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HomeMy WebLinkAbout073-110-016RP ;.Dive =i_ 9&7,:&, d NWIS e r b gran d 500'. W j� ac art' 2k mi SW ForbesAwin d(D le ranctdl, Permit#a. .073-'11-0-0161 92-3139 J�PEM_ DALEY, ..RoWert�' 955'Blgck Bart Qroville' 1) new 'sf 673--11 -376 1-0-016 9�3 1 1B `- 1ST -RlfNEWAL/,92- 3139 073-110-016 PERMIT#94-3109 DALEY, ROBERT ?955 BLACK BART RD. ,OROVILLI 2ND RENEWAL OF BP#92-3139, 073=1 10-0161" PERMIT#95-2970; PALEY;' kob* .. i, l- ,. 1,0�- , ... ;',-' - 14 �li Robert- 955.'Bl'a*ck -Bart,-Rd:', 3rd RefiewaBP#93-3139, 0 B07-1268 073-110=016 RESIDENTIAL SFD-Mobile Home PFS MOBILE HOME OERMXFI.-71 TID 54BLACK BART RI!5� DACEY ROBERT M & LAV 0 11 Y 11 I BUTTE �OUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecourity.net/dds Permit No: B07-1268 Issued: 07/23/2007 Address: �,99SzBLACKBARTRD Area: OROVILLE Owner: DALEY ROBERT M & LEAPN: 073-110-016 Applicant: SKYCREST ENTERPRIS.Map Page: Permit Type: SFD-Mobile Home PFS Description: MOBILE HOME PERM FND 1782' - TIMBE Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: I ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING 4 Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 �`-"e Signed OFFICE COPY. -Address `j p _GAS Meter By ` Date ELECTRIC/jp/ �f ?�; 'Meter'By Date –Undei 57ab Ylumbmg� =41'1—'� –' Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 N Inspection Type IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: ( r Date of Manufacture: — Z1 .. ®3_ Model Name/Number:'--.- i Serial Numbers: 4JZ T ,.., 0 _ L.J Length x Width: Insignia: b b J 67r-5 161074 J Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 -rrolect rmai is a Lernncate of occupancy for (xesiaentiai uniyf PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy f COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive e Oroville, C.A -, (530) 538-7541 CORRECTION NOTICE 0, R PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation., please contact the Building Inspector as indicated below. W(-,)-e � C' K d' V � / '0'�'v d "-, AF L) Inspecto 41'4�4 Date elf. 7 REV 4/105 Phone # J do FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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 PROJECT INFORMATION ` Site Address: 901 BLACK BART RD Owner: Permit NO: B07-1268 APN: 073-110-016 DALEY ROBERT M & LAVERN Issued Date:' 07/23/2007 By KCG . Permit type: RESIDENTIAL ' ' 955 BLACK BART RD Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 07/22/2008 Description: ' MOBILE HOME PERM FND 1782' - (530) 589-1703 Occupancy' R-3 Zoning: TP160 Contractor .. Applicant: Square Footage: SKYCREST ENTERPRISES SKYCREST ENTERPRISES Building Garage Remdl/Addn 13468 HWY 99 13468 HWY 99 1,782 CHICO, CA 95926 CHICO, CA 95926 ' Porch/Patio Total (530) 342-2694 (530) 342-2694Other 1,782 " A - FEE INFORMATION" ''`' - •' , CWIF MH $1,663.57 DBFIRE SRA Fire Plan Review. (S $102:70 CWIF MH $1,794.79 DBMSC Mobile Home Permit Fee. $350.34 CWIFAUD Impact Processing Audi $50.00 DBOMSCF Fire Safe Standards Re, $115.98 CWIFDDS Impact Processing Fee, $50.00 D_BSMIP Residential $11.58 DBEH Building Review Fee $75.70 ` DBF MH Plan Check $233.56 DBFIRE Fire Inspection (SRA) R . $102.70 Total Charged: $4,653.62 Fees Paid: $4,653.62 DBFIRE Fire Inspection (SRA) R $102.70. Balance Due: $0.00 Receipt No: B3975 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SKYCREST ENTERPRISES 812930 / C47 / 09/30/2008 Law for the following reason (Sec.'7031.5), Business and Professions Code: Any city or county that 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effeee���ttt C-1/1 ��` 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 /���/�/// X /� • /`� ' ` 07/23/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature ' Date ❑ 1, 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 , -'-'WORKERS" COMPENSATION DECLARATION—",' - OFFERED FOR SALE (Sec. 7044,' Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). �� ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED EIrl HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number.4761244006 Ex,, Date:06/01/2007 Contractor's License Law.). - (This section nee not be completed if the permit is or once h ed dollars ($100) or Tess. + El AM EXEMPT under Section B. 8 P.C. for this reason: . ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS r X 07/23/2007 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, I shall forthwith comply with those Owner's Signature Date provisions. X jal-.' ' i 07/23/2007 - _ _•. _ . L . .:. - _., __ ,. , _ .... _.. I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building - Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and properly damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propggudxx�mra�autownero ;zed to ctonthe property owner'sbehalf. - %C. %T• / 07/23/2007 T r;y::;� ;>CONSTRUCTION LENDING AGENCY', Name of Permittee [SIGN] Print Date I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ; ElOwner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip r , 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 PROJECT INFORMATION - Site Address: BLACK BART RD APTI: 073-110-016 ni 55 Owner: LEY ROBERT M & LAVERN permit No: B07-1268 Issued Date: 07/23/2007 By KCG Permit type: RESIDENTIAL 90 LACK BART RD Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 07/22/2008 Description: MOBILE HOME PERM FND 1782'- (530) 589-1703 Occupancy: R-3 Zoning: TP160 Contractor Applicant: 3 Z f117 Square Footage: SKYCREST ENTERPRISES SKYCREST ENTERPRISES Building Garage RemdUAddn 13468 HWY 99 13468 HWY 99 1,782 - CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total ' (530) 342-2694 (530) 342-2694 1,782 - FEE INFORMATION CWIF MH $1,663.57 CWIF MH $1,794.79 CWIFAUD Impact Processing Audi $50.00 CWIFDDS Impact Processing Fee $50.00 DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE Fire Inspection (SRA) R $102.70 LICENSED CONTRACTOR'S DECLARATION " Contractor (Name) State Contractors License No. / Class / Expires SKYCREST ENTERPRISES 812930 / C47 / 09/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) VDivision 3 of the Business and Professions Code, and my license m fuI r. and effect. / 07/23/2007 Signature Date WORKERS'-TCOMPENSATION DECLARATION--' I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ©I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: State Fund Policy Number: 4761244006 Exp. Date:06/01/2007 (This section need not be competed if the permit is or one hunarea collars ($100) or ess. ❑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 aQfee that if I should become subject to the workers' compensation provisions of Section �7D0 of the Labor Code, I shall forthwith comply with those provisions. �( 07/23/2007 rINC' Date : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY., I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Mobile Home Permit Fee. $350.34 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $11.58 Total Charged: $4,653.62 Fees Paid: $4,653.62„ Balance Due: $0.00 Receipt No: B3975 OWNER/ BUILDER DECLARATION. ; I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of thefollowirig: ` ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ' ❑ I AM EXEMPT under Section B. & P.C. for this rea 07/23/2007 a Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building ' construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co%pey"Larr tthe abov mentioned property for inspection purposes. I hereby certify that I am the roor am horized to act on the property owners � behalf. . o _ _ v�,a_r, ifLr6Gft�`J 07/23/2007 Owner ontractor OR. DAgent for Owner Agent for Contractor FILE COPY A0 - I -P 2, 1 IaD BUTTE COUNTY 1 PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP O AO OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name Name i m l err Address !vy/ /) /C City G�t State g Sta Zips Phone _ Fax Fax E-mail _ �g APPLICANT INFORMATION CONTRACTOR Name Name 11 e Address Fax State City Phone State Fax Zi Phone _ �g Faxjyj _ / 74/ E-mail Address Lic. / I s APPLICANT INFORMATION ARCHITECTIENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X F r ice use only: Zoning Flood Zone SRA L Yes No Occ. Type Const. Su ivisiona d Map Book Page I Lot # Planner I U_Date Approved: UVtK 1 -UK SU1:31N11I IAL KEQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 TT 4 G`?/ ` Uv � FR PSL G "o .2 (.Q rvi DescripZpa n or Scope of Work: �" rt dedl'en- l Sq FT- Living Garage Open v 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. Receive Amount: 033. � Bldg TU SRA Receipt � J Sheriff 1 SMIP Date: �� 7 o Other ('111161 is • Total REV 8-12-05 PROJECT LOCATION APII ®? — 0/ le Pro a Ad s r7- A / City L'SIp�On JV 0191-tL�t !p �ag,eet WORKER'S COMPENSATION Policy Number C �. Ai 4,L K 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 TT 4 G`?/ ` Uv � FR PSL G "o .2 (.Q rvi DescripZpa n or Scope of Work: �" rt dedl'en- l Sq FT- Living Garage Open v 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. Receive Amount: 033. � Bldg TU SRA Receipt � J Sheriff 1 SMIP Date: �� 7 o Other ('111161 is • Total REV 8-12-05 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1268 Location: 955 BLACK BART RD Parcel Number: 073-110-016 Owner Name: DALEY ROBERT M & LAV, Description: MOBILE HQME PERM FND 1782'- TIMBER WORKER HOUSING Signature of Property FILE Date: 6/11/2007 Phone: (530) 589-1703 Date: 6/11/2007 Reference Number: Location: Parcel Number: Owner Name: Description: California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax B07-1268 Date: 6/11/2007 955 BLACK BART RD By: GLB 073-110-016 Sub Type: SFD-Mobile Home PI DALEY ROBERT M & LAV, Phone: (530) 589-1703 MOBILE HOME PERM FND 1782'- TIlVIBER WORKER HOUSING To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspect 6/11/2007 Date All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protplan.html Rev'd 5/7/07 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1268 Job Address: 955 BLACK BART RD Contractor: SKYCREST ENTERPRISES 13468 HWY 99 CHICO, CA 95926 Printed: 6/11/2007 3:11 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF MH 1808-0-280-101001 $542.98 CWIFFIREF MH 1851-0-280-1011852 $299.21 CWIFPWRDS MH 1831-0-280-1011001 $786.79 CWIFFIREVE MH 1851-0-280-1011853 $577.57 DBEH Building Review Fee 1825-0-280-1011828 $3.94 CWIFSHERFF MH 0021-540013-4614901-1010 $75.70 6/11/2007 $75.70 DBFIRE Fire Inspection (SRA) R 1800-0-280-1011811 $288.00 DBSMIP Residential 0100-450001-4617240-1010 $102.70 6/11/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 6/11/2007 $102.70 CWIFAUD Impact Processing Audi 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-440001-4617999-1010 $50.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $350.34 DBF MH Plan Check 0010-440001-4210500-1010 $233.56 6/11/2007 $233.56 CWIF MH CWIFSHERFVE MH 1840-0-280-1011842 $124.73 CWIFGGF MH 1808-0-280-101001 $542.98 CWIFGGVE MH 1810-0-280-101001 $250.42 CWIFLBRYF MH 1825-0-280-1011826 $196.74 CWIFLBRYM MH 1825-0-280-1011827 $132.35 CWIFLBRYV MH 1825-0-280-1011828 $3.94 CWIFSHERFF MH 1840-0-280-1011841 $255.63 CWIFSHERFJL MH 1800-0-280-1011811 $288.00 DBSMIP Residential 1001-0-280-1011298 $11.58 Printed By: Gwyn Benedict 4,653.62 $514.66 Balance Due: $4,138.96 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. T) "es may change wring the plan checking process. Date: 6/11/2007 Pursuant to`G6ernment code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(x). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1268 Location: 955 BLACK BART RD Parcel Number: 073-110-016 Date: 6/11/2007 By: GLB Sub Type: SFD-Mobile Home PI Owner Name: DALEY ROBERT M & LAV, Phone: (530) 589-1703 Description: MOBILE HOME PERM FND 1782'- TIMBER WORKER HOUSING By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to applyfor a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects -that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. T FILE Date: 6/11/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1268 Location: 955 BLACK BART RD Parcel Number: 073-110-016 Date: 6/11/2007 By: GLB Sub Type: SFD-Mobile Home PI Owner Name: DALEY ROBERT M & LAV, Phone: (530) 589-1703 Description: MOBILE HOME PERM FND 1782'- TIMBER WORKER HOUSING The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ IEEE* DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Depaccrtment, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: /: ripf4"Ait/ ,nn 0 T ✓ .w,.,\6,lA Other: Other: Signature of Prop BUTTE COUNTY DEVELOPMENT FEL CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Nuinber (s) Property Owner (s) Building Permit Number r?'l 22(0 Project Location /Address Subdivision Name Assessable Sq. Ftge r l,3,2- Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling V" Mobile home Mobile home replacement verified by Assessor Department Demo Permit (dat issued ) verified by Building Department Comments:_ C%y" �RRPD ❑ CARD ❑ PRPD 0 DRPD certifies that: (5361 co-: a(2,1 � Applicant Name n Phone Number 9-5-5 2 1�, Jc 3Gr� 'ICoGoc (3yooiII? C'a 9s-1 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: g I jbb�00 Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Paid Recreation and Park District,Representative Receipt No: Date ;'� r�-yy�,,, �n'ei: � rJ:i.,+i.,i%:� J:a'.i �.''^t"Q+rra_:r'.x..:.`. r�Cr" rte' .�.• -i i � '{iw"?�r`�i .x.��'t�«N.....�'�J"e?� r� �•'Srtin=—'.r�^^,:�r s BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District v . _ !L4 Building Department No. Tax Rate Area No. A.P. Number. 2����/n'���n Jurisdiction: City FRIC,ounty Property Owner Property Location/Address Subdivision Residential Development No of Living Mobile Home Units Installation +i Commercial/Industrial 0 New Addition r District Identification No. `1 8' er 9 84 %^ 49 n 2 - Lot No. ................................................................................................... Sq. Footage % Addition/ 'Supplemental to (Group R) Conversion Permit # Cr. Demo - s '(No foundation inspection) existing sq. ft. see attached z.................................................................................................. Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date �b ► \o �_,, School District certifies that (Paye 'Or s V " 6' O --I " bv.&i;� k,. C -{ilk- cc S k (o �, (Street Address) (City) (State) (Zip Code) (Phone Number) 00 has complied with the requirements of Resolution No. .D S l,. —o 101 by payment of $ b. to representing k^1 f1 Z square feet. B 2926 $ FULL MITIGATION $ a School District Date Paid by Check # Remarks: t n ,—p t J Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeforrn.xls (12/06)dmm i 08/14/2007 13:54. 5303429174 CHICO BLDG SYSTEMS PAGE 02 ,TBR .6USINE69, TRAN6P0 OATIONCALIFORNIA tiOUSING aGENSY�- Ros „dPARTMENT Ot'ta0U3tAt4.AND S9MMUN1IV DEvELOPM£NT , 91,A3tON Of CODES AND P OGANICIA S �. MANUV,tT UREO WOUS��° MANUFACTURER \_ CHECK IF i,HIS;g A,OUPL)CATE MCOfiNfER ORIGINAL MCO NO. F t NUMBER OF T a - • TRAtdSRORTA81 SECTIONS SFD'(St *LE FAMILY DWELLING -)Q MUMF{ (MULTI_Ut6T MA AGTL)RED HOUSING {COMM R IA C AC OCCUPANCY GAOUP _ __ MANUFACTUREfi ER NUMBER: MANUpACTURER NA►AE. 91100 2 SKXLINL HOMkS IVC --- SUGGESTED RETAIL PRICE: MANUFACTURERADORE$S: ) 17 �2af3, 5V :•:riA 95776 Wo£3DLAND ` sM1720. r EAST BEANFR S'TR�CT - -_ Naa• DATE OF MANUFACTURE: WOo))r EDD LIMITED s-KyCXEST ENTERPRTSES(CDOSIN GARY'S li01 68- E1t7Y 913 .E ,GE CDF NVENTOAV CRt[31TOR AODR£5&: , P.o. Box 94900 L.Stcew). SECTION MANUOACTUR€R StR1AL NUMBER. ' 1 n27ti-O iflS=-W�H 2710-0105-W^A 7449--L'T CALIF. D LER NUMBER OR TRANSFEREE NSIGNATIOI:. 91265 Co CA PALATINE IL (Cly) HOD INSIONIA OR HUD LABEL NUMBER' PFS 1010769 PFS 1010770 8%2.9!2097 DRi€ OF TRANSFER: %!3/2007 3 (Zip) 6009491 zl LENGTH —ME431 WIDTH (INCHES) V*4c;HT (POUNDS) 792 168 77.299- 792 1611- 28-15.721 TRANSPORTER NAME: iif-'HNETT :I RGM 'T7AN'SPO'. T TRANSPORTER ADORES$: P.O. SOK 171 i'. iiRS..AM CA. 95 138 r6r.Ie1. D@3TiNATION FOR UNI''0"lCAi8E0 ABOVE; NAME COUSIN GARY'S 50KE5 svm13468 HWY 99 E IctEilco CA slate 95973(ZIP) i. ta"uftgW qWmkq.c3.Perpry unam #w.lesa.atvse.5tesa. s4Oataama.ASl.Nsa4GXa 1004 we vus and ranee. Eaeaulee on 'j,(l1)O(;7 e b10JPl.,ANJ SIGNATURE OF AUTHORIZED AGENT: �� ) c;.. • '' " DIST IeUT10N: ORIGINAL IP, INK$ FORWARD TO YNE INVENTORY CREDITOR. UNLESS THERE IS NONE. THEN FORWARD YO THE PURCHASER (DEALER OR TRANSFEREE). COPY. 7. jWH1TE). FQRWARQ TQ THE OEPART)AENT AT P.O. BOX 1929,, BACPAMENTO. CA 9ea12-1020- WIYHIN F(VE )S) OAVS OF AGLSASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT 70 ITS DESTINATION. COpv 3 iGOL0€4R00). TO 9E $ETA+NEO BY TRE -MANUFACTURER. HCO03.0-SWitII '(7107) v s ,.e w r �� �' ,.may '•� ,� iY� �'n i'r� '«.. �r.r .r } * 1. �. ,u+{. '��f .. k+� z� f � t.r. ,� ,FOUNDATION SYSTEM r - ,, �CERTIFICATE.'OF .00CU,PANCY, .' BUILDING PERMIT NUMBER: B07-1268 Address or location of unit: 901 BLACK BART RD OROVILLE CA 95965 Legal Description of Real Property: 073-110-016 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ROBERT M & LAVERNE DALEY Owner's address:955 BLACK BART RD OROVILLE CA 95966 INSIGNIA OR HUD NUMBER:PFS 1010769/70 SERIAL NUMBER OR V.I.N.: D270-0105-W-A/B MANUFACTURER'S NAME: SKYLINE HOMES INC YEAR: 2007 OFFICIAL APPROVING INSTALLATION: DATE: <M CUIa� PHONE: (530) 538-7541 H.C.D. 513 BI14>2Uf 7 14:49 5303429174 CHICO SLUG SYSTEMS PAGE 82 Lot 3&4 and the East Half of the Southwest Quarter -Sect -ion- 19, +1211C Northwest quarter of Section 19, all in Township 1,9, North range 6 East M.D.B & M. AP -W-073-1-10-016- Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement at; -;r c�;i`:}"� •'.�! be recorded prior to issuance of a building permit. The property described herein is adjacent" to land or included Aljr, j0 147 ral' 19?°j within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides,- p��bt ic'id`es�;� and fertilizers; and from the pursuit of agricultural operations including, but not limited r�t to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural cones which have as;a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A aT lr 2 �' Sec . I 7- �? e �� �'k �,�. �� �' v�� T P .r d ZS Date: State of L (n'c.x..t ) ) SS. County of U—c ) e07, / a -G 9 0?3 - l l0- '911- LA- 11 L4. 14At/'d"y1�2 5'37-/'703 Present A.P. No. PROPERTY OWNERS: On this the 6 day of 19�'' , before me. the undersiened Notary Publi . Dersonally appeared L Personally known to me. L/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) . /a.