Loading...
HomeMy WebLinkAbout073-120-028n -`" AP 73-12-28 \ James H. Babbe , . e/s of private road approx. 1200' off n/s Forbestown Rd. approx. 2/10 mi. "`"y073 -1f20-028 PERMIT#95-,05AG F NW of Black,Bart Road (before Black WOLNY; CAROL , Bart Rd.), Oroville "-70 REBIE.WAY, OROVILLE Pfiit 14 4-��B,P,E (NEW SF) AG EXEMPT PERMIT -PIGS FOOD & SUPP nd , �. _..._ B07-0260 - - .073-120-028 73=12-28 ` 3 J _ MISCELLANEOUS Ag Exempt ; mit #6442-78B (inst , cl,-ss A AG BUILDING - TRACTORS AND FEE ove) 'NSF .�p�% «�-\ 70 REBIE WAY I -.--- WOLNY, CAROL B REVOCABLE T 073-12=0-028 ` 94-2216 B WALNY,, Carol 70 Rebie. Way, Oroville B07-0809 073-120-028 Y 1 (woodburnin stove)SF . g /I//i by MISCELLANEOUS Private Garage/Shop DETACHED GARAGE/SHOP/STORAG 073-120-028 PERMIT#95-0082 70 REBIE WAY WOLNY, CAROL RON KENDRICK &CAROL WOLNY RE 70 REBIE WAY, OROVILLE 11 ADD OPEN DECK/SF a � 1 073-120'028 PERMIT#95-0733 WNY, Carol 70 �bie Ilay, Oroville Cont;obert Ward, Add'1 F to Bathrm & wall in garage - 073 -120-02 PERMIT#95-1520 I WOLNY, Carol 70 Rebie Way, roville iV40 g� f Cont: Robert Wa �� 9 Add'1 Ftg for B #95-733 073-,120-028 PERMIT#96-1880 WOLNI'; Caro 70 Rebie Wa Oroville Cont: Rob t Ward 1st Rene al BP#95-0733 & 95-1520 073=�20-028 PERMIT#97-1682 WO Y, Carol` t 7 Rebie Way,.Or,oville 1 Cont: Robert Ward ; 2nd Renewal BP#95-0733 & 95-1520 073-120-028 24 WOLNY, CAROI, - INA 70 REBIE-WY;'OROVILLE CONT: OWNER ' REPLACE DECK/ROOF COV 7+ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES , BUILD _ 1ING 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 Contractor Applicant: PROJECT INFORMATION RON KENDRICK & CAROL WOLNY RE Site Address: 70 REBIE WAY 70 REBIE WAY Owner: Permit No: B07-0809 APN: 073-120-028 Other Porch/Patio Total RON KENDRICK & CAROL WO (530)589-3215 Permit type: MISCELLANEOUS FEE'INFORMATION ' 70 REBIE WAY, Issued Date: 05/23/2007 By TMP Subtype: Private Garage/Shop DBFH;tE Fire Inspection (SRA) R OROVILLE, CA 95966 Expiration Date: 05/22/2008 Description: DETACHED GARAGE/SHOP/STOR . (530) 589-3215 Occupancy: Zoning: U Contractor Applicant: Square Footage: RON KENDRICK & CAROL WOLNY RE RON KENDRICK & CAROL V Building Garage Remdl/Addn 70 REBIE WAY 70 REBIE WAY 1,152 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)589-3215 (530)589-3215 1,152. FEE'INFORMATION ' DBEH Building Review Fee $75.70 DBF GARAGE -Wood Frame Plan Che $318.94 DBFH;tE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Garage Wood Frame $428.92 / DBOMSCF Fire Safe Standards Re $109.98 DBSMIP Residential $2.76 Total Charged: $1,141.70 Fees Paid: $1,141.70 LICENSED CONTRACTOR'S DECLARATION . ' Contractor (Name) ' • State Contractors License No. / Class / Expires RON KENDRICK & CAROL WO / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 05/23/2007 Contractor's Signature Date - " WORKERS' COMPENSATION DECLARATION y .. 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: Policy Number: Exp. Date: (This section need not be competed if the permit is or one r� llars ($100) or ass. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I s not employ any person in any manner so as to become subject to the Workers' CompensVibn jaws of Californiq and agree that if I should become subject to the workers' compenson rovisions of Son 3700 of the Labor Code, I shall forthwith comply with those X 05/23/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML 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 ATTORNEY'S FEES. t_ 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 Balance Due: $0.00 Receipt No: • B3198 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 the following: ❑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 lr! the purpose of sale.). 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 Contractor's License Law.). ❑ I AM ExEf/ under B. & P.C. for this 05/23/2007 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, indemnity, 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop er or am authooze50act on the property onor' ehalf. 05/23/2007 joOwner ❑ Contractor OR; DAgent for Owner aAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION � V AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 , FEE ,i II BE REQUIRED AT TIME OFAPPLICATION C&Z'0 1 G\11 ebsite: www.buttecounty.net/dds � � d PLEASE PRINT CLEARLY" OWNEW INFORMATION Last Name ` C/ ust Nam�.A�� !lett Address d &X06145 , I I City t 4::t State C� Zi Phone 30 ,S , Fax E-mail APPLICANT INFORMATION CONTRACTOR Name � L Address 0'92-944 City Fax State Zip Phone Address Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECTIENGINEER Name City /J7 Address 0'92-944 City Fax State Zip Phone Address Fax E-mail State License Number APPLICANT INFORMATION Name,-17> C�maE' fC� Address /%d ��/3�L� �iL/•�' City /J7 .State A tT 0'92-944 Phone 3, Fax E-mail LICANT SIGNATURE X For office use only: Zoning Flood Zone I S Yes.2 No Occ. I Typ6 Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. S)d�' 6�( BIN # 11 PROJECT LOCATION AP#0713-1 F a 12.1 0�2 Property Address C' Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descri ion or Scope of Work: Sq FT- Living Open Cov 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 Received by: ount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-10-06 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of,the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT; RNO) 2. / "HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO_ 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DETACHED GARAGE/SHOP/STORAGE (1152) Reference Number: B07-0809 Applicant Name: RON KENDRICKK% CAR9ZWOLNY RE Owner's Name: RON KENDR C.I� &� L WOLNY RE AP # : 073-120-028 Signature of Property Owner: i _ Date: 4 O�.0 may\ -?/ C,/Z- .e BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0809 Job Address: 70 REBIE WAY Contractor: RON KENDRICK & CAROL WOLNY RE 70 REBIE WAY OROVI-LLE, CA 95966 Printed: 04/17/2007 . 10:10 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 04/17/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $109.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 04/17/2007 $102.70 DBMSC Garage Wood Frame 0010-440001-4210500-1010 $428.92 DBF GARAGE -Wood Frame Plan Che 0010-440001-4210500-1010 $318.94 04/17/2007 $318.94 DBSMIP Residential 1001-0-280-1011298 $2.76 19141.70 $497.34 Printed By: Karen Jones Balance Due: $644.36 At the time of permilaz, was advise the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 04/17/2007 Pursuant to Government 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(a). Butte County Department. of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 'S45�y� �liY'Ffiff ��� S circ vvc'� 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: B07-0809 Date: 04/17/2007 Location: 70 REBIE WAY By: KEJ Parcel Number: 073-120-028 Sub Type: Private Garage/Shop Owner Name: RON KENDRICK & CAROL WOLNY RE Phone: (530) 589-3215 Description: DETACHED GARAGE/SHOP/STORAGE (1152) 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 apply for 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. Signed: Title: FILE Date: 04/17/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 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: • Make sure your application is complete. • 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 hitp:Hmunicipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0809 Location: 70 REBIE WAY Parcel Number: 073-120-028 Owner Name: RON KENDRICK & CAROL WOLNY RE Description: DETACHED GARA(f /SHOP/S)PbRAGE Signature of Property FILE 152) Date: 04/17/2007 Phone: (530) 589-3215 Date: 04/17/2007 BUTTE COUNTY( 3 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - X 4/16/2007 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION . I 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; Cartier: Policy Number: , Exp. (This section need not be competed if the permit is or one ne unrTredollars I CERTIFY THAT INT PERFO NCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not toy any rson in any manner so as to become subject to the Workers' Compensation I o f Califa, and agree that if I should become subject to the workers' ation- compensisigns ection 3700 of the Labor Code, 1 shall forthwith comply with those X / 4/16/2007 Sign6ture Date WARNING: 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 ATTORNEY'S 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 Balance Due: $0.00 Receipt No: I 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 the following: AMOWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE PENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractofs 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 Contractor's License Law.). ❑ 1 AM EX T under Se of B. 8 P.C. for this reason: 4/16/2007 wner's Signatu 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 de lh, and property damage caused by, arising out of, or in any way connected with the issuance of permit. I h y acknowledge that issuance of this permit does not authorize the use or occu y of any si alk, street, or subsidewalk. I hereby authorize representatives of Butte County t er the b mentioned property for inspection purposes. I hereby certify that I am the P, a cone, oed to act on the property ownets behalf. .4/16/2007 Owner Contractor OR E]Agent for Owner ❑Agent for Contractor FILE COPY M PROJECT INFORMATION Site Address: 70 REBIE WAY Owner: Pe-nnit No: B07-0260 APN: 073-120-028 WOLNY, CAROL B REVOCABL Issued Date: 4/16/2007 - By GLB Permit type: MISCELLANEOUS 70 REBIE WAY Subtype: Ag Exempt OROVILLE, CA 95966 Expiration Date: 4/15/2008' Description: AG BUILDING - TRACTORS AND I Occupancy: Zoning: U Contractor Applicant: Square Footage: RON KENDRICK Building Garage Remdl/Addn PO BOX 177 FORBESTOWN, CA 95941 Other Porch/Patio Total (530)589-3215 ` FEE INFORMATION ti DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. - X 4/16/2007 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION . I 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; Cartier: Policy Number: , Exp. (This section need not be competed if the permit is or one ne unrTredollars I CERTIFY THAT INT PERFO NCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not toy any rson in any manner so as to become subject to the Workers' Compensation I o f Califa, and agree that if I should become subject to the workers' ation- compensisigns ection 3700 of the Labor Code, 1 shall forthwith comply with those X / 4/16/2007 Sign6ture Date WARNING: 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 ATTORNEY'S 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 Balance Due: $0.00 Receipt No: I 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 the following: AMOWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE PENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractofs 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 Contractor's License Law.). ❑ 1 AM EX T under Se of B. 8 P.C. for this reason: 4/16/2007 wner's Signatu 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 de lh, and property damage caused by, arising out of, or in any way connected with the issuance of permit. I h y acknowledge that issuance of this permit does not authorize the use or occu y of any si alk, street, or subsidewalk. I hereby authorize representatives of Butte County t er the b mentioned property for inspection purposes. I hereby certify that I am the P, a cone, oed to act on the property ownets behalf. .4/16/2007 Owner Contractor OR E]Agent for Owner ❑Agent for Contractor FILE COPY M 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 AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, feet from a manufactured home, and 23 feet from a commercial/industrial buildings InitialBuildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a Initials - residence and a manufactured home, and 40 feet from a commercial/Industrial buildings Site Address: 70 REBIE WAY Permit No: B07-0260 APN: 073-120-028 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: Permit Subtype: Ag Exempt Zoning: U Description: AG BUILDING - TRACTORS AND FEED Required Setbacks: Applicant: RON KENDRICK Front: 20' Side: 20' Rear: 20' PO BOX 177 Type of Construction: FORBESTOWNCA95941 (530) 589-3215 Type of Siding: Hardiplank Owner: WOLNY, CAROL B REVOCABLE T Est. Const. Cost: $ 0.00 70 REBIE WAY OROVILLE, CA 95966 Roof Covering: Compostion Floor Type: Dirt I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Buildin efinition. If any change in use or occupancy of the building is made, I will contact the Building Divisio d obt 'n the necessary permits, inspections and approvals to comply with the requirements in effect at t tipie d prior to occupancy. Signature of FILE COPY Date: 2/12/2007 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Name Last NamY' First Name Mailingddress TrQo Zip City State c� Zip 5 Phone 3 SLS Fax State License Number E-mail ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address