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Home My WebLink About072-430-01572-43-15 THOMAS ARV JR._ 6,89 Fire camp .Rd, ORoville ;, ' "'�.,, T•r�t'�� &8A(agcici�i'�°ural-lcl`�..L�eray/� 40y storage) —� 72x,43_15 �• 5 t ARD, Thomas 'G p 689 Fine Camp Rd ( I . . , Orovi•lle \ �� (n6v-sib1' family) 72-43-15 Permit#1347-90. (carpor.t/sf)- 072-430-015 05-2892 ARD, THOMAS 689 FIRE CAMP ROA, OR;pVILL7 Cont: OWNER�-7 QSD ,? NEW ELECTRIC SERVICE I 4 • /5' p Butte County Department of Development Services. e0urrfe m•- N ® T E S 7 County. Center Drive, Oroville, CA 95965 i (530) 538-7601 www.buttecounty neUdds t RESIDENTIAL APN: 072-430-015—__._.. -- -- 29 Owner. ARD, THOMAS 689 FIRE CAMP ROAD, OROVILLE . Site Add Cont: OWNER NEW ELECTRIC SERVICE Contract Type of Permit: OFFICE COPY Address N "GAS Peter By Date f ELECTRIC _ Meter By Date SPECIAL—CONDITIONS— CHECKED PECIAL CONDITIONS ' ' CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY USE PERMIT CONDITIONS ❑ SUB-STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE El P- z- DATE JOB FINALED: �k SIGNATURE: JG� Lam. +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE I Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr, 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16, HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S `G A R AGE S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors .7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °+ s 0` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing =OK 0 = Not OK F r RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR UAIE IPLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Fig Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall=Fitting-Test-2-way C/0 -Sewer Test s 10 UF, Gas Pipe; Sz Anchrs-Sz Test °, 0 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders Sills-Anchr Bolts 4oists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic V DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndt6 Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes Q No 87 Stucco Brown -Finish o` o`1� o° °.�� 88 AC Unit Dscnnct, Elec-Pimb 89 Vrits abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or DAL 98 Address Posted AC Wire Sz ga ❑ CU or D AL 99 Fire Sprinkler 48 Range Circ ga QCU or DAL Oven Circ ga Q CU or DAL Insulated Neutral Q Yes D No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 41 O° 0 O'er 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT. SERVICES BUILDING PERMIT ' 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS 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 : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit. subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article o�f the Business and Professions Code Dale: ZO-ZD-0-5,-Owne42=i'9a'`'te' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy (a I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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, 1 shall forthwith comply with those provisions. Date: ,0 - Z o - 0 5� Appli WARNING: Failure to secure' workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP052892 Issued Date: 10/20/2005 APN: 072-430-015-000 Site Address: 689 FIRE CAMP RD ORO Map Index: Description: new electric service Owner: ARD THOMAS JR & ANN 689 FIRECAMP RD OROVILLE, CA 95966 Applicant: ARD THOMAS JR & ANN 689 FIRECAMP RD OROVILLE, CA 95966 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: S CONSTRUCTION LENDING AGENCY This pe s hereby issuecj � r the pplicible provisions of the Butte County CodR ?nrt/or I hereby affirm that there is a construction lending agency for the Resol ns to do woj Ici�i ed ab a for w ' h fees have been paid. performance of the work for which this.permit is issued (Sec 3097 Civ.) Name: BY Date: PERMIT EX ES ON: Address: rnamI ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all'county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 710-1-w- egg 1�_IXIL9 Signature: Date: , Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE —73X , z�L/ . For office use only: OWNER Last Nam /? l) _ NL�L first N pie S Ad e /* "o Cly I No Stated�5 4 Ph og, , s 3 T§ Map Book Fax E-mail Oa �t � Cnc,ne�`�• cpm APPLICANT SIGNATURE —73X , z�L/ . For office use only: CONTRACTOR Name _ NL�L Address SRA City I No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE —73X , z�L/ . For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No —T-7— State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE —73X , z�L/ . For office use only: APPLICANT NAME Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE —73X , z�L/ . For office use only: Zoning Property Address (99 )C"Re ea m 1o,9'al Flood Zone Cross Street /l/ o A'1 SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPO -5_2 59 BIN N LOCATION Property Address (99 )C"Re ea m 1o,9'al City Cross Street /l/ o A'1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received Amount: Bldg (tel SRA Receipt #: �� Sheriff (O� SMIP Other Date: l 0 Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans '(if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed b tengineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 �� REV 6-16-04 iia V sd: n: :•c vaa? .�f .' `i7 .. r�, LB 4 SDE-= 111 .. �a :: ,"•.I' Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: 'YES.[_-,,,] NO [ ]. 2. I YAVE� HAVE NOT [ ] signed an application for a building permit for the proposed . work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTR.ACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE N0: S. 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 0 DATE:1r,-� -- .-9 O - c2 E 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' Butte County .department of Development Services ADMINISTP,ATION ` BUILDING t GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile ��MIS.;'.moi-�..'y.:-._+"...... �M—..''�-3'yc '��,.. ++ccyu.�•..,,,••�,.+.r_nyucvuv+-�.�,. gp �:s�o- ._...tr1-� Dear Property Owner: 010 1o�� of An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. *pffe�,Jy,,V' '! ei C.B.O.ding Inspection NOTE: This Owner -Builder TnfnrM%tinn is rPrtnirf-d by CPrfinn t Qwzn of the f Qlifnrni. TJ.%Ifr, on.i CafPiv rmaj. q RESIDENTIAL r 1347-90B 72-43-15 ARD, Thomas 689 Fire Camp Rd, Oroville (carport/sf) - - --- i� 4 5- r3 r3 N .......... suite Count, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS sA�w�" WILLIAM (Bill) CHEFF, Director e, ani:,: '7 �•bgVol, °'yb, yf.� � � ' 7 COUNTY CENTER DRIVE 2 OROVILLE, CALIFORNIA 95965 c Telephone: (916) 538-7541 Thomas Ard 689 Fire -Camp Rd. Oroville, CA 95966 April 4, 1991 RONALD D. McELROY Deputy Director RE: Building Permit No. 1347-90 Expiration Date 5-11-91 (A. P. No. 72-43-15 ) With reference to the above subject, our records indicate that your Building Permit exn;rps on the above date. Building permits are .valid for one year and should construction be started but not completed by the expiration date of the permit, the .permit shall be renewed for 2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aam . Attachments: Permit Application Owner -Builder Information Owner=Builder Verification cc: Building Inspector - Yours very truly, - William Cheff Director of Public Works U . Glander ief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./.872-6307 J=OK O = Not OK p Not Applicable Not Ready HOMES OMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS . Date DECK4,COVERS, CARPORTS, GARAGES, Plans OK except #'s ,- mg Requirements -Setbacks -Easements W.'Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4."Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn,; -Columns -Connections -Splice -Decal -Enclosures 6. Ca s; Windows -Doors .