property for inspection purposes. agree to save, indemnify and keep harmless the County of Butte against judgments, costs, and expenses which may in any way accrue said County in consequence of the granting of this permit. Date Signature of Applicant — Owner E7_5/Caniracta. Q/Agent a An OSHA permit is requc uired for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Feerect. Energy Inspection Fee $ bto occ CONST TYPE TOTAL FEE $bilities, HAZ DFEES IMP FLOOD CDF PARCE e� P D SSUEt This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. J80r2f WNITC-O.P.W., YCLLOW-A9eC990R, PINK-iN9PCCTOR, GOLDENROD -APPLICANT S�r� 5 --360 �� 6 -1\ lea L4 sib ojw�4 67?-- 31(o- //o �3 �k COUNTY OF BUTTE��i�PARTMENT OF PUBLIC WO, ; BUILDING DIVISION f ♦ T rFr..). S 9rl:. j COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 6e Vr Proposed Building Use S. F. Building Inspector A. P. No. 72-310" Lt Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. ... `/! .... - 3. Complete plans, 3/4 sets, signed by preparer of plans. ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ........ .... . CLT 8. Engineered truss details and layout in duplicate (required prior to plan check). .... �9. Mobilehow d a dmanufacturer's installation instructions, 2 sets. ........... 10. Fees of $.56 . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 3. Flood elevation letter (100 year flood) by California Engineer. .......... . 4. Sanitation and plot plan approval 079-0 Health Department. . 1% 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B)Drainage ........... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -Inspection for to Buispectios reque�s required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation InsuWce. ........... ........... . Owner -Builder Verification (Given to owner X'111, Mail to owner ). ...... 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance. ........ ............................... . 29. Documentation of legal access . ....................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When u issue the ermit, process as follows: Mail to owner. Mail to contractor. Telephone?3a -23VO and hold for pickup at office. Deliver with inspector. Other Parcel Creation--� Acreage Applicant �"`g " / G> Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent i4 Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: F ^5 /v& Contractor, designer nl was advised of above required data by _phone mail Counter by�� Date /jam oZ Contractor, designer, caner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this .information at your earliest opportunity -to avoid unnecessary delay in processing and issuing your building permit.' No building permit will'be issued until this verification is received. 1. I personally plan to provide theajbr labor and materials for construction of the proposed property improvement yes or no) e 2. Ihav /have.not). e rr "-e signed an application for a building permit fo . e proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License'No: _ 4. I plan to provide portions of'this work,'but I have hired the following person to coordinate, supervise, and provide the major work: _Name Address City Phone.. Contractors License. No. 5. I will provide -some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: 1 Property Owner P���y /�0_-r- vih Social Security Number Date fav- .9 _Z . NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER W [`l S (Y8 U 9 /J A. P. No. 6 PROPOSED BUILDING USE 7Z � � �-- DATE �1-S - REC . 4 DATE.- REC 1. School Distric- Fees a Cb ELC-m41 A)7.% (paid at District Office) 2. Sheriff Fees .... ...... .. (paid at Building -Department) Residential ........... X 36o' =$ X60 unit amt. Commercial(per sq.ft.) % _$ sq.ft. amt. 3. Urban Area .Fees (paid at Building Department Residential (per unit) X =$ JL units amt. Commerical(per sq.ft.) R =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prix- to issuance of the permit. APPLICANT DATE .:•wry `, -17 T...,, �„ _ r .-.. a... •-.z... "Is �'Q6�"F'�Y''r'�•' ^..y„��,,,,-.,... r...r^i^e�--r. R.+...+. ywr^"^r^-^' cw-. ��,..� _'"ir..� ' 7yry.!', s'is:+ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) -- School District 70e0 ELBuilding Department No. A.P. Number Jurisdiction 0 Cityounty Property Owner 6ery-y W a.S � � U Y y\. Property Location/Address ST/9 Z 1 Iq K ' K Subdivison Lot No. ,Residential Development 0 Sq. Footage 4/60 No. f Living MHI Addition` (Group R Units ) Commercial/Industrial 0 Sq. Footage , New Addition (Including Exterior Roofed Areas) Building n sentati�cL d � 11 t (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that 0 (Applicant) • cress) r � (Phone Number) (State) (Zip Code) has complied with the requirements of Resolution No. �v p q . G%/- 9.2 - % � by payment of $ k representing �c�lU square feet,'-. y School