Address State �! City e i; ` UI446— Stator _ �� , Z� Ge- � Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State �! Zip Phone Fax E-mail - n APPLICANT SIGNATURE X PERMIT NO. �6qr BIN # PROJECT LOCATION API 073 Property Address 1 v City /2W 6.,��G� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): I For office u e ly: Zoning Flood Zone SPA Occ. Ty e Const -�«,� al1zb�- 2V_1zZ 3,P/ Butte -County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA..75965 (530)538=7266 Telephone (530) 538-7.171'Fax www.liuttecounty.net/dds '�� f�nlop- � 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: B07-0260 Date: 02/12/2007 Location: 70 REBIE WAY By: GLB Parcel Number: 073-120-028 Sub Type: Ag Exempt Owner Name: WOLNY, CAROL B REVOCABLE T Phone: Description: AG BUILDING - TRACTORS AND FEED 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 apply for 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 resuyyb revocatign of grading and/or other permits or other santions provided by law. Signed: Title: 62�GU-,- FILE Date: 02/12/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 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://municir)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0260 Date: 02/12/2007 Location: 70 REBIE WAY Parcel Number: 073-120-028 Owner Name: WOLNY, CAROL B REV ABLE T Phone: Description: AG BUILDING - T ORS ANPIEED Signature of Property Owner: FILE Date: 02/12/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0260 Xe2/2007 Location: 70 REBIE WAY Parcel Number: 073-120-028 xempt Owner Name: WOLNY, CAROL B REVOCABLE T Description: AG BUILDING - TRACTORS AND FEED The above permit application has the following Clearances required prior to indicated below regarding specific requirements pertaining to your permit app Yes No ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ issuance. Please contact each department Thermalito Irrigation District, 410 Grand Avenu/Oroville95965-(530)533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 -0 City of Chico, 545 Vallombrosa, Chico CA 9592611 PARKS & RECRERICTS Chico Area Recreation District, 545 Vallombro , Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 idway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park Distr' t, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 S7yway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 3 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School Distri , 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School strict, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School Distri , 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School istrict, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Eleme ary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Uni High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise ified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Rec ded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: A Other: Signature of Property Owner: FILE Date: 02/12/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0260 Job Address: 70 REBIE WAY Contractor: Printed: 02/12/2007 9:42 am Fee Description Account Number Fee Amount Paid Date Pmt Amt D_ BOMSCF Ag Exemption Permit 0010-440001-4210500-1010 $109.98 02/12/2007 $109.98 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 02/12/2007 $75.70 Printed By: Gwyn Benedict 185.68 $185.68 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 02/12/2007 Pursuant to Government 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(a). --- CIL JL X ®•Ce ���a�° r NX 3, x 12. ISION 771 APPROI ED Owner: APN:©j , , -�"� ~ FILE COPY���� P P NIJ v 'RESIDENTIAL 073-120-028 `_. PERMIT#95-0733 WOLNY, Carol f 70 Rebie Way, Oroville Cont; Robert:Ward . I Add'l Ftg to Bathrm & wall in garage } r lS V v `i 4J } ++ Y JOB FINALEOMate' Signature A V 6 O=Not OK - =Not Applicable =Not Ready MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) S. Electricity; Locatlon-Clearencea-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance - Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 1 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch t 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectore-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm. Connectore Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Slis-Anchors-Studs-Rftre-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane I boards- Ins. to Mein In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fail -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation D_ ate/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: O.L.-1 OV QWR-BUILDER VERIFICATION Attention Property Owner: An "owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and retain 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. ` I personally plan to provide ro the jor labor and materials for construction of the proposed osed property. iovement : YES NO - ❑ 2I HAVEHAVE NOT ❑ signed an application for a building permit for the proposed work I have contractyd with the foll�o� g person (firm) to provide the proposed construction: ,.* ... . .. Al . ' M - ' ONE: 73DA— CONTRACTOR'S LICENSE NO. /i 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major wor}c NAMM J ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: S I-wifl-.praide-some f-the_wor-1-bort-I hav►-e-contacted-(himd)-the-foliowingper-sons-to-provide— the work indicated.: NAME ADDRESS, PHONE TYPE OF WORK GNED: PROP ERTYOWNER: DATE: NOTH: This Owner -Builder Vert 7mlon is requ&ed by Sectron 19831 and 19832 of the California Health and Safety Code. Tkis verification, must be completed and returned to our office before we are permitted to issue [Fie permit BU]E,DER INFORMATIrON Dear Property Owner. A u application for a budding permit has been submitted in your- name improvements specified. listing Yourse]f as Ste budder of property For your protection, you should be aware that as "owner-bm7der-Yon are the �pons5le party ofrecord on such a P� Budding P�re anot required to be signed property proPy owners unless they are personally own work. If your work is being performed by someone, other than ouhse P onally performing their Iiabdiiy if that person applies for the Y lg YOU May protect yourself from possible Prof pmhmit in his or her name. Contractors are req*ed by law to be licensed and bonded by the, State of California and to have a business license from the city or comity. They an also required bylaw to put their lic apply. ense number on all p=,,hits for which they Ifyou be aware of the �to do your own work w� the mon of various trades that yon plan to subcontract, yon should wing information far your benefit and protecfion: a If yon employ or offiM- M engage any persons other thaw your immediate famhiy, and the and owork (including materials other costs) is $300 or more for the entire prcj� and such persons are not licensed as contractors or subCOn tactors, then you may be an employer. ♦ If your are an emPloyw, you must register with. the State and Federal Govemenfs as an employer and subject to several obligations including state and federal ]ding, fedural socials 3'°u are income tau whfrho WO&M coMpice, disability insurance costs, and vnemPlayment compensation coon � ♦ Thome may be financial risks ' fou you if you do not cagy o»t these Obligations, with respect to workaes compensation wee, and these risks are especially serious ♦ Formore specific InInnabon. aboutyotr obligabnns under Fes, if yon wish, the U.S. Small Business . ca*act 1hE Infernal Revue Ser vice ice, State,, the D .. )-For mare sP'c information about your obligations under apartment of Paym�nfs and the Division of FndusUW Accidents. If Ste stxvctiae is intended for sale, property owners who are not licensed eontraot ors are allowed to perform their conditions. work personalty or through their own emP�Yees ► without a licensed contractor or subcontractor, only under limited A frequent practice of unlicensed persons professing m be yrs is to secure an row= budder" building permit, erroneously implying that the, property owner is providing his or bar own laborand permits are not required to be signed by property owner Lulus they are pig � � P ' Building in�about licensed COWmMns my be obtained by ccmtw g tieyrs State Li=sakppo ' all . your commun"y or at 1020 N Street; SacramN CA. 95814. Pease MML-% the BMB= Verification" on tie reverse side of Ibis fain so that we ern confirm that you are aware of these mature. The building PETInit will not be issued u no the veaifi cation is retuhmed. VOTE 17, Fr OWnff BaFdw1,fortrtatimt is required By Section .19na of &e CaFifort:ia HeaiBt urtd Safety Code nlrvin COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SEOICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Cenfer Drive, Oroville, CA - (916) �538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION- NOTICE CA - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte, County Ordinances exist at. the above address and should be corrected. Please notify this office when correction of work is completed. If u have any queii1oni'j;&taihiR'g to this matter, or need additional explanation, please conta this office immediately. I XP-1 4- L�.r -e e) j e V '-T' - - Date inspector REV 10/92 I '-j A-- A routine inspection indicates that the following violations of Butte County Ordinances exist at COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES, 1469 Humboldt Road, Chico, CA - (916) 891-2751 4�5 7 County Center Drive, Oroville, CA - (916) 538-7541 AT 747 Elliott Road, Paradise, CA - (916) 872-6307 REV 10/92 CORRECTION NOTICE�� -2 CA f- 3 -3 OWNER PERMIT NE .2 `Ni A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' CAP�r P) 6 � I - L C a -'1- 14, —'(- '40 0� 155 - V'j C.1 T -r r— 4 Date Inspector 4�5 REV 10/92 0 Insulation Certificate . _ p��o BUILDING OWNER,: tit_/ L-. � � BUILDING PERMIT #:? 7 / BUILDING LOCATION:6d� rtWe Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING Batt o BlaktT , Brand Name Thickn Thermal Resista_ nce (R -Value) Loose Fill Type Brmd Name . Contractor's minimum installed weightl . -: .lb Minimum thiclrness - inches . Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Thickness (inches) �.. RAISED FLOOR Material- Thickness (inches) - SLAB FLOOR -Thickness (inches) . Width (inches) FOUNDATION WALL Material- _ Thickness (inches) Declaration Brand Name eo Thermal Resistance (R -Value) Brand Name Thermal Resistance (R-Valuey ' " BrandName :..._ ... _.. Thermal Resistance (0, -Value) Brand Name Thermal Resistance (R -Value) . I hereby certify that the above insulation was installed in thebuilding at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in 7 itle 24 of the .. California Administrative Code. ;- General Contractor (Builder) Signature andTide Sub -Contractor'( anon Install Signature and Title License Number'-.-,: . . 9Daate�, - G(J.eJC�"' License N "" Date - THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 RESIDENTIAL 1 073-120-028 PERMIT#95-0082 I ' WOLNY, CAROL �1 70 REBIE WAY, OROVILLE ADD OPEN DECK/SF - i 2 - JOB JOB FINALED (Date) — Signature , � R dd'jY� o e • ', �1 '.�G� .. ....nae •:.z.•:' •.