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46` HAYS, J. L. 2057B - Richards f 1679P HENDERSON iproville ' s 2172E 1. 2606 4Oak. Knoll',Way, t contra Dari' Munson � �% ..k 3'"s �., pt 1 4. ,q, T i, f M �2. / A a pG oil/ nal anew :sf •t_ � � s/e corner V5 and VE, Oroville �r%" "' 93-1781 B 4,. + (new, single family) r HENDERSRICHARD+ w - OAK KNOLL. - 0R&jtLE l,r!r9 . /aily3 .05-2124 ` TWITCHELL; ROBERT &DARLENE 2606 OAK KNOLL WAY, OROVILLE - ~ Cont: SELIG CONSTRUCTION:.; F " SIDING(VINYL) .'i. ' R i i ,1 , 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BPOS2124 B. G. BWlding Permit 01-115-)4 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/09/2005 APN: 036-112-021-000 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. q2 License Class: 1 License Nu be : ' I li 4 Site Address: 2606 OAK KNOLL WAY ORO � Map Index: �t Date: Contractor: 0 Description: VINYL SIDING 2300 SQ.FT. 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: TWITCHELL ROBERT & DARLENE 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 2606 OAK KNOLL WAY the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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 95966-7105 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SELIG CONSTRUCTION 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 3851 MORROW LN sale. If however, the building or improvements are sold within one #7 95928 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 530-893-5898 . 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, Contractor: SELIG CONSTRUCTION and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3851 MORROW LN ❑ I am Exempt under Article 3 of the Business_and Professions Code #7 95928 Date: owner: 530-893-5898 License M 711042 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: 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: t U Carrier: V �') Gl C. 7ril�i 0 Total Square Ft: 0 S. F. �. Policy #: R� D S RC2 (a 9_6 I Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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: 0310 V O -L)— Applicant: 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 underya applicable provisions of the Butte County Code and/or 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.) 40 do work indicated bo for w 'ch fees have been paid. Resolutio�EX Name: Date: B�E71 PPIR ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 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 document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection:purposes. Print Name: !"W R !L t} 1 i i Signature: / C/ Q Date: v .J/ ❑ Owner O Contractor ❑ Agent for Owner b/Agent for Contractor B. G. BWlding Permit 01-115-)4 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER Last Name _ first Namelt Add ess 61 L(% City t Stat A Zipcn 5 G Phone _ 5 -- Fax E-mail Date Approved: CONTRACTOR Name / t Name CityC.} State e �j Zip 5 P _ Fax E-mail Lic. #^�/ J y� las —/� / APPLICANT NAME ARCHITECT/ENGINEER Name City 0 Address hone 8 5� I 3 C3 0 -YO City E-mail State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name _ •�� -� r Address ,) I4 � k O V h City 0 State Zips 5� 2 ce hone 8 5� I 3 C3 0 -YO Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Pro erty Address J4 &4 Flood ZoneYe Cross Street SRA No Occ. ` Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT N as - BIN # Description or Scope of Work: Sq. O 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. I I Received by—TP Amount: Amount: Y C Blc�g 6 11 Page 1 of 2 Receipt #: f I 0 1'7(n SRA SMIP _A r?.'SLY Total REV 2-24-05 oLOCATION API /1 3 (J� Pro erty Address J4 &4 City 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 Description or Scope of Work: Sq. O 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. I I Received by—TP Amount: Amount: Y C Blc�g 6 11 Page 1 of 2 Receipt #: f I 0 1'7(n SRA SMIP _A r?.'SLY Total REV 2-24-05 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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). \ ; 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. - A If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. • r 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. '01l;�;�•7.�3�1a71�1�7T�7► KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 RESIDENTIAL 036-11-2-021 93-1781 'B i. HENDERSON, RICHARD 2606 OAK KNOLL, OROVILLE DECK/SF,� V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL, (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Solls-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.; 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joista-Vents-Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Neil 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/Mach. 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 Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr, ties -Puri In -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/Initials FINAL (Plans) OK except #'a 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 -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ 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: V=OK O=Not OK -= Not ApplReady MOBILE HOMES ' =Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) 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 -Fell -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 MISCELLANEOUS L,aYDecks; GrFKrs and/or JKsts-Decking ting-Staif"s-F(6(Is /_/ 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 Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P,4RCEL NUMBER 036-11-2-021 ZONING AR BUI IN6 PERMIT OWNER RICHARD HENDERSON TELEPHONE SQ. FT. OCC. BUILDING VALUATION i80 1,260 OWNER'S MAILING ADDRESS 2606 Oak Knoll Way, r v"11 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. .27-00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2606 Oak Knoll WAV, Ornvillp Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [(X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JWT @ 15.00 TYPE OF WORK New a Addition � Remodel ❑ Uti lilies ❑ Installation❑ Other ❑ Describe work: Open deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 Main service 20(A TO i000A) 37.50 NEWC ONST. ( DWELLING OCCUP.ai\ 3.6Q sq.ft. OR ADONS. ACC. BLDGS. // NEWCONSTR ULTI.OUTLET NON.R ESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. I 76d Ex. Occup(OUTLETS OR FIXTURES A_ 0 46.4 FIXED APPLNS. OR EX. QCCUp. ,OUTLETS IRESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, in ify nd keep harmless the County of Butte against all liabilities, ludg a s, o s, and expenses which may in any way accrue again ai Count i c quen a of the granting of this permit. p X Date —�/,- / ...3 $ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr 39storaesain excavations Ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 62.00 HAz OFEES �" IMP FLOOD CDF X PARCE PD HD ISSU This permit is hereby issued under the applicable provi1 - sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE LIC WORKS By Dat �93 PERMIT EX IRES Da 2 Clq Receipt No. 143231 WNITE-D.P.W.. 7ELLOW-A53[SSOR, PINK -INSPECTOR, GOLDENROD-APPLICANT M !fir -,!'"'f '1!