District Representative Date sMy;,1 Paid by Check Number Remarks: U4' �,►,c_,« _� r ., �__. > Bank Number a 0 Paid by Cash _ If, subsequent to the'School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) R`p tirr,, to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGE1%1ENT 02-5] 8 $ 8 �- FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.; - The property described herein is adjacent 92-0518881' GX05♦8881' to land or included within an area zoned I for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers.; and from the pursuit Recorder I of. agricultural operations including, 11 :04am 12 -Nov -92 I but not limited to cultivation, plowing, spraying, pruning,- and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. Rec Fee Cash PUBL XX 8.00 8.00 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real. property. situate in the County of Butte, State of California, described as follows: Se� /liT%���ed� �eYa j Q(ifcy,�r�'�v� Date: State -of ) :SS. County of k_ o 0 0 OFFICIAL &FAL NOTARY PUBLK; s'� iFt�RPa1A , prim" UiP!M I' 81iTfE Counh! o MY Conimtsston Ez9!rsa SF'°7.14,9 s PROPERTY..OWNERS: On this the \Q day -of 1� `' before -me, the undersigned Notary Public,.personally-•appeared Personally known to me. noloved to me on the basis of satisfactory evidence. to be the person(s) whose names) \S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. s Present A.P. No. tary ublic 92-51888 2- 1 PARCEL II• AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 60 FEET, LYING EASTERLY OF THE EASTERLY BOUNDARY OF THE OROVILLE FEATHER FALLS RELOCATION ROAD, OF THE NORTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL III: AN EASEMENT FOR ROAD PURPOSES OVER THE SOUTH 60 FEET OF THE WEST 60 FEET OF THE NORTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL IV: A NON—EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF .THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 4, 1984, IN BOOK 97 OF MAPS, AT PAGE(S) 10. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. END OF DOCUMENT 'ALT�OWNERS POLICY NS 1987 i EXCEPTIO ) nr(REGIOIJAL � ; �"(:y'.1,,,�3 DKV }^•� � r �r EXHIBIT A ll �.sr �• ,aa� Sb.. , AT,7• THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY ;�?,IOF-BUTTE, AND IS DESCRIBED AS FOLLOWS r r « PARCEL I .. t...,PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF ' CALIFORNIA, ON JUNE 4, 1984, IN BOOK 97 OF MAPS, AT PAGE(S) 10. PARCEL II• AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 60 FEET, LYING EASTERLY OF THE EASTERLY BOUNDARY OF THE OROVILLE FEATHER FALLS RELOCATION ROAD, OF THE NORTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL III: AN EASEMENT FOR ROAD PURPOSES OVER THE SOUTH 60 FEET OF THE WEST 60 FEET OF THE NORTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL IV: A NON—EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF .THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 4, 1984, IN BOOK 97 OF MAPS, AT PAGE(S) 10. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. END OF DOCUMENT TO r Buildina Department FROM: Environmental Health SUBJECT:= Sanitation Clearance TSI Z/,4 c - Ln w7o� 1�OVA -" Owner Location AP# Plan Approved for: Sewage Disposal Water Supply ill Hold final for: ?incl clearance O.K. for: Clearance for 3 bedroom mobile home. Other NOTE *** Sanitarian Water Supply Water Supply Date MEN .1W lb: ig rzlummmmmmvm IMMEMIC9 Certificate of Compliance: Residential Climate Zone 11 Project Title Buil"S Permit M Project Address Caedited By/ ate Documentation Author Telepholse Enforwriew Agency Use Only BUILDING DATANorth Conditioned Floor Area Number of Stories S!ab/Raised Floor Number. of -Units [ ] Single Family Detached ( [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Glass Area % Glass East South West Skylight Total BUII.DING SHELL INSULATION Component Insulation LocanorV omments Type R -Value (attic. to garage, D3p:_al. etc.) Wall .............. Wall .............. Roof............. Roof ............. _ Floor ............. Moor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type interior Exterior Overhang Framing Type Orientation (sf) (single. double) (colla blind. etc.) (shadescree . etc.) (y OMO-) (metaltwood) North ( ) North ( ) East ( ) East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS' Type/Covering Area Thickness (slab/exposed, tile. etc.) (sf) (inches) Location/Description (kitcheiu bath. etc.) HVAC SYSTEMS Minimum. Duct Type (furnace, air •Efficiency Location Duct Output Manufacturer / Model # conditioner. heat pump) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATUREStREMARKS (Add extra sheets if necessary) 1 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrive residential buildings subject to the Standards must contain Uwe measures regrdlea of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringeat eomphance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features toted shall be considered by all parties as binding minimum component perfonnoinee specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRJPTION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R.19 weighted average. 