�; .. s `1 J=OK O = Not OKNot = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements " 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"U'ft. / /"Nat. or/ /'V'ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 { N MISCELLANEOUS Date DE OVERS, CARPORTS, GARAGES, (Plans)OK except #'s U qing Requirements -Setbacks -Easements Soi ls-Size-Depth-Spacing-Connectors-Steel Lof Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Da v f and N1 Date Card B-1 Dat Card B -N Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL,(; = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ------------ --- --------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------- --- -- ------------------- - _19. Shower Pan: Test. First Floor -Tub Access --- - - - - - - - - 20. Test -Tub & Shower, -Second Floor -Tub Access ------------------- ------- ----------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------ ----------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ir's 22. Fixture & Transformer Clearance -Ins. Protection ----------- --- -------------- --------------------------------- - -- 23. Dec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------- -- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------- ------------------------------------------------ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------ ----------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga. Cu or At --------------- -------------------------------------- -------------------------- - --- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- --------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------- --- --- -------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -- - --- -- - -- ---- - - - ----- ----- ------- 33. Smoke Detector --------------- ------------ ---- - -------------------------------------------------- Date ------------------------------------------------ Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------- ---- - --- ----------------------------- ------ - --------- 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - -------------------------------- 38. ----------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------- --------------- ------------- Date Card B-1Date Card B-1 ----------------- ------------------------------------------------ ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils, Proper Material & Anchors ------- ------- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------- - --- 41. Bearing Walls over Girders & Floor Nailing --------------- ----------------------------------------------------------- 42. Draft Stop in Walls (rat proof) -- --------------- ---------------------------------------------------- 43. Fire -.Stops: -Furred Ceilings -Stairs -Chases -Tub ------- -------------------------------------------- 44. Headers & Beam -Size & Bearing r ►ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings -------------------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ ----------------------- __ _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic --------------- ----------- -- - 58. Shear Walls; Nailing -Bolts ----- - 59. Insulation -Walls -Ceilings ------------ 60. Infiltration -Walls -Windows ------------------------ Date ________ --Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings --------------- 62. Smoke Detector - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------- ------------------ 64. Bedrom Exiting ---------------- o --------------- -- 65. _G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------------------- 67. Stags & Rails _ 68. Fireplace or Stove: Clearances -Hearth ------------- - ------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70 Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ------------------------------------- - --- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb. Elec. & Mech.Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------- --------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - - .. -------------------------------- 80. ------------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------------- - -------- - - --- 81.Stucco: ------ ------- --- 82. A.C. Unit: Disconnect, Electrical, Plumbing -- - - ------------------------------ -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ------ ------- 84. ----- 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec Trim: G.F.I. Receptacle -Underground - . - .. - .. - - --- ------------------------- ---- 86. Ventilation Throughout House .. -- -- ------------------------------------------- 87. Glass Protection --- --------------------------------------- 88. Corrections from Previous Inspections ------ ------- -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _ ..--.._ -------------•---------------- ---------- ___ _ ------ 90 . _90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates ------------------------------------------ --- -- Date Card B-1 Date Card B-1 ------------- ----------------------------- - --- Date Card B-1 Date Card B-1 ------- ---------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�� IIT No/ APPLICATION AND PERMIT c ASSESSOR PARCEL NUMBER 073-120-e28 u ZONING BUILDING PERMIT OWNER CAROL WOLNY TELEPHONE 589-3215 SQ, FT, OCC. BUILDING VALUATION —168 OWNEIYS MAILING ADDRESS 70 REBIE WY OROVILLE 95966 T ' UU CONTRACTOR'S NAME ROBERT WARD TELEPHONE . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 70 REBIE WAY PERMIT FEE $ 72.00 DROVILTE, CA 95966 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 }y� SF O" Duplex ❑ Mobilehome O 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 OX Remodel O Utilities O Installation C3Other O Describe Work: OPEN DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OV OR LESS Main Service I BO ) 200A OR LESS 23.00 Main Service I 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. I & ACC. SLOS. ) s0. 3.5C FT, CONTRACTORS LICENSE LAW I cl c a under penalty of perjury (check one) ,eX1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and cense is in full force and effec License No. o � Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ I.50 Ex. Occu FIXED APPWS. OR ) P• (OUTLETS (RESID.) EA. 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a C ificate of Consent to Self -insure. 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 $25, Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j gments, osts, and expenses which may in any way accrue again t said County i c ns que e f th gran g of this permit. X � � Date � � � 7 � Signature of Applicant - ❑ Owner ontractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 97.00 r� D. FEES "� IMP FLOOD X cDF PARCEL Po HD SSu This permit is hereb P y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _d [' By kvr v Date/ 2� PERMIT EXPIRES ONtq�: 9� Receipt No. 171095 WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT OF DEVELQP r5 A 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN4A ,,OWNER ' Proposed Building Use PERMIT APPLICATIO fa• DO/ MEhT.SERVICES -BUILDING DIVISION 9596,5 - TELEPHONE (916) 538-7541 DATA°SHEET A. P. No. ng 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, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees: ........................ �14*.�v.Sanitation Flood elevation letter (100 year flood by Cal'fprnia Engineer. ................. . and plot plan approval r ealth Department . ............ City of Chico plumbing permit ........ 16. Plot plan and business license approval from City of Biggs/Gridley. .......... • �" 17. Planning approval for (A) Use:. (B) Parking: 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ......... � 20. reqs esF Pre -inspection for required. .. to Bu m n'9 Impactor • (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 ............. / r 24. Recorded copy of Agricultural Acknowledgement Statement . ............ 25. Letter of signature authorization .......................................... / l_ e x:-2.6. Copy of recorded deed of parcel creation and 60 right of way to a public road. :. •'.. .$ M1n.?f •.. irkl vr't..27. L � - Letter {' etter of intent on building use. . . ....- 28. Mobilehome utility clearance . ...........................-............ ° ..,,. •.. + 29. Documentation of legal access . .....................: / 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. --. 31. Existing violations/expired permits. ...................................... 32. Plan check list. .............................................. . 33. 34. W�ou issue the per itgoce s as follows: Mail to owner. Mail to contractor. - Telephone'- and hold for pickup at office. Deliver with inspector. Other t '` Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). I 1. Index permit for above items No. M *' 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data.by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works % E.H. USE ONLY Pka Pbo Aftchad Ploor Plan Aftcheid TO: Building Department 3cmi to B.D. FROM: Environment al Health SUBJECT: Sanitation Clearance C— OA/to'-w 0 70 Rc6f*� Owner Location AP# Plan Approved for: Sewage Disposal — Water Supply: Public Private Well Clearance for bedi AIVIIII(.��Other lql y / c) 'D e---< Final clearance O.K. for: NOTE: Environmental Health 8/92 ate lk� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-12 ZONIN BUILDING PERMIT OWNER CAROL W TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS n 70 D WAY OROYME, 95960 CONTRACTOR'S NAME INN TELEPHONE INNER CONTRACTOR'S MAILING ADDRESS Fireplace t trAn 1,500,00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS In RESTE WAY PERMIT FEE $ 55.00 A PLUMBING PERMIT Filing Fee 20.00 Each Trap 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 SFO Duplex O Mobilehome ❑ Other SHOP 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 1:1Remodel O Utilities ❑ Installation ElOth r ❑ �fflw/' J Describe Work:QSr �f, I/e PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1OOV OR LESS ) 23.00 2GOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. , OR ADDNS. ( & ACC. OLDS. ) 3.50 FTg0. NEW CONST. MULTI -OUTLET NON•REs10. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or myemployees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup ( OFIXED APPWS. OR UTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a eee�tificate of Consent to Self -insure. 1 shall not employ anyperson 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. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ' c j��� �A X '"'"//l/l. f.� / i(,I ill�� Date (, �' Signature of Applicant - Vowner ❑ ftntractor ❑ Agent i An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 55.00 HAz. I D. FEES IMP I FLOOD I COF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work An paid. indicated above for which fees WDate PERMIT EXPIRES ON 8/8/95 /Dere/ Receipt 156499By WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVE;"1OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ER IT • APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 073-120-028 ZONING BUILDING PERMIT OWNER CAROL WALNY TELEPHONE 589-3215 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 70 REBTE WAY OROVILLE, 9596Q CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace ' -Alt 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 70 RERTE WAY PERMIT FEE $ 55.00 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 O Duplex ❑ Mobilehome ❑ Other SHOP SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New EIAddition O Remodel EIUtilities ❑ Installation O Oth r O Describe Work: U(/t�L`_ _ Rte) ye _ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11V OR LESS I 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.SO, OR ADDNS. ( 8 ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. FIXED APPLNS. OR Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Buil ing Division a Certificate of Workmen's Compensation Insurance or a ert(ticate 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 c sequence of the gr ng of this permit. XDatei� Signature tof Applicant - Ownerntractor ❑Agent An OSHA permit is required for xcavations 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 $ 55.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedabove for which as have n paid. By Date &hjo PERMIT EXPIRES ON 8/8/95 (Oe rel Receipt .156499 .D. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • COUP-ITY'OF BUTTE Department of Development 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. 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) Z., 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 Social Securit 'Number Date 155;(L 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. PERMIT NO. NO. 1424778B,PE PERMIT EXPIRES a OWNER James H. Babbe CONTR. owner LOCATION (A.P. ` 73-12-28 N.6WV.H /r1i/ W. drAl /cif/ MaVJ bW JW6/els/r W 11laW 1211/1/d lcdi/ W Y#)bh/" /B/afW lhldlJ,l hV0V1We/ E/S of private road appr ox. 1200' off NIS* Forbestown Rd. approx. 2/10 mi. NW of Black Bart Road (before Black Bart Road),Oroville H` a x. r' J r. •U� • Temp. Power Pole y, Called PG&E p " Temp Elea. Serv. ! 3 alled PG&E t.t.j- Tmp. Gas Serv. Called PG&E JOB FINALED (D G (Signature) Reinf. Steel Final 2, >0 Bond Beam FIRESPRINI Stucco Final \ Subpanels Mesh JA MECHANICAL Grd. Fault Prot. - 2AP-a Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts V Underground Idterlor Lath Ventilation i Permanent 'Door closer �� C.`J Final Final -% MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal ;411ater Piping Sewer Gas Piping MO§1 E= HOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -7 d' b,V T-� 14L-> T- pnaP I/! Ae6odc !0/, 7/7 Y © ?1W v! Af S F J, fi(• R OA -0 Ke rt CeT A pfd (0 Rgm0L)r-- t9cp TStOF FL Ll C' ;-x-.801 /Z / tt Cll-%- O/C ® P&✓1 O.C- RF -C,1 .fes dN 15I-A-nt® 4iAX- d4® J)tM.P-r S76 P 441- Yet, B& To? 830 rtaa 1 6#c� (i0outod AlecH Fog -sr. W Cv cI�OS to 61Wc_ AtP o,L ^x9,72AL. QeKRS . 7jW'Jr mF a(ct (D" 8/-7X/ ®cQTs� f>� UG S fr% b r�rN PtA i 1 T Fort- VOO©-p. %`O2 o (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - .DEPARTMENT OF PUBLIC WORKS -• BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - Firewall - >e>- Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings - Z'i Windows 1 O 3rd Floor Stemwal) - . Fj Siding To out Slab Roof Sheath n % Water Piping Piers Roofing l D Sewer Garage Fdn. Vents - CD' Fixtures - O '?Q , Footings Stemwa I I& ' % l Garage Vents Insulation Water Htr. Heaters - --go- Slab Carport Footings 'Prov. for physically handica ed Conformance of ex. structure Appliances - ).tom ` Gas Piping &Test Temp. Gas Slab Finals Sanitation Patio FIREPLACE Final Footinqs I Footina -ft, oz i iZ -44i1-- ELECTRICAL Reinf. Steel Final 2, >0 Bond Beam FIRESPRINI Stucco Final \ Subpanels Mesh JA MECHANICAL Grd. Fault Prot. - 2AP-a Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts V Underground Idterlor Lath Ventilation i Permanent 'Door closer �� C.