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JESSEE;&-SAMANTHAILEMIRE(.il.t(� yiI40IF6&thi•11 Blvd-, *Orovi=lle ol Ermt#354-88B(repairdeck/SF) 0�"<� OS 2796 COSBY CYNTHIA ?" ;3140-iFOOTHILLBLVD, OROVILLE�!r?; .Cont',OWNER'd j;"i� / , • 'REMODEL';(DECK) l VIA, a� 1 ' i 1 {1 I C I ' ' 4 C • JESSEE;&-SAMANTHAILEMIRE(.il.t(� yiI40IF6&thi•11 Blvd-, *Orovi=lle ol Ermt#354-88B(repairdeck/SF) 0�"<� OS 2796 COSBY CYNTHIA ?" ;3140-iFOOTHILLBLVD, OROVILLE�!r?; .Cont',OWNER'd j;"i� / , • 'REMODEL';(DECK) l VIA, a� • .�. 1. - Butte County Department of Development Services, N" O T E S7 County Center Drive, Oroville, CA 95965 �, ,_,.. ... • Oa COU Ntye (530)638-7 601 www.byttgcopnty neUdds . `A RESIDENTIAL .; APN: Permit No. 05-2796 - €-:�4Chnrner:—COSBY-CYNTHIA-;- f :SiteAddre 3140 FOOTHILL BLVD, OROVILLE i Cont:OWlllhk � ♦ wR +f Contracto . .,REMODEL (DECK) Type of P rmit t 0-G 3 Z x 0(z0-8PAl60fl— HW i DATE JOB FINALED: r n 1 t 1! SIGNATURE: Z I; ' _ 1 0(z0-8PAl60fl— HW i DATE JOB FINALED: r n 1 t 1! SIGNATURE: Z I; +=OK 0 = Not OK a MANUFACTURED HOMES y MISCELLANEOUS DATL___j Lj PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/CIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S -C A R P O R T S'GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-C nnctrs -S hth g Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Silts-Anchrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °' 0�s DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 0\ °so 0s` °�411 0 Pool Drawing t - =OK 0 = Not OK RESIDENTIAL (Single & Duplex) UAlt JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped• 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DV,/V; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1 t Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16. Insulation ° DATE IF R A N G ills Proper Materials & Anchrs alls Studs -Nailing Spacing & Braces -Plates -Sound Learing Walls over Girders & fir Nailing raft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 42eaders & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns moiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 B e Int/Ext Wall pnls (�-2j-C1Sl.I�RC- nsultn-Walls-Ceilings 39 Infiltration-Walls-Wndws T R I C A L 7 or tr & Trnsfrmr Clrnc-Ins Prtctn Elec Rcptcls Spacing-Lts & Switches at Doors bg-8�oxes & No Of Cndctrs Stapled x Installed Close to Edge of Studs & CJ p Gr ndng Electrode Bond Ga *Pphnc 1, m chn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or QAL AC Wire Sz ga Q CU or Q AL 48 Range Circ ga ❑ CU or Q AL Oven Circ ga ❑ CU or Q AL Insulated Neutral Q Yes Q No 449 rvice-Riser Cndctrs & Grnd Main Dscnnct 4l49 Clrncs pnls-Motors-Mech Eqp 5 lothes Closet Lt-Shwr Lt -Spa Lt Smoke Detector ,mr c✓ R UA[t p MBI NG Wtr ent-Acc-Cmbstn Air Baffle ,Pipe; Test & Anchr-Nail Prtctn A5Shwr ; Test Fittings & Anchr Nail Prtctn Pan; Test, First fir -Tub Acc 57 Tes b & Shwr, 2nd fir - Tub Acc as Pipe; Sz & Anchrs 59 Fire Sprinkler; Test / 60 Yard G i ing DATE IMECHANUCAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic FI & SideLt Prtctn-Landings JpUmoke Detector W Furnace Vnts-Cirnc-Comb, Air-Cnnctr I arage; abv-flr-Ducts-Meth Prtctn _ W, room Exiting J GFI & Bath Fxtrs & Tub Acc-Spa 71 G9Arc Fault Trim & Subpnl, Breaker Szs & Labels Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 EI Outlets at Wood Pnl, Int & Ext 7 chn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 A�Duct in Garage -Damper tr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 In Itn-Foam-Looked in Attic —4. d Rails & Deck Cnstrctn-Post Caps 8YFndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters QYes QNo 87 S co Brown -Finish AjrUnit Dscnnct, Elec-Plmb nts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext ec Trim, GFI Rcptcl-Undrgrnd 9 V n thru House Ias's Prtctn 9WIC7orrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 nergy Cmpinc Cert -Other Certs Address Posted 99 Fire Sprinkler pk � rin (/l/er G -0 ce COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE Cos t� S - Z -79 (o OWNER PERMIT NO. A routine inspection indicate's that the -following violations -of Butte County Ordinances exist at the above address, and should be.,coi.'rected. Please call for re -inspection when correction of work is completed. If you have'any:`,*questions pertaining to this matter, or need additional explanation, I se contact the Building Inspector as indicated below. lws jk( I -rc- yn (� -L 1- 4 SR_rA&6 'blm, I -T BC-,C4LuqC-;- I T LU A -S A10T AWIZC-SSZ 6:,0 KV Date In spector co 12 et -A-1-1 REV 4/05 Phone # FOR RE-INSPECTIO , N CALL: 538-706.OR 891-2834 . . . . . . . . . . . ... COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive 9 Oroville, CA * (530) 538-7541 CORRECTION NOTICE 2_7 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional eplanation, please contact the Building Inspector as indicated below. C_ I) P, C, cod 0 AC �nr C� 0 'n P1 N -VF I - - n_ I T k A A A/ Ol J QZ I & /I C-\ % fl -w'/ Of. Ity Lo( qa-\ \-V/.Z\Zm0 �-�rly V_� -A Date Inspector REV 4/05 Phbne # -65 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530) 538-7541 '41 CORRECTION NOTICE C 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 call for re -inspection when correction of work is completed. If you havd any questions, pertaining to this- matter, or need additional explanation, please contact the '6uilding Inspector as"Indicated behoi�. TO -7/2eA() Date Inspector 196 - REV 4/05 Phone # - FOR RE-INSPECTIOKCALL: 