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04-1079
'SCRJBNER;JOHN E
47_1RdNHO
- , , RSt!LN,'OROV1
CONT: T: OWNER
;bARAGE ADDITIONV1
SCRIBNER
"47- IRON HORSE LN, 0 R-OV'LLE,
Cont:I GEORGE GY' ',' "� r
RE-RObF14�S� �OMP,
Oq I
f
�_ 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
PERMIT NO.
BP042504
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/26/2004 APN: 036-310-159-000
the Business and Professions Code, and my license is in full force and`/�
License Class: —3 License Number: 5� 6l��L/
Site Address: 47 IRO_ N HORSE LN ORO
Date: F- o� Contractor.
Map Index:
Description: RE ROOF 14 SQ. COMP
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: SCRIBNER JOHN R &DENTINGER MARY 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
47 IRON HORSE LN
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966-8294
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: SCRIBNER JOHN R &DENTINGER MARY A
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: GEORGE ROOFING
❑ 1 am Exempt under Article 3 of the Business and Professions Code
6810 LINCOLN BLVD
Date: Owner:
OROVILLE, CA 95966
(530) 533-6393
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
License #• 452266
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
�p I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurancecarrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
ol'�-
Policy #: �
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: y'—;L �, `'0
Applicant:
WARNING: Failure to secure workers' com nsation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
�a o.w
CONSTRUCTION LENDING AGENCY - -
This permit is hereby issued under the ap f .able provisions of the Butte County CodA anrt/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions to do w rk indicated above r Phich fee have been paid.
Name:
BY Date:
PERMIT EXPIRES ON:
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspect' n purposes.
MLI
Print Name: -&h Signature:
Date:
❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
APPLICANT SIGNATURE
X Shirley rew- Ag t r<veo oomg
For office use only:
OWNER
Name
John Scribner / Mary Dentinger
Address
47 Iron Horse Ln.
City
Oroville
State CA
Zip 95966
Phone
530-534-7778
Fax
E-mail
Lic.#
APPLICANT SIGNATURE
X Shirley rew- Ag t r<veo oomg
For office use only:
CONTRACTOR
Name
GEORGE ROOFING
Address
6810 Lincoln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax (530) 533-0287
E-mail
dan@abcgc.com
Lic.#
Class
dan@abcgc.com
452266
C39
APPLICANT SIGNATURE
X Shirley rew- Ag t r<veo oomg
For office use only:
ARCHITECT/ENGINEER
Name
N/A
Address
6810 Linooln Blvd
City
Oroville
State CA Zip
Phone
(530) 533-6393
Fax
E-mail
dan@abcgc.com
State License Number
APPLICANT SIGNATURE
X Shirley rew- Ag t r<veo oomg
For office use only:
APPLICANT NAME
Name
GEORGE ROOFING
Address
6810 Linooln Blvd
City
Oroville
State CA Zip 95966
Phone
(530) 533-6393
Fax (530)533-0287
E-mail
dan@abcgc.com
APPLICANT SIGNATURE
X Shirley rew- Ag t r<veo oomg
For office use only:
Zoning Flood Zone SRA Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT NO.
NO.
Off"
BP
BIN #
WORKER'S COMPENSATION
Policy Number 272-596-02
Carrier STATE FUND
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work
Reroof - House — ec
Sq. Footage 14 Squares
❑ Structure Built Without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after
the date of application. In order to renew action on an application after
expiration, a new application, plans and fee will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the
fee. The request must be made prior to the expiration of the permit and no
construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
Received by:714 Amount: ffj, , r Bldg
SRA
Receipt
#/ qll -2,2q2-Sheriff
k -.FV— `1,52- SMIP
Other
Date: ��2 (p / ��t�, C V Total
REV: George Roofing
LOCATION
Property Address
47 Iron Horse Ln.
Oroville,Ca.
Cross Street
WORKER'S COMPENSATION
Policy Number 272-596-02
Carrier STATE FUND
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work
Reroof - House — ec
Sq. Footage 14 Squares
❑ Structure Built Without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after
the date of application. In order to renew action on an application after
expiration, a new application, plans and fee will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the
fee. The request must be made prior to the expiration of the permit and no
construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
Received by:714 Amount: ffj, , r Bldg
SRA
Receipt
#/ qll -2,2q2-Sheriff
k -.FV— `1,52- SMIP
Other
Date: ��2 (p / ��t�, C V Total
REV: George Roofing
NOTES RESIDENTIAL
e PERMIT NO
03-6--3-10--15-9-->.
SCRIBNER, JOHN 04-1079 {
47 IRON HORSE LN, OROVILLE
3CONT: OWNER
j GARAGE ADDITION
i
c
i .
SPECIAL CONDITIONS
1
CHECKED
BY
1 SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
t VERIFY
USE PERMIT CONDITIONS f
.SUB-STANDARD HOUSING LETTER
y
t
1
i'
/ J
,JOB FINALED (D )�
_Signature
J=OK
0 = Not OK
. = Not Ready11-P' €'MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /" L "ft./ P LPG
MISCELLANEOUS
Dat DE , COVERS, CARPORTS, GARAGES (Plans) OK except #'s
oning Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
t, Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. C r s; Windows -Doors
Trusses
-iy 10. Roof; Shthg-Roofing
11.E teres -Doors -Landings _
Date Card B-1 Date Card 6=1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
7.
Well Clearance & Disconnect
2.
8.
Utility Clearance
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
Date
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Dat DE , COVERS, CARPORTS, GARAGES (Plans) OK except #'s
oning Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
t, Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. C r s; Windows -Doors
Trusses
-iy 10. Roof; Shthg-Roofing
11.E teres -Doors -Landings _
Date Card B-1 Date Card 6=1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panel boards- Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not Applicable RESIDENTIAL (Single & Duplex)
. = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
57.
Card B-1 Date Card B-1
Date
58.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Glazing Area -Glass Protection -Skylights -Plastic
24.
Fixture & Transformer Clearance -Ins. Protection
Shear Walls; Nailing -Bolts
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Brace Interior/Exterior Wall Panels
26.
Size Boxes & No. of Conductors Stapled
Insulation -Walls -Ceilings
27.
Romex Installed Close to Edge of Studs & C.J.
Infiltration -Walls -Windows
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date Card B-1
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Card B-1 Date Card B-1
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Elec. Outlets at Wood Panel, Int. & Ext.
36.
A.C. Ducts Insulation & Support
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
37.
Vent Fan, Exhaust above insulation
Elec. Outlets & Receptacles at Kit. Counter
38.
Condensate Drain & Overflow, Size & Grade
Garage Fire Door; Swing -Landing -Closure
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
A.C. Duct in Garage -Damper
40.
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 (Permit) OK except #'s
80.
41.
Sills Proper Materials & Anchors
81.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
82.
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
83.
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
84.
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041079
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/17/2004 APN: 036-310-169-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 47 IRON HORSE LN ORO
Date: Contractor.
Map Index:
Description: New attached arae 798
P garage ( )
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: SCRIBNER JOHN R & DENTINGER MARY A
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
47 IRON HORSE LN
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966-8294
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: SCRIBNER JOHN R & DENTINGER MARY A
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1 am Exempt under Article 3 of th u me d Professions Code
l� y
oOwner:
Date:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect: NORLIE, THOMAS
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy #:
Total Square Ft: 0 S. F.
