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fti 01-1448 I'A ad & Debbie\ ias Deer Drive, OrovillFlm cont: Bill Connelly Co New Pri Det Garage gab 02-3008 �� FAIN, BRADLEY 125 125 DEERWOOD, OROVILLE NEW SINGLE FAMILY W/GA �,Sj NOTES c► ��� ,= . RESIDENTIAL _ C�� (� ' "`y� (�P�RMITNO. r k 5 0243008 1 �� 036-600-028 _� 125IDEER WDLEY OOI, OROVILLE r NEW SINGLE I"AMILY W/GARAGE i X. r SPECIAL CONDITIONS ,.CHECKED F BY SRA FLOOD CERTIFICATE REQ. 1 FIRE SPRINKLERS REQ. ,SPECIAL INSPECTION ITEMS. VERIFY .OFFICE COPY Addre GAS Meter By.."Date Meter -9 GAS Meter By Date ELECTRIC Dat E� Meter By f i R l JOB FINALED (Date) f Signature r - SPECIAL CONDITIONS ,.CHECKED F BY SRA FLOOD CERTIFICATE REQ. 1 FIRE SPRINKLERS REQ. ,SPECIAL INSPECTION ITEMS. VERIFY .OFFICE COPY Addre GAS Meter By.."Date Meter -9 GAS Meter By Date ELECTRIC Dat E� Meter By f i R l JOB FINALED (Date) f Signature = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDFAFLOOR (Plans) OK except #'s Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3--Ftg:, Garage; Soils-Steel-Elec. Grnd.-//2 /" Ftg. Depth 62 Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth r,5 J Stemwalls, Main; Steel-Blockouts-Wrapped WHold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 3. PI ums & Ducts; Clearance -Material -Support -Ins. Girders Sills -Anchor Bolts Joists -Vents Cripples f. 15. Access & Ventilation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except #'s . Fixture & Transformer Clearance -Ins. Protection ^¢arc. Receptacles Spacing -Lights & Switches at Doors . Size_Boxes & No. of Conductors Stapled a'z�-oruex Installed Close to Edge of Studs & C.J. p. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size /ga. Cu or AI-A.C. Wire Size/ Aa Cu or Al 31. Range Circle/ /gaa 'C.0/or AI -Oven Circ. /4 / or AI Insulated Neutral fires O No ice -Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 45-�S-moke Detector 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Card B-1 A -7 -Water Htr; Vent -Access -Combustion Air Baffle MEC ICAL (Permit) OK except #'s Water Pipe• Test & Anchor -Nail Protection rop_erty Line Firewall & Openings .V.; Test Fittings & Anchor -Nail Protection xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits hower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 3 . ondensate Drain & Overflow, Size & Grade Gas Pipe; Sixe & Anchors Date . Fur a -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except #'s . Fixture & Transformer Clearance -Ins. Protection ^¢arc. Receptacles Spacing -Lights & Switches at Doors . Size_Boxes & No. of Conductors Stapled a'z�-oruex Installed Close to Edge of Studs & C.J. p. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size /ga. Cu or AI-A.C. Wire Size/ Aa Cu or Al 31. Range Circle/ /gaa 'C.0/or AI -Oven Circ. /4 / or AI Insulated Neutral fires O No ice -Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 45-�S-moke Detector Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors ZL— A�/alls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs �19,4eaders & Beams -Size & Bearing Date FRA (Continued) §C -Post Caps -Anchors -Connectors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s Fire Sprinkler rop_erty Line Firewall & Openings A.C. Ducts Insulation & Support r k-37. Vent Fan, Exhaust above insulation xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 455. 3 . ondensate Drain & Overflow, Size & Grade Card B-1 Date Card B-1 Date . Fur a -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors ZL— A�/alls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs �19,4eaders & Beams -Size & Bearing Date FRA (Continued) §C -Post Caps -Anchors -Connectors 49. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 5implace-Ties ar Type A Flue -Fireplace Throat Clearance ater & Sewer Connected -C/O to Grade -HD Approval Att Cess; Size & Romex Protection -Draft Stop -Ins. Baffles L54!Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 2. Garage Fire Protection Framing -RC Channel Fire Sprinkler rop_erty Line Firewall & Openings Card B-1 Date Card B-1 xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 455. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5'Z 44rfin -�eneer 5 Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access j7,p3 61. Glazing Area -Glass Protection -Skylights -Plastic hear Walls; Nailing -Bolts Brace Interior/Exterior Wall Panels 62. Insulatio ellings 12 Llr o? 63. Infiltration -Walls -Windows / - Date 2-,o , Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date ans) OK except #'s fa. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - Above Floor-Ducts-Mech. Protection & Bath Fixtures & Tub Access -Spa t_Pee. Trim & Subpanel, Breaker Sizes & Labels CW Stairs & Rails 92-'Elec. Outlets at Wood Panel, Int. & Ext. X3!Kit. F : & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure Duct in Garage -Damper 7 r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in G ge; Above Floor-Mech. Protection b.; c. & Mech. Equip. Listed for Location ec. eceptacles in Garage (F.F.I.)-Romex Protection L80 -Foam -Looked in Attic 8 Gard Rails & Deck. Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked underEleor 0 Yes , O No/Planters 0 Yes Brown -Finish A.C: Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings -te;r �a er Well, Disconne� Electrical, Plumbing . xte ' Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throuohout House Lg, !Correc ' ns from Previous Inspections 9�s t=Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval .-94. Energy Compliance Certificate -Other Certificates Add.ess Posted Fire Sprinkler Date Card B-1 Date Card B-1 Date &3"a a Card B-1 Date Card B-1 Date t I Card B-1 Date Card B-1 Comments at Final: J-= OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. , Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Ldcation-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Gracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp:-Sketch 11. Cert. of Occupancy Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements" . 