538-7636 OR 891-2834 COUNTY OF BUTTE* 4 �� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE -2 71, z 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Datel/_6-05 Inspector/?. REV 4/05 Phone# '5)�- FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 `60UNTY OF BUTA - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Centef Drive Oroville, CA (530) 538-7541 CORRECTION NOTICE 7 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 call for re -inspection when correction of - work -is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact tA Building Inspector as indicated below. f V &0'1/00� KIT Ax I V-(- 7 21Y /f -7 AM7 7-y V 5Ai;,VZe 12el' /4/ 1&,6 _P_ 2 1 A�� X 7, 1 1,'0/ ILI 1_2�6 Lo y� a,5 tfr` 0Z_/ C11-rfl 6 -Vi z_1e_'*r 7/7t 6 Datel)—/5- Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 " - APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER ZONING BUILDING PERMIT OWNER ' r TEL PHo4 E SO. FT. OCC. BUILDING VALUATION O NERC MAILING ADDRESS' I ' CONTRACTOR'SNAM / 1., fit TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO 3TRUCTION LENDER f V1 't UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee$ - �}_ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ L Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty BUILDING ADDRESS / Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 f� �r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition [ Remodel ❑ Utilitiesl© Ins allation❑ Other'01 / Describe work: �,-I/ +l Fr- 1� Al /I�.�-- .r,L ,1r1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �ioj��� Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3- of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.y) , OR ADDNS. ACC. BLDGS. /20sgft ' NEWCONSTR I -OUTLET 2,50 ea NON-RESID .BRANCHCIRC TS POWER APPARATUS IN (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eA 030 FIXED APPLES. OR EX. Occup. OUTLETS (REST D.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee : Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 CountyJn consequence of the granting of this permit. /-kThis X " ,-' Date - Signature of Applicant — Owner P Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories/in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ Oc Cu P. I CON3T.T=J FLOOD PARClL PD ND IS9UE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which �/ DIRECTORiOF PUBLIC / By f PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 10 Date �'� Receipt No. (- {� WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE , —DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751- 7 County Center Drive. Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. "I Inspector- D t i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS — MIT " -W 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. ~ APPLICATION 'AND PERMIT ASS 5 OR PA CEL N ER — ZONI - BUILDING PERMIT O R _,_ & TELEPHO14E SO. FT. OCC. BUILDING VALUATION O E 5 MA ING AD RES ,TRACTOR'S C NAM TELEPHONE NTRACTOR'S MAILING ADDRESS Fireplace CO S RUCTION LENDER V1 r— UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ AR iTECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ Energy Plan Checking Fee $ RCH TECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition [' Remodel� Utilities InsJallation❑ Other Describe work: (7 ❑ 0 ✓ o PC'_ -,P hQ7' /a!U 1Q9-Q/=,2A1. 6,7- or- And Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADONST ACCLBL GSCCUP.y) '/:2sgft NE w cONSTFL 1.OUTLET NON-RESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS Ir SINGLE OUTLET CIR. ) EX. Occup OUTLETS OR FIXTURES eA 030 FIXED APPLES. OR EX. DCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): U The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen costs, and expenses which may in any way accrue agai ai nsequence of the granting of this per it. X Date -� ignat of Applicant — Owner54 Contractor ❑ Agent An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ Occup- CONST.TYPZJ SCHOOL FLOOD PARCEL PD NO ISSU This permit is hereby issued under sions of the Butte County Code and/or work indi ed above for which IREC PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. I ORKS . ;�4)m Date ./,r Receipt No. WHITE-D.P.W.. YELLOW-ASOCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ��- COUNTY OF BUTTE - DEPART11AE r OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 s PERMIT APPLICATION DATA SHEET Permit No. OWNER U C�SSC'' �G Q►7 C( � - �� A'' P N Proposed Building Use d `�� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED All items hZdupli'castut,triplicate, bebmitted. . . . . . . . . . . I. Plot plans signed by preparer of plans, , 3. Complete plans in4qu licat triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . I. . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intej,fSfygrr=H'eate&'"andiA�C Buildi.n'gsi, 8. Fees of $ r U . . . . . . . . 9. Letter of signature author iza ' n. Jul 10. Sanitation approval from V r© V� // � Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 3. Contractor's License Information (no., name style, classif.) K11 4. Owner -Builder Verification (Given to owner[], Ma.i:l to owner ❑ ) ar Improvements may be required. . . . . . . . . . . . .16. Mobilehome Installation Data. . . . . . . .. t Pre-Inspec. request to 17. Pre -Inspection for _ Required. Building Inspector (Date) 0_1 8.' Recorded -copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of 21 Enginee—red,trusses in duplicate (required prior to plan check) _ 71_22. YI I v`C �V ►h; C( Ilk- li k1— — -- When you issue the permit, process as follows: Mail to owner; 1v?ail to contractor. Telephone and hold fo pickup at—off ice, Deliver w/'inspector. Other Applicant e ° Date- Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised c' above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabineV ,"'t'' AP folder Copy–DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916_ 538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary.delay in processing and issuing your building permit. No building permit will be issued until this verification.is received.. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) AWVE signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the.proposed construction.: Name Address City Phone Contractors License No. 4. I plan to'provide portions of this work, but I have hired the following person to coordinate,.:supervise, and provide.the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work 44, rr a-710 "MYr_..2r -57-. X33- 1-9:2 4 � Y ' d�lvuDLL�� P� - • Signed: Property Owner Social Secur u er Date e NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are -per- mitted to issue.the permit. '4, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERM T N . ASW POR PA CEL NUMBER ZONI 11q BUILDING PERMIT O R S 'rc, TELEPHO E SQ. FT. OCC. BUILDING VALUATION O E� MAj- ING AD R SS., -r w 0,4 T/OR'S C TR AC NAM Ji tic V-1 TELEPHONE NTRACTOR'S MAILING ADDRESS Fireplace CO S RUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR HITECT OR ENGINEER T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ RCH TECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home J S I G I W 1 0.00 ea TYPE OF WORK New ❑ Addition []� Remodel ❑� Utl lities Ins allation ❑ Other ❑ Describe work: (7 ✓ o (sC'. f Sr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i00 AMP OV OR RSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON•R I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADONST DWEACCLLING GgCCUP.01\ '/z2sgft NEW CONSTR U TI.OUTLET 2,50 ea ESIO BRA IRC 5 POWER APPARATUS e SINGLE OUTLET CIR. Ex, OCcup(OUTLETS OR FIXTURES 200sot DAL®3o FIXED APLNS EX. OCCup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occU P. CON ST.TTP[ Isc.00,IFILOODIPARCILLI Po ND Ie9U[ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. AJ Complaint -Date $ ❑ Ocher -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner:' Address: I 0. y_X�Li lyorI ( Tenant: Building Location: Type of Inspection requested: t. l l R/ ZONIN A. P. // -3(D — date of Inspect io -` Inspector kf. .. 1. Housing ".2. 2. Financing / / 3., Change of Occupancy to A4. Work W/O Permit / / C. Other (specify') -A Present use of building: /S—/-- A. Sanitation (Housing) 1. Water closet: )ri5w E 2. Lavatory: 3. Bathtub or shower: A L f 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection *1 to sewage disposal: 12. Connection to water supply: 13. Rubbish and. garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15.' Comments: x B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: _ 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 2. 3. 4. Service and ground: Receptacles: Fusing: Comments: ANNA nGo�t//T M Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. /Problem or violation (give c mplete des.r��iptii�on): A"� edL 2.hat action taken (g,ive completes descriptio ; 3. WhaW action recommended: A. Information only - file. Hold for ten days, then write letter. %% C. Write letter. D. Other: 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.netWds LICENSED CONTRACTORS DECLARATION Issued Date: APN: U36-47U-�U8-UUU 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 Site Address: 3140 FOOTHILL BLVD ORO effect. License Class : License Number: Map Index: Date: Contractor. Description: REMODEL(866), OPEN DECK(217) 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 Owner: COSBY, CYNTHIA Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 3140 FOOTHILL BLVD to its issuance, also requires the applicant for such permit to file a OROVILLE, CA signed statement that he or she is licensed pursuant to the provisions of 95966-6811 the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or (530) 321-3475 she is exempt therefrom and the basis for the alleged exemption. Any of Section 7031.5 by any applicant for a permit subjects the v71. at to a civil penalty of not more than five hundred dollars ($500).): as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: COSBY, CYNTHIA intended or offered for sale (Sec. 7044, Business and Professions 2947. NORD AVE Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does CHICO, CA such work himself or herself or through his or her own employees, 95973 provided that such improvements are not intended or offered for 321-3475 sale. If however, the building or improvements are sold within one (530) year of completion, the owner -builder will have the burden of proving that he or sfie 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 Contractor: 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.). ❑ 1 am Exempt under Article 3 of the B sn ess and Profe ion de Date:,�Owner: - License #: 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 Architect: Labor Code, for the performance of the work for which this permit Engineer: is issued. ❑ 1 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: Total Square Ft: 217 S. F. Carder: Valuation: $2,170.00 Policy #: Census Code: ertify that in the performance of the