-Electr' mg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date f-,;L.S, and B-1 Date Card B-1 Date � • !,.,-y /Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not ayable Not Ready RESIDENTIAL (Single NRed ' =N & ,Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-S tting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card 6-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card 6-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes O No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks 0 Yes 0 No; Planters 0 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .° r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 " 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE O R PERMIT KJn A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector_1�7�7�T �� Date �Z V CER IFICATE OF OF TI#4k Thomo,5 -ArdA IT -C C�0 z A(JUN" ORMANCE �� L^ �//� ��/v&��/[7/VL�� /��/VL��/��/T ��/ C.'E/TT/F/t S That the products identified below and an attached sheets Nou._-__-_---_- mre marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (A/TC) and were manufactured in conformance with applicable provisions of American National Standard ANS|/A|TC /\190.1-1983. Structural Glued Laminated Tinnber, and that such manufooture has been atour plant in hn'- which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically bysuch Bureau, The rnunufao1una of these members complies with the manufacturing and fabricating provisions of Chapter 25mythe Uniform Building Code. Proof loaded end joints, JOB w*wc.S tUck\ Ge orqia PaCific JOmLoc^r/om' Sacramento, Ca, CUSTOMER'S ORDER *n SAC 5291 DATE 4/l 6/¢0_Mpn"�000enwn__54�4473_______�______ 24F -V4 -----------��`��`��'��`�� monArcnw,Awv_ »v// e m i Clair L. Pittman �/Ty� \� AITC �� / /L/\LL} / CERT/F1[S that the said company atits said plant iylicensed bvthe AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the A/TC Collective Mark in respect mfproducts which comply with applicable provisions of said Standard, that the adequacy of the quality control system ineffect atsaid plant is periodically inspected and verified by the Inspection 8u,oaw of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment wfA|TC. said company in capable of complying with 'applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or pmr1iCu|Vr product /s the oo|o 'osponWb|||ty of the mnmquYm*turmr;/\|TC'n guarantee hereunder being that the said company is qualified toproduce a product meeting the said Standard and that its plant is periodically inspected and verified by theA|TC Inspection Bureau. mrCFORM mcA ~ A|TC A9No. 63435 A Ak8��y�8$J /N��|�U�[0CTAK8�� n��T�Ur�|r�KJ n|vo�m/��w |m`)i��Uv� \/{ |wv�+�u-m �u��m`/�n��k/{/Lxn (9) 1963 AMERICAN CONST'RUCTION IS Hot .:ij ');11Y f[Ir Ole of iflustration. ri 'Y I CAI CUSTOM PRODUCT QUALITY SARK P -143 Vit' u 114 QUALITY ANSI/Ai% - A 190. 1,--1983 .... .... .. I"IdW—C y i!.! r%,l by' AI f AITC of qu,jlifipd' iAallt confoiirianc(, tri ANSI' C, A190.1-198.3, Stiucluraf Glued Lai at(.-cl Timbt>r A TYPICAL NON -CUSTOM PRODUCT QUALITY MARK Idel)tific')tion of struclura; LIStf, (11,'i !Jajl�jj t), Sy(r, �IbOIS: .... ..... . . ... .... . spx; bending n-,ernber; membo , T 1:% U.): C.6 --continuous or cimtilev-:l sj USE ARCH 14 4, .ON AFFICH -Arc-hitectur., IWO Y, d I ve:, . Whi 10" U, A L IT Y @) W, INSPEPTO IN ANSIIAITC has -e! "or qU1711,:cj1l;,l1 and n:.,i.w 1,v AITC A190.1-1983 AITC larm I osti and cornbinji6on ;,,mbd ic.r i.!xarnple: 117.85, 2.1 V.T'. To ANSI "A I TC A190.1- i 9 8".), So U 1: t I i r,41 6 1 .j I n;:: at -d Ow .1 documents. r,kp: lion custolo prodous, essenlidl d(-tj.ilS or'! th", S!,irnp, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMT o. 4-'i County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 % � APPLICATION AND PERMIT I �4e% - / ASSESSOR PARCEL NUMBER 72-43-15 ZONING MR BUILDING PERMIT OWNER Thomas Ard' TELEPHONE 755-7002 S0. FT. OCC, BUILDING VALUATION 360 COV 3600 OWNER'S MAILING ADDRESS 689 Fire CAmp Rd. Oroville 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3600 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 68 Fire Cam Rd. Permit fee $ 76.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other CARPORT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00e TYPE OF WORK Newn Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: I -S z20 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2,/20sgft NEW CONSTPLMULTI-OUTLET NON-RESID BRANCAPPH CIRC ITS 2,50 ea POWER ARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®60C 9ALv3o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju ents, costs, and expenses which may in any way accrue against Id o ty in consequenc of the anting of this pp t. 0 Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 76.75 AZ CUA PARK scH� r PA PD HD IssuE This permit is nereby issued under sions Of the Butte County Code and/or work indicated above for which fees TO ,OF PUBLIC By ' Z,67�7_46 PEWIT EXPIR S Date the applicable provi- resolutions to do have been paid. WORKS oat `'lL �b 64259 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT` OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE _-`0.ROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 W Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). }� 1. Index permit for above items No. 2. Additional itemsirequired: Contractor, designer, owner, was advised of above required data by—phone --jnaiI—counter by_A..date—lIL/90 Contractor, designer, owner, was advised of above required data by—phone _maII—county( by date Plans checked by ' Date Plans approved by_ Sets of plans on hold in File cabinet AP folder Copy—DPW Date PERM APPLICATION DATA SHEET U. Permit No. OWN ERzr.�� , r A. P. No. _'15 4014, Proposed Building Use ,,7AjE.pa2r Building,lnspector 'OK/ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... . 6. Energy Design Compliance and supporting documentation ......... 7.. Statement of Intent for Non -Heated and AC Buildings ............... P 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. _Z'14' School District fees paid .............. Sanitation approval from _024✓�t Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When R~`� you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone ') S5— 26112 and hold for pickup at office. Deliver w. /inspector. Other Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). }� 1. Index permit for above items No. 2. Additional itemsirequired: Contractor, designer, owner, was advised of above required data by—phone --jnaiI—counter by_A..date—lIL/90 Contractor, designer, owner, was advised of above required data by—phone _maII—county( by date Plans checked by ' Date Plans approved by_ Sets of plans on hold in File cabinet AP folder Copy—DPW Date TO Building Department FROM:, Environmental'Health SUBJECT: Sanitation Clearance r J Owner'*'Location AV# Plan Approved for:" Sewage Disposal Water 'Supply Hold final for:. Water Supply 1 Final clearance O.I. for: Water Supply Clearance for bedroom mobile home. Other Q' NOTEa LIA sanitarian. Dat 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 the major labor and materials for construction of the proposed property improvement (yes or no) T 2. I (have/hs ) tJ ' 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 / v 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 A-) ;�4- 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 All AL Signed: Property Owner Social Security Number Date 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.... ... :_. PERMIT