62.5352(by. Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (toes not apply to exterior mass walls). 62.5352(kr Slab edge insulation - waw absorption rate no greater than 03%. water vapor transmission ram no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352((): vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Inftltration/Exfrltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and saled §2-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2.5352(d): Installation of Fueplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gets pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring attach calculations. 12-5352(h) and 2-5315: Setback then xwx on all applicable heating systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. 62-5316(b): Exhaust systems have dumper controls. 62-5314(c): Gas -fixed space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, waw heaters, showerheads and faucets certified by the CEC §2.5352(1): Waw heave insulation blanket (R-12 or greater) or combined interiakatezior insulation (R-16 or greater): fust 5 fes of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 0: Pipe insulation on steam and steam condensate return & recirculating piping. §2.5319(d): Swimming Pool Heating I. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumcns/watt or greater for general fighting in kitchens and ballrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 62.5314(x): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT" This certificate of compliance lists the Wding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Tide 20. Chapter Sltbclupter4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name Trtwum: Address: '. Telephoner (signature) (date) .. R Documentation Author Name: Tidwwr t: Address: Building Owner Names . _ TitWFirm: Address: Telephone: (sitnatum) (date) Enforcement Agency Nance: Agabq- Telephoner 1. Ceiling Insulation F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -103 49 32 R-19 -8 -4 -2 R-30 .2 -1 .1 R-38 0 0 0 U -value -53 -39 -24 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -10 -2 5 Single- Single - -52 -17 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 8 14 23 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 2 7 Insulation in Floor 16 17 -23 Number of stories 3 R -value One Two Three R-0 -17 -8 .5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 10 14 18 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 2 2 Number of stories WSB R -value One Two Three R-0 -11 .7 .5 R-5 -4 d 3 R-11 -2 -2 -2 R-19 -1 -2 -2 t. Slab We Insulation 8 7 6 5 �- Number of Stories 0.85 7.79 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 .1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Spaafiastion Points Sta ldord 0 6. Glass Heat Loss 5 t na Total 4 2 5 1 na 14 U value 2 5 1 Percent 12 3 51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 •37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) ERedive Pa t Class (Percent thm x SC) Effective %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3- 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 .1 -1 .1 2 0 -1 -2 -4 -2 0 na - not allowed .30 4 8. Shading (Shade Closed) -6 -8 .7 ENecdva Pereatt Glass 3 0 -4 (Percattt thM x SC7 -4 Effeclim xGbu from Ead south Woo SlgrWd 18 -14 -48 -69 -64 na 16 -12 -42 .59 -55 na 14 -10 35 -50 -46 na 12 -8 .29 -40 -37 na it -7 .26 36 -33 na 10 -6 .23 31 .29 -74 9 -5 .20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 •t -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 .2 -9 -11 -10 .30 4 .1 -6 -8 .7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 no . not allowed 12 12 6.0 5 8 9. Interior Thermal Mass North b. Interior Slab Floor Raised Floor Mass Stories -5 Stories -4 /CFA One Two Three One Two Three 0.0 -8 .5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 .1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5' "3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass -5 Exterior &Vie. SrVle- -2 7.0 Wall Family Family Multi Mase Detached Attached Family 5 0.00 0 0 0 14 12 0.20 3 2 1 22 0.40 5 4 3 11.0 0.60 8 6 .4 8 0.80 10 8 5 14 1.00 13 10 7 20 1.20 13 12 8 0 1.40 12 13 9 6 1.60 10 13 11 more 1.80 10 12 12 0 200 10 11 13 14 11. Heating System 5 4 3 1 SE or KSPF HWR �9 5 (assumes duet In attic) 2 2 Sum of 14; WSB 9 4 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33, 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 __20 18__ 15_ 13 11 8 _ Effective SE or HSPF -23 (SE or HSPF x duct efndency) -6 Effecive -25 or -24 0 -14 0 110 +6 In 16 or SE HSPF less --15 -6 +5 415 more 2 0.30 275 -73 34 -56 -47 38 -30- na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 • -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 64 System Type 1.2 1.4 1.6 1.8 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System North b. East c. South SEER One -5 -4 -4 -3 (assume; ducts In attic) Two + 3 3 Stan of 7-10 2 2 1 Single -Family Iletaebed and -25 or ,24 io 040 -41D +6 b 16 or SEER less -15 ; .6 +5 +15 more 8.0 -14 -12 .10 -8 -6 -4 8.5 -9 -7 -6 3 -4 -3 8.9 -5 -4 -4 3 .2 .2 9.0 -4 3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 - 9 . 