L I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 1-7 / 4
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
3q 5 3 9 s4�i • o ¢�� ��0 4 -
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Bette County Coda andlor
I hereby affirm that there is a construction lending agency for the
Resolution to do work indicated abovQ for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
!% 17 04
Name:
By: Date:
PER IT XPIRES ON: 17 -,0 S
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o 'cial form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Tc F+r-i 'gen r 13"1 F Z Signature: '
Date: �u c ) (p a o o I
Owner Q Contractor ❑ Agent for Owner ❑ Agent for Contractor
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREl
Project Title:
-j—,O H.r3 3t,1,�F2
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading r other permits or other sanctions provided by law.
Signed:
Title:
Date: `f11610 Y
.COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
d r 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER J�.0 •� U ���
Proposed Building Use: a O Counter Technician: Date: 14.
t L U
Items required in order to apply for a permit. 49boxes MU§f`ke checked OR marked NA in order toNapply.
elf 1. Site plans, 3 or 4 sets, signed by thpreparer of Oe -plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frld plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
-s 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form 4
cE7 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .
❑ 19. Soils Report and/or Engineered Foundation required ........................................... .........
❑ 20. Erosion Control Plan Required........................................................................ .....
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet
22. City of Chico Plumbing permit ......................... .�..,�...>.......................................
23. California Department of.Forestry plan approval �rpaid. Sent by: .............
24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
0 25. Contact Land Development about _ Improvements, _ Drainage ..........................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required....... �r
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ -35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone and hold for pt up. t
I have been informed'%f the above items and requirements for obtaining a building permit. l %
Applicant: ��kv. �-�. Date:/ (19 / 0
1. Index permit application for the above items numbered: n Check Letter
2. Additional items required '144 n
Contractor, design ,own , was advised of the above data by one, ❑ mail, ❑ counter, by 1,4%n Date:
Contractor, designer, er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: A Dale: Plans approved by: Date
Structural reviewed b . Date: Structural approved by: Date:
Note transfer by: Date:Vf
Yellow: Building Division
..r.;�-a._._,�.. ��,�.Z'�,+ �jlp,� tif'� �r �:.f ^t! Y�KRtr''� �YIW 1 a►�Tr� yrR"".' k"'�ry�.`�
E.H. USE ONLY`
F # r { Plot Plan Anach
Root Plan Attached
Sent to 8.0. / �n
_ t - V
TO: Building Department = i.
L
i
FROM: Environmental Health
SUBJECT: Sanitation Clearance F
�-
Owner Location AP#
Plan Approved for. Sewage ,Disposal ✓ sA Water Supply: ;P Pubhc. �,._ Privater W_ ell ✓ .
Clearance for . dwelling..Other A7'iACh��d. 0
-told final for: f J
=final clearance 0 K:`for'
h_
:nvironmental Health Spqpialist, Date
I/96 y '
,"` •-�.',-,., ..�'* ' at r,.Lr,..;� 2eY'�,ytei `�i a!�': at S`h N t..1 rri i "� y.. F _'"-'' YI _..,'','.•
�uTTF Department of Development Services
'
Building Division
�L ° 7 County Center Drive
o `� . '~ o Oroville, CA 95965
J (530) 538-7541 (530) 538-2140 FAX
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
returned to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for residential use. Exception: Garages and Carports.
Owner: 0- o N4 rJ 5 r- 2 ; r3 nt F2 Phone: S 3 `( - '7 -7 -7 g
Mailing Address `f -7 r -J H-o2rig e--a-cJ�F e> /2,0 t -,F- CA- 9S -r76
Site Address: - CSCE A ---s A,-3,0v-6�
Assessor's Parcel Number:
0 3 G -- 31,0 — (SS
Zone: AK
Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of
this form
GENERAL LNFORIMIATION:
1.
Is there a primary dwelling on the property?
Yes ®
No ❑
2.
Is the structure already built, under construction, or under notice of code violation?
Yes ❑
No El
3.
Will items produced in this building be offered for sale?
Yes ❑
No
4.
Will the public have access to this building?
Yes ❑
No ❑
5.
Will any advertising, on or off site, be associated with the use of this building?
Yes ❑
No (z]
SITE CONDITIONS:
6.
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes ❑
No
7.
Is any portion of the structure located closer than 20' to your front property line?
Yes ❑
No
S.
Do you plan to add a driveway or modify existing access to a county maintained road?
Yes ❑
No ❑
9.
Will the proposed structure encroach within any recorded easement?
Yes ❑
No ED
CONSTRUCTION
FEATURES:
10.
Will this building have insulated floor, walls, or ceiling?
Yes ❑
No
11.
Will this building be heated or cooled?
Yes ❑
No El
12.
Will this building have a wate'r closet/toilet?
Yes ❑
No m
13.
Will this building have a sink?
Yes ❑
No El
14.
Will this building have a water heater?
Yes ❑
No El
15. What type of floor covering gill the building have? Gorj
16. What type of wall covering will the building have? N142DL, - P �k
OVER
1 of 2
PROPOSED USE: (check only one box)
1. ❑ Residential Storage Shed — I will be storing in this building and it will
not be used for any other purpose (no bathroom and no heating or cooling).
2. ® Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by
exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept." A earage door is rMuired.
3. ❑ Residential Carport — A covered stricture intended for parking of vehicles. Two or more sides must be
entirely open.
4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport
If you checked #W, please check the uses below which best fit this building.
❑ GuestHouse ❑ Pool House ❑ Studio Apartment (:1 In-law quarters
❑ Recreation Room ❑ Game Room ❑ Study ❑ Library
❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio
❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room
❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room
❑ Private Office ❑ Workshop' ❑ Home Occupancy' ❑ Other — Use =
I. neunbe tape orwo,t hop
I Mw be approved by the Buae CotM planni%Division
Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question
number before the explanation.
Additional Information: WIE 6�--T 5,,r7D-a,.e p .
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with specific requirements per the use indicated.
I hearty affirm under penalty of perjury that the above information is true and correct I understand that any changes
to the use, or character of use, of this building will require permits from the permitting authority. I understand that
Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale.
Owner's Name: Please Print /-)J kfr'j
Owner's Signature:c> C��o�. Date: I (. / 0 V
2 of 2
I
'033
IT05'-
-310A59
06
iPam�-
HOtT, Arthur &
47 Iron Horse Ln-, oroville
t Ren'wal of'BP#94-0436'.-'
• A, 4--
2-01 /
OFFICE COPY
%
n qAddress '
v
v-
-Date
Dat
.�...,I„ COUNTY OF BUTTE- DEPARTMENT 01 DEVELOPMENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT o n15 T
ASSESyRPARCAN�MB¢iS9
ZONING
BUILDING PERMIT
tt�
OWNEWrthur &&11 ' [1Vlt
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Nei liIR
mon 'Abrse Ln., Oroville, CA 95966
CONE CTOR'S NAME
�iwner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UN104OWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 50
ARCHITECT OR ENGINEERE
LICENSNO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -r
Penalty
$
BUILDING ADDRESS(�r ,-,- -
47 Iron 3Z�a;i.':': Ln. Orovl.lte
PERMITFEE
$ .320.50
4
pLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO. SUBDIVISION'S NAME PARCEL MAP
USEOFSTRUCTURE
SF 13 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ 'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l]
Describe Work: INURRMIXZS lat Renewal of 094—
r
Mobile Home I S I GI W 1
920.00
PERMITFEE
M
$
Contractor
ELECTRICAL PERMIT20.00
Filin Fee
Main Service000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
„L,hereby affirm under penalty of perjury that'I am exempt from the Contractors License
Law for the following reason:
6 I, as owner of the property, or my employees with wages as their sole compensation,
/ will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. t
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR NS. ( a ACC.