>t'.*'{F�'�'Y�R...q„' ''•R'�4%r%��"`'^ '" ~����� r � � ! '7r r M11<••-.�-'f"Y '�'• C._OU,NTYOF BUTTE - DEPARTMENTOF_ E?JELOPMENTSERVICES -BUILDING DIVISION 777777ggqgqq�u.r.4YwY', � 7COUNTYCENTERDRIVE -OROVILLE,CALIFORNIA95965-TELEPHONCj X538-7541 PERMIT APPLICATION DATA SHEET OWNER /) / GVIG( !til, //t' �' i��-I L'ti��©� A_ P Na ���G� - )/1012 yC Building Inspector 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. 3, .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 22. WN 23. ZJ 24. rte, 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . .............................................. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year floo i,fQ�nia Engineer . ................. . Sanitation and plot plan approval OA e Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use:. (B) Parking: . ... .... . Contact Land Development.about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy) Pre -ins ection for to Building �QO� p required. . to Building lnspeaor (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. ...... . Owner -Builder Verification (Given to owner , Mail to owner Xj ............... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ......................................... Mobilehome utility clearance . ......................................... . Documentation of legal access . ..................... :............. .... . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ................................. `................... . When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. /' Deliver with inspector. Other / Parcel Creation Acreage Applicant �' . Date�3 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved byP, 1L Date-Zr-g3 Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works t r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 APPLICATION AND PERMIT A59ESSD PgRC--L Lu( V'R� a� l a� ZON G BUILDING PERMIT OW 4 adi� T11LEPHONE SO. FT. OCC.1 BUILDING VALUATION ER S MAILING DR SS 116 /� , OW7260 C T AC OR'S NAME TELEPHONE C RACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL IN A D EssPermit a fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Oro V IIte Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAr Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New" Addition Remodel[] Utiliti ❑ I stallation[ Other F] Describe work: CK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 2oGATO t000A1 37.50 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 17I, 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.&) DR ADONS. l ACC. BLDGS. // 3.60 sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 750 FIXED APPLNS. EX. OCCUp. R OUTLETS ((RESID IEA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE L O� TOTAL F $ o[) HA2 0FEES I IMP I FLoo COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Jt�� Receipt No. L WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Vc signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions.of this work,.but I.have hired -the following person to coordinate, supervise, and provide the major.work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated Name Address Phone Type of Work Signed: / P Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code: This verification must be completed and returned to our office before we are per- mitted to issue the permit. SNEER 230 ` ThW Mt of pians ind speeff cMions MUST be . . keM as.the job at -iii times and it is unlawful to ' rn"q �: changes or alteations on same *ithout wi`fLLem Permission f r.o m the 1)spartme t of Public Works, C011nt�q Of BLt6t6. L -C �� cGL�v ✓ ( �` P �L'� 1"ii b � l C V T'� i l�� � SEPT M SINGLE A/`i/LY REsi.DFNCaqp r6 •. ?? a 0 � so gsz- d 1 dUTTE COUNTY U=PMR AmnbR iV E A A 1 11 a S 19.4A L B;:-- cs_EAR Qo: AR, I_ E.ASEE13ENTS. L®IIdG DEPARTMENT A SET BAC4s =7r" _ PT. s FT. (t.0M t i�E- AND _ A P P R O V p 1"n�: i"eE>.� ._.r .:,r 9 �e 3.f�' �� -R-- -- c-- 'o—= CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A Z Ft. EAVE OVERHANG. _ `T 2soP�O.I"jA a a60, C�i4fc l�nro�� w� y 1, SGALE • — io'-o'� r 0.94 , F°'fit" �- F''"`": ^ v NGl : All Materials & WorkmanaMp Shall Be In. Accordancse with Rena $nixed. Good Practices and of a Quality Prescribed for the -Specified use In the Uniform BuildYig, Plumbing & Mechanical Codes and tge National Electrical Code. J 6UTT6 COUNTY WILDING DEPARTMERI, APROVED 21.�- i r ddJTfE COUNTY WILDING D6PARTMENt . APPPOVED �f¢ 1� - Sit Vtew S�krrS � 4 3CA. ' a-- ir -Min. Run Ru" too M „ a to be. i r ddJTfE COUNTY WILDING D6PARTMENt . APPPOVED �f¢ LAI - Sit Vtew S�krrS � 4 3CA. ' ir -Min. Run Ru" too „ a to be. rise�un �pw i r ddJTfE COUNTY WILDING D6PARTMENt . APPPOVED �f¢ C -N A— 1 ,�Ii j C -N A— S' Y, 3 o cu cv (D @ GJ rn 10 rn (1) � 0 : 1> 70 ni C -N A— ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/pubhcworks/fomis.htnil NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number 1031 o:� 79 E District I` S APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name:—� - l �t W �w ` •1; 1 a. Company Name: 2. Address: 3. Phone: 0 _ g 3 - �S 3� 4. Assessor's Parcel O n' (� fi 5. Location ofWork to be Don` C ' � ie_ W"e 6. A licant' ature 7. Date: 07-- 6,? CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: c—, t T- � � �. C{ .9-4 13. Certificate of Insurance: Yes' El No: 11Ili 14. Contractor's Signature: (q �r, e c� C nr i� `o 14a. Date Signed: L- O Z. v 15. Authorized Agent: - TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: 9[ Sidewalk: ❑ 17. Drive (List Type): ff 718. P :� •fL 1_ Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions K al V O � �j•r" C✓u /+--( �t-// � _ r� /C� Q;2 / �v � `� iI A S-rN %/p W e L` ¢ ' Tv A,9 G Q f Z Al c A-11 �% A /ti 1 O • cm 0 U •a f'2 z, ti r�, n o v•-ei2. l u r—,�, ('u,- � J )) (. fry tai. i Gv�. 1�i1 l�`C� vE,+ Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. W All work shall conform to accompanying: Detail 10 Plans O Special Conditions .® 21. Date Issued O 9 U 22. Expiration Date: G p� 23 Surety: Mike Crump, Director of Public Works By: Note: if permits are faxed to any number besides (530) 5384356, they can be delayed up to onew"eek. � 2•?