�e subscribed to the within instrument and acknowledged that _ executed the same for the purposes therein contain IN WITNESS WHEREOF, hereunto set my hand and official seal. MY Commisslon Exnlres `ient. 4 1984 }" 7 MY Commisslon Exnlres `ient. 4 1984 }" AP # J \ Planner ��� (i-o�� l'CvE7 TRAKIT Yes No (circle one) Permit No. (Optional) ce t ( lle- Applicant Name/Contact Info(Optional) `y Sre'v / 6;e�_ (f4t 5 / L S ao C . o RECEIVED JUN 13 2007 COUNTY OF BUTTE LAND DEVELOPMENT DIV. . X:U.and DevelopmentU.D Documents\L.D Forms\creation deed review form I +' ;��.--- �-_ �<<i � �l::y 's xd;'�"•tii' kl.� .c'.� y'�•'�(, ta'f .•IR •Yw ^401 :r„L fr 'y'ttf'�i��l'�t�rSi�-4' �l �c `: i•'�t�'. a� � r y ". ,t i,{ r. �l �!,' M�y7 Y i Jt � if Zi [�.. ,-J�a. { ,�� �: it , :•! r71 ��� •� 3 'f 4 } 20,EIVED . I' J4.1.3 2007 I wry, OF BUTTE j. 5LOel •� r 1 ALBERT ll. K1NG4 G .urns • .• t Ol10tRt134 CAin!dRNlA y 3 S� d a ,'• �, ME LOSERS, Gouty Clack ] ' d C a A•rroway row. Mm xng WILL ANZ"7. EA oft" OF CALMMZR in Tag SUP0=2 COURT or V3 I3t mm "It ' "a COtPm or SV'T"Yi! 11 x1M Ta VAST= <at so sovl►S.`E 1 tdCl. 1i1591 f } ,.. la or01 t' 13 fi141lSttCt'i' CtAm=X DAY'Sy" JR." alilo 1 to BQZg On"LIBUT IN r: t ` ; � d: known as Qmtum G2,AR i>te►wr*also "nam, Amma"N As hiµ 1! knave as CU►R1tlQY'1' 3:. DAE"I "alva known ACC04Tifd 1tIR900 18T. 10. IUI k ns SARRM DALUY And also known an � AGRR C:Smug4 LZQATM CLRDAXV VALXY, jjj' 'dDiYd► ,3 D a� a le i 4• 17 ROD15lNP X. >r Qu aelsinistsatxnr With -the e?ill _anomcad K S 19 of t3AxftiL"S°! CTAA)RIMV DAIZY, SR. also known'`'as Gn1t!lCM CL�I�IOM '•f 19 May, also ky-own as (VatnXTI!, C. DAT". also' knW^ as' GARAtfC! 20 fk1l{V9 End also known► ou "CLAI1MA DAUt,# E etaLmed,.` having t11af1 � t t is7 c patition !or f.inr-t diatzibution of said oState, and said•ON 82 pef'ftiion ct-ainq on r"ularly this day to be heard, the Court, 23 after exaniiaioq the y&.tion and hearing the svidanre,finde ghat 94 due- notice of, the hearing of void i»titkOn has bsAn given ea 16 regcrired by lavy that notice to ereditzrs has been duly given as 28 regrairsd by jowl that: all of the nAllJayxtians of the petition ars 27 tYUOT that all inheritance taxac payable to the Otate of California 26 have been paid by the *stets or the distributeae and all personal 29•' (t ,'l �',•i p;K'oprrty taxes due and payable try ►ho estate have been paid) that, it 30 all inema taxes dao and payabto by the a»tat& have bear• paid? 31 (that all oxgensen and charges of adnliniXtT&tiwn have Lasn folly 32 paid and dimch%rgsdj that vrtrctsiditor's cxaimi'hovo;l�wmn Ptsaen;ed' " AL *CRT M. KIM* a.uvr��.rc• o�,.rr. i. f ,. f„1 27� • r .ABY +irr�.`w7 'f+11'+.s ,har+s .���rr�,'�'Fw✓t' r+tiiY 1�naw.a.wvr+,..rrM �,•h{d ,,.�'� V,• r..+r..+.w...%r't"."('�^•�Mr".'�.iki£7A�i•�1.�111PMd.rJ1C.bIkl�f•1��1�.7.X'�`.l•S�':N , a" •P r a :1.� i+ t •+r.a:.V..+.a��`�tr'� �r':1`.•i.;•"fi�.h . . 4 r,� "'�?? � fie• ty �i' ! fiECEWED a 3 7 10 u u 1 13 16 is 16 17 18, 19 so m 22 23 24 25 26 27 2A 29 IM M MMMliD that pursuvat -to, said Aqr4ew.mt.Amer Legatees, ftvisoos and Be.jxs'of , that dmmased dated the il,;tb dij'of robtu"7, 1966 filed he"Ln, *, : W the P9094rtY'Of the **tat* MrsimatSC desCrVmd, lairid all"other pvovwty belonogizV to the estate whother described herein i not 'be, WA the am* Is hereby diatribdW as tol)Awas 291, A. ft loom X..,mxv and lavmm m=, Ilii vifs, as *angunity - PSOPOttys. the, rial vm"rty 'iltumtw in the county Of --fttts, 12taft Of CSl1fOmi*t`dQGCVIbed 09 Zt4m t in the tav"tory 32 MWAWTVISMO-at of -the FMbatS OSftft, QrAd More P&rtLCUl8Xly AL*C*? M. q1t0v J.'"Do"arr AT LAW JUN 13 BUT .OUNTYOF Lj$bj)EVEL0PMENTD1V;---' VIM% 4:11�V�IAIUOAATW aR wr MWAM1,61 MEW -7 SWUM px 18i of O! tiled in the eststev 'that" ail, Federal; dstata Taxes dee VpdA f' an 1xistallftat best* havio -beft,.i"i• 6d:tha Iblipm;CS Secured, as Provided by Federal he" 604A Paid mcoot'am ma estitto of the. d0c*ftqWj0u*1rA*"th 66ts, to vh1Cm--.V*0d%ci1*ft. td. Credit It—toly Sao he".09.4at,tie jointly owned by. the' 6iltietteu tiai been na=med by the Wou" wid i6iri lotitlfr and other joint obl oxmf`� WW,Chu*, prodi*tjobi 4vedit Aiomciiitioa has coomwmt*d to dLatv1biifioW,of the estatedeceased* "bJ*ct to , the, utilbatistliA ObIlOtUft CWLW SaLi;16icoazod Sm4 C, the estate of, said 4606a6w to it am Wks wilvea claim -tot a deficiency 4w ­ in the ovent'df., future -foi� Or Salo of staurity as, b04Lwt 4 t . 4tt id, 't as That.the -44 -90ttUQiA4-Of,AAA1 out the;!,: Or -- Illiof tbij i, A pergo"S 91 Ahat by aft'huree Among uojjti.' 'rs)*uar`yi "agreed. .=at ]LIM 0 1966 it is r 1v - that• the Pr*Pertr� Of thoi, estate be d14tx1kAbd be betoiftattsr Set •ri forth. 29 IM M MMMliD that pursuvat -to, said Aqr4ew.mt.Amer Legatees, ftvisoos and Be.jxs'of , that dmmased dated the il,;tb dij'of robtu"7, 1966 filed he"Ln, *, : W the P9094rtY'Of the **tat* MrsimatSC desCrVmd, lairid all"other pvovwty belonogizV to the estate whother described herein i not 'be, WA the am* Is hereby diatribdW as tol)Awas 291, A. ft loom X..,mxv and lavmm m=, Ilii vifs, as *angunity - PSOPOttys. the, rial vm"rty 'iltumtw in the county Of --fttts, 12taft Of CSl1fOmi*t`dQGCVIbed 09 Zt4m t in the tav"tory 32 MWAWTVISMO-at of -the FMbatS OSftft, QrAd More P&rtLCUl8Xly AL*C*? M. q1t0v J.'"Do"arr AT LAW JUN 13 BUT .OUNTYOF Lj$bj)EVEL0PMENTD1V;---' VIM% 4:11�V�IAIUOAATW aR wr MWAM1,61 MEW -7 .I _..... .,...r. 11 � G•✓^m0.•h..`<'.'[..DY��A�u.�i.diP,..++. H.. .y..ai• t F • w' �'1 _.... .. t r 'rip ) '_,r, }))'•,. C A Y. ( L3 t, u( "pb%' ( 1! n�i htl •, �l � ~��►V •i �r � 1� j I/ �.n ` ( Ti �.bp .. F•+ck .�i . iti+ � I � � + �•t Y i�, 9 t i vn.o ol•tlnow YVl LV A99r Dile. CNIII •M.li1H01V �.>ti,Itlrr Ti 02 68 ez 93 ca `. _- , .'x ` Vit. /6'•)L��t 7`:S ,r (..+_ ' � - ' A Sc tlyVj 1 ��?:•:i�'i is At r + ' •�• ) f +r �Z. -`{ +�P ��r}(rNp,p/I,f staq� C%il, fli:71 Ma iQ�.a+w inroi . poll MIWO ) _ u y Qt IX . , 0 qNV 311 Nl, 1fl0 3xi 81 =u - � ' •j"' - Y � f p . + .t � Y •711,��,�1•r`ttl' �+�' I , 1:•'i� �� 1 WriMi'�I ��VY3WA+JAZ . f 'k�...Jrrr„4+� �r!�.., �..'"• 5 r�4 filA}••Yt l� 5.1' f , `•it r � 1 � d ��yrp? ,. r;l•� �C; �aai//►�t� � ; 't;�r r) �q�.? � g '/`per: ,���]t T r �.= I r rt, .� + 1 i :� �� �'�` 4�yr �' '•t ' ��}Ifi�<xrs '� �N S.Lr""�"�ri. �Ysalijr7,► f �..• �` _` • �r) `45,tlt lt£ai )l f)t•.f�•l Yy Y1.:•}. s 'L' X3,�i7&7 ti � � `,. �*T�;�'.wux .ti }cm580onvi ao+ .gym. TT's si �� {{ [. t• t.,�,r !i�.� ,''t�1,� �'_•l ] fv. ,:xY, �< f.rfk+? 7)a �I.•t .: • ' sh • 7pozJ of esd ;aPC. Yo so"; aj iuoaaoc4 81 %P C% #4vsmqTQAAft Fm IT Er •�:;t +. r :. sii. '. ti -:1." 1,t '. ,, , •i )si •1... 7St)r s.� .'. .f',. ji so » �•sY � ; v : �ia�� so vao+t, t�,> ;o 'wm"M vas/= of .� $i'ZYQ tE ' `ioJ�3ais1t. oca 9A •.7 i '�sf�r}aastr�lG47poz tioariposB;ga 9 mm Xgas'3.300 s4*qwd oqZ do 7,uow L -Oviii,44 fess- Azm** ►a= :' o►p i�l . B , Msil . Doq'i"aop '5T3-4ea =o pwoq Mr @S1'-4"z"uf 439/T poin40 ,=s) t 03 •8 + R+ ; , r r ; ' ,. .t�.a•c*1Q° •a+iss��; _ a,•� � � � ' �i�o-•�sl s �; . `. • e�as�t�b :!��►�::�i. s•.�' �s�t;e?�•?,�s� B o'-0o°i B " « r to TTS es pegTmwov T � _ • , ..• .,, fir: :�• � ,� )•,, r e�. F. ^�, pay, i.. y� (M�•jr•y}°- FsrT ' lC. i.^'+ 4' .<i �, ':v ,�l ) �..i ��' ' i ,7 ..r�� r � ^il 4 .� � Q*Y�i•;' lr t�,� lI IC 'b .rAlr� t . . ��(tij � tfrhl' f/t` ''Y,,✓* .�L•Y�. 4,V .•4.i5"� T' S' �' l r�itJ �!•�b �+Sf4 iyA)r.!`} ',g+"^••y�G �j'ity(!� I} yy{ _ ,. � .....: .. �T tx il, i ++r �?._. t.} ,:''. Yr l (,. rti-x- y}.i l�Y..1 s,.2s` X Dt, n,"W,ti`Yu'; tl,f k+ a=ea'•t4 ....: d.,, LM1130 �i LN 1C 100Z E I NO - , I i I I 1 I t ' 1 &UW* 01 i'duffe OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Susan Cueva ADDRESS: Box 906, Black Bart Rd. CITY & STATE: Oroville, CA 95966 IMPORTANT: November 4, 1987 DATE OF CLAIM: SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #212-- , Receipt #14079, dated 3/16/84, and Receipt #25864, dated 8/30/84, .P. #73-11-16). Total building permit fees paid ------------------ $396.25 Retain -filing fee ---------- --__-__-----$ 10, 00 Retain plan checking fee ---------------- $123.75 I REtain energy plan _checking_fee--------- 15.00 Amount retained ------------------------- ------- $148.75 TOTAL REFUND DUE----------------------------------------- $247.50 2 7. 50 CORRECTION TAPE USED BY BLDG DEPT. J.F. Glander / TOTAL $247. 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim le true and correct as stated. AA ��,, nn ,,,,^, �,, y{�rryy ,�',�`_ ,'�j` ���► ��nQ ,e( Dated this ,,,,, day of ,� ,......... , 19s.7,0- ,Calif. ��+*�A•.4•trilY.AfrL• ��/""" Signature of Claimant 1, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval 0 (Checkone) for the Dated this...............4,t;J1............ day of ..November .198%at Oroville Calif. .........is, t Heed or Authorized Deputy Dept.7. l c ...........4..40.-002 .............. code .......47.JQ700 .................... PAYABLE FROM..............Con....................................................Permits ................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB.. GROSS AMT. PERMIT NO. 'W- rB,PrEIM PERMIT EXPIRES- -R XPIRES _R M DALEY_ OWNER = CONTR. owner ASSESSOR PARCEL 73-11-16 LOCATION NWS gravel rd, 5001W black Bart Rd 22 mi SW Forbestown Rd, (Daley Ranch) Temp. Power Pole Called PG&E Temp. Elec. Servic Called PG&E v Temp. Gas Service _ I Called PG&E i Y JOB FINALED (Date) Signature Dk '0 = Not OK = Not Applicable MO.BILEHOMES = Not Ready _ MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ^y 6. Carports: Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date -Card-BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval. 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date - Card -BI Date Card -BI Date J = OK 0 = Not OK - - = Not Applicable RESIDENTIAL,4Singl�e and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date _ Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer - 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Stec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Followinginstld.: Drive Yes No; Walks Yes ❑ ❑ ❑ ❑ No; Planters []Yes ❑No 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - -- --- ---------- -- - 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House -----.- Card B-1 __Date_ Card -BI -__ Date - Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts: Insulation &Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. __33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. -Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI .Card -BI - --- --- - - - -- - ---- ----------------.--- Date - --Card-BI Date Date Card -BI Date Card -BI Date Card -BI Date Carc-BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _ 36. _37. 38. 39. _40. Sills; Proper Material & Anchors Walls; _Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailin_g___ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protect ion -Draft _S_top-Ins. Baffles _ Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorr4ia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING 73 -- //-/&P/ b o BUILDING PERMIT OW ER ✓ H�5- SO. FT. OCC. BUILDING VALUATION O W N S ij�MAILING A D� E 5��� / �%/�-V/{�C+V [7/ //%� CONTRACTOR'S Na& Elf fAAMM,E TELEPHONE CONTRACTOR'S MAILING ADDR S Fireplace A 7470, o 0 CONSTRUCTION LEND UNKNOWN Total Valuation 1 $ 57S go. co Filing Fee $ 1 10.00• LENDER'S MAILING ADDRESS Permit Fee $ V/7 ARCHITECT OR EN EER LICENSE NO. Plan Checking Fee $ IZ'3, ,5 Ily $ vg, ki ARCHITECT OR ENGINEER'S MAILING ADDRESS J^ Permit fee $ BI,J yli�1� G ADDRESS /V(i(/� S' aCAvEJ- P -P' Ann -!�_0,91 1,OF 31-A6k. PLUMBING PERMIT Filing Fee 10.00 /5%i,�/ �%% �j�%> 2 �� /r//LLs —i llF- �O�GS: Each Trap 7 2.00 I ,,�0 Solar Water Heater 20.00 %OAIA )L -r—> , L lam. 60SP> PALC—Y PAAf Gf) Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent c� 5.00 S� Q Gas piping system 1 - 5 outlets 5.00 540 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 +0 Mobile Home I S W G [10-00e TYPE OF WORK New [Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00/ Main service 600V OR LESS 100 AMP OR LESS 10.00 vv Main Service EA. ADD'L 100 AMP 2:50 .J NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 'Zyj2SQft �• Q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification TZ 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) El 1, 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 R. U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS, NEW - (POWER POWER APPARATUS & NON R ESID. SINGLE OUTLET CIR. 200500 Ex. Occup(OUTLETS OR FIXTURES BAL®30 Ex. Occup. OUTLETS ED P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ OWPO, Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): M 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. X71 I shall not employ any person in any manner so as to become subject �Al 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. Heating po7> tl it� Cooling Hood 3.00 ,e Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a sai County�iq consequence of the granting of this permit. (SIC 3_t6_�n X r Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations o r S' and demolition or Construct- ion of structures over 3 stories in/height. is Mobile Home Installation Fee $ E -F -C v S6? — TOTAL PERMIT FEE $ oc Cu . GROUP I TYPE OF Co ST. PARC L PD r i;J ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. C%7 %'Ll? J WHITE-D.P.W., YELLOW -A Se93 R, PINK -INS T R, G DENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENTyRfFfU.�BLI:C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET II�� /► � Permit No.— OWNER o. OWNER ICN/�I /J (261E�1T A. P. No. -73-11-16 Proposed Building Use '5/F Permit Fee Based IJ/Po Complete Contract Price DPW Valuation Other -(Explain) Building Inspector Date At time of permit application, I was advised the following data must.be submitted prior to permit processing, and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . 2. Plot plans in duplicate./triplicate. 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms -No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ a*' _ Letter of signature'authorization. Sanitation approval from />2ot//LLE Health Dept. 11. Planning approval for (A) Use: O- K_ (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . 3 . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner 5. Improvements may be required. . . . . . . . . . . . L 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to tpate 7. Pre -Inspection for Required. Bu ;n9 Ins ) . Other IrY _ When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 5g� /Dr`3 an. hold or pickup at L-6 office. Deliver w/inspector. Other Applicant 'F. L.a L_6_A Q elkl-Al"ri�_ Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at t1iVepfapplication, circle i 1. Index permit for above Items No.V. 2. Additional items required: A (Contractor, Designer, Owner) was advised of above required data by Telephone IT Mail —Other- Plans Other- Plans Plans Other: Date Copy—DPW 7777f-,`5 310H .......... 1-) Tq.o .10 -V&5it W;ac,-r.oxj, moo.v.paq aol oo-x9ausTo Addng as4vM ;aoj OTIO. S.IddiiS acwj:op� IxDT TauTJ PT! UVU Tddnq L l,usodVTG Oft 7 7 9ZIUM -OT-0\11TI..'04TUe.�3 mox,,-T air COUNTY OF BUTTE -'Department of Public Works r 7 County Center Drive, Oroville,'CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your - earliest opportunity to avoid unnecessary delay in processing.and issuing your build- ing 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) C� S 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 AJ oA) 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 AJ C) AJ `, 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 _.AJ O.N _ Signed: �-e Q Property Owner ti c Social Security umber 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 permitted to issue the permit. OWNER A. GE RAL Zoning requirements _".2! Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC.. ONLY) (sideyards and parking). or Architect (if required). `B: PLOT PLAN , lete parcel size and dimensions. Setbackp, sideyards, easements, etc.- Other tc:Other buildings or structures.. C Grading, fills, drainage. Bldg. A. P. C. FLOOR PLAN Complete to scale plan with dimensions. •r2': Required windows for light and ventilation (Sec. 1405). -eY. Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law).. - Human -impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1407). .,7 . G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 8 --Light fixtures, switches, receptacles,.and.exterior receptacles mechanical equipment.. for maintenance of Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. W— Garage firewall, door size, and closer (Sec. 503(d)(4)). . 1 - 3'0" exterior exit door (Sec. 3303d). ` L: Fireplace location. IT. Smoke detectors (Sec. 1413). D. 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 Roof construction details complete enough to construct building. rFireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR /Y. CCX plywood on exposed locations and overhangs. `2 -Stairway details•(Sec. 3305). - Guardrail details (Sec. 1716). _,.,3—"Guardrail or stone veneer (Chapter= 30). _,Exterior plaster - weep screeds (Sec. 470`6 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. building. (State law). ,Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Al�wo (2) exits on three-story dwellings (Sec. 3302). nJ 1% Lv ell, 2- ��Y�ilGt YY i to 2- S� /7 -� elk l Is -Mcock m, Iq 8 L/ Achctrd OLrI d sc,,S apt Cup vo, r e uesf 0- bu i /d y, arm i-� 4 o F a, h obe, ~on. 8l ac k bar- road , Parcel n,um Baer J o73-1/ -o-olo - p I(I3,99 QC re's 5 Cc, O to n e rS k deo berf M phis house lJoull be )oun arZ `2X1 rIn -ray h o m As, I ocaJ a -P pMxi r� 1�o r�fh. act.ck � r road and cJo u l� �'�. ui r C. no =1 (y)'60 -r re ►no VCL, or soil cl s4ur band , (,fie would � be ass �'s-f-; �� in �i.m �e � rr►ccr�o�rn e�-t i'aC1ud ing r^e-For�sfiQ-f��►2 CSS tie// Ccs ri .cuH-uro-I 11 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 84-31228 FOR RESIDENTIAL 'DEVELOPMENT OFFICIAL t ECOROS Section 26-8.1 of the Butte County Code requires this acknowledgement BUTT_-_ CCUINITY-,;al,!