`J Final Final -% MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal ;411ater Piping Sewer Gas Piping MO§1 E= HOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -7 d' b,V T-� 14L-> T- pnaP I/! Ae6odc !0/, 7/7 Y © ?1W v! Af S F J, fi(• R OA -0 Ke rt CeT A pfd (0 Rgm0L)r-- t9cp TStOF FL Ll C' ;-x-.801 /Z / tt Cll-%- O/C ® P&✓1 O.C- RF -C,1 .fes dN 15I-A-nt® 4iAX- d4® J)tM.P-r S76 P 441- Yet, B& To? 830 rtaa 1 6#c� (i0outod AlecH Fog -sr. W Cv cI�OS to 61Wc_ AtP o,L ^x9,72AL. QeKRS . 7jW'Jr mF a(ct (D" 8/-7X/ ®cQTs� f>� UG S fr% b r�rN PtA i 1 T Fort- VOO©-p. %`O2 o (NOTE: An entry must be made on this form each time you visit the job site.) r ' RESIDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) BUILDING PERMIT NO, ol A;P. NO. 7 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors 'Walls z/ Ceiling/Roof Ducts it/, Circulating Pipes Al dL APPROVED HEATER APPROVED WTR.HTR. GLAZING: ,p Single Glazed Special, (Insulated) L' CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS e/ INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION.REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICA/TjE AS SUBMITTED. Insulation Applicator Name Signature of (please print Insulation Applicator State Contractors License No. General Contractor /owner Name. %j� �s 4�, Signature of (plea a print) General Contractor/Owner , Date State Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE ' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —Y Orbvitle, Califdrnia 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing A ress 3� _ 2 S Teel� one No. _ Ur 5 Contractor Mailing Address Fireplace A -f-0 0, D Q S O® $ I M Total Valuation Telephone No. Permit Fee BuildingAd d r e s s �� Plan Checking Fee &/or Pen aIty Permit Fee",Op c� �! 10 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No.? - l oZ- a� — a I & Planning Water piping 1.50 Each gas water heater or vent 1.50 Sr8w4atrvn 1 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd I Parcel Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ADDITION ® UTILITIES ❑ OTHER [:]Permit Fee $ ' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0V OR Main service 80000 AMP ORSLESS 5.00 Single Family j� Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 OVER Main service OVER e 25.00 AMP OR LESS O Main service EA. ADD'L 100 AMP 1.00NEW OR ADDNST V ADWECCLBLDGS.LING CCUP. Y) 2G.sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTRES,., MULTI.OUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTIiRES) BALM Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 -10 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. FUI I certify that in the performance of the work for which this XNJ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above- 'oned property for inspection purposes. d�X Date Signature of Permitee or Agent �j Receipt No. ! White-D.P.W. - Yellow-Assessor - Pink-Inspector - Goldenrod-Applicant Land Development Fee $ TOTAL PERMIT FEE $ �0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov9efeir which fees have been paid. DI = PUB WORKS at Building permit expires Date COUNTY OF BUTTE ' —• `DEPARTMENT OF PUBLIC WORKS — 7 County Center Drive - Oroville, California 95965 //�� // Telephone: 534-4541 •�// �•/�/ APPLICATION AND PERMIT AA autnonce represeniauves of the county at tsutie to enter upon the above-mentioned property for inspection purposes. L 'r- 7,..-" az-7 - � 7 V Date Signature of Permi tee or Agent Receipt No. / ig0, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF/PUB -IC WORKS By Date `Y—� i _ 7f Building permit expires Date q—� a BUILDING IF I Ownerzps �� SO. FT. OCC. BUILDING VALUATION Mailing Address �� 110 n11-I?ne J eL� elephoN . Contractor [Fireplace Mailing Address Total Valuation Telephone No. Permit Fee Building Address �Qi f/v P�G Plan Checking Fee&/or Penalty Permit Fee p 0� �SZ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 fir Zon7n ' fie Qn!l Repair drainage or vent piping 1.50 7.Water A. P. No. �' �/ Zon' rd� ' piping 1.50 , Each gas water heater or vent 1.50 F s C. Sa I on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking el Plans Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bld PI A d Parc oval PIo Approvol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ Z&FO $ 4A TZ, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST D OR ADDNS. A C D SCCUP.'I) 20sgft CONTR CTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st %( le of: NEW CONSTR TL T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS S NON-RESID, SINGLE OUTLET CIR. EX. OCCUR OUTLETS OR FIXTURES BAR E x. OCCU FIXED APPLNS. OR p -(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 1124 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL iNo. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 Land Development Fee $ ' TOTAL PERMIT FEE $%i `� autnonce represeniauves of the county at tsutie to enter upon the above-mentioned property for inspection purposes. L 'r- 7,..-" az-7 - � 7 V Date Signature of Permi tee or Agent Receipt No. / ig0, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF/PUB -IC WORKS By Date `Y—� i _ 7f Building permit expires Date q—� a NOTES RESIDENTIAL PERMIT NO. _. 073-120-02$ 04-2405 1 WOLNY� CAROL" 70 REBIE WY, OROVILLE CONT: OWNER F REPLACE DECK/ROOF COV SPECIAL CONDITIONS CHECKED BY -- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER .JOB FINALED (Date) Signature J=OK 4 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG �VIISCELLANEOUS Date DE , OVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning ReauirementsSetbacks-Easements ® ; Girders and/or Joi edkll-g-BrtQOI'Ttairs-Fkii(s ood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. S' g; Nailing -Ven Stucco -Mesh Q Roof; Shthg-Re6ing ' 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date 7. Well Clearance & Disconnect Date 8. Utility Clearance Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected -C/O to Grade -HD Approval Light Niche 8. Gas and Electricity Tagged Enclosure; Fencing -Alarms 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �VIISCELLANEOUS Date DE , OVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning ReauirementsSetbacks-Easements ® ; Girders and/or Joi edkll-g-BrtQOI'Ttairs-Fkii(s ood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. S' g; Nailing -Ven Stucco -Mesh Q Roof; Shthg-Re6ing ' 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Seryice Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 68. 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Insulation -Foam -Looked in Attic 41. Sills Proper Materials & Anchors Guard Rails & Deck Construction -Post Caps 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 43. Bearing Walls over Girders & Floor Nailing Clearance Looked under Floor ❑ Yes 44. Draft Stop in Walls (rat proof) Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Stucco Brown -Finish 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) , OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or. her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that,he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP042405 Issued Date: 10/19/2004 APN: 073-120-025-000 Site Address: 70 REBIE WAY ORO Map Index: Description: REPLACE AND REPAIR EX DECK Owner: WOLNY CAROL B REV TRUST WOLNY CAROL B TRUSTEE 70 REBIE WAY OROVILLE, CA 95966-8999 Applicant: WOLNY CAROL B REV TRUST Contractor: License #: Architect: Engineer: Total Square Ft: 480 S.F. Valuation: $4,800.00 Census Code: -A ql,-)L-o T/ /jv, r nit is hereby issued under theapplicable provisions of the Butte County Coda gnrtlor r to dcxwo ited 9bovoor which fees have been paid. // Date: � EXPIRES ON: !d 1 q os- ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. d Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or docum nt of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. / Print Name:, 4!f74e,-) e- 18. It ✓ 0 L � � Signature - � Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 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 PERMIT NO. BP042405 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/19/2004 APN: 073-120-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 70 REBIE WAY ORO Date: Contractor: Map Index: Description: REPLACE AND REPAIR EX DECK OWNER -BUILDER DECLARATION I hereby affirm under penalty of'perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WOLNY CAROL B REV TRUST 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 WOLNY CAROL B TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 70 REBIE WAY 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 OROVILLE, CA 95966-8999 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).): F. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: WOLNY CAROL B REV TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date Own ± WORKERS'. COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #• workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 480 S.F. Policy a: ❑ 1 certify that in the performance of the work for which this permit is Valuation: $4,800.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' q/;L—(Dcompensation provisions of Section 3700 of the Labor Code, I shall` forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the a plicable provisions of the Butte County Code ? rUor Resolu to d"work i i ted ov or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: O Name: y PERMIT EXPIRES ON: 0s Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. d Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docum nt of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature Date: 0 Owner 13 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER jVa{ne� Lastirst Cityc�' Name M ,U City�(V2'1`11 \ Fax Address Zip c Phooe, Type Const. Fax E-mail Statb Zip Class Planner Date Approved: Phone Fax _ _ 17 J E-mail APPLICANT NAME CONTRACTOR Name 6 Lha L�—_ Cityc�' Address 71) - City�(V2'1`11 \ Fax tateo, Zip c Phooe, Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Cityc�' Address Zip City Fax State Zip, Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address Cityc�' State Zip Pho9Q al Fax E-mail APPLICANT SIGNATURE X r—. For office use only: A 073 -- Zoning C' / Flood Zone ► SMIP SRA I Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot #, Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION A 073 -- Property Address C' / s Street O LP�•� ► SMIP WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Nam�, Address Description or Scope of Work: r rYIU U c Sq. Footage 4W ❑ 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: '—' Bldg SRA Receipt M Sheriff 1 �a�v1J �l 11 ► SMIP Date: � � � 6 Other � � � � _ Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ' PERMIT APPLICATION DATA SHEET OWNER: ` ASS SSOR PARCEL NUMBER �� ��� • �� Proposed Building Use: Pcei- f� i C.)OC. -Counter Technician: Date: p lyms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to ply. ' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. -� 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico O Oroville, as applicable. QJ��1 ) ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Ok ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... _jg' 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance................................................................ ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Lelter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: v Date: 1. Index permit application for the above itemnumbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by - Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division �l D Plan Check Letter Date: Date: Date Date: RESIDENTIAL 073-120-028 PERMIT#Qs�24 —WOLNY, Carol 70 Rebie Way, Oroville Cont: Robert Ward Add'1 Ftg for 8P#95-733 7-/7- 0-7 JOB JOB FINALED (D q' Signature J=OK O = Not OK = Not Applicable =Not Ready MOBILE HOMES ' Date -MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 13 C MISCELLANEOUS Date . DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ' 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect \ 8. Utility Clearance V Date Card B-1 Date Card B-1 Date Card B-1 Date Card B=1 , Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line , 3. Gas; MH Test -Demand -Valve -Connector ` 4. Electricity; MH Test -Crossovers -Breakers -Clearances] 5. Drain; MH Test -Fall -Flex Connector r, 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged - 9. Exits; Insp.-Sketch 10. Cert. of Occupancy " Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 13 C MISCELLANEOUS Date . DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ' 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 'J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date UNDERFLOOR (Plans) OK except ti's i 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel t 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation + 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's Water Htr.: Vent -Access -Combustion Air -Baffle ----� 17'Water Pipe: Test & Anchor -Nail Protection ----- -------- 8. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- - ------------------ 19. Shower Pan: Test. First Floor -Tub Access 20. -Test -Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 ----------- ---------------- ---------------------------------------- Date Card B-1 Date Card B-1 Date Ek6CTRICAL (Permit) OK except h's 22 xture & Transformer Clearance -Ins. Protection ------- - ---------- --------- ---------------------- ------ -------------- 3. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------c------es Spa ---------Staple ------------------------ - 24. ize Boxes & No. of Conductors -Stapled -- 2 Romex Installed Close to Edge of Studs & C.J. ---- -------------------------- ------------------------------ - 26. Equip. Ground made up w/Mech. Fastners-Bond Gas& Water ----- -------------------- ------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ----------- ----------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! 1 ga. Cu or At -------------------- ------------------ --- --- -------------------------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. - - - Insulated Neutral - C1 Yes - -- --❑-No ----- ----------------- - 30. Service -Riser Conductors & Ground -Main Disconnect - --------- ------------------------------------------------ ---------- 31. Equip_Clearances Panels-Motors-Mech. Equip. ------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- - ----------------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------- ------------------------------------------------------------ Date .Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. -.A. -C.- Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------------------------------------ - -- - ----------------------------------- __ _ 36. Condensate Drain & Overflow: Size & Grade -- -- -- 37. Furnance-Vent: Access -Comb Air -Return Air Vent- 11-5 outlet - 38_ Attic -Access-&- Platfo-rm-if-Furnance in -Attic ----------------------- -------------------------------------- I ----------------------- -- - --- - - Date Card B_1 Date Card B-1 ------------ ------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's Si Proper Mater al & Anchors -- -- - ----------------------------------------------- - - - -- ---- 4 ails Studs - Nailing_ Spacing &- Bracing _Plates_Sound ------------- 41 earing Walls over Girders & Floor Nailing - ---- ---- ---- -- --------------------------------------------- 2. raft Stop in Walls (rat proof) --------- ---- - ----------------------------------- 43. Stops: Furred Ceilings -Stairs -Chases -Tub ----------- ------- --------- 44. Headers & Beam -Size & Bearing Single & Dup)ex) Date Z FRAMING (Continued) - _ _ 45. ngers-Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. _- --_ Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing - - -- 51. roperty Line Firewall & Openings 2. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits ------- _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection --- - ---.-plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55._Sidigg Nailing Veneer -- -- --_ 56. t0co Mesh -Drip Screed -Fd. Vents-Undertlr. Access it 7 SGlazing Area -Glass Protection -Skylights -Plastic 58 ar Walls: Nailing -Bolts --------- - 9 nsulation-Walls-Ceilings /n 0. Infiltration -Walls -Windows -Date rd B Date Card B-1 Date �' t Card B-1 Date Card B-1 Date INAL ans) OK except h's Steps -Door & Sidelight Protection -Landings -------------- ---- -- moke Detector --------- - ------------ 6 -Comb. Air -Connector - In rage: Above Floor -Ducts -Meth. Protection -------------------------------------- - 64-$ g F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------------------------------- B�3taT+w 8 RaiL� learances-Hearth ood Panel: Int. & Ext. -------------------------------------- -- _ Grnd.-Air Gap -Cooking Clearance 8-fteceptacles at Kit. Counter ----- 7 arage Fire Door: Swing -landing -Closer -------------------- a age -Damper -- arance-Comb. Air-Connector-P.R.V. . In Garage: bove Floor -Meth. Protection ----------- --- ------------------ Plb ec. & Mech. Equip. Listed for Locatioq -------- -- EleS !ceptacIes in Garage: (G.F.I.)-Romex Protection sulation -Foam-Looked in Attic ❑ Yes 7 _Dec Construction -Post Caps e oor-Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------ a- sco---=Plumbing ---- -- - - - -- ------ - - ---- - --- ---------- ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 8 onne ectrical, Plumbing c �rtrt>-G'FI Receptacle -Underground V tilatior Throughout House - - ---------------- 7 - -- -- 7 Gla s Protection orrections from Previous Inspections 81� -P,as ged: Gas -Electric - . Sewer6eAnected-C/O to Grade -HD Approval - Energy Compliance Certificate -Other Certificates _ Date-�-Q Card B_1- D 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 DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, Cc.liforn 95965 -Telephone (916) 538-75 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT oC ASSESSOR PARCEL NUMBER 073-120-028 U ZONING BUICDINGPERMIT OWNER CAROL WOLNY TELEPHONE 589-3215 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 70 REBIE WAY OROVILLE 95966 CONTRACTOR'S NAME ROBERT WARD TELEPHONE ' 533-3569 CONTRACTOR'S MAILING ADDRESS 555 HIGH ST OROVILLE, 95965 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 80.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 70 REBTE WAY Energy Plan Checking Fee $ OROVTT,T,F, 95966 $ PERMIT FEE $ 100.00 LOT NO.SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ZAjRENEWAL D . v u n 5 0733 sr 95 1520 (IST DAT #96 an nL'�.-r�oTTFM�—T�-� —�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affi under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professions Code, and my license is in fu c and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm un r penalty of perjury that I am exempt from the Contractors License Law for the following reason: or emloees with wages as their sole compensation, will do the work, and thot intended or offered for sale. ❑ I, as owner of the propertyLamexclusively I, as owner of the propecontracting with licensed contractors to construct the project❑ 1 am exempt un r Sec.Business and Professions Code for this ER COMPENSATION DECLARATIONMECHANICAL re:ff�iir�ond�tr I hereby 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 Main Service 200A TO 46.00 GCC000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLOS. 3.5¢x; NO RESIDTCONS M 1 OC'.UTLE97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OurV=r OR FIXTURES 2D g 1.00 Ex. Occu SAL o .50 Ex. Occup. OUTLETS RES O.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) dfj 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' mpensation provisions of section 3700 of the Labor Code, I shall orthwit omply with th provisions. _ _ Date _ re o Applicant - ❑ O rector ❑ Agen A permit is required for avations over 60" deep and demolit on or construction tures over 3 stories in height. VReceiptNO. Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ Ma 100.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD 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. By Date PERMIT EXPIRES ON7/17/98 Date .D.S.-B. D. C NARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L. - ki. 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 issuina. 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 ;i-provement : YE � NO ❑ 2. I HAV 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: ADr; :Es"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: " PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: AU% NOTE. This Owner-Buildererification 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 OWNER BUILDER INFORMATION Dear.Property Owner•: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. Foryour protection, you should be aware that as "owner -builder' you are the responsible patty of record on such a permit. Building permits are nor 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 yourse!f. you may protect 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. g If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of th.s foil,,wing informiatior, for vovr her efrt,ard nrnt: r.cii:: � _.. t If you employ or otherwise engage any persons other than your immediate family, and the work (including materials _ ..i._ . . and oti':er costs) is 5300 or more for the entire project, and such persons are ,.ai .icens:d as contractors or subcontractors, then you may be an employer. ♦ 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 tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ 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. ♦ 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 "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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 confirra that you are aware of th.5c matt�lS. The,bUildin,i piCrr lit will not be issued'urtii the veri cation is rcwrried. qMarely, �(�, el C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 198.0 of the California Hea111i and Safely Code OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 9N 7 County Center Drive - Oroville, `Califoinia 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 073-120-028 U ZONING BUILDING PERMIT OWNER CAROL WOLNEY TELEPHONE 589-3215 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 70 REBIE WAY OROVILLE 5 CONTRACTOR'S NAME ROBERT WARD TELEPHONE 533-356 CONTRACTORS MAILING ADDRESS 555 HIGH 13T OROVILLE, C)5965 Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 80.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 70 PERTE WAY PERMITFEE $ 100.00 PLUMBING PERMIT Filing Fee 20.00 ngnvTT,T,F, 99966 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other ADD FTG SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: 1ST RENEWAL B.P. #95-0733 & 95-1520 — Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service a OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLDS. ) s0. 3.50 FT. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER ( 8 STING E OUTLETT CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL .50 Ex. Occup. OUTLETS E APPUN D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor r WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g 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.) �D I certify that in the performance of the work for which this permit is issued, I shall l not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comply with those provisions. X i��na�w A" -- Date _ _ f� er ❑ Contractor ❑ Agent ture of Applicant - ❑ reigh An OSHA permit is required foravations over 5'0" deep and demolition or construction of structures over 3 stories int. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 100.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B0— Date PERMITEXPIRESON (Dat provisions to do work paid. 1` l / ) Receipt No. �a � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at. your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will e issued until this verification is received. 1: I personally plan to provide the- major labor and materials for construction of the proposed property improvement: YES[ ] NO" 2 I HAVE] 'HAVE NOT[ ] signed an app ication fora building permit for the proposed ork. 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: 6wZ&2a& SOCIAL SECURITY NUMBER: DATE: NOTE: This ow er-Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For 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 5300 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. Sincbrel , Michael 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 �BuildirYg Department Representative Date' (Floor Plans reviewed by School District Personnel) BUTTE COUNTY,SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building). School District abo __ Building Department No. A.P. Number.