•03 Page 1 of 2 ' General Conditions - See Page 2 s�+�" •-'��-.....�+�.-.4.�-,ws.r�*�7"_•�,-c►---•,;-ry r-.+.....r}c4....,,,,,• rte_ __y-^�`-,+,.;vci_,. '�,• COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES " 1469 Humboldt Road, Chico, CA - (916) 891-2751 ' 7 County Center Dave, Oroville, CA _'(9161 538-7541 747 Elliott•Road; Paradise, CA - (916) 872-6307 CORRECTION NOTICE :* 92 t OWNER PERMIT NO. 7* 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,' Y plea contact this office immediately. SCJ1 YIJ r k Date Inspector REV 10/92 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE & 4�11-1 1)EitS6fz -/'y� OWNER PERMrT 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 you have any questions pertaining to this matter, or need additional explanation, please/contact this office immediately. a/c TC L Tq Date // Zi Inspector REV 11/91 $f.} COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMT NO_ A routine inspection indicates that the following violations of Butte County Ordinances eidctat the above address and should be corrected. Please notify this office when correctiao of work is completed. I ou have any questions pertaining to this matter, or need additionalexplanatior< please con ctttthis office immediately. -"1 Date �/ S� �- Inspector x�-,4412-- REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 - 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 12 e7z OWNER PE tW NO- A routine inspection indicates that the following violations of Butte County Ordinances e Cmtat the above address and should be corrected. Please notify this office when correction at work is completed. If you have any questions pertaining to this matter, or need additional explanatimL please conta t this office immediately. 7—e 0 C �- U- I.v AS. /?vv YL /s G4 T % tf &VT /� �✓ a,/JA/ Qrs,t- be, s Ti /z rO az Date / Inspector REV 11/91 - . J'rytF.'A(/�1�.�' "�i��'-O�iZJ'Lnfli k.`0..Crrlv�^ii`�).•%`"1f\+, �� T+ M1�ti COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 A 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 _� CORRECTION NOTICE PERMIT N 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 contaclthis office immediately. r Date /. Inspector REV 11/81 / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER -/ t-110 , 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 ou have any questions pertaining to this matter, or need additional explanation, please cont t &)office immediately. (4 Date - Z Inspector`�i�� REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER Aa/ �� 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 you have any questions pertaining to this matter, or need additional explanation, please contact �h office immediately. 1 /t� t 2 AZ�Z.- Dat 7% Inspe REV 11191 M RESIDENTIAL 36-112-21 92-1646 BPEM HENDERSON, Richard 2606 Oak Knoll Way, Oroville contr: Dan Munson new 'sf Y ,F OFFICE COPY Address j I i GAS } Meter By Date- ELECTRIC ate ELECTRIC r, Meter By Dat'Z' J OFFICE COPY Address GAS Meter By �- Date E \ �_� . Met 1 e_- JOB FINALED (Date) Signature ,ice J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL = Date UNDERF OR (Plans) OK except If's in 5Attbacks-Easements- food -Slope Mai ;Soils -Flet. nd.-!<�LFtg. Depth ,Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., P rches & Decks; Soils -Steel-/ /Ftg. Depth mwalls, Main; Steel -Bloc kouts-Wra pped temwalls, Garage; Steel-Blockouts-Wrapped 6a. H Downs and Special Anchors K4rrSlab; Steel -Wrapped iers-Fireplace Ftg.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test F. Gas Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test NelZ Electric; Underqround enums & Ducts; Clearance -Material -Support -Ins. Gir rs-Sills-Anchor Bolts -Joists -Vents -Cripples Acte & Ventilation nsuIation Date& Card B-1 Date iZ,s ZCard B-1 Dat / ward B-1 Date 'r�ard 1 Date ' PLUMBIUG (Permit OK except k's Htr.: Vent -Access -Combustion Air -Baffle Pipe: Test & Anchor -Nail Protection 1?.-D.W.V.: Test -Fittings & Anchor -Nail Protection ---- hoover Pan: Test, First Floor -Tub Access Test Tub & Shower. Second Floor -Tub Access ----- --------------------------------------- - Gas Pipe: Size & Anchors --ate i ------------------- - --- - 4 -Card B-1 Date Card B-1 D ----------- ----- ----------- ----- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's ------------22. Fixture & Transformer Clearance -Ins. Protection 33 Elec. eceptacles Spacing -Lights & Switches at Doors ----- ---- -- - - - - - --- - --------------- ---------------- -- ----- ize B es & No. of Conductors -Stapled ---- --------------------------------------------------------- - ex Installed Close to Edge of Studs & C.J. qui round made-up w!Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen &Conductor Size!GFI - -- ---------------------- --------------------------------------------------- e ire Size r r ga. Cu or AI-A.C. Wire Size r ! ga. Cu- or AI -------------- ------------------------------------------ 2WL g�L' . ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. - Insulated Neutral -------- ❑-- ----- Yes ❑ -No ------------------- Ser ce-Riser Conductors & Ground -Main Disconnect -------------- --- ----- Ser -------------- y- ---+ ---------------------------------------------------- 3 Equi .•C arances Panels -Motors -Meth. Equip. es Closet Light -Shower Light -Spa Light --------------- - - ------------------------- ------------------------------------ moke Detector ----------------------------------------------------------------- 01 -------- --- - -- - - / ---- ---- --------------------------------- Date S Card B-1 Date Card -B-1 -------------- ---- - - ------ --------------------------- ---------------- Date Card B-1 Date Card B-1, Date MECHANICAL (Permit) OK except n's --------- Ducts Insulation & Support ----Z,1-`AC. -- ----------------------------------- --------------------------- Int Fan: Exhaust above insulation ------------ondensate Drain & Overflow: Size & Grade__ - 37. urnance-Vent: Acc s -Comb. ir-Return Vent -115 outlet ----- ---------- - - - - -- -- - -- -- -- - - c Access & Platform if Furnance in Attic ---------------------------------------------------------------------------- -------------------------------------- -------------------------- -- - - - - - -- Date % �y Card B-1 Date Card B-1 --- - ---------------------------------------------- ------ --------------- Date Card Card B-1 -Date Card B-1 Date FRAMING (Plans) OK except ft's Sils. Proper Material & Anchors ------- ----- - ------------------------------------------------------------ _4A-VTalls Stu s -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------------- a ------------------------------------------------- - --- ar -Walls over Girders -&-Floor Nailing -- - - - - --------sove-----ders---Floor Nailing ------------------------- 4 aft Stop in Walls (rat proof) -------------- - ------------------------------------- - ----------------------- ire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- - ---------------------------------- -------------- eaders & Beam -Size & Bearing (Single & Duplex) Date rfRAMING (Continued) 45. angers -'Post Caps -Anchors -Connectors 4ti&� ng. Joist=Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. — tel' Fireplace Ties or Type A Flue -Fireplace Throat clearance tic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ �rm. Windows or Exiting Doors -Sill Hgt. & Dimensions gage Fire Protection Framing ---- --- pe_ erty Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits --- --Lairs: Width -Headroom -Rise -Run -Landing -Fire Protection od on Roof Overhang -A is Vents -Rafter Outriggers krliding-Nailing Veneer -- -------- -�h-Drip Screed -Fd. VentsjUnderflr. Access lazing Area -Glass Protection -Skylights -Plastic v�.IDAPar Walls: Nailing -Bolts ------------- ----- Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date /� ZCard B_7 Date - Card B-1 Date / ward B-1 Date Card B-1 Date 1 ffAbLA&(PIans) OK except N's Ext. Steps -Door & Sidelight Protection -Landings ------------'-r-�--------- -- �L moke Detector urn ,cE ents-Clearance-Com-b_ttrl onnedtor- I�,acage ove-`Floor-D_UcCs=Mech. Protection _edroom Exiting ---------- -- -- L6�G.F.1. & Bath Fixtures & Tub Access -Spa --- - Elec. Trim & Subpanel: Breaker Sizes & La s Stairs & Rails - - -- - -- --- ---------- Wa----- -- replace or Stove: Clearances -Hearth lec. Outlets at Wood Panel: Int. & Ext. -- t.Fixt &Appliance: Grnd.-Air Gap -Cooking Clearance 7�(--- -- ._... I --------------------- - - Elec Outlets & Receptacles at Kit. Counter ---- _arage Fire Door: Swing -Landing -Closer -- - - - --------------- --ctrrrC arage-Dam er tr. Htr.: Vents- learance-Comb-AYr�onnec r-P.R:'. ------------ - In-6asaQe: Above r-AAeeh-lar6iection Plb.. Elec. & Mech_Equip. Listed for Location - -- --let. Receptacles in Garage: (G.F.I. omex Proteciio - - n on -Foam -Looked in Attic u d s & Deek1 nnsicuclioFl-Post Caps 7 dn. Vents & Crawl Hole Door nage & Wood -Earth Clearance Looked under Floor ❑ Yes --------- - - — ,a0. Following instld.; Drive es ❑ No; Walks Yes ❑ No; _Planters ❑ Yes ' - .8�_. .grown -Finish---------- ------ - ----------------- --- — i connect. Electrical, Plumbing - --- ---------- 83. ------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ect, Electrical, Plumbing --------------- or Elec Trim: G.F.I. Receptacle -Underground - —_ Ve lation Throughout House ----- --- ..... ----- ------------- -------- Fa�T Glass Protection ...... -------------------------------- ------- 88. Corrections f m Previous Inspections -- ---- - _ ---------------- --------------------- 89. Gas Te. -Meters Tagged: Gas -EI frit Sewer Connected -C/O to Grade -HD Approval — Energy Compliance Certificate -Other Certificates Date- _Fjv Card B -t Date Card B-1 Dat Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Comments at Final J=OK O = Not OK =Not ApplicRead.yable MOBILE HOMES ' =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s j 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: / /"Nat. or/ /"L"ft./ P'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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s 1. Zoning Requirements-Setbacks-Easemer is 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing- tairs-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 t 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 Owner: ENERGY CERTIFICATION . a�6 LOCATION DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS -THERMAL RES. EXTERIOR WALL MATERIAL Fiber -glass THICKNESS 3 CEILING Perm it# A.P. # BRAND NAME Certineed THERMAL RES. / 3 BATT OR .BLANKET TYPE -FIBERGLASS BRAND NAME Certineed THICKNESS THERMAL RES. LOOSE.FILL INSULSAFE III: THICKNESS FLOOR -ELEVATED BRAND NAME CERTAINTEED THERMAL RES. MATERIAL Fiberglass BRAND NAME Certineed THICKNESS_ .6_ �� �' THERMAL .RES. )9 FLOOR -SLAB INTERIOR WALL MATERIAL Fiberglass. BRAND NAME Certineed THICKNESS .3�4o `'. THERMAL RES. r I HEREBY.CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING...IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. ,HAWKINS I D.IN dba HASTA INSULATION LIC.#650722- COV 71/ 93 Ihereby certify the above insulation and. all required items as shown on the building department approved plans and attachments have been installed as. required by. the State of California Energy Requirements. All equipment devices and materials are of the quality prescribed or are, specifically approved by the State of Calif. FI AME/OWNER SE. PRINT) STATE CONT. IC#. S SIGMriURE OF NERAL CON V OWNER ATE" This certificate must be on file with the'Building Dept. prior id -Final and posted within. the buiIdino COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-1646 W ASSESSOR PARCEL NUMBER 36-112-021 CONING A R BUILDING PERMIT ,f OWNER ,. RICHARD HENDERSON TELEPHONE 533-5694 $(]. FT. OCC. BUILDING VALUATION 1567 R 84,618 OWNER'S MAILING ADDRESS 2606 OAK KNOLL :SAY OROVILLE 138 C 1,794 CONTRACTOR'S NAME DAN MUNSON TELEPHONE 846-3724 677 M O 12,186 CONTRACTOR'S MAILING ADDRESS 633 OREGON ST GRIDLEY 95948 Fireplace i "All 1,500 CONSTRUCTION LENDER NnNE UNKNOWN Total Valuation I $ 100,098 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 601.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 300.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2606 OAK KNOLL WAY OROVILLE 95966 Permit fee $ 936.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 40,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 ELIRM C F _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): Er 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 .Jo. S�r��0 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 OCCUPM OR ADDNS. ACC. BLDGS. 3.64 sq.ft. 78-50 NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS S (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS FIXED P(RESID IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 112.00 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Int" 1 have placed on file with the County of Butte Building Department J� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating FORCED AIR 9.00 Cooling g EVAPOR. 