SO.
3.50 FT.
NEW CCONST. MULTI.OUTLETLE T
NON•RESID. ( BRANCH CIRCUITS )
97.50
( POSINNGLGLWER APPARATUS )
b E OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 e° 100
9AL .50
EX. Occup. (ounEtDrs PES D.OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSI�TIQL��EGLf�3AIIOAL..,_
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
' (The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is -issued, I shall
j not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X y�� 1 /i (� /r�_'__->__ Date _ •�,3� ./ j _
Signature of Applicant - ❑Owner ❑ Contractor ❑ Agent /
An OSHA permit is required!for excavations over 5'0" deep and demolition or co s ruction
of structures over 3 stories in height. 7 �CJ6�
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
'] J 10, ri0
TOTAL FEE $ v
HAZ.
I D. FEES
I IMP I FLOOD
I COF
PARCEL
I PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees hav
By�z6ixzolfkDate
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
�r' 9b_
03/28/96
(Date)
Receipt No. )-7- :(_1 y ,
WHITE-D.D.S. .D. CANARY --A ESSOR -INSPECTOR / GOL NROD-APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California' 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT 37
ASSESSOR PARCEL NUMBER
035-310-159
ZONING
BUILDING PERMIT
OWNER
Arthur & Holt
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN !+5 MAIUNG ADDRESS
7 Iron Horse Ln., Oroville, CA 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 290.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
47 Iron Ht�s Horse Ln. Oroville
PERMITFEE
310.50
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water Waterx
23.00
USEOFSTRUCTURE
SF IR Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other JD
Describe Work: _ XXXXRXK&XXXXN 1st Renewal of b12#94-04
Mobile Home S I G W 1
920.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service aOV OR LESS
( z0ooA OR IEss )
23.00
Main Service ( 200A To I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that Tarn exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS. )
SO.
3.5Q FT.
NEW CONST. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 0 1.00
64l 0 .ao
Ex. Occup. (oFI ELETAPPUN . OR ) 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
`"'^^"F$$' COMPEN�AT1nN DECLARATtnN
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth ith comply with those provisions.
_oz�__ Date _I ��
Pe of Applicant - wner ontractor ❑ Agent
An OSHA permit is require for excavations over 50" deep and demolition or construction
of structures over 3 stories in height
Mobile Home Installation Fee
$
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 310.50
HAZ.
I D. FEES
I IMP
I FLOOD
CDF
PARCEL I PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicate ab ve for which fees hav
A /7q/.
By 441
PERMITEXPIRESON
applicable provisions
Resolutions to do work
b en paid.
e�3)44d
03/28/96
(Date)
Receipt No. M�lassrclwjdl 10Q.00
WHITE-D.D.SAI.D. CANARY S SSOR P -INSPECTOR GOL aNROD-APPLICANT
:�SY+rjTi�''cwray�yi�ha;r,:.����a-t>'h,�••-.��x;;,-...�::w+k, + .x.c�..n�vTA„ • v��. -ter •n .� ..-,
G DIV
COUNTYOF BUTTE - DEPARTMENTOF pEVEtOPMENTSERVICES -BUILDINISION
R-:
7 COUNTY CENTER DRIVE-;OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET V/
OWNER
Proposed Building Use
Building Inspector
I ill me,>mrom
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
2.
3.
4.
5.
6.
7.
8.
9.
�L 10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
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. ' `.... f
Engineered truss details and layout in duplicate (required prior to plan check). . .
Mobilehome data and manufacturer's iiistallatiion infections, 2 sets. ..........
Fees of $ 6 .......................
Impact fees as shown on attached schedule. ............................. .
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation 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). .. .. .. .
Pre4nspection request
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 . ................................................. .
1r KWM&V�ZAMAFM 1
When you issueihe permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at. office. Deliver with inspector.
Other
Parcel Creation -
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
Department of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965
Chico: 1469 Humboldt Rd., Chico CA 95928
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Ph: 916-538-7541
Ph: 916-891-2751
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no)
2. I (have/have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name . Address Phone Type of Work
Signed:
Property Ow':: - ' '
Social Security Number
Date A
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
6' -
RESIDENTIAL
036-31=0-159 95=1881 B
HOLT, Arthur &.Tamara
47 Iron Horse Lane,, Oroville
(add- covered deck)lSF
JOB FINALED (Date) _
Signature
J=OK
O=Not OK
= Not Applicable RESI DEN AL: %.
=Not Ready
Date UNDERFLOOR (Plans) OK except ff's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ft's
1E. Water Htr.: Vent -Access -Combustion Air -Baffle
----------------------- -----------------------------
17. Water Pipe: Test & Anchor -Nail Protection
-------------
18. D.W.V ; Test -Fittings & Anchor -Nail Protection
------------------------- - -------------------
--- -- --19. Shower Pan; Test. First Floor -Tub Access
-------
20. Test -Tub &---Shower,--Second Floor -Tub Access
----------------
--------------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
---------------------- ------------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except h's
22. Fixture & Transformer Clearance -Ins. Protection
----------------- ----- --------------------------- -------------------
23. E-lec. 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. Fasiners-Bond Gas & Water
------- ----------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------------'------------------------
28. Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size ! / ga.
--------------- --- Cu or At --------------------------------------------------------- ----
29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 --Yes. ❑ No
- --------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
-------------------------------------------
31. Equip. -Clea rances Panels -Motors -Meth. Equip.
-------------------------------
-------------- 31-.-Eq
Clothes Closet Light -Shower Light -Spa Light
-- - 33. Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except 'I'S
34. A.C. Ducts Insulation & Support
----------- -----------------------------------------
35. Vent Fan Exhaust above insulation
------------------------------------------------------------ -----------
36. Condensate Drain & Overflow: Size & Grade
------------------------------------------------------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
-------------------------- -- -- --- --------------------------------------
Date Card B-1 Date Card B-1
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4'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
'ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Furlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
------------- 54. -- plywood on Roof Overhang -Attic Vents -Rafter Outriggers
--- ---
_______ 55. Siding -Nailing Veneer
------------56.-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
---- -----
_ 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
------------------------
60. Infiltration -Walls -Windows
----------------------- ------
Date Card B-1 Date Card B-1
---- ------- ------------ -------- --
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except u's
61.- Ext. Steps -Door & Sidelight Protection -Landings
------------------------ ---
62. Smoke Detector
---------------------
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
----------------
64,
------------ 64. Bedroom Exiting
--------------------------- ----
65. G.F.I. & Bath Fixtures & Tub Access -Spa
----------------------------- P -
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-------------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
----------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
------..-...-------------------------------- -
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Land ing-Close r
-
------------------------------- --
Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
-------------------------------------------
75. Plb.. Elec. & Mech._Equip. Listed for Location
-----------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
----------------------------------------------------------
7;. -Insulation -Foam -Looked in -Attic ❑ Yes
-----------------------------
--------- -----
78. - Guard --- Rails & Deck -Construction- Caps
----------------------- -
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ Vo
---------- ---
81. Stucco: Brown -Finish
--------- -
82. A.C. Unit: Disconnect. Electrical. Plumbing
-----------------------------------
83.