� be recorded prior to issuance of a building permit. �F , f1RE-Q 1ESTE;� - - MY SHOWN The property described herein is adjacent to land or included U6 3� .I� 47 A14 1960, within an.area zoned for agricultural purposes, and residents of this .property may be subject to inconveniences or discomfort arising from ELUNMi H. the use of agricultural chemicals including, but not limited to herbicidesCLE" RF �'fEt, g g, ER pestictf�s, and fertilizers; and from the pursuit of agricultural operations including, but not limiteJEE to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as;a:' priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the, County of Butte, State of California, described `as follows: 1C:5•YP a,dAeL,,) 4A�c, /%• 7/fN /fG4- e� o7-3 �- �/ ch !hie %/ {-/ /� ®� 7�� e 'Sc� a yes Sec. Date: PROPERTY OWNERS: State of w( On this the * day.of 19_Z::�, before SS. me. the undersiened Notary Puh1i _ nPrennn11v Annanrad County of ) Present A.P. No. 73 0 /eK Personally.,known to me. / / Proved to me on the basis of satisfactoi y evidence. to be the persons) whose names) fiJLt , subscribed to the within instrument and acknowledged that executed the same for the purposes therein contain IN WITNESS WHEREOF, ereunto set myh#Rd:and official seal. END C7F NnCtJAAPN.T ' ir, �•S Uy COmmleslon r ��o';:rounty� e�o��'S)itornia ti plr'es sept. 4,6184 W 0 U +c V . _" •: A L rn qi n TECTON ENTERPRISES/DESIGN 2240 LINCOLN S'fREET.OROVILLE,CALIFORNIA-95965 a:.W.rig Ud J 19161533-4501 LY // i lip ",fill - 4114 0.0 To - As -14 41 eg 00 r -4— lie —14 000 oop 00 47 !47 0 9 TECTON ENTERPRISES /DESIGN .• '.':� 2240 LINCOLN STREET, OROVILLE,CALIFORNIA- 95965 1Wmd 19161533-4501 �^ xs- I ell I � I •• I %�i Tri r 2` .100 • I I _ TECTON ENTERPRISES/DESIGN 2240 LINCOLN STREET, OROVILLE,CALIFORNIA- 95965 AWWd 19161533.4501 I I � i 1 III �I! I I i i l i i l ,•,'gill COUNTY OF BUTTE - Department of Public Works 7 County Center -Drive, Oroville, CA. 95965 Phone:. 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) ) 'o 2. I /have not) Mq:ue- ,v o _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constructions 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 1'V A 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 S igned : ' 2 Property Owner Social Pecurity number Date _ 4 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 permitted to issue the permit. �3-11-16 !ip♦ 73 RESIDENTIA ENER f L %31 PLAFORM N CHECK/INSPECTION auruvARY OWner ". 101 Gi-op-n C�//�� f� &oq- Climate Zone ,& Permit No. Floor Area /2d' � � Compliance path: Package ❑ A ❑ B ❑ C oint System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION ,?/ REQ'D INSTALLED ITEMS (1) INSULATION: Q/. Roof/Ceiling A0 2.z / `� 7M, Wall fro ❑ Slab Floor Perimeter Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ❑� (B) All manufactured windows and sliding glass doors shall meet the mass 1972 ANSI Air Infiltration Standards and shall be certified -and C3 labeled. (C) All swinging doors and windows leading to unconditioned areas R= shall be fully weatherstripped. Location Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: ❑ (A) Location - Area Ft.2 HC= Area Glazing %,Floor Area Single Double Triple �. MC= Total' Bldg /4/.3 North` Q� East /S� —�%. [� Type _cX South C; )o - Area Ft.Z HC= West _ .3, X ❑ MC= _ Skylights (B) Shading ❑ Type Shading - Area Ft.2 HC= Coefficient Description ❑ MC= East ❑ South ❑ Type West ❑ 'Ft. HC= Skylights ❑ (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ft4 Description (E) Thermal mass C3 Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area 'Ft. HC= R= MC= Location 7/83 t� • ~ %'�- . FORM ❑ (4) MASONRY AND FACTORY-BIJILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable,.and tight fitting damper to draw air from the outside of "the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A) .Heating ❑ Central Gas Furnace (brand and model number). SE Btu/hr. (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar 'type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector .orientation collector tilt rated y -intercept rated slope ©� Other ,�-e (describe) *1 (B) Cooling. ❑ Electric Air Conditioner r (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. 13 (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and r gas cooking appliances. ❑ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ . (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic•to prevent air loss and shall be insulated to conform,to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 �✓,' FORK 1 /(6) DOMESTIC WATER SYSTEM- -(A) Gas Only Gallons (brand and model number) (tank s*ze)' ❑ Heat Pump w/Electri,cBackup . (brand and model number) Gallons 2 (tank size) 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other — / (Describe) f (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be -insulated with a minimum of R-3. Steam ,and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot-water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). Q/ (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission._ (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J,'sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Winter design temperature 1�—', elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Heating: Cooling: Summer design .temperature °, cooling load i BTU * Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing .o.f solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design -meets the requirements of Title 24, Part 2, Chapter 2-53.of the California Administration Code. r 7/83 SIGNATURE �OFBU`ILDING�DE INNER OR APPLICANT 3 GLAZING PLAN TAKEOFF SHEET 3-5 North Glazing QUANTITY SIZE 'AREA (SQ.FT.) (a) �_ x qyV o = 1r. - (b) �— x _�oyb = 12 (c) x = (d) x = (e) x = Total North Glazing (SQ.FT.) (a+b+c+d+e) TOTAL NORTH TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR NORTH GLAZING 2*K x 100 = , SQ.FT. SQ.FT. 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) (a) _� x a ra = _ I (b) ( x (d) �_ x GYd = (e) x A7i36 = /S :Total South Glazing = (SQ.FT.) (a+b+c+d+e) TOTAL SOUTH TOTAL BLDG GLAZING FLOOR AREA X SQ'.FT. SQ.FT. CONVERSION TOTAL % FACTOR SOUTH GLAZING 100 = -- -�, _% FORM 6 3-6 East Glazing QUANTITY SIZE � - A � (SQ.FT.) (a) x (b) (c) x = (d) x = (e) x = Total East Glazing = Zlc�" (SQ.FT.) (a+b+c+d+e) TOTAL , EAST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR EAST GLAZING AI x 100 SQ.FT. SQ.FT. 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) x �V® el d = —_ (b) / x �Zq ,3� 0_ / 2- (c) ---,L— x (e) x = Total West Glazing = (SQ.FT.). (a+b+c+d+e) TOTAL WEST TOTAL BLDG GLAZING FLOOR AREA S-0 - /24y x SQ.FT. SQ.FT. 3-9 Skylights UANTITY SIZE AREA (SQ.FT.) (a) x = (b) x = (c) _ Tota ylights = (SQ.FT.) (a+b+c TOTAL SKYLIGHT TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR SKY HT GLAZING x 100 SQ.FT. SQ.FT. OWNER PERMIT 7/83 r CONVERSION TOTAL % FACTOR WEST- GLAZING 100 = % GLAZING DIRECTION LOCATER Draw locater line perpendicular to plane of glazing. Overlay intersection point with center point of circle.' Turn circle so North arrows are parellel with plan North arrow. Locater line then indicates facing direction. ?able 3-1. Slab Floor Po nt able 3-2. Ra e �ID-rth.' l- I R -VT alue of In ulstion I I R -Value of �iInsulation I Inches -2 1 3-4 ! 5-6 1' 7+ I T' --- I I I I I I I below 3 I 3 - 4 t o- l t l -s I- I -s I -5 I I s- 7 I 12 - 15 1 -5 I -3 -2 1 -1 i 1 8 - 12 I 16 - 1%.1 -5 I -2 1- 1 0 I I 13 - 18 I 20 + 1 -5 1 -1 1 0 k +1 I I 19+ 7/7/83 . _ ... I Points -12 -6 -4' 72 0 o a. I of I Sngl, I Db!, Trpl, 1 1 0-6.3 I 6.4 up I I z of I sngl, Dbl. Trpl, I F1 r l u- I U- l U- I I I I I Floor I (ll - 1 (U I (U - I I Area 10.66- 10.42- 10.41 I 0- 0.5 -2 - T I Area 11.10) 1 0.65)•1 0.41)I 1 1 1.10 i 0.65 1 down I 10.6 - 1.0 1 -2 I -3 I' I�-r1.1 - 1.9 -1 -2 +i <-T up to 1 0 2.0 up 0 oo• up to 1.3 1 +3 +4 +4 1 1.4- 2.3 -3 2 II i -1 I I I I I •T I 1.4- 2.4 1 +1. I +2 I +2 1 1 2.3- 2.8 I - I -4 I -3 1 Table 3-12. Movable Insulation 1 I 2.5- 3.6 1 -2 1 0 1 0 1 I 2.9- 3.6 I -9 1 -6 1 -5 1 Points 1 1 3.7- 4.6 1 -5 I -2 I -1 1 1 3.7- 4.2 i -11 -8 1 -6 1 T- 1 I 4.7- 5.6 1 -8 I -4 I -3 1 I 4.3- 5.0 1 -14 I' 10 I -8 I I Moveable Insulation] I 1 I 5.7- 6.7 1 -10 1 -6 1 -5 1 I 5.1- 5.6 1 -16 I- I -10 I 1 Area, Z of Floor I Points 1 1 I 6.8- 7.7 1 -13 I -8 1 -7 1 1 5.7- 6.2 1 -19 ,I -14 I -12 I I I 1 I 7.8- 8.7 1 -15 I -10 I -8 1 I 6.3- 6.9 I -21 I -16 -13 I I ( I 8.8- 9.7 1 -1.7 i -12 I -10 1 1 7.0- 7.6 1 -24 I -18 1 -15 I I 0- 5.5 I 0 I I 9.8-11.2 1 -21 I.-15 I -13 1 I 7.7- 8.2 I -26 I -20 1- 7 1 1 5.6 - 11.5 I +2 1 111.3-12.7 I -25 I -18 I -15 1 I 8.3- 8.8 I -28 1 -22 1 -I� I I 11.6 - 17.5 I +4 I 112.8-14.0 I -28 1 -21 I -18 1 1 8.9- 9.5 1 -31 1 -24 1 -211 17.6 - 23.5 I +6 I 14.1-15.3 1 -32 1 -24 1 -20 1 ( 9.6-10.1 I -33 1 -26 1 -22 I 1 >23.6+ I +8 I +--•------.�-`._ �.-.---'I-----�- •�-----�---��------1---- 1. t•-'•--- - - -.-.. _... i ONE 1 POINTS OWNER Table 3-3a. Ceiling Insulation Table 3-7. South -Facto Clazin Pts T - 'table 3 -LO. ShadingCoefficient Points PERMIT NO. -'" ASSIGNED ACTUAL Points I I Glazing type I I SC by I R -Value of Insulation I Points I I Total I I I Orien- I S Floor Area 1: SLAB - INSULATION NONE I I I 1 2 of I Floor 1 I Sngl, Dbl, I Trp-, i tat -on I I m_,� 0 (U - - 1 1 I 2. P.AISED FLOOR - R-19 I 19 I -4 I I Area 1 1.10) 0. 1 0.65) 10. 0. 41)1 T- 3. CEILING - R-30 �� 7� 1 1 I 30 ( _. 1 I I points I points I ointsl I East 1 1 3.2 1 0 I V O +! 1 +3 1 &3 TI 10-3.1 1 to 1 6.4 up I 38 I +2 I 1 up to 1.5 I +2 1 +2 1 +2 1 1 I 1 6.3 I 4. WALL - R-19_ �_ I 49 1 +4 I 1 1.6- 3.6 I -1 1 0 I 0 1 I I I I S. NORTH GLAZING. - 2.4-3.61' ok i I i 1 3.7•- 5.2 I I 5.3- 6.5 1 -4 -6 1 -2 I -4 I -2 I I -31 I 1 0 -.19 I 0 1 7.7 1 -9 _8" 1 -5 i t .20-.36 +1 I +2 1 0 1 0 I -1 6. EAST GLAZING - 2.5-3.6% - 411 _4--3 1 7.8- 8.9 I -11 1 -7 1 I .37-.66 1 0 1 0 I 0 • 7. SOUTH GLAZING - 1.6-3.6% '7'1 Table 3-4a. Wall Insulation Points 1 9.0-10.0 I I 10.1-11.5 I -13 -17 1 -10 1 -13 .I -9 I I -11 I I .67-.82 ( .83 up 1 0 I 0 I -1 I 0 I -1 I B. WEST GLAZING- 2.9-3.6% I R -Value of Insulation I Points I 111.6-13.0 1 113.1-14.5 I -21 -25 I =16 ( -19 1 -14 1 -16 I -2 1 1 114.6-16.0 1 -28 I -22 I -1.9 1 1 South 1 0 1 3.2 1 6.4 1 8.0 1 9.6 • 9. SKYLIGHT - 0-1.3% �1 �-" 1 I I I 1 I 1 to I to I' to I to I up 1 11 1 -7 ( I 1 3.1 16.3 17.9 19.5 I 10. SHADING (Exclude Overhang) I 19 I n I Table 3-8. West-Facin Claz-n Pts. I �- EAST - .67-.8230 1 24 1 I 30 I +2 1 t3 I Glazing type 1 1 0 -.18 1 .19-.42 1 0 1 +1 I +2 I +2 13 I 0 I 0 1 0 I 0 1 0 _ SOUTH 19-.42 % � � � I I I I Total 1 x of 1 Sn 1 Dbl, Tr 1 I I '43-•66 I .67 u 1 0 I -1 1 -2 1 -2 ,I -3 I o 1 -2 I -4 I -4 I WEST - .13-.36 _ Table 3-5. North-FaclnR Glazing Pts I F1ooc, I I Area 11.10) (ug-� I (U - 1 0.65) I (up-�i 1 0.41)1 -6 .SKYLIGHT - .37-.57 -�' T I I oints I oints I ointsl West I .1 1 1.6 1 3.2 1 6.4 i 9.0 1 I Clazln g Type I Tota11. I O +6 +6 +6 I to I to I to I to I up HORIZONTAL SOUTH OVERHANG 2' O 1 up to 1.3 i +5 1 +6 1 +6 I 11.5 13.1 1 6.3 17.9 I 1 z of Sngl, Dbl, I Floor I U- I U- Trpl,1 I U- I I 1.4- 2.2 1 +3 1 +2 1 +5 I I I I I I 12. MOVABLE INSULATION - NONE r- �_ I Area 1 0.66 1 0.42- 1 0.41 I I 2.l- 2.8 i 0 1 +2 1 +3 I' s I 11.10 10.65 I down I I 2.9- 3.6 1 -3 I 0 1 +1 1 0-.12 1 0 1 +1 1 +3 1 +6 I +7 I 13. INFILTRATION (Standard=0)(Tight=+12) c 7- G.2 -S -2 I 0 I .13-.36 0 1 0 1 0 1 0 1 0 f'HERJIAL �- +4 a 4 I 0:1- 1.2 1 +4 ! +4 +a I +4 I I 5.1- -2 1 .37-.57 i 0 I -1 1 -3 I -6 I -7 I I 14. MASS SF d--^ I 1.3- 2.3-1 +1 I +2 I +2 I 5.6 1 -10 1 -6 1 -4 .58-.82 -1 -3 I -6 I -12 1 -15 . 2.4- 3.6-I 0 1 1 5.7- 6.2 I -13 1 -8 1 -6 1 .82 up I -2 I -4 1 -8 I -16 15. GAS FURNACE (SE) !�� 71-76% I 3.7- 4.8 1 -4 I -2 +t I I -1 1 6.3- 6.9 1 -15 1 -10 1 -7 I 16. 7.5-7.9% ( f ?TEAT PUI1P (EER)F� 1 4.9- 6.1 1 -7 I -4 I -3 I I 7.0- 7.6 I I 7.7- 8.2 1 -18 I -20 1 -12 -14 1 -9 I 1 -11 1 Skylight 1 .1 I .8 1 1.6 1 3.2 1 4.0 .�.' 1 6.2- 7.3 1 -9 I -6 I 7.4- 8.2 1 -12 I -8 1 -5 I i -7 1 I 8.3- 8.8 1 -22 1 -16 1 -13 1 I to I to ( to I to I to 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% 1 8.3- 9.7 1 -14 1 -10 I -8 I 1 8.9- 9.5 1 -25 I -18 I -15 I 1 7 1 1.5 13.1 1 3.9 15.2 13. ACTIVE SOLAR 60°, MIN (NONE) ,� I 9.8-10.8 1 -17 I -12 10.9-12.0 1 1 -10 1 I 9.6-10.1 1 110.2-11.0 I -27 -29 i -20 -23 I -16 I-T-�- I -17 I 0-.12 1 0 1 +1 I +3 1 +6 I +7 -19 I -14 112.1-13.2 1 -22 I -16 I -12 1 I -13 1 I 11.1-11.8 I -35 1 -26 I -21 I .13-.36 10 1 0 1 0 1 0 1 0 1.9. ZONALLY CONTROLLED ELECTRIC ( 13.3-14.5 1 -24 I -18 1 -15 1 1 11.9-12.7 I -33 I -29 I -24' I •37-.57 1 0 1 -1 I -3 1 -6 I 1 -27 -TO -17 1 I 12.8-13.5 1 -42 I -32 1 -27 I .58-.82 I -1 I -3 I -6 I -12 I -. 20. SOLAR WITH CAS BACKUP (HW)14.6-15.3 -- -- i i ) 13.5-14.3 I -46 1 -.35 1 '-29 1 .83 up I -2 I -4 I -8 I -16 1 -20 _ 114.4-15.2 1 -50 I -38 1 -32 1 I ( I I I 21. OTHER - NO ELECTP.(HW) 1 �_ I I I I I Table 3-11. Horizontal South � O O T --7- /, Table 3-9. Skylioht Points Overhane Pointe' South Glazing _ ITE'NS SHOWN = ZERO POINTS Table 3-6. East -Facing Glazing Pts. I I Glazing Type I I Length Out 1 from Wall I Area, I of Floor I I I -f-� I I Glazing Type I I Total I I I ft T • _ ! - --1 Ttl I I ?able 3-1. Slab Floor Po nt able 3-2. Ra e �ID-rth.' l- I R -VT alue of In ulstion I I R -Value of �iInsulation I Inches -2 1 3-4 ! 5-6 1' 7+ I T' --- I I I I I I I below 3 I 3 - 4 t o- l t l -s I- I -s I -5 I I s- 7 I 12 - 15 1 -5 I -3 -2 1 -1 i 1 8 - 12 I 16 - 1%.1 -5 I -2 1- 1 0 I I 13 - 18 I 20 + 1 -5 1 -1 1 0 k +1 I I 19+ 7/7/83 . _ ... I Points -12 -6 -4' 72 0 o a. I of I Sngl, I Db!, Trpl, 1 1 0-6.3 I 6.4 up I I z of I sngl, Dbl. Trpl, I F1 r l u- I U- l U- I I I I I Floor I (ll - 1 (U I (U - I I Area 10.66- 10.42- 10.41 I 0- 0.5 -2 - T I Area 11.10) 1 0.65)•1 0.41)I 1 1 1.10 i 0.65 1 down I 10.6 - 1.0 1 -2 I -3 I' I�-r1.1 - 1.9 -1 -2 +i <-T up to 1 0 2.0 up 0 oo• up to 1.3 1 +3 +4 +4 1 1.4- 2.3 -3 2 II i -1 I I I I I •T I 1.4- 2.4 1 +1. I +2 I +2 1 1 2.3- 2.8 I - I -4 I -3 1 Table 3-12. Movable Insulation 1 I 2.5- 3.6 1 -2 1 0 1 0 1 I 2.9- 3.6 I -9 1 -6 1 -5 1 Points 1 1 3.7- 4.6 1 -5 I -2 I -1 1 1 3.7- 4.2 i -11 -8 1 -6 1 T- 1 I 4.7- 5.6 1 -8 I -4 I -3 1 I 4.3- 5.0 1 -14 I' 10 I -8 I I Moveable Insulation] I 1 I 5.7- 6.7 1 -10 1 -6 1 -5 1 I 5.1- 5.6 1 -16 I- I -10 I 1 Area, Z of Floor I Points 1 1 I 6.8- 7.7 1 -13 I -8 1 -7 1 1 5.7- 6.2 1 -19 ,I -14 I -12 I I I 1 I 7.8- 8.7 1 -15 I -10 I -8 1 I 6.3- 6.9 I -21 I -16 -13 I I ( I 8.8- 9.7 1 -1.7 i -12 I -10 1 1 7.0- 7.6 1 -24 I -18 1 -15 I I 0- 5.5 I 0 I I 9.8-11.2 1 -21 I.-15 I -13 1 I 7.7- 8.2 I -26 I -20 1- 7 1 1 5.6 - 11.5 I +2 1 111.3-12.7 I -25 I -18 I -15 1 I 8.3- 8.8 I -28 1 -22 1 -I� I I 11.6 - 17.5 I +4 I 112.8-14.0 I -28 1 -21 I -18 1 1 8.9- 9.5 1 -31 1 -24 1 -211 17.6 - 23.5 I +6 I 14.1-15.3 1 -32 1 -24 1 -20 1 ( 9.6-10.1 I -33 1 -26 1 -22 I 1 >23.6+ I +8 I +--•------.�-`._ �.-.---'I-----�- •�-----�---��------1---- 1. t•-'•--- - - -.-.. _... i Table 3-13. elttfllttation Control Fer.tvres Points j Coc_rol Features I Points I T- I I I Standard 1 0 I ! 0.9 air changes per hr I 1 I I I r - I Tight I +12 I I 41.6 air changes per hr I I i I i T.ible 3-15. Cas Furnace i:lthout 1 RefriRer>tion Cool_nit Points Efficiency I Points I 7- 76 I 0 I I 77 - 82 I +2 i 1 83 - 38 I +4 I ( a9 94 ! +6 I ( 95 up I +8 I Table 3-16. H at Pumo Points r I Energy Effie eney I I Ratio (EE. ) Ports I I I 7.5 - 7.9 1 +3 I I S.0 - 8.3 i +6 I 9.4 - e.7 1 +9 I 1 8.8 - 9.1 1 +12 I 9.2 - 9.6 I +13 I I 9.7 - 10.2 1 +18 I 10.3 - 10.8 1 +21 I I 10.9 - 11.5 I +24 I 11.5 - 12.3 I +27 I I 12.4 - 13.2 I +30 I Table 3-17. Cas Furnace,Vith Refrlveration Coo 111¢ !Refrigeraclod Cas Fu ace I I Cooling I Sr I I1- 17-Ia3- 9-195 I 1 76 821 881 941 uo I 1 8.0 - 8.3 1 01 +21 +41 61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 1+10 1 I ale - 9.2 1 +41 +61 +,1+l 1+12 1 I 9 - 9.7 1 +61 +81+101+1 +14 I 9.8 - 10.3 1 +311.101+121+14 +16 I 1 10.4 - 10.9 i+1 G;+12j+1:1+161 is I 1 11.0 - 11.5 1+121+141+1614191 20 1 7/7/83 TA4LE 3-14 (ADAPTED) MASS ZONE I1 INTERIOR THERMAL MASS POINTS AREA FT. I 6.SQ A B C A 1,500 8 C 0 A 2,000 8 C 0A I 2,500 88 C D A 3,000 8 C D A 3,500 8 C O t A 4,000 8 C D A 1,560_ 6 v G 0 I 5,000.ySQ. B C I I °0 !03. ISO 200 253 309 350 400 503 603 700 Z30 900 1,0:-0 1.,0U 1,200 I JcO 1,400 134 1 .500 i 2,GOJ I 2,500 0,1100 3,500 4,090 4,509 S100= 2 2 2 2 2 4 4 4 2 2 6 6 6 4 4 8 8 6 4 6 10 10 8 6 6 12 12 10 6 8 14 14 12 8 10 14 14 12 8 10 18 18 16 10 12 22 20 18 12 14 24 24 20 14 18 i 26 24 22 16 70 128 28 74 16 22 30 :10 25 18 22 32 32 28 2J 24 34 32 30 22 26 34 34 32 22 28 34 32 24 28 36 34 34 24 30 34 I �• 2 2 4 6 6 8 IG 10 12 14 16 16 20 20 24 26 26 28 30 34 2 4 4 6 6 8 8 10 12 14 16 18 20 22 22 24 26 26 32 -�- 0 2 2 4 4 6 6 6 8 10 10 12 14 14 16 16 18 18 22 1 2 2 2 4 6 6 6 8 10 17 14 14 16 18 20 22 22 24 24 30 34 2 2 4 6 6 6 8 10 12 _ 14 14 15 18 20 20 22 24 24 30 34 _ 2 o 2 2 2 2 2 4 2 6 4 6 4 6 4 8 6 10 6 12 3 12 0 14 10 16 10 18 10 18 12 20 12 20 14 22 14 .I 2618 30 22 I30 I 0 0 0 0 I 2 2 2 0 2 2 2 2 4 4 2 2 4 4 2 6 42 6 6 6 6 6 4 4 R a 6 4 10 10 8 6 10 10 10 6 12 10 10 6 14 14 12 8 14 14 12 8 16 16 14 0 18 18 14 10 18 13 1e 10 20 20 18 12 22 20 18 12 26 26 22 16 30 26 18 34 32 30 22 0 0 0 0 2 2 2 0 2 7 2 2 2 2 2 2 4 4 2 2 4 4 4 2 6 4 4 2 6 4 2 6 6 4 8 8 6 10 10 8 6 10 10 8 6 12 12 10 6 12 12 10 6 14 14 12 8 14 14 12 8 15 14 14 8 18 16 14 10 18 18 16 10 116 22 22 20 14 120 26 26 24 16 30 30 26 18 32 32 30 20 0 0 2 2 2 2 2 2 2 2 4 4 4 4 4 4 6 6 8 L 8 10 R 10 10 12 10 12 12 14 12 14 1.2 14 14 16 20 24 24 28 Z6 30 30 32 32 0 0 0 0 2 2 2 2 2 2 7 2 4 2 4 2 6 2 6 4 6 4 4 8 6 10 6 10 6 12 8 12 6 12 8 14 8 18 12 22. 14 24 16 I24 26 ld �2d 30 20 130 132 r o 2 2 2 2 2 4 4 6 6 8 ? 0 �O12 2 12 14 14 18 22 0 2 2 2 2 2 4 4 5 6 6. 6 8 10 12 14 14 18 22 24 28 30 32 0 0 2 2 2 2 2 4 4 6 6 6 �8 8 10 10 10 1 1 2 16 13 22 24 16 28 0 0 0 2 2 2 2 2 4 4 4 4 6 6 E 1 6 8 1i2 w 117 10 1 !2 14 16 lo' 20 _t 0 2 2 2 2 2 4 I 4 4 I 6 I 6 8 B ( 8 I1:1 12 16 20 22 26 <<nS 30 3217 0 2 ? 2 2 2 4 4 4 5 A 6 B 8 10 10 12 12 16 20 <n2 24 2b 30 o 0 2 2 2 2 2 2 4 4 6 fi 6 C 9 8 0 ;G 10 is 18 20 22 24 26 2i c 0. OI i 2I 7 7I Z 2 2 41 4� 41 4 i G 6, L ( r, I &( !�- I1 14� 1, 1 IE 11' j 23j a. 0 i 0 J 2 2 2 2 2 7 2 2 I .: 4 4 4 16 6 6 6 L 6 C 8 .n. 8 !:1 e In In 10 ; C 10 10 ; 7 Z 14 la s16 :: .3 'a ;4 6 2n jt. ^. 13 :•v 4 0 2 7•, 2 2 1 2 4 4 5 L 6 L e 8 f, 13 1 :. 12 ,_ -0 2: 2-- 76 p. 0 O Z! 2 2 2 I 2' 7- r. ; •f ; 1 6 i n i 5 I 6 i 4 j ••. 12 i ld If •E Id . AI 1. 3's- Concrete Slab: HC -a.93; R-.29; Facto .7 2. 3 3/4- Thick Common Brick: IIC=7.125; R -.I3; Factor -7.3 a) 1. 5k' Concrete Slab: HC -14.106; d-.458; F;.ctor-7.1 C) 1. 8" Solid Filled Block: HC -20.63; R-1.93; Factor -6.1 2. 