10.00 Hood 6.50 6.50 Ventilation 4.50 4.50. Permit Fee $ 45.00 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 aid County in cons uence of the granting of this permit. X Date oZ 5i o pplicant - Owner �' ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storie in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 K PE TOTAL FEE $ 2, 50 HAz 1 DFEES I IMP I FLOOD CDF PARCEL - PD 11 HD Issu This permit is hereby issued under sions of the Butte ounty Code and/or work ind' ted Dove for "fees C OR O By PERMIT E IRES baie the applicable provi- resolutions to do ave been paid. RKS Date GO f Ir Receipt No. 11607 ,4� S J -u - .2o'.0 WHITE-D.P.W.. YELLOW-ASSLSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT (�Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. .Q 7 County Center Drive - Oroville, Californla 9965 - Telephone: 916.538-7541 APPLICATION AND PERMIT R 0 ASSESSOR PA E NUMBER ZONIN BUILDING PERMIT OWNERc c v' �t a Q v1 cl e u- ova TE E MON S3 3 S-6�i SQ. FT. OCC. BUILDING VALUATION �Lsb OWNER' MAILING A DRESS !MM fkfj! ' CON ACTOR'S N ME 6In S e TELEPHONE ?Y6372Y /L . _J / CO TRACTO 5 M (LING ADORE SS �33 ire c)'r �f. UYIGi�� �� S y�� Fireplace /%C /.5—oo ' CONSTRUCTION(L`ENDER UNKNOWN Total Valuation $ ObO ! LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 2 Q,- a -o ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING SS ADDR /' (),., / /��t� �C l� 16/I L��i1 (J;(lam Permit fee $ 5 PLUMBING PERMIT Filing Fee 15.00 Q,�/C�, 1 Each Trap 5.00 C_ Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFV—< Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S �� Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New W Addition ❑ Reemodel Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ SCI Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 17 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business Sp and Professions Code and my license is in full force .and effect. /j1 License ;do. Classification �VEX. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - _ ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code ' for'this reason = Main service 200A TO 1000A, 37.50 NEW CONST. ( DWELLING OCCUPM OR ACDNS. l ACC. BLDG S- I 3.64 sq.ft. NEW CON5TR MULTI -OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20 76 Occup. OUTLETS ((RESID IR EAJ I 3.00 Temporary service Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 77 2 - WORKMEN'S COMPENSATION INSURANCE ' -i declare under penalty of perjury (check one): I ❑ The permit is for $100.00 (valuation) or less.. _ • ❑ .l 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 15.00 Heating Kyc�'r -� Cool in g —ma -Dr. �. Hood 16.50 LS Ventilation Cf Permit Fee $ fJa Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Liabilities, judgments, costs, and expenses which. may in any way accrue • against said County in consequence of the granting of this permit. X Date 1 Signature of Applicant — OWner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr39storieso neheigvfettions over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ O , o coN YPE (7� TOTAL FEE $ /2 2 Z. HAz / DFEES IMP r I FLOOD JCDF PARCE PD H SUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 11Ga�z 3 Receipt No. r- SaIlk 16 F' 10 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO: Building -Department �. 4 FROM: Encroachment Permit Section RE: Driveway Clearance owner _location AP # Driveway permit fZ� 1)3s issued for the above property. n b z sign re date f� COUNTY OF BUTTE' tPAR TMENT OF PUBLIC WOF BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT OWNER V \l(,VlQ1(� HOoc Proposed Building Use APPLICATION DATA SHEET Y' Building Inspector A. P. No. Date 4r—✓/jp - i'`Z— At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and Ings . ...................... 8. Engineered truss details and layout i du lic required prior to plan check). .... -q; /-�� Mobilehomgg�� a arnan facturer's installation instructions, 2 sets. . Fees of $ t0 � S 2 -9t A1,6-- 1ed schedule. ORc�............ . 1. Impact fees as shown on attachY ....... S'Z �� 12. California Department of Forestry plan approval/fees. ........................ X13. Flood elevation letter (100 year flood b California Engineer. ..... ... . �( •per 14. Sanitation and plot plan approval Health Department. �, 0/;.'/� 5-'2-8-r1Z 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). .. ... -L - Z 20. Pre -ins ectlOn for Pre -Inspection request p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... . Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement .................. S -29-f 7- 5 6- Q:_ 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... f 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 . ..................................... . /�Cri $ I \" �. (..(.................. 3-3., : �r Whgyou issue the ermit,,,PrQF'ess as follows: Mail to owner. Mail to contractor. Telephone�,3 JPr and hold for pickup at &TXio office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date `� lam• ��` Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date (" Copy of plans sent Health Dept. Fire Dept. Other Date By k,_ 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 byDate Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Certificate of Compliance: Residential Climate Zone 11 * Bnti ing Perini N eZS �' Y C.aecked By / Date Enfomment Attency Use Only BUILDING DATAGlass Area %glass North —/,7 Condition r Area /5� 7 Number of Stories / East k—•— S "sed Floor Number of -Units -[_ South_ =--,�- ( to a amtly Detached (SFD) [ ] Addition Alone West ,0 - O [ ] Single Family Attached (SFA) [ ] Existing Building T Skylight (] Multi -Family (MF) [ ] Existing -Plus -Addition ' BUU,DING SHELL it1KSULATION' Component Insulation Locari.oruromments Type R -Value (!!!15 to gwage. icd. etc.): Wall .............. / Wall. .......... Roof .............. � Roof ............. Floor ............._ Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( ) _67XL R LL , North ( ) East ( ) �f--- East South ( ) Sou ch ( ) West ( ) 1L West - Skylight....... fes_ THERMAL MASS Type/Covering }_ Area Thickness (slab/exposed,-tile, etc.)