-----------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
----------------------------------------
84. Water Well: Disconnect. Electrical, Plumbing
--------------- .---------- -------------
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
------------
86. Ventilation Throughout House
....... ------ ----------------
87. Glass Protection
------------------ --------------------------
88. Corrections from Previous Inspections
-- -------------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
--------------------------------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate. Other Certificates -
-----
---------------------------- ----------------- --
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:
J•= OK
O=Not OK
Not Applicable
= Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Eric
2-Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P IT NQ -
APPLICATION AND PERMIT , `' - z
ASSESSOR PARCEL NUMBER 036-310-159
ZONING
AP.
BUILDING PERMIT
OWNER
ARTHUR & AK TAMARA HOLT
TELEPHONE
533-8640
SO, Fr, OCC. BUILDING VAtLIATION
OWNER'S MAILING ADDRESS
966
98 C 1,274.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
HORSE
PERMITFEE $
OROVILLE
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF CC Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition C Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: COV. DECK
Mobile Home I S I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 2 0:0 0
Main Service 800V OR LESS
( zooA oR LFss ) 23.00
Main Service ( 2ooA TO Ioo.A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9(commencing ) with Section7000 of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. , Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP, sO,
OR ADDNS. ( & ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NON -RES ID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
(8 SINGLE OUTLET CIR. )
Ex. Occup. ( BAL .SO OUTLET OR FIXTURES ) 20 @ 1.00
Ex. Occup.PPFIXEC ALNS. OR
(ouTLETS (RESIo.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
%
Date �A5
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent/
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
D. FEES
IMP
FLOOD
_
(10F PARCEL ro HD
— _
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/
By. Date / `6
PERMITEXPIRESON G l0 �6
(D e)
Receipt No. 180782
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - ORO.VILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
t.
_ A. P Non�4
Building Inspector Date S
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted . ........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
11.
Impact fees as shown on attached schedule. ............................. .
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by Engineer. ..........
14.
t/`Cali�grnia
Sanitation and plot plan approval 0�iHealth 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.a bout (A) Improvements..,(B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .... .
20.
Pre -Inspection reque�s
Pre -inspection for required. .. to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ......................... .
23.
Owner -Builder Verification (Given to owner , Mail to owner ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ......................................... .
29.
Documentation of legal access . .....................:
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone - and hold for pickup toffice. Deliver with inspector.
Other
r '
Parcel Creation
Acreage
Applicant Date % 9S
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent
Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit
for above items No.
2. Additional items required:
Contractor, designer,
owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer,
owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by _ G i B 36n/S Date S--IG-U
3 Sets of plans on hold in File cabinet X AP folder
Copy - Department of Public Works
• O.B.-1
RI
NC
:> w
Attention Property Owner: _
An 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 M
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)KJ NO[ J.
2. I HAVE HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3. I - have contracted with the following person (firm) to provide the proposed -.
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER: ,,,,,,.
SOCIAL SECURITY NUMBER: .
DATE: / 7/ Za
NOTE_: This owner -Builder Verification is required by Section 19831 and _
19832 of the. California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the. permit. =
OVER
Dear Property Owner:
An application for a building permit has been submitted in.youi. name listing yourself as the builder of
property improvements specified -
- _ For your protection, you should be aware that as "owner -builder" you are. the responsible party of record
on -such a permit. Building permits are not required to be signed by- property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you . may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer. -
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under. Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, _without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information. about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
7Inlcereil/
Micha41 C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder
Information -s required by Section 19830 of the California Health and Safety Code.
OVER
S8 QNLY
. . Plot PLa Attached E.H. U�
Floor Plea Attached
�.
• Seat to B.D. �
TSO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance '
0 3b r 4*310- /meq
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for b , Other
Hold al for:
Final clearance O.K. for:
8/92
I
02
BUTTE COUNTY
BUILDING DEPARTMENT,
A P P R 0 � ED
„fi h
-- X777
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r,• I ,i I !, � �
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I ' �, � I ,� I ' , 'I ,I I � I
� � ' I � � ` i
i
I � I
__ .._ _. .- ,1 I . II ... i
I � �� � i � � � � � ,
I � I I
I I I
.} , i •I i .I i II .. I
� � � �� ,
� i• ,. �
I ± � �,, � I
\, I � I 'I
. I I i ,� .L._ I I I
:i I ;'.V I I .'
i •.I. 5 � � � �;
,I, �.�
I I_ I .J I I
I ' �
I � �� w
� �, � .--Y,� p
��
NOTES•
1. TYPICAL UNDERFLOOR FOOTINGS ARE 140SO X 6" THICK
2. FOOTINGS OVER 16" SO MUST BE 12" DEEP
J. ALL FOOTINGS ARE TO BE EXCAVATED INTO UNDISTURBED pll
SOIL. BL
4. MAINTAIN CLEARANCES SHOWN UNLESS APPROVED WOOD
OF NA TURAL RESISTANCE TO DECAY OR PRESSURE
TREATED /S USED.
5. MAINTAIN REQUIRED CONCRETE COVER PER MANUFACTURER I I
AT POST BASE INSTALLED /N CONCRETE' PEDESTAL . -7 . Y
PIE
BL
8" MIN
12" MIN
4
VARIES
PIER/FOOTING
6"THK
14 SO
TYPICAL UNDERFLOOR PIERIF0077NG
OR UNDER DECK PIER/FOOTING
PEDESTAL
(MONOLITHIC)
L
VARIES
BASE
NOTE 5)
8" MIN
12" MIN
FOOTING h?TH POST BASE k MONOLITHIC PEDESTAL
POST BASE REDWOOD OR
P. T. POST
POST BASE
SLAB FLOOR 1' STANDOFF
ii
12" MIN B
IN
POST FOOTING ON SLAB FLOOR POST FOGA? — NO SLAB FLOOR
EXPOSED TO WEATHER OR WATER SPLASH OR IN BASEMENTS
RESIDENTIAL POST AND PIER FOOTING DETAILS
REV °i'� scACE t/s' t=o" DA TE. 4/92._..
t to t
BUTTE COUNTY BUILDING DEPARTMENT DWG.- s7DFTG2 STD 12.2
May 1995 9.13
kA -
RESIDENTIAL
V=OK
O = Not OK
- = Not Applicable • . r RESIDENTIAL (Single & Duplex)
= Not Ready
Date/Initials UNDERF R Plana OK except #'s
on i ng -Setbacks -Easements -Flood -Slope
Main; Soils-Elec. Grnd.-/ i.:.Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
„8. Piers- place Ftg.-Steel
-) -f V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
a er Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clears nce-Materiel-Support-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
8. Insulation
/2p:PL T-- SIA -b (/ave
Date/Initials P UMBINO Permit OK except #'s
6 ater Htr.; Vent -Access -Combustion Air -Baffle
star Pipe; Test & Anchor -Nall Protection
t3. W.V es - fittings & Anchor -Nall Protection
1g Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Rixture & Transformer Clearance -Ins. Protection
ec. Receptacles Spacing -Lights & Switches at Doors
VZ4. ze Boxes & No. of Conductors -Stapled
. Romex Installed Close to Edge of Studs r C.J.