8' Solid Filled Block With Both Sides Exposed To Conditioned Air - NOTE: Use all square footage directly exposed to conditioned air for Thermal'Mass Area: HCP10.164; R-.965; Factor -6.1 D) 1' Thick Concrete/Tile: MC -2.55; R-.083; Factor -3.7 Table 3-19. Zonally Controlled Electric Resistance Space Heating Points Po in for this neasuro v!11 I Table 3-2n. Solar Water Heattn;� With Cas Backu Paint be comp_ d after the CEC I I `las approve an Alternative I I Component Package Resistance I I Beat. 1 Table 3-1e. Active Solar Space Heatingwith Cas Points 1 :let Solar Fraction I Points I f (NSF), z I I I I I I 0-6 I 0 I I 7-14 I +2 I I 15 - 23 i +4 I 24 - 30 I +6 I 31 - 39 I +8 1 I 40 - 47 I : +10 I I 48 - 55 I 4.12 I I 56 - 63 I +14 I 1 64 - 71 I +18 I I ' 72 up 1 +20 I I I I wood stove #33 points'(no back up) casablanca fan + 1 point Multifamil (pit unitpoints) Table 3-21. Other Water --- _�_ 1!eatinq Pts. r I Floor area Points. I I Net Solar Fraction (NSF), Z Cas Only I per unit, i Heat Kamp I i 0 I Solar with Electric I I I Revlstance Dnckup ) j ft2. 1 menti is Part 2 I I 0 I I Eleccrtc Resistance 1 I I I 0 17 i -40 ; 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70•-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +l +3 +4 +6 +7 +8 +10 2 000 and u 0' + +4 +5 +6 +7 +9 All others (per. bu_L1a1ng paints) 8U0 -P.99 0 +5 +10 +1419 r +24 +?9 +34 900-999 0 +4 +9 +13 +1 +21 +26 ( +30 1,000-•1,199 0 +4 +7 +11 +15 +22 +26 1,20rr!,/99 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +: FS +7 +9 +l2 +U2,400--,'199 0 +2 +3 +5 +7 +8 +10 +I1 3,00 n:.d uo ._0 +1 +3_ +4 +5 4.7- +e +1n'_1 Table 3-21. Other Water --- _�_ 1!eatinq Pts. r I System Type I I Points. I I I Cas Only I 0 i i Heat Kamp I i 0 I Solar with Electric I I I Revlstance Dnckup ) j Meeclny the Require- ( 1 menti is Part 2 I I 0 I I Eleccrtc Resistance 1 I I I 0 17 i -40 ; mawamm ;1 MEMEM4AWA W"Do m P ER: ;�7 A.P.#:(9/3_//0­0�/4ATE ?//,0 RESIDENTIAL [] NON RESIDENTIAL RECEIVED BY MIE -------------------------- REQUIRED PRIOR TO PERMIT ISfUa(ft - - - - - - - - - - - 7 FROM DATA SHEET REQUESTED BY PLAN CHECKER REQUESTED BY CORRECTION NOTICE 0 YES LOCATION IN BUILDING WHERE CHANGE OCCURS: 0 NO ITEM: - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Aididr-dss�) Call.- hold for_pickup_at-0-j�__'Z_)____-/ cl--13-Y3 /:/0 Deliver with next inspectionit J1 2- : 53 cf-1,H-q3 q:3 REVISED PLAN. CHECK FEES Pg-. $20.00* $40.00 Additional Fees Not Requ:Lred ce. jq4, { i�p� Q�'„H.+,.+,..�:7 +�"i�,•,by�+'�..��z i •` . ` ejy ..� .. - —vim.-�..+T ..---•.��..,Wyer{„��,�r `Kc.%�39,�'Adsa^"T�Fr►'+- .^.^..xw^�`..�,s, e�°"f4i"vfA•ST. BUTTE COUNTY SCHOOLS -IMPACT FEE CERTIFICATION FORM -, (One Form Per Building) School District0 (zo — C 4 Building Department No. A.P. Number 073-11-0-01(o ' Jurisdiction 0 City F254 County Property Owner AmfZl- )9A 4-� Property Location/Address . g Subdivison Lot No. �- Residential Development 0 Sq. Footage No. of Living MHI Addition (Group R)- Y Units .Commercial/Industrial A, Building DeVartment Represe .r 0 0 Sq. Footage New Addition e (Including Exterior Roofed Areas) Z - Da (Floor Plans reviewed by School District Personnel) District Identification No. %.�� . , ( �c2�clltcc School District certifies that,' fJ (Applicant) ?D (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. �%�- 9v2 -/ by payment of $ 23,S -s- representing square feet. School District Representative Date Paid by Check Number % Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Duality Act (CEGQA), this.project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) . .-• ' •x c y �!"'!' x'. RESIDENTIAL" ; �►'_. .073-11-0'016 � DALEY 92 3139 Robert , BPEM „ • , 955 Black Bart new sf Orovil•le� 4 , - It ' IL I .. OFFICE COPY ' Address •� �" GAS . Meter By Date ELECTRIC ,[+••, Meter By D , • ' + +.JOB FINALED (Date — y' Signature J=OK .. O=Not OKNot = Not Readyable� MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s. Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements b 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/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas;'Location-Test-WraP ' /"L"ft. / /"Nat. or/ /"L"ft./ /"LPGy., 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance & Disconnect ,�. 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh s, 10. Roof; Shthg-Roofing Date _ Card B-1 Date Card °B -,l.. 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements "+ Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B11 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 1 5. Drain; MH Test -Fall -Flex Connector\, +- 2. Soils; Compaction -Structure Stability. \ 1i 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining �• 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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,L'ghtg. Date Card B-1 Date Card B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date Card B-1 Date Card B-1 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 Applicable • •RESIDENTIAL (Single & Duplex) = Not Ready _Date UNDEaFt'60R (Plans) OK except H's zo g -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.-' " Ftg. Depth u 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. P�-Fireplace Ftg.-Steel . D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. U as Pipe; Size -Anchors - yard gas piping: size -test te-Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pi_qpifms & Ducts; Clearance -Material -Support -Ins. Gi ers-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date •7�-s' Card 13-1 Date Card B-1 Dat OF 7 Card B- Date Card B-1 Date PLUMBING (Permit),OK except ft's Water Htr.: Vent -Access -Combustion Air -Baffle -------- -- -- ------------------------------- 7 ater Pipe: Test & Anchor -Nail Protection -------- --- --- - -- - _ D.W.V.; Test -Fittings & Anchor -Nail Protection ---- -19. Shower Pan; Test, First Floor -Tub Access ----- --- ------ 20. Test Tub & Shower. Second Floor -Tub Access LR'T. Gas Pipe: Size & Anchors Date Card B_1 - Date - Card B-1 Date Card B-1 Date Card B-1 Date ELE RICAL (Permitf OK except N's -- F' are &Transformer_ Clearance -Ins. Protection --- - E ec. Receptacles Spacing -Lights & Switches at Doors ---------- - --- -- - -------- �5Size4oxesA No. of Conductors -Stapled --- --/Rgmex Installed Close to Edge of Studs & C.J. _____ -- - 28' Eip Ground made up w!Mech. Fastners-Bond Gas & Water ------------------ ---------------------------- 201o"2 ------------------------- 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---------------- ------------------------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ. ! i ga. Cu or AI -Oven Circ. / / ga Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------- - -------- - --------------------- 30. Se *6 -Riser Conductors & Ground -Main Disconnect ------------- - -- -- - ------------------------------ Clearances Panels-Motors-Mech. Equip. -------------------- lo)hes Closet Light -Shower Light -Spa Light moke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34.- A. acts Insulation & Support ----------------- ------------------------------------------------------------- Ve an; Exhaust above insulation -------------- 36. ondensate Drain & Overflow; Size & Grade - 7 nh ccess-Comb Air -Return Air Vent -_115 -outlet 38. Attic -Access-&- Platform if Furnance in Attic ----------------------- ----------------------------------------------•-------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMI Plans OK t ft's ( ) except ls. -roper Material & Anchors ------- ---------- -- ----------------------------------- alls Studs -Nailing Spacing & Bracing -Plates -Sound ------------- ------------------------------------------------------------ Be g Walls over Girders & Floor Nailing -- - ---- - ------------------------------------------------------------ top in Walls (rat proof) - - -- -------------------------------------------------------------- t tops: Furred Ceilings -Stairs -Chases -Tub ------------------- -------__--,r d Ceil-------------------------------- eaders & Beam -Size & Bearing Date FRAMING (Continued) 4 a rs-Post Caps -Anchors -Connectors 460ting. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ire lace Ties or Type A Flue -Fireplace Throat clearance ---- Atti ccess: Size & Romex Protection -Draft Stop -Ins. Baffles ---- drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing ------ ro erty Line Firewall & Openings -(Doors-One 3' -Check Garage -3rd Story, 2 Exits _ Sta' •s: Width -Headroom -Rise -Run -Landing -Fire Protection ----- --- -- lywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer u cc Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -- Date Card B-1 _ _ Date Card B-1 --1 - - Date jCard B-1 Date Card B-1 Date ,FINAL (Plans) OK except a's 61 t_Steps-Door & Sidelight Protection -Landings 62. S oke Detector Furnace: Vents -Clearance -Comb. Air -Connector - Garage: Above Floor -Ducts -Meth. Protection --------------- ---- - - 4. B room Exiting - --- ; -. G F !& Bath Fixtures & Tub Access -Spa 6 lec. Trim & Subpanel; Breaker Sizes & Labels - - ----- 67.irs & Rails ------- Fire ce or Stove: Clearances -Hearth 6� ec.Outlets at Wood Panel: Int. & Ext. - -- 70. KiI F'•zt & Appliance; Grnd.-Air Gap -Cooking Clearance 71 ec. Outlets & Receptacles at Kit. Counter - -- 72. gartge Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper 74. Wtr ti Vents -Clearance -Comb. Air-Connector-P.R.V. Garage: Above Floor-Mech. Protection -------- ------------ 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec ec Ip _a les in Garage: (G.F.I.)-Romex Protection - 7 -' nsulation-Foam-Looked in Attic ❑ Yes ---- 78. Guard Rails & Deck Construction -Post Caps 79. Fd ents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- --------- '-------------------- 80. Follo ' g instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; P ters ❑Yes ❑ No ------------. ----------------------- - - .Stucco: rown-Finish -- 82.-A. nit Disconnect. Electrical, Plumbing . Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openin - -------------- W -- -Well;- .Disconnect, Electrical, Plumbing ---- - Exterior ec. Trim; G.F.I. Receptacle -Underground 86. Vprflat,o Throughout House- - -- - - _ Glass P rection _.. -------------------------------- 88. rections from Previous Inspections ----- --------- ----- --- ----------------- i Gas T eters Tagged; Gas -Electric 90 ater &Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -----------�-?d--B-----__--- ------ Dat-DateDate_---_ Card B-1 --- f - Date - Card B-1 Date Card B-1 --------- ------------------------------- Date Card B-1 Date Card B-1 Comments at Final ------------------ COUNTY OF BUTTE- DEPARTMENT OF DEVELCjjP�MENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, Catirorrria'�.95965 -Telephone (916) 538-754 = PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-11-0-016 ZONING TPZ-160 BUILDINGYtRMIT OWNER ROBERT DALEY Ti -1053 SQ. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 906 BLACK BART ROAD OROVILLE, 95966 CONTRACTOR'S NAME OWENR 1V TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN OWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 112 UXIGIN $ 260.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 955 BLACK SART ROAD PERMITFEE S 280.50 OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: 21 FkNNXXXXXWXKPERMITFEE — :30 RENEWAL OF 93-3139 Mobile Home IS I GI W @20.00 S Contractor ELECTRICAL PERMITFilinOV Fee 20:00 RENEWAL 94-3109 OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm uncle penalty of perjury that I am exempt from the Contractors License Law for the following reason: 5( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLOS. ) s0. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL SO Ex. Occup. OUTLEETS (IlEsslo.)0ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE ; Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affi�under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ _ Date— Signature of Applicant - Q31' Owner ❑ C rector ❑ AgnJ An OSHA permit is required for excavations o er 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 280. 50 HAZ. I D. FEES I IMP I FLOOD COF PARCEL PO HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have & 4 4 V./I 1 PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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: YESIA NO[ ]. 2. I HAVE[)Q HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: . ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated:. NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: _ % _ DATE: l/- A2 - 9S NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER A r 1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage .any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 . For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincrel _ Michai.I C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF UEVE4 PMJENT SERVICES - BUILDING DI ON 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538- . 41q/ /� yQ• APPLICATION AND PERMIT [ `�`-- ` AssEss° —TurM-016 ZONING TPZ-160 BUILDING PERMIT OWNER ROBERT DALEY rE4EP�tQ{JE 1053 �7jy SO. FT. OCC. BUILDING VALUATION OWNEWS1611�GffREsk Bart Road, Oroville. CA 95966ac CONTRA DR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 1 $ 260.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 955 Blaek Bart Read, PERMIT FEE $ 280.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other X —SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 0.00 @2 TYPE OF WORK New ElAddition ❑ Remodel ❑ Utilities ❑ Installation ElOther IN Describe Work: 2nd renewal/92-3139 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 l st renewal /93-3761 Main Service ( 200A TO 1000A ) 46.00 NEW OCCUP. OR ADDNS.T ( D ELLINa ACCGBLDS. ) 3.50 F°: +CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) onsons of O I am a licensed under provisions 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.5 `50 Ex. Occup.FIXED APPWS. OR ( OUTLETS ) IRESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _KMORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. IAf I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County consequ nce of the rand of this permit. X Date // A— qy Signa re of Applicant O Owner Contrac T O Agent U / An OSHA permit is required for excavation over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ "AZ. I D. FEES I IMP I FLOOD COF PARCEL I PD I HO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. \ B Date PERMIT EXPIRES ON 11/2/95 (Date) Receipt No. ` I��� -7a6 WHITE-D.D.S. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT on COUNTY 0,1E -BU -17E Department of -ev opment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. COUNTY OF BUTTE BUILDING DEPT N 0 V 14 1994 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 Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner F.J"I Social Security NufnfbW Date NOTE: This Owner -Builder Verification is sent to you as iequired by Sections 19.831 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SER VIrE ILDING DIVISION �- 7 County Center Drive - Oroville, ralifordia 95965 - Telep ) 538-7541 PERMIT NOAPPLICATION AND PERMI- ����_7 l ASSESSOR PARCEL NUMBER 673-110-016 TPZ-160 ZONING BUILDING PERMIT OWNER Robert Dale TELEPHONE 589-1053 SO. FT, OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 906 Black Bart Rd., Oroville 95966 IST RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee 1FPP $ 260.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking FeeK $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 280.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE New Single Family SF ❑ Duplex ❑ Mobilehome 1:1 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ElInstallation ❑ Other CKContractor Describe Work: 1St Renewal of B.P. #92-3139 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A To ,o00A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 SO. FT. ONTRACTORS LICENSE LAW 1 declare under penalt perjury (check o� ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification XI, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis re on NEW CONST.MULTI.OUTLET NON SID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @x.50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (REBID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 --)R--WORKER'S COMPENSATION INSURANCE I declare under a Ity of perjury check one): ❑ This permit is for $100.00 (va less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the gr nting of this permit. Date Signature of App Icant Owner D C ractor D Agent An OSHA permit is require or exca tions over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $280.50 HAZ• I D. FEES I IMP I FLOOD I COF I PARC9 PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORK;1627491 By jf�Date PERMIT EXPIRES ON 11/02/94 Mare) Receipt No. /5 A73 / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE'- tepartment 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) 2. ,I (have/have--t no) Jn A6kA besigned 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 ✓l/A Address TCity 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 la Address 7 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.. l• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT �PPE�PERMIT NO.� e -�W �%f ASSESSOR PARCEL NUMBER .07311(9-110-016 ZONING TPZ 160 BUILDING PERMIT C7 OWNER Robert Daley TELEPHONE 589-1053 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILADDRESS 906 Black Bart Rd. 1425 R 72960ING ' 598 C 7774 CONTRACTOR'S NAME -owneer- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 82-234 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 521.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 260.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 816.50 955 Black Bart Rd. Oroville CA 95966 PLUMBING PERMIT Filing Fee 15.00Each Trap 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15-00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 - Bedroom Permit Fee $ 8 .00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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 contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP. �� OR ADDNS. 1 ACC. BLDGS. 3.6d sq.ft. NEw CONSTFt ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS 6 \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 FIXED APLNS EX. OCCUp. OUTLETS P(RESID,)REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00t- Misc. byirin g 15.00 Permit Fee $ 83.40 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. r4 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 9.00 Cooling g Hood 6.50 6,50 Ventilation 2 4.50 9.00 Permit Fee $ 39.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd ounty in aseuence of the granting of this perm't. X Date Signature of Applicant - Ownerg Contractor ❑ Age An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ -� CONST TYPE V IJ TOTAL FEES 1068.40 HAz DFEES ?