— = (Sf) (inches) LocationMescription (kitchenk bath. etc.) HVAC SYSTEMS _ Minimum -Duct Type (furnace, air - ' Efficiency - Location conditioner, heat vtnnv) (SE. SEER.HSPF) (attic, etc.) R Duct - Output Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank . Manufacturer/Model # SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Manufacturer / Model # :i ✓ \ �eature(sL SEER 0 12M' e; ducts In attic) 2200 tm of 7-10 ID to P-1410 -4 b +6 to 16 or i .6 , +5 +15 more -10 -8 -6 -4 -6 -5 -4 -3 -4 -3 -2 .2 -3 -2 -2 -1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 11 9 7 5 14 12 9 6 1 -6 -16 edlve SEER -10 -8 rauet efficiency) -9 i:m of 7-10 .6 -3 -1410 jb +61D 16or -5 +5 +15 more -21 -17 -13 -9 -9 -7 -6 -4 -4 -3 4 .2 0 0 0 0 6 5 4 3 12 9 7 5 16 13 10 7 19 15 12 8 22 18 14 9 24 20 15 10 iatrol Adjustment 169) 7 6 4 3 i:; System Installed 0 -4 -3 -2 -2 2 2 2 1 Detached and Attached Unit Size jsQ 0 12M' 1700 2200 2700 ID to to or 11699 2199 2699 more 0 0 0 0 ' 8 6 5 4 5 4 3 3 3 3 2 2 _5 43 1.2 3 -24 .18 -15 -12 .1 - .1 0 0 -12 -9 -7 -6 -16 - -12 -10 -8 _-12 -9 --7 .6 -3 -2 -2 -2 5 -4 3 2 . 2 1 1 1 -19 -14 -11 -9 • 54 3.9 3 3 _ ' -6 -5 -4 -3 117 (individual units) 30% Unit Size (sp �, 700 0.7 ID 1200 17.00' .gp= 1.6 t0 b`rlQ90. 2.4 1199 169) 2199 more 0 0 0 0 7 5 5 3 4 3 22• %2r 4 3 2- 5.6 5 3 2 �2 -23 -15 -11 -9 1 -1 0 0 -12 -8 -6 '-5 -13 .8 --6 -5 -12 -8 -.-6 5.1 -4 -3 .2 _-5 -2 3 2 1 1 ' 0 00 1.9 0 -15 -10 _ -8 6 9 6 4 4 • -4 .3 -2 -2 Interior Mass/CFA t rYVC : -S 1�.�•uiMc:,- ; s TYPE 1 MASS WIMC s 4.2, le: exposed slab) rn Iwet" 61ab1 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 59% 55% 60% 6516 70% 7S% 80% 1!% 90% 95% 100% 105% 110% 115% 120% 125• 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 .2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 9;1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 28 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 2.4 26 2.8 3 3.2 3.5• 3.7 3.9 4.1 4.3' 4.5 4.7 4.9 5.1 5.3 5.6 5.8 401/6 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 .;4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 S.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 SS 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 56 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 100%. 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 1101/. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 S.3 5.5 5.7 5.9 6.t 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures Point Scores 1. Ceiling Insulation ;e 3 or O R -value [38] U -value [0.030] 2. Wall Insulation T- / )) or fi y R -value [ 11 ] U -value [0.098] 3. Raised Floor Insulation or R -value [ 19 U -value [0.037] 4. Slab Edge Insulation or R -value [0] F2 factor [0.77] S. Infiltration Standard 0 6. Glass Heat Loss /a ,p Type [double] U -value [0.65] % Total Glass [ 16] Sum 1-6 7. Shading (Shade Open) %lass SC Eff. % Glass a. North x - b. East x c. South x = d. West� x e. Skylight x _ _ (ems 8. Shading (Shade Closed) % Glass _SC Eff. % Glass a. North x =W (5 b. East - 5 x c. South x d. West x 1 e. Skylight- x 9. Interior Thermal Mass TYPE 1 MASS AREA COND. FLOOR AREA Interior Miss/CFA' 10. Exterior Wall Mass TYPE 2 MASS AREA % Exterior Wall Masa ND. FLOOR AREA. Sum 7-10 �11. Heating System x = �� Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7V6.6] HSPF [0.5615.15] / 12. Cooling System il*w x Zonal Control? ( Y / N SEER [9.S] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating S Type [SGJ Credit [none] �L Point Total: Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain than measures regardless of the eomplimoe 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 docunlents, 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. , DESCRIPTION DESIGNER ENFORCEMENT . Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by. Loose fill insulation manufacturer's labeled R -Value. ' §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm/inch. _ §2.5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infill ation/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathcrstripped: all joints and percaations caulked and soled 62-5352(c): Special infdtration barrier installed to comply with §2-5351 meets CEC quality standards. 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC. and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 12-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. 12.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet or pipes closest to tank insulated (R-3 or greater). §2.5312(Exception p: Pipe insulation on swam and steam condensate return do recirculating piping. §2.5318(d): Swimming Pool Heating I. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(x): Refrigerators. refrigerator -freezers, fmczers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT- - - - - INS certificate of compliance lists the bolding featum and performance specifications needed to comply with Title 24. Chapter 2-53 and Mile, 20, C ha*.r2. Subdhapier4. Article 1 of the California Administrative code. This - certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and Owilsmitthe certificate to any subsequent purdiaser of the building. - Designer Name: ` TitkJFerm Address: Telephone; - - t.ic. N: l IIs..-• (signamm) (date) ti"Documentation Author Name: . TtkaFurn. Address: Building Owner _ Name _ TttleJFum Address: Telephone: - 'C_ e-. Enforcement Agency Name: Atm"• Telephone i. Ceiling Insulation 12. Cooling SEER 8.0 d 8.5 8.9 9.0 9.5 10.0 10.5 11,0 120' 13.0 Effective-25•or SEER 5.0 6.0 6.6 7.0 S. Infiltration (Air Leakage) Sys -24 to -15 -12 -7 -4 -3 0 3 6 9 13 17 Ef9 SI -24 tc -15 -25 -11. -4 0 R -value One Number of stories Two Three 9 16 Specification Exterior Single. Single- Points R-0 -103 -49 32 Family Family Sterwani 11.0 26 0 Mass R-19 .8 -4 -2 26 0.00 0 0 0 1 13.0 33 R-30 -2 -1 -1 1 Zonal C 0.60 0.80 8 6 10 8 4 5 R-38 0 0 0 13 10 7 1.20 U -value 8 6. Glass Heat Loss Cooli 1.40 12 13 0.50 -176 -84 -54 Total 1.60 10 13 11. U -value 0.30 -102 -49 32 'Percent One -5 .51 to .41 to .31 to 0.30 or 0.10 -26 -13 -8 Glass Single Double .60 .50 .40 less 0.08 0.06 -18 -11 -9 -5 -6. -4 50 -121 -53 -39 -24 -10 4 U -edit or Sum of 14 40 -90 -37 -26 14 3 8 0.02 4 2 1 35 -75 -29 -19 -9 1 10 0.00 11 5 3 30 -61 -21 -13 -4 4 12 1 WSB 5 29 28 -58 -55 -20 -18 -12 -10 -3 -2 5 5 12 13 0.85 7.79 13 11 10 8 7 5 SE- 27 -52 -17 -9 -2 6 13 2. Wall Insulation -1 0.95 8.71 26 -49 -15 -8 -1 7 14 Effective SE or HSPF Single- Single- WSB_: 25 -46 -14 -7 0 7 14 IG Family Family Multi- 24 23 -43 -40 -12 -5 -4 1 2 8 8 14 15 R -value Detached Attached Family 22 -37 -99 -3 3 9 15 R-0 -68 -51 -34 21 -34 -7 -2 4 10 15 R-11 0 0 0 20 -31 -6 0 5 10 16 R-13 2 2 1 19 -29 -4 1 6 11 16 R-19 8 6 4 18 -26 -3 2 7 12 16 U -value 17 13 Type 17 -23 -1 3 8 12 17 None 0 Zonal Control Adjustment J 16 -20 0 4 9 13 17 0.60 -153 -114 -76 15 -17 1 6 10 14 17 0.50 -91 -68 -46 14 -14 3 7 10 14 18 0.30 -47 -36 -24 13 -12 4 8 11 15 18 0.10 0 0 0 12 -9 6 9 12 15 19 0.08 4 3 2 11 -6 7 10 13 16 19 0.06 9 7 5 10 -3 9 11 14 17 19 0.04 14 11 7 9 -1 10 13 15 17 20 0.02 19 14 10 8 2 12 14 16 18 20 0.00 24 18 12 3. Raised Floor Insulation ,.Shading (Shade Open) Insulation In Flour -' Effective Percent Glass Number of stories (Percent glass x SC) R -value One Two Three R-0 -17 -8 -5 Effective R-11 -3 .2 -1 %Glass North East South West Skylight R-19 0 0 0 18 5 1 4 1 na R-30 3 1 1 16 4 2 5 1 na U -value 14 4 2 5 1 na _ 12 3 3 5 2 na 0.60 -144 -70 -46 11 3 3 5 2 na 0.50 -120 -58 -38 10 2 3 5 2 1 0.40 -95 -46 30 9 2 3 5_ 2_ 2 0.30 -69 -34 -22 8 2 3 5 2 2 0.20 =43 -21 -14 7 _ 13 4 2 2 0.10 -17 -8 -5 6 . 