work for which this permit issued, I shall not employ any person in 'any manner so as toecome subject to the workers' compensation laws of California,nd agree that if I should become subject to the workers'ompensation ra provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: /1 111 20 �J 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 This permit is hereby issued under the applicable provisions of the Bufte County Code a, nrt/or I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated ab ve for which fees have been paid. performance of the work for which this -permit is issued (Sec 3097 Civ.) c�/� Name: �(� By: l /- /_ �� ( n /Date: PERMIT EXPIRES ON: _ !O-" 2O -OG Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 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. I acknowledge it is unlawful to alter the substance of any official form ocument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. L Print Name: �/� Signature: Date: 0 Owner 0 Contractor went 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 REOUIRED AT TIME OF APPLICA TION OWNER **PLEASE PRINT CLEARLY** Last Name U' b First Nam (/V/M#0 Addressa City State�j�3 Phone 3a i '.3�%S E202 1 -mail Fax��� �_�`i' S l (1 � N30 � Sl_'o 1 \ tt-NSQYSO `k:c) CO ARCHITECT/ENGINEER Name Address. City State Zip Phone Fax E-mail State License Number APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name Address. City State Zip Phone Fax E-mail State License Number APPLICANT NAME .Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office only: Zoning - Flood Zone SRA r Yes No Occ. Type Const Subdivision Name Map Book Page Lot # IPlanner I Date Approved: I nvCo CnD Q1112MY-rAl 01=r)111R1=M1=MT.5%' PERMIT NO. BP052�tCD BIN Q# IJ`I�1 i LENDING AGENCY Name Address or Scope of Work: Sq. Footage ❑ Structure Built without Permits �Gy ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 373.g3 Bldg SRA Receipt #: 4%5-? Sheriff D Date: to -10-OS -673, Other Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑. 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. .'Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation. Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed. by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION ....................... J-- o...... 7 s7 RFV R -1F U o050G) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER as bU PROPROSED BUILDING USE P,1f-nM& 1. Q, Cptn N'[K J -110 5z,1. BUILDING PERMIT FEES ---Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ i/ n• D• • • RECEIPT # I�0ny DATE REC. 0=20-'o 2. SCHOOL DISTRICT FEES -—(�(VQ0 "/IQ/05 X1/2%5 (paid at School District Office) (form available after Plan Check 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) �8. SMIP 9. DRAINAGE FEE 10. OTHER{nl 11. OTHER U1 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE I,)/ 10 105 Pursuant to Government Cod"ection 66020, you are hereby n 'fi d that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) apo 5279 � 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: Cosbu t ASSESSOR PARCEL NUMBER 0'5(n-13-70- OU Proposed Building Use: 11Q (vin(�e� , F,f1rt1L� Co(11>e('510�1 _(k Permit Technician: K.6. Date: Iteps required in order to apply for a permit' All boxes MUS be checked OR marked NA in order to apply. � Z JN 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. -2N 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O 8. Manufactured homes: (A) Installation manual, including 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 -sinned by the engineer. ❑ 10. Flood Elevation Certificate, wet"stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential' buildingv o ,,N12. Hazardous Material Form 3j4 13. Acknowledgement of building permit application without required clearances. O 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) y 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required..................................................:......... Nb�............ N 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ n ❑ 22. Site plan and business license approval from the City of Biggs...... ❑ 23. California Department of Forestry, plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use:(B)Parking: (C) Parcel Check:... O O 25. Contact Land Development about _ Improvements, _ Drainage ........................ N26. NPDES Form.....................................................................:....................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30: Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... O 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction..........................................................::.............................. 35. O Legal description, ❑ M.H. Title, title search, registration or MCO......... 36. Other:Em((DbA ()ttd of dijmr-`'�' 0 37. Other: When issued Telephone(son) 39 i- 4-Rc1 and hold for pickup. I have been informed of the above items d requirements for obtaining a building permit. Applicant: ��TJt((.