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Gracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE ►1'T1iii71T-MUitT1 ��i.l�if21 TIi t'.t�11 Rot ,1u.1116er. -� DESCRIPTIONOF lA 1 NOW= Brand Name Thickness (inches> Thermal ReW (R -Value) - 2. R Value)2. CEILING Batt or Blanket Type FibeWag Brand Name Johns Manville Thicimess (inches) 13 Thermal Resistance (R -Value) 'tZ-� Loose Fill Tyke Fi Fagg Brand Name Johns Manville Contractods min. installed w"#M sq. bl S g,. Minimum Thickness I S S inches ManufacuWs installed weight per square toot to achieve Thermal Resistance (R Value) 3. EXTERIOR WALL Material EibffWm Batts Thickness (inches) 6 4. RAISED FLOOR Material fglasa Batts Thickness (Inches) b 5 S. SLAB FLOOR / PERIMETER Brand Name Johns Many& Themtal Resistance (R -Value) iZ2\ Brand Nano Johna Manville Thermal Resistance (R Value) Materia Brand Name Thickness----- Thetrruri � akre) Perimeter I 'on Deo 6. FOUNDATION WALL Material Brand Name Thickness cies) Thermal R (R -Value) DECLARATION r vvas �l b , In 61) paertl6 Ca in a Cod of ReBulatloris) as in on the cele cam Nance, b C.1-0499150�LOERKE INSULATION CO., INC. ,ire, Dalp Genera ane M *019 wr 519nahn, Date g Gennera Contractor (Co. ane) OrirOwner Generq Contractor . r ane Oar a or CERilFICATEOF OF�TIM44 0 -Al i T-1 CONFORMANCE /HE UNDERSIGNED MA NUFA C TUBER HEREB Y CER TIFIES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, ,$t[ucturaI Glmd Laminated Timber, and that such manufacture has been at our plant in JWlSs Ome, , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with 'the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code, JOB NAME: Keller Lumber Sales for Stock JOB LOCATION: Redding, CA CUSTOMER'S ORDER NO. 16748 DATE 12-14-87 MFGR'S ORDER NO SIGNATURE 24F -V4. WP Glue. Ind. Atm.. Load 3264-A COMPANY _. American Laminators, Inc. TITLE Quality Control ADDRESS POB 99, Swisshome, OR DATE 12-22-87 A/ TC HEREB Y CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC Certificate No. 4_ �; I ; % ! A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION .�t � Fp 18R• SAIF` P 1983 AMERICAN INSTITUTE OF TIMQER CONSTRUCTION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGD ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 O• (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036— ZONING — BUILDING PERMIT OWNER FAIN B— TELEPHONE SO. FT. OCC. BUILDING VALUATION _ 1 7' I' � ? OWNERS MAILING ADDRESS 5592 F .13J - „._ - 6 CONTRACTOR'S NAME OWNER TELEPHONE * 7 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation$ a Z;,'; ,. n ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ :7 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ . J BUILDINGADDRESS� Energy Plan Checking Fee 2 "' 0" ^ $ .', , •,, •,J PERMIT FEE $ ' .2 _ LOT NO...- SUBDIVISIONS NAME r r t — PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF p Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Vii. , `•1 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 :: f e C, TYPE OF WORK New p Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY W ATTACRED GARAGE Gas piping system 1 - 5 outlets 15.00 _ Building sewer 15.00 _1 , Mobile Home S G W @20.00 PERMIT FEE . ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR LEN 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: tk I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwithco lywith those provisions. / Date [ E7 —�� Z_ Signature of pp rcan - R biwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep a d demolition or construction of structures over 3 stories in height. IQ WHITE-D.D.S.-B.D. CAN R -AS S R PINK -INSPECTOR- GOLDENROD -APPLICANT Main Service 200A 1000A TGNG 46.00 NEW CONSTDWELLING . CUP. S l• WEWEE OCCU OR ADDNS. ( & ACC. BLDS. 3.50 SQ... - 11 . '1 ' NO "SID. T.MULTI-OUTLET g7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. OUTLET OR FDCTURES 20 Q 1.00 Ex. Occup.BAL. @ .50 Ex. Occup. Dur Ers g=-.OERq 5.00 Temporary Service 23.00 e 3 , Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ e_ MECHANICAL PERMIT Fling Fee 20.00 Heating % 0; . G v" Cooling 25 e Q G Hood 6.50 - Ventilation Jy :3 ` -• -�,`-� , - G PERMIT FEI_ $ Mobile Home Installation Fee $ - Energy Inspection Fee $ �;• D . J v 7) O0 CONST. TYPE 'J_:, TOTAL FEE $ , HAZ. / ES IMP FLOOD COF / PARCEL- f PD H ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �� By /2-ReceiptNo. PERMIT EXPIRES ON 7te 2 d -r I I (Dt,) COUNTY OF 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:„,,; .�G' � ✓� ASSESSOR PARCEL NUMBER 036 ' v 0 c) – OZe Proposed Building Use: /V. • ,) Counter Technician: Date: V (7, • Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. I�Plot plans, 3 or 4 sets, signedty the preparer of the plans. ?� Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 92 Engineered truss details and layouts in duplicate. No faxes! 5 Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. Ng6r 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................. ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items 4- rl 3 .Fees as shown on the attached Schedule of Fees Due Sheet ....................................... kie. Statement of Intent for Non -heated and A/C Buildings ................................. 6. Sanitation and plot plan approval from the Environmental Health Department in ❑ 1 City of Chico Plumbing permit ...................... .................... ... �` California Department of Forestry plan approval paid. Sent. by:� O ................... n-19W.'CINcroachment Planning approval for (A) Use- ®1< (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ................................. Permit for driveway from the Public Works Dept. (construction appr�ua2pFAi�o 96 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. W%25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ . Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement ............................. %t' ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the abov`items and requirements for obtaining a building permit. Applicant: ` p �2 'e: 6(�I� 1. Index permit application for the above items numbered: 2. Additional items required, Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Letter ❑ Ohone, ❑ mail, ❑ "counter, byDate: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: k—C--Date: Q ?/ _Structural approved y: Date: Yellow: Buildine Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER �� t ✓n P O ' OS ED BUILDING USE 1. BUILDING PERMIT FEES Balance Due .......................$ �]I 1 Additional Fees Due ................. $ Additional Fees Due .......... :...... $ Revised Plan Checking Fee .............