1 3 4" 2 3 0.08 -11 -6 -4 5 1 2 4 2 3 0.06 .6 -3 -2 4 0 2 3 1 3 0.04 -1 0 0 3 -0 1 2 1 3 0.02 4 2 1 2 0 -0' - 1 0 3 0.00 10 5 3 1 -1 ' -1 _-1 -1 2 0 -1 -2 -4 -2 0 Controlled Ventilation Crawlspace na = not allowed Number of stories R -value One Two Three R-0 -11 -7 -5. fB. Shading (Shade Closed) R-5 -4 -4 3 R-11 -2 -2 -2 Effective Peremt Glass R-19 -1 -2 -2 Effective (percent Siw x SC) 1. Slab Edge Insulation %Glass Norlt E@9South West Slgrbghl Number of Stories R -value One Two Three 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na R-0 0 0 0 14 -10 -35 -50 -46 na R-5 8 5 5 2 12 -8 -29 -40 -37 na R-7 8 3 11 -7 -26 -36 -33 na F2 factor 10 -6 -23 -31 -29 .74 9 -5 -20 -27 -25 -65 0.90 4 3 _1 1 8 -5 -17 -23 -21.. -56 0.80 -1 -1 7 -4 -14 -19 -18 -47 0.70 2 2 1 1 6 -3 -11 -15 -14 -38 0.60 6 4 5 -2 -9 -11 -10 -30 0.50 9 6 6 3 4 -1 -6 -8 -7 .23 0.40 t 2 4 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Stories Stories /CFA One Two Three One Two Three 0.0 -8 .5 -4 -2. -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 - 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 '13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 12. Cooling SEER 8.0 d 8.5 8.9 9.0 9.5 10.0 10.5 11,0 120' 13.0 Effective-25•or SEER 5.0 6.0 6.6 7.0 (ammi -25 or less -14 -9 -5 -4 0 4 7 10 15 20 (SEER less -30 -12 -5 0 Sys -24 to -15 -12 -7 -4 -3 0 3 6 9 13 17 Ef9 SI -24 tc -15 -25 -11. -4 0 10. Exterior Wall Thermal Mass 8.0 9.0 9 16 e 14 Exterior Single. Single- 10.0 22 19 Wall Family Family Multi 11.0 26 23 Mass peWW Atmched Family 1 12.0 30 26 0.00 0 0 0 1 13.0 33 29 0'20 0.40 3 2 5 4 1 3 1 Zonal C 0.60 0.80 8 6 10 8 4 5 10 8 1.00 13 10 7 1.20 13 12 8 No Cooli 1.40 12 13 9 1.60 10 13 11. _Stories 1.80 200 10 12 10 11 12 13 One -5 -4 Two + 3 3 Single -Family 11. Heating System SE or HSPF (assumes ducts In aldc) Water 0199 Heater U -edit or Sum of 14 Type Type less -25 or -24 to -14 to :4 to +6 to 16 or_j SG None - 0. SE - HSPF less -15 -5 +5 +15 more - i or Solar 12 0.72 6.60 0 0 0 0 0 0 HP . -HWR. 8 0.75 6.88 3 3 3. 2 2 1 WSB 5 0.80 7.33 8 7 6 5 4 3 POU 8_ 0.85 7.79 13 11 10 8 7 5 SE- None -37 0.90 8.25 17 15 13 11 9 7 Solar -1 0.95 8.71 20 18 15 _ 13 ' 11 A. ;, HWR -18 Effective SE or HSPF WSB_: -25 ffi (SE or HSPF x duct eciency) P0U -18 Effective -25 or -24 to -1410 -4 to +6 to 16 or IG None- - SE HSPF less -15 -5 +5 +15 more ._-5 Solar _ 7 0.30 275 -73 -64 -56 -47 -38 -30 _ POU 3 _ na 3.41 -45 -39 -34 -29 -24 -18 IE None -28 0.40 3.67 -34 -30 -26 -22 -18 -14 Solar 8 0.50 4.58 -10 -9 -8 -7 - -5 -4 POU -10 0.56 5.13 0 0 0 0 0 0 Multi -Fail 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 Water 699 0.80 7.33 25 ' 22 19 16 13 10 Heeler O<edtt or 0.90 8.25 32 28 24 20 17 13 Type Type less 1.00 9.17 37 32 28 24 19 15 SG None 0 Zonal Control Adjustment J or HP Solar HWR 9 9 System Type WSB POU 9 9 Resistance 10 9 7 6 4 3- SE None -45 Other 6 5 4 3 2 2 Solar 2 HWR --23 WSB -25 _23 -Y_QU_ IG None -8 Solar. 16 - POU 1 IE None .30 Solar 18 POU - -8 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A.P. # GENERAL Plan Checke . ring requirements: (sideyards and number of permitted living units).- F luation. ans signed by designer. oper description of work on application. isting violations on property.ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc):corded notice of violation. PLOT PLAN omplete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. r Flood hazard. z Special conditions on creation map, (noise, CDF, fire sprinklers, non -comb ustible, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN - J�omplete to scale plan with dimensions. Required windows for light and ventilation (Sec.'1205). Required windows for second exit (Sec. 1204). 4 Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article Light fixtures, switches, receptacles, and exterior receptacles tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other 9r gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). -L.- 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location,'alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 210-8). for main - electrical Standard bracing or engineered design (Table.25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. oundation plan complete enough to construct building. Floor construction details complete enough to construct building. evations and wall construction details complete enough to construct Roof construction details complete enough to construct building. fireplace construction details and talcs if necessary. . Raft es or bearing ridge beam. 11. arage do or porch header sizes. tMt'ffeights. dobe soils - special foundation design. etaining walls requiring design. pecial Inspection required. building , RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR ` Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). rick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). . P oper roof pitch for roof convering (Chapter 32). • Roof covering type - (fire hazard). F insulation- protection. 36" halls and stairways. 8/91 i.ving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. • w exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). • nderfloor access and ventilation (Sec. 2516). mbustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. So—E ergy design. Flashing at all exterior openings. DF responsible area requirements. 44 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P. Number�� / L� �� Jurisdiction (_ Property Owner.A tC,I� ad _ H_6__0 YeV5 Building Department No. City �ounty Property Location/Address &bU b __._.CA K kko l J "C-4— U^0 -V( k -c_ Subdivison Lot No. Residential Development - �� (— Sq. Footage -567 No. 6f Livin MHi Addition (Group R g � ( P ) Units t Commercial/Industrial 0 Sq. Footage - New Addition (Including Exterior Roofed Areas) Building D ment Re sentativ Date (Floor Plans reviewed by School District Personnel)',," District Identification.No. L} Loi QY-,b � _School District certifies that (Applicant) (Street Address) (Phone Number) (City) �-----_—^---- -� (State) (Zip Code) has complied with the requirements of Resolution No. g –q 0- aby payment of $ representing _�}5 61 ... __-- — square feet. Schoo istric epresentative Paid by Check Number _ 1 1_ -_-- Bank Number Paid by Cash S' at8--9 2. Date Remarks: A 5 Q If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmki (4/92) � PERMIT NO: 38-92 Lake Oroville Area Public Utility District 196o Erie, street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the. Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: May. 38 , 1992 Applicant: RICHARD L.. HENDERSON 2339 Via Cedro, Oroville, CA 95966 Applicant Address: Applicant Phone No.: 533-5694 Property Location (s): 2606 Oak Knoll Way, Oroville, CA 95966 Villa Verona A. P. No. (s): 036-112-021 No fees due Fees due: Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: 0 Date: Lake Oroville Area Public Utility District release to close permit: Date: By: I IL n � if V ' CONNBZrTION PaNIT APPLICATION FOR SII M CONNIPTION AND SERVICE FMI LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT XAMyKI lam."� H%EWNOWM � hereinafter referrai as "App scan -",'being the property owner or owner's agent desiring sewer service, hereby requests Lake Oroville Area Public Utility District, herein- after referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewera e service. 9 Location of pro rty• {o - If Subdivision • L t If : Block If: [vrProperty Annexed [ ] Property Not Annexed (J Property Annexation in Progress Kind rf No. of E.D.U.'s this permit: l T of Service:���?� Residential c��z [k -]'Residence of .Owner [ ] Rental (single family) [ ] Rental (duplex) [ ] Apartment ' 1 Multiplication factor:_ **Monthly Charges/ Connection Fee. _6L 5C -OR facility Charge: --E5- Industria Commercial Total Amount W This Permit The service applied for hereby shall be in accordance with the conditions here- inafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of -Directors of District, all of which Applicant agrees to abide by and,fully perform. Applicant agrees to pay for such service at rates and charges ;is are established by District from time to time. Signa t�ur f__ . 1 ant Name of Owner if not Applicant Ma711zng ddress of pplicant Mailing Address of Owner..' Phone if of Applicant: Phone ]k of owner: CONDITIONS Of ACCEPTANCE Or SEWrT%AGE SERVICE 1. In accepting this application, District does not hold itself liable to Applicant for failure to perform any of the obligations imposed upon it or as- sumed by it under this application if such failure be caused by accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's lines to handle the sewage or any other cause beyond rea- sonable control of District. 2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. Applicant shall secure permit(s) as necessary frar the County of Butte prior to doing any work, including.encroachment permits when work is within county right of way. 9. Installation of the subject sewer service line shall be at the sole cost and expense of Applicant. 5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. G. All work shall be inspected and approved by District. 7. This permit is valid for one year. If work is not completed within said year, permit renewal will be required, together with payment of any in- crease in connection fee and/or SC -OR facility Charge. 8. District verification form must be issued with this permit. Payment of fees/Charges required. LAI OROVI M P.U.D. prior to final inspection. Payment received by [ ] cash [ ] check it By: $ Date Date, Perm i t ][ 6 ** Payable in the amount current at time payment is made. 23662 Retu,W to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDG FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded : prior to issuance of a building permit. �- — — The property described herein is adjacent. 7 Q—MQ%20 D 1= 1 Rec Fee 8.00 to land or. included within an area zoned I Check 8.00 for agricultural purposes, and• residents Recorded 1 of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, _pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations- including, 8:01am 29 -May -92 I PUBL CD 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which - occasionally generate dust, smoke, noise,- and odor. Butte County has established agricul- tural zones which have as a priority use for .productive agricultural purposes, and residents within said zones and on adjacent property.- should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property. situate in,the County_ of Butte, State of California, described as follows: Date: MAY 28, 1992 PROPERTY MNER i f < State of CA, ) On this the 28th day of MAY 19 92 before me, the SS. undersigned Notary Public, personally appeared County of BUS ) RICHARD L. HENDERSON Personally known to me. MX Proved to me' on the basis OF to of satisfactory evidence. K.VANEE to be the person(s) whose name(§) IS {doTA.4YPUHt►C-CA�TORNIA subscribed to the within instrument and acknowledged that. HE BUTTECOUMTY executed the same for the purposes therein contained.. IN WITNESS 4CQmm,E�giMSJUna29,1994 WHEREOF, I hereunto set my hand and official seal. Present A.P. No.�'Tl�a Notary Public 92-2366 9 Order No. 1-152793 SCHEDULE C The land referred.to herein is described as follows: All that certain real -property situate in.the County of Butte, State of California, described as follows: BEGINNING at the point of intersection of the East line of Lot 1 in Block 28. -of the VILLA VERONA "TRACT, according to the Map thereof; recorded in the office of the Recorder of the County of Butte, State of California, January 17, 1889, with the South 'line of the road shown on said Map (commonly referred to as V-5 Road) along the North line of said Lot as shown on said map; running thence from said point of beginning West along the"South line of said road,'a distance of 100 feet, to the trite point bt beginning of this parcel of land; thence South and patallel kith the East lime of said Lot, a distance of 102 feet; ttieiice West aRc� ptaiiei with the South line of. the Road along the Ndrth-iine of said Lot,.adist5h6§ of 200 feet, inose or less, to the East line of the Road along the West side of said Lot, thence North along the.East line of said road, a distance of 102 feet to the'South line of the road along the North line of said Lot; thence East along the South line of said road, a distance of 200 feet; more or less, to the .true point.of beginning of this parcel of land: AP No. 036-112-021 Comp. -j --_- - EN® OF Cts SENT - -- Z661 0 T Nni C-:a-Hom onsnd do '1d34 Ij ?e _20 uNnoo i