—� Jurisdiction: City County Property Owner Property Location/Address Subdivison Lot No. Residential Development [J �� Sq. Footage No. of Living MHI Addition (Group R) t Units Commercial/Industrial 0 0 nio,., AAAfifinn Sq. Footage District Identification No. �eSchool District certifies that (App icant) (Street Address) (Phone Number) dv (City) (State) has complied with the requirements dTesolution No. Q3 - cN - l by payment.of $ --�� representing `1 10 square feet. AB 2926 $ PULL MITIGATION $ a School -District Repre§entative Date Paid by Check # 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 Quality Act (CEQA), this project may be subject to additional school fees to fullv mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district). feeform.wkl (.f f/ea)dmm t COUNTY OF BUTTE- DEPARTMENT OF.DEVEL'OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ` —20 j ASSESSOR PARCEL NUMBER 073-120-028 ZONING U BUILDING PERMIT OWNarol Wolny 589-TELEPHO3 SQ. Fr. OCC. BUILDING VALUATION OWNER MAILING ADDRESS 7 Rebie Way, Oroville, CA 95966 176 R 9504. CONTRACTOR'S NAME Robert Ward TELEPHONE 533-3569 CONTRACTORS MAILING ADDRESS 555 Hi h St., Oroville, CA 95965 Fireplace CONSTRUCTION LENDER UNW40WN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 76.05 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 70 Rebie Way,Oroville PERMITFEE $ 236.05 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 XX 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 a Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Add' 1 Ftg for BP#95-0733 Mobile Home I S I GI W I@20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( 2000A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License ClassNo. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: IdI, 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 ADDNS. ( & ACC. BUDS. ) SO. L 15 3.50 FT. V NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Ex. Occup. ( OUTLETS (RES o.a IETS De) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 26.15 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 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 pf section 3700 of the Labor Code, I shall forthwith comply with ose provisid' X _ Date L nature of Applicant er' ❑ C tractor J(A ent An OSHA permit is required for excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 969 ?n HA2. 1 D. ;X IMP I FLOOD I CDF I PARCEL PD I HD ISSUE i This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indicate a ova or w ch fees have been paid. By Date PERMITEXPIRESON % 7 '9So I (Date) Receipt No. I� �C� WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,�. --�: _.,..-.*.rte-� kct`.t• - t'",h.,`, l,r''''^ 7i,-^+7 . .-,-....''.w,,.;:.;� .�'=r�'�p�"�'SQ"!r'Rn� .h`,�7'cYi.-.�...:.ti......rr`+ �:..r .',;.,;, r`` .� .� � ww S �� �^• 'V 'l .i ^14a :1.f{;�e.�.�.-.r7.i�tnC/.• +��F"' i ��n l� .w.��`t, •i!s>,.� a it COUNTYOF BUTTE -DEPARTMENT OFDE ELOPM­ENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector Date - (.20 O O -e At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form............ ............................. . 6. Energy Design Compliance and supporting documentation . .................. 9s_( 7. Statement of Intent for Nbn-Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ........... .. �,. ,.�. Q� -- 11. Impact fees as shown on attached schedule. � ... ` • -- .- Q- �-� h 9S 12. California Department of Forestry plan approval/fees. ......t . ................ . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). Pre -Inspection requ..�- 20. Pre -inspection for " - required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement .................... + 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ..................................................... 33. 34. When you issue the_permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone X5%1 - r and hold for pickup at UrOV t office. Deliver with inspector. Other Parcel Creation Acreage Applicant��- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by r., 19 43 oe4S Date - Sets of plans on hold in )_ File cabinet AP folder Copy - Department of Public Works Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed pro erty improvement : YES[ NO[ .2 HAVE J HAVE NOT[ J signed an application for a building permit for the proposed *o& 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: QTY: 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 SIGYED: � % =� ' PROPERTY OWNER: ` �-. SOCIAL SECURITY NUMBER: � DATE: �7 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. 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 yoursel& 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 5300 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 tar 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 employers, 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 personaiiV. Dllliding permits are not required to oe signed oy 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. 95811. Please complete the "Owner Builder Verincstion" 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. Sincerely, Michael 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. 'COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARC 0EA ZONING BUILDING PERMIT ow R TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER MAID AD KESS CO=NAM T CO TORS MAI ADD ESS Fireplace CONSTRUCTION LEN6ER 0 UNIOJOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 17 cM ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MNO Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition `ik Remodel D Utilities ❑ Installation D Other D Describe Work: 1 P — Mobile Home IS I GI W I @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this NEW CONST. DWELLING OCCUR5 OR NS. ( 8 ACC. BLDS. ) 0. NEW C ONST. MULTI.O UTLET C NON-RESID. ( BRANCH CIRCUITS ) @7.50 97. 0 POWER APPARATUS (a SINGLE OUrLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 2G Q I•00 FIXED APPLNS. OR Ex. Occup. (OUTLETS (REBID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 01 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 o1 section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor D Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is Dcc CONST. TYPE TOTAL FEE $fes HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT — 22c,cc� CIO TABLE OF CONTENTS' TOC Project Title.......... Addition for Wolny Date........ 07/11/95 Project Address........ 70 Rebie Way Oroville Documentation Author... Neal Kuopus Building Permit Company ................ CALCTECH Telephone .............. (916) 534-5066 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date Climate Zone........... 11 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZllS92 Program -TOC User#-MP1320 User-CALCTECH Run -Existing + Addition TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 6 FORM C -3R ................. 9 HVAC SIZING ............... 15 COUNTY o O BUILDING .i U L 13 1995 Hr CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Addition for Wolny Date........ 07/11/95 Project Address........ 70 Rebie Way Oroville Documentation Author... Neal Kuopus Building Permit Company ................ CALCTECH Telephone .............. (916) 534-5066 Plan Check Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1320 User-CALCTECH Run -Existing + Addition GENERAL INFORMATION Conditioned Floor Area..... 1887 sf Building Type .............. Single Family Detached Construction Type ......... Existing Plus Addition Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... 1 Number of Stories.......... 2 Floor Construction Type.... Raised Floor (Package E) BUILDING SHELL INSULATION Component Insulation Assembly Type R -value U -Value Location/Comments Wall R-19 0.062 FRONT, RIGHT, BACK, BAY, LEFT Door R-0 0.330 FRONT ENTRY, TO GARAGE Wall R-19 0.063 TO GARAGE Floor R-19 0.037 TO CRAWLSPACE Roof R-30 0.031 FLAT CEILING, TILT CEILNG F1oorExt R-19 0.047 TO GARAGE Wall R-19 0.066 TO ATTIC FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Window Front (S) 9.0 0.940 2 Drapes.Std None None Metal Window Front (S) 32.0 0.940 2 Drapes.Std None Yes Metal Window Right (E) 6.0 0.940 2 Drapes.Std None None Metal Door Right (E) 33.4 0.940 2 Drapes.Std None None Metal Door Back (N) 33.4 0.630 2 Drapes.Std None Yes Metal Window Back (N) 35.0 0.940 2 Drapes.Std None None Metal Window Left (NW) 3.0 0.940 2 Drapes.Std None None Metal Window Front (SW) 3.0 0.940 2 Drapes.Std None None Metal Window Left (W) 86.0 0.940 2 Drapes.Std None None Metal Door Left (W) 40.0 0.940 2 Drapes.Std None None Metal Door Right (E) 6.0 1.040 1 Drapes.Std None None Wood Window Back (N) 20.0 1.070 2 Drapes.Std None Yes Metal CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1320 User-CALCTECH Run -Existing + Addition HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Electric 3.41 HSPF None R-2.1 NoSetback ACSplit 8.00 SEER Attic R-2.1 NoSetback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS R-2.1 existing duct insulation , R-19 Existing floor insulation per Form 3 R-19 Addition floor insulation per Form 3 R-19 Existing wall insulation per Form 3s R-19 Addition wall insulation per Form 3s R-30 Existing ceiling insulation per Form 3 R-30 Addition ceiling insulation per Form 3 Opaque U -values per CEC TABLE 7-2 for post -1978 construction Glazing U -values per CEC TABLE 7-2 for post -1978 construction ADD'N. glazing Viking thermal break dual -pane clear alum. frame Glazing per MFR'S. NFRC Testing & Certification E.ELEC.RESIS: per CEC TABLE 7-2 for post -1978 construction E.AC.8.0: CEC MIN. REQUIREMENT HWH: Replace w/ LPG Std. 50 Gal. or less CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1320 User-CALCTECH Run -Existing + Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple.orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Carol Wolny Company. A.P. No. 073-120-028 Address. 70 Rebie Way Oroville, CA 95966 Phone... (916) 589-3215 License. Owner Signed.. r/ date) ENFORCEMENT AGENCY Name. .. Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Neal Kuopus Company. CALCTECH Address. 1835 S. Villa Ave. Palermo, CA 95968 Phone... (916) 534-5066 Signed.. JAP kAl>, `Tlu1q,S (dat ) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... Addition for Wolny Date........ 07/11/95 Project Address........ 70 Rebie Way Oroville Documentation Author... Neal Kuopus Company ................ CALCTECH Telephone .............. (916) 534-5066 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Building Permit Plan Check Date Field Check/ Date MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1320 User-CALCTECH Run -Existing + Addition Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- er *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). Z-Iq *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. Fz-1cl 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. --ni lL 0A Enforce- ment X,jF(- MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1320 User-CALCTECH Run -Existing + Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. IU� 150(1): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non- recirculating.systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculatingfp sections of hot water system. gf(,eq' j 4. Cooling system piping below 55 degrees insulated. ��SC yC�( eq 5. Piping insulated between heating source and indirect ����✓ hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually `yDK operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.).J LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling J fixtures IC (insulation cover) approved. I �lf�— COMPUTER METHOD SUMMARY Page 6 C -2R Project Title.... ..... Addition for Wolny Date........ 07/11/95 Project Address........ 70 Rebie Way Oroville Documentation Author... Neal Kuopus Company ................ CALCTECH Telephone .............. (916) 534-5066 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Existing + Addition GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 1887 sf Single Family Detached Existing Plus Addition Front Facing 180 deg (S) 1 2 ReducedYear Raised Floor 1 16026 cf 1243 sf 1061 sf 0 sf 16.3 % of FA 8.5 ft BUILDING ZONE INFORMATION (Package E) Floor MICROPAS4 ENERGY USE SUMMARY Vent Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 15.35 37.56 -22.21 Space Cooling.......... 12.81 21.10 -8.29 Water Heating.......... 12.27 12.27 0.00 Total 40.43 70.93 -30.50 *** Building does not comply with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 1887 sf Single Family Detached Existing Plus Addition Front Facing 180 deg (S) 1 2 ReducedYear Raised Floor 1 16026 cf 1243 sf 1061 sf 0 sf 16.3 % of FA 8.5 ft BUILDING ZONE INFORMATION (Package E) Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 1887 16026 1.00 Yes NoSetback 8.0 n/a COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Existing + Addition Surface HOUSE - Existing 1 Wall 2 Door 3 Wall 4 Door 5 Wall 6 Wall 7 Wall 8 Wall 9 Wall 10 Floor 11 Roof HOUSE - New 12 Wall 13 Wall 14 Wall 15 F1oorExt 16 Roof 17 Roof 18 Wall OPAQUE SURFACES Area U- Insul Act Solar Form 3 (sf) value R-val Azm Tilt Gains Reference 398 0.062 R-19 180 90 Yes 20 0.330 R-0 180 90 Yes 140 0.063 R-19 90 90 No 20 0.330 R-0 90 90 No 225 0.062 R-19 90 90 Yes 391 0.062 R-19 0 90 Yes 14 0.062 R-19 315 90 Yes 14 0.062 R-19 225 90 Yes 374 0.062 R-19 270 90 Yes 1061 0.037 R-19 0 0 No 1056 0.031 R-30 0 0 Yes 117 0.062 R-19 180 90 Yes 128 0.062 R-19 90 90 Yes 97 0.062 R-19 0 90 Yes 182 0.047 R-19 0 0 No 78 0.031 R-30 0 0 Yes 104 0.031 R-30 0 10 Yes 34 0.066 R-19 180 90 Yes DW.19.2X6.16 None GW.19.2X6.16 None DW.19.2X6.16 DW.19.2X6.16 DW.19.2X6.16 DW.19.2X6.16 DW.19.2X6.16 FC.19.2X6.16 R.30.2X6.16 DW.19.2X6.16 DW.19.2X6.16 DW.19.2X6.16 FX19.2X10.16 R.30.2X6.16 8.30.2X6.16 AW.19.2X6.16 Location/ Comments FRONT FRONT ENTRY TO GARAGE TO GARAGE RIGHT BACK BAY BAY LEFT TO CRAWLSPACE FLAT CEILING FRONT RIGHT BACK TO GARAGE FLAT CEILING TILT CEILNG TO ATTIC FENESTRATION SURFACES # of Vent Sc Sc Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE - Existing 1 Window 9.0 2 Metal Slider 0.940 180 90 0.88 0.78 Drapes.Std 2 Window 32.0 2 Metal Slider 0.940 180 90 0.88 0.78 Drapes.Std 3 Window 6.0 2 Metal Slider 0.940 90 90 0.88 0.78 Drapes.Std 4 Door 33.4 2 Metal Slider 0.940 90 90 0.88 0.78 Drapes.Std 6 Window 35.0 2 Metal Slider 0.940 0 90 0.88 0.78 Drapes.Std 7 Window 3.0 2 Metal Fixed 0.940 315 90 0.88 0.78 Drapes.Std 8 Window 3.0 2 Metal Fixed 0.940 225 90 0.88 0.78 Drapes.Std 9 Window 24.