h0.: 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �Smk ZONING BUILDING PERMIT + OWNER 11 AS TELEPHONE S0. FT. OCC. BUILDING VALUATION 60 1 Cov 3 OWN54V AILING ADDRESS r� c �� CONTRACTOR'S NAME TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS Fireplace 1 CONSTRUCTION LENDER UNKNOWN'' Total Valuation 1 S O� Filing Fee $ 0"90 LENDERS MAILING ADDRESS Permit Fee $ 1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ - BUILDING ADDRESS C� ^^� �^ Permit fee $ ..1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOTNO. SUB01VI51ON NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 • �` SSPECIFY USE OF STRUCTURE SF ElDuplex❑ Mobilehome❑ Other eAI@,00/RT Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G hO.60e i j ' ' l + TYPE OF WORK Ne Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: X2.0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 100 AMP OR LESS Main service EA, ADO -L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / owELLINc OCCUP.rs) �y,csgft OR ACDNS. t ACC. BLDGS. NEW CONSTR. -ULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50 ea POWER APPARATUS s SINGLE OUTLET CIR. ) ( EX. OCCUp\OUTLETS OR FIXTURES �20�SOe vALP 30e FIXED Ex. Occup. OUTL TS PtRESI0 ORA.) 2.00 ` Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirih 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating I 1 1 Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. - X Date Signature of Applicant - _ _ Owner [,_ Contractor — Agent Cj An OSHA permit is required for. excavations over 5'0" deep and demolition at construct. ion of structures over 3 stones in height.-.» Mobile Home Installation Fee $ Energy Inspection Fee S _ occ CONST TV 09 TOTAL FEE S )46 HAz CUA I PARK SCHL I FLO .1 PAq I Po IHo Issue Tr,:s permit Is hereby Issued unaer the appiicabie prove - Bions or the Butte Cctmty Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES _Date Receipt No. �S �- WHITE-O.P.w., TELLOw-ASSt3SOR. PINK -INSPECTOR. GOLDEHPOO-APPLICANT q-:55' - s This set ofPlans and specifi ,atior�s kept on the' -job at all times and ' MUST b` F�ii 4 any chan -- d itis unjawt J -c , i�f�##@ry 9es or alterations iNg porMISSIon fr�,, County ofom the on s®M@ �6 W 10/ A SWA** Oil ft- from" property. Wm.and a WOO& of 50 ft. from the road ,Wnw line shell be Clearexcept gtractures or equipment for a 2 ft. Save overha V-4- e�-a`Z er Aa- Al:;t j i �c,vCfi 4'<<i% TO po z+. ;o s BUTTE COUNTY BUILDJNG DEPARTARENT SPP COVED � ~� U 'i j,5 j6 L ✓� wnCs3G7�t $h C no}t'`sok"; :11. i•1 .olive UNO `.`.?I l SI lj rvd,—,f .A liCr t !mow I'd 11r;rlp, •'°'�•3�t� �.r1EifT7�ti1� 1S:r "r!'Jyiri�lt!-� 'VWQ,'UA' J 4'Y,on .#0 Ji t,^fi 0 .1081 -19638 THIS DVG. PREPARED FRO" COMPUTER INPUT ILOAOS .!k -DIMENSIONS) SUBMITTED `BY -TRUSS 1MFR. TOP CHORD 2x4 FIR -LARCH *1 801 CHORD 2X4 FIR -LARCH •1 WEBS 2X4 -fiR-LARCH STANDARD CONNECTOR PLATES MUST BE INSTAtttO 10 ACCORDANCE WITH REOUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949. ALL PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO RIGHT AND TOP TO BOTTOM. EXCEPT WHEN LOCATED BY CIRCLE OR QIMENSION- SEE DRAWING 130 FOR "PLATE LOCATIONS ON TYPICAL JOINTS." Hotel 2X4 43 `hem -fir or better continuous lateral bottom chord bracing V, (a72/. O.C. rax. -required. Attach -v/2 -16d nails. bracing is not required a rigid ceiling is attached directly to bottom chord. bracing .oaterial to be supplied and attached at both ends to a suitable support by erection contractor. 1.- -. - -- - K I - 1 4.OD / 2X5 IX3 2.5Xq TC X -LOC L -R* 8.29 4.93 9.88 13.89 17.71 Et X -LOC L --R: 8.29 5.27 11.73 17.71 U) SIRGLE CUT WEB d-TC11.4 N v (U) BOTTOM{ CHORD CHECKED FOR 18 PSF LIVE LOAD. OD -- _ - CD TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED W PURLINS SPACED AT A MAXIMUM OF 24" D.C. — r NOTE: PLATES ARE DESIGNED WITH A DURATION FACTOR Of 8.92. Cori I 4X4 2.5X4 1X3 2 4. DO r r r i gU1TE COUNTY BUILDING DEPARTMENT gpPROVED 2X5 2-0-0 9-0-0 9-0-0 2-0-0 19-D-0 OVER 2 SUPPORTS R-6529 N- 3.SD- P3040lATE TYPE --ALPINE SEON--237056 FURNISH A CDPY OF THIS DESIGN TO ERECTION CflNTRRCTOR acv ».o.s sauF - o.ars0 RPINE ENGINEERED P0.FDI!<it, INE. 7hIbSEi GFJ7JIRF EIITR[1E ORRE Ep o � a o o RaIMPORTAN7** 9RL N01 BI: AESPaRs1BLE F/1A Rwc WARNING 1H INMDI/IG, ET,Et1101: r+ro s��►>�DESEGN CRIT REF R4271 t-�-A to o O O GEIIVIDN I'M UESE SPUIFECATIGIr Ot RM' OEv1R1I0H FRJM BRKIW,.SEE 'BKl-Ffi',IBaPP.JIL NOW "MOES= TC L1 16. 0 PSF URTE 1 I/ 6/$g l� O 1NIS OESM OR IWY MIEIRF 10 BUILD TIE 7"S IN CON okft" CORENTMn IW AECUMF/OR110M5-tlPp. SEE [• f 0 o fa c= VIIN TIE'DIIRLITf EMIRIL 1RJJq-_Df TPI, REPINE C70NYEL-TDtS THIS 0[5ION FON FDDITIDW 9PECIRL PE"- TC OL W.0 PSF_ DRIfG CRt15Ri2� 89921D16 WE fWARCILKS FABR ZO G%%t MVFWIUG STEEL I1N.E.'SS WENT "KING KMIFMWIS. W&LSS 0160("ISE o Pi p 011"WISE SHOIM. 11EE1INi AEWItElE1RS OF 11SfA 04% GHEE A. SHWN. TOP 04ND 9IKL 8E OffiILEf NMW � 8C OL (E}) 5. 0 PSF CR -ENG Q rant owtIDNs 19 ftI11,FIC[S RI LTCH .mill Rip LOMIL AS B11N PHDIEALIC at tRpED EgrygOD 9sEA1NJ11G. • • ` TOT. LO. ! 31 , 0 PSF '0/R LEN. 10 -0-0 TR SS - � 9i0YM. BERiING YIDTA F4K •' WMIN1L UYLESS OTIEAHICE SHWH. EOTTM E "D VITA RIC10 CEILING ON f11RC(NG J� 0 R D ICAN�s.IARNIFa 1 cas101in vJI« IPPEIGAeIE raorJstol�s'� SIGN 01119KCIFI�FINE Ktfft.%l TON DES Ud. WEVEI)CU EN. t�iacim, DUR•FAC. 1.25 PITCH 1,,14.0/12 p •--IPI - IBA$$ WRIE IIt51110E ABIs - Ii1I101R DESIGN SPECIFICATION FDA 4000Cs1S114=11GN �••••`_• SPRCING 24.i)-, TYPE CO iN- - 9�4 IF,' I � ,gip f�� rJ If N O aurrE couNrr BUILQINa DEPARTMEM APPROVED tseorcontarmant�� . NAVE 9 E/J :flVSF6C:-16J 3�9 FECKLAOOFVPYMRM :% 000? . ..... —A;SkS 'Al.ewir-h Ot Lf, -ru,4 el r eej -r- W 15 A 40 do CA o -------- E -Sill (%M tj WNG__PART F D 72-43-15 413-89B,P,E,M i —4 i ARD, Thomas ;689 Fire Camp Rd., Oroville '.(new single family) t^'A C_ `-Q PE PERMIT EXPIRES OWNER. CONTR. ASSESSOR PARCEL LOCATION Q - u Temp. Power Pole Called PG&E 1 Temp. Elec. Service Called PG&E Temp. Go e Service �! Called PG&E JOB FINALED Signature � tut L'0 n .� u t LAND OF NATURAL WEAL•-TH AND BEAUTY - ?rte^$ DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 April 25,1990 RONALD D. McELROY Thomas Ard Deputy Director 689 Fire CAmp Rd. Oroville, CA 95966 RE: Building Permit No. 1413-90 Expiration Date 5-24-90 (A.P. No. 72-43-15 With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Oroville office. For your convenience; we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works L Glander JFG:aam �ief Building Inspector Attachments:. Permit Application Owner=Builder. Information Owner -'Builder -.Verification cc: Building Inspector - -- t COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE VNER PERMIT NI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Falt"ier-, or need additional explanation, please contact this off ice, --immediately. PIP ARI/IffiJUSNri— NFOR A y X , Inspector Date —C ' 5—_.9 6 W- . MAALM /�1�1L_i ....... d— W ! A _C1Lta UAr I_�1 y X , Inspector Date —C ' 5—_.9 6 ENERGY INSTALLATION CERTIFICATE Building Owner % O it S �j (� _ Building Permit # J'oj•� A05— F7 Building Location ze"I 1// Ile 9,s'�� (i DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL ✓. Materialj' Thickness(inches) fl, W CEILING*�, Batt or Blanket Type Thickness(inches)�/ Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED / Material 4 Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) //)fV/U LT6 i I'a Brand Name Thermal Resistance.