6. quip. Ground made up w/Mech. Fastners-Bond Gas & Water
Qf 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Cl Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31 equip. Clearances Panels -Motors -Mach. Equip.
2. Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
.3&.-V6hTT_a t; Exhaust above insulation
ndensite Drain & Overflow; Size & Grade
,3Z.faf>�e-Vent Access -Comb. Air -Return Air Vent -115 outlet
,Attic Access & Platform if Furnance in Attic
Date/Initials FRA G Plans OK except #'s
Sils, Proper Material & Anchors
C46W Its Studs -Nailing, Spacing Bracin Plates -Sound
Bearing Wells over Girders & Floor Nailing
+42. Draft Stop in Walls (ret proof)
aFire Stops; Furred Ceilings -Stairs -Chases -Tub
42 Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
Ha gers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr, ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
4 place Ties or Type A Flue -Fireplace Throat clearance
At Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_i0_6er9§-eRre Protection Framing
y Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Sto 2 Exits
3. tairs• WidtlfH o -Rise=R ng -FI Protection
,,%4'pood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
&8_StvccD-89h-Drip Screed -Fd. Vents-Underflr. Access
57 lazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Botts
59. Insulation -Wal Is -Celli nos
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
L6f t. Steps -Door & Sidelight Protection -Landings
L-'92. Smoke Detector
urnace; Vents -Clearance -Comb. Air-Connector-
I2,,;arage; Above Floor -Ducts -Mach. Protection
. .I. & Bath Fixtures & Tub Access -Spa
c. Trim & Subpanel; Breaker Sizes & Labels
& Rails
LA'Fl%piece or Stove; Clearances -Hearth
_ . Elec_Outlets at Wood Panel; Int. & Ext.
'?T—Kit.Flxt. &-Appliance; Grnd.-Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
,74-&ersge Fire Door, Swing-Landing-Closer
-7-3rPrC uct in Garage -Damper
r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
_I"arage; Above floor -Mach. Protection
Plb., Elec. & Mach. Equip. Listed for Location
`----, 7 77.1 'Receptacles in Garage; (G.F.I.)-Romex Protection
gAWation-Foam-Looked in Attic ❑ Yes
GuaYL-Rails & Deck Construction -Post Caps
--79--Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Cleans ce Looked under Floor ❑ Yes
ollo ng instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
PI ers ❑ Yes ❑ No
tucco; Brown -Finish
8 .C. 't; Disconnect, Electrical, Plumbing
nts Above Roof; Plbg: Appliance -Fireplace: Clearance to
Openings
-84-Water Well; Disconnect, Electrical, Plumbing
g5,eior Elec. Trim; G.F.I. Receptacle -Underground
" illation Throughout House
Gla 's Protection
M=Eer..-ctions from Previous Inspections
es Test -Meters Tagged; Gas -Electric
star & Sewer Connected -C/O to Grade -HD Approval
9VEneray compliance Certificate -Other Certificates
Comments at Final:
V=OK
O=Not OK
Not Readyab1e MOBILE HOMES
Date/InitialsMOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH SupportSketch
3. Sewer; Location -Test -Fell -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Locatlon-Teat-Wrap: / /"L"ft.
/ /"Net. or/ /'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftre.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nall Ing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plana) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Insulation Certificate . .1 .
BUILDING OWNER:.
LT BUILDING PERMIT l>%,
BUILDING LOCATION: L(% I__ /V TSP S
Description of Installation
ROOF
Material Brand Name Owpelcz(' , Q C
Thickness (inches) Thermal Resistance (R -Value) 42 —
CEILING
Bau or Blanket Type Brand Name
Thickness ('inches) Thermal Resistance.(R-value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/h lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
DL EXTERIOR -WALL
Material 2 f
Thickness (inches)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material k
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name O w t ►mss (!err n i n q
Thermal Resistance (R -Value) —
Cl I
Brand Name
Thermal Resistance (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 building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
Gefteral Contractor (Builderi (BuilderLicense Number
Signature and Title Date
Sub -Contractor (Insulation Installer)
Signature and Title
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTIOI
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
Certificate of Compliance: Rejidential Climate Zone 11
Documentation Author Telephone
Building Permit it
A tz- 5 -r7 -9y
Checked By / Data
Edotoenent Axency Use only
BUILDING DATA
Area -
- %
Conditioned Floor Area /g7
Number of Stories - -7
North
East 20
v
Slab/Raised Floor 509
Number of .Units
f
Single Family Detached (SFD)
[ ] Addition Alone
uth
West
(] Single Family Attached (SFA)
[ ] Existing Building
Skylight 4DO
[ ] Multi -Family (MF)
[ ] Existing-Plus-Addidon
Total
BUILDING SHELL INSULATION
cf, t
Component Insulation LocaflotrlConunwa
Type R -Value (arae, to
garage, typr2. eta)
Roof ......... `
Roof ........».»
Wall..........
Floor.............
Floor .............
Slab Edge----:
FENESTRATION Shading Devices
-Eenestration Area Type Interior Exterior Overhang Framing Type
Orientation (SO (single, double) (roller blind. etc.) (shadesaeen. ete-) (yeshto) (metalltvood)
North 35 1.
North
East ( )
East
South ( ) 3
Sou thMr-
( )too P
West( ) _/,�.. �S 1,1• fiR7'�-
West ( ) s-'-�
Skylight....... 09
THERMAL IMASS
Type/Coverirg Area Thickness
(stab/exposed. tile. etc.) (SA (ineheel i nr�►innT..cn.:...:.... n _._�� �_.� _._ .
)l—r -n L.97tLiT-i�"uc–rj woo, e s -M Ws,4-r i
HVAC SYSTEMS bti.-imum Duct
Type (furnace. air Efficiency Location Duct Heat Pump
conditioner. hentoutnv) (A F U E, S EER.HS PF) (attic, eta) R -Value Thermostat Tyne (split or nkg)
1S.4S Gur-tJ %i� el SE-r-t3�4t -
tRIIE 41C /010 A,
IIOT WATER SYSTEMS Ta
System Type (storage gas. etc.) Capacity Number _Ener y Factor F. tR TankVlueIna. IN -tri hi=t-; nn
S, C� . . e— SD 1 0 e5 3 R. \ z.— ST^12
SPECIAL FEATURES/REMARKS
Point System Summary: Climate Zone 11
1.
Ceiling Insulation or
R-11
-7 -6
R -value (381
U -value (0.028]
2.
Wall Insulation or
Two
Tutee y
R-value'[191
U -value (0.065]
3.
Raised Floor Insulation or
-4
-2
Rt -value [191
U -value 10.0371
4.
Slab Edge Insulation �� or
0
0
R -value (01
F2 hacsx 10.751
5.
Infiltration Any Ducts in Unconditioned Space? ( Y / N) (Yj
S.