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std 10 Window 62.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std 11 Door 40.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std HOUSE - New 5 Door 33.4 2 Metal Slider 0.630 0 90 0.88 0.78 Drapes.Std 12 Door 6.0 1 Wood Fixed 1.040 90 90 1.00 0.88 Drapes.Std 13 Window 20.0 2 Metal Slider 1.070 0 90 0.88 0.7.8 Drapes.Std COMPUTER METHOD SUMMARY Page 8 C -2R Project Title... ..... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Existing + Addition OVERHANGS AND SIDE FINS Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS R=2.1 existing duct insulation R-19 Existing floor insulation per Form 3 R-19 Addition floor insulation per Form 3 R-19 Existing wall insulation per Form 3s R-19 Addition wall insulation per Form 3s R-30 Existing ceiling insulation per Form 3 R-30 Addition ceiling insulation per Form 3 Opaque U -values per CEC TABLE 7-2 for post -1978 construction Glazing U -values per CEC TABLE 7-2 for post -1978 construction ADD'N. glazing Viking thermal break dual -pane clear alum. frame Glazing per MFR'S. NFRC Testing & Certification E.ELEC.RESIS: per CEC TABLE 7-2 for post -1978 construction E.AC.8.0: CEC MIN. REQUIREMENT HWH: Replace w/ LPG Std. 50 Gal. or less Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - Existing 2 Window 32.0 4 4 2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a HOUSE - New 5 Door 33.4 6.7 5 2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a 13 Window 20.0 4 5 1.2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Electric 3.41 HSPF None R-2.1 1.000 ACSplit 8.00 SEER Attic R-2.1 0.830 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS R=2.1 existing duct insulation R-19 Existing floor insulation per Form 3 R-19 Addition floor insulation per Form 3 R-19 Existing wall insulation per Form 3s R-19 Addition wall insulation per Form 3s R-30 Existing ceiling insulation per Form 3 R-30 Addition ceiling insulation per Form 3 Opaque U -values per CEC TABLE 7-2 for post -1978 construction Glazing U -values per CEC TABLE 7-2 for post -1978 construction ADD'N. glazing Viking thermal break dual -pane clear alum. frame Glazing per MFR'S. NFRC Testing & Certification E.ELEC.RESIS: per CEC TABLE 7-2 for post -1978 construction E.AC.8.0: CEC MIN. REQUIREMENT HWH: Replace w/ LPG Std. 50 Gal. or less CONSTRUCTION ASSEMBLY Page 9 3R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing + Addition Reference Name . DW.19.2X6.16 Description .... Wall R-19 2x6 16oc Type ........... Wall R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.062 = 16.01 sf-F/Btuh Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. PLY.0.63 0.625 in plywood 0.77 0.77 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.R19 R-19 batt insul (cavity = 5.5 in) 17.80 -- 3f. FIR.2X6 2x6 in fir framing -- 5.45 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 19.93 7.57 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 19.93 x 0.85) + (1 / 7.57 x 0.15) = 0.062 Btuh/sf-F Total R -Value: 1 / 0.062 = 16.01 sf-F/Btuh CONSTRUCTION ASSEMBLY . \ Page 10 3R Project Title.. ...... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing + Addition Reference Name . GW.19.2X6.16 Description .... Wall R-19 2x6 16oc Type ........... Wall R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. GYP.0.63 0.625 in gypsum or plaster board 0.62 0.62 2. BLDG.PAPER Building paper (felt) ' 0.06 0.06 3c. BATT.R19 R-19 batt insul (cavity = 5.5 in) 17.80 -- 3f. FIR.2X6 2x6 in fir framing -- 5.45 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 19.78 7.42 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 19.78 x 0.85) + (1 / 7.42 x 0.15) = 0.063 Btuh/sf-F Total R -Value: 1 / 0.063 = 15.83 sf-F/Btuh CONSTRUCTION ASSEMBLY Page 11 3R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth=CTZ11S92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing + Addition Reference Name . FC.19.2X6.16 Description .... Floor Crwl R-19 2x6 16oc Type ........... Floor R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.10 1 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.037 = 26.77 sf-F/Btuh Material Cavity Frame Name Description R -Value R -Value O. FILM.EX Exterior air film: winter value 0.17 0.17 1. CRAWLSPACE Effective R -value of vented crawlspace 6.00 6.00 2c. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 19.00 -- 2f. FIR.2X6 2x6 in fir framing -- 5.45 3. PLY.0.75 0.75 in plywood 0.93 0.93 4. CARPET Carpet & pad 2.08 2.08 I. FILM.IN.FLR Inside air film: heat flow down 0.92 0.92 Total Unadjusted R -Values 29.10 15.55 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 29.10 x 0.90) + (1 / 15.55 x 0.10)= 0.037 Btuh/sf-F Total R -Value: 1 / 0.037 = 26.77 sf-F/Btuh CONSTRUCTION -ASSEMBLY Page 12 3R Project•Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing + Addition Reference Name . R.30.2X6.16 Description .... Roof R-30 2x6 16oc Type ........... Roof R -Value ........ 30 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.031 = 32.50 sf-F/Btuh Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. SHNGL.ASPHLT Asphault shingle roofing 0.44 0.44 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. PLY.0.50 0.50 in plywood 0.62 0.62 4. AIR.RF.3.50 3.5 in & greater air space: heat flow up 0.80 0.80 5. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 19.00 19.00 6c. BATT.RII.0 R-11 batt insul (cavity > 3.5 in) 11.00 -- 6f. FIR.2X6 2x6 in fir framing -- 5.45 7. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.RF Inside air film: heat flow straight up 0.61 0.61 Total Unadjusted R -Values 33.15 27.60 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 33.15 x 0.90) + (1 / 27.60 x 0.10) = 0.031 Btuh/sf-F Total R -Value: 1 / 0.031 = 32.50 sf-F/Btuh CONSTRUCTION ASSEMBLY. Page 13 3R Project Title.......... Addition for Wolny Date..... . 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing + Addition Reference Name . FX19.2X10.16 Description .... Floor exp R-19 2x10 16oc Type ........... Floor R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X10 Spacing ...... 16 inches on center Fraction ..... 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description 0. FILM.EX Exterior air film: winter value lc. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) lf. FIR.2X10 2x10 in fir framing 2. PLY -0.75 0.75 in plywood 3. CARPET Carpet & pad I. FILM.IN.FLR Inside air film: heat flow down FRAMING ADJUSTMENT CALCULATION Cavity Total Unadjusted R -Values Framing Cavity R -Value Frame R -Value 0.17 0.17 19.00 -- -- 9.16 0.'93 0.93 2.08 2.08 0.92 0.92 23.10 13.26 Total U -Value: (1 / 23.10 x0.90) + (1 / 13.26 x 0.10) = 0.047 Btuh/sf-F Total R -Value: 1 / 0.047 = 21.50 sf-F/Btuh CONSTRUCTION ASSEMBLY • Page 14 3R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing + Addition Reference Name . AW.19.2X6.16 Description .... Wall R-19 2x6 16oc Type ........... Wall R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description 0. FILM.EX Exterior air film: winter value 1. BLDG.PAPER Building paper (felt) 2c. BATT.R19 R-19 batt insul (cavity = 5.5 in) 2f. FIR.2X6 2x6 in fir framing 3. GYP.0.50 0.50 in gypsum or plaster board I. FILM.IN.WLL Inside air film: heat sideways Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION , Cavity Framing Cavity Frame R -Value R -Value 0.17 0.17 0.06 0.06 17.80 -- -- 5.45 0.45 0.45 0.68 0.68 19.16 6.80 Total U -Value: (1 / 19.16 x.0.85) + (1 / 6.80 x 0.15) = 0.066 Btuh/sf-F Total R -Value: 1 / 0.066 = 15.06 sf-F/Btuh HVAC SIZING Page 15 HVAC Project Title.......... Addition for Wolny Date........ 07/11/95 Project Address........ 70 Rebie Way Oroville Documentation Author... Neal Kuopus Company ................ CALCTECH Telephone .............. (916) 534-5066 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-WOLNYEAD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1320 User-CALCTECH Run -Existing + Addition GENERAL INFORMATION FloorArea ................. Volume ........ ............ Front Orientation.......... Sizing Location............ Latitude... .... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... SummerRange. ...... ..... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 1887 sf 16026 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY 180 deg (S) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 8810 5015 Glazing Conduction ............... 11250 7312 Glazing Solar .................... n/a 11848 Infiltration ..................... 9116 3743 Internal Gain .................... n/a 1875 Ducts ............................ 0 2979 Sensible Load .................... Latent Load ...................... 29175 n/a 32772 6554 Minimum Total Load 29175 39327 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. TABLE OF CONTENTS. TOC Project Title.......... Addition for Wolny Date........ 07/11/95 Project Address........ 70 Re %= Way Oroville Documentation Author... Neal Kuopus Company ................ CALCTECH Telephone .............. (916) 534-5066 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZ11S92 Program -TOC User#-MP1320 User-CALCTECH Run -Existing Residence TABLE OF CONTENTS Report Page FORM C -2R ................. 1 FORM C -3R ................. 4 ADDITIONS ................. 8 COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... Addition for Wolny Date........ 07/11/95 Project Address........ 70 Reble Way Oroville Documentation Author... Neal Kuopus Company ................ CALCTECH Telephone .............. (916) 534-5066 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Existing Residence MICROPAS4 ENERGY USE SUMMARY Special Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 14.75 35.09 -20.34 Space Cooling.......... 12.76 21.28 -8.52 Water Heating.......... 13.06 28.59 -15.53 Total 40.57 84.96 -44.39 *** Building does not comply with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 1705 sf Single Family Detached Existing Front Facing 180 deg (S) 1 2 ReducedYear Raised Floor 1 14284 cf 1061 sf 1061 sf 0 sf 15 % of FA 8.4 ft BUILDING ZONE INFORMATION (Package E) Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) .(sf) HOUSE Residence 1705 14284 1.00 Yes NoSetback 8.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Existing Residence OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - Existing 2 Window 32.0 4 4 2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 9.0 3 3 2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE - Existing 1 Wall 398 0.062 R-19 180 90 Yes DW.19.2X6.16 FRONT 2 Door 20 0.330 R-0 180 90 Yes, None FRONT ENTRY 3 Wall 140 0.063 R-19 90 90 No GW.19.2X6.16 TO GARAGE 4 Door 20 0.330 R-0 90 90 No None TO GARAGE 5 Wall 351 0.062 R-19 90 90 Yes DW.19.2X6.16 RIGHT 6 Wall 415 0.062 R-19 0 90 Yes DW.19.2X6.16 BACK 7 Wall 14 0.062 R-19 315 90 Yes DW.19.2X6.16 BAY 8 Wall 14 0.062 R-19 225 90 Yes DW.19.2X6.16 BAY 9 Wall 374 0.062 R-19 270 90 Yes DW.19.2X6.16 LEFT 10 Floor 1061 0.037 R-19 0 0 No FC.19.2X6.16 TO CRAWLSPACE 11 Roof 1056 0.031 R-30 0 0 Yes R.30.2X6.16 FLAT CEILING FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE - Existing 1 Window 9.0 2 Metal Slider 0.940 180 90 0.88 0.78 Drapes.Std 2 Window 32.0 2 Metal Slider 0.940 180 90 -0.88 0.78 Drapes.Std 3 Window 6.0 2 Metal Slider 0.940 90 900.88 0.78 Drapes.Std 4 Door 33.4 2 Metal Slider 0.940 90 90 0.88 0.78 Drapes.Std 5 Window 9.0 2 Metal Slider 0.940 0 90 0.88 0.78 Drapes.Std 6 Window 35.0 2 Metal Slider 0.940 0 90 0.88 0.78 Drapes.Std 7 Window 3.0 2 Metal Fixed 0.940 315 90 0.88 0.78 Drapes.Std 8 Window 3.0 2 Metal Fixed 0.940 225 90 0.88 0.78 Drapes.Std 9 Window 24.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std 10 Window 62.