/ IMP FLOOD CDF PARCEL t/ PD _D HD I This permit is hereby issued under the Bions of the Butte County Code and/or work indicated above for which fees IR TOR F PUBLIC By I PERMIT EXPIRES Date applicable provi- � resolutions to do have been paid. WORKS Date�v Receipt No. 7 23 675 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS s PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARTEL NUMBER 3- f ZONING J Coa BUILDING PERMIT OWNER d- ed Y R/e TELEPHONE s�i- i o5 -S SQ. FT. OCC, BUILDING VALUATION OW R'S MAI LI AD RESS D r 8 C 7 CONTF2 A„C TOR'S N ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace /_$ Total Valuation $ 23 Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee 0 0 - $ ' 15,00 S _ �0 0.•x'0 CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .,- �1 Permit fee PLUMBING PERMIT $.�Tl{Dovzi - Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.007.0-0 Each qas water heater or vent 7.00 1-7 00 USE OF STRUCTURE SFJ�kDuplex ❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 q.Oc> Building sewer 15.00/.5. C> Mobile Home S G W F 015.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: F - ,�� _ Permit Fee $ WT. _00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 /J?,, Sb CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): J ❑ 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 ❑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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUP.p� DR ACDNS. ACC. SLOGS. I NEW CONSTR ULTI.OUT LET N ON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 76 Ex. Occup. ou LETS IIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ a 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 Cali-fornia. Notice to.Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood c 6.50 Ventilation -T-0TWO Permit Fee $ r50 Contractor I certify that I have read this application and state that the above information is correct. 1 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 per i .V X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover 34stories oin height. ions over 5'0" deep and demolition or construct. Mobile Home Installation Fee S Energy Inspection Fee $ .6c) OCC Co ST TYPE TOTAL FEE $ HAZ I DFEES I IMP FLOOD COF I PA;CK PD I HD :SUE This permit is hereby issued under the cions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I aZ3O%S WHITE-D.P.W.. YELLOW-ASDEssOR. PINK -INSPECTOR. GOLDENROD -APPLICANT W�j.;k„,•iy1 Y�,`•t�Cf«7ld"'"fM1S''@��Y���Yi�J�"�'"��'IS'�r4''..p.. �.�•a�im�;��+`s`A"�"`"i`i'�11�'fiy''f�'�'rM' ��ii�tYi'�'}�,�,�}('�`lr'L7ymr/�"•(.,�ww;��i'i. 'a'• ;'. )t COUNTY OF BUTTE.; EPARTMENT OF PUBLIC WO -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 6 f<' - J1 %�/� A. P. No: 07-3 ` 11'O` o o Proposed Building Use J 2- Building Inspector Date % �- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. . 2. Plot plans/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. . 8. Engineered truss details and layout in duplicate (required prior to plan check).- :... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Ir 10. Feesf $ . 11. Impacttfees as shown on attached schedule. J .. . �0?1 ....................... o 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) bbv California Engineer ................... 1 . Sanitation and plot plan approval%*- l� Health Department. . ... . 30 <�S 5. City of Chico plumbing permit . .......................................... . 6. Plot plan and business license approval from City of Biggs/Gridley. . 17. Planning approval for (A) Use: (B) Parking: ........ 10 C)rzU'3s 18. Contact Land Development about (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection forPre-Inspection reque regUlred. . . to Building Inspector (Date) 21. Contractor's license information. No., Name Style, Classification . 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ ' • 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed.of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ..'................................... . 32. Plan check li �................. _ .. .................. 33. A44 %&2 4 r ' G2 34. When u issue the a ma, rro�ceess ads follows: Mail to owner. Mail to contractor. Telephone��and hold for pickup at office. Deliver with inspector. Other ( Parcel Creation• Acreage v� 2oW jt1� Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date i - k _°"l j Copy of plans sent Health Dept. Fire Dept., _ Other, Date IBy - i The following data must be submitted 1. Index permit for above items,No.:_ 2. Additional items required: Contractor, designer own . was advised of above required data by ✓ phone mail Counter by� Date %'c --9 Contractor, designer, owner, was advised of above required data by _ e_ phonmail Coun er by _ Date Plans checked by Date Plans approved by e Date JV Sets of plans on hold in'. f File cabinet AP folder Copy - Department of Public Works����v✓�- TO: Building Department FROM:' Encroachment Permit Section RE: -Driveway Clearanc6 L owner location AP # Driveway permit Izeaa has been issued for the above property. s i/,ature date TO: BUilding Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner I ocation My Plan Approved for: Sewage Disposal Water Supply: I'L 11) 11' C Clearance for bedroom home Other Hold final for: Final clearance O.K. for: III ii-v—ironmental Health Spec 8/92 I F- If. I ISE Plot Plan Altuelml Hour Plan AlLichM Sent i.) 7 3- W� 0- #A Private Well COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 PROPOSED BUILDING • USE A.P. N0. DATE —/P. REC . - # DATE ' REC 3i, School Distric Fees (.paid at District Office) ... 1i �. Sheriff Fees (paid at Building Department) .Residential .......... X =$ `36 Qd J � La307.5 unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt,._ Commerical(per sq.ft.). X _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) .......................... 6. Other t 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT A 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) 2. I (have/have not) 144, 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 fo Llowing 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 (hir.ed) the following persons to provide the work indicated: Name Address Phone Type of.Work Signed: / Property Owner Social Secu ityy Num er Date 91y/9._� 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. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 8/91 Bldg.. Permit # OWNER A.P. # 73- GENERAL Plan Checker Zoning requirements: (sideyards and number of permitted living units). Valuation. ans signed by designer. oper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, -etc). -�' Recorded notice of violation. PLOT PLAN [.Building mplete parcel size and dimensions. tbacks, sideyards, easements, etc. her buildings or structures. ? ading, fills, drainage. ood hazard. ecial conditions on creation map, (noise, CDF, fire sprinklers, non -comb- tible, and foundations). U & FAS road setback. or utilities across lot lines (Record form). PT.nnp PT.AN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). j Skylights (Chapter 34 & Sec. 5207). . �uman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article Light fixtures, switches, receptacles, and exterior receptacles tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other or gas equipment. 3- Garage firewall, door size, and closer (Sec. 503(d)(3)). r 1 - 3'0" exterior exit door (sec. 3304 (f). fireplace and wood stove location, alcoves, and clearance. 3'. Smoke detectors (Sec. 1210). ,,e. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 210-8). for main - electrical Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). oof covering type - (fire hazard). oam insulation - protection. 6" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . t�ttic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. Energy design. -1.0-r-Ftashing at all exterior openings. - responsible area requirements. AmZ_4_45 ertificafe of Compliance: •.Resideh(ial: , �; �.:, (Page 2 of 2) CF -IR R/G1-1AGD !V- IJV 9- Z -,9z r"Ject Tetra Da(e -------------- FI VAC SYSTENIS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/Model # conditioner. heat pump) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) FtUP–NACE MO 111 w-,11:. tni.L(,LIAM S/MohITt=eFY `llr ..: /1� —NEAT .L•�_4 5 COo SOC V T — 5 COOL (No NE> wows Maximum Furnace Heating Output: 3S,Ooo Btuh HOT NATER SYSTEMS Tank Manufacturer/Model System Type (storage gas. ctc.) Capacity (or approved equal) Special Feature(s) STv9-,�E &X-, 90 STNTa bj6Q!✓ M\/- 4 o - PFZT' SPECIAL FEATURES/REM;.RKS (Add extri sheets if necessary) Woh1 F - COMPLIANCE STATEMENT This certificate of complia?k e'lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter4. Article 1 of the California Administradve 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. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations. all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name.' Robert E. Mills Jr. Documentation Author Name: ' Robert 'E. Mills Jr. Fosse Revised M■reh t 9118 Name: R14A 402 4215414 Wa VA TitkJFirm: ` O\JFJ E g Z 6t.t t Lr> EtZ Address: Telephone (signature) (date) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) INSULATION CERTIFICATE RICHARD CUEZA -------------- 955.BLACK BART ROAD OROVILLE BOTTE NUMBER AND STREET CITY COUNTY SUBDIVISION LOT NUMBER PLAN NUMBER DESCRIPTION OF INSULATION ROOF Material Brand Name' Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type FIBERGLASS R Brand Name CERTAINT D Thickness (mares) Thermal Resistence (R-Value)y Loose Fill Type INSULSAFE III Brand Name CERTAINTEED Contractor's minimum' installed weighUR Ib . Minimum thiclviess inches Manufacturees installed weigh Per. square foot to achieve Themral Resistance (R Value) EXTERIOR WALL . Material FIBERGLASS • / Brand Name CERTAINTEED Q• Tess C=hes) v /� Thermal Resisfaiice (R -Value) / 1 RAISED FLOOR Material FIBERGLASS Brand Name CERTAINTEED Thickness (Inches) Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) t . FOUNDATION WALL Material FIBERGLASS # Brand Name CERTAINTEED Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. GENERAL CONTRACTOR.(BUILDER) LICENSE NUMBER SIGNATURE & TITLE DATE SHASTA INSULATION 272941 SUB -CONTRACTOR (INSULATION INSTALLER) LICENSE NUMBER � a�,r — 2. � 1S • SIGNATURE 3 TITLE DATE Installation Certificate: Residential BUILDING OWNER: 'BUILDING PERMIT #: BUILDING LOCATION: CF -6R An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. . I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems - Heating Equip./�-CEC Certlfled , Actual Distribution Duct or Heating Load Heating Type (furnace,, Manuf. Make & Efffclency Type and Plping Before Over. Equipment heat Duma. etc.Y-, Model Number (AFUE_ etW1 Location R -Value Slzinc (Btuftl Canacity (11 CEC Certiflad Cooling Equip. Compressor Unit Type (air cond., Manuf. Make & heat pump, etc.) Model Number Actual Distribution Duct or Efficiency Type and Plping (SEER) Locatle�n R - Value The building design -heat" oss and design heat gain rate have been determined using a method specified in Section 150(h) of the Enf� gy Efficiency S dards, and are two of the criteria usod for equipment sizing and selection. Signature Date ' HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS 1. For small gas storage (rated inputs 75,000 Stu/hr), electric resictance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr); list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and RecovOry Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursua t to Title 24, Part 6. Subchapter 2, Section 111. Zip Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Energyt External Water Heating CEC Certifled Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW..Capacity Recovery Standby' Insulation (storage gas, etc.) Model Number or Btuh)(gallons) Efficiency Loss (%) R -Value eras 1,10 �y o 1. For small gas storage (rated inputs 75,000 Stu/hr), electric resictance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr); list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and RecovOry Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursua t to Title 24, Part 6. Subchapter 2, Section 111. Zip Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 ' JNSULATION CERTIFICATERICHARD CUEZA ------------- 955 BLACK BART ROAD OROVILLE. BUTTE NUMBER ANO STREET CITY, COUNTY SUBDIVISION LOT:NUMBER. PLAN NUMBER DESCRIPTION OF INSULATION, ROOF Material Brand Name Thickness (inches) Thermal Resistance (R-Valiiej CEILING. Batt or Blanket Type FIBERGLASS Brand Name CERTAINTEED Thickness (mates) 0 Thermal Resistence (R-Value)y Loose Fill Type INSULSAFE III ` ' Brand Name CERTAINTEED Contractors minimum installed weigtim Ib Minanum thicknessO� /2 inches Manufactiuees installed weigh per square foot to achieve Thermal Resistance (R Value) 3 y EXTERIOR WALL Material FIBERGLASS' Brand Name CERTAINTEED Thickness (inches) /y Thermal 9 Resistance (R -Value) RAISED FLOOR Material FIBERGLASS Brand Name CERTAINTEED Thickness (mates) Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name ' Thickness (aches) Thermal Resistance (R -Value) Width'(inches) FOUNDATION WALL Material FIBERGLASS Brand Name CERTAINTEED Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. GENERAL CONTRACTOR (BUILDER) LICENSE NUMBER SIGNATURE & TITLE DATE TSTA INSULATION 272941 SUBCONTRACTOR (INSULATION INSTALLER) LICENSE NUMBER f SIGNATURE 3 TITLE GATE COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3 1 3 1., OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and hould be corrected. Please notify this office when correction of work ./13, Ify is completed If y hav: any questions- pertaining to this matter, or need additional explanation, C is . please cc c is office immediately. I -e e --t- . . " . � 1. 1� re -c --1#4- 10 ' k; 4- e Date 3 -- REV 10/92 COUNTY OF BUTTE BUILDING bivisiON DEPARTMENT OF DEVELOPMENT SERVICES- 4 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County -,Center Drive, Oroville,,CA - (916) 538-7541 747 Ellibtt Road,'Paradise, CA - (91*6872-M7 CORRECTION NOTICE PERMIT NO. A routine inspy6tion indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions Dertainina to this matter- or need additinnal AxnlAnatinn Date Inspector REV 10/92 Robert and LaVerne Daley 906 Black Bart Road Oroville, CA 95966 May 31, 2007 Butte County Planning Department 7 County Center Drive Oroville, CA 95965 Dear Sir: As discussed in your office on Tuesday, May 29th, Cousin Gary Homes is in the process of applying for a building permit on our behalf, for a home to be located on APN 073-110-016-000. We are the owners and timber managers for this parcel, which has been in a Timber Protection Zone `since 1968. As requested, we are providing your office with records of timber harvesting projects conducted at this location, which verify that we are the timber managers for this property. Thank you for your time in assisting us with this matter. If you have any questions our telephone number is 589-1703. Sincerely,= I� P� d Robert Daley LaVerne Daley Enclosures - timber management records 4 .:.� ems, iri"+r• nd Los r.-._.`_ T."'.',��:'•'�•R'a'.-..:.- . _.- ' �- �. � ...- ..... � .. ... .... - . I;Forfn 1040) Capital Gains a OMB No.1545-0074 Department of the Treasury 10, Attach to Form 1040. 10, See Instructions for Schedule D (Form 1040). .1997 Altachme Internal Revenue Service (99) 10, Use Schedule D-1 for mores ace to list transactions Sequence No.. for lines 1 and a. 12 Seque Name(s) shown on Farm 1040 Your social security number ROBERT -M. AND LAVERNE.K. DALEY 570-28-1228 >`aWN Short -Term Capital Gains and Losses - Assets Held One Year or Less (a) Description of property (b) Date acquired (c) Date sold(d) Sales price (e) Cost or (f) GAIN or (LOSS) Y Y (Example, 100 sh. XYZ Co.) (Mo., day, yr.) (Mo., da ) ( page D 3) r. see a e _ other basis FOR ENTIRE YEAR. (see page D-4) Subtract fel from (di lim 2 Entershort-term totals, if any, from D 1 Schedule e - line 2 3 Totalshort-term 0 I sa esP ri ce amounts. is AMP A ddI co umn d f lines n es 1n a d2.. 3 .............. 4 Short-term gain from Forms 2119 and 6252, and short-term( or ain (loss) oss from Forms s 4 684 7 6 81 and 8824. 5 Netshort-term9ain 0r(loss) from partnerships, S corporations, nsestates, and trusts from Schedule(s) K- 1 5 ah t - S orer t m capital loss carryover. over. r Ent the m ea onti u f any, from line e 9 f Your 1 996 Capital I Loss Carryover er Worksheet sheet .... 6 ......................... ............. ............................. 7Net short-term cait19ain 0r(loss). Combine lines 1 through h 6'ncoIumn f 10, J artt<>` Long -Term Capital Gains and Losses - Assets Held More Than One Year (a) Description of property (Example, 100 sh. XYZ Co.) (b) Date acquired (�lo., day, yr.) (c) Date sold (Mo., day, yr.) (d) Sales price (see page D-3) (e) Cost or other basis (n GAIN oraOSS) FOR ENTIRE YEAR. (9)21i7iRATE GAIN or (LOSS) (see page D-4) • Subtract (e) from (d) • (see instr. below) TIMBER SALE 6/01/65 7/15/97 40,548 6,201 34,347 _ 9 Enter your long-term from term totals if any, . ScheduleD_1 lin . 10 Total long-term sales price amounts. A ddI co umn d f lines n es 8 an 0 40,548 r 54 8 11 Gain from Form 4797, Part I; long-term gain from Forms 2119, 2439, and 6252; c and long-term gain or (loss) from Forms 4684, 6781, and 8824 ................................. 11 7 , 4 O 1 6,590 250 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1. 12 13 Capital gain distributions............................................................... 13 14 Long-term capital loss carryover. Enter in both columns (f) and (g) the amount, if any, from line 14 of your 1996 Capital Loss Carryover Worksheet .............................. 14 15 Combine linesthrough 141 n I mn cou ...IS 41r 998 16 etlong-term N capiI to gain or (loss). Com in lines 8 through 14 In column (f ► 16 26% Rate Gain or Loss includes all gains and losses in Part ll, column (f) from sales, exchanges, or conversions (including installment payments received)-, either: • Before May 7, 1997, or a AHav In., aQ tnn7 r,.. • ky ULE D Capital Gains and Losses m 1040) . ► Attach to Form 1040. ► See Instructions for Schedule D (Form 1040). department of the Treasury %internal Revenue Service ea) ► Use Schedule D-1 for more space to list transactions for Imes 1 and e. Name(s)shown on Form 1040 ROBERT M. AND LAVERNE K. DALEY. Short -Term Ca ital Gains and Losses (a) Description of property (b) Date acquired (e) Dale sold (Example, 100 sh. XYZ Co.) (Mo., day, yr.) (Mo., day, yr.) - Assets Held One (d) Sales price (see page D-0) r or Less (e) Cost or other basis 2 Enter your short-term totals, if any, from 2 I 1, line ue D Schedule 3 Total short-termrm sales Price amounts. u nts. Add column (d) of lines 1 and 2 .................. 