(R Value) � AAo' Lr,F`/% Brand Name Thermal Resistance(R Value) 3 f' Brand Name 'W'fN U o'i/� Thermal Resistance(R Value) CJ Brand name . Number of Bags Wt, per bag lb. Thermal Resistance(R Value) tNAAJ 4111 Ir Brand Name Thermal Resistance(R Value) Brand N Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)__ I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement FIR°�f%OwTiER STATE CONTRACTOR'S LICENSE NO. ,NLMESIGNATURE OF INST_k!IATI N APPLICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. 49 .BUILDING CONTRACTOR/OWNER (Please Print) (F M NAA SI iATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 = OK 0 = Not OK Not ' MOBILE HOMES MISCELLANEOUS = Not Readyiable Date MOBILE HOME UTILITIES (Plans) OK except#'s , Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ' ` 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /" L" ft. 5: Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ • /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses ••' 9: Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -61 Date 10. Roof; Shthg-Roofing . i Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -Bi Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval -3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -131 Date Card -131 Date - 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -81 Date Card -131 Date 0 = UK 0=Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s °Z, . oning;Setbacks;-Easements-Flood-Slope PfTg-., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De . temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab S el -Wrapped ie -Fireplace Ftg.-Steel ; Fall -Fittings -Test -2 way C/O -Sewer Test as ipe; Size -Anchors 1 ater Pipe; Test -Anchors -Regulator -Service Test 40. -We s & Ducts; Clearance-Material-Supprt-Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card-131� Date/ l� Card -131 Date Card -B Dateq-t i-'�o Card -B1 Date Date PLUMBING (Permit) OK except #'s 6. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. re & TransformerClear nce-Ins. Protection ec. Receptacl Sp ' g- ights & Switches at Doors 4.,Size Boxes & No. o dnductors-Stapled 5. Romex Installed Close to Edge of Studs & C.J. 1: FE uip. Ground made up w/Mech. Fasteners -Bond Gas & Water ppliance Circuts in Kitchen & Conductor Size/G.F.I. Sire / ga. Cu or AI-A.C. Wire Size/ /ga. Cm -or A I tT7c-7-/ ga. Cu or AI -Oven Circ. ! / ga. Cu or Al. In ulated Neutral Yes No LW -Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. Lae. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date 6 and -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 14-A:CC-f)uet& Insulation & Support -15-Ventfan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 4-38. Attic Access & Platform if Furnace in Attic Card -131 eo Date and -131 Date Card -131 Q Date Card -131 Date Date FRAMING (Plans) OK except #'s 9. Sills, Proper Material & Anchors 640'Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 'a1• Bearing Walls over Girders & Floor Nailing 442 - raft Stop in Walls (rat proof) 14. F' Stops; Furred Ceilings -Stairs -Chases -Tub j�A< Header & Beam -Size & Bearing Date FRAMING (Continued) Han rs-Post Caps -Anchors -Connectors kT-Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 7. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 149'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions SA-Garage-Fise44o1e.ction Framing 54-ecoWy-l:Me-Nrewall & Openings cors=Ont-T-Check Garage -3rd story, 2 exits Stai.Ts; Width -Headroom -Rise -Run -Landing -Fire Protection L -s, Ply*oo&on Roof Overhang -Attic Vents -Rafter Outriggers I.651Siding-Nailing Veneer 56-6 ca -M -e h--brip reed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic "39 -Shear Walls; NaT4-891ts 59. Insulation -W s- 60. Infiltration-Walls-Wndws Card -B ' Dat Q - and -B1 Date Card-BYDate and -61 Date Date 'FIPAL (Plans) OK except #'s 1. Ext. Stens-Door & Sideliaht Protection - Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - )A -Garage; Above Floor -Ducts -Mach. Protection Bedroom Exiting f.+1 -8r Bath Fixtures & Tub Access -S Ems: Trim & S nel; Breaker Sizes Lam Stairsils G88: Fireplace or Stove; Clearances -Hearth LK -E . Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter age ire oo , wing -Landing -Closer 7 ara§W-D`amper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- La-Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location ,76-fJec-Rec ac s'in Garage; (G.F.I.)-Romex Protec. 4�. I¢sulation-Foam-Looked in Attic es Duard Rails & Deck Construction -Post Ca "79. Fdn. Vents & Crawl Hole Door-Drainag Wood -Earth CI arance Looked under Floores Following instld.; Drive Yes o; Walks es ❑ No; Planters ❑ Yes (-.9.C. Unit; Disconnect, Electrical, Plumbing P6.. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to _Openings. "ter Well; Disconnect, Electrical, Plumbing 5. Exterior Elec. Trim; G.F.I. Receptacle -Underground 6. Ventilation throughout House Glass Protection ns rom Previous Inpections . Gas Test -Meters Tagged; Gas -Electric t:S ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates -92--Rooftrfg Certificate Card -B1 Dat Card -B1 Date Card -61 Dat Card -B1 Date Card -B1 DateSi_)�f-gDCard-B1 Date CommerWat Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 __7�1 _ APPLICATION AND PERMIT .ON AS SSOR PAR NUMB - _ ZO ING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUAT N O - A G AD SS ( M.R'.M.LEP. O OR'SNAME (�Jo C RACTOR'S MAILING ADDRESS Fireplace Zefm CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S NAILING ADDRESS Permit Fee '$ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New % Addition ❑ Remodel ❑ Utilities ❑ Installation[]Other ❑ Describe work: <�I�GiI ^F' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main Service EA. AOD'L 100 AMP -Y"2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with Wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.21\ OR ADDNS. ACC. BLOGS. II 7�i�Sq ll NEW CONSTR.LET2,50 NON.RESID BRANCH CIRC TS ea APPARATUS e \SINGLE OUTLET CIR. (SINGLE Ex. Occu p�OUTLETS OR FIXTURES zoesoe 200930 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. r_,I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. otice to Applicant: If after making this statement,should you become subject 'to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingF 10.00 Heating Cooling Hood 3,00 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. 1 also agree to save, indemnify and keep harmless the County of Butte againstceuP. abilities 'udg s, costs, and expenses which may in any way accrue st C consequenc f the gra ng of this permit. Date �� ture of Applicant — Owner Contra or ❑ Agent ❑ PAnSHA permit is required for excavat' ns over 5'0" eep nd demolition or construct- onof structures overr�3 stories in he dV Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 3i $ T.rr P! scNoo vl.0o ARc P0." This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PEAIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' .y Receipt No. o -- WNIT!-D.P.W., •lLLOW-A8e9880R, PI K-INBPlCTOR, GOLDENROD -APPLICANT K COUNTY OF BUTTE - DEPARTMENT 6F—PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use.z!21DU) 71 '. Building Permit No. A. P. No. _r% 9 - T T Inspector!-- rr%' s� DateA&6�&�' r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance. DATE RECEIVED APPROVED All items have been submitted . .................................... Plot plans in<u lica triplicate, signed by preparer of plans ........ `$ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions............. �-- 9. Fees of $ ^lp� Q'(7 .......�� 10. Chico Urban Area fees paid ........................................ 11. Park fees paiJ�.................................................... 12. 6� M 1L • School P*stfict fees paid ................. 