$ SCHOO ISTRICT F ES 0 - ,o (Paid at (A le/ ~ N �3 - SHER]1 EES (paid at Building Division) �® Residential x $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # (OW DATE 10, I RECEIPT # ATE REC. . l At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. DATE /O -I 7 —0 Z Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) " PERMIT NO: 38-'00 Lake Oroville Area Public Utility District 1960 Erin 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: June 29, 2000 Applicant: Brad & Debbie Fain Applicant Address: 2140 Feather River Blvd. Oroville, CA 95965 Applicant Phone No.: 534-1900 Property Location(s): Deerwood Dr. , Oroville, CA 95966 Copley Acres Unit Lot 91 A. P. No. (s): 036-600-028-0 Fees due: All fees paid. Application for service approved: / LAKE OPJMLLE 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: School District , A.P. Number tO Property Owner Property Location/Address Subdivision BUTTE, COUNTY SCHOOLS IMPACT E�'-CERTIFICATION FORM (One for per Building). �� • Building Department No. Residential Development No of Living Mobile Home Units Installation 'BLilding Department Add�'Rion = City County r' o r Lot No.. ' r .................:............................................................................................... Sq. Footage Addition *Supplemental to (Group R) Conversion Permit # `(No foundation inspection): f Floor Plans reviewed by School District Personnel Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. Y"� u \• L��� l� School District certifies that ! (Applicant) I I I -b&.o: v L.J O u d fir- 5 3 1 I jr 3� (Street Address) (Phone Number) P w Ops ./i ll� CA4F SA L, 1, (City) y1 ' (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ S 1k 5q d representing 5' ( square feet. AB 2926 $ FULL MITIGATION $ /--Y- ell 63 School District Rerffesentative Date Paid by Check # Remarks: tJ 3 (o \o n O m a."r 2551 1.�`rr Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. + If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm r I AND W 'EN -Al CORDED MAIL TO: ~ J BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records CountyBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:57PN 08 -Nov -2002 REC FEE 10.00 CONFORM 1.00 Cheryl Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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: SEE ATTACHED LEGAL DESCRIPTION Date 1 ; / 8.10 2 PROPERTY OWNERS: State of California ) County of BUTTE ) On 1118/02 before me, ANGELA D. 14ASTELOTTO , NOTARY PUBLIC personally appeared BRADLEY FAIN personally known to me (or proved to me on 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(ies), and that by 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. WITN Sj y hand and official seal. Sig=0_3_66-0-0_�Q l; ANGELA D. MASTELOTTOCommission #1381124 AA.P. # Notary Public - California Butte County - My Comm. Exp. OCT. 22, 2006 /1L AAk ORDER NO. BU-181124-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOT 91, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "COPLEY ACRES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 1, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 38, 39, AND 40. AP#: 036-600-028-000 3 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title........... FAIN HOME Date..12/03/01 15:56:52 Project Address........ AP# -36-60-28 DEERWOOD DR.*******-----------�--A--- --- OROVILLE *v6.01* ; - /d Documentation Author... MARTIN ALVIS ******* Build' P„�rrp' # Alvis Heating and Air , �M{ P.O. Box 5127 ; Plan Check / Date Oroville, CA 95966 530-534-8491 ; Field Check/ Date Climate Zone..'......... 11 ------------=-------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Ener.comp, Inc. MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM CF -1R User#-MP2308 User -Alvis Heating and Air Run -HOUSE -------------------- ------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... 2551 sf Building Type .............. Single Family Detached Construction. Type ......... New Building Front Orientation. Front Facing 25 deg (NE) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 14.9 % of floor area Average Glazing U -factor... 0.41 Btu/hr-sf-F Average Glazing SHGC....... 0.46 Average Ceiling Height..... 9.1 ft Component Frame Type Type ------------ ------- Wall Wood Roof Wood Door None Floor Wood Orientation -------------------- Window Front (NE) Window Front (NE) Window Front (NE) Window Front (NE) Window Front (NE), Window Front (NE) Window Front (NE) Window Front (NE) Window Front (NE) BUILDING SHELL INSULATION ------------------------- Cavity Sheathing Total Assembly R -value R -value R -value U -factor -------- -------- ------- ------- R-21 " R-0 R-21 0.059 R-11 R-0 R-19 Area (sf) 15.0 3.0 15.0 3.0 6.0 23.5 6.0 15.0- 3.0 R-27 R-38 0.025 R-0 R-0 0.330 R-0 R-19 0.037 FENESTRATION ------------ U_ Factor SHGC 0.370 0.350 0.370 0.350 0.350 0.580 0.350 0.370 0.350 Location/Comments ---------=-------------- GARAGE, OUTSIDE CORNER WALL ATTIC SOLID WOOD Interior Exterior Shading Shading 0.350 Standard Standard 0.350 Standard Standard 0.350 Standard Standard 0.350 Standard Standard 0.350 Standard Standard 0.900 Standard Vndard 0.350 Stag �i��a �d 0.350 Sta�a�r�d, 0.350 �S�ti V � D ° ' "S�a�� and App Over- hang/ Fins Yes Yes Yes Yes Yes Yes None None None CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... FAIN HOME. Date..12/03/01 15:56:52 ---------------------------------------- MICROPAS6*v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM CF -1R User#-MP2308 User -Alvis Heating and Air Run-HOUSE ------------------------------------------------------------------------------- FENESTRATION Over - Area U- Interior Exterior hang/ Orientation -------------------- (sf) Factor SHGC Shading Shading Fins Window Front (NE) ----- 15.0 ------ ------ 0.370 0.350 --------------- Standard -------------- Standard ----- None Window Front (NE) 3.0 0.350 0.350 Standard Standard None Window Front (NE) 15.0 0.370 0.350 Standard Standard None Window Front (NE) 3.0 0.350 0.350 Standard Standard None Window Left (SE) 10.0 0.370 0.350 Standard Standard Yes Window Left (SE) 10.0 0.370 0.350 Standard Standard Yes Window Left (SE) 10.0 0.370 0.350 Standard Standard Yes Window Back (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back (SW) 17.0 0.580 0.900 Standard Standard Yes Window Back (SW) 17.0 0.580 0.900 Standard Standard Yes Window Back (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back. (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back (SW) 15.0 0.370 0.350 Standard Standard Yes Window Back (SW) 20.0 0.370 0.350 Standard Standard Yes Window Right (NW) 10.0 0.370 0.350 Standard Standard Yes Window Right (NW) 20.0 0.370 0.350 Standard Standard Yes Window Left (S) 20.0 0.580 0.900 Standard Standard Yes HVAC SYSTEMS Refrigerant ------------ Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type ------------ Efficiency ------------ Airflow ------- ----------- Location R -value ------- Leakage D ------- Type Furnace 0.800 AFUE n/a Attic R-4.2 ------ No No ---------- Setback ACSplit 12.00 SEER No Attic R-4.2 No No Setback WATER'HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type ------------ Heater ----------- Type ------------------- Distribution Type System Factor (gal) R -value Storage Gas Standard ------ 1 -------- ------ 0.60 50 ---------- R- n/a CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R ------------ Project Title.......... FAIN HOME Date..12/03/01 15:56:52 ----------------------------------------------------------- MICROPAS6 v6.0.1 File-FAIN2551 Wth-CTZ11S92 Program -FORM CF -1R User#-MP2308 User -Alvis Heating and Air Run-HOUSE ------------------------------------------------------------------------------- REMARKS COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... BRAD FAIN Company. Address. 5592 FARLEY ST. OROVILLE CA. 95966 Phone... 530-534-1900 License. DOCUMENTATION AUTHOR Name.... MARTIN ALVIS Company. Alvis Heating and Air Address. P.O. Box 5127 Oroville, CA 95966 Phone... 530-534-8491 Signed.. 2 - --OLSigned.. 1'� _eX�-�J� 1Z�1Ok. (date) (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title Title.......... FAIN HOME Date..12/03/01 15:56:52 Project Address........ AP# -36-60-28 DEERWOOD DR.******* --------------------- OROVILLE *v6.01* Documentation Author... MARTIN ALVIS ******* ; Building Permit # Alvis Heating and Air P.O. Box 5127 ; Plan Check / Date Oroville, CA 95966 530-534-8491 Field Check/ Date Climate Zone..... .... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Ener -comp, Inc. ------------------------------------- MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM MF -1R User#-MP2308 User -Alvis Heating and Air Run-HOUSE ------------------------------------------------------------------------------- Note: Lowrise residential buildings subject to the Standards must comtain 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 are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): 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 not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. �- 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ✓ 116-17: Fenestration Products,'Exterior Doors and Infiltration/ Exfiltration Controls 1. 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.sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. �Q! 150(f): Special infiltration barrier installed to comply with ✓ Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... FAIN ----------------------------------- HOME Date..12/03/01 15:56:52 MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM MF -1R User#-MP2308 User -Alvis Heating and Air Run -HOUSE b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. J SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES --------------------------------------------------------- ---- Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets 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. / 150(j): Pipe and Tank insulation 1. 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 -external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sections 601, 603, and 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 UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch,.the combination of masti.c and either mesh or tape shall be 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 backed rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R ------------------------ Project Title.......... FAIN HOME Date..12/03/01 15:56:52 -------------------------------------------------- MICROPAS6 v6.01 File-FAIN2551 Wth-CTZllS92 Program -FORM MF -1R User#-MP2308 User -Alvis Heating and Air Run -HOUSE --------------------=---------------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches 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 ----------------- Design- Enforce- er ment 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting i.n 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 Sec. 150(k)2.; and recessed ceiling fixtures are IC -(insulation cover) approved. COMPUTER METHOD SUMMARY Page 1 C -2R ----------------------------------------------------- Project Title.......... FAIN HOME Date..12/03/01'15:56:52 Project Address........ AP# -36-60-28 DEERWOOD DR.******* --------------------- OROVILLE *v6.01* Documentation Author... MARTIN ALVIS ******* ; Building Permit # ; Alvis Heating and Air P.O. Box 5127 ; Plan Check / Date Oroville, CA 95966 530-534-8491 Field Check/ Date Climate Zone........... 11 -------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ----------------------------------------- MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM C -2R User#-MP2308 User -Alvis Heating and Air Run-HOUSE -----=------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design Margin = - = Space Heating.......... 15.21 ---------- 14.10 ---------- 1.11 = = Space Cooling.......... 11.27 7.32 3.95 = = Water Heating.......... _ 11.17 9.84 1.33 = = Total -------- 37.65 -------- 31.26 -------- - 6.39 = _ *** Building complies with Computer Performance GENERAL INFORMATION Conditioned Floor Area...'.. 2551 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 25 deg (NE) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Raised Floor 1 23240 cf 0 sf 14.9 % of floor area 0.41 Btu/hr-sf-F 0.46 9.1 ft COMPUTER METHOD SUMMARY Page 2 C -2R ------------------------ Project Title.......... FAIN HOME Date..12/03/01 15:56:52 --------------------------------------- MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM C -2R User#-MP2308 User -Alvis Heating and Air Run -HOUSE --------------------- 7 Type -------------- HOUSE Residence Surface -------------- HOUSE 1 Wall 2 Wall 3 Wall 4 Wall 5 Wall 6 Wall 7 Wall 8 Wall 9 Wall 10 Wall 11 Roof 12 Door 13 Floor BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit ------------ ----------------------- ----- -------- --------- 2551 23240 Area U- Asf) factor 1.00 Yes Setback 2.0 Standard No OPAQUE SURFACES --------------- Insul Act Solar Form 3 Location/ R-val Azm Tilt Gains Reference Comments 225 0.059 21 25 90 No W.21.2X6.16 126 .0.059 21 25 90 Yes W.21.2X6.16 32 0.059 21 25 90 Yes W.21.2X6.16 158 0.059 21 25 90 Yes W.21.2X6.16 393 0.059 21 115 90 Yes W.21.2X6.16 217 0.059 21 205 90 Yes W.21.2X6.16 253. 0.059 21 205 90 Yes W.21.2X6.16 352 0.059 21 295 90 Yes W.21.2X6.16 77 0.059 21 295 90 No W.21.2X6.16 34 0.059 21 160 90 Yes W.21.2X6.16 2551 0.025 38 25 27 Yes R.38.2X4.24 18 0.330 V 25 90 No None 2551 0.037 19 n/a 0 No FC.19.2X8.16 'FENESTRATION SURFACES GARAGE OUTSIDE OUTSIDE OUTSIDE OUTSIDE OUTSIDE OUTSIDE OUTSIDE GARAGE CORNER WALL ATTIC SOLID WOOD Area U- Act Exterior Shade Interior Shade Orientation ---------------------- (sf) ----- factor ----- SHGC ----- Azm --- Tilt ---- Type/SHGC -------------- Type/SHGC HOUSE -------------- 1 Window Front (NE) 15.0 0.370 0.350 25 90 Standard/0.76 Standard/0.68 2 Window Front (NE) 3.0 0.350 0.350 25 90 Standard/0.76 Standard/0.68 3 Window Front (NE) 15.0 0.370 0.350 25 90 Standard/0.76 Standard/0.68 4 Window Front (NE) 3.0 0.350 0.350 25 90 Standard/0.76 Standard/0.68 5 Window Front (NE) 6.0 0.350 0.350 25 90 Standard/0.76 Standard/0.68 6 Window Front (NE) 23.5 0.580 0.900 25 90 Standard/0.76 Standard/0.68 7 Window Front (NE) 6.0 0.350 0.350 25 90 Standard/0.76 Standard/0.68 8 window Front (NE) 15.0 0.370 0.350 25 90 Standard/0.76 Standard/0.68 9 Window Front (NE) 3.0 0.350 0.350 25 90 Standard/0.76 Standard/0.68 10 Window Front (NE) 15.0 0.370 0.350 25 90 Standard/0.76 Standard/0.68 11 Window Front (NE) 3.0 0.350 0.350 25 90 Standard/0.76 Standard/0.68 12 Window Front (NE) 15.0 0.370 0.350 25 90 Standard/0.76 Standard/0.68 13 Window Front (NE) 3.0 0.350 0.350 25 90 Standard/0.76 Standard/0.68 14 Window Left (SE) 10.0 0.370 0.350 115 90 Standard/0.76 Standard/0.68 15 Window Left (SE) 10.0 0.370 0.350 115 90 Standard/0.76 Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2R ---------------------------------- Project Title.......... FAIN HOME Date..12/03/01 15:56:52 -------------------------------------------------------- MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM C -2R User#-MP2308 User -Alvis Heating and Air Run-HOUSE ------------------------------------------------------------------------------- FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade Orienta.tion ---------------------- (sf) ----- factor ----- SHGC ----- Azm Tilt Type/SHGC T ype/SHGC 16 Window Left (SE) 10.0 0.370 0.350 --- 115 ---- 90 -------------- Standard/0.76 --------------- Standard/0.68 17 Window Back (SW) 15.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 18 Window Back (SW) 17.0 0.580 0.900 205 90 Standard/0.76 Standard/0.68 19 Window Back (SW) 17.0 0.580 0.900 205 90 Standard/0.76 Standard/0.68 20 Window Back (SW) 15.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 21 Window Back (SW) 15.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 22 Window Back (SW) 15.0 0.3700.350 205 90 Standard/0.76 Standard/0.68 23 Window Back (SW) 15.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 24 Window Back (SW-) 15.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 25 Window Back (SW) 15.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 26 Window Back (SW) 15.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 27 Window Back (SW) 20.0 0.370 0.350 205 90 Standard/0.76 Standard/0.68 28 Window Right (NW) 10.0 0.370 0.350 295 90 Standard/0.76 Standard/0.68 29 Window Right (NW) 20.0 0.370 0.350 295 90 Standard/0.76 Standard/0.68 30 Window Left (S) 20.0 0..580 0.900 160 90 Standard/0.76 Standard/0.68 OVERHANGS AND SIDE FINS --- Window- ----------------------- ------Overhang----- ---Left Fin--- ---Right Fin -- Area Left Rght Surface ----------- (sf) ----- Wdth ----- Hgth ----- Dpth Hght ---- Ext ---- Ext ---- Ext Dpth Hght Ext Dpth Hght HOUSE ---- ---- ---- ---- ---- ---- ---- 1 Window 15.0 3.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 3.0 3.0 1.0 "2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 15.0 3.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 3.0 3.0 1.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 6.0 1.0 6.0 5.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 23.5 3.5 6.67 5.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 14 Window 10.0 2.0 5.0 2.0 0' n/a. n/a n/a n/a n/a n/a n/a n/a 15 Window 10.0 2.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 16 Window 10.0 2.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 17 Window 15.0 3.0 5.0 15.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 18 Window 17.0 2.5 6.67 15.5 0 n/a n/a. n/a n/a n/a n/a n/a n/a 19 Window 17.0 2.5 6.67 15.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 20 Window 15.0 3.0 5.0 15.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 21 Window 15.0 3.0 5.0 15.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 22 Window 15.0 3.0 5.0 15.5 0 n/a n/a n/a n/a n/a n/a n/a n/a 23 Window 15.0 3.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 24 Window 15.0 3.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 25 Window 15.0 3.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 26 Window 15.0 3.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 27 Window 20.0 5.0 4.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 28 Window 10..0 2.0 5.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a 29 Window 20.0 5.0 4.0 2.0 0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 4 C -2R ----------------- Project Title.......... FAIN HOME Date 12/03/01 15:56:52 ----------------------------------------------- MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -FORM C -2R User#-MP2308 User -Alvis Heating and Air Run-HOUSE ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- Area Left Rght Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght ----------- ----- ----- ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- 30 Window 20.0 3.0 6.67 15.0 0 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.60 50 R- n/a REMARKS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type ------------- Efficiency Airflow Location ------------------ R -value Leakage D Eff HOUSE ------------- ------- --------- -------- ---- Furnace 0.800 AFUE n/a Attic R-4.2 No No 0.737 ACSplit 12.00 SEER No Attic R-4.2 No No 0.645 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.60 50 R- n/a REMARKS HVAC SIZING Page 1 HVAC ---------------------------- Project Title.......... FAIN HOME Date..12/03/01 15:56:52 Project Address........ AP# -36-60-28 DEERWOOD DR.******* --------------------- OROVILLE *v6.01* Documentation Author..: MARTIN ALVIS ******* ; Building Permit # Alvis Heating and Air P.O. Box 5127 Plan Check / Date Oroville, CA 95966 530-534-8491 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Ener.comp, Inc. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-FAIN2551 Wth-CTZ11S92 Program -HVAC SIZING User#-MP2308 User -Alvis Heating and Air Run-HOUSE ------------------------------------------------------------------------------- GENERAL INFORMATION FloorArea.................. Volume..................... Front Orientation.......... Sizing Location............ Latitude................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... SummerRange ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 2551 sf 23240 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No Yes 0.30 HEATING AND COOLING LOAD SUMMARY -------------------------------- Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... InternalGain. ................... Ducts. ........................... SensibleLoad .................... Latent Load ...................... Minimum Total Load Heating (Btuh) 10942 6246 n/a 13219 n/a 3041 .33448 n/a 25 deg (NE) Cooling (Btuh) 5492 4060 6765 5427 2550 2429 26723 8017 33448 34740 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. September 26, 2002 Butte County Development Services Dept. Building Division 7 County Center Dr. Oroville, CA 95965 RE: Truss Design, Fain Residence, A.P.N. 036-600-028 I have reviewed the truss designs for this project. My review includes identifying and locating loads in excess of 3000 pounds. Where inadequate, foundation elements have been revised to reflect a maximum design bearing load of 1500- pounds per square foot. Thank you for your consideration. Sincerely Jim, sell. P.E. Lateral loads Page 1 Wind: Exposure B P = Ce Cq q I where Q = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof I = 1 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: V = 2.5 Ce I W / 1.4 R Ca= 0.36, 1=1, R=5.5/4.5 Soil Bearing: 1500 pounds per square foot Friction = 0.35 Lateral bearing = 250 psf/ft. JIM PURSELL CIVIL ENGINEER RCE 60924 Date 9/19/02 1 Job Number 102-06-157 Job Name Brad Fain Assessor Parcel No. 036-600-028 Analysis UBC 1997 Dead Loads Live loads Roof Comp 6.0 1/2" plywood 1.5 Framing 5.0 Insulation 1.0 1/2" Gyp 2_5 16.0 psf. 16 psf. Wall Stucco 10.0 Framing 3.5 1/2 gyp 2.5 Insulation: 1.0 17.0 psf. Floor Flooring 3.0 3/4" plywood 2.5 Framing 2_5 - 8.0 psf.. 40 psf. Lateral loads Page 1 Wind: Exposure B P = Ce Cq q I where Q = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof I = 1 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: V = 2.5 Ce I W / 1.4 R Ca= 0.36, 1=1, R=5.5/4.5 Soil Bearing: 1500 pounds per square foot Friction = 0.35 Lateral bearing = 250 psf/ft. _... -- - - - - - - --- �� �/.S Y- 35t S5�_-� .Sod (?.5� �. t�'jo�q• S� .. _ . �.71s- . ._ q�s� � (R� _-- �5�•I�-� so`t t �120-_I�{ 5�/.. -' _ /Z�S l b ---------------------------- - --------- za -►ys`( � _ ____ .F_. -_mss_ A-2 iL kw. 4L ----�M - = _ psi • -- _ ��Df�.�-%�,_ ��-�''�•- -- .__ %w � CGS. (�`� \sv _... -- - - - - - - --- �� �/.S Y- 35t S5�_-� .Sod (?.5� �. t�'jo�q• S� .. _ . �.71s- . ._ q�s� � (R� _-- �5�•I�-� so`t t �120-_I�{ 5�/.. -' _ /Z�S l b ---------------------------- - --------- za -►ys`( � _ ____ .F_. -_mss_ A-2 -- 1�Q CD T�> �4r. Z-C�-CA770� - f'�--� lSo . c cU - �Yt�; i� SRAGIJ`�G_,_ _ 3 3`7 S �6 - VII -50 WESTERN WOODS USE BOOK DESIGN — RENDING MEMBERS Continuous Beam — Two Equal Spans — Uniformly Distributed Load _YgCl.o) _ `�gO �f 3wl_3CY8' S / R,=V,=R,=V... . . . . . . . =— —% a B �J I,�G STRt�ss IOwl o c/yso R, . . . . . . . . . . - 9 - - 5wl M, . . . . . . . . . . . . . _ - wl' _ 8C -)C S) ,Sam �T 16 a g — Mm C/ 31 9w1' Z ef—� . . . . .. . . . (�L%�p'�'--- .. s7 y 4� 8 128 %.2g wl' 6max.Cet 0.461, epprox, from R, and R, = 185E1 2 6 r. �� w"' Lc.�m 3 PCZ. 46 v54 25 1 2S 1.12 x 1720 x 16 = 12880 Wall: Windward Leeward Fain P Page 7 Lateral Analysis (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) (Area)x(Wt.(psf)) = Wt.(lb) Wall O Improtance Factor 1 = 1 14.5 1 = 0 479 x 17 = 8143 Wind 0.72 0.8 0 0.5 0 14.5 1 Seismic Roof: Windward Leeward q I P Roof Weight:. (Coef.) (Coef.x A + Coef. x A) (@75) 0.5 32 (lbs) = 374 P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 6 : 12 = 1.12 P(20)= 0.67 0.3 0 0.7 0 14.5 1 = 0 1 P(15)= 0.62 0.3 21 0.7 21 14.5 1 = 189 (Pitch factor)x(Area)x(1Nt.(psf)) = Wt.(lb) 1.12 x 1720 x 16 = 12880 Wall: Windward Leeward q I P Wall Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) (Area)x(Wt.(psf)) = Wt.(lb) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 479 x 17 = 8143 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 Roof: P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 Ca = 0.36 Total Wt.(Ib) P(15)= 0.62 0.8 32 0.5 32 14.5 1 = 374 R = 4.5 W = 21023 (lbs) Pitch = Rise:Run Pitch Factor P (Total) = 563 Base Shear Ib 0.7 0 14.5 1 = 0 6 : 12 = 1.12 V= (2.5 x Ca x I x W)/(1.4 x R) =3003 / 0.72 SEISMIC GOVERNS-� 0.7 0 14.5 1 = 0 Wall OC Wind Seismic Roof Weight: Roof: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Pitch = Rise:Run Pitch Factor P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 6 : 12 = 1.12 P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 P(20)= 0.67 0.3 120 0.7 120 14.5 1 = 1166 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) P(15)= 0.62 0.3 108 0.7 108 14.5 1 = 971 1.12 x 1760 x 16 = 31484 Wall Weight: Wall: Windward Leeward q I P (Area)x(Wt.(psf)) = Wt.(Ib) (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) 632 x 17 = 10744 P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 . 0 14.5 1 = 0 Ca = 0.36 Total Wt.(Ib) P(20)= 0.67 .0.8 0 0.5 0 14.5 1 = 0 R = 4.5 W = 42228 P(15)= 0.62 0.8 120 0.5 120 14.5 1 = 1402 Base Shear P (Total) = 3539 V- (2.5 x Ca x 1 x W)/(1.4 x R) =/6033/ SEISMIC GOVERNS • J. Wind Fain Seismic Page 8 Lateral Analysis Roof Weight: Wall 1O. Improtance Factor I = 1 Leeward q 1 P Wind (Coef.) (Coef.x A + Coef. x A) Seismic Roof: Windward Leeward q I P Roof Weight: 1 = 0 (Coef.) (Coef.x A + Coef. x A) (@75) 0.3 41 (lbs) 14.5 P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 6 : 12 = 1.12 P(20)= 0.67 0.3 35 0.5 34 14.5 1 = 267 P(15)= 0.62 0.3 25 0.5 80 14.5 1 = 427 (Pitch facto r)x(Area)x(Wt.(pso) = Wt.(Ib) I P (Area)x(Wt.(pso) = Wt.(lb) (Coef.) (Coef.x A + Coef. x A) 1.12 x 980 x 16 = 17531 Wall: Windward Leeward q I P Wall Weight: 1 = 0 (Coef.) (Coef.x A. + Coef. x A) (@75) 0.8 0 (lbs) (Area)x(Wt.(psO) = Wt.(Ib) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 480 x 17 = 8160 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 14.5 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 Ca = 0.36 Total Wt.(Ib) P(15)= 0.62 0.8 150 0.5 95 14.5 1 = 1506 R = 4.5 W = 25691 = 3524 V = (2.5 x Ca x I x W)/(1.4 x R) = 3575 P (Total) = 2200 Base Shear (lb) V=(2.5xCaxIxW)/(1.4xR)=4 3670/ SEISMIC GOVERNS Wall O Wind Seismic Roof Weight: Roof: Windward Leeward q 1 P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Pitch = Rise:Run Pitch Factor P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 6: 12 = 1.12 P(25)= 0.72 0.3 41 0.7 41 14.5 1 = 428 P(20)= 0.67 0.3 85 0.7 95 14.5 1 = 894 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(lb) P(15)= 0.62 0.3 43 0.7 91 14.5 1 = 689 1.12 x 1172 x 16 = 20965 Wall Weight: Wall: Windward Leeward q I P (Area)x(Wt.(pso) = Wt.(lb) (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) 239 x 17 = 4063 P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 Ca = 0.36 Total Wt.(Ib) P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 R = 4.5 W = 25028 P(15)= 0.62 0.8 148 0.5 100 14.5 1 . = 1514 Base Shear (lb) P (Total) = 3524 V = (2.5 x Ca x I x W)/(1.4 x R) = 3575 SEISMIC GOVERNS Ste__ �A�.z._ _Jv,�•�,�s.�.�--_ .. _ _ _ . --_-. _ .___ _. _ . . _. _ . _ _ __ _ _.- - __ /6. WALL-Jo. XGA! !� ` `Z rte__ �i..: �SZ'. Tom- �t L. G✓� 35s_-��/ n 14) 77/ A3�:- _ ,'''' R�► ����.. -�s5 c.2 2-1 3. MCS� 7-x,A �J VG I M ^Co ��agiRussF. S car- VG PAX) -s 31 �.z_71C y - J4RA 7t,::,�c�v.A7 AJC <:� -y -��'-��°4{��_L-_--�--'`_- � ` --_-^----__-____--�---__'-_--'�____-----___-- -- ' - _- � ' '------ -'' - ~"~^''-~���-_---'---- ---- ----- _-_-__�-_�'-�__-_'_---__--__ . _ ' . � � � � � � ' ��r�------'�------------,-'--'-----�-- ` - -' ---�-------�-- ----�--�-'�-�-�--'r--'-',-�-----�---��'-�---' ----'---- -- � .r� SITE PLAN REVIEW APPLICATION Date: ) O - 1 "� - O `Z AP# Permit Number (if applicable) O APPLICANT INFORMATION Parcel Size: &A e -- Owners Name: F A 1 CS rZ41:) b L-1✓~% Owners Address: E) 2- S7'- 02iDV i C_L_Ls -6A Telephone No.: 532-1 3 Situs Address: ) 25 1�1s�12 V✓2L7 Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ 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 (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date )0-21-02 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone:` • Flood Panel No.: p Index Date: L4—eZ-f)— &I6> ❑ 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 (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -- ---------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Q L— Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------------------- Subdivision Map Special Fees Amount Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q 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 ❑ Obtairi"a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 • • Y Subdivision Map/Parcel Map: CJ3) PLS~/{2) P) C_ ` Map Date of Recording: 0-)-63-- Lot: -)-63 Lot: rl ❑ Use Permit/Minor Use Permit Permit Number: Book: *?> O Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: EJB "7 0 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved -by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4. of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 OWNER -BUILDER VERIFICATION A:tencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing yonrpte, Please complete and return this information at your earliest opportunity to avoid in processing 'and issuing your building permit. No building permit will be issued uti�f$ts verification is received. I . I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESg NO 0 2. I HAVE0- RAVE NOT 0 signed an application for a building permit for the proposed WOdc I I have contracted with the following person (firm) to provide the proposed F Motlucdou: NAME: /. 6-1D 1-e �,r f- /& ADDRESS: S1S 4 �a� le S� <e .�— CITY: e Cwy'l PHONE: 53 Z -1 Z 3 �f COL--MkCTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: ' NA<ti1E: ' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIALSECURITYNU1MER: DATE: iV0TE: Thu Owner -Builder Verification is required by Section 19831 and 19432 4VAa California Health and Safety Code This verification must be eongdAW Md returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION Ce_.- P70C--7, An application for a building permit has been submitted in your name listing yourself as the builder ofpnVerty improvements specified For your protection, you should be aware that as "owner -builder' you are the responsible parry oftecoed ona ch a permit..Building permits are not required to be signed by proper, owners unless they are personally v --fe - own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: + If you employ or otherwise engage any persons other than your immediate family. and the work (Including matt rials and other costs) is $300 or more for the entire project, and, such persons are not licensed as contractors or subcortactors. then you may be an employer. ♦ [; you are an e plover, you must register with the State and Federal Governments as an employer and you are subject to several obligations includin'-'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be F.nancial risks for you if you do not carry out these obligations, and these risks are especially serious w;th respect to worker's compensation insurance. ♦ For mere scecitic information about your obligations under Federal Law, contract the Intemal Revenue Service (and, i r You wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, ccr.cact the Department of Benefit Payments and the Division of Industrial Accidents. I, the st uctLre is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, ertoncously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your corununity er at 10=0 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely. ivtic el C. Vi ire, C.B.O. I ger, Building Inspection NOTE: Titin 0 w m er- B u ilder Information is required by Section !9830 of the California Heaith and S"My Calk OVER June 25, 2003 Butte County . Development Services Dept. Building Division 7 County Center Dr. Oroville, CA 95965 RE: Substitution Truss Design, Fain Residence, A.P.N. 036-606-028 I have reviewed the truss designs that were substituted subsequent to the engineering for this project. My review includes identifying and locating loads in excess of 3000 pounds. The differences in loadings are very minimal and do not affect footing sizes previously calculated to reflect a maximum design bearing load of 1500 pounds per square foot. The substitution trusses are acceptable. Thank you for your consideration. Sincerely Jim sell, P.E. BUILDING DEPARTMENT % `ire ° ! W= NOTES, I, 4 RESIDENTIAL 036-600-028 01-1448 FAIN, Brad &,Debbie4 %j E) Deerw6od Drive, Oroville Cont: Bill Connelly Const. New Pri Det Garage SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r. "t JOB FINALED (Date) Z Signature V= OK 0 = Not OK - = Not Applicable MOBILE HOMES • = Not Fleady Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 7. Well Clearance 8 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-Vatve-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. Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVEBSrCARPORTS GARAGES (Plans) OK except #'s VJ `r. 3. Zonigg"Requirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Ele tric rm .; Sills-Anchors-Studs-Rftrs-Trusses Z ding; Nailing-Venee o -Mesh je 10. Roof; Shthg-Roofing 11. Ext.; Steps- ors -Landings 12. ed Wall Panels Date Date Date j) Card B-1 / Date Card B-1 Card B-1 Date Card B-1 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department.Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK = Not Applicable = Not Ready Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe, Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 61. Insulation -Walls -Ceilings Date 62. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 82. Following Inslid./Drive D Yes D No/Walks J Yes J No/Planters J Yes J No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Dale 42. Bearing Walls over Girders & Floor Nailing Comments at Final: 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs, Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Ramex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes 82. Following Inslid./Drive D Yes D No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Dale Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION L 7 li ounty Center Drive • Oroville, California 95965 • Telephone (530) 538-754h/ P MIT No. (Rev.12/96) APPLICATION AND PERMIT -_/ ASSESSOR PARCEL NUMBER 036-600-028 ZONING AR BUILDING PERMIT OWNER BRAD & DEBBIR FAIN TELEPHONE 534-1900 SO. FT. OCC. BUILDING VALUATION 800 U 14 400.00 . OWNERS MAILING ADDRESS BILL CONNF.T.T.Y CONST 16 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 14 400.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 105.30 SUILDINGADDRESS 125DEERWOOD DR, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 287.30 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CTX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: DETACHED GARAGE W/O ELECT FOR STORAGE OF CONSTRUCTION MATERIALS FOR NEW S/F IN FUTURE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF_ 1920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is j(1 full force and effect. C� License Class Lie. No. 4 D /_5-: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declaratns: ❑ 1 have and will maintain a certificate of consent to self.insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is issued. My workers' comp mon insurg�s carrier and policy number are: Carrier fz /J D Policy Number 1'2 1 1 9 j j — D f (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J /�(. , X 4�. z � t��.-•J� Date " `"� ©' Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TOGA TO 46.00 gCU000A NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( 8 ACC. BLAS. 3.5¢FT. NOµq °SID MU ' LTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES B20 1-00 00 APPUYS Ex. Occup. ounETS p, °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 287.30 FEES IMP I FLOOD I COF PARCEL I Pp HD ISSUE This permit is hereby Issued under of the Butte Cou Code and/or indi d e ova f which fees have i '�// `- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. w Date &A/ rsI&J6Z/ Date ReceiptNo. 324898/287.30 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '4 f ' "CO h-�, TY OF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 r PERMIT APPLICATION DATA SHEET OWNER: IStaj f- Detoto, e. ,,:,ASSE SORPARCEL NUMBER: 36— (O – z Fj Proposed Building Use: " Building Inspector: iz 15 Date: Co – /� - e2 / 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 the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation.----------------------------------------------------- 117. ---------------------------------------------------❑7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------ =----------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------`-'------------ s 1110. Fees of $ -•. ------------=------------------------------------------------------------------------ Tri. . Impact fees as shown on the attached schedule.----------------------------------------------------------------- Department of Forestry plan approval/fees. mod elevation certificate. ------------------ r------------------------------------------------------------------- Sanitation and plot plan approval Health Department. ------------------------------------------- 07 5. City of Chico plumbing permit. ----------------------------------------------------------------------------------- do��� w�,-ti-ota, x"16. Plot plan and business license approval from th rty f Big s. -------------- ---- - Planning approval for (A) Use: �� (B) Parking: -------------------------- `1 ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------------------- --- - ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------- ---- ❑20. Pre -inspection for . required Request to Building Inspector on (Date) 021. Contractor's licensiF information((Number, NameeStyle, Classification). ------------------------------- ---- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder,Verification (Given to�oo vner ❑, Mailed to owner EI) - -------------------------------------- ❑ 24. Letter of signature authorization. _-`--��-;-: ; 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------- ---------------------------- 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- t. E129. 0433 A, ❑Grant Deed, ❑ M.H. Title, 0 Check to H.C.D $ . -------------- -------------❑30.Other: 030. Other:------- anu isue the ermit, proces�as llows ❑ Mail to owner, ❑Mail to contractor. ;Teleypohoness'� S and hold for pickup at QI (� 't office. ❑ Deliver with inspector. Applicant: Date: Copy of Hai -Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent�81 Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' g rvision counter, by D e: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER 1,JlO�d� b- � KC 61 e Fa. 1% A-) PROPOSED BUILDING USE ' e AQ/ l r 6;:ASAP V q -__1. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential .......................'..... x = $ # Units Amt. Commercial (Sq. ft.) .............. Sq. ft. 5. RECREATION DISTRICT FEES — x =$ Amt. 6. THERMALITO DRAINAGE DISTRICT FEES /$510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLANC 1CH $89.00 (paid at Building Division) 10 bI �,o 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) — 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# 36-6,® "v2F DATE 6 ' /Y — o RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. 1 APPLICANT DATE^! �� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner — . (Rev. 6/00) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES FF� OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE:. BUILDING PMT. # o OWNER: �2l9/� �dg//t/ I PHONE: MAIL ADDRESS: ©✓t o V j _0 SITE ADDRESS: !J P e r (J✓1 D, ti 1 Q �i 5�7 (O 14 J 3!a—fo0— c PROPOSED U�,S/n1E�^: / C n�/1 S V cv� c �-Za rC' 'S 4 fie. (_.0 ✓) S c r /ti-- C -k ora h 'P a 1 hQ / , SCI / , ✓� � I'L�2 . /(/ f� � / / y` �' � � ..Pnl`��C'1't/ �/ PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-16) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: No: x 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: CK, 3. Will items produced in this building be offered for sale? Yes:. No: 4. Will the public have access to this building? Yes: No: 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: OC 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: lx 9. Will this building be occupied at any time as a living area? Yes: No: De, SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained -road? Yes: No: _ 13. Will the proposed structure encroach within any recorded easement? Yes: No: CK CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling?. Yes. = No: c ' 15. Will this building be heated or cooled? Yes: No: _ 1 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No: CK 18. Will this building have a water heater? Yes: No: 19. What type of floor covering will the building have? C'0✓lc r e -.e+ ',A'( pp r 20. What type of wall covering will the building have? -:151h r�L to� ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand tt.t. Real Estate Disclosure lavas require disclosure of this information if or when offered for sale. OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: 07/17/1998