� >� Date: I J 1. Index permit applicatiofor e bove um r d: Plan Check Letter 2. Additional items requir l�W Contractor, designer, owner, was advised ef the above data by ❑ phone, ❑ mail, O counter, by Date: Contractor, designer, owner, was advised of the above data by O phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by phone, ❑ mail, O counter, by Date: Plans reviewed by: Date: Plans approved by: .r�0 Date: U Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division I -- Flat Plan Ansclied Floor Plan Anschad fw'i Sam to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 44 - Owner Location AP# Plan'Aporoved for: Sewage Disposal"i—, Wat Pr Supply: Public Private Well Clearance for dwelling.Ather . ��NtACA- �:p " f UV%) -A -,--3 ::2� E , ( & Hold final for: Final clearance O.K. for: NOTE: Environmen 8/96 Health Specia Date BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District �,� / L� c C 1,e�,on g-cN % AC A.P. Number0 —3 (,, _ y1a- w9Jurisdiction: City Property Owner Property Location/Address 3iy Subdivision Residential Development Q No of Living Units Mobile Home \ 'e Installation (Attach ksi Commercial/Industrial0 '4"0� New Addition Buildingbepartment No. County Lot No. *Supplemental to Permit # '(No foundation inspectic As %LC off_ 2 74,E € Sq. Footage o:Z (Group. R) Deed Restricted Sq. Footage copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date (� District Identification No. —13-1s, Y z U yzJ School District certifies that (Applicant) (Street Address) (Phone Number) c7 r ,a 4: � 0 co 6 (City) Y r ! v i (State) (Zip Code) has complied with the requirements f Resolution No. --O`F --c b p qireo � � `� y payment of $ { representingb square feet. B 2926 $ ULL MITIGATION $ RNA A l t O —1 c1 --d S School District Rep sentalive Date Paid by Check # L- Remarks: Notice: You may protest the Imposition of the fees Identified above by submlttlng a written protest to the District, In compliance with m Governent Code Section 66020(a), *Rhin i) days frothe date fees apaid. Failure to submittimely a wften protest will prohibit you from challenging the Impositlon of On feem are s In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertMcadon Form, the School Disbkt is notified by the applicable Local Planning Agency that this project Is being revlewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully. mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant). feeform.xls (3fO5Ww RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: Cynthia Cosby 3140 Foothill Blvd Oroville, CA 95966 2005-0058783 Recorded i REC FEE 11L OO Official yRecords I TAX 247.50 ButCountf 1 Oia@IICE L OR= I County Clerk-Recorderl I I CP 82:41PN 20-6ep-M I Page 1 of 2 Above This Line for Recorder's Use Only A.P.N.: 036-470-008-000 File No.: 0403-2052794 (CB) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $247.SO, CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE; X ) computed on the consideration or full value of property conveyed, OR computed on the consideration or full valueless value of liens and/or encumbrances remaining at time of sale,�< X unincorporated area; I ] City of , and'"'�--g j r FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Jimmy Ripley Jr., a married man, as his sole and separate property hereby GRANTS to Cynthia Cosby, an unmarried woman the following described property In the Unincorporated Area of , County of Butte, State of California: PARCEL I: ALL THAT PORTION OF LOT 301, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE-WYANDOTTE FRUIT LANDS UNIT NO. 6", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 8, 1929, IN BOOK 10 OF MAPS, AT PAGE(S) 3A, 4A, AND 5A, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE MOST NORTHERLY CORNER OF SAID LOT 301 LOCATED IN FOOTHILL BOULEVARD, AS SHOWN ON SAID MAP; THENCE FROM SAID POINT OF BEGINNING ALONG THE NORTHEASTERLY LINE OF SAID LOT 301, SOUTH 2107' EAST, 104.0 FEET; THENCE LEAVING THE NORTHEASTERLY LINE OF SAID LOT 301, SOUTH 52 32' WEST, 418.85 FEET,- THENCE EET;THENCE NORTH 3107' WEST, 104.0 FEET TO A POINT IN THE NORTHWESTERLY LINE OF SAID LOT 301, THENCE ALONG THE NORTHWESTERLY LINE OF SAID LOT 301, NORTH 52 32' EAST 418.85 FEET TO THE POINT OF BEGINNING. PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES, 25.0 FEET IN WIDTH, OVER THE EXISTING ROAD CROSSING THE EASTERLY 100.0 FEET OF THE LAND DESCRIBED IN THE DEED FROM LEO A. LARENSON, ET UX, TO CARL E. WILLIS, ET UX, DATED MARCH 8, 1963, AND RECORDED MARCH 29,1963, IN BOOK 1236, PAGE 19, OFFICIAL RECORDS. Mail Tax Statements TO: SAME AS ABOVE A.P.N.:036-470-008-000 Dated: 09/14/2005 J' Grant Deed - continued File No.:0403-2052794 (CB) Date: 09/14/2005 STATE OF California } )ss. COUNTY OF Butte' } On before me, I-0-iddZe personally appeared personally known to me (or prgfved bof me orf the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(fes) and that his/her/their signature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. This amefor of fa/notana/seal Signature CHARITY D. BERRY- '' Commission 019519580 Notary 81bblir�alifomia Couty My Commission s: �� My Comm. Exp. APFI.14, 2006 Notary Name:'2Qi D Notary Registration Number: Notary Phone: County of Principal Place of Business: Page 2 of 2 0 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 material for construction of this proposed property improvement: YES D -(l NO [ ]. 2. I HAVE [>] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE 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 f SIGNED: PROPERTY OWNER: c� DATE: y 0l 1 D I o 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. Rev'd 11/4/2004 Butte County .Department of development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your naive listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. 