13. Sanitation approval from t Health Department ... 14. City of Chico plumbing permit ......... :............................ 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. •Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector (Dote) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ........ . 23. Recorded copy of Agricultural Acknowledgment Statement ............ 5 Z4, 1'2 eg 4. Letter of si ture authorization .-....... ...................... . -goo- CAd6O-F; go III SM It 6. �� When you issue the permit, process as follows: Mail to owner. Mail to contractor. Tele honeSSCq- � and hold for '1 p �% pickup at (fir al office. Deliver w/inspector. Other. 1_1 a Q�0_111Z ,A Appti Date -S'- M5;1 Copy of plans sent Health Dept., Fire Dept., Other Date 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: 51 Contractor, designer owner was advised of above required data by-- hone�nall_counter by date _I` i —16 19, Contractor, designer owne was advised of above required data by�hone_m (_counter by date S ` t `B 54- Plans checked by Date Plans approved by C Date '� '� 1 Sets of plans on hold in Copy—DPW File cabinet ✓ AP folder 41. TO Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance Amer Location AP# Pian Approved for: Sewa4e Disposal ---�� Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile vome. Other —- Date Sanitarian COUNTY.OF BUTTE.-. Department of Public Works 7 County Center Drive,`Oroville., CA 95965 OWNER-BUILDER..VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building.permit has been app -lied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until:this verification is received. 1. I personally plan to provide the major labor.and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a .building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I.plan to provide portions of this work, but I have hired the following person to coordinate, 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: Property Owner Social Security Number Date 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.. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per -Building) A.P. Number x'70 - q-3 / Building Department No. School DistrictO,,n_ 71J �. City U County �� Jurisdiction Property Owner Project Location/Address • r Subdivision Lot Number Residential Development: Q Sq. Footage# of Living MHI An (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) r " Building Department'Representative �` / 'Date U r (Floor Plans.reviewed by School Diessict Personnel) j District Id No. 14! School District certifies that (Applicant Name) (Phone Number) lv ?9 ,J- �' , ( oma, 1, 'Oe?)n d (Street Address)/ rA State ?_m b Zip Code has complied with the requirements of Resolution No. Od by the payment of $ oZf�9,f representing 47.2 square feet. School District Representative PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: Date white -applicant, yellow -building department;,,pink-school district SCHOOL.FEE (8/88) Ret l't_o DPW AGRICULTURAL STATEMENT OF ACKNOWLFDC'I�M�NT iyQ RESIDENTIAL DEVELOPMENT � lT FOR L-OMPARED1"N �1 0ONAL DOCUMENT SC(A i.on 26-8.1 of the Butte County Code requi.rOS this acknowledgement be recorded prior to i.ssuance of a building permit. The property described' herein is adjacent to la -1d or :included within an area zoned For a,gr:i.cul.tural purposes, and residents ACCEPTE[�.�R RECORDING of veni.ecces Lh_s property may be subject to i.ncon- AT 8:01 A.M. or discomfort arisingfrom. the use I o- agricultural chemicals, . including, MAY - 9 1989 )UL 110t.. limi.Led to herbicides, pesticides, and IerU.l.-i zers and from the pursuit of a-gr:icultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has estah.l.ishecl ;r;;ric ul Lural zones which have as a priority use for productive agricultural purposes, 1,111(1 rrsicicnt:; wi.th.in sa i.d zones and on adjacent property should be prepared to accept such i nr,invc•II i c nc c or dis-onform from normal, necessary farm operations. All that. real property situate in the County of Butte, State of California, do scr i he d ;is follows: Date: S sl - PROPERTY OWNERS: C G�x _ -=--� � � /? ✓,I »� - State of. C ) On this the _ day of �13y l y before uic SS. the undersigned Notary Public, persar.ec] County of _) o r -:w, ,n I!r ;' 1.11,1.1 r7.: �'� to °1;': PULL.,:: CAUL NIA su r'!IT[ COUNTY MY cosi:a!s:cn opiru Feb. 20. 1990 eX n . .. y�._.. x ersonally known to me. fiCCC Proved to me on the h;rsis of satisfactory ev:i elence . . e the person, whose name(.,& - cri.bed to the within instrument and acknowledged Lhnt uted the same for the, purposes therein coma i ned . I N_W ITN I•:tiS EOF, I hereunto set my hand and official seal. J Presen-_ A.P. No. /�-� �� Notary Puhl ic DESCRIPTION: All that certain real property situate in the County of Butte,.S.tate of California, described as follows: A portion of. Parcel- 11, as shown on that certain Parcel Map of a• portion of Section 24 and 25, Township 19. North, Range.5.East, M.D.B.. & M., which Map was recorded -in the office of the Recorder of Butte County, on January -31, 1972,. in Book 40 of Maps,.at pages .93, .93A and 93B, and more part:i.cularly described as follows: BEGINNING at the Southeast corner of*said Section 25; thence along the East line of said Section.25,.North 11 28' 47" West 991.57 feet; thence leaving said East line South 89° 011' 46" West 4.91.08 feet thence'South 0° 36' 09" West 993.24 feet to the South line of said Section 25; thence along said South line North 88° 53' 04" East.' 527..16 feet to the point of beginning. TOGETHER WITH a right of way for road and public utility purposes 'over the South 60.feet'of said.Parcel ll, excepting that portion lying within the above.described parcel of land. --- ALSO TOGETHER.WITH.a-right of way for road -and public utility purposes over the 60 foot wide.roads,'as shown on above mentioned Parcel Map. to Black Bart Road.. RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLZX & MISC. ONLY) Bldg. Permit 14 13 OWNER T�'t ONII S R aJ -A. P. '� '72--41 ` 1— GENERAL eZoning requirements: E;4 (sideya aluation. tans signed by designer. nergy Design and Compliance. VExisting violations on property. and number of permitted living units). PLOT PLAN V0 Complete parcel size and dimensions. /� Setbacks, sideyards, easements, etc. �; Other buildings or structures. �Grading, fills,. drainage. Flood hazard. t� Special conditions on creation map or compliance document. FLOCR PLAN Complete to scale plan with dimensions. - / Required windows for light -and ventilation (Sec. 1205). �! Required windows for second exit (Sec. 1204) Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). F.IC.I.'s in baths, garage and exterior outlets (Article 210-8). �/. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or ga equipment, and plumbing fixtures. 104 Gavage firewall, door size, and closer (Sec. 503(d)(3)). exterior exit door (Ser. 3304(e)). 1Fireplace and wood stove location. 1;3. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough -to construct building. Floor construction details complete enough.to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITUMS TO LOOK OUT FOR /,.Exposure I plywood on exposed locations and overhangs. tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3+� Guardrail details (Sec. 1711 & 3306(j)). '�b�'��►�. WIDTH k LANWN3� SQ - Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/05 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) / Garage door or porch header sizes. �!Adequate bracing. 