3 4 Short-term gain from Form 6252 and short-term gain or (loss) from 4 Forms 4684,6781, and 8824 ........................................ OMB No.1545-0074 1998 Attachment 12 Sequence No. Your social security number 570-28-1228 (f) GAIN or (LOSS) Subtract (e) from (d) corporations, ns, estates, and trusts from Schedule(s) K-1 s Sc 5 Not short-term m a•n r (loss)ss) from partnerships, 5 t if any, , from m lin 8 of your Iloss carryover. Enter the amount, n s Short-term capital 61997 (Loss Carryover Worksheet .................................................. Capital 7 Net short-term ca Ital aln or floss). Combine lines 1 through 6 in column f .................. ► 7 Assets Held More Than One Year •' '' `" '•'• "` ' i$1 Lon -Term Capital Gains and Losses - e Cost or () (i) GAIN or (LOSS) 28% RATE GAIN (a) Description of property (Example, 100 sh. XYZ Co.) (b) Date acquired (Mo., day, yr.) (c) Date sold (Mo., day, yr.) (d) Sales price (see page D-6) other basis (see page D-0) a) from Subtract ( (d) or (LOSS) • (see Instr. below) TIMBER SALE 6/01/65 $/28/98 61,296 6,633 54,663 EASEMENT VARIOUS 6/30/98 250 250 ...:....:..............:......:.............. 9 Enterour long-term totals, if any, from Y 9 I e D 1 line Schedule , h e m u nts. I e price a 0 to sales rm long-term 3 1 0 Total n 10 61 5 46 Add column (d) of lines 8 and 9 ................... 11 from Form 4797, Part I; long-term gain from Forms 2439 and 6252; 11 8,316 -Gain and long-term gain or (loss) from Forms 4684, 6781, and 8824 ...................... 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 . 12 13 Capital gain distributions. See page D-2 ........................................... 14 Long-term capital loss carryover. Enter in both columns (f) and (g) the amount, 14 ( ) if any, from line 13 of your 1997 Capital Loss Carryover Worksheet ................:............. 15 Combine lines 8 through 14 in column (g) ....................................... ......... 15: term caPItot gain OrIoss).Combine Imes 8 through 14 in column (f) ........... ► 16 Net long-term 18 6 3, 2 2 9;::::::::::::::::.:.....::::::::::•:..... ................. Next: Go to Part III on the back. "collectibles and losses" (as defined on page D-6) and part or all of the eligible gain on qualified small business • 26% Rate Gain or Loss includes all gains stock see page D-5). Schedule D (Form 1040) 1991 For Paperwork Reduction Act Notice, see Form 1040 Instructions. KFA Greg P. Kostick Consulting Forester Lic. #2194 -� P.O. Box 5062 July 28, 1997 Oroville, CA 95966 (916) 533-0677 Robert & Laverne Daley 906 Black Bart Road Oroville, CA 95966 Dear Bob & Laverne; This letter is a summary of the logging conducted on your property and a recap of the stumpage payment due to yourself from the log payment on July 26, 1997. A total of 21 loads were delivered to the Joe Smailes Forestry in Oroville and 15 loads to Sierra Cedar Products in Marysville during the pay period (July 1-15). The total net volume delivered was 53.90 MBF. Attached is the summary report from Sierra Cedar Products, you should have received a summarized log payment from Joe Smailes Forestry. I have looked over the scale tickets and it matches the attached summary report. I plan to send you all the scale .tickets at the completion of the harvesting. I will use the scale tickets for yield tax calculations. Mr. Elam's logging fees were held out of the Joe Smailes payment ($185/MBF). However it was not held out of the payment from Sierra Cedar Products ($195/MBF). 53.90 x $195 = 10;510.50 I will go ahead and make that payment directly.to him as I did last time, attached is a copy of the check for this payment. The amount due to you at this time (Sierra Cedar Products) is calculated with the following 2 steps. Step 1 - Forestry 15,092.50 x .12 1,811.10 fee calculation Step 2 - Subtract out Forestry fee to arrive at Landowner share. 15,b92.50 1,811.10 13,281.40 Sincerely, Greg P. Kostick RPF ;#2194 July 11, 1997 Greg A Kostick t;Lk Consulting Forester Lic. #2194 .� P.O. Box 5062 Oroville, CA 95966 (916) 533-0677 Robert & Laverne Daley 906 Black Bart Road Oroville, CA 95966 Dear Bob & Laverne; ..,. �_ This letter is a summary of the logging conducted on your property and a"Trecap of the stumpage payment due to yourself from -the log--payment-on July 11, 1997. A total of 3 loads were delivered to the Joe Smailes Forestry in Oroville and 2 loads to Sierra Cedar Products in Marysville during the pay period (June 16-30). The total net volume delivered was 19.78 MBF. Attached is the summary report from Sierra Cedar Products, you should have received a summarized log payment from Joe Smailes Forestry. I have looked over the scale tickets and it matches the attached summary report. I plan to send you all the scale tickets at the completion of the harvesting. I will use the scale tickets for yield tax calculations. An additional 33 loads (20 Pine, 13 Cedar) were shipped after July 1, the log paymegyt for these loads will be on July 26, 1997. Along with your log payment I have enclosed the yield tax payment -for the 2nd quarter. This tax is due on July 31st. The yield tax for the remaining 33 loads will be due October 31st. Mr. ElaMIs logging fees were held out of the Joe Smailes payment ($185/MAF). However it was not held out of the payment from Sierra Cedar Products ($195/MBF). I will go ahead and make that payment directly to him, attached is a copy of the check for this payment. The amount due to you at this time (Sierra Cedar Products) is calculated with the following 2 steps. Step 1 - Forestry 2,427.60 x .12 291.31 Step 2 - Subtract 2,427.60 291.31 2',136.29 Sincerely, PL Greg P. Kostick RPF x#2194 fee calculation out Forestry fee to arrive at Landowner share. SIL21MA CEDAJ? I-TODUC'1S 401 Melody Road Marysville, CA 95901 Phone (916) 741.8( Fax . 741-8; REMITTANCE ADVICE DATE '1 1 c) TO: •SuPPIt� ►Jp AEU ���oW I . - i FOR: loCCr.1001~ CEDAtZ y foR 1p Its -io M�kEr� S,pEc1�s O 3� ' NUMBER VOLUME ; I __... :.:... KOSTICK; GREr..::' 5941 .. DALEY 1.ELaw. :'..70- KOSTICK X:30.::: 1 KOSTICK,GRE- 5942 8 . 30" . DALEY I KOSTIC K X KOSTICK GREG :..... ' X .310900 8 30 :;.;;;;;:;,.30;'i:E`EEE:i:E X 310905"I 830 ' - ::•::� '�'E�: i¢ffE':... .. ¢4780 (';;j'sE[f:lt:[: [:iE'::`:`: , ..::•.::: :::•::::::::::::....... :...::.:: � :::.:t: 5170 iE::'fE[iiEi780::EiE.'•i': 40;'.'' DALEY I KOSTICK X L.. ' . X I i .;:.:: .'' :'t :[ :: t :8390:;`Et;`E 720:x:'•'• `:';;8870,;[';:" 175,:` it,118.25. , I I . 1 REMITTANCE TOTAL$ 4, 11 8 z,5 4 - SIERRA CEDAR PRODUCTS FEATHER RIVER STATE BANK j LOG ACCOUNT MARYSVILLE OFFICE 1401 MELODY ROAD MARYSVILLE, CA 95901 I MARYSVILLE, CA 95901 90-3678-1211 (916)741-8090 SAY * Four fThousand One Hundred Eighteen and 25/100 ** a TO NO. DATE 07/10/97 AMOUNT $4,118.25 123 ? -HE GREG KOSTICK VOID AFTER 90 DAYS OFR P.O. BOX 5062 OROVILLE, CA 95966 000L23611' 1:12LL3678511: 1210L3930118 ERRA CEDAR PRODUCTS i 330 GREG KOSTICK Jul 10 97 123 INVOICE INV.DATE INV.AMT DISC AMT.PAID P/E 6/30/97 Jun 30 97 4,118.25 0.00 4,118.25 1 4,118.25 0.00 4,118.25 M j Greg P. Kostick i Consulting Forester ! Lic. #2194 � i P.O. Box 5062 I Oroville, CA 95966 (916) 533-0677 July 11, 1997. Robert & Laverne Daley 906 Black Bart Road Oroville, CA 95966 i Dear Bob & Laverne; This letter is a summary of the logging conducted.on your property a a" recap of the stumpage payment due ta- yourself- from the log= payment s July 11, 1997.. A total of 3 loads were delivered to the Joe Smailes Forestry in Oroville and 2 loads to Sierra Cedar Products in Marysvi during the pay period (June 16-30). The total net volume delivered w 19.78 MBF. Attached is the summary report from Sierra Cedar Products you should have received a summarized log payment from Joe Smailes Forestry. I have looked over the scale tickets and it matches the attached summary report. I plan to send you all the scale tickets at the completion of the harvesting. I will use the scale tickets for yield tax calculations. An additional 33 loads (20 Pine, 13 Cedar) were shipped after July 1 the log paymegyt for these loads will be on July 26, 1997. Along with your log payment I have enclosed the yield tax payment for the 2nd quarter. This tax is due on July 31st. The yield tax for the remaini: 33 loads will be due October 31st. Mr. klam's logging fees were held out of the Joe Smailes payment ($185/MBF). However it was not held out of the payment from Sierra Cedar Products ($195/MBF). I will go ahead and make that payment directly to him, attached is a copy of the check for this payment. The amount due to you at this time (Sierra Cedar Products) is calculated.with the following 2 steps. Step I - Forestry 2,;427.60 x .12 291.31 Step 2 - Subtract 2,427.60 291.31 2',136.29 Sincerely, I" , k-e�JCr Greg P. Kostick RPF #(2194 fee calculation out Forestry fee to arrive at Landowner share. #July Greg P KostickConsulting Forester Lic. #2194P.O. Box 5062 Oroville, CA 95966 26, 1§98. (530) 533-0677 Bob & Laverne Daley 906 Black.Bart Road Or.oville, .CA 9596.6 Dear Bob & Laverne: This letter is a summary of.the cedar'payment due to you from your proper-ty.-aaong. _Bart, Road 1:�;rece �ed� the._.payment.,: on: J:uly.. 2,5, ..,... 1998:. A total of 9 loads of Cedar (Sierra Cedar Products) were delivered*..during...the pay period (July 1-15). The total net volume delvered:,was-_41.07 MBF. Attached is the summary of the log payment and scale.summary for yours and Buck's loads -.note that your loads are the last 9 (48651 thru 8659.). .I have looked over the scale tickets and they match the summary'reports (my ledger also enclosed). I am anticipating the payment for the pine logs (5.; loads) from Smailes- Forestry.on Tues/Wednesday. I will send that payment upon receiving it. Below is a breakdown of the payment to all parties involved. As per our contract agreement I am paying Mr. Elam a rate of $175/mbf to the Marysville destination (copy of his payment is also enclosed). The amount due to you is calculated with the following 3 steps. Step l - Gross Income Sierra Cedar 41.07 x $575 = 23,615.25 Logging cost 41.07 x $175 = 7,187.25 Gross Income 16,428.00 Step 2 - Forestry Fee 16,428.00 (gross income) x .12 1,971.36 Step 3 - Subtract out Forestry fee to arrive at Landowner share. 16,428.00 - 1,971.36 14,456.64 Sincerely, Greg P. Kostick RPF #2194 D • 22,,,U-98 orirs date y. E C GATE I—VENDOR'S INFO .= z s I —TRUCK INFO.— I— I SCALING DATA I K I LOAD ( X CHEK X SCALE SCALE MBF I RECD # I OWNER NAME' TIKT#PCS. SALE ITRUCKR #LOGGER X # X TIKT# DATE NO.#LOGS • GROSS DED NETI aaaa3CC:.II C IxaataCSs aaa saaaas Iaeaa3a 33aa aaaaaxs I ca3S 1 axassa ac xs sxaasasS sxsCx sc.xx cxassl 7 -8 1 KOSTICK GRE_ 2128 30.0ALY/FINMAI ELAM-'*.'. 7. KOSTICK X X 560628 7 8 77 4630 1030 3800 1 7- 8 1 KOSTICK, GRE 2127 44 DALY/FINMAI ELAM 8 KOSTICK X X 560639 7 8 24 4900 410 4490 1 7 8 1 KOSTICK, GRE 2128 39 DALY/FINMAI ELAM 8 KOSTICK X X 560645 7 8 40 452D 460 4060 1 7 8 1 KOSTICK, GRE 2120 22 DALY/FINMAI ELAM' 1 KOSTICK X X 5SM51 7 8 21 4860 130 4730.1 7' 6 1 KOSTICKGRE'• 213D 24 DALY/FINMAI ELAM 7 KOSTICK X X 560649 7 8 27 4730 400 4330 I 7t 9, 1 KOSTICK GRE. 2131 43,DALY/FINMAI ELAM 7 KOSTICK X X 580193 7 9 42 4180 270 39101 7' 9 I KOSTICK GRE 213235 DALY/FINMA I ELAM r,1„KOSTICX­.—r�. X 580196.7 9 36— 4880.. -1 480 4380 I 7 9' "1 KOSTICK ORE: 2133 "31 DALY/FINMAI ELAM (” 8 KOSTICK X X 580200 7' 9 31 4870 i 330 43401 7 9' 1 KOSTICK GRE .`r 2134. 33 DALY/FINMAI ELAM' f 1 KOSTICK, X X 580206 T 9, 33 4390. 340 .40501 7. 10; 1 KOSTICK GRE' 2135 42 DALY/FINMA I ELAM ;..A-8. KOSTICK, X .,, • X , 58-_:. 7 lo'_'." 0223 41..._ 4630,,•.. _ 690 39401 " 7 ' 10 ' ` I KOSTICK GRE " ' 2136' 44' DALY/FINMA I ELAM ` 7 KOSTICK X X 580227 7. 10, 40 4030 340 36901 7 16` 1 KOSTICK GRE 2137 24 DALY/FINMAI ELAM 7 KOSTICK'X X 580236 7 10.E 21 5850 710 4940 1 7 10, 1KOSTICK GRE . 2138., 45.DALY/FINMAIELAM KOSTICK X 680238 7_10 _ ,. 41 _ 4720•, 260 44801 -- - 7 13'' ^ I KOSTICK" GRE '"" +�4"�.8 2139 "' 32 DALY/FINMA) ELAM, e RX 7 KOSTICK X ' �_ X 580662 7,713' 32 5150 170 49801 ` 7 13 1 KOSTICK GRE" 2140, 35 DALY/FINMA I ELAM 2 KOSTICK X X 560665 ` 7 13 , 32 4290 200 4090 1 I , 7.} 13''1 1 KOSTICK GRE ,ti 2141 38 DALY/FINMA1,ELAM' 7 KOSTICK X• X 580874 t 7, 18 ""` Il 4970 ,• ,:, 390 _ 45801 7 -14 I KOSTICK ORE:""2142"`39 DALY/FINMAI ELAM""`S 7' KOSTICK X'� X 560684 7; 14� 29~ 4750' r 190 45W 1 7 14' 1 KOSTICK GRE 2143, 37 DALY/FINMAI ELAM 1 KOSTICK X X 560690 7, 14.� / 40 4330 660 3870 1 • . 7 14' 1 KOSTICK GRE 2144 30 DALY/FINMAI ELAM : 7 KOSTICK X X 560693 7; 1'4' 32 4880 570 4310 1 7 14 1 KOSTICK,'GRE- 8851 21 DALY/FINMAI ELAM' 8" KOSTICK 'X X 580698 7+14' 22 5570 1240 43301 7 14 1 KOSTICK GRE 8652 22 DALY/FINMAI ELAM 7 KOSTICK X X 560703 7 14 23 4750 200 46601 7 14 1 KOSTICK GRE 8853 31 DALY/FINMAI ELAM 7 KOSTICK X X SW706 7 14 28 4880 740 41201 7 15 1 KOSTICK GRE, 8654 • 20 DALY/FINMA'I ELAM " 8 KOSTICK ` X X 560241 7 15 18 SSW 1450 41301 7 15i I KOSTICK, GRE 8666 22 DALY/FINMA I ELAM 7 KOSTICK X X 580248 7 15 21 5410 240 5170 1 7 15, I KOSTICK; GRE 8658 23 DALY/FINMAI ELAM 8 KOSTICK X X 580249 7; 15„ 22 5430 340 5090 1 7- 15 .0 1 KOSTICK GRE - 8657- 25 DALY/FINMA I ELAM - ^ 7 KOSTICK : X •' ---X - 580711 '7: 15` 24 4940 790 41501 7 15, 1 KOSTICK GRE SW 30 DALY/FINMAI ELAM � 1 KOSTICK X X 560715 7, 15 29 5730 .1150 45801 7 15 i 1 KOSTICK GRE' 8859 31, DALY/FINMA I ELAM 8 KOSTICK X X SW717 7.15 32 5960 1010 4950 — I KOSTICK GREG + .. .DALY/FINMA1 _ - ••_ - KOSTICK X X -- `'ol 28 d°u �;; f, 1 { 137570 15190 122380 j� ` Date Trip Ticket #' Total. Volume PP SP DF WF IC Blue I I I ']-14 j 10��1 I" 3,92 13'421 I I II I I i I I I I I -7, 1%1 10 1oZ j ' y;o� I i y.oc� I I I -7 (4 I �� �� 3 j �iw28' i. I�: I I I I y,33 I I I `1-Iy°.•1 g6�3 -.1 , .y�t2m I ,..�.:I ' I. , I I I 1 7,(5 j �b 5s I S• I? 1 I 7-(5 I I G( X15 . I I I I I N�45 I i I I I I 1 I I � .(S I 0 pS I ,23 i I y231I I i I I I I I I I I I I I i I I I I i I I I I I I - I I I I I I I i i I I I I i I i I I I I I I I i I I I I I i I I I I N l,c7 I I I I I I 1 �v,bo July 29, 1998 Bob & Laverne Daley 906 Black Bart Road Oroville, CA 95966 Dear Bob & Laverne: Greg P Kostick , Consulting Forester Lic. #2194 P.O. Box 5062 Oroville, CA 95966 (530) 533-0677 _ This.,.•letter is a .summary of the pine, payment due to you from your _ property along Black Bart Road, I received the payment on July 28, 1998. A total of 5 loads of pine.(Smailes Forestry) were delivered during the pay period (July 1-15). The total net volume delivered was 20.60 MBF. 'Attached is the summary of the log payment and scale summary for your loads. I have looked over the scale tickets and they match the summary reports. As,instructed Mr. Smailes.has deducted the logging rate ($160/mbf) from the deliver log value. Thus I have deducted the forestry fee as calculated below to derive the payment, due to you: Step 1 - Gross Income Smailes Forestry 5,970.00 Step 2 - Forestry Fee 5,9/0.00 (gross income) x .12 716.40 Step 3 - Subtract out Forestry fee to arrive at Landowner share. 5,970.00 716.40 5,253.60 Sincerely, Greg P. Kostick RPF #2194 JOE D. SMAILES FORESTY ' P.O. BOX 298 CHICO, CA 95927 DELIVERED LOGS PAY STATEMENT (7/01-7/15/98) SALE: BOB DALEY h �r Specie Diam Net Volume (MBF) PP/SP 8-12 6.32 $9,266.00 JOE D. SMAILES FORESTY ' P.O. BOX 298 CHICO, CA 95927 DELIVERED LOGS PAY STATEMENT (7/01-7/15/98) SALE: BOB DALEY Rate h $ 300 Specie Diam Net Volume (MBF) PP/SP 8-12 6.32 $9,266.00 13-19 11.98 20+ 2.30 Net Vol. (MBF) 4.13 20.60 TOTAL 4.06 4.45 4.28 4.37 bo SUMMARY FOR OROVILLE LOAD DELIVERY 20.60 Destination .. Ticket # Date Oroville 10101 7/14/98 Oroville 10102 _ 7/14/98 Oroville 10103 7/14/98 Oroville 10104 7/15/98 Oroville :10105 7/15/98 TOTALS Rate Extension $ 300 s 1, 896.00 $500 $5,990.00 $ 600 $1,380-00 $9,266.00 �3 IgG. o0 i 970. Gross Vol. (MBF) Net Vol. (MBF) 4.13 3.92 4.20 4.06 4.45 4.28 4.37 4.11 4.41 4.23 21.56 20.60 Page 3 y Greg P. Kostick Consulting Forester J LIC. #2194 J P.O. Box 5062 Oroville, CA 95966 (530) 533-0677 August 13, 1998 Bob & Laverne Daley 906 Black Bart Road Oroville, CA 95966 Dear Bob & Laverne: This letter is a summary of the log payment due to you from your property along Black Bart Road, I received the payments on August 12, 1998 from Smailes Forestry (1 load), Roseburg Forest Products (9 loads) and Sierra Cedar (21 loads). Smailes 1048.43 Rosburg 10758.26 Sierra Cedar 28488.90 Payment calculations have been prepared on the bottom of each payment ledger from the various mills. If you have any questions please give me a call. Sincerely, Greg P. iostick RPF #2194 Z • § P.O. BOX 1088 ROSEBURG, OR 97470 �,IABER CO. PHONE (541) 879-3311 LOG TICKET LISTING 5768 x/98 TO 07/31/98 J MOOR - 5768. GREG KOSTIC URCE: 6874..KOSTIG+OALEY�F3NMANi126874 CON RACT/SIPY`^ OWN .1Oe RS ; 3 5768 00 . TAYLOR* PAGE .., . _ Z ; _..._ .. e.. _ .NB _ LOGS FOOTAGE FOOTAGE FOOTAGE.- WE: YARD RECEIPT•;:,�ICKET.:TICKET DATE No LOA05 _ WO 04161.0l,'. 0059737-3oB P:`07/20/9.8 5768 00597.32 07/20/98-5768 24 30 4,140 4,350 3,690 ✓ 4,190 ✓ WD WD 0416102 04161 2103..17008 .07/20/98•5768 07/20/98 5.768 23' 23 49100. 404004.200✓ 3,950 WD WO 0416104::0031491 0416105'':'0059783' 07/21/•9.8 .5768 : 07/21/9.8- 5768 24 26 49070 4x370 4,010 ✓ 49 210 ✓ WD WO 0416106, 0031526 0416107 • .0059785 07/21/98``5768 33 39 4.150 49070 80 ✓ 3, 980&- 3, 870 ✓ No WD NO 0416108,-0059786' 07/21/98-_5768 - 0416109 ". 0059925 Dom; D • �, 07/24/:98 5768 .07/27/98:5768 25 25 39920 4,080 3i7404/ 4@000 - Wo WD 0416110 0031737 a -4h F. 041611'1 0059975 07/27/98 -5768 23 3x870 39820✓ WO WD 0416126 0031571 07/22/98 5768 0416127. 0031572 07/22/98.5768 20 .19 4070 4x460 49510- 49060- WD WD 0416128 0059879 07/23/98.5768 0416129-0059840 07/22/98,5768 22 27 49170 3*870 39870 3,770 ✓ 39710' - 20 WO WO 0416130.' 0059839, 07/22/98"5768 0416131`•0031635 07/23/98.5768 24 28 4:150 4,260 49070-' .Wo NO 0416132 0059924' `� 07/24J/98,5 68- 0416133 0031770 07/28/98.5768- 21 29 34980 39920 3i810' 3,820 - WO 0416134 0031769 07/28/98.5768 07/.28/98 17 21 49330 4,150 49240&- 9240✓WO 49130 - WO WO 0416135 0050019 .5768 0416136, 0050056 07/.29/98 5768 07/24/98F5768'. • 35 22 39560 39920 39520 3,830 - WD WD 0416137':0420103 0416138 0050072 07/29/98 5768 16 25 4:260 3,770 49120 3i 700✓ 70 ND 0416139 • 0050084 07/30/98'5768. 