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std 11 Door 40.0 2 Metal Slider 0.940 270 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - Existing 2 Window 32.0 4 4 2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 9.0 3 3 2 0.7 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-CALCTECH Run -Existing Residence HVAC SYSTEMS SPECIAL FEATURES/REMARKS R-2.1 existing duct insulation R-19 Existing floor insulation per Form 3 R-19 Existing wall insulation per Form 3s R-30 Existing ceiling insulation per Form 3 Opaque U -values per CEC TABLE 7-2 for post -1978 construction Glazing U -values per CEC TABLE 7-2 for post -1978 construction E.ELEC.RESIS: per CEC TABLE 7-2 for post -1978 construction E.AC.8.0: CEC MIN. REQUIREMENT HWH: EXISTING ELECTRIC Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Electric 3.41 HSPF None R-2.1 1.000 ACSplit 8.00 SEER Attic R-2.1 0.830 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value" 1 Storage Electric Standard 1 0.79 50 R-0 SPECIAL FEATURES/REMARKS R-2.1 existing duct insulation R-19 Existing floor insulation per Form 3 R-19 Existing wall insulation per Form 3s R-30 Existing ceiling insulation per Form 3 Opaque U -values per CEC TABLE 7-2 for post -1978 construction Glazing U -values per CEC TABLE 7-2 for post -1978 construction E.ELEC.RESIS: per CEC TABLE 7-2 for post -1978 construction E.AC.8.0: CEC MIN. REQUIREMENT HWH: EXISTING ELECTRIC CONSTRUCTION ASSEMBLY Page 4 3R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing Residence Reference Name . DW.19.2X6.16 Description .... Wall R-19 2x6 16oc Type ........... Wall R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.062 = 16.01 sf-F/Btuh Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. PLY.0.63 0.625 in plywood 0.77 0.77 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.R19 R-19 batt insul (cavity = 5.5 in) 17.80 -- 3f. FIR.2X6 2x6 in fir framing -- 5.45 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 19.93 7.57 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 19.93 x 0.85) + (1 / 7.57 x 0.15) = a 0.062 Btuh/sf-F Total R -Value: 1 / 0.062 = 16.01 sf-F/Btuh CONSTRUCTION ASSEMBLY, Page 5 3R Project Title... ..... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing Residence Reference Name . GW.19.2X6.16 Description .... Wall R-19 2x6 16oc Type ........... Wall R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description O. FILM.EX Exterior air film: winter value 1. GYP.0.63 0.625 in gypsum or plaster board 2. BLDG.PAPER Building paper (felt) 3c. BATT.R19 R-19 batt insul (cavity = 5.5 in) 3f. FIR.2X6 2x6 in fir framing 4. GYP.0.50 0.50 in gypsum or plaster board I. FILM.IN.WLL Inside air film: heat sideways Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION Cavity Framing Cavity R -Value 0.17 0.62 0.06 17.80 0.45 0.68 19.78 Total U -Value: (1 / 19.78 x 0.85) + (1 / 7.42 x 0.15) = 0.063 Btuh/sf-F Total R -Value: 1 / 0.063 = 15.83 sf-F/Btuh Frame R -Value 0.17 0.62 0.06 5.45 0.45 0.68 7.42 CONSTRUCTION ASSEMBLY, Page 6 3R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing Residence Reference Name.. FC.19.2X6.16 Description .... Floor Crwl R-19 2x6 16oc Type ........... Floor R -Value ........ 19 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.037 = 26.77 sf-F/Btuh Material Cavity Frame Name Description R -Value R -Value O. FILM.EX Exterior air film: winter value 0.17 0.17 1. CRAWLSPACE Effective R -value of vented crawlspace 6.00 6.00 2c. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 19.00 -- 2f. FIR.2X6 2x6 in fir framing -- 5.45 3. PLY.0.75 0.75 in plywood 0.93 0.93 4. CARPET Carpet & pad 2.08 2.08 I. FILM.IN.FLR Inside air film: heat flow down 0.92 0.92 Total Unadjusted R -Values 29.10 15.55 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 29.10 x 0.90) + (1 / 15.55 x 0.10) = 0.037 Btuh/sf-F Total R -Value: 1 / 0.037 = 26.77 sf-F/Btuh CONSTRUCTION ASSEMBLY Page 7 3R Project Title.......... Addition for Wolny Date........ 07/11/95 MICROPAS4 v4.02 File-WOLNYEXI Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-CALCTECH Run -Existing Residence Reference Name . R.30.2X6.16 Description .... Roof R-30 2x6 16oc Type ........... Roof R -Value ......... 30 sf-F/Btuh Framing Material ..... FIR.2X6 Spacing ...... 16 inches on center Fraction ..... 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. SHNGL.ASPHLT Asphault shingle roofing 0.44 0.44 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. PLY.0.50 0.50 in plywood 0.62 0.62 4. AIR.RF.3.50 3.5 in & greater air space: heat flow up 0.80 0.80 5. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 19.00 19.00, 6c. BATT.RII.0 R-11 batt insul (cavity > 3.5 in) 11.00 -- 6f, FIR.2X6 2x6 in fir framing -- 5.45 7. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.RF Inside air film: heat flow straight up 0.61 0.61 Total Unadjusted R -Values 33.15 27.60 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 33.15 x 0.90) + (1 / 27.60 x 0.10) = 0.031 Btuh/sf-F Total R -Value: 1 / 0.031 = 32.50 sf-F/Btuh ADDITION WORKSHEET Page 8 ADD Project Title.......... Addition for Wolny Date........ 07/11/95 dd7 0 Project rss........ Re b i Aee Way Oroville Documentation Author... Neal Kuopus Company ................ CALCTECH Telephone .............. (916) 534-5066 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check/ Date MICROPAS4 v4.02 File-WOLNYEXI Program -ADDITIONS User#-MP1320 User-CALCTECH Run -Existing + Addition ADDITION WORKSHEET - COMPUTER PERFORMANCE EXISTING File Name .................. WOLNYEXI Run Title. .............. Existing Residence Conditioned Floor Area..... 1705 sf Standard Design Energy Use. 40.57 kBtu/sf-yr Proposed Design Energy Use. 84.96 kBtu/sf-yr NEW (EXISTING PLUS ADDITION) File Name .................. WOLNYEAD Run Title. .............. Existing + Addition Conditioned Floor,Area ..... 1887 sf Standard Design Energy Use. 40.43 kBtu/sf-yr Proposed Design Energy Use. 70.93 kBtu/sf-yr FLOOR AREA RATIO Floor Existing New Area Floor Area Floor Area Ratio 1705 / 1887 = 0.904 ADDITION DESIGN ENERGY USE FOR NEW (EXISTING PLUS.ADDITION) Floor New Area Existing Existing Addition Standard Ratio Proposed . Standard Design 40.43 +' 0.904 x ( 84.96 - 40.57) = 80.54 Note: If (Existing Proposed - Existing Standard) is negative, this difference is set to zero. Energy Use (kBtu/sf-yr) ADDITION ENERGY USE SUMMARY Addition Proposed Compliance Design Design Margin New .................... 80.54 70.93 9.61 *** Addition complies with Computer Performance *** V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-120-028 U ZONING BUILDING PERMIT OWNER CAROL WOLNJY TELEPHONE SO, Fr, OCC. BUILDING VAL ION OWNERS MAIUNG ADDRESS 70 REBIE WAY OROVILLNE 95966 6 @ 54 324.00 EST 1,500.00 C �N7QRAgT TELEPHONE CONTRACTORS MAILJ7 ADDRESS��� S 11I1�� L— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,824.00 LENDER'S MAIUNG ADDRESS Filing Fee . $ 20.00 Permit Fee $ 4)3.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 27.95 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS X)�XRENYL 7 REB GI PERMITFEE $ 113.95 OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF EX 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 EX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD' L FTG TO BATHROOM & ADD OXMINI [XIV — PARTITION WALL TO GARAGE Mobile Home I S I GI W 1 920.00 PERMITFEE $ 27.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service EOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�S(1 � U- � License Class Lic. No. �7 `-' DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( a ACC. BUDS. ) 3.50 FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 ( POSINGLE WER APPARATOUTLET US ) 8 CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @1.00 BAL Q .50 \ FIXED APLNS.OWNER-BUILDER Ex. Occup. (OUTLETS(RESD.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 on provisions of section 3700 of the Labor Code, tvisio ? �G X_"`Date _ _� 7 _ MYM Signat re of Applicant - ❑ Owner N Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ 4b. 00 CON M TOTAL FEE $ 186.95 HAZ. I D. FEES IMP FLO �% CDF PARCEL PD HD U 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 D e y PERMITEXPIRESON I Date) Receipt No. 175876 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF D ��;MENTSERVICES -BUILDING DIVISION �7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965, - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET F OWNER IJ,)nj A.,P. No. AtAt time rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED BY ✓ 1, All items have been submitted. . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............. ... ... ........ . -� 11. Impact fees as shown on attached schedule. .. .............. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit. ........ ........................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . Pre -Inspection request 20. Pre -inspection for required. . to Building Inspector (Date)t 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation�lnsurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ +r 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . .27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... : ...............'.. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed . and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue t4prmit, proi;ess s follows: ail to own - . Mail to contractor. T offDeliver with inspector. Other Parcel Creation a( Acreage Applicant Date / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Coun r y _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF 1014VELOPMENT SERVICES - BUILDING DIVISION .7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .13 O J ZONING L) BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION v OWNERS MAID AD ESS I CONTRACTORS NAME I TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ �. Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ UU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z '), Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS - PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF A, Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other " \ p(___ '^ �6Describe Work: D� �/ � fl pl'lA �ddl�� VTt � AR_ Mobile Home --F§7 AGW @20.00 PERMITFEE s �f Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR so. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (aPs NGLE OUTLETT CSR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL 0 I.50 Ex. Occup. (OUXED AP LS D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Filing Fee 20.00 g 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over33 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE ¢ TOTAL FEE $ D [This HAZ. 1 0. FEES IMP FL000 COF I PARCEL PD HD ISSUE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMITEXPIRESON (Date) 7stories Receipt No. / WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUILDING ;DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING" -EXEMPTION PERMIT , I,T N9--, Agricultural building is defined as follows: Agricultural building is a structure designeo4nd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This struct re shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASS S R PARCENb , O ZONING OWNr,0 PHONE NO. a / OWN ' DDRE , I_ _ n _ LOCATLep OF BUILDING h'I USE OF BUILDIO (A aa A SIZE OF STRUCTURE —� ' X _ 0 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME —)L STEEL CONCRETE OTHER(Specify) TYPE OF SIDING ROOF COV I G FLOOR TYM n 0 - ESTIMATED COST QFCOIWTRUCTION $ 0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: I - _ FRONT �� SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date -ll'� Signature of Owner Permit Fee - $60.00 The above described AG Building is exemp rom a building permit. Receipt No. 0 1 09jr— FLOOR I PARCF,r P.D. ROOF I ISSUE/1 Manager Building Division By Date . 9� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Ilk COUNTYOF BUTTE - DEPARTMENT.OF DEVELOPMfNTSERVICES - BUILDING DI VI N rI 7 COUNXY CENTtRDRIVE - OROVILLE-; CALIFORWA.5965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER - Proposed Building Use A.P.-No. ` Building Inspector Date At time of permi - pplication, 1 was advised the fo lowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. -==--=- 6. Energy Design Compliance and supporting documentation . ................. . 7: Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... + 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . to Building Ins requer 20. Pre -inspection for required. .. c° Bu;�d;ng ��eped°r coac ;;r 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 ......................................... y..' 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. Mobileliome utility clearance ...... ................................... . 29. Documentation of legal access . ...................... ` 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits." ...................................... 32. Plan check list . ........................................ , ............ 33. 34. When you issue the permit, process as follows: A Mail to owner. Mail to contractor. Telephone and hold for Pic up at office. Deliver with inspector. Other Parcel Creation - �� a&� Date ,Acreage Applican Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date `Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works t s _ ' i : : - ---- i JJ l f (f jj Corr � • 1 I ii i 3 _..i__....; -.__...._-.. ....... _.... _.__. _... . _ l_. __._........... ... - 1 { 1 E i - . ll � 'll I I II I. o w� X ** m