1;;e Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1 Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). lY /Attic access and ventilation (Sec. 3205). 1* Underfloor access and ventilation (Sec. 2516). 1� ood stoves, clearances, alcoves & 1 -hour shafts. lombustion air for fuel burning appliances. 1@Z Noise requirements on duplexes. 1A 'be soils - special foundation design. 1� Retaining walls requiring design. 1 . Unusual shape, size or split level house requiring lateral design. C. . 1 Re>urr,to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �..R t- u• FOR RESIDENTIAL•DEVEL PMENT Section 26-8. 1. of: the Butte County, Code requires this acknowledgement be recorded prior to issuance of a building permit. 8 I - 'I '6"•8 9 2 �' ut not 11mlted to herbicides, pesticides, Candace J. Grubbs and fertilizers; and " from the pursuit Recorder ; of agricultural operations including, 8.01am 9 -May -89 ; RB 2 " but not limited to cultivation, plowing, spraying,, pruning, and .harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ogrie•ul ' Lural- zones which have as a priority use for 'productive agricultural. purposes, ,_incl residcn•I within said zones and on adjacent property should be prepared to accept such i nc nnve: ii i c. me or discon.f:or.m from normal, necessary farm operations. All that ,real property situate in the County of Butte, State of Cal.i.f.or.nJa, dcscribOd ;is follows: . Date: ll— PROPERTY OWNERS: State of. 42 iQ ). On thisthe day of 19 before mc: , SS. the undersigned Notary Public, person ll.y appeared County of ) _ -�� AD . ersonally known to me. 9Proved to me on the has -is r o F17 i C I A L S E.A L.of satisfactory evidence. ai?'f ANN SENTNER to e the person �a'rwhose name(,- S NOTARY PUBLIC • CALIFORNIA i su. cribed to the within instrument and acknowledged '`hal. .eBUTTE COUNTY ex uted the same for the purposes therein contained. I.N WI'M I'? S • My commission expires Feb. 20, 1990 EOF, I hereunto set my hand and official. seal.. Present A.P. No. /02—(13.-/ Notary .Public The property -described herein is adjacent 89-016892 I Rec Fee 7.00 to land or included within an area zonedCash 7.00 .for agricu.l"tural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences 1 or discomfort arising use from the County of ;. WARTY SHOWN b of agricultural chemicals, including, Butte ut not 11mlted to herbicides, pesticides, Candace J. Grubbs and fertilizers; and " from the pursuit Recorder ; of agricultural operations including, 8.01am 9 -May -89 ; RB 2 " but not limited to cultivation, plowing, spraying,, pruning, and .harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ogrie•ul ' Lural- zones which have as a priority use for 'productive agricultural. purposes, ,_incl residcn•I within said zones and on adjacent property should be prepared to accept such i nc nnve: ii i c. me or discon.f:or.m from normal, necessary farm operations. All that ,real property situate in the County of Butte, State of Cal.i.f.or.nJa, dcscribOd ;is follows: . Date: ll— PROPERTY OWNERS: State of. 42 iQ ). On thisthe day of 19 before mc: , SS. the undersigned Notary Public, person ll.y appeared County of ) _ -�� AD . ersonally known to me. 9Proved to me on the has -is r o F17 i C I A L S E.A L.of satisfactory evidence. ai?'f ANN SENTNER to e the person �a'rwhose name(,- S NOTARY PUBLIC • CALIFORNIA i su. cribed to the within instrument and acknowledged '`hal. .eBUTTE COUNTY ex uted the same for the purposes therein contained. I.N WI'M I'? S • My commission expires Feb. 20, 1990 EOF, I hereunto set my hand and official. seal.. Present A.P. No. /02—(13.-/ Notary .Public f: - '8 9.1 8'8 9 2 DESCRIPTION: All that certain real property situate i.n.the County of Butte, State of California, described as follows: A portion of Parcel ll, as shown on that certain Parcel Map of a. portion of Section 24 and 25, Township 19.North,'Range 5.East, M.D.B.. & M., which Map was recorded in the office of the Recorder of Butte County, on. January -:31, 1972, in Book 40 of Maps, at pages .93, 93A and 93B, and more part:I.cularly described as follows: BEGINNING at the Southeast corner of.said Section 25; thence along the East line of said Section.25,.North 10 28' 47" West 991.57 feet; thence leaving said East line South 890 01' 46" West 491.08 feet thence South' 00 3.6' 09" West 993.'24 feet to the South .line .of said Section 25; thence along said South line North 880 5.3' 04" East '. 527..16 feet to the point of beginning. TOGETHER WITH a right of way for roadand public utility.p.urposes over the South 60.feet of said .Parcel .11, excepting that portion lying within the above described parcel of land. --- ALSO TOGETHER.WITH.a•right of way for road -and public utility purposes over the 60 foot wide.roads,.as shown on above mentioned Parcel Map to Black Bart Road. END OF DOCUMENT • 7Y 1 MIK,-p"%"g mi'M VC -1 \Cl A A 11 % I I I Z .. Al Gn z -a AP 72':s- 11 SCALE::I"'300; Z c 39 RECORD OF SURVEY i To AT 61.1 Z' 13'jqljsi . rl ENTERPRISES INC. .2,4,G, 3,1)0-111 1 D.. -d E 24 S,W.il4OrScog LEGEND A PoRno7; S., 2S, M, A No A PORM T 5 c D 9 6 K 14115+&,17, %.8UrT COUNTY. CALIFORNIA ....... .... —ft LS 2843 L _I Z.f 2 --------------- NJ te u t ' L A N D O F NATU RAL WEALTH A N D 3 E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROV .LIFORNIA 95965 Telephone: (916) :t��5303-726.0 RONALD 0. McELROY Deputy Director November 4, 1988 Thomas Ard, Jr. RE: AP 72-43-15 689 Fire Camp Rd. Certificate of Compliance Oroville, CA 95966 Dear Mr. Ard: Enclosed please find the Certificate of Compliance which was issued by the Butte County Department of Public. Works and recorded on October 21, 1988 under Document Number 88-35922 in the office of the Butte County Recorder. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works .hn Mendonsa Assistant Director JM/kk attachment cc: Building Department Environmental Health Department RETURN TO: Public Works Land Development Section 8,8-35922 CERTIFICATE OF CON[PLT.ANCE Issued to: THOMAS ARD, Jr. !689 Fire Camp Rd. Oroville, CA 95965 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with -the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. • 1. Property location: i Black Bart Road 2. Assessor's Parcel.Number: AP#72-43-15 Description: All that certain property located- in the Count'' of Butte, State of California, more particularly described as follows: `. '. A portion of Parcel 11, as shown on that certain Parcel Map-...�,.,.-'. of a portion of Sections 24 and 25, Township 19 North, Range. 5 East, M.D.B. & M., which Map was recorded in the office ofthe• Recorder of Butte County on January 31, 1972 in Book 40 of,Maps, at pages 93, 93A and 93B and more particularly described as follows: BEGINNING at the Southeast corner of said Section 25; thence, along the East line of said Section 25, North 11 28' 47" West' 991.57 feet; thence, leaving said East line, South 89` 01'.46" West 491.08 feet; thence, South 00 36' 09" West 993.24 feet to the South line of said Section 25; thence, along said South line:. North 881 53' 04" East 527.16 feet to the point of beginning. RESERVING THEREFROM a right of way for road and public utility purposes over the South 60 feet. TOGETHER WITH a right of way for road and public utility purposes over the South 60 feet of said Parcel 11, excepting that portion -i lying within the above described parcel of land. ALSO TOGETHER.WITH a right of way for road and public utility . purposes over the 60 foot wide roads., as shown on above mentioned Parcel Map to Black Bart Road. Issuanee,of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code,'Section 66499.35 (b), to protect the public health and public.satety. NONE B9-035922 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:02am 21 -Oct -88 LD 1{:OO Rec Fee .00 Total •00 County of Butte Subdivision Violation Committee AGENCY SHOWN RB 1 �Ocumllcllvr END OF DOCUMENT L�. ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING ]EXEMPTION PERMIT P RI)IT NO l f Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING D f� OWNER PHONE NO 427 oafi °- s. -- 3 OWNER'S ADDRESS �y J 0 LOCATION OF BUILDING USE OF BUILDING lere SIZE OF STRUCTURE X 3q j 'X SO. FT. — TYPE OF CONSTRUCTION: WOOD FRAME—,&—STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVE NG FLOOR TYPE / ESTIMATED COST OF CONSTRUCTION $ 6Q o AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: / FRONT_5h lii" /10 r SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date -/ ✓�-"T ?J Signature of Ow Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 14U1 " Director of Public Works w /l1 J lr By .Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant tz ola(A S 0 '3� (16 COUNTY OF BUTTE -.'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7.541•. Thomas Ard Jr. DATE October 'fit, 1988 2069 Swan Place Fairfield, CA 94533 RE: Ag Bldg Exemption Permit x;41-88 A. P. # 72-43-15 With reference to the above subject: L.XL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Agricultural Building Permit Application #41-88 LJ[ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. •Energy design.including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise ;Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for `Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. I X1 OTHER_ Please make Agricultural building exemption permit application for existing R Should you'. have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector cc: Assessor 7 County Center Drives Oroville, CA 95965 Thomas Ard, Jr. 2069 Swan Place Fairf-eld, CA 94533 With reference to the above subject: / 1 Attached is: PHONE: 916-538-75/sI. DATE_ 5/4/88 RE: Ag Building Exemption Permit A.P. # 72-43-15 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Receipt for $25.00 Ag Exemption Permit We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plane. Plot plans in Structural details in Complete plans and `talcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked. in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. C� � /;w /V6 r ss I/" 1� OTHER_ � Certificate of Compliance on method of parcel creation (contact the Land Development Section of Public Works for process to follow). - 2 Ag exemption also required for.existing aQ buildinp, Should you have any questions concerning the above, please contact this office. JFG/aj cc: Assessor Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector (SPA0105) ASSESSORS SECURED MASTER PROPERTY DETAIL (PAGE 1 OF 2) 04-27-88 08:05 PARCEL 072-43-0-015-0 ST ACT TRA 091-20 USE RVXPX ZONING CODE MR NAME ARD THOMAS JR & ANN JT C/0 STRT 2069 SWAN PLACE MISC CODE 00 CITY FAIRFIELD CA ZIP 94533-0000 SITUS 689 FIRE CAMP RD RECORDER # 2751-239-82 TAX DELINQ VALUES 87-88 ASSESSORS ROLL _-_ AUDITORS ROLL LAND 22,189_ 83 BSYR 22,189_ IMP T/V PERS ------------ *GROSS 22,189_ ------------ 22,189_ MISC EX 00 CODE HO EX 00 YEAR BUS INV ** NET 22,189 22,189 GEN PLAN A_ ZONE CONF Y AC 11.79 ZONING YR _ PROP MISC PENAL FLAG 0_% ASSESSORS MPR .. BSYR ------------ 00 CODE .. CODE .. YEAR (SPA0106) ASSESSORS SECURED MASTER, -PROPERTY DETAIL (PAGE 2 OF 2) PARCEL 072-43-0-015-0 ST ACT TRA 091-20 USE RVXPX NAME ARD THOMAS JR & ANN JT C/O STRT 2069 SWAN PLACE MISC CODE 00 CITY FAIRFIELD CA ZIP 94533 0000 SITUS 689 FIRE CAMP RD RECORDER # 2751-239-82 TAX DELINQ _ SOC SEC 1.....-....... SOC SEC 2.....-....... 04-27-88 08:06 ZONING CODE MR GEN PLAN A_ ZONE CONF Y AC 11.79 ZONING YR _ PROP MISC NEW PARCELS -_-_- -_-_- -_-_- -_ RETIRED SUB CODE MAP REFERENCE SALES AREA CODE USE CONF Y ATYP ADJ NEW COND ADJ CODE 0 PENAL FLAG 0_% APRAISER NO ..... EVENT DATE TRANSFER STATUS _ PICKUP YR .. ORCH CODE 00 BLDG CODE 0 FIREPLACE .CODE _ HEAT CODE COOL CODE _ BLDG CLS BDRMS _ BATHS 0.0 EFF YR 1901 SQUARE FT _ LAND TYPE H GARAGE POOL YR BLT 19 N uo ,i 6 O y s' 993.2 4 • i^ � � _ 1"- 300, T. A. 91-2C P`PP S. # c 0� ''O2040'28"E Y96.2? � rn see. 04 rl i 0. 49 CADt ` Q / Q �. � 1p / 200 ch COO � L--.-- —_7.2-33.-74 07 0 50 ` 994 29' Q •F N.UN o ti N i2 c G cn .i2 •�6 „ E � L 790. 64 E Q kn /0B4 SB' �� x�/ Q`C3 v oma, � � ! � O (� Assessor's map h a County of. Bj to Septembell 87.47% 884.04 35.A /0/7.35 260 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories 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 8 6 4 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 3. Raised Floor Insulation Insulation in Floor Single- Single - Number of stories R -value 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 -i44 -70 _46 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 Insulation in Floor Controlled Ventilation Crawlspace 4 Number of stories Number of stories 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 4. Slab Edge Insulation 4 40 0.60 -i44 -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 4 3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 4 40 -90 Number of Stories -26 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 5. Infiltration (Air Leakage) Speafica6on Poihts Standard 0 6. Glass Heat Loss Total -69 -64 na -42 U -value %Glass Percent East South .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) Effective Percent Class (percent glass x SC) Effective -69 -64 na -42 -59 %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 I l8. Shading (Shade Closed) Effftdve Percent class (percent gWa x SC) Effective %Glass North 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 -3 5 -2 4 -1 3 0 2 1 1 1 0 2 na • not allowed East South West Skylight -48 -69 -64 na -42 -59 -55 na -35 -50 -46 na -29 -40 -37 na -26 -36 -33 na -23 -31 -29 -74 -20 -27 -25 -65 . -17 -23 -21. ,-56 -14 -19 -18 -47 -11 -15 -14 -38 -9 -11 -10 -30 -6 -8 -7 -23 -4 -5 -4 -16 -1 -2 -1 -9 1 1 1 • -4 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /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 2.5 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 Exterior Single- Single - _ Sum of 1.6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 1 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 I 11. Heating System SE or ASPF (assumes ducts to attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assumei ducts In attic) Sum of 1-10 -25 or -24 to -14 to -4 b _ Sum of 1.6 16 or SEER less -15 3 -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 13.0 20 Effective SE or HSPF 9 6 -1 (SE or HSPF x duct efficiency) Effective -25 or -24 to -1410 -4 to +616 16 or SE HSPF fess -15 -5 +5 +15 more 0.30 2.75 -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 System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assumei ducts In attic) Sum of 1-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two +. 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to -14 to -4 b +6 to 16 or SEER less -15 3 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6. -5 -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 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 0 EffeMye SEER 1095 HWR -18 (SEER xduct efficiency) -9 -7 -6 Sum of 7-10 WSB -25 Effective -25 or -24 to -14 to 4 b +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -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 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two +. 