Fenestration Heat Loss r> 1
Family
Family
Type
U -value 0.651 Total % Fenes. (161
7. Fenestration Heat Gain
Point Scores
S
Sum 1.6
% Fenestration SCshade open Elf. % Fenes. Shade Eft. Ratti
North p , ?� _ x
East G . y x
South p= x.� 0---�
West f r / x
Skylight O x _ ® -
b
Overhangs? ( Y / N )
8. Interior Thermal Mass , 5 or ..e...
% Ems. Slab 1201 Int Mass/CFA '-'�-
9. Exterior Wall Mass_
E� ad maw Sum 7-9
10. Heating System � w- x = O
AFUE or HSPF Duct Effie. 11 story: Effective AFUE Zonal Control
(78% or 6.81 0.83:2+ story: 0.881 or HSPF Adiustment (01
11. Cooling System / a x =
SEER [10.0( Duet Effie. (1 story: Ettecave SEER Zonal c wd
0.81; 2+ story: 0.871 Adjustment 101
12. Water Heating
System 1_
Heater Type -Energy Factor Ext Ins. R-vatue Auxiliary Input Distribution
(SG501 1
0.531 1121 (None( (STD]
System 2 - ,
Heater Type (None( Energy Factor JUL Ins. R•vatue Auxiliary input Dismouvon
.��,��i•F�",,:,
Pont 7ofal.
R-0
-72 -57
1. Ceiling Insulation
R-11
-7 -6
Number
of stones
•5 -4
R -Value One
Two
Tutee y
R-0 .74
48
-27
R-19 -5
-4
-2
R-30 •1
111,2
0
R-38 0
0
0
3. Wall Insulation
.71
Numoer of stones
single•
Single -
One Two
Family
Family
Mulat-
R-0
-72 -57
43
R-11
-7 -6
.4
R-13
•5 -4
-3
8-15
•4 .3
•2
R-19
0 0
0
R•21
1 1
1
3. Raised
Floor Insulation
1.01
.91
Insuiuton In Flow
.76
.71
Numoer of stones
.61
R -`value
One Two
Three
R-0
-14 -9
-5
R-11
-3 -2
-1.
R -t9
0 0
0
R-30
2 1
to
4. Slab Edge Insulation
Numoer of Stones
R -value One Two
Three -
R -0 0 0
0
R•5 6 4
2
R-7 7 4
2
6. Fenestration Heat Loss
5. Infiltration (Duct Air Leakage)
Duds In Unconditioned Space 0
No Ducts in Unconotttoned Space 3
7. Fenestration
Ett Nora
Ilk .87 .67
Fen• or to I
on- more .86 .�
non
18. -5 •4 '
16% -4 •4
14% -4 .3
12% -3 •2
11% -2 .2
10y. -2 -2
9% '-2 •1
8y. •t •t .
7%. -1 1
6% -1 a
5% -1 0 i
4% o o �
3% 0 -0
2% 0 0,
1% 1 1
tNrdue
Total
1.31
1.21
1.11
1.01
.91
.81
.76
.71
.66
.61
.56
.51
.46
.41
.36
.35
Percent
or
to
10
to
10
to
to
to
to
to
to
to
to
to
to
or
Fenesttanon more
130
1.20
1.10
1.00
.90
.80
.75
70 •65
-60
55
.50
45
40
less
SM.
-100
-76
-69
-62
-55
48
-41
-38
-34
-31
.27
-24
-20
-17
-13
-10
407.
-77
•58
-52
-47
-tt
-36
-30
-27
-25
-22
-19
-16
-13
-11
-8
•5
35%
-66
49
-44
-39
•34
-29
-25
-22
.20
•17
-15.
-12
-10
-7
.5
-3
3011.
-54
-40
.36
-31
-27
-23
-19
.17
.15
.13
-11
-8
-6
-4
•2
0
28T.
-50
-36
.32
-28
.25
-21
-17
-15
-13
-11
•9
-7
.5
-3
-1
1
26%
-45
•33
•29
•25
-22
-18
-14
-13
-11
-9
•7
.5
•4
•2
0
2
24%
41
•29
-26
-22
-19
-16
-12
-11
.9
-7
•6
4
-2
.1
1
3
22%
.36
-25
-22
-19
-16
-13
-10
A
-7
•5
-t
•2
-1
1•
2
4
20%
-31
-22
•19
-16
•13
-11
-8
-6
-5
4
-2
-1
1
2
3
5
18%
-27
-18
-16
-13
-11
-8
-6
•s
•3
-2
t
1
2
3
4
6
16%
-22
-14
-12
-10
-8
-6
.3
-2
_ -1
0
1
2
3 .
4
6
7.
14%
-18
-11
.9
.7
-5
-3
.1
0
1
2
3
s
5
6
7
8
12%
13
-7
-6
.4
-2
.1
1
2
3
4
4
5
6-
7
6
9
icy.
e3
-t
-2
-1 -
1
2
3
i
5
5
6
7
8
8
9
t0
V.
4
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
7. Fenestration
Ett Nora
Ilk .87 .67
Fen• or to I
on- more .86 .�
non
18. -5 •4 '
16% -4 •4
14% -4 .3
12% -3 •2
11% -2 .2
10y. -2 -2
9% '-2 •1
8y. •t •t .
7%. -1 1
6% -1 a
5% -1 0 i
4% o o �
3% 0 -0
2% 0 0,
1% 1 1
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse residential buildings subject to the Standards must contain these measurlia regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
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-Vajue.
• §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
• §I50(d): Minimum R.13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation • water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 2.0 penrvinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and InfltratioNEslOtration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weathersUipped: all joins and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Cfimam Zones 14 and 16 only.
§150(): 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 air intake with damper and control
G Flue damper and control
2 No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§1'10.13: HVAC equipment water heaters, showerheads and faucets certified by the Commission.
§150(): Setback thermostat on all applicable heating systems.
§1500): Pipe and Tank Insuation
1. Indirect not water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (A-',2 or greater) or combined intenonextenor insulation (R-16 or greater).
2- Fust 5 lee; of pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
S. Piping insulated between heating source and indirect hot water tank
§150(m): Duan and Fans
1. Ducts constructed. instatied and seared to comply with UMC Sections 1002 and 1004: duan insulated
to a minimum installed value of R4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave backdrah or automatic dampers
3. Gravity venuiaana systems serving conditioned space have either automatic or readily accessible.
manuakly operated aamoers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certiheo with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no eteG:c restsmnce healing and no slot light
2. System is r.maileo with:
a. At least 36- .ctpe between filter and heater for future solar heating.
b. Cover tar outcpor boots or outdoor spa
3. Pool system nas anecgonar inlets and a circulation puma time switch.
§115: Gas -tired xntrat rurnace. pool hearer, spa neater or household cooking appliance have no
continuously bunno phot light (Exception: Non-etectrical cooking appliance wnh pilot < 150 8tuthr.)
Lighting Measures
§ 150(k): 40 lumens roar, or greater for general lighting in kitchens and rooms with water closets: and
recessed ceo nc trtcues 1'C iinswation coven approves.
COMPUANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to complywith Title 24, Parts 1 and 6, of
ft California Code of Regulations, and the administrative regulations to implement idem. This certificate has been signed by the
Vdfvidtral 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 Featuues/Remafks section
Designer or Owner (per Baelneee a Profeeelone code) Documentation Author. =
Name:
Trde/F'mm:
Address:
Telephone:
1'x. s:
(signature) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
ts,gnakurerskampr boatel
Name:
TkuWFirm:
Addreaa:
Heat Gain
(based on Shaoe Effectiveness Ravo)
Single-
Two
Mufti
Three
alory
letacfed
Stones
Split
Stories
•3
0
•2
3
•1
-2
5
t
9
-1
0
12
0
East
0
1
South
1
13
West
3
Skylight
i2 St
.87
.67
.52
.51
.87
.67
S2
' .51
.87
.67
.52
.51
.67
.66
0 or
or
to
. to
or
or
to
to
or
or
to
to
or
or
or
:6 test
more
.86
..66
less more
.86
.66
less
more
.86
.66
less mors
less
3 -2
-21
•20
•15
-12
-26
-23
-i6
-12
-36
-32
-23
-16
•75
•50
2 -1
-18
•16
-13
-10
•21
•19
-13
-9
-31
-27
-19
•14
-M
jd
-1
-14
-13
-11
-8
-16
-14
-10
-7
-26
-23
•16
-11
-55
-38
1 -1
•11
-10
-8
-6
-12
-10
•7
-4
•21
•18
-13
-8
46
-31
1 0
•10
-9
-7
-6
•10
-8
-5
-3
-19
-16
•11
-7
-41
-28
1 0
-8
-8
b
•5
-8
-7
-4
-2
•16
•14
•9
-6
-37
-25
1 0
-7
•7
•5
-4
-6
-5
-3
-1
•14
.-12
-8
-5
•32
-22
1 0
-6
-5
-4
d
-4
-4
-2
0
-11
• 10
-6
.4
-28
-19
! 0
-5
-4
4
-3
-3
-3
-1
0
-10
-8
-5
-3
-24
•17
1 0
-4
-4
-3
-2
-2
-2
-1
0
-8
-7
-4
-2
-20
.14
1 0
-3
•3
-2
-2
-2
•1
0
0
-6
-5
-3
-1
-16
-12
i 0
-2
-2
•1
•1
-1
-1
0
, 1
-4
-4
-2
0
-12
-10
-6
-5
1
•1
0
0
0
0
1
-2 -Q
0
1
•9
-7
i 1
0
0
0
0
0
0
1
1
0
0
1
2
0
-5
1
1
1
1
1
0
0
0
0
1
1
2
2
-3
-2
1
1
1
1
1
0
20
0
0
3
3
3
3
0
0
lermal Mass
ib -on -grade Construction Only)
One
Single-
Two
Mufti
Three
alory
letacfed
Stones
Split
Stories
•3
0
•2
3
•1
-2
5
t
9
-1
0
12
0
7
0
1
9
1
13
1
3
14
2
21
1
d
23
3
td
2
5
14
3
6.8
2
6
1
4
0
2
8
7.4
5
5
3
9
2
6
1
3
10
7.6
6
7
4
Method R
3
1
Floor
Raised Floor
vies
11
9
Stones
aro
Three One
Two Three
•8
-6
-1
-1
0
7
•6
0
0
0
8
•5
t
t
t
5
-4
2
2
2
3
-1
4
4
5
•1
1
6
6
6
2
4
8
8
8
3
5
9
9
9
8
5
11
10
10
6
7
13
13
13
6
8
14
14
14
7
915
Z9
15
15
V ",_10
r 16
16
16
9
11
18
17
17
Wall Thermal Mass
Numow of water Heasts
Single-
Single-
Mufti
Family
Family Family
letacfed
Attacled
Split
0
0
0
3
3
2
7
5
4
9
8
6
12
10
7
14
12
9
17
13
10
18
14
11
21
17
13
23
18
td
24
19
14
10. Heating -System
Houses With Duets (R41)
Adjus®eat for No Ta" (-lotion
11. Cooling System
Numow of water Heasts
Rouses With Ducts (R-4.2)
One TWO
SG50
Sum of 1.6
SG75
J 4
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
WF IISPF less
-15
-5
+5
+15
more
789/.
6.8
6.6 -
0
0
0
0
0
0
809/.
7.0
6.8
1
1
1
1.
0
0
859E
7.4
7.2
5
4
3
2
2
1
901/.
7.8
7.6
8
7
5
4
3
1
959.
8.3
BA
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
-1
4
Effective AFUE or HSPF
7.9
(AFUE or HSPF x duct efficiency)
Pc kg
Effective
-24 to
-14 to -4 to
.6 to
Sum of 1.6
AC
AC
Gas
Split
Pkg
.-25
-24
-14
-4
+6
i6
AFUE
HP
HP
or
to
to
to
to
or
4
MSPF XW
less
-15
•5
.5
+15 more
One Story House
-2
0
7.0
6.8
•7
-6
33%
Z9
Z8
-62-
•53
4A
-34
-25
-16
409.
3.5
3.4
-40
-34
-28
-22
-16
-10
509/6
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
801/.
7.0
ES
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or
Three
Story
House
-27
•20
-13
-5
0
33%
Z9
Z8
•69
•58
-48
-37
-26
-15
409.
3.5-
3.4
-46
-39
-32
-24
-17.
•10
509/:
-4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
69%
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
1
1
1
.1
0
0
809.
7.0 .
6.8
9
8
6
5
3
2
909/.
7:8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20
17
14
11
8
4
14.6
20
Zonal Control Adjustment
11
7
System
Type
Resistance
6
4
3
2
1
0
Omer
3
3
2
1
1
0
Adjus®eat for No Ta" (-lotion
11. Cooling System
Zonal Control Adjustment
House Sfsa Ad jurnmettt
. House Site (tt=)
Sutlttxal
Numow of water Heasts
Rouses With Ducts (R-4.2)
One TWO
SG50
SEER
SG75
J 4
Sum of
7.9
HP
-2 4
Spin
Pckg
-25 or
•24 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
d
3
2
2
1
0
120
11.6
8
6
5
3
10
All
13.0
1Z6
11
9
6
4
2-
0
14.0
13.6
13
11
8
5
2
0
15.0,
14.6
16
12
9
6
2
0
OM
-21
Effective SEER
HP
b11,13,iS
(SEER x duct efficiency)
4
7 5
Eft SEER
-1
4
Sum of
7.9
Split
Pc kg
•25 or
-24 to
-14 to -4 to
.6 to
16 Or
AC
AC
less
-15
-5
+5
+15
more
One Story House
0.73
6
10 8
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
-6
-d
-3
•i
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
120
11.6
15
12
9
6
2
0
13.0
iZ6
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
5.0
4.9
-35
-27
•20
-13
-5
0
6.0
5.8
-21
-17
-12
-8
-3
0
7.0
6.8
-11
-9
-7
-4
•2
0
8.0
7.8
-4
-3
•2
-1
-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
d
1
0
120
11.6
13
10
7
5
2
0
13.0
1Z6.
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
Zonal Control Adjustment
House Sfsa Ad jurnmettt
. House Site (tt=)
Sutlttxal
Numow of water Heasts
Water t emer Tvoe
One TWO
SG50
-2 •5
SG75
J 4
SE
,5 4'
HP
-2 4
Zonal Control Adjustment
House Sfsa Ad jurnmettt
. House Site (tt=)
Sutlttxal
lets
1000
Vw9w 1 eamtq
titan
to
Pm Scom
1000
1499
-30
47
-5
•25
-14
-4
-20
-11
•3
•15
-9
3
-10
6
2
-5
-3
-1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
149
4
House Sim Adjustment
SG50
AO
House sde mn)
Suototaf
1500
2000
Water Hsamtq
to
of
Pont Score
1999
mora
-30
0
3
-25
0
2
-20
0
2
•1S
0
• 1
-10
0
1
-2
1 -1
-12
0
0
0
5
0
0
10
0
1
15
0
1
20
0
2
25
0
Z
All 6 5 4 2 1 0
12. Water Heating
One Water Hester - No AuzMar7 Ctsdns
DWnotmin Sysam2
Rsae Systems
Water Climates Enotpy STD MR AN No Timordsm0 oem0
Hewer Tvoe1 Zones Fluor POU Ins l On
SG50
AO
om
0
3 1
49
-5
0
0.63
5
8 6
.4
0
5
0.73
8
11 9
o
4
a
SG75
Al
0.48
-2
1 -1
-12
-7
-2
038
3
6 5
-5
-1
4
am
7
10 8
-1
3
7 .