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 workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be 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 in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. A, D.epartM nt of ' Public works o. C o u n t y a U e II :; •','ri A LAND DEVELOPMENT DIVISION J. MlCha21 Crump, Director Storm Water ManagementNagrzm `V ® 7 County Center Drive �� S / Oroville. CA 95965 (530) 538-7266 AUC WDF� (FAX) 538-7171 National Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Pian (sWPPP) Acknowledgement RE _ Project Description: Project Location andlor Parcel Number: 9 By signing below, I, the project owner/owner's agent, certify that this project WLLL NOT DISTURB 1 acre or more of land and that I, therefore; do not need to apply for a Construction Storm Water Permit fon the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require. a Construction Stone Water Permitfrom the State of California Regional Water Quality Control Board. false and/or inaccurate I am aware that submitting ate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project.' i that disturbs one acre or more of land may result in revocation of grad ng and/or other permits or other sanctions provideti by law. Signed: Title: Date: Butte County Depar tment of'Developinent Sel-V ces 0 R,.,. 7 County Center Drive ' o Oroville, CA 95965 °O -a "w o (530) 538-7601 Telephone 00tjtl- � (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. o . I am required to bring the approved Environmental Health site plan and "approved sanitation clearance to the Building Division as soon as clearance is obtained x e I am responsible for notifying Development Services, in writing, to stop processing of the. application and to arrange for* disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required penruts/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: �hl19 v� Building site address: S) `an APN: D 3 (j� y r70 J Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: (PC) 05 SIG URE OF APPLICA DATE SITE PLAN REVIEW APPLICATION Date: i o . (Z' AN e2 ?Z 70 OCR Permit Number (if applicable) 0E 274(I Bin Number• APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory `Gk ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial . ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ` Brief Explanation/Issue: a ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) Zone:2 GP: W/Z Is Approv ❑ Conditionally Approved ❑ Resolve Problems'Prior to Approval El Resolved By Date ld • aY ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: X • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry . ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: IV= General Plan: LD 2 Applicable Building Setbacks: ❑ Setbacks identified on site Plan. V CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: PA ill Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Ile Side ut 30, Side Street Rear S- < < Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. V CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: PA ill 0 Parcel. Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes . Deed of Reference: Legal Access Required [:]No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: M 3 1 CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R Project Title: Cosby Addition Run: 269 10 -Oct -05 Project Address: 3140 Foothill Blvd. Cosby Addition Oroville, Ca 95966 Building Title: Cosby Addition Building Permit # Document Author: Jake Finlay Telephone: 530-53370487 Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 11 ` GENERAL INFORMATION Conditioned Floor Area: 264 ft2 Exterior Conditions/Descripti Average Ceiling Height: 10'0" ft -in FENESTRATION -Building Type: SFD Single Family Detached Building Front Orientation: 90 deg (East) Type/Orientation ----------------- (ft2) U -factor Glazing Area, % of Floor Area: 26.5% and Fins Window East ----- ------------ ------------ 30.0 0.40 Average Fenestration U-Value:0.40 -------- None Window South 40.0 0.40 Average Fenestration SHGC: 0.25 THERMAL MASS Area Thick Number of Stories: 1 (ft2) (in) ----- Location/Comments Number of Dwelling Units: 0.14 --------------------------------------- Floor Construction Type: Slab on grade BUILDING SHELL INSULATION Cavity Sheathing Component Insul Insul Total Assembly Type --------------- R -value ---------------- R -value R -value -------- U -value Location/Comments Door 0 -- 3.03 -------- 0.330 ----------------------- Outside Wall 13 0 11.36 0.088 Outside Wall 13 .0 11.36 0:088 Outside Wall 13 0 11.36 0.088 Outside Ceiling 38 0 41.67 0.024 ' Attic Floor 0 0 3.38 0.295 Grade FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti Slab 264 Yes Grade FENESTRATION Area Fenestration Fenestration Exterior Overhang Type/Orientation ----------------- (ft2) U -factor SHGC Shading and Fins Window East ----- ------------ ------------ 30.0 0.40 0.26 ---------- BugScrn -------- None Window South 40.0 0.40 0.26 BugScrn None THERMAL MASS Area Thick Type Cover ----------------------- (ft2) (in) ----- Location/Comments None ----- --------------------------------------- I CERTIFICATE OF COMPLIANCE: Residential Page 2 • CF -1R Project Title: Cosby Addition Run: 269 10 -Oct -05 HVAC SYSTEMS Refrigerant Distribution System Charge and Location Type Efficiency Airflow TXV and R -value -------------------------- ---------- ----------- ------------------- Furnace 0.80 AFUE N/A Attic R-4.2 Air Gond. - central split 12.00 SEER Yes Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM -------------------------------------------------------------- CEC 100%R4.2 71 No n/a 185 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume .System Name Type ------------ ------=- Heater Name Heater Type Htrs Factor (gal) Standard—Gas Standard ------------ StandardGas ----------------- Storage gas ---- 0 ------ 0.53 ------ 50 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------ ------------- ---------- ------------- Standard Gas -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank . Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ StandardGas 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul. Insul System/Name Type Number run (ft) diam (in) thck (inj' R -value -------------- ------------- ------ -------- --------- --------- ------- None CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: Cosby Addition Run: 269 10 -Oct -05 SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. 3. A Thermostatic Expansion Valve must be installed in the cooling equipment. NOTE: Water heater wrap is required COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in 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, and Notes section. DESIGNER OR OWNER Jake Finlay Jake Finlay Design 1935 Campbell Ave Oroville, Ca 95966 (530)990-1343 C ification #: /gned Date ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date DOCUMENTATION AUTHOR Jake Finlay Jake Finlay Design 1935 Campbell Ave. Oroville, Ca 959566 530-533-0487 ' ele S' ned Date COMPUTER METHOD SUMMARY --------------------------------------------- Project Title: Cosby Addition Project'Address: 3140 Foothill Blvd. Oroville, Ca 95966 Building Title: Cosby Addition Document Author: Jake Finlay Telephone: 530-533-0487 Page 1 C -2R ------------------=-------------- Run: 269 10 -Oct -05 Cosby Addition Building Permit # Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Space Heating 17.42 Space Cooling 12.55 Water Heating 13.53 Total Type ---------- ------ 43.50 GENERAL INFORMATION Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value: Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones: Total Conditioned Volume: Proposed Design --------------- 16.57 13.47 13.40 -------- Complies 43.44 Yes 264 ft2 1010" ft -in SFD Single Family Detached 90 deg (East.) 26.5% 0.40 0.26 0.14 1 Slab on grade 1 2640 ft3 BUILDING ZONE INFORMATION Floor Vent Zone Area Volume Thermostat Height Name (ft2) (ft3) Type Type (ft) HOUSE 264 2640 Conditioned CEC Standard 210" OPAQUE SURFACES, Surface Area U- Insl Total Tru Slr Construction Type ---------- ------ (ft2) factor ------ Rval ---- Rval ----- Atm --- Tlt --- Gns --- Type ------------ Location/Comments ------------------- Zone = HOUSE Door 20.0 0.330 0 3 90 90 Yes CEC30-Wood Outside Wall 150.0 0.088 13 11 90 90 Yes W13_2x4.16 Outside Wall 90.0 0.088 13 11 180 90 Yes W13.2x4.-16 Outside Wall 25.0 0.088 13 11 270 90 Yes W13.2x4.16 Outside Ceiling 264.0 0.024 38 42 -- 0 Yes R38.2x4.24 Attic Floor 264.0 -- 0 -- -- 180 No Slabl40C Grade COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: Cosby Addition Run: 269 10 -Oct -05 -------------- PERIMETER LOSSES Insul Perimeter Length F2 Insul Depth Type (ft) Factor R-val (in) Location/Comments ------------------- ------ ---- ---------------------------------------- None FENESTRATION SURFACES OVERHANGS •° Fenestration Length Height Left Right Name Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- -------- None FINS Left Fin Right Fin ------------------------ -------------------------= Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth -Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS ' Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments --- ---- ----------------- ---- ------------------------- None SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments ------------ -------- -------- ------------ -------------------------------- ' None Fenestration Exterior Shade Over - Fenestration Area --------------- Tru ----------------- hang Name -------------- Type (ft2) ------ ----- U -factor SHGC --------- Azm Tilt Type =---------- SHGC /Fins Zone = HOUSE ------ --- ---- ------ ------ FRONT Window 30.0 0.40 0.25 90 90 BugScrn 0.76 None Slider Window 40'.0 0.40 : 0.25 180 90 BugScrn 0.76 None OVERHANGS •° Fenestration Length Height Left Right Name Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- -------- None FINS Left Fin Right Fin ------------------------ -------------------------= Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth -Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS ' Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments --- ---- ----------------- ---- ------------------------- None SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments ------------ -------- -------- ------------ -------------------------------- ' None I COMPUTER METHOD SUMMARY Water Page 3 C -2R Project Title: Cosby Addition Volume Run: 269 10 -Oct -05 HVAC SYSTEMS Refrigerant Minimum (gal) ------ Standard—Gas Standard Charge and Equipment Duct Location System Name System Type -------------------------------------- Airflow TXV Efficiency and R-value Zone = HOUSE ----------- ---------- ------------- GasFur.80 Furnace N/A 0.80 AFUE Attic R-4.2 Acsplit12 Air cond. - central split Yes 12.00 SEER Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage .Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM -------------------------------------------------------------- CEC 100%R4.2 71 No n/a 185 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type Heater Name Heater Type Htrs Factor (gal) ------ Standard—Gas Standard StandardGas Storage gas 0 0.53 50 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------ ------------- ---------- ------------- Standard Gas -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light .Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ StandardGas 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: Cosby Addition Run: 269 10 -Oct -05 SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. 3. A Thermostatic Expansion Valve must be installed in the cooling equipment. NOTE: Water heater wrap is required MANDATORY MEASURES CHIECKLIST: RESIDENTIAL (page l of 2) MF -1R Note: 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 minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: ' §150(a): Minimum R-19 ceiling insulation. § 150(6): loose fill insulation manufacturer's labeled R -Value. ' §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls does nota I to exterior mass walls). u ' § 1'50(d): Minimum R-13 raised Floor insulation in framed floors. , § 150(f): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage, 2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and scaled. § 150(g): Vapor barriers mandatory in Climate Zones 14 and. 16 only. § 150(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards. § 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs, I. 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 pilot lights allowed. )ace Conditioning, Water Heating and Plumbing System Measures: § 110-§ 113: HVAC equipment, water heaters, showerheads and fiucets certified by the Commission. § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. § 150(i): Setback thermostat on all applicable heating and/or cooling systems. § 1500): Pipe and tank insulation I. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to.water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 extemal insulation or R-16 combined intemal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55" F insulated. 6. Piping insulated between heating source and indirect hot water tank. .January 4, 200.1 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -1R Note: Lowrise residential buildings subject to the Standards. must contain these measures regardless of the compliance approach used. Items marked with an asterisk(*) maybe 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 minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System. Measures: (continued) • § 150(m): Ducts arid Fans 1. All ducts and plenums installed,' sealed and insulated to meet the requirement �of the 1998 CMC Sections. 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181 B. If mastic ar tape is used to seal openings greater than 1/4'inch,"the combination of mastic and either mesh or tape shall he used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually o erated 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 is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. § 115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr Lighting Measures: § 1'50(k) l.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/wan- or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. § 150(k)2.: Rooms with a shower or"bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in §150(k)2.; and recessed ceiling fixtures are IC insulation cover approved. M January 4, 2001 BUTTE COUNTY DEVELOPMENT SERVICES 1, r- ' COMPLAINT FORINT This information is not available to the publicH v, ► r r i DO NOT COPYFOR THE PUBLIC OR THE FIELD INSPECTOR!d The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address Phone Number: The above information is not available to the public! r t i i r r (2) il, NOTES: 1. ALL HEAVER5 TO BE 4X6 U. N. 0. 2. NALL FRAMING TO BE 2X4 (,M 16" O. C. 3. CEIL IN6 FRAMIN& TO BE 2X6 CM 24" 0. C. A T PLAYROOM ADDI TIG 4. INSULA TION TO BE R- 13 MIN. A T EXTERIOR PVAAU 5 AND R 3e A T CEILING. 14 5HEAR "Al -L. SCHEDULE NOTE.• 1-101-DONN5 REQUIRE DOUBLE 5TUD5 ODENOTE5 VYALL LINE IDENTIFICATION PENOTF5 5HEARhIALL IDENTIFICATION 5 TUCCO.' EXPANDED METAL OR 4YOVEN kVIRE LATH AND PORTLAND GEMENT PLA5 TER ,FA5 TENED T02XD0U6LA5 FIR FRAMING 16" ON CENTERkVITH No. 11 gage, 1.5"LON6, 7/16" HEAD NrAILS, OR No. 16 5TAPLEVYITH 7/a"LE65, A7.6"ON CENTER MAXIMUM. APA RATED 3/G" ORIENTED 57 RAND BOARD 5H5A7'HIN6, kYITH 4d (0.113 x 2 3/G') NAIL5 A76"ON CENTER EDGE NAILED, 12" ON CENTER FIELD )VAILED T02X DOU6L.45 FIR FRAMIN6 A7' ;16"ON / \ CENTER. APA RATED 3/a"ORIENTED 5TRAND BOARD 5HEATHIN6, INITH4d (0.113x23/d'j NAILS A;T4"ON CENTER EDGE NAILED, 12"ON CENTER FIELD NAILED T02X DOU6LA5 FIR FRAMING AT 16"ON 12\ CENTERR, 0 5/MP5ON 5TRON&-TO STHPA -G TRAP TlE HOL OOPYN. 7o the rest link/kwded#e these #/am&e Vr[nU um//yfN`th&4,ler's andlo jul//er'ss/echTLINInJM/L'ly chln,Jel m1/eOn Ahem atter pdnb ore msdra//%edone ftlheowler'sln///r cull/ees ewen6e,1M!/IESMnsIYO/ty The unhscbrshf//ventyj/I dimension an/endaseddrxaV. Jake F/n/ay Des/'nIsnotAstle for en" once consNvctUn has Negun.$*Ale eveyslSrd hu keen ma/e/n the wevari/Ln ifthfs Nm Msw1/mistakes, the mskercan nW#"wwnei Ma/nsthumon earn rhe connacbrafkeloo mwehea oil dimensions andooher/emllsorlirto unshucHin an/ ie sNe/ymsrynslAl/e AherenRer. Ln U- 0. LU J T- O O O CIOO m O M Ln 47)V/4"N BY.- J. ,FIND )' Dir TE. - 10 -15-05 5CALE: NOTED JOB: C05B )' I-565NO 1) PLOT PLA4N 2) FLOOR PLAN 5) FOUNDA XION PLAN 4) DETAIL 51HEET 5) ROOF FRAMIN& 6) El- HC TRICAL/5EC TION -5 7) El- EVA TION5 5I6NED: SHEET# 2 OF 7