6 . -1 -1 ERestive SEER 0 0 4.8 (SEER xauct eMdency) -18 -12 -9 Svm of 7-10 -6 - 0.8 WSB._ Effective -25 or ,24 to -11410 -41o, 4610 16 or SEER less -15 .5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Ores) Zonal Control Adjustment 0 0 0 10 8 7 6 4 3 1.7 No Coolin; System Installed more .-Stories North b. East c. South d. One -5 -4 -4 -3 -2 -2 Two + 3 3 .. 2 2 2 1 Single -Family Iletaebed and Attached or Unit Size (sf) (I.WUINC-4.21 le.rf.t.d Slab) Water :199 120" 1700 2200 2700 Heater Credit or -1 b to to -or Type Type less 1699 2199 2699 more SG None '0 0 0. 0 0 or Solar 12 " 8 6 5 4 - HP -HWR 8 5 4 3 3 85% WSB 5 3 3 2 2 0.4 POU 8 5 4 3 _ •3 SE None 37 -24 -18 -15 -12 3.4 Solar -1 -1 -1 0 0 4.8 HWR -18 -12 -9 -7 -6 - 0.8 WSB._ -25 -16 -12 -10- -8 23 PO<1 -18 ._12 -9 -7_ -6 IG None :-5 3 •2 -2 -2 5.2 Solar Z : 5- -4 3 2 1.2 POU A— _ 2 1 1 1 IE None -28 =19 -14 -11 -9 - Solar 8 5 :4 3 3 56 POU -10 ' -6 -5 -4 -3 1.6 Mult4Fam4 (individual upnits) 2 22 24 26 (s 3 32 Waley 3.7 699 700 1200 1700 2200 Heater Ores) or 0 0 0 or Type Type ka 1-19111_1699 1.7 2109 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 1 HP HWR �9 5 3 2 2 1.1 WSB 9 4 ' 3 2' 2 2.5 POU 9 5 3 2 2 SE Normo -45 -23 -15 -11 -9 5.5 Solar 2 1 1 0 0 1.4 HWR .--23' -12 -8 3 '-5 28 WS8 -25 -13 -8 -6 '-5 _ POU -23 12 -8. -6 5.3 IG Nona.. .8 Solrij6 -4 3 -3 2 _S -2 12 POU- •1 0_. 2 0 1 0 1 E None - 30 -15 -10 -8 .6 4.2 Solar -' 18 9 6 4 4 5.6 POU -8 -4 .3 -2 -2 Interior Mass/CFA . "PS I sass North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a.. North. b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior -Wall Mass or (I.WUINC-4.21 le.rf.t.d Slab) R -value [0] F2 factor [0.77] Standard 0 • TYPE 1 MASS (UIMC + 4.2. IS: used slab) Sc Eff. % Glass X X 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% Eft 70% 75% 80% 85% 90% 9S% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 01 0.8 1.1 1.3 1.5 1.7 11.9 21 23 25 2.7 29 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.S 17 4 4.2 4.4 4.6 4.8 5 5.2 54 20% 0.3 0.8 0.8 1 1.2 1.4 1.6 1.6 ' 2 22 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 10 3 32 3.S 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 so 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 22 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% / 12 1.4 1.7 1.9 21 23 25 2.7 2.9 3.1 13 31 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 9.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 11 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 15 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 22 24 26 2.8 3 3.3 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.6 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 33 3.8 4 4.2 4.4 4.6 4.9 5 52 S. 3.6 5.9 6.i n.3 65 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 S.S 5.7 5.9 6.2 6.4 66 68 25% 1.6 1.0 2 22 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 S.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 1.9 21 2.3 2S 26 3 3.2 3.4 3.6 a8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 S.7 3.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 23 27 29 3.1 3.3 3.6 30 4 4.2 4.4 4.5 4.8 5 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 2.4 2.8 28 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 S.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 " 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a.. North. b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior -Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores X = SEER [9.5] Duct Efficiency 10.741 Effective SEER [7.03] Type [SG1 Credit (none] Sum l-6 Sum 7-10 Point Total: augoommonlow or R -value 1381 U -value [0.030] or R -value ( 11) U -value [0.098] or R -value [ 191 U -value [0.037] or R -value [0] F2 factor [0.77] Standard 0 U -value 10.65] % Total Glass [ 161 Type (double) % Glass Sc Eff. % Glass X X = X = X - X = % Glass SC Eff. % Glass X X X X = X TYPE 1 MASS AREA 8 s InteriorMiss/CFA COND. FLOOR AREA TYPE 2 MASS AREA g Exterior Wall Mass D . A X SE or HSPF Duct Efficiency 10.78) Effective SE or [0.7216.6] HSPF [0.56/5.15] X = SEER [9.5] Duct Efficiency 10.741 Effective SEER [7.03] Type [SG1 Credit (none] Sum l-6 Sum 7-10 Point Total: augoommonlow