3 3 2 2 2 1 Single -Family Detached and Attached roint system summary: Climate Gone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. • Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. Unit Size (sQ t c. Water d. 1199 1200 1700 2200 2700 Heater Credit or to to to or _Type Type lass 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 WSB 5 3 3 2 2 POU 8 5 4 _ 3 3 SE None 37 -24 -18. -15 -12 Solar -1 -1 -1 0 0 1095 HWR -18 -12 -9 -7 -6 50% WSB -25 -16 -12 -10' -8 90% POU -18 _ -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 2.1 Solar 7 5 4 3 2 3.6 POU 3 2 1 1 1 IE None -28 -T9--1 i -11 -9 1 Solar 8 5 4 3 3 25 POU -10 -6 -5 -4 -3 4 Multi -Family (Individual units) 4.8 5 5.2 5.4 n (s 0.3 0.6 Water 1 699 700 1200 1 700 22or Heater Credit or b to b 3.5 TYPO TYPO less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.1 WSB 9 4 -3 -.2 .._2 5.6 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 3 Solar 2 1 1 0 0 4.5 HWR -23 -12 -8 -6 ':5 5.9 WSB -25 -13 -8 -6 -5 1.9 _ EQU _23 -12 -8 . _ -6 -5 IG None =8 •4 -3 -2 Z 4.8 Solar 6 3 2 1 6.1 55% POU 1 ..0 1.4 0 0 0 IE None 30 -15 -10 -8 -6 3.7 Solar 18 9 6 4 4. 5.1 POU . -8 -4 -3 -2 -2 roint system summary: Climate Gone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. • Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East t c. South d. West e. Skylight ---& L aor R -value [ NJ Interior Mass/CFA C2 or R -value [0] F2 factor [0.77] Standard t TT'.Z MSS U -value [0.65] % Total Glass [ I61 tac•411_b.71 (c.r-P.t.d .9ct_l I TYPE I MASS (UMC & 4. 2. Se: exposed slab) 0% S% 1095 15% 20y 25% 30% 35% 40% 4S% 50% 55% 60% 65y. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125- 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 '3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 ' 0.4 0.6 0.6 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 17 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 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 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 5.9 50% 0.9 1.1 1.3 /3 1.7 1.9 ZI Z3 2.4 Z7 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 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 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 609E 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 - 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 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 5.9 6.1 6.4 7095 1.2 1.4 1.6 1.8 2 2.2 2.5 21 2.9 3.1 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 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 807 1.4 1.6 1.8 • 2 2.2 2.4 26 2.8 3 3.3 .3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 6 6 857 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.84 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 65 67 90y. 1.5 1.7 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.t 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 i9 21 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110*/. 1.9 2.1 2.3 2.5 2.7 2.9. 3.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 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 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4• 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5' 6.7 7 7.2 74 roint system summary: Climate Gone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. • Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East t 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 Measures -30 or R -value [38] U -value [0.030] QJR- I or R -value 111) U -value [0.0981 ---& L aor R -value [ NJ U -value [0.037] C2 or R -value [0] F2 factor [0.77] Standard Type [double) U -value [0.65] % Total Glass [ I61 Point Scores 0 -f� + 13 Sum 1-6 % Glass Sc Eff. % Glass 2 "I X Z ,233.1 _ f� X_ D X- = n % Glass Sc Eff. % Glass 2 . / X (a (o, = I . / -- 1 4.0 X 1 = 2,44' 3 1 X = 2.3A - 3 2. X D X- = O D 0 TYPE 1 MAS; ARREA AEA = 0% ` I Interior Miss/CFA GOND. FLOO ® TYPE 2 MASS AREA = % \ O Exterior Wall Mass ND. FLOOR AREA .7Z X SE or HSPF Duct Efficiency [0.78] Effective -SE or (0.72/6.6] HSPF [0.5615.15] \ Sum 7-10 +/0 ER/[9.SJ Duct Effictenry [0.74] =1CCuve SEER [7.031 S l]- Type [SGJ Credit [none) Point Total: + a�� Certificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential MF -1R Address Documentation Author Telephone BUILDING DATA Conditioned Floor Area Number of Stories Z. Sla ass poor Number of Units = Single Family Detached (SFD) [ ] Addition Alone (] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MFF) [ ] Existing -Plus -Addition BUILDING SHELL INSULATION ►4i!3. fa9 Building Permit # %It. r__ T_ I IR .499 Checked By / Date Enforcement ARencv Use Only Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. R- i4 6"A T . W,,4tLt% Wall .............. Roof ............. –moo e_E`► Roof ............. Floor............. t C . Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (ToUer blind etc.) (shadescreem etc.) (veshm) (metal/wood) North (4 Glass Area % Glass North 5_ 2 t East '75 4-0 South 57.5 ,1 West West Skylight O O Total 225 12-.0 Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. R- i4 6"A T . W,,4tLt% Wall .............. Roof ............. –moo e_E`► Roof ............. Floor............. t C . Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (ToUer blind etc.) (shadescreem etc.) (veshm) (metal/wood) North (4 _ l:: V A AQ North ( ) -- East East South (✓f Sou Lh West (✓S West Skylight....... �— THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) (sf) (inches) Location/Description (kitchenu bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value Manufacturer / Model # (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 FEATURES/REMARKS (Add extra sheets if necessary) NOTE: Lowrise residential buildings subject to the Standards must contain these measums regardless of the compliance approach usrA Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the featurer noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measure whether they are shown elsewhere in the documents or on this checklist only. DESCRJP ION Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose rill insulation manufactwer•s labeled R.Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 prmVuch. §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: Infiltration/Exfiltration Controls a. Doors and windows betu ween conditioned and unconditioned spaces designed to limit a leakage. b. Doors and windows certified. c. Doors and windows weatheruripprd; all joints and penetrations caulked and scaled. §2.5352(e): Special infiltration barrier installed tocomply with §2-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces^ 1. Masonry and factory -built fireplaces have: a Tight fitting. closable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 02-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -feed space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters• showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5319(d): Swimming Pool Heating 1. System has: a. Onloff 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 inlcL Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas feed appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENIZORCFMENT This certificate of compliance lists the building features and performance specifications needed to comply with TStle 24. Chapter 2-53 and Title 20, Chaptcr 2. Subchapter 4. Article 1 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 Nana: T'itWFtmt: Address: Tekphorm Lic. 0: (si6rtattrre) (date) Documentation Author Name: TitkJFum: Address: Building Owner Nutt: TrtWFum: Address: Telephone �z(f Xsignawm) (date) Enforcement Agency Name: Agency: Tekphone: