HomeMy WebLinkAbout079-150-051CONV AG BLDG tO SF W/O PERMITS
5/6/93 0, ") /6. �- " 61 kl'
R,0:50 Aj 0 Zar- .2 -7-'5W
RIVERS
end of pfi gravel ird, 3/iO mi N_tt.
Idd Rd, app 2/10 thi I 0fd kaffgor my,
Oroville f_1'04( Irov
C.ontr: Thevos const, ille
Permit#1311-83BJ,P$E,M(new single family)
_1�11 Pe Irew Ad.'�
4)_�_ �_� 93-1366 BPEM
RIVERS, LAURA ANN
99 PERCY WAY, OROVILLE 1H
CONV AG BLDG TO SF
94-0042M
RIVERS, LAURA ANN
CONT: FOGAL GENERAL CONTRACTOR
99 PERCY WAY, OROVILLE (AS) q
SWAMP COOLER/SF �) 4
056-566- PERMIT#9770709
RIVERS, Laura
101 Percy Way, Oroville
Garage Conv to Living/SF
01-1201
RIVERS, LAURA Fqylo
101 PERCY WAY, OROVILL
CONTR: PERFEVCT 9N LS
SWIM POOL
B07-0667 079-150-005
MISCELLANEOUS Plumbing
RELOCATION OF GAS LINE (LP)
10 1 PERCY WAY %4;7
RIVERS, LAURA ANN SS 4,VD7
so
3, 6 9, 1
LAURA -ANN RIVERS J0
AG EXEMP (FARM EQUIPMENT, H kY & FE
93-3f--- E
I.
Q -36-54&--e+2
USE PERMIT NO. 9V44
LAURA RIVERS
101 PERCY WAY, OROVILLE
- to allow perm. 2nd dwelling 10
PERMIT#95-16Af3'
RIVERS, Laura
101 Percy Way, Oroville
Ag Exempt Permit -feed stg
436-S4-0-042- 00-062AG
RIVERS, LAURA
10 1 PERCY WAY, OROVILLE
AG. BLDG. FOR HAY & GOAT PENS,
cv"W
IF
50k,"L'A �* K% r-�'C'--,COUNTY
RTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0667 Issued: 4/2/2007
Address: 101 PERCY WAY Area: OROVILLE
Owner: RIVERS, LAURA ANN SSAPN: 079-150-005
Applicant: COOK & SON BUILDER!Map Page:
Permit Type: Plumbing
Description: RELOCATION OF GAS LINE (LP)
AREA
2
Flood Zone: None SRA Area: Yes
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
"I
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
I
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
III I
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
1 122 J
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under ":--
Gas Pir,,'
.Do No!
Hold0v Address
ShearW
Sheam
GAS
Roof T,,' Mete, B
Do 140i ELECTRIC
Roughl Meter By
Roughl
Rough'mecnanwdi—�
'OFFICE COPY
Signed
Date !K��irg_ned
Date
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
1 Fire Sprinkler Test
702
I Fire Sprinkler Final
702
I
I
Inspection Type 1
IVR I E`4SP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117 1
Ceiling Insulation
118 1 1
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
7Tt—ucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool Elec/Bonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
50T__
Pre -Plaster
507 1
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
fo. i - � .1 . , _% "'p'�' 'I - , �, - .11RIM. - - I'll :;;i C., s -"e
a '�' 15 4 - , 'er lt4 -
'j,
J.
Q ;M; V; f
u ng na
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
uU c Works Final
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801
-rroject rinat is a uertincate of Uccupancy for (Residential Only)
PFRMITS BECOMENULL AND VOID I YEAR FROMTIJE DATE OF ISSUANCE. IF WORKHAS COMMENCED, YOU MAY PAY FOR A I YEAR
RENEWAL 30 DAYS PRIORTO EXPIRATION
Inspector Copy
i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 101 PERCY WAY
Owner:
Pennit No: B07-0667
APN: 079-150-005
RIVERS, LAURA ANN SS
Permit type: MISCELLANEOUS
101 PERCY WAY
Issued Date: 04/02/2007 BY TMP
Subtype: Plumbing
OROVILLE, CA 95966
Expiration Date: 04/01/2008
Description: RELOCATION OF GAS LINE (LP)
Occupancy: Zoning: AR
Contractor
Applicant:
Square Footage:
COOK & SON BUILDERS
COOK & SON BUILDERS
Building Garage Remdl/Addo
147 LOMA VISTA DR
147 LOMA VISTA DR
OROVILLE, CA 95966
OROVILLE, CA 95966
Other Porch/Patio Total
(530) 533-0302
(530) 533-0302
FEE INFORMATION
DBP Gas System (enter outlets) $55.00
$55.00
I I Balance Due: $0.00 Receipt No: B2L3"
I , LICENSED CONTRACTOR'S DECLARATION - I OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
COOK & SON BUILDERS 456766 / B / 05/31/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Sect" 00) of - ision 3 of the Business and Professions Code, and my license
is in full for eff
X 04/02/2007
Signature
Date
I WORKERS"COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
FI HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
DWORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
FI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
—]Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: Policy Number: Exp.
(This section need not be completed if the permit 'is To–r one hundred d Ilars
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provis
provisions 96s of Section 00 of the Labor Code, I shall forthwith comply with those
X ��2 04/02/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEYS FEES.
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
F1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
DCOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
E1, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
l CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
F-1 I AM EXEMPT under Section — B. & P.C. for this reason:— I
ly 04/02/2007
I Owners Signature Date
I CONSTRUCTION LENDING AGENCY I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address city State Zip
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harniless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
th , a issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
county to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
04/02/2007
Name of Permittee [SIGN) Print Date
Owner EfContractor OR: E]Agent for Owner 1:1 Agent for Contractor
FILE COPY
NOTES
i
k
RESIDENTIAL
036-540-012 01-1201
RIVERS, LAURA
10 1 PERCY WAY, OROVILLE
CONTR: PERFECTION -POOLS
SWIM POOL
-7 - 070 5
oo -6(p /VC7
q6- I�PA67
/w r
k) T
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS —
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) AII'V161
Signature.A.4e
CHECKED
BY
vr
V = OK
0 = Not OK
- = Not Applicable MOBILE HOMES
* = Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1 . Zoning Requ irements-Setbacks- Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location-Tesi-Wrap;-/ /" L 'ft.
P Nat. or/ /"L"ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Selbacks- Easements
2. Footings; Size- Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test- Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
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, COVERS, CARPORTS GARAGES (Plans) OK except if's
1 . Zoning Requirements-Setbacks-Easemenis
2. Footings; Soils -Size- Depth -Spaci ng-Connecto rs-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs- Rails
4. Wood Awn.; Posts- Bea ms-Rft rs.-Con neclors
Shthg.-Frg-Bracing
5. Alum. Awn.; Colu mns-Connections-S plice- Decal- Enclosure:
6. Carports; Windows -Doors
7. Electric
8.
Frmg.; Sills-Anchors-Sluds.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
FINAL (Plans) OK except #'s
,J,.
�eaclks- Easements
43r
-S -011s', Compaction -Structure Stability
Q-QeGLSluwlu&e-Sieel-Connections-Thickness
Deao,Men-Lining
1,11fiec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec_.,Enclosures; Conduit Entries -Terminals -Listed
'KI55-9,6; BondTR4
Ar!:a�l -�:- rculating Equip. -Heater
WElec.; in q i ' Circulating Equip. -Pool Lghtg.
Boxes, nc osures- anelboards-Ins. to Main in Conduit .
Cir. Test -Water SUDDIv Test
Date W /% Card B-1 Date Card B-1
Date ", / Card B-1 Date Card B-1
e
./ = OK
0 = Not OK
- = Not Applicable
* = Not Ready
Date
RESIDENTIAL
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1
. Zoning -Se tback s- Ease ments- Flood- Slope
Cling. Joist-Rftr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ f' Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Sternwalls, Main; Stee I- Blockouts -Wrapped
Garage Fire Protection Framing
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Exi. Doors -One X -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise- Run -Landing- Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall-Fitling-Test-2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
11.
Water Pipe; Test-Ancho rs- Reg u lator-Service Test
Glazing Area -Glass Protection -S kyl ig hts- Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolls
13.
Plenums & Ducts; Clearance -Material -Support -ins.
Brace Interior/Exterior Wall Panels
14.
Girders- S i I Is -Anchor Bolts-Joists-Vents-Crippies
. Insulation -Walls -Ceilings
15.
Access & Ventilation
1 nfi Itratio n -Wal Is- Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight P rotection- Land in gs
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents-clea rance- Comb, Air -Connector -
In Garage; Above Floor- Ducts- Mech. Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P.R. V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
1 nsu lation- Foam- Looked in Attic
29.
Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
Guard Rails & Deck Construction- Post Caps
30.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral Q Yes U No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor C) Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instid./Drive :1 Yes :j No/Walks :1 Yes :) No/Planters D Yes D No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical- Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform it Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings- Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
oingle 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
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.
Exi. Doors -One X -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-UnderfIr. Access
58.
Glazing Area -Glass Protection -S kyl ig hts- Plastic
59.
Shear Walls; Nailing -Bolls
60.
Brace Interior/Exterior Wall Panels
6'.
. Insulation -Walls -Ceilings
62.
1 nfi Itratio n -Wal Is- 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 P rotection- Land in gs
64.
Smoke Detector
65.
Furnace Vents-clea rance- 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, C learance- 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.)-Romex Protection
79.
1 nsu lation- Foam- Looked in Attic
80.
Guard Rails & Deck Construction- Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor C) Yes
82.
Following Instid./Drive :1 Yes :j No/Walks :1 Yes :) No/Planters D Yes D No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical- Plumbing
85.
Vents Above Roof, Plbg-Applia nce- Fireplace -C lea rance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle- U nde rg round
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
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville; California 95965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT n / -/012 D /
ASSESSOR PARCEL NUMBER 036-540-012
ZONING
BUILDINGPERMIT
OWNER
RIVERS, LAURA
TELEPHONE
534-6022
SO. FT. OCC. BUILDING VALUATION
VAL COM -R, EST 18,000.00
OWNERS MAILING ADDRESS
101 PERCY WAY, OROVILLE, CA 95966
CONTRACTORS NAME
PhWE(TION PfflT.-S
TELEPHONE
B95-0437
CONTRACTORS MAJUNO ADDRESS
897 E%ST 20th ST., CHICO, CA 95928
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $
119 no() -
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$' 2 0. 0 0
—Filing
Permit Fee
$ 198.00
ARCHITECT OR ENGINEERS "LING ADDRESS
Plan Checking Fee
$ 23.00
BUILDINGADDRESS 101 PERCY WAY, OROVILLE, CA 95966
Energy Plan Checking Fee
PERMIT FEE
241.00
LOT NO. 1
1 SUBDIVISIONS NAME
46-38
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20,00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other POOL
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK —
New 0 Addition 0 Remodel 0 Ulilities 0 Installation [3 Other 0
Describe Work: POOL MASTER 7006AMW 504-97
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@=.00
PERMIT FEE
35.00
—ELECTRICAL PERMIT
Filing Fee 20-00
600V R LE::
Main Service OA OOR LE
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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
13 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW
.�LING UP.
OR ADONIS. S.
.C. ff
So.
3.50 FT.
NEW CONST LTI 0
NON.RESID. =.. N.T.
97.50
PO.031 AOP=us
CIR.
EX. OCCUp. ( OUTLET OR FIDITURES )
20 @ 1.00
BAL @ .50
( ..FIXED AF(� -OR
Ex. Occup. PR=.) Ek )
5.00
Temporary Service
1 23.001
Mobile Home Facilities
20.00
Misc. Wiring
23.00
POOL =CrIRC
I �30.00
PERMIT FEE
50.00
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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
erformance of the work for which this permit is issued.
13-11h,ve and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
MY workers' compensation insuranqre—carrier and policy number are:
Carrier
Policy Number CL; 9 7 7 1 1-f 72
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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 H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith -comply with those provisions.
X Date
Signature ofApplicant - 0 Owner M -Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.CO
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEP_
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
MT WPE TOTAL FEE $ 326. 00
IMP
I FLOOD
I COF
PARCEL
PO
HD
ISSSJE
This permit is hereby Issued under
the Butte County Code and/or
oinfdicated above for which fees have
B y
PERMIT EXPIRES ON J5-29-2002
the applicable provisionz
Resolutions to do wort
been paid.
Date 5-29-2003
(Date)
ReceiptNo.
.,j�241IC2 On
WHITE -O.O.S . Y -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
LL AN 1
COUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALEFORNIA 95965 - TELEPHONE (530) 538-7541
PE"IT "PLICA TION DA TA SHEET
OWNER. ASSESSOR PARCEL ER: 61
Proposed Building Use: 2nnl fnA�f rr Building Insp Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
El 1. All iiems have been submitted ----------------------------------------------------------------------- 7 - - -
_Pi Plot plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------
01. 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.
El 5. Engineered truss details and lay 614�mi duplicate (required prior to plan review) No faxes! ---------
06. Energy Design Compliance and supporting documentation - -------------------------------------------
El 7. Statement of Intent. for Non -Heated and A/C Buildings - ------------------------------------------------
138. Hazardous Material,Form - ---------------------------------------------------------------------------------
119. Manufactured Home data and installation instructions including Tie Down Specifications ----------
El10. Fees of $ ----------------------------------------------------------------------------
0 11. hnpact fees as shown on the attached schedule - -------------------------------------------------------
El 12. California Department of Forestry plan approval/fees - ------------------------------------------------
' - Flood elevation certificate - ----------------------------------------------------------------------------------------
4. Sanitation and plot plan approval Health Department&(3_q._Z C4 ---------------------------
,,.' _r - a .
1115. City of 'Chico plumbing permit - ------------------------------------------------------------------------------------
El 16. Plot plan and ;6�iness license approval from the City of Biggs - ----------------------------------------------
El 17. Planning approval for (A) Use: (�� I e-- (B) Parking: --------------------------
0 18. �ontact Land Development about 0 Improvements, El DrainagW,��gal Parcel - ----------
C1 19. Encroa-chment, Permit for driveway (construction approval prior to occupancy) - --------------
020. Pre -inspection for
required. Request to Building Inspector on
El 2 1, Contractor's license information. (Number, Name Style, Classification) - ------------------------------------
El 22. Workers' Compensation carrier and policy number - -------------------------------------------------
E123. Owner -Builder Verification (Given to owner 11, Mailed to owner 0) - -----------------------------------------
024. Letter of signature authorization - --------------------------------------------------------------------- r -----------
El 2 5. Recorded copy of Agricultural Acknowledgment Statement. -
E126. Letter of intent on building use - ----------------------------------
E127. Manufactured Home utility clearance - --------------------------
0 28 NExisting violations and/or expired permits - --------------------
El . E1433 A, OGrant Deed, 0 M.H. Title, 11 Check to H.C.D $
0. Other:
(Dat-)
When you issue the perrmit, process as follows 0 Mail to owner, QMail to contractor.
VTelephoneg qS- 0/5'7 and hold for ckup aXhjeQ office. 11 Deliver with inspector.
�All (+eeton �s (,L0ejq 01.
1 44"
Applicant: Q� Date: ---
Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Aolluti n* Date: Bv:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: - By:
1. Index permit application for the above items numbered: 11 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by 0 phone, o mail, ri Building Division counter,* by — � Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 13 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above requir-ed data by 13 phone, 0 mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, o mail, o Building DT�Jon counter, by D
Plans reviewed by: Date: Plans approved by:'- 60 ;;2- D;t�.7
Sets of plans on hold in 13 Plan Cabinet 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. 03 1,, ik 0 -
ZONING a )Q
OWNER
�"
PHONE NO.
—�53 Ai CC) --V2-
OWNER'S ADDRESS
i c� I P
LOCATION OF BUILDING
USEOFBUILDING
SIZE OF STRUCTURE
X 0SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERI
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$ 0 d3 eo
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: :5 --� i - - I
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements n ct at that time and before
occupancy.
Date Signature of
Permit Fee - $60.00
Receipt Noc;-2 7Q S�–�
The above described AG Building is exempt from a building perrr)ft.
Manager Building Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
FI -7 I PA71
Date
OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 - -MLEPHONE(916)538-7541
PERM
,JT jAPPLIC�ATION DATA SHEET
OWNER
Proposed Building Use
r 6(.4 lhl� 0.
Building Inspector_ 2�n Date (:�Vo e/ 7--)
At time f mit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 .
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted.
Plot plans, 3/4 sets, signed by preparer of plans ...........................
Complete plans, 3/4 sets, signed by preparer of plans . .....
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ...................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check) . ....
Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
Feesof $ . .........................................
Impact fees as shown on attached schedule . ..............................
California, Department of Forestry plan approval/fees .........................
Flood elevation 16tter (100 year flood) by California Engineer ...................
Sanitati6n and plot plan approval Health Department . ............
City of Chico plumbing permit . .........................................
Plot plan and business license approval from City of Biggs/Gridley . .............
Planning approval for (A) Use: (B) Parking: . .........
Contact Land Development about (A) Improvements (B) Drainage ............
Driveway permit (construction approval required prior to occupancy). �r�4;5W,:tlo; r6�ueg--
Pre-inspection for required. to Building Inspector 'Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner Mail to owner ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road . .....
Letter of intent on building use . .........................................
Mobilehome utility clearance ............................................
Documentation of legal access . ...................... ; ..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list. �, .......................................................
When you issue the permit, process as follows: M 'I t 'bwner.) Mail to contractor.
a,
Telephone and hold for pickup at office. Deliverwith inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. / /- Air Pollution Date
Copy of plans sent Health Dept. -Fire Dept. dger Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by - Date
Plans checked by Date Plans approved by - Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
RESIDENTIAL
036-540-012 PERMIT#97-0709
RIVERS., Laura
101 Percy Way, Oroville
Garage Conv to Living/SF
V OK
0 No, OK
NotApplicable
Not Ready
D ate UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks-Easments-Flood-Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ PFtg. Depth
RESIDENTIAL (Single & Duplex)
Date FRAMING (Continued)
46. Hangers-PostCaps-Anchors-Connectors
47. Cf�, . 6,��t-Rftr.-r,,.s-purlin-.ffBrac.-Truss-Shfing.-Rfng.
_(Wireplace 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 Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Une Firewall & Openings
53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54. Stairs; Width- room-Rise-Run-Lan�ing-Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ PFtg. Depth
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
4.
Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth
59.
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
qpeeWall Panels e�
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
62.
6a.
Hold Downs and Special Anchors
7.
Slab, SteelAAtrapped
Date
8.
Piers -Fireplace Ftg.-Steel
o," �2AL (Plans) OK except #'s
9.
D.W.V; Fall -Fitting -Test -2 Way C/0 -Sewer Test
00"Smoke
10.
UF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
11.
Water Pipe; Test -Anchors -Regulator -Service Test
67.
12.
Electric Underground
c. jr�r�Subpanel, Breaker Sizes & La��
13.
Pienums & Ducts; Clearance-Mater'.al-Support-Ins.
4;20:VFirwt:�c_e
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Outlets at Wood Panel, Int. & Ext.
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
RICAL (Permit) OK except #'s
2&1rixtuLp_&
Transformer Clearance -ins. Protection
UIelec.
F�eceptacles Spacing -Lights & Switches at Doors
2b,SSe
Boxes & Ncr-of Conductors
26.
Romex Installed Close to Edge of Studs & C.J.
j��qui�.
Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga Cu or Al
30.
Ran�,,e Circ. / / ga Cu or Al -Oven Circ. ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34w
Smoke Detector
Date
Card B-1 Date Card B-1
Da te
Card B-1 Date Card B- I
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat prool)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
46. Hangers-PostCaps-Anchors-Connectors
47. Cf�, . 6,��t-Rftr.-r,,.s-purlin-.ffBrac.-Truss-Shfing.-Rfng.
_(Wireplace 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 Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Une Firewall & Openings
53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54. Stairs; Width- room-Rise-Run-Lan�ing-Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls: Nailing -Bolts
,,g.
qpeeWall Panels e�
C j!0InsuIationWaIIs-CeiIinpCs
10 AICAtz<
62.
Infiltration-Walls-Winst-ws
Date
Card B -I Date Card B-1
Date
Card B-1 Date Card B-1
Date
o," �2AL (Plans) OK except #'s
�*�teps-Door & Sidelight Protection -Landings
00"Smoke
Detector
65--Fu-rnac-e,-7e-nTs-CMaranee-GQ=b,
Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
6T-TeMoo-m
Exiting
67.
ul-�Tn F=xtures & Tub Access -Spa
c. jr�r�Subpanel, Breaker Sizes & La��
(Mnrr-
& Rails I--,' I'll,
4;20:VFirwt:�c_e
or Stove, Cleajw4eg-HedWr
72elSlec.
Outlets at Wood Panel, Int. & Ext.
ZL_LL�pp�ce; Ground. -Air Gap -Cooking Clearance
73_&Iea-GvttetTfi-%cepticaIes at Kit. Counter
r: Swing -Landing -Closure
P,�r Htr.; Vents -C lea ra nce-Comb. Air Connector-P.R.V
In Gp,�age; Above Floor-Mech. Protection
7d7-.-*11l1_b., Elec. & Mech. Equip. Listed for Location
?& EloGzl�ep4wles=in Garage (G.F.I.)-Romex Protection
_(��hsulation-Foam-Looked in Attic
84���k Construction -Post Caps
All'Tc1n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor, 0 Yes
82_-RWLowiF)!y,InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No nters 0 Yes 0 No
83-9tue
,p&arowr-Finish
�ect, Electrical-Plumbin
'Dents Above Roof, Plbg-ApplianK-F�i learance-to Openii gs
86. Wate. We", Biseennect, Electrical, Plumbing
im, G.F.I. Receptacle -Underground
44,,111entilation Throught House
4b_-IGTass Protection
911�eorrections from Previous Inspections
Q1_.Cia&2Lsj-Wg1eL2.jagged, Gas -Electric
,&���nected-C/O to Grade -HD Approval
W6.e'V'n_ergy Compliance Certificate -Other Certificates
Date
Card B-1
�2& Date Card B-1
Dat,p,�
Card B-P��kl 7- Date Card B-1
Date
Card B -I Date Card B -I
Comments at Final:
,V = OK
O=NotOK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1 . Zoning Requirements-Sethacks-Easements
I . Zoning Requirements - Setbacks - Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
2. Sails; Special MH Support Sketch
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns-Connecbons-Splice-Decal-Enclosures
5. Electricity; Locabon-Clearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / 1'1:ft.
/ /Nat. or/ /Lft./ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shtfig-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size-Spacing-Mamage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test -Demand -Valve -Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
7. Water and Sewer Connected -C/0 to Grade -HD Approval
5. Elec.; Pool Lighting; 15 Volts-GFI
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Ent:losures-Panelboards-Ins. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B -I
Date
Card B-1 Date Card B -I
14t
MISCELLANEOUS
.0
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 . Zoning Requirements-Sethacks-Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connecbons-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shtfig-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Ent:losures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date CardB-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7' �;PERM
(Rev. 12/96) APPLICATION A14D PERMIT
ASSESSOR PARCEL NUMBER 036-540-012
ZONIN I G
BUILDINGPERMIT /11
OWNER
LAURA RIVERS
TELEPHONE
534-6022
SO. FT. Occ. BUILDING *ALUKTION
418 8,360.00
OWNERS MAIUNG ADDRESS 101 PERCY WY OROVILLE
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace 1,500.00
UENDEIT! MAILING ADDRESS
Total Valuation $ q,R6n-nn
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 117.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$ / U5
BUILDINGADDRESS 101 PERCY WY
Energy Plan Checking Fee
$ 23.00
OROVILLE
PERMIT FEE
$ 2:3 . U5
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF & Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: GARAGE CONVERSION
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.001
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service RR 'Ss'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing �ith 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
LaVf r the following reason:
1. as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700of the Labor Code, for the performance of work for which this permitis 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 ($i00) or less.)
1Z 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' compens 'on p ro 2 of ipection 3700 of the Labor Code, I shall
forthwith comply ith hose prt!,isos-1;�--d
0
Signature of Applic-an–t-115'Owner __0TC`onract_?r iAgent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLINGBOCCUP.
OR ADDNS. & ACC. LOS. 3.540 14.60
FT.
NEW CONST. B=OUTUET
NON-RESID. CIRCUITS
@D7.50
0 ER APPARATU
( &PSINGLE Or. C SIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
210 1.00
BAL @ .5.
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA 5.00,
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wirina
23t.00
PERMIT FEE $ 3 0
MECHANICAL PERMIT Filing Fee 20.00
Heating EXT. DECTS
L5.00
Cooling
Hood 6.50
Ventilation
PERMIT FEt $ 35.00
Mobile Home Installation Fee is
Energy Inspection Fee J$ 46.00
colf E
TOTALFEE$ 351.65
�HAZ-
FEES IMP
I FLOOD
CDF
P CEL 0
1 HD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
ReceiptNo. 218834
I
WHITE -D. D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROE71PPLICAIT
COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES -
B LD G L 117SION
I
U "r_
7 COUNTY CEL41F 916) 53J75 1
,.]�,A�UVE - OROVILLE, CA��OZWA P5965 - TELEPHONE
OWNER:
Propose&7Building Use: A.,e
At time of, permit application, I was
I
PE"IT APPLICA TION DA TA SHEET
'kSSESSOR PARCEL N
9MER:
j Building Inspector: bke: 7 %Z
adviied the tollowing data m 5 tf init processing and/orissuance:
Date Received By
El 1. All items have been submitted -----------
E12. Plot plans, 3/4 sets, signe&by the prepi
03. Complete plans, 3/4 sets, sig'ned by the
plans - ------
rer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
��A- Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
Energy Design Compliance and supporting dodumentation - ---------------------------------------------------- 36 -7 -7
OT Statement of Intent. for Non -Heated and A/C Buildings - -------------------------------------------------- I -------
E18. Hazardous Material Form - ------------------------------------------------------------------------------------------ --
E]9.M uf ctured Home data and installation instructions including Tie Down Specifications -------------------
e-.
--------------------------------------------------------------------------- ---------
-ees of $
act fees as shown on the attached schedule - ----------------------------------------------------------------- C(
#2. California Department of Forestry plan approval/fees - -------------------------------------------------------------
1113. Flood elevation certificate - ------------------------------------------ a� ----------------------------- --------------
0 14. Sanitationand plot plain approval Health Department - -------------------------------------------
ing permit - -----------------------------------------------------------------------------------
El 15. City of Chico plumbi
E3 16. Plot plan and business iiicenk approval from the City of.Biggs - ----------------------------------------------
El 17. Planning approval for (A) Use: (B) Paricing: ---------------------
0 18. Contact Land Development abofit E3 Improvements, 0 Drainage, El Legal Parcel.,,�* ----------------------
1] 19. Encroachment Permit for driveway (construction approval prior to occueocy) -------------------------------
El 20. Pre -inspection for required. Request to Building Inspector on (Datelt
024. Contractor's license information. (Nurnber, Name Style, Classification) - ------------------------------------
0 22. Workers' Compensation carrier and policy number - ------------------------------------------------ ----------
E123. Owner -Builder Verification (Given to owner El, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization - --------------------------------------------------------------------------------
El 2 5. Recorded copy of Agricultural Acknowledgment Statement - --------------------------------------------------
E126. Letter of intent on building use - -----------------------------------------------------------------------------------
E127. Manufactured H6me utility clearance - ---------------------------------------------------------------------------
028. Existing violationi`a�'nd/or expired permits - ----------------------------------------------------------------------
029. 0433 A, OGrant Deed, El M.H. Title, 0 Check to H.C.D $ - ---------------
030. Other: -------
When you issue the p ro e -follows 0 Mail to owner, OMail to c ntractor.
LLKeiephone !�;_3
and hold for pickup at office. liver niimnsFpctor.
OL D
!hc*a:A-0"_LfiL
Copy of Haz-Mat form sent 13 Health Department, 11 Fire Department, 0 Air Pollution Date:
Copy of plans sent 0 Health Department, 0 Fire Departmen� �Qth, Date: By:
1. Index permit application for the above items numbered: 11 Plan Check Lisi
2. Additional items required:
Contractor, designer`��as �advised �ofthe a�bove required data byVOhone, 0 mail, 0 Building Division counter, byZK5 Date:
Contractor, designer,Uw--ner, was advised of the above required data by 0 phone, 0 mail, C1 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above req &-ed data by 0 phone, P mail, 0 Buildmig D' i i on counter, by Date:
Plans reviewed by: 44-f— Date: 7' / !7 . Plm�approved by: Date:
Sets of plans o�_hofd *in 0 Plan Cabinet, 0 A.P. fbl&r. Note transfer by: Date: 7
Yellow Copy - Department of Development Services, Building Division.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per BuilcHng)
School District C-) 15- IS I/ Building Department No.
A.P. Number 03 (, —s qo - 6 Jurisdiction: City County
Property Owner 4
Property Location /Address /0
Subdivision
'Lot No.
Residential Development
No of Living
Mobile Home
Addition
Units
Installation
Commercial/industrial
New
Addition
Building Department Representative
ir-ioor rians revieweO Dy bcnooi uistrici rersonneu
District Identification No. *3 (k 6
6 �-a -j i �kp— Eke m School District certifies that
Sq. Footage
(Group 9)
Sq. Footage
,nc,u,,,ng tx,enor
Roofed Areas)
-7
Date
(Applicant)
Lb k P e- V- t:1 ^% !; -3 �( — 6 0 a 2 -
(Street Address) -%0 . (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. k.— a 9 by payment of $ --e—
representing square feet.
School
�B 2926 $
ULL MITIGATION $
Date
Paid by Check # Remarks: �kkr I 6-z!- Pl
wj� 15
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 660201a), 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 i3
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA),
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.xis (2/97)dmm
OWNER-BUILDERYERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I . I personally plan to provide t "em or labor and materials for construction of the proposed
property improvement : YES 9 INO 11
2. 1 HAVE NOT E3 signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: --CONTRACTOR'S LICENSE NO.
4. 1. plan to provide portions of this work, but. 1 have hired. the'following person to coordinate,
supervise, and provide the rhaj or work:
NAME:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER: �
DATE:
NOTE.- This Owner -Builder Verif�ication is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
'i � I
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city. or county. They are also required by law to put their license number on all permits for which they
apply -
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be- aware of the following information for your benefit and protection:
If you employ or otherwise eng-ag any persons other than your immediate family, and the work (including materials
,e
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unempIoym-'ent compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S- Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" buildincr
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+ I rely,
Mic el C. Vidira, C.B.O.
P
L s
Mage'rC,B2i1diirng Insnp/elition
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
? ' -1
LOERKE INSULATION CO., INC.
INSULATION CERTIFICATE
149 Mt. Ida
Oroville
Number and Street
Citv
Countv Subdivision
Lot Wurn er
DESCRIPTION OF INSTALLATIOR
1. ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
2. CEILING
Baft or Blanket Type Fibe[glass Batts
Brand Name Schuller Int.
Thickness (inches)
Thermal Resistance (R -Value)
Loose Fill Type Fiberglass
Brand Name Schuller Int.
Contractor/s min. installed weight/ft sq. .823 1b.
Minimum Thickness 16"
inches.
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value)
R38
3. EXTERIOR WALL
Material Fiberglass Batts
Brand Name Schuller Int.
Thickness (inches.)
Thermal Resistance (R -Value)
4. RAISED FLOOR
Material . Fiberglass Batts
Brand Name Schuller Int.
Thickness (inches)
Therma! Resistance (R -Value)
5. SLAB FLOOR PERIMETER
Material
Brand Name
Thickness
Thermal Resistance (R -Value)
Perimeter Insulation Depth (inche's)
6. FOUNDATION WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance
with the current Energ Efficiencv Standards for residential buildings (Title 24,Part 6, California Code of
Regulations) as indica ed on the Certificate of compliance, where applicable.
C.L.#499150 Ak LOERKE INSULATION CO., INC.
Ite-m--Ws-- gig-nat uke, Wti 17' Installing Subcontractor.(Co. Name) Or
General Contractor (Co. Name) Or Owner
ItemW— Signature, Date Installina Subcontractor (Co. Namq) 0 -,-
General , qntractor (Co. Name) Or Owner
Item #s Signature, Date Installing Subcontractor (Co. Name) Or
General Contractor (Co. Name) Or Qwnar
PAU
't &TTE COUNTY -DEN TELOMEENT SERVICES
Date:- 11/1�19,6
Owner: LAURA -ANN RIVERS
Address: 101 PERCY WAY, OROVILLE 95966
AP#—_�36-14-0-011
Zoning:
General Plan: .
Supervisorial District #
Complaint/Violation Location: 99/101 PERCY WAY, OROVILLE
TYPE: [ jBuilding ]Health ]Planning .,,Complaint Taken By:
COMPIL . AINT: GARAGE CONVERSION TO.LIVING AREA W/O PERMITS.
Caution: ]Yes ]No
Permit History on File: ]None )qAs follows: �,EE'ATTACHED
.... .............. .....
INSPECTOR'S REPORT
Tenant: Address: /0 D rt)
Decription of Violation:
-/Aa .-
%V1,
rl
Approx. Size of Bldcy./M.H. Z) )e 2- M.H.
"7 /1
Approx. A2e of Bld2A
I �j
�Ccupied Has ElectriciEy: [P rYes, [ IN' o, Has Gas: [ ]None [ ]Propane [ ]Natural
]Vacant Has Sanitation: flj�es f ] N (11' Obvious SewaQe Problems'?[ ]Yes (tiNK
Under Construction: [ ]Yes No
Hazards:(vj&o ]Yes,(explain)
Person Contacted: )-a L(r-,,-
Built by/for: [-15-re--sent Owner [ ]Previous Owner
Describe Action Taken: IVO,ve
INSPEC
TOR MUST ATTACH A COPY OF THE CORRECTION NOTICE!
...... .....
ACTIONRECOMNIENDED
Insp t
r: Date:
[=ation Only File f Nold"for Days
]ComplaintUnfo EvIlOther 6wv-el-
unded Aa ij,,,,l & f- VITIC
-f
[ ]Resolved per Inspector's Report f JSehd Lettcr for Compliance
Complainant:—
Address:
Phone Number:—
Other Comments:
BUTTE COUNTY DEVELOPMENT SERVICES
td
'ffim.;
i2ve.-int 4s:
n
IInspector must draw a plot plan with all building locations:
M
Additional Comments from Inspector.
lb
lb
9
r.:&
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO
OL—J�a
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure s�all not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
ZONING
A7 le
OWNER
PHONE NO.
OWNER'S ADDRESS
/o/ oravJ100 eA 95 18'(42
LOCATION OF BUILDING
USE OF BUILDING.
SIZE OF STRUCTURE
0 X -A� SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME --!� STEEL CONCRETE — OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
AJoAj e --
ESTIMATED COST OF CONSTRUCTION
s
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows:.(-_
FRONT 7Z;��Ey SIDES 5A44, REAR
............
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6feetfrom a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date_ *Z 9-5
Permit Fee - $60.00
Receipt No.
Signature of
The above described AG Building is xemp from a building permit.
FLr PA71L ROO
I I I '�Pd
Manager Building Division
By A Date
White — DPW, Yellow — Assessor, Pink — B. L, Goldenrod — Applicant Ll
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, 6lifornia 95965 -.Telephone (916) 538-7541 PERMIT 10.
APPLICATION AND PERMIT cad
ASSESSOR PARCEL NUMBER 16-540-012
ZONIN SR
BUILDING PERMII,,�4 I/
OWNER LAURA ANN HVERS
TELEPHONE
SQ. FT. OCC. BUILDING VALUA(TION
-534--6a99
OWN ER'S MAIU
M�DFIDA RI) 0ROVILLE CA 95966
CONTRACTOR'S NAME
FOGAL GENERAL CONTRACTOR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
709 IATTIN RD
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.)0
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 99 PERCY W
PERMIT FEE $
-AY
OROVITIF
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ff Duplex 0 Mobilehome CI Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition 0 Remodel 1:1 Utilities 0 Installation 0 Other IN -
DescribeWork: SWAMP COOLER RE: TO #93-31 & 93-1366
I J
PERMIT FEE 1 $
Contractor
— ELECTRICAL PERMIT
Filing Fee 20 -DO
Main Service 21011 OR LESS
OOA OR LESS
23.00
Main Service 200A TO I GOOA
46.00
NEW CONST. DWELLING OCC P.
OR ADDNS. & ACC. BLOSU
3.5 0 ST0.
CONTRACTORS LICENSE LAW
Id I re under penalty of perjury (check one)
Vam a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and nly license is in full force a effect.
License No. 4��Zvin Classification
Q 1, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
0 1 am exempt under Sec. Business and Professions Code
for this reason
NEW.CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIA
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .50
Ex. Occup. ( OFIXED APPLNS. OR
_ UTLETS (RESID.) EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
El This permit is for $100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
110hall not employ any person in any manner so asto become subject to the Worker's
_=pensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
Contractor
MECHANICAL PERMIT
Filing Fee 20.30
Heating
Cooling SWAMP
i5-nc
Hood
6.50
Ventilation
PERMIT FEE $
-1 s
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequen a f t ran mit.
X Date
Signat Applic gent
An 0 per i is re uired or excavations over 5.0. deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
CONST. TYPE
TOTAL FEE $ 35.00
r�
HAZ.
I D. FEES
IMP
I FLOOD ]
CDF
PARCEL I PO
I HD
--SS
This permit is hereby issued under the applicable proviswns
of the Butte County Code and/or Resolutions to do wnrk
indicated above for which fees have been paid.
DIRECTOR OF PUBLI-C WORKS
V Date
PERMITEXPIRESON
-317/
Receipt No. I � 17�,9
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF?IjEV5L9
PMENT SERVICES - BUILDING DIVISION
d�' 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
:�. ! I I
PERMIT APPLICATION'DATA SHEET
ZAIJA/�_ Ai"i 1�yClel'--c QV 2 -
OWNER A. P. No.
Proposed Building Use 16- ZX Building Inspector C_ - Date
At time of pe:rif application, I was advised the following aata must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted .........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . .......
3, Complete plans, 3/4 sets signed by preparer of plans . ........................
4. Engineered plans and cai6s, 8/4 sets,'with wet signature -Gin plans . .............
5.. Hazardous Material Form . .............................................
6. Energy'besign Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees Of $ . .........................................
11. Impact fees as shown on attached schedule.
-12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by California Engineer . ..................
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy) .............
lreln,scti.n request
20. Pre -inspection for required. to Building Inspector _Vate)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance ...........................
23. Owner -Builder Verification (Given to owner Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ............................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road . .....
27. etter of intent on building use . ........................................
28. Mobilehome utility clearance . ....................................
29. Documentation of legal access . ..................... ; .............
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: 4.,"Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage ApplGean-t Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. �P o-1-1ution Date
Copy of plans sent . Health Dept. _ Fire Dept. Other - Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
N
BUILDING DiVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - ORCIVILLE, CALIFORNI,�,,95965 - TELEPHONE: �911 6) 538-7541
AGRICULTURAL BUILDING EXEM"OTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricuftural building is a structure designed 2andc nstru I cted to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
FL0Q0-
PARCEL
ZONING
4n3 ji. A c% o z).
4 a o
4 - IC
OWNER
�-
I
I
PHONE NO.
S 3 4 --c
OWNER'S ADDRESS
1 4 0 WX 4-- [A
o, Q,4 0
V-0 0 q
LOCATION OF BUILDING
1440 M 4 -
USE OF BUILDING
r- ,
SIZE OF STRUCTURE
t
X PIS
r) XB So. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME —jf�� STEEL
CONCRETE —
OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
LO(n 054
Cc> vv%-
Q -G V� Q_ r v- +
ESTIMATED COST OF CONSTRUCTION
$
AG Buildings shall comply with the building f ront,- side,'and rear yard requirements of the applicable County Ordinances
as follows:
FRONT
SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG
Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain
any necessary permits, inspections, and approvals to comply with the requirements in effect a
,kthat time and before occupancy.
Date a I ra r. I q 2 —
Permit Fee - $50.00
Receipt No
3VI
Signature of
The above described AG Building is exempt from a building permit.
Manager Building Division
By
While - DPW, Yellow - Assessor, Pink - B. L. Golaenrod - Applicant
I
Date '.I- I —
FL0Q0-
PARCEL
P.D..
ROOFING,l
ISSUE]
I
I
I
Manager Building Division
By
While - DPW, Yellow - Assessor, Pink - B. L. Golaenrod - Applicant
I
Date '.I- I —
fv�
J
COUNXY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE,CALIFORNIA95966 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATASHEET
OWNER s A. P. No.
Proposed Building Use /�,& 65y6m tn�-� Building Inspector Date
At time f tmit application, I was advised the foll6wing data must be submitted prior to permit processing and/or issuance:
771. All items have been submitted. . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE RECEIVED By
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees Of $ . .........................................
11. Impact fees as shown on attached schedule.
'12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval , Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy) . ............
-in IreInspecti n request
20. Pre spection for required. to Building lonspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ........ ..........
25. Letter of signature authorization . ........................................
26. Copy of recordeddeod of parcel creation and 60 right of way to a public road ......
27. Letter ci&atd4on, Iding use . .......... S.� ...................
�8. Mobilehome utility c earance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% sbbi4ivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
-34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at z,`) office. Deliver with inspector.
Other /
Parcel Creation 611Y -
Acreage Applica(nt I -�-/W Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. _ Oth.er Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2'. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone --tM-61 Kunter %Z Da
Contractor, clesigne/r,.owner; Wa/s advised of above required d ' --LGb
.e. ) 1, 6 ata by _ phone - mail Counter by - Date -
Plans checked by Date -Plans approyed by Date
Sets of plans on hold in File cabinet AP'folcre'r
Copy - Department of Public Works
-RESIDENTIAL
.036-5.4-0-012 93-1366 BPEM
RIVERS, LAURA ANN
99 PERCY WAY, OROVILLE
CONV AG BLDG TO SF
r
OFFICE COPY
Address
GAS
Meter BY Date
ELECTRIC
Meter By Date
'jOB FINALED (Date)
Signature
76
V = OK
0 = Not OK
= Not Applicable RESIDENTIAL
= Not Ready
Date/initials UNDERFLOOR (Plans) OK except #'a
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ r' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6s. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. LIF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test-Anchor-Reguidtor-Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/initials PLUMBING (Pe rmit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nall Protection
18 . D.W.V.; Test -Fittings & Anchor -Nall Protection
19 . Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panel s-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'a
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Head room -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection-Skyllghts-Plastic
511 Shear Walls; Nailing -Bolts
59. Insulation-Walls-Cellings
60. Infiltration -Walls -Windows
OK
Detector .
�; Vents -Clearance -Comb. Air-Connector-
ige; Above Floor-Ducts-Mech. Protection
G9
.,W. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes & Labels
21a&?
,4tjW8,�ibce or Stove; Clearances -Hearth
/V
P.-flec. outlets at Wood Panel; Int. & Ext.
/,_J.Q-,Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
,L,.70r Elec. Outlets & Receptacles at Kit. Counter
T4r-Q&aiqe-Qw.Qo_or; Swing -Landing -Closer
��ge-Damper
Leff.-W.U. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
OV--plb., Elec. & Mach. Equip. Listed for Location
in Garage; (G.F.I.)-Romex Pritection
93-1'nsulation-Foam-Looked In Attic 0 -Ye -s
74-4w&FO-Reors-Do-cT-construction-Post Caps
74_fAa_9aats.J-Qf,aw+-HoIe Door-Drainag & Wood -Earth
Clearance Looked under Floor Yq's
80. Following Instid.; D Iva as M -Wo-, Walks CI Yes&�O No;
Planters 0 Yes�v_.0.4
,91_.Stweee-erewf�Wnlsh
Electrical, Plumbing
L0nts Above Roof; Plbg.-Appliance-FirePect.-cioarance to,
011penings
�.`nect, Electrical, Plumbing
JK,4xJlss:ior Elec. Trim; G.F.I. Receptacle -Underground
Leg -ventilation Throughout House
48ze<lass Protection
§§,.Co'rrections from Previous Inspections
8§,Test-Meters Tagged; Gas -Electric
195�Wter & Sewer Connected -C/O to Grade -HD Approval
i9r:Energy Compliance Certificate -Other Certificates
Comments at Final:
V = OK
0--- Nof0K
Ndt Applicable
Not Ready MOBILE HOMES
Date/initials MOO-ILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or/ P'L"ft.1 P'LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
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. Exits; Insp.-Sketch
10. Cart. of Occupancy
MISCELLANEOUS
DatelInitial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Sol Is -Size -Depth -Spacing-Connectors-Steel
3. Decks; GrIders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfd.-Bracing
5. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nall I ng-Veneer-Stucco-Mosh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosu res- Panelboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,'California Q5965 - Telephone: 916."538-7541 93-1366
APPLICATION AND PERMIT -I--
ASSESSOR PARCEL NUMBER
036-540-012
ZONING
AR
BUILDING PERMIT
OWNER
LAURA ANN RIVERS
TELEPHONE
534-60 22
SO.FT. OCC. BUILDING VALUATION
728 R $37,273
OWNER*S MAILING ADDRESS
140 MT. IDA RD., OROVILLE 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace i "All 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is :38, /:3
Filing Fee $
15.00
LENDER'S MAILING ADDRESS
Permit Fee $
3 0
ARCHITECT OR ENGINEER
LICENSE -N-5.
Plan Checking Fee $
150.50
Energy Plan Checking Fee $
20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
486.50 --
PLUMBING PERMIT FilingFee
15.00
99 PERCY WAY, OROVILLE
Each Trap 4 5.00
20.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
1
Water piping 7.00
7.00
Each qas water heater or vent 7.00
7.00
-
USE OF STRUCTURE
SFEE DuplexF� MobilehomeF_J Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
7.00
Building sewer 15.00
15.00
Mobile Home I S I G JW 1 615.00
TYPE OF WORK
New[:X AdditionD RemodelE: UtilijlE�sE] InstallationEl OtherEl
Describe work: �CQNVFRT AC. - BJJTT,DTNC� (BP#()3-31 TO
\,SF 2 BDRM.
Permit Fee $
71.00
Contractor
ELECTRICAL PERMIT FilingFee
15.00
Main service 600v OR LESS
200A OR LESS 1_�.501
18.50
Main service 200A TO I OOOA) 37.501
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner. or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS. 3.64 sq'I
25.50
NE W CONSTR. MULTI -OUTLET @ 5.001
_NO-N-RESID, BRANCH_gIRCUITS)
POWER APPARATUS a)
'IN GLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES 20 @ 76cl
116L. 2 4691
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 1 3.001.
Temporary service 15.001
Mobile Home Facilities 15.00
Misc. Wiring 15.00
I
Permit Fee $
nn
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
Ej- I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FilingFee
15.00
Heating WALL FURNACE
9.00
Cooling NONE
Hood 6.50
6.50 --
Ventilation 1
1 -
Permit Fee $
30.50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte, against
all Iiabilit.ies, judgments co s, and ex,0AW%.es which may in any way accrue
si ��
t d County in co� gra ing of this permit.
te 5 3 S Z
Signature of Applicant - Owner Contractor 1:1 Agent
An OSHA permit is required for excavations over 5'0" deep d d liti n or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $ 40.00
O"TYPE
41-1 687.00
TOTAL HE v
I I
HAZ
-_
I D FEES
XX
IMP -1
FLOOD
CDF
I PARCEL
PD
HD
I ISS5_E__
This permit is hereby issued under the applicable
sions of the Butte County Code and/or resolutions
work indicated above for which fees have been
DIRE M F ORKS
By '1AW"2ZK=_1 [)at
PERMIT EXPIRES Dafi2r� 7Z
I / I ;,-
provi-
to do
paid.
t-5
T
Receipt NO. -$673.00//
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
M
r
't�i�,'j0'trly'�'"'' "'e''"'''�'Yi+.''tiro��le.�w.,�,.rM.��tr�`4��+^�'•�.-r....;x,-'.:f:.--;�.
.-'�'CQUNTYOF BUTTE -DEPARTMENT OFDEVELO.PMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -,TELEPHONE (916) 538-7541
PERM!APPLICATION DATASHEET
OWNER q A. P. No. D3�' Syr7 `i
Proposed Building Use Building Inspector 44:> Date S /?
At time of permit application, I was advised the following data must be submitted prior to permit processing andZortfissuance:
DATE RECEIVED ` BY
1. All items have been submitted. ` ..
2. Plot plans, 3/4 sets, signed by preparer of plans. ......... 1;-,-.-:--1i ...........
3. Complete plans, 3/4 sets, signed by preparer of plans. .......................
A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
obilehome data and manufacturer's installation instructions, 2 sets. .
0 ees of $ ..........................................
1. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
413. Flood elevation letter (100 year flood) by California Engineer. .. _
14. Sanitation and plot plan approval LOA -PUO Health Department . ............
15. City of Chico plumbing permit . ..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .
17. Planning approval for (A) Use: l/ (B) Parking: ........ �0
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). . .
dest
20. Pre -inspection for required. .. oBuilding Inspector plate
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... 1 ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . .................... ' ................ .
eclist . ................................;....................
When ypu issue the permit, process as follows: Mail to owner. Mail to contractor.
✓ Telephones3�/� 6021- and hold for pickup at 61Zy office. Deliver with inspector.
Other t2s 42,
Parcel Creation
Acreage App _can Date S✓ J3�
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
not checked above).
Contractor, designer, ow ' as advised of above required data by _ lone _ mail Counter by'ILbate
Contractor, designer, , was advised of above required data by one _ mail Counter b j a a �27s
Plans checked by 2-\L Date- 20_9m, Plans approved by •�4--Date S=Z -
Sets of plans on hold in VFile cabinet AP folder 1::��
Copy - Department of Public Works 6o-� _qZ
.�'' TS's1�''�r'' � r,�&��n,X?9'"F""�'•�'T.�".t'��T`"}:+K'���" �*�q�` •'v"� v»?�t � a sK.l�?.�'';f"^�M,'�:�"`q���#i�'`!� %��?!±'f'�r;'7ar�r��y;'Si
p L
•BU,TTE�COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM
(One Form Per Building)'—.'.;
School District Building Department No.
A.P..Number' J36 " Jurisdiction City County
Property Owner ^ 4'619 Ai 11f41 -S `
N Y
• r� w n i
Property Location/Address / I . re rK t4' CAVA -c4 // Pb �I'.
'Subdivsson
Residential Development
Commercial/Industrial
N."
Lot No. .
,Building DepeTRent Representative Date
(Floor Plans reviewed by School District Personnel)
District Identification No. 1 togs
c J. l tc �ey►. School District certifies that
(Applicant)
°1C� Pia tJ,lN-1-, 53 60z2
(Street Address) (Phone Number) r'
(� ro J � ( k cp
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. ") \ —Co- - by payment of $
representing 1 �. $ square feet.
5—t3=ci3
Schoo strict epre entative Date
• r
Paid by Check Number
Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
_additional school fees to fully mitigate its impact dn�Ahe school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92)
PERMIT NO: -40-93
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: May 13, 1993
Applicant: Laura Ann Rivers
Applicant Address: 140 Mt. Ida Road, Oroville. CA 95966
Applicant Phone No.: 534-6022
Property Location (s): 99 B Percy Way
Rivers Property
A. P. No. (s): 36-54-12
Fees due: All fees paid.
- 1
Application for service approved:
4
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
M
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
_a
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I.personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) SA
2. I (have/have not) j2 Q signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work: ,
Name.
Address City
- _- .
Phone Contractors License No. - -
.5. I will provide some of the work but I have contracted (hired) the following
persons.to provide the work indicated:
Name Address Phone Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of.the California Health and -Safety -Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER
PROPOSED BUILDING USE Sir
EM
M1
E
3.
School District Fees a-4%
A. P. NO. D36 -S�/D - (�ZZ/
DATE
REC. # DATE REC
(paid at District Office) ....................
Sheriff Fees
(paid at Building Department)
Residential .........
r x =$366
unit amt.
Commercial(per sq.ft.) x =$
sq.ft. amt.
Urban Area Fees
(paid at Building Department
Residential.(per unit) x _$
# units amt.
Commerical(per sq.ft.) x =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT DATE S (3 ct3
Installation Certificate: Residential CF -6R
BUILDING OWNER • d %��—��l��i s BUILDING PEPJIIT # :
BUILDING LOCATION :
An installation certificate is required to be posted at the building site orior to the issuance of the occupancy permit. This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the aDDiiance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1R). This certificate (or its equivalent) shall be oreoared and signed by the person(s) assuming overall
responsibility for the appliance installation.
I, the undersigned, verily that the equipment listed in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have ver -died that
the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
HVAC SYSTEMS
Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under
Water Heating Systems.
Energyt
External
Water Heating
System Type
Heating Equip. CEC Cartifled
Type (furnace, Manuf. Make &
Actual
Efficiency
Distribution Duct or
Type and Piping
Heating Load
Before Over-
Heating
Equipment
heat Dump. etc.) Model Number
(AFUE. etc.)
Location R -Value
Sizing (Btuh)
Cacacfty (Btuh)
�-t � •�!,'�
%
ANLL Far.
35-,000
CEC Certified
Cooling Equip. Compressor Unit' Actual Distribution Duct or -
,Type (air cond., Manuf. Make & Efficiency Typo and Piping
heat sumo. etc.) Model Numbef (SEER) Location R -Value
.t. The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of
•'°,�••the nergy E'ficit3 tanda ds, and are two of the crite`ha used for equipment sizing and selection.
0 d , e ]A- a ion=-� � - J p7
Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner
WATER HEATING SYSTEMS
For small gas storage tratea inout 5 75.000 Btwhr), electric resistance and heat pump water heaters. list Energy Factor.
For large gas storage water heaters irateo inout >75,000 Etwhrt, list Rated Inout. Recovery Efficiency+ and Staneby Loss.
For Instantaneous gas water heaters. list Rateo Inout ano Recovery Effic:ency.
For instantaneous electric water heaters, list Ratea Inout.
FAUCETS & SHOWER HEADS
All faucets ana snowerneaas insiailea are iisted in the Commission's Directory of Candied Faucets and Showerneacs.
pursuant :o Title 24. Part 6. Subcnaoter 2. Section 111.
Sionature Date ?lumoing Succontractor (Co. Namel or General Contractor or Owner
IIIS CERT-IFICATEL ''US BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR
PYR� OVAL_ A,.;-,)�1_COPYSHA .L BE_POSTED-WIT'IIIN T-IIE=BUIL-DING-.r---`' -
JANUARY 1993-
Energyt
External
Water Heating
System Type
CEC Certffled
Manuf. Make &
Rated'
Input (kW
Tank Factor or
Capacity Recovery • Standby
Tank
Insulation
(storage gas. etc.)
Model Number
or Eltuh)
(gallons) Elficiencv Loss ( a)
R -Value
�?�?DP, 4�/
A�t el'i ZZ/5,
37 060
For small gas storage tratea inout 5 75.000 Btwhr), electric resistance and heat pump water heaters. list Energy Factor.
For large gas storage water heaters irateo inout >75,000 Etwhrt, list Rated Inout. Recovery Efficiency+ and Staneby Loss.
For Instantaneous gas water heaters. list Rateo Inout ano Recovery Effic:ency.
For instantaneous electric water heaters, list Ratea Inout.
FAUCETS & SHOWER HEADS
All faucets ana snowerneaas insiailea are iisted in the Commission's Directory of Candied Faucets and Showerneacs.
pursuant :o Title 24. Part 6. Subcnaoter 2. Section 111.
Sionature Date ?lumoing Succontractor (Co. Namel or General Contractor or Owner
IIIS CERT-IFICATEL ''US BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR
PYR� OVAL_ A,.;-,)�1_COPYSHA .L BE_POSTED-WIT'IIIN T-IIE=BUIL-DING-.r---`' -
JANUARY 1993-
Owner : �lt.�/1' ,�vlS�S Permit No.
ER0Y CERTIF ICAT ION
_ 140 Mt. Ida Road, Oroville, Ca. x.3(0 6—VO-0/2
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
material
Thickness (incites)
EXTERIOR WALL
material FIBERGLASS BATTS
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name OWFNS-CORNING
Thermal Resistance(R Value)R,_
CEILING
Batt or Blanket Type Brand Name
Thickness( incites) Thermal Resietance(R Value)__
Loose gill Type FIBERGLASS Brand Name OWENS.CQ8Ni rte_
Minimum Tt�icknea(Incl�e 12 3/4" Number of Bags 11 Wt, per bag
Minimum
Area covered(ft. ) Thermal Resiatance(R Value)RQ_________
FLOOR, ELEVATED
Material
Thickness(inchea)
FLOOR, SLAB
Material
Thicknesa(inches)
Width(inches)
FOUNDATION WALL
material
Thickneas(inches)
Brand Name
Thermal Reaietance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation Was installed in the above building
In conformance with the State of California $nsrsy Requtrsmenta.
E INaIIATIOt� CQ,, iN('_ 499150
M NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
May 17, 1993
*01N 4TA A APPLICATOR DATE
I hereby certify the above insulation and 411 required items as shown on the
Building Department approved plans and attachinents have been installed as
required by the State of California Energy Requirements.
All equipment, devices and -materials are of the quality prescribed or are
specifically approved by the State of California.
F RM NAME OWNER (Please print STATE CONTRACTOR S LICENSE NO.
r -
SIG TURE OF GENE RA R DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
Tanuary 1984
1 / 12,113
Department of Development Services
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
FAX: (916) 538-7785
October 18, 1993
Laura Rivers
101 Percy Way
Oroville, CA 95965
CERTIFIED MAIL
Re: Use Permit, AP 036-540-012
Dear Ms. Rivers:
Enclosed is your validated Use Permit No. 93-44 to allow a permanent second dwelling
on property zoned A -R located at the end of Percy Way, Oroville.
Should you have any questions regarding this matter, please contact this office.
Sincerely,
W lliam Farrel
irector of Development Services
WF:lr
Enc.
cc: Land Development Div- 'on
Building Division
Environmental Health
Department of Forestry
USE PERMIT
BUTTE COUNTY PLANNING COMMISSION OCT 18 199
DATE: (Certified Mail Rec.)
93-44
PERMIT NO.
AP 036-540-012
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the
special conditions set forth below: Laura Rivers is hereby granted a Use Permit in
accordance with application filed: 8/4/93 to allow a permanent second dwelling on
property zoned A -R located at the end of Percy Way, Oroville.
1. Failure to comply with the conditions specified herein as the basis for
approval of application and issuance of Permit, constitutes cause for the
revocation of said permit in accordance with the procedures set forth in the
Butte County Zoning Ordinance, including Butte County Code Sec. 24-62.
2. Unless otherwise provided for in a special condition to this use permit, all
conditions must be completed by the Permittee within 12 months of the
delivery of the countersigned permit to the Permittee.
3. If any use for which a use permit has been granted is not established within
one year of the date of receipt of the countersigned permit by the
Permittee, the permit shall become null and void and reapplication and a
new permit shall be required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be
binding upon and be to the benefit of the heirs, legal representatives, successors,
and assigns of the Permittee.
SPECIAL CONDITIONS:
1. The second dwelling unit shall connect to public water and sewer.
2. The second dwelling unit shall meet the fire safe regulations of Public Resources
Code 4290.
3. Applicant shall pay $200 into the Battalion 6 water tender fund, if there is no
OWED hydrant within 1000 feet of the residence.
4. The second dwelling unit shall pay applicable school fees prior to issuance of
building permits.
5. Applicant must also comply with all other applicable State and local statutes,
ordinances, and regulations.
Minor changes may be approved administratively by the Director of Development
Services upon receipt of a substantiated written request by the applicant. Prior to such
approval, verification shall be made by each Department or Division that the
modification is consistent with the application, fees paid and environmental determination
as conditionally approved: Changes deemed to be major or significant in nature shall
require a formal application for amendment.
I hereby declare under penalty of perjury that I have read the foregoing
conditions, that they are in fact the conditions which were imposed upon the granting of
this use permit, and that I agree to abide fully by said conditions.
Dated:
Applicant
NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building
and Health Department permits before starting construction, nor does it waive any other
requirements.
Butte County Planning Commission Chairman
CC: Land Development Division
Building Division
Health Department
Department of Forestry
m
�cJ
�1�w �r j PERMIT NO. 1311-83B,P,E,M
PERMIT EXPIRES
OWNER LAURA RIVERS
CONTR. Theveos Const
ASSESSOR PARCEL 36-54-12
LOCATION @ end of pri gravel rd, 3/10 mi N of
Mt. Ida Rd, 2/10 mi E Oro Bangor Hwy
Oroville
t
t
f
Temp. Power Pole
Called PG&E
Temp. Elec. Service y
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
a'
Signature
e
1:
0
.14
V = OK
0 = Not OK
- = Not Applicable
*r = Not Ready
M
RESIDENTIAL` (Single and Duplex)
Date UNDE LOOR P ns) OK except N's
Date FRAMING Continued
oning requirements -Setbacks -Ease s
wall & Openings
2. Ft, Main; Soils-Steel-Elec n .- / Ftg. Depth
xt. -One 3' -Check Gar a '-3 rd story, 2 exits
tg., Garage; Soils -Steel- / Ftg. Depth
5
airs; Width -Headroom- -Ru - nding-Fir tection
4. F orches & Decks; Soils -S el- / /" Ft a
51.
Pt7gud Outriggers
S mwalls, Main; Steel-Blockouts-Wrapped-
Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
5P--Siding-Nailing-Veneer
-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
razing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
e -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Cfifd-BI
ate Card -BI Date
S .tor
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
C I Date Card -BI Date
Date FINAL (Plans) OK except q's
SWIl Date Card -BI Date
Date PLUMBING (Permit) OK except q's
56,
-&XT- t ps_-_0oor & Sidelight Protection -Landings
VL&-
f elector
I.*:- ent-Access-Combustion Air
urnace; Vents -Clearance -Comb. Air -Connector -
In Gara e' Above Floor -Ducts -Meth. Protection
Pipe; Test & Anchors -Nail Protection
_r
W.V.: Test-Fttngs & Anchors -Nail Protection
Wim -Exiting
17. Shower Pan; Test, First Floor -Tub Accessat
fixtures &Tub Access
_
18. Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Su reak zes-La s
Gas Pipe; Size & Anchors
r
_ __19.
-
63.
Fireplace or tove; Clearances -Hearth
=61/Lfbte Card -BI Dater.
ec. OW.lets at Wood Panel; Int. & Ext.
& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
le is & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except -#'s
Mo-ograge
Fire Door; Swing -Landing -Closer
20. Fixture & Transformer Clearance -Ins. Protection
1s -Clearance -Comb. Air-Connec '!1i -
In Gar Above Floor -Meeh. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
e Boxes & No. of Conductors -Stapled
I ec. & Mach. Equip. Listed for Location
_
2 x Installed Close to Edge of Studs & C.J.
lec�eeptacles in Garage; (G.F.I.)-Romex Protec.
-_
quip. Ground made up w/Meth. Fasteners -Bond Gas & Water
tat ion -Foam -Looked in Attic
--73.
Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
-
- 6. Subfeed Wire / / ga. Cu or AI-A.C. Wire Size / ga. Cu
AI
74.
Fdn. Vents r- ainage & Wood -Earth Clearance
a under Floor El
27. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
— Insulated Neutral r Yes No
—
- 28. Service -Riser Conductors & Ground -Main Disconnect
75.
Followinginstld.: ve Yes No; Walks
❑ ❑ Yes No;
Planters El Yes o
76
Town -Finish
_- 29. Equip. Clearances; Panels -Motors -Meeh. Equip.A,C�
- 30. Clothes Closet Light -Shower Light —
, Disconnect-Clrnces-Brkr. & Cond. Size -115V OutlF:t
ents ve Roof; Plbg.-Appliance-Firepl.-Clearance to Opn'lls.
-- - --- - - ------ ----
------
Card B -I _Date_ Card -BI Date
r We11�9isconnect, Electrical, Plumbing
9Q!l5-xJA
' ec. Trim; G.F.I. Receptacle -Underground
61 -Ventilation
throughout House
Card B-1 Date Card -BI Date
Date MECHA L errr,it) OK except N's
_- - 3 _C. Ducts;(PInsulation &Support
_ 32. Vent Fan; Exhaust above Insulation _-ergy
_ 33. Condensate Drain _& Overilow; Size & Grade
83'.
G ous nspec ton
84,
6�a�Sewer
d; Gas-EIec r cc
Connected -C/0 to Grade -HD Approval
Compliance Certificate -Other Certificates
_— 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
C rd-
ate Card -BI Date
- - -- -----------
Caw.Dat Card -BI Date
Card -BI Date -/ Card -BI Date
rd -BI
Date f Card -BI Date
Card -BI
Date Card -BI Date
Date FRA Plans) OK except N's
Comments at Final:
_ S' roper Material & Anchors
. "Wal Is ds -Nailing, Spacing & Bracing -Plates -Sound
ar Walls over Girders & Floor Nailing-- -_
ra p in Walls (rat proof)
urred Ceilings -Stairs -Chases -Tub
ea eam-Size & Bearing
4 an t Caps -Anchors -Connectors
Inq. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
44. Fir ace Ties or Type A Flue -Fireplace Throat
- --- -- --- -- ---- - -- -
t ccess: Size &_ Romex Protection -Draft Stop -Ins. Baffles
4 Windows or Exiting Doors -Sill Hgt. & Dimensions__
. Garage Fire Protection Framing
(NOTE:Anentrymust be made each time you visit jobsite)
y = bK-.
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
S. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's V
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. .Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Y �
COUNTY OF BUTTE - DEPARTMEN OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANb PERMIT
ASSESSOR PARS NU1 _1Z
ZONIN
BUILDING PERMIT
OWN,E q UeA�/, /r�s
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
��
��'`-�
OWNER'S MAILING ADDRE(S/SC
`•'
` `%7TC , N s E GC�4lS i R&Ci7a
=1'�71
8�0 ��u-r
zo, 00
CONT �TOR•S MAi0 AD J
'K✓ vL/1 �+ TE 7g ��O
Fireplac 3
g,
��
CONSTRUCTION LENDER
UNKN WN
Total Valuation $
2 3 ,00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 2 r
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS-
Permit fee
$
Bu ING ADDRESS 3
/a OF ,er�(/EL AQP �o
PLUMBING PERMIT
Filing Fee 10.00
4/L� ` 0r A17-/p/1.12D' App. to
Each Trap
2.00 ZZ.R.7
Solar Water Heater
20.00
i Q��//� ���
/G// E , �r �� /�/'bL%LQ/L i�Y Q V/
Water piping
5.00 , L
LOT N -
SUBDIVISION NAMEPA
CEL MAP
-
Each qas water heater or vent
5.00 .
Gas piping system 1 - 5 outlets
5.00 ,
USE OF STRUCTURE
SF LJ Duplex[] Mobilehome❑ Other
SPECIFYL-
Building sewer
5.00 5,00'
Mobile HomeSG W
10.00e
L
TYPE OF WORK
New Addition[] Remodel❑ Utilities Installation[] Other ❑
Describe work:
Permit Fee
$ Z -@C
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR LESS OR
100 OR LESS
10.00 Q, cw
Main service EA. ADD'L 100 AMP
2.50 2O
OR ADDNS. ACCLBLDGS,
21h0sgft
CONTRACTORS LICENSE LAW
I declare rider penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and ProfessionsCode and my license is in full force and effect.
License No. ��7 u• -VI Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR ULTI-OUTLET 2,50 ea
NON_RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu 20@50C
RES .AL@300
p�OFLIXED
APPLNSXOR
Ex. OCCUp. OUTLETS (RESID•) EAJ 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating a(JODO
OCA
14 C -14T UM
Cooling 3 /y %
.oa
Hood
3.00 3,00
Ventilation
414 `
I
permit Fee
$ `
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilit' , judgments, cost a d expenses which may in any way accrue
against id my 'n nse of the granting of this permit.
X Date .S .J�"�3
_:�sions
Signature of Applicant — Owner Contractor1p� Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE 11$67 . S
OCC P. GROUP
TYPE OF CONST.
L6
PARCEL PD HD
ssu
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
DIRE O F PUBLIC
By
PERMIT EXPIRES Date
the applicable p-ovi-
resolutions 0 do
fees have been paid.
WORKS
cy
ate o
p
Receipt No. O Z/ S7
WHITE-D.P.W., YELLOW -AS ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
/'
Telephone
s. 533-2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND
41-83
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 North Burbank Public Utility District,
must be submitted to Butte County.
Applicant:
LAURA ANN RIVERS
(Theveos Construction Co.)
140 Mt. Ida
Road,
Oroville
Applicant Address:
Applicant Phone No.:
Property Location(s):
140 Mt. Ida
Road,
Oroville
Lot 23
A. P. No. (s):
36-54712
Fees Paid:
NO FEES DUE
- Original
house to be di.sconnected
and.'new ho
connec ed.
Application for service ap
North Burbank
Public Utility District
May 16, 1983
Inspections) made and successful test(s) observed:
Location:
Date:
North Burbank Public Utility District release to close permit:
Date: By:
PReturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT CEF.11C
FOR RESIDENTIAL DEVELOPMENT BUTTE COUNT'(-
r ► ':11Ok1)S R".:.Qtl;;�
i7ection 26-8.i of the Butte County Code requires this acknowledgement �q
be recorded prior to issuance of a building permit. SAY I6 3 36 I�
The property described herein is adjacent to land or includedWOS-'
within an area zoned for agricultural purposes, and residents of CLERK - R'EGCRUFcR
this property may be subject to inconveniences or discomfort arising 210 FEE
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 occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use. for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
,5e -Q- P,4o-Ju d 'L>e C11 t PJ
State of )
SS.
County of
prnrernnreereereneurrueneernnueeererrrrerrerere
OFFICIAL SEA[, e
SANDRA LEE SEAMAN
NOTARY PUBLIC . CALIFORNIA a
COUNTY OF BUTTE
Cly Commission Expires December 9. 1983
®reaaseseeruuuraese3rrs.eoero:700iGLCe'+0009E ru Uer rel0��
PROPERTY OWNERS:
On this the day of ti 1917,5,
before me, the undersigned Notary P lic, personally
appeared
known to me to be the person( -s) whose name(.$)
subscribe,d to the within instrument and acknowledged
that executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
1'-G�/
Notary Public
Present A.P. NO. JC7- 7 12,
Rome# 4sae9 at tO IMS: i
. -of *the Best loaf of the West half of Section 33p Toraship ,.
�#
tamp 4 Ust, M.O.B. 4. ,qu,.bel4 sore particularly deocribed
a .
n tea iorthwat CD -nor bi'said. Section and ruming thence r
Katie xPrOmArboun4m line of acid Section 23, North W 06t�
. T A fart to tubetm point of basigai"s of the parol of tamr
.,'herew thence Brow CAW trite po! �t of besim v4,p : South 69
� 44 �' *is
tlt ,l0.1 faetf thtsa�r 6oath 1. 00' iiea� `403.9 feet to '& point'
" !. 04awltae of Mt. , Tda Qasaty lbad S thaw along the conterlum
i dam, Ilt, fila omey 1b*4, North 70. 309 haat to a point on .the
R ,A .,k o tl�e hast bw of the Boat half of Laid Section 43, ped point
;, u s the Mrpst Stxf#teKly Nrr ofio LoR iil a� asi#1 Loc:010
tie mit Leola chit Mo: Bio" tbhMl�el.
1r. T1O0 t4,1*0 11 9U lepho at papa V to 31 inaloolves 4"
It � 3 : #. 4.f Qaepttfr� y►ali!'�+sniaf. thence Morth 00' 14' 140t aloti_ rt `
tlpr,lt; #1gr"•of the impt .hof of the Vsot line of said Soo Uqo 23
�00"14 Pt ftRoot beef of the Neat half. qE Soto 8e4tt" �
44CM North Itm of 84,-11aCtion" v-dist 4� F
,,e..'f ,,,;
3 ON f wth 70
M"AZ .
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREIIENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Mt. Ida Rd.,,-,Qroville
• (location)
BUI7_DINC PERMIT N0. A. P. NO,f3� �`f /1_ --
THE FOLLOWING HAVE BEEN INSTALLED. AS PER APPROVED PLANS
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge. �� 4/Single Glazed
R". Walls t/ Special (Insulated)
Floors CT FG 2" - /CERT. & LABELED WUS.
ExtWalls CT FG 2L R-11✓^ / & SLIDING DRS. !/ _
Coil ing/Roope/ � �j__ I �� EtiTEEL:RSTRIPPL•'D DRS. _
gxxkx RACE: DAMPERED FANS _
Circulating Pipes Al INSTEKMITTENT IGNITION DEVICES
APPROVED HEATER CERT. APPLIANCES
APPROVED %4TR.11TR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDA14CE WITH THE. ENERGY CONSERVATION REQUIREMENTS AND AGREE TO .
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. '
Insulation Applicata
Signature of
Insulation Applicat
State UULItrac6urb
License No. 378407
General Contractor/Owner Name
(
Si�;naturc of (please print)
General Contractor/(timer Date
State Contractors
License No. 31 9 0vr--
THIS CERTIFICATE MU'ST"Q2 ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
KL•'QUESTINC FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WIT11IEE THE DW117-IJ;TNG:
e .i
p;
BUTTE COUNTY
DEVELOPMENT SERVICES
A.P.# 36 - �y
Zoning: A
Supervisorial District:
Taken By: Q
Complaint Form
Complaint Date: S/yA 3
Owner: /J(A U f Iq nn /`� / UC rS
Address: Z5
1
Comp iont
a w ei
Location:
VIOLATION TYPE: ✓ BUILDING HEALTH PLANNING
COMPLAINT: A a a coyy 'Arrek 40 re- t ke...c a L. -J/8 a r -..+S
F=ro^l e.Ory'." 4-a bQ a..r as i S �v.11u
eC]N Ve.--
CAUTION• Yes No
PERMIT HISTORY ON FILE: NONE AS FOLLOWS:
FIELD INFORMATION:
TENANT: ��./li �' Address:
Description of Violation: at, Ae -13lol eta 14
oyo (D i
OTHER COMMENTS: ►
Approximateildin Mobile Home Size: -)e 3Q
Approxim :
to Building/Mobile Home Age
�I�Under Construct' ti
Built by/for: Present Owner Previ Owner Occupied r
Power Has Gas Ha
as s
Sanitation Facilities
--L-::::f�Written Notice Given & Attached Person Contacted
Describe Action Taken_ %k 1 1 u ►.ab -A
"7 ,C . c, % d VA:rl bl— C S ren, �} ���-°��ia�77
r
04 --if ` !% !s
�7��,�p -? _q
ACTION RECOMMENDED:;df
Infcrmation Only,
File
Hold for
Days
Jct Lette-
Coa,. lc-.ir.
Unfc sr.'_ad
10 Da L ter
Ot
`a..
�her
-"cr�
-5
By:
_
D:
it y
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
/-
PERMIT NO.
Aromfineiinspection indicates that the following violations of Butte County Ordinances exist at
*a abam addnms and should be corrected. Please notify this office when correction of work
iscomplleft& ff you have any questions pertaining to this matter, or need additional explanation,
pfimse thZisffi'ce immediately.
7 ew
—7-4:D
;W1 -
Dais Inspector
_6
1a2VUW
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stnngent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications tar the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION I DESIGNER I ENFORCEMENT I
Building Envelope Measures
• §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 framed walls (does not apply to exterior mass walls).
§150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Slab edoe insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 20 oemvinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestration Products. Exterior Doors and InfiltrationtExfiltration Controls
a. Doors ana windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatnerstripped: all joints and penettatons caulked and seated.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(Q: Special infiltration barrier installed to comply with §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
b. Outside au intake with damper and control
c. Flue damper and control
2 No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC eauioment. water heaters• snowerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all appficable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect not water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenonexterlor insulation (R-16 or greater).
2 First 5 feet of pipes closest to water heater tank, non -recirculating systems. insulated (R-4 or greater).
3. All buried or exposeo Piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
§150(ml: Ducts and Fans
1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated
to a minimum tnstaleo value of R-4.2 or ducts encfoseo entirely within conditioned space.
2. cxnaust fan systems nave backdraft or automatic dampers
3. Gravity venuianno systems servino conditionea space have either automatic or readily accessible.
manually operawo aamoers..
§114: Pool and Spa Heaung Systems and Equipment
1. System is certifies wltn 78% thermal efficiency, on -oil switch, weatherproof operating instructions,
no eiectrtc resistance neauna and no pilot light.
2 System is instailea with:
a. At leas136' cite oetween filter and heater for future solar heating.
b. Cover for outcoor pools or out000r spa.
3. Pool system nas mrectional inlets and a circulation pump time switch.
§115: Gas-ffrea centra., furnace. pool neater, spa neater or household cooking appliance have no
continuously bunno pool vont. (Exceouon: Non -electrical cooking appliance with pilot < 150 Stulhr.)
Ughting Measures
§ 150ik1: 40 lumenswatt or greater for general lighting in kitchens and roams with water closets: and
recessea cetiino fixtures lC (insulauon coven approved.
. N
COMPUANCE STATEMENT
This certificate of compliance Jists the building features and performance specifications needed to compty"with Tittle 24, Parts 1 and 6, or
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per aualneee a Professions code)
Name:
Tide/Firm:
Address:
Telephone:
Lic..:
(signature) (date)
Enforcement Agency
Name:
Tide:
Agency:
Telephone:
(signaturwsamp) nate
Documentation Author.
Name:
Tide/Firm:
Address:
Telephone:
—4 5113 9-g
(signature) (date)
Certificate of Compliance: Residential Climate Zone 11
ProjectTltle C�3 — lad
2G>! Gf!Xy Butldin itr
Project Address A"le5-
Ch ed By/ Doe
Documentation Author Telephone Enforcement Agency Use Only
Fenestration
BUILDING DATA �y ea %
1 �Zb Number of Stories North A�
Conditioned Floor Area r
Slab/Raised Floor Number of .Units East O
57
Single Famil Detached (SFD) [ ] Addition Alone South S
West
Single Family Attached (SFA) (] Existing Building Skylight�—
[ ] Multi -Family (MF) [ 1 Existing -Plus -Addition Total_
BUILDING SHELL INSULATION
Component Insulation Locaffonleomments ,
Type R -Value (attic, to garage. Da!CL em)
Roof ............. A32 `
Roof............. ..
Wall ..............
Wall...........
Floor ............:
Floor .............
Slab Edge...... t
FENESTRATION Shading Devices
-Ee.nestration Area Type Interior Exterior Overhang Framing Type
Orientation (Sf) (single. double) (roller bald eta) (shadesaem eta) (yesmci) (metaltwood)
North ( ) L
North ( )
East ( )
East ( )
South ( )
South ( )
West ( ) �–
West ( )
Skylight....... C>
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen. bath. etc.)
IiVAC SYSTEMS Minimum
Type (furnace, air Efficiency
conditioner. heatDUMD) CAF U£,SEER.HSPF)
Duct
Location Duct Heat Pump
(attic, etc.) R -Value Thermostat Tyne (sRlit or nk
SJ-
IIOT WATER SYSTEMS Tank
System Type (storage gas. etc.) Capacity Number
q✓_15,0 MAY
SPECIAL FEATURES/REMARKS
't.a.. W11i A"TM1=M�
AP P RO
RY a �
Energy Factor Ext. Tank Tns_
Orsi k. ti
1, r
Point System Summary: Climate Zone 11 _ Point scores
1.
2.
Ceiling Insulation or
R-valueI
Wall Insulation or
Uwalue 10.0281
.�-
One
Fl-value (19)
U -value (0.065)
3.
Raised Floor Insulation or
R -value (191
U -value 10.0371
4.
Slab Edge Insulation or
-5
-4
R -value 101
F2 tactor 10.751
S.
6.
Infiltration Any Ducts in Unconditioned Space? ( Y / N) (YJ
i
Fenestration Heat Loss p�L (1X__ /D , *- �
0
Type
U -value (0.651 Total % Fenes.1161 Sum 1-6
7. Fenestration Heat Gain
% Fenestration . SCshade open' Eff. % Fenes. Shade Eff. Ratti
North t x f 7 7
East O, x
South , .S x
West � x _ p
Skylight _Q- x
Overhangs? (Y / N )
S. Interior Thermal Mass 4o or
9t. Exp. Slab 1201 Int Mass/CFASu 7
/
9. Exterior Wail Mass
10. Heating System Ext sups x
AFUE or HSPF Duct Eft. 11 story: Effective AFUE Zonal Control
[789 or 6.81 0.83; 2+ story: 0.881 or HSPF Ac#ustment 101
11. Cooling System /0 x
SEED110 Duct Effic. It story: Eftecave SEER Zona c-onaol
SEED
% 0.81: 2+ story: 0.871 Adjustment 101
12 Water Heating
System 1 Z
H;wtsrType En y Factor Ext Ins. R -value Auxliiary Input Distribution
(SG501 (0.531 1121 (None) (STD)
System 2
Heater Type (Novel Energy Factor Ext Ins. R -value Auwiiary Input Distribution
Pont Total:
1. Ceiling Insulation
R-0
Number of Stones
- 3
R -value
One
Two
three -
R -0
-74
-48
-27
R-19
-5
-4
-2
R•30
-1
•1
0
R-38
0
0
0
3. Wall Insulation
-17
Number of stones
-36
Single-
Single.
Three_
-22
Family
Family
AAuIRi-
R-value
Detached_
Attaated
Family
R-0
-72 •57
- 3
R-11
-7 -6
-4
R-13
•5 i, .4
.3
R-15
-4 4
.2 ,
R-19
0 0
0
R-21
1 1
1
3. Raised
Floor Insulation
401.
-77
Insulation in Floor
-52
-17
Number of stones
-36
R -value
One Two
Three_
R-0
-14
-9
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
2
1
48
4. Slab Edge Insulation
Numoer of Stones
R-0 0 0 o S. Infiltration (Duct Air Leakage)
R-5 6 4 2 Duas in Unconditioned Space 0
R-7 7 4 2 No Ducts in Unamattioned Soave 3
6. Fenestration Heat Loss
Total 1.31
Percent or
nestration more
1.21
to
130
1.11
to
1.20
1.01
to
1.10
.91
to
1.00
.81
to
.90
.76
to
.80
L1 lMue
.71 .66
to to
.75 70
.61
to
65_J
501.
-100
-76
-69
-62
-55
48
-41
-38
-34
-31
401.
-77
-58
-52
-17
-41
-36
-30
-27
-25
-22
35%
-66
.49
aA
-39
-34
-29
-25
-22
.20
.17
307.
-54
40
-36
-31
-27
-23
-19
-17
-15
-13
287.
-50
-36
.32
-28
-25
-21
-17
-15
-13
-11
267.
-45
-33
-29
-25
-22
-18
-14
-13
-11
-9
24%
-41
-29
-26
-22
-19
-i6
-12
-11
-9
-7
227.
-36
-25
-22
-19
-16
-13
-10
-8
•7
-5
20%
-31
-22
-19
-16
-13
-11
-0
-6
-5
s
18%
-27
-18
-16
-13
-it
-8
-0
4
-3
-2
16%
-22
-14
-12
•-10
-8
-6
-3
-2
-1
0
14%
-18
-11
-9
.7
-5
-3
-1
0
1
2
12%
-13
•7
3
-t
-2
.1
1
2
3 a
101t.
-8
-t
.2
-1
1
2
3
4
;__5_
-18
87.
-4
0
1
2
3
4
6
6
7
7
.56
.51
.46
.41
.36
.35
to
to
to
to
to
or
60
55
.50
45
40
less
-27
•24
-20
•17
•13
•10
•19
-i6
•13
-11
-8
-5
-15
•12
-10
•7
-5
•3
•it
-0
-6
-4
-2
0
9
-7
-5
•3
-1
1
7
-5
-4
•2
0
2
6
-1
•2
-1
1
3
-i
•2
-t
1
2
4
•2
.1
1
2
3
5
-1
1
2
3
4
6
1
2
3
4
6
7
3
S
5
6
7
8
Ilh 4
5
6
7
8
9
6
7
8
8
9
10
8
8
9
9
10
11
7. Fenestration Heat Gain (based on Shape Eftectrveness Ratio)
Ell
- Houses
North
Method A
(SIWi on -grade
East
Pelcam
Family
South
Two
Three
West
Story
sky"Ilt
%
'87
.67
.52
51
E7
.67
.52
.51
.87
.67
S2
.51
.87
.67
.52
.51
.67
.66
Fen-
or
to
to
or
or
to
to
or
or
to
to
or
or
to
to
or
or
or
ammore
6
.86
.66
less
more
.86
.66
less
more
.86
.66
less
more
.86
.66
less
more
less
tion
6
7.6
4
7
5
Method
B
1
95%
Int
8.0
Slab Floor
Raised Floor
Mass
5
Sluice
2
Stones
18,
-5
-4
.3
-221
Two
-20
•15
•12
•26
•23
•16
•12
-36
-32
•23
-16
•75
-50
16%
-4
-4
.2
1
18
•16
•13
-10
*21-19
2
-13
•9
•31
•27
•19
.14
.65
�d
14%
-4
•3
.2
-1
-14
-13
-11
-8
16
•14
.10
-7
-26
-23
•16
-11
•55
-38
12%
-3
-2
•1
•1
-11
-10
-8
-0
-12
•10
-7
-4
-21
-18
•13
-8
.46
•31
11%
•2
-2
.1
0
•10
•9
•7
-0
•10
-8
•5
-3
•19
•16
-11
-7
-41
-28
109'.
-2
•2
•1
0
-8
-8
-6
•5
-8
•7
.4
•2
.16
-14
-9
•6
•37
•25
9%
"_2
•1
•1
0
-7
.7
•5
.4.5
11
8
•3
•1
•14
•12
-8
-5
-32
-22
8%
-1
•1
-1
0
-6
-5
-4
_4.4
2.9
2.8
-2
0
-11
-10
-0
-4
-28
•19
77.
-i
-1
0
0
-5
-4
-4
.3
3
•3
•1
0
•10
-8
-5
•3
-24
-17
6%
•1
-1
0
0
-4
-0
-3
•2
-2
•2
-1
0
-8
•7
-4
-2
-20
-14
5%
-1
0
0
0
•3
•3
-2
-2
-2
1
0
0
-6
-5
-3
.1
•16
•12
4%
0
0
0
0
•2
.2
•1
-1
.1
1
0
1
-4
-4
•2
0
-12
•10
3%
0
0
0
0
•1
-1
-1
0
0
0
0
1
•2
-2
0
1
•9
•7
2%
0
0
0
1
0
0
0
0
0
0
1
1
0
0
1
2
-6
•5
i%
1
1
1
1
1
1
1
1
0
0
0
0
1
1
2
2
•3
•2
0%
1
1
1
1
i
1
1
0
0
0
0
3
3
3
3
0
0
8. Interior Thermal Mass
- Houses
Exterior
Method A
(SIWi on -grade
Construction Only)
Pelcam
Family
one
Two
Three
Exomed
Story
Stones
Stories
0
0
-3
.2
3
-1
10
0.40
-2
•i
4
.1
20
8
0
0
12
0
30
40
1.00
1
���
1
2
9
1 .
1
50
13
4
3
18
2
60
1.60
5
3
13
2
70
18
6
4
24
2
80
1
8
5
0
3
90
7.2
9
6
3
3
100
1
10
6
7.6
4
7
5
Method
B
1
95%
Int
8.0
Slab Floor
Raised Floor
Mass
5
Sluice
2
Stones
8.7
/CFA
One
Two Three
One
Two
Three
0.0
-11
-8 46
.1
-1
0
0.1
-10
-7 -6
0
0
0
0 3
-9
4 -5
1
1
1
os
•6
•5 .4
2
2
2
1.0
-6
til .1
4
4
5
1.5
-4
.1 1
6
6
6
2.0
-2
2 4
8
8
8
2.5
1
3 5
9
9
9
3.0
3
-6 5
11
10
10
4.0
4
6 7
13
13
13
5.0
4
6 8
14
14
14
S.0
5
7 9
15
15
15
7.0
7
8 10
16
i6
16
8.0
8
9 11
18
17
17
9. Exterior Wall Thermal Mass
- Houses
Exterior
Single-
Single-
mufti
Wall
Family
Family
Family
Mass
Demcried
Atmcned
Pcxg
0.00
0
0
0
0.20
3
3
2
0.40
7
5
4
0.60
9
8
6
0.80
12
10
7
1.00
14
12
9
1.20
17
13
10
1.40
18
14
11
1.60
21
17
13
1.80
23
18
14
200
24
19
14
10. Heating•System
- Houses
With Ducts (R-4.2)
Water Meabn9
Oran
SEER
Poen Score
Houses With Ducts (R4.2)
Sum of
7-9
17
.5
Spin
Pcxg
.25 or
Sum
of 1.6
.6 to
16 or
Gas
Split
Pkg
-25
'-24
-14
.4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
HSPF HSPF less
-15
-5
+5
+15
more
78%
6.8
6.6 -
0
0
0
0
0
0
807.
7.0
6.8
1
1
1
1.
0
0
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
95%
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
it
9
7
4
2
-14 to .4 to
+610
Effective AFUE or HSPF
AC
AC
less
(AFUE or
HSPF z duct effidency)
+5
Effective
more
One Story House
Sum of 1.6
Al
OM
Gas
Spilt
Pkg
-25
-24
-14
.4
+6
i6
AFUE
HP
HP
or
to
to
to
to
or
6.8
HSPF HSPF
less
-15
-5 -
+5
+15 mom
One Story House
7.8
•1
0
0
0
0
33%
2.9
28
-62-
--53
4A
•34
•25
-16
401E
3.5
3.4
-40
-34
-28 -
-22
-16
-10
5001.
4.4
4.2
-19
-16
-13
-10
.7
-5
60%
5.2
5.1
-4
-4
•3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%
6.1
5.9
6
5
4
3
2
1
80%.
7.0
6.8
13
11
9 �
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
B.5
24
20
17
13
10
6
Two or Three Story
Howe
-21
-17
•12
-0
33%
2.9
2.8
-69
-58
-08
•37
•26
-15
40%
3.5
3.4
-46
-39
-32
•24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
697.
6.0
5.8
0
0
0
0
0
0
709.
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
W1.
7.8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20
17
14
11
8
4
0
Zonal Control Adjustment
System Type
Resistance
6
4
3
2
1
0
Other
3
3,
2
1
1
0
11. Cooling System
Adjustment for No Tank insolation
Nurnoer of Water Mmers
Water Healer Tvoe One TWO
SG50 -2 •5
SGJ5 -3 a
SE .5 -0
HP -2 .4
SaneSlze Adjustment
Has@ Site (h2)
Subtotal
- Houses
With Ducts (R-4.2)
Water Meabn9
Oran
SEER
Poen Score
1000
Sum of
7-9
17
.5
Spin
Pcxg
.25 or
44 to
-14 to -4 to
.6 to
16 or
AC
AC
less
-15
-5
+5
.15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
12.0
11.6
8
6
5
3
1
0
13.0
12.6
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
i6
12
9
6
2
0
3
6 5
Effective SEER
-1
4
068
(SEER z duct efficiency)
-1
3
Eft SEER
SE
All
.
Sum of
7-9
-41
32
Spirt
Pcxg
-25 or
•24 to
-14 to .4 to
+610
16 or
AC
AC
less
-15
_5
+5
+15
more
One Story House
IE
Al
OM
-21
5.0
4.9
-29
•23
-17
-11
-4
0
6.0
5.8
-16
•13
-9
.-6
-2
0
7.0
6.8
-7
-0
-4
•3
-1
0
8.0
7.8
•1
0
0
0
0
0
.8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0
12,0
11.6
15
12
9
6
2
0
13.0
12.6
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three
Story House
6.11.13.15
1.80
•1
3 1
5.0
4.9
-35
•27
•20
•13
•5
0
6.0
5.8
-21
-17
•12
-0
•3
0
7.0
6.8
-11
A
-7
.4
.2
0
8.0
7.8
•4
-3
•2
•i
•1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1.
0
11.0
10.7
10
8
6
4
1
0
12.0
11.6
13
10
7
5
2
0
13.0
126
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11
7
3
0
Adjustment for No Tank insolation
Nurnoer of Water Mmers
Water Healer Tvoe One TWO
SG50 -2 •5
SGJ5 -3 a
SE .5 -0
HP -2 .4
SaneSlze Adjustment
Has@ Site (h2)
Subtotal
Ips
1000
Water Meabn9
Oran
to
Poen Score
1000
1499
30
17
.5
.25
.14
.4
•20
-it
•3
-15
A
•3
-10
-0
.2 .
•5
3
•1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
14
4
Zonal Control Adjustment
All 6 5 4 2 1 0
House size Adjustment
Howe Site (ftt)
Subtotal
15M
Mw
Water How g
to
or
Pore Soon
1999
more
30
0
3
-3
0
2
.20
0
2
-15
0
1
.10
0
t
.5
0
0
0
0
0
5
0
0
10
0
1
15
0
1
20
0
•z
25
0
-2
1Z. Water Heating
one watt
Heater -
No AUZMmry C edKs
DWnWAM Syssrm2
Fleare Smems
Waw
CLmaus
&MW
STD
FIWR Pip@
No
Tfeiar Damd
Healer Tvoel
Zones
Factor
POU Insul
fart
saw
At
am
0
3 1
-8
-5
0
0.61
5
8 6
-4
0
5
o.n
a
11 9
0
4
a
9375
AN
0.48
.2
1 -1
-12
7
-2
a38
3
6 5
-5
-1
4
068
10 8
-1
3
7
SE
All
0.87
-20
- 2 -17
-41
32
.19
0.99
-17
-0 -13
38
-?8
.16
IG'
All
am
2
5 3
IE
Al
OM
-21
•12
HP
6.11.13.15
1.80
4
7 5
S
-1
4
Two Water Heaters -
No AM IIM7 CredBs
SG50
Al
am
.7
.4 -0
-17
-12
•7
0.63
1
5 3
-0
.4
1
0.A
6
10 8
-2
2
7
SG75
All
0.48
•12
-0 -11
-22
-17
-12
ash
•1
3 0
-11
-0
.1
0.68
6
9 7
.4
1
6
SE
At
0.87
-22
-14 .19
46
-35
-22
0.93
.16
-7 -12
.301
•2B
•15
IG
At
0.80
.4
•1 •3
IE
AN
a.93
-21
-12
HP
6.11.13.15
1.80
•1
3 1
-10
-6
0
2�i �-� I i W� i� /3 f \ I �• ff
► R; ; 05
462.23 Y PEtW0.115
V
26 16.9 4
12
ry
\� I= 400
3.235 AC N 25 2co xf
� X �I 10 C 03.662 AC F 498.45 ` 39. 77AC 8.42AC 4.03'
AC
•
K PIM. 93-70 v
co 1 �I n pl p1m 46-38
O ! r•,
t-
2 4.394C. ' ,to
;
34.5 -- 2594.6 �
S.Q.E. 155-4 -78A—
-• ,-a_ A- N 0/° 00 �E 1635.93 350.D
4 27 /.95A��4 CORN_ .—
_
19 �S6 E 135-4 -54 - — — — — — — — — —}
z o &;2. o 7) 062.4' 251.79 N
COPUN T A3RES IQ � ► ::.• 0e`E 18861 .�'• �
I•
to
fi /5 4 >
N PHc SE _ 01't.E'; --ACRES- - - 1 ( "p�'•
N v/ELROSE DR h—ly ���\�` ^y PCL. 4 `l
—�-\ \ ��� .� <ipfr�5 v^� PCL 2
-UNIT 2 a";IT
m"&VrE .44 ` ��/� PR. \�
0 0
FHASE 21,�HgS I 172. 7�- ( �� 5.00 AC. o
l_..•-
'. r 0 pOQ I �L ?M 59/29
1 � �O �1 rpIF1N O 191.E
D I _ HUN ��0 w� O FjQ; l I 62 PCL. 3 /6
-.J
r- vN R RR ~' o �� la _ OR 5.00AC.
l► L•- _ _ J F 2.1bi. Vi A 412.8?_
Z A ti 102.59 ^ "
OR. 275.00 �
1 1F f G�'FOOTHILL ACRES
r 1' - ► 2' 15 my
\k65.30-
[+
1%:n 19 _ LOMA YAC kN ��� � \102.5'7 V� .SUBQIi��.7�O/1►
N O --o M to�� — cr ��� ,��►� 47
5.184c Q Y/STA
PM73-49 V 52 COPLEY ACRES SUE. UNIT NO.! R�'• "'
• 43 �p� 3
142- A vE
pRNE GREEN q N.K � J/ 00
FR0 Assessors Map No. 36 — 54
�o County of Butte, Calif.
I
I�
SEP T /959
r :
6 6a, i