041614.0 ": 0031849 07/30/98`.768~ + 18 4,430 4,320 4,270✓ 49250'' .WD WD WD 0416141.'005008. 07/30/98; 768 04161.42 ,0050119. 07/31/98 5766 - 19 27 49040 39850 49620 70 WD ND 0416143 10031875 07/31/98 5768 0416144 0031674 07/31/98 5768 23 24 4i800 44380 4,290' *. TOTAL WO SCALED .LOADS. +.: s: 30 732 124,860 1209120 260 ** TOTAL ND 30 732 1249860 120,120 260 *** TOTAL VENDOR i 30 732 1249860 1209120 260 �, , . ✓ �0 3 � � � e g Loads .... % �' �� _ 8_� '`'� r _ _ 3S. k v b R?v?^�. bt l� 225- .F F- c, k 7iu. lsyG ' i LA -,e, 344,e /O � %58.29 JOE D. SMAILES FORESTY P.O. BOX 298 CHICO, CA 95927 DELIVERED LOGS PAY STATEMENT (11/16-11/30/97) GREG P. KOSTICK Extension P.O. BOX 5062 • ;. 1.43 OROVILLE, CA 95966 2.31 SALE: BOB DALEY 0.46 Specie Diam Net Volume (MBF) PP/SP 8-12 48.67 13=19 78.68 20+ 15.74 TOTAL 143.09 Specie . Diam Net Volume (MBF) PP/SP 8-12 1.43 13-19 , 2.32 20+ 0.46 TOTAL . G.. 4.21 JOE D. SMAILES FORESTY P.O. BOX 298 CHICO, CA 95927 DELIVERED LOGS PAY STATEMENT (11/16-11/30/97) GREG P. KOSTICK Extension P.O. BOX 5062 • ;. 1.43 OROVILLE, CA 95966 2.31 SALE: BOB DALEY 0.46 Specie Diam Net Volume (MBF) PP/SP 8-12 48.67 13=19 78.68 20+ 15.74 TOTAL 143.09 Specie . Diam Net Volume (MBF) PP/SP 8-12 1.43 13-19 , 2.32 20+ 0.46 TOTAL . 4.21 /60..6r- 1412-9 -7 L.gn•oowNe.- �liArC Page 1 Loads Extension 34 1.43 34 2.31 34 0.46 4.21 Rate Extension $300 $429.00 $ 500 $1,160.00 $600 $276.00 $1,865.00 // /'?/'yo #Apugust IS, 1998 Bob & Laverne Daley 906 Black Bart Road Oroville, CA 95966 Dear Bob & Laverne: Greg P Kostick , Consulting Forester • Lic. #2194 .� P.O. Box 5062 Oroville, CA 95966 (530) 533-0677 This letter is a summary of the log payment due to you from your property along Black Bart Road, I -received the payments on August 28, 1998.from Roseburg Forest Products (1 load). Payment calculations have been prepared on the bottom of the payment ledger from the mill. If you have any questions please give me a call. Sincerely, /C Greg P. Kostick RPF #k2194 SCP.O. BOX 1088 ROSEBURG, OR 97470 TIMBER CO.' - PHONE (541) 679-3311 08/01/98 TO 08/15/98 VENDOR —,5768 GREG KOSTI C , SOURCE'> -,= 6 874: ;KOST IG-p�111.EYwFI NMAN DEST �_ LOAD -.5GALt Mtlbtti •UtL1VtKT lKU%,& REGEI,FT.,::. TICKET ,YARD; MD 0339254 0050171 08/04/98 5768 08%04%98 5768 NO 0339256 ,0050170 ND 0339257 .0031988 08/05/98 5768 We 0339258 '0050214 - 08/05/98 5768 MD 0339259 0050215 08/05/96 5768 ND 0339260 0420211 08/07/98 5768 MD 0339261° 0050352 08/10/98 5768 NO 0339262 0032100• 08/10/98 5768 MD .0339263 0032099* 08/10/98 5768 ND 0339264 0420247. 08/10/98 5768 MO 0416112 0050135 08/03/98 5768 ND 0416145.-0031918 08/03/98 5768 MD 0416146 08/03/96 5768 ND 0416147 .0050134 0032026 08/06/98 5768 ND .-0416148- 0050262 08/06/98. 5768 ND 0416149 -0050315 08/07/98 5768 NO 0416150 0050314 08/07/98 5768 # TOTAL ND SCALED LOADS ** TOTAL ND * TOTAL VENDOR LOG TICKET LISTING CONTRACT/SUPV ONN/JOB� N6RS :5768 ?>,=,3- DA L C V�- .I L -cm, A0 9e%j{..-c-,j Q,,-� - f e i 0 0 a,.a) N E VL s�E - • r L �5 ; ti 5 2 -2- 1 1 24 66,25 1 2go.3o 31 ,16 23 22 25 21 is 38 41 38 26 467 467 467 49210 4, 570 59520 49570 40670 49320 49420 59170 4.470 49120 49020 4#320 49490 39640 49150 3:380 49230 4,i-180 789450 789450 78v450 q. Z-5 ^,0f - DALE L� TAYLOR9 BARRY.. FOOT AGE 49210 49300 59470 49540 40510 40140 49250 49660 49140 4.080 39950 49250 49140 39470 4 9090 39250 39740 3 9960 75*150 759150 759150 S4, w--P--ca-,c 5768 STATE OF CALIFORNIA --THE RESOURCES AGENCY Pete Wilson, Governor ;DEPARTMENT OF FORESTRY AND FIRE PROTECTION 6105 Airport Road Redding, California 96002 Telephone: (916) 224-2445 FAX: (916) 224-4148 Ref: 5410 R1 Robert & Laverne Daley 906 Black Bart Road Oroville, CA 95966 Re: Emergency Number: County Acres Location May 29, 1997 2-97-EM-35/BUT Butte 110 Acres S19; T19N;. R6E This -letter will acknowledge receipt of your Emergency Notice as described above which was submitted pursuant to Section 1052, 14CCR. Your request was received in this office on May 27, 1997. You may proceed with the removal of trees obviously damaged by insects and trees with green crowns that are likely to die within one year provided they are stump marked by the Registered Professional Forester. COMPLIANCE WITH ALL PROVISIONS OF THE FOREST PRACTICE REGULATIONS WILL BE REQUIRED AS DETERMINED BY FUTURE INSPECTIONS. If operations are to extend must be covered by a Timber a Plan can take as long as to proceed immediately with Stocking Report (RM -71) is cc: Ranger Unit Forester LTO Submitter RPF Attachment beyond the 120 -day period, said operation Harvesting Plan filed at this office. Since 35 days to file, it may be advisable .for you Plan filing. Also, a Work Completion and/or required as per regular harvesting operation Sincerely, Craig E. Anthony - Dep Director Resource Management Y David T. McNamara, RPF No. 1667 Deputy Chief, Forest Practice BOE -401-1 PT (FRONT) REV. 10 (2-95) PO BOX 942879 STATE OF CALIFORNIA TIMBER TAX RETURN SACRAMENTO CA 94279-061ki BOARD OF EQUALIZATION' PLEASE READ INSTAUC7/ONS BEFOPE PPEPAPlNG DUE ON OR BEFORE 10/31/98 Mail to: STATE BOARD OF EQUALIZATION PO BOX 942879 ROBERT r; _I:AVERNE DALEY SACRAMENTO CA 94279-4001 906 `BLACK`''RART ROAD 3 1998 OROVI LLE ,d,A 95966. O1' TERYEAR 129966 ACCOUNT NUMBER IMPORTANT NOTICE: IF YOU DID NOT HARVEST TIMBER FOR THIS QUARTER, PLEASE SEE ITEMS 12 AND 13, SIGN, AND RETURN THIS FORM. _ SUMMARY OF HM1rEST VALUES BY COUNTY 1. HARVEST COUNTY OF HARVEST 4. TOTAL TAXABLE HARVEST REPORTPAGE F,,, VALUE FROM HARVEST REPORT NUMBER(S) 2. COUNTY NAME 3. NUMBER � - $ .00 ' >? NNlerllerlt Iax nezurn roan.- __. 6. Total of Harvest Values (enter the total of the Harvest 7. Timber Tax (multiply the total of Harvest Values on line 6 by 2.9%) .029 8. Penalty [multiply line 7 by 10% (.10) if payment is made after the due date shown above RE 9. Interest (compute at .0002466 daily) 10. TOTAL AMOUNT DUE AND PAYABLE (add lines 7,8 and 9) $ , 11. Dates of scaling reported with this return % n PM 12. ❑ Check box if this is your final tax return, no further ant"ting. Close account. 13• ❑ Check box if you did not harvest for this quarter. SIGNATURE 14. AND TITLE 171, 11 11 11 /1 11 M M /1 11 /1 11 11 PHONE NUMBER MAKE CHECK OR MONEY ORDER PAYA6Lt" TO STATE BOARD OF EQUALIZATION REC. NO. Always write your account number on your cluck or money order. Make a copy for your records. Please notify Board if name or address incorrect; business closed; ownership or location changed. PT -4U1-1 (FRONT) REV. 10 (2-95) P.O. BOX 942879 BOARD OF EdUALIZATION -TIMBER TAX RETURN SACRAMENTO, CA 94279-0050 PLEASE READ INSTRUCTIONS BEFORE PREPARING DUE ON OR BEFORE 10 /31/9.7 Mail to: '\ STATE BOARD OF EQUALIZATION L) Q„l�t�-� ! LQV`e✓ ht C1( -e PO BOX 942679 2j 1997 SACRAMENTO CA 94279-4001 qO�o �l�c �qr�' 2�'f;� QUARTER YEAR C-6] - /'t q 64, Q5? t ACCOUNT NUMBER t IMPORTANT NOTICE: IF YOU DID NOT HARVEST TIMBER FOR THIS QUARTER, PLEASE SEE ITEMS 12 AND 13, SIGN, AND RETURN THIS FORM. SUMMARY OF HARVEST VALUES BY COUNTY 1. HARVEST COUNTY OF HARVEST 4. ' TOTAL TAXABLE HARVEST REPORT PAGE VALUE FROM HARVEST REPORT(S) NUMBERS) 2. COUNTY NAME 3. NUMBER ; 1097 799-781121.1= n3452 ----- Zt ?i --_ 577198r _.c • r -G} OO_:l �= ter.- T ppkEY,.oteo .�. 1,`:O pOBER, ALEY. D5�83 - �ia-- sr VER�1E K. D p4O _ = - -- t. LA LACK BART ROAO,_ �— atrr-�=� �`'_ 19_ _ 9066 E-CA'95966� OROVILL �� _ low t rC?Urit. - j 1 Fey MARKET SAVIN ..�� :Oro DamGejfiyARD._ U •� ��� '•2626 ORO D�IA_95966- - - OROVII.I RNIB =s es _ r --l -._ �WESTx ANK -� S ' Lu OO�3-L 09 2ao44go - - 2�: 'L0 CHEAK '..- -. � �•-LOO 7 8 °" °' otai from Supplement Tax Return Form 00 ................... --6-.-Total of HarvestValues (enter the roW o a Harvest Values In Column 4) 7. Timber Tax mu t p y a tote o arves values on line 6 by 2.9%) 8. Penalty (multiply line 7 by 10% (.10) If payment is made after the due date shown above] -- 9. Interest (compute at .000246bd aily) 10. TOTAL AMOUNT DUE AND PAYABLE (add lines 7, 8 and 9) $ 0 O • 9 11. Dates of scaling reported with this return �^ /— 9 7 to 7 r 7 .12. Check box if this is your final tax return,'no further harvesting. Close account. 13. YY��� Check box if you did not harvest for this quarter. SIGNATURE r. A l7�t : r 14. AND TITLE r= Z � PHONE NUMBER MAKE CHECK OR MONEY OR PAYABLE TO STATE BOARD OF EQUALIZATION Always write your account number on your check or money order. Make a copy for your records. NO. ' Please notify Board it name or address incorrect, business closed; ownership or location changed. PT -4U1-1. (FRONT) REV. 10 (2-95) P.O. BOX 942879 STATE OF CALIFORNIA TIMBER TAX RETURN SACRAMENTO. CA 94279-0080 BOARD OF EQUALIZATION PLEASE READ INSTRUCTIONS BEFORE PREPARING DUE ON OR BEFORE 10 /31/97 Mail to: STATE BOARD OF EQUALIZATION R.6.c,r4 aJQ(.ey PO BOX 942879 1997 SACRAMENTO CA 94279-4001 10(.- 1314.c - Bc,.r4- 2,4 !QUARTER YEAR - 0 root lie C- V6% l S�� ACCOUNT NUMBER IMPORTANT NOTICE: IF YOU DID NOT HARVEST TIMBER FOR THIS QUARTER, PLEASE SEE.ITEMS 12 AND 13, SIGN, AND RETURN THIS FORM. SUMMARY OF HARVEST VALUES BY COUNTY 1. HARVEST REPORT PAGE' NUMBER(S) COUNTY OF HARVEST4. TOTAL TAXABLE HARVEST VALUE FROM HARVEST REPORT(S) ........................ •::��!: '-::::: ' ' ::;::::: ::::.::: ::: .:::::::::::. 77 := 2. COUNTY NAME 3. NUMBER f--- oo .............::`::........: .00 :::::::::::: .00 .00 .00 .00 00 .00 00 00 .00 5. Total from Supplement Tax Return Form 00 :.:.:.:.:.:.:.:.:.:.:.:.:.:..:...... . 6. Total of HaN-e-sTVa-lues (enter the total of the Harvest.00:.,.*.'.*.,.,. Values in Column 4) ::::::: 7. Timber Tax (multiply t e tote o arvest Values on line 6 by 2.9%) ®®• D 8. Penalty [multiply line 7 by 10% (A 0) if payment is made after the due date shown above] v 9. Interest (compute at , 000246gaily) -r 10. TOTAL AMOUNT DUE AND PAYABLE (add lines 7, 8 and 9) $ O . 9 ;. NO. 11: Dates of scaling reported with this return 1-1-97 to -7- Ps' Cp 7 .12. V Check box if this is your final tax return,'no further harvesting. Close account. 13. Check box if you did not harvest for this quarter. SIGNATURE 14. AND TITLE ( 9/L 53 y-08916 PHONE NUMBER MAKE CHECK OR MONEY ORDER PAYABLE TO.STATE BOARD OF EQUALIZATION Always write your account number on your check or. mbney order. Make a copy for your records. Please notify Board if name or address incorrect;. business closed; ownership or location changed. bfi4c14 X 9iC p N®rthern California Log" Sca6ing 3 & Grading Bureau r z : 6642.131, SERIAL P.O. BOX 1088 ; P.O BoX 6080 1, SIC: NUMBER' ARCATA, CA 95521 :r,''REDDING;`;CA 96099 PAGE { 4N. .(707) 822-1614 (916) 2.1-2405' 5 . R. .. TIME tij r TICKET:NO.' STA f{dN��DAfi �,SCfiI : 'fs Fs D T RALT M�f 3v1D? `, e 32.11 4 , 274 84/14/922 -024m,-. 1 59 �e R to E� SouRC c s All., F tiBUCI(B GOE�T RI 4G(C>rfiTRUCK tQ�ip;HG�1} tblG TK1NE1EiiT�°`s. y 17. SIC t Y4y/$J};✓41Vt»nIY'Ya7 T.11/C rf. (LTf %A GV"�V. # 13 r W, Gr mYiEL[ ?�k'n 511 >L %SGA { CK<SCAiER' �Z�tuA x: fi r .664?,0432 '6642 13 X% 9 - 3 bfi4c14 X 9iC ° ..4pi 3 z : 6642.131, 32 16 . X' SIC: 4N. 32.11 If SPP 59 49 6542 @3 30 9 17. SIC XA .664?,0432 '6642 13 X% SPP ' 3 4S ; Sss -4S 24 9 f 13". SAA'5 { 6542 &. 7 13 SPA 6 - f.. 6642.08 -16 18 1SPP { io 8 SIC ` 4542 W '1 `23 X SIC14 ? u 6642I1 .16 11 SIC x. � ' ": 3 1w,12 � ' 15 X bpp 461 y " 6642 13 22,12 15; SPP. 49 4 tW 14 1S A 8PP '4S t F y 6542 W26 .7 -X ; rA 4 5%I 6642 16 12 13 1 . SAD 4S, 49 . 4 6642' 17 ., 8 ib SCC .9 4M 6 I€3 32 .6 *15. SIC b i 6642 19 3E 16 ?3 SIC Ota 2 4q z 6642 2044 7 11 SPA 4 y 4' . k � � �, . } .� •rJ� ��`�' rJ� ��s�� - ��`s t� % �� �%oK ��e� lel � -' l �® �./ �� j1 ��� he T 19N R6E A D. B: &M: f 15,4 S87'S9'28�V • 1310.57' 2594.43 40Ac. 147RS16 1 BOAC. O Z 40Ac, 640.00 2 2604.20 tc � ; �.�., • j 1�3 Y ;;.:�.;.:,.,�...• -159Ac 160Ac. 1241.46 I i CS w • C 2640.00 2640.00 N86'11'59iV �_ F IJTO S88'21 t a I { U, '�� • ��_ 40Ac. 40Ac. O 72 15tR538 lF �r; ° ITw 1320.13 1320.13 3 160Ac. o 17Ac. i 1 1319.46 21 cy q# a� 149RS49 ��St1.9'05106'W • 1 r �, 1 _ i 58.9.W 1316.90 36) R kf' O �, Q� 131 RS31 1J18,68 ' °35 I. c F42 - :ail IOAc i dr 659.29 659.29 131858 • - 2640,00. � . S86'5945"W + t 10 5.8Ac 12 )1JA c 1°=1200' YUBA CO. Butte County Assessor's. Map Book 73, Page 11 NOTE.• These parcels are , for assessment purposes only and may not constitute legal parcels. CREATED BY PS CREATED ON 10-27-1999 REVISED BY BP REVISED ON 12-31-2001 EFFECTIVE 2002-03 ROLL Previous Sk 37 Pae 36 Com fled Ry The Butte County Assessor's Office SITE P LAN'. - - _. - _------- � �e - -"" • . ".. ...--. .......... - ..- . . . . . . . : . 0" :...... •........ _ .... . .................... .. .. ... e = ...................:.._... " .. ............. .................... .._... " • I 6 4 ,tc / -------------- :. y T 1" . . . . . . . . . . . . : ............ ....... . =" .............:...:.. fl' - " •---- - _. _ . . . . . . . . : : : r ............. - .. •• - -- ----..................= . : k �m - ;Q_ - - :....................... Q. ::. :....:.. ............ : ----------- ------ . - ... = :. .._ . .---- ......__...._. .......... _ - -..... : = :...._ ............ :..... _............. ................... :........ .. . . : : : : = : : ,........-.• • .... s .... - /d dd. =•-- . - :.. ..�.. ..:_ :. ............... -- .................... -------------..................'....._.....................--........ - - - - ............................... ...... .................................... __....--•-- - - - - ...._....... = �,c = Gc�•G� ' Assessor's Parre umber. ©0 .Q — 0 0 0 - a a ® Scale: 1" ° Owner Name ° Address / Phone'No. Fol 22412z Site Location Contact Name PhoneOcbcbw o� �A MM FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres .off mss• • , ... 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 1. Ceiling Insulation 2. Wall Insulation 5 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=valuu 2 1 R-19 0.50 -176 -84 -54 0.30 -102 -49 732 0.10 -26 -13 -8 0.08 -18 -9 -6 . - 0.06 Al -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 5 j Number of stories Single- Single - Two Three 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 0.50 -120 -5P 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 Crawispace 5 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 8 - - - __-0.60 . -144 -70 -46 0.50 -120 -5P •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 Crawispace 5 1 Number of stories .41 to R -value One Two Three R-0 -11 -7 5 . R-5 - -4 -4 3 R-11 -2 -2 2 R-19 A -2 -2 4. Slab Edge Insulation 8 - - - -75 "Number of Stories -19 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 28 -55 -18 '0.90 -4 -3 -1 j 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2- 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) Specification Points Standard 0 16. Claw Heat [Asa Total U value [Percent 5 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 A 21 -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) --lEffeetlie Percent Glass (percent Sim x SC) Effective %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5. 2 : na 10 2 3 5 2 1 9 2 .3 5 2 2 .8 2 3 5 2- 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1-- 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 .1 -1 2- 0 -1 -2 -4 -2 0 llowed ,na not allowed- 4 6 8 8 Shading Shading (Shade Closed)`. 2 5 Effective Pereeat Glass 9 9 (percent gkn X SO 4.0 Efleet6►le 6 8 9 10 10 %(sisal Nom Ent SPA Well SlWW 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 3 -23 -31 -29 -74 9. -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56• 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30- 30r4 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1. 1 -4 0-2 2 3 4 3 0 ria - not allowed 9.8 4 ` 4.3 •43 9. Interior Thermal Mass Interior Single- -Single- Slab Floor Raised Floor Mass Multi Stories Dete&W Attaelled Family Stories 0 0 /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- or WWI Family Family Multi Mass Dete&W Attaelled Family 0.00 0 0 0 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 11. Heating System ,. r . 8.9 -5 SE or HSPF 3 -2 (assumes duets In attic) 9.0 -4 Sum of 1.6 -2 -2 -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 1 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 6 Effective SE or HSPF (SE or HSPF x dud efficiency) Effective -25 or -24 to -14 a d to +6 to 16 or SE HSPF less -15 ".6 +5 --+15 more 0.30' 2.75 -73 -64 -56 -17 -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 00 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 Systo'm ;199 or 2700 R-val a [38J U -value [0.030] SEER to R -v e [ 11] U -value [0.098] OI Type (assume; ducts In AMC) Or 2699 R -value [0] St'n of 7-10 Standard - SG None 0 -25 or -24 to 0410 -4 to +6 to 16 or SEER lett -15 •6 iS 415 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5- -4 -3 ,. r . 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 =�1 120 15 13 11 9 7 5 13.0 20 .17 .1 14 12 9 6 MY. 90% a ESellive SEER 100% 105% 110% 115% 120% 125`, Of/* 0 (SEER xduct efiiclency) 0.4 0.6 0.8 a -,.n of 7-10 1.3 1.5 Effective -25 or -24 to -1410 .410 46 to 16 or SEER less -15 -6 +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 4 -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 0.6 ' 10.0 22 19 16 13 _ 10 7 2 11.0 26 23 19 15 12 8 3.S 120 30 26 22 18 14 9 5 i 13.0 33 29 24 20 15 10 0.9 1.1 Zonal Control Adjustment 1.6 .1.8 2 2.2 10 8 7 6 4 3 3.5 3.7 No Cooling System Installed 4.1 4.3 4.5. Stories 4.9 5.1 5.3 5.6 5.8 One -5 -4 -4 -3 -2 -2 Two + 3 3 .; 2 2 2 1 Interior Mass/CFA t rric 2 MSS ;199 or 2700 R-val a [38J U -value [0.030] OI to R -v e [ 11] U -value [0.098] OI Type R -value [ 19] U -value [0.037] Or 2699 R -value [0] F2 factor [0.77] Standard - SG None 0 1,1 0 -0.., 0 a. North REA TYPE 1 MASS AREA- tt.�•utK•..21 Solar 12 '' 8 • 6 5 .0 4 b. East • t TYTE I MASS (UINC • 4.2, le: exposed slab) 4 3 3 WSB 5 3 Ic.[vet.d •f.bl 2 '' 2 C. South POU ---37 -o�- -18 -15 -12 Solar 1 1 0 0 e. Skylight 0% 6% 10% 15% 20% 25% 30% 35% 40% 4S% 50% SS% 60% 651A 70% 75% 80% MY. 90% 95% 100% 105% 110% 115% 120% 125`, Of/* 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.6 5.. 5.3 IU% U.2 U.4 U.b U.8 1 1.2 1.4 1.5 I.V 2.1 Z3 2.5 2.1 2.9 3.1 3.3 3.5 3.1 4 4.2 4.4 4.6 1.8 S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.S 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 2.4 26 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 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.8 3 3.2 3.4 3.6 9.8 4 ` 4.3 •43 4.7 4.9 5.1 5.3 55 5.7 5.9 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 S.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 .1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 S.3 5.6 $.8- 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 23 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 S.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 1 4.3 4.5 '4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 • 70% 1.2 1.4 1.6 1.8 2 22 2S 27 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 6.2 64 7S% 1.3 1.5 1.7 1.9 21 2.3 2S 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 33 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 85Y. 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 54 5.6 5.9 6.1 6.3 65 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53- 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 6.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5. 28 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 10S%- 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.8 7 110Y. 1.9 2.1 2.3 2.5 27 29 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 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.0 4.1 4.3 4.5 4.7 4.9 5.1 S.3 S.S 5.7 5.9 6.2 6.4 As 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 S.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 2.S 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 S.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. -Slab Edge Insulation S. Infiltration Single -Family Oetached and Attached 6. Glass Heat Loss Measures ;199 or 2700 R-val a [38J U -value [0.030] OI to R -v e [ 11] U -value [0.098] OI Type R -value [ 19] U -value [0.037] Or 2699 R -value [0] F2 factor [0.77] Standard - SG Unit Size fen Type [double] Water ;199 1200'.-1700 t 2200 2700 7. Shading (Shade Open) Heater U -edit : or 10 to to -or- - Type Type less:�1699 X .2199 2699 more x - SG None 0 1,1 0 -0.., 0 a. North REA TYPE 1 MASS AREA- or Solar 12 '' 8 • 6 5 .0 4 b. East HP -HWR 8 5 4 3 3 WSB 5 3 3 2 '' 2 C. South POU ---37 -24 -18 -15 -12 Solar 1 1 0 0 e. Skylight HWR -18 -12 -9 -7 3 WSB._. -25 POU . -13^12. -16 - -12 -9 -10" -77 -8 -6 8. Shading (Shade Closed) IG None.. =5 3 2 2 2 Solar ', 7_' _:-.5 - - --4 3 2 a. North POU. - 3 2 1 1 1 IE None -28 -19 -14 '-11' -9 b. East Solar 8 POU -10 1 -6 4 -5 3 -4 3- _3 _ C. 'South Mutts -Family (individual units) d. West -" Unfi Size (se. Skylight Water 699 700 .12M 1700 2200 T�_ype___Ter ayp�"e_ less 11199 /o 21e9__mo a 9. Interior Thermal Mass SG None 0 0 0 0 0 or Solar 14 7 5 4. 3 10. Exterior Wall Mass -- HP... HWR ;9 , _ ; ._ 5 3 2' ...-.'2 . WSB T 9 . �4' ' 3 - E2' .2' i [ POU,_ 9 Nom --'-45 5 .3 2 2 11. Heating System SE Solar :. 2. 23 1 -15 1 , -11 0 -9 0 Zonal Control? ( Y / N ) HWR -,--23 -12 -8 -6...:-5_ WSB -25 -13 -8 4 - -5 . , 12. Cooling System Pou -23 -12 8 . _._ 6 =5.: ,. IG -,-None,,.-8 -4 -3 -2 -2 Zonal Control? ( Y / N ) i- Solar ,:1 6 . Pou: 1 . 3 0_� . 2 o 1 0 1 0 13. Water Heating None 30 -15 10 ' 8 -6 IF, Solar`18 9 6 4 4 POU .8 E -4 -3 -2 -2 U -value [0.65] % Total Glass [ 16] Point Scores . r 0 Sum 1.6 % Glass SC Eff. % Glass oZ. as -- x . 7 7 . (e Q . 1 x = .2. � Q y x = Glass SC 'Eff. %-Glass - Exterior Wall Mass ND . L R AREA �- x x / _. / %7-.,,:;L- - -- X Dud Efficiency 10.781 Effective SE or �- x - n" x x = X. SEER [9.51 Duct Efficiency 10.741 Effective SEER 17.031 REA TYPE 1 MASS AREA- Type [SG1 Credit [none) COND. FLOOR AREA COND. Point Total:. Intenor N`�ss/CFA TYPE 2 MASS AREA.= $ Exterior Wall Mass ND . L R AREA Sum 7-100ate x / _. / %7-.,,:;L- - L SE or HSPF Dud Efficiency 10.781 Effective SE or [0.7ZI6.6] HSPF [0.5!/5.151 n" x x = SEER [9.51 Duct Efficiency 10.741 Effective SEER 17.031 Type [SG1 Credit [none) Point Total:. Certificate of Compliance; Residential Climate Zone 11 Prnlarf'rido n 1 9 _ !2 i 24!5; Component Insulation Slab Edge ..... GLAZING Glazing L lcation/Comments (attic. -to garage, t_,rpirnl. etc.) �5 Shading Devices Area Glass Type Interior . Exterior Overhang Framing Type North ( ) ,3a Z)s&_ North ( ) East ( ) East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS . Type/Covering Area Thickness (stab/exposed, tile, etc.) (sf) (inches) Location(Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnam. air -Efficiency Location Duct Output Manufactwler / Model # ,;,• conditioner, heat pump) (SE, SEER.HSPF) * (attic, etc.) R -Value (Btuh) (or approved equal) �t Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, eta.) Capacity (or approved equal) Special Feature(s) 5ge SPECIAL FEATUREWREMARKS (Add extra sheets if necessary) _r s Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain tlesE measures regardless of the compliance A. approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noel shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • 62.5352(a): Minimum ceiling insulation R-19 weighted average. 12.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to exterior mass walls). 12.5352(k): Slab edge insulation . water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pertNunch. §2-5311: Insulation specified or installedmoets California Energy Commission (CEC) quality standards Indicate type and forth. §2.5352(f): vapor barriers mandatory in Climate Tones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls - a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed §2.5352(e): Special infiltration barrier insulted to comply with 12-5351 mom CEC quality standards. 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment siring: utach calculations. 62-5352(h) and 2-5315: Setback thertr osm on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faseas 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 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return do recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model dumber. COMPLIANCE STATEMENT This cerdficde of compliance lists the buldiag feattiM ad performance specifications needed to Comply with Title 24. Chapter 2-53 and Title 20.0taptrrr2. subchapter4. Article 1 of the Califomia Administrative code. This certificate has been signed by the individual with overall desiP tespontt'bility and the building owner. who shall retain a copy of it and transmit the certificate tD any subsequent purchaser of the building. Designer Name: TitkJFinn: Address: t'l Telephone: - F L(siputum) (date) y_ Documentation Author Name: ~ TitWFum: Address: Building Owner Name: _ - TitkJFum: . Address: Telephone (signatum) (date) ' Enforcement Agency Name: Agawr_ Tekphorte: Butte County Building Division MANUFACTURED HOui= aUPPORT DATA �7 a.P.#. T ownees name: KOC ��� `� Manufacture Year: Flome Manufacturer: Model Number /Name: Width: (ft.) Length:(ftl FOOTINGS: Wood - pressure treated or foundation gradeMOther:[ ] / SUPPORTS: Concrete block KOther:[ L -- Provide m anufacturees installation manual, support blocking requirements and state approved or engineered foundation or tie clown system specifications. Pier footing Sizes and Locations SINGLE WIDE__r Line 1 ------ ------------- 1 ---------- Line 1 Line 2 Section Line 2 Section -- ----� Line 3 Line 1 '----►----------- --------------------- — --- – ------------ Section 2 - 'L---------------------- Line 2 A---" Line 4 (triple wide only) ----- --------------- ---------------- Line 2 Section 3 Snow Load: _ psf Line 1Plers Minimum size piers: [ ] X Snow Load requirements may be obtained at Ihttp://v4ww.upstate-ca.c:o m/butte/butte county/ Spacing maximum: Insert AP #, view snow load in lower right corner. From ends maximum: Line 2 Piers:X ] Line 1 Ocienincas: Minimum size pier: [c-`� ] X [ a � ] Minimum size piers: [ ] [a� Required at each side of openings over Spacing maximum: wide. From ends maximum: Line 3 Roof Loads: (� x mum size piers: v� x � Mini P a , �1!9 Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads Minimum size piers: Location (from front): EEO Minimum size piers: Location (continued): -4„_--5'=4"---ig°-�° --}— i6' - 5' 4"--—--g'.-�'------ I i 7 } Li VO ~ �UI fEO 66 4 a Ij 3 pp� $aD 347D g OPT MSP V i i c yl --.#'—$'�—�--•lei'----�------ — �;}'—.R'- € 35 24-$ f�.� �8' ��?8 VOL. 1 _ ria+tea w SEC. ILL 30# CENTERLINE SUPPORTREQUIREMENTS DRAWN BY VM THIS SKET IS 10 BE 4NSFRTEd VAT4- SUPPLEMENT IO FIED 1i4SiALLATION MANUAL FOR ROTF ZONE SA9QWi-OACI SEE ABOVE PRINT FOR LOAD- RECUtREMENTS AND LOCATIONS. 30t ROOF ep LPT LOAD IMODULE FOOTING FW_1PTH SPACING 111 1011 61-011 12' 10" 6'-'0" 131- 611 0" 31'- 1011 51-011 51-'011 4 r in 41 All % A. Q *.7 W of In Place Cone. fig. 12 to Aft. 0, Foote or Deep J.40olle. 4's When 6 Fig.- Co us Feat . lhq 'Sit Chart ..k ntinuo 4F Ty�.� 7� Ty j p Ii Used' Not r--!- at Supbar4mayHolvo fooNave 1.2 01111sci Of 3 Pitts w/ 4 X4 Depending On Load 20" Sq. 2 Varies See Chart oupporT5— 11 7 X 71 ..a 2j," Round 2441 Round See Chart All. Aft Alt. 12 Wide x 6". 12. Wide It 6 Deep Cbsittifyous Deep Continuous (Parallel w/Chosslis (Parallel w/Chassis LLJ I -Beam) w/2 -#41s I -Boom) W/2 -*411 C L J 8 LAJ E I#tonce 12. D '13 an hv�e 7. 0 C SECTION D-0 0 1 1 1 , ALT. CHASSIS AND mRIDGE BEAM SUPPORTS MULTIPLE RIDGE BEAM'SUPPORTS ce 10 Distance 9 Dist' Dista Aj D Ist once I I Distan' HItch End .'n.t-s- nits. V (K) M.. r 4) Existing Ext8IdIng--"_ jej.. Lo e(,qP. POAS Fig J,91,6f "ll C* Floor Ist Floor MaIll. L I Anchor Bolts: 8d al 6"O.C. /00� CZ Alt Y/iS,%min.) 1 004) Endwall Anch6r-Bolt Chart' -Ridge Be in Trim For�' Number Of Bolt s Req'd. supp orts - C. Aloa'o Endwall PT I L - 2x4 Olk-9.(Wben Necessoryl; See. Chart F7 Tml Fold Intall Hardlpennel, Perimeter Of '*��2%4 Top Plata -Nall io 81k1g. or Nall to Rim 401st W/160 of 15 O.C. Ply"Wd" 6 n. >0 CA C C opt 318" IMIn') APA Rated Double� Wide Rim JbIst w/I6d of WO.C.- LAM Ply'wd.SheathIno 8d's (Gahr.) @12" b.C. 2 x 4 Pressure 'Treated Foundation Grade Z�sNall'W/Gd's 0 G" O.C. Edges Panywoll-2x4's of 16 04 8d's (Gahr.) @ 6" O.0 - 0" O.C. Lumber, OM * W (See Press. Treated Lumber'Notes) 518"o X 10* A.B. it 8' L_J I ir 127'0,C. Field W/ 2" 04-- . (Studso o.c.) x2"x3116* Washor I' "Wb. 8i 16d of 6"O.C. t 16", 2x4 AT. IL. -2"x 2"x 31T6 Washer- 7 B _TYOICGI Chassis Supports -.v - Ii Foundation Re y Units in Cone. Stem -Wall, Opt. HC8 �,/`Must N Pie Placed See Details J3 -e Not' - In 0 _-7-#f With 2y! 0 a m.cof Existing Sidlng,on� Install Z Sorcor Wood Endwalls cut 2" of I of fit trim. Repoli �/Sd at 6"O.C.. tntrat Not t # 6), UNLESS SIDINO IS HELD BACK (Set G' L It Vent > L 4 ji - - - - - - 'placement r Z _07 54. at - C�orne Ire - STANDARD OPTION. BACKML OPTION Typical Endw'00 Anchor, Bolts: A� �-81de­all'Ahchor* Bolt s: Provide Ventilation Of W 464 N Varies. set 1/2 x 10" A.B. at Varies' I Sq. Ft. Per Each 150 See. Endwall Anchor Solt Chart'For Number Of Bolts feet May Or &ay'hot 16 0 o.c., (max.) Offiet*.'May' Or" May Not Sq. Ff. Of Undeffloor SIDEWALL CLOSURE OPTIONS Roqld. Along Endwall Occur DependiligOn Made!!) Occur Depbndin On Model) Ardo n4ts4 9 7his', Foundtit[on' Plan ts For All IF HOAIZONTAG LAP SIDING IS TO. BE INSTALL M. ON THE FOUNDAT*ION WOOD PONY WALL FRAMINGt- AN UNDERLAYMENT Or MINIMUM 3181- APA floor M0111. -e floor Jolst -b"61 "'Wide'- Triple' Wid RATED SH ' IR' l, 24/0',f EXPOSURE 1,, SHALL EVIRST BE INSTALLED 6 e EATH G AND FA�TENEQ'TO THE 8TUDS AND PLA*TES 'M SF40M -IN'THE DETAILS I Z9 or -or Wood . Trim N -DATION-,. HEREON.� - SAID SHEATHING SHALL BE. I ,Sol Note allow I yu PLAN' NSTALLE6 ON E.NTIRE PERIMETER " ! . I .4, . .. . . 1. . I . .. . _. . ... 4 1 �1, V , I FOUNDATION WALLs, ad al 4"O.C. r El 1 4 Lj dd Al I I Chalets (mlntlt, On. N.T. S. AT ALL Uwap HONIES OVER. a Install: net IN LESTOTH, SBEA1 opt. (Min.1 APA Ftated�_� 2 ot 4 Top 1`1014,11011, it/164,61 16'O.C. BMWs (Q - 6.0 ly 12 3F STUDS OR, te: wd. 9heathing Od's (GaIv.) 0 4-0 C End Wall Anchor Bolts for Winci Loading Ply- ;lD9 F)ACE No' 2 x 4 RT. 6111 Olaf i UNDERLAy �M EXTERIOR Nall W/Bd's Ca 4" O.C. Edges - 618*0 x 10" A.B. 2 x 4 Pressure PRESSURE TREATED 80 MPH. EXP. d and Roof SnovArloads r * ' * .1 1 1 1 _ .. Cone. a sm Wolli Treated Foundation Grd. Lumber,00ww & "O.C. Field. I Alt. H.C.G. Rldg6 'Beam Loads And.Distdnces To Support Locititions'. Are Obtained From -IARDBO,ARDISIDING WITH3181" 2'x 2*x Via" Wagher le� Less Than 36 PSF r-105, (See Press. Treated Lumber Notesi(Studs at 16' o.c.) See Endwall LUMBER NOTES: The Manufactured Home Soon Chart. 4 flooloor coroll.1wh4ft kc.a. treat Where lumber is cut of ter ment,. the cut surface, shot I'be brush-coatdd with not less than - 3. percent solution of 4he some preserv- ative -used:in the original treatme!nt-, or shall be field -treated in.cofiformance with AWPA standard M4-80..using*a 5% solOtIon*of lientochlorophenoll Copper, naphthenate containing a min. of a 2% copper metal, a 3%'solution:of ACA', CCA 6 A 0 dl* Length, ofHome No. of 518" diam. x 1WI A.B. W/2!' x 2!' x3116" Vqasher 40 6 50 7 60 9 .70 .10 80 12 'M.D. M � Anchor Solt 121 gwr- to Used) 2"x 2!x 3116" Wasfier, EXP. I. N[AIL i�/ 6d @ 411 O.C. h C anFor Sea Anchor Bolt Chart bolts AT ALL Nor No. Of Bolts 'M SUPPORT LOCATI. NS RIDGE'BEA Required is� . . —1 - Root'd. I i . MODEL _j REAR F E, D A F'RONT 94 RtbarV&tl.ol-45"6.C.(Wh*nKr..Di Is Used) cut 2" oil eollom 61 4 Reber Conil. DIST. Ust. Sidine And Install W Z Bar br . ood Ttim. RIDGE BEAM -SUPPORT Allow. $oil R nail w/8d of 4 O.C. LOAD (See ?lots 0 6) V FOOTING SIZE I . - . I . __ 31 1 4 "", J FTG. ...STANDARD. FOUNDATION READY - OPTION* BACKFIL� - FOUNDATION READY OPTION �4 H' G. kONT REAR L i 710"10 We It OF Q 0 -to solution 91 RAP or P.S AC or creosote in confo ot Mait. spacIn of Anchor Bolts Is 6', W, O.C. AD - LO 9 C rM0nce with AWPA 1000 PSF 1006. 1500 DIST. standard M4780 paragraph L511. En wai Atich 2- -i4!l 12, X24 d I or Bolts for Roof SnoWoads go 15ia td&x LOAD 3,000 4# . - -T1 ..... floor 1,6111. 'Over 36 PSF and to 86 PSF Max 4—s. '18 x 2 2! Poo, Pla -4,000 sqi 4 1: TrI floor 40isl A0 A% fasteners shall be stainless steel or hot!?dipp6d galvanized,-, Hot -dipped nails shall -fino I' fo be coated of ter. manufacture 'to their rm, -,.includin4 pointing, heading, threading or twisting- as ooplicable.. 'Eledtrogolvanized . or mechanically plated- nails or staples'. and hot — dipped zinc -coated staples shall -not be permitted., Stbples-- where'permitted under this report, shall be. stainless steel types 304 A -A. ."Air. el- I- � at.— , A let Length of Home No.'of 6/Vt dlarn.)t 10" A.B. W/2n, x 2". x3/16" Wisher 40 so 60 70 80 24 Z - 6" Dla 1�,000 24"i 32 2 But or Wood T1 111 Z _97 D19 384 Halo 116104. 317 Oil Dia 61000 24"06". 24"x2* 2 Mile. it IVO-C-'Alloth to Chd' 8 of 4"04; VIP .4.. Ufa HOWS OVER , - - . 1 (1) 6" fit." qGTH, SHE.A:M if . I - -��t I . I 8,000 32"x 3 0 FEET IN LE) -,- "Imin. Dist 51 DISC 4 -Dist 3 Dist.'2' Dlit I ATALLMFG, (Mir. , '7,000'.' 28"x36' ad at If'o.c. , 6 V� thick 3 2 4 "x 32" Field Install: Hardpannel TV CUP Hl;f40i!r- 2j PT. I T - 5"' Diet 91000 2 4 x—, Opt. 318" IMIn.1 APA Rated -I top Plots AIjachi2'j*IO $.T.S. Ply,�W.di: INSIDE FACE OF STUDS OR Jr -1 Ply'wd..Sheathing 2 a 4-& at 16'04 T.; 7" Dial 9-- Q vrga vor ll� W110 A VAI 19,000 '36" '05, (ALLV.) I If"A.Fi x 4 0"' id"i 36" I -j . . . . . _�-244 P 31 Nall W/Od's @ 4" O.C. Edges T. $;It Plate UNDERLAy EXTERIOR 0 -9" Dia, 11()00 4 Di' I .. . I I . . 0. x44" I `-­� `4 llsbot 06WIA - 'tic filpmA.A.- 9i 12 " OC. Field. Cone. Slern Will. All. it". -HARDBOARD §IDING WITH 3/8 - F, 36" 36"X39- DBOARD to 2 x 4 Pressure Trboted Foundation Grd. Lumber, 0.40 VF St 9 b/8" 'X 10" A.B;'& APA RATtD 8 A ING 24/0, V.. 4 - a biit.� 10 Ist 8'. Dist. 7 95-11TS(See 'Preis, Treated Lumber t4oies)(Studs at 16" o.c.) _1'1 DI l2poo 36"'x 48' 1 32-06" !'Ditt 12 D D* Hitch End T - N A I'll 17/ A41M Ail n I" w A i (1� LAN tiz _ : -:-:- :- --: ----: ----------------- ---------=---------- - --- _ - - --- ----------- ----- -- -- .----------- ------=L...._ ............ .- - : . - z - ... - - ;,- — _ : : - • .......... : ---------------- n Pre : : fioo� i;ou. ty . G •- :Alt I o • : : : : : : : �Ir in S rre strlw�ctur LI - _...._ es.one»t --= ..-- : : : rb eav ................--....:_ ..... - - • . -- . mb t : . -- --- - Fet�ly enelosed,�onc9 - - - - � eat`aon of leases/debris •� h -- _. rum,--- . .. nt ao e. , ..... -_ ............ nsiopy - --- -� -- - r ide . . ,muni : : Ctw!ite _ : norieot; ala rrsx:�a ...---..;__... t- -- ' ren - .. 7 ► - - . Ave... = = _: ....._.._._ and _..... :...._.:_.... - = = _..... = =• : ............ ..------• ... r r `..: • i � I - : ................ :._.._.:.. .. :.. _.- . : L •---• --•--•-----•-•--._.:cam-.._: Tip+: - - - d o - C�� e : : C� . : - 1C1 _ =r t g - •-------.............................. ......•-=--•. . . . . a=_ -- - vk -. � -: •-------••-------------,_....-.-----:--•-•-:-•-•--- ...... � •--..:...._....... -... -- I N G AT EXTERIOR •-•-------•- ---......--- • . - --- -�l� - " LAND - '.... SdAA I : - - [DOORS SHALL COMPLY C� _ `•� : : : : WITH CBC SECTIONS : ,. : .....:........ 1003.3.1.7 :. :.. ...................... .. .. C� - _ ... : = : :.. :.. = - - ._...._----..:.....------= ------ ----- -- - - . PR VAL Nz 511111111,110 - - NOTE ISG:: _....:__ _-:--------•--- .............:-----..........: : SITE �P P ._-__ ONDITIONS ' IG: - PaI . -- : -- - : - :....--:--.._.------ ------ -..... :------•-------_ - Oihsi` _... _ ....: ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE A SER AN SHOWN H APPROVED CONDITIONS RE OBSERVED D NOT S O ON THE A ................ --• -� - - - - - _ - _ - P S. = LAN ig!`tuiv�` .. _� • EXCESSIVE SLOPES -............,?J ------------------------------------------------------------ . ...........................EXPANSIVE SGILS • EXCESSIVE CUTS OR FILLS :...._�__.... o .............,... ...... _ :.... ALTERATIONS ------.. .�TO NATURAL DRAINAGE -• -- -- .. --- • - -- i : OTHER UNUSUAL SOIL OR GEOGRAPHICAL I :: c : ;.- .. a CONDITIONS----•-=--•---------------........------------=----- -------------- :_....--- -�............ .................... •- -- -- -- -- .. .................. -- ............ : : -------------- --••-=.. . . __•• . .................... .................... .. = = {�i,f- -=- • = --- = j .------------ ---- Assessor's Parce umber. " — z o v T i o # --1 L�� PROVIDE FOR ALL ©0 .Q - a 0 0 a /� scale: 1 - a2� F FOR BUIt_DIIVG Owner Name Zoning: PERMIT t3�1 ADJACENT PARCELS c o g ASSESSOR'S � � � SIZE (AC): Address / Phone No. i6%",tw. Yo gZ2o* A/a�I-zf�9� a o General Plan Desig: PARCEL# - iI ZONING: PL GEN �, - ---- —_-AN: Site Lo� cation ;: c - - - -- - BUD CALIFORNIA CODE OF I`*" Contact `Name --•.� r Phone a, REGULATIONS TITLE 25 7 117=5 ill M! 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