SE
All
0.87
-20
-12 -17
-41
32
•19
0.83
-17
-0 -13
38
-28
-16
IG`
Al
0.80
2
5 3
IE
Aa
OM
-21
-12
HP
b11,13,iS
1,80
4
7 5
-5
-1
4
Two Water Heaters - No AtodDary Credits
SGSo
Al
031
-7
-4 -6
-17
-12
-7
0.63
1
5 3
-8
-4
1
0.73
6
10 8
-2
2
7
SG75
Al
0.48
-12
-e -11
-22
-17
-12
am
-1
3 0
-11
-6
•1
0.68
6
9 7
-4
1
8
SE
Al
0.87
-22
-14 -19
46
-33
-22
0.93
•16
4 -12
-39
•20
-15
:G
Al
0.80
-4
.1 .3
IE
Al
0.93
-21
-12
HP
6.11,13.15
1.90
•1
3 1
-t0
• 4
0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
y 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 3E,RMIT NO.
APPLICATION AND PERMIT
PiE`iiM�9 ZA_R BUILDING PERMIT
°WARTHUR & PAM HOLT 783 "5746 SO. FT. OCC. BUILDING VA U ION
oMyHER•,GMgµlONxADQAE� 1 Oroville CA 95966
1974 R 8499%
CONTRACTOR'S NAME,�,j C{. TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER I UNKNOWN
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
47 Iron Horse Lane, Oroville
LOT NO. I SUBDIVISION'S NAME I PARCEL MAP
USE OF STRUCTURE
SF f3 Duplex ❑ Mobilehome O Other
TYPE OF WORK
New ff Addition O Remodel Cl Utilities O Installation ❑ Other ❑
Describe Work: 2 bedroom
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
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)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
❑ 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.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, ' dgme , costs, and expenses hich may in any way accrue against said
County i c se / ce C�fe gr n ng f his permit.
X ✓ Date _-dd
Signatu e o App icant - Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height. M q"-) i I rn, _ A I
ReceiptNo/a-93` 35 / 156251//`56,x! 0- �/r0V"
WHITE-D.D.S.-B.D. CA ARY-ASSES PINK -INSPECTOR GOLDEN 0 •A
Fireplace
Total Valuation $
Filing Fee $ 20.00
Permit Fee $ 81 .00
Plan Checking Fee S 6
Energy Plan Checking Fee $ 23.00
Penalty --i
-
PERMIT FEE $ 1 nn t A S
rLVMOINIi YtfiMIT
Filing Fee 20.00
Each Trap
7.00 84.00
Solar or heat pump water heater
23.00
Water piping
15.00 15-00
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00 5.00
Building sewer
15.00
Mobile Home S I G I W
@20.00
PERMIT FEE 1 $
Contractor
ELECTRICAL PERMIT
Filing Fee
20.00
Main Service'IVOR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. ( DWELLING OCCUP.
OR ADONS. & ACC. BLOS. )
3.5C F°.,
NEW CONST. MULTI -OUTLET
.NON.RESID. ( BRANCH CIRCUITS )
@7.50
POWINER APPARATUS 8 SGLE OUTLET CIR. )
(
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00+
BAL. @ .50
Ex. Occup. ( UFIXED AP LS OR
OTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee
20.00
Heating
15.00
Cooling
15.00
Hood
6.50
6.50
Ventilation
PERMIT FEE $ 56.50
rEnergy
ctor
Home Installation Fee $
Inspection Fee $ 46.00
Co.
TYPE TOTAL FEE $
HAZ. I D. FEES I IMP I FLOOD I' CDF I PARCEL I PD I HD I ISSUE 1,
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic a above for which fees have been paid.
By
PERMIT EXPIRES ON
Date`
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
41-7
owner location AP #
Driveway permit 1"46 . 00.04 has been issued for the above property.
si ature date
.may.. ,.
c:
1.1,11. usr 0;11l:
I�I � r flair Auucile Iy V
S Iii lo Ii. b; :�2
7'O: 01,111diiig ldepzil illIUM
FROM: Environniontal Health
SUBJECT: Sanitation Clearance
fq
Owner Location
Plan Approved for: Scwai-,e Disposal Water Supply: Public
Clearance for 2- bcdrooni nioliile lim-ne. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
AN
Private Welly
Date
��.ti3'. �«r� •n•rl ;�' `}' rv'iE .•rT%lr� �-"err" , rl'.J�(iJ%'n'l�'`'�a,n"rL.•y..l`Y'jr�'.'(+.�'..'",r"..--.. •'`'vrrr"r"ti rYe-�- - �.
w 'COUNTYOF BUTTE-XDEPARTMENTOFDEVEMP. MENsTSERVICES - BUILDING DIVISION
7COUNTYCENTER DRIVE -,OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMI3'`-APPLICATION DATA SHEET
OWNER V A 3IO �S
Proposed Building Use C� Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
f 1 -A DATE RECEIVED BY
1. All items have been submitted . ............. �........................ .
02" Plot plans, 3/4 sets, signed by preparer of plans. 1............................
3_ Complete plans, 3/4 sets, signed by preparer of -plans . ................
Jr .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. Mobileho to and,-manufactuLr'c.ggMttqation instructions, 2 sets.
Feesof $ T ................................
Impact fees as shown o attacheded sch6dL......
alifornia Department of Forestry plari approval
3='Flood elevation letter (100 year flood) by California Engineer. . .
4. 'Sanitation and plot plan approval 0 Health Department. ..... .... iZZ
1b. City of Chico plumbing permit . .......................................
16. Plot plan and business license approval from City of Biggs/Gridley. ............. w
17. Planning approval for (A) Use: (B) Parking:
R. Contact Land Development about (A) Improvements (B) Drainage.
19. Driveway permit (construction approval required prior to occupancy).
Pre4nssppect;on request
20. Pre -inspection for required. . to Bu;�ding Inepedor Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . .........................
Owner -Builder Verification (Given to owner , Mail to owner )......... I.. .
101"24. 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. .... .
27. Letter of intent on building use . ................................. I `�.
28. Mobilehome utility clearance . ..................:..................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed K�
and (B) Parcel meets zoning area and frontage requirements . ................
31. Existing violations/expired permits . .....................................
Plan check list. S
.............. ......
` 33: Pry TGu �� az- .F�" s .. To. � D' ' ��I✓ �,' �
V L111
. A
WhZ��
' ue the permit, process as.Jollows: Mail to owner. Mail to contractor.
ephone �ar�d hold for pickup at office. Deliver with inspector.
her a� �i/
Parcel Creation _ a/iJ2,t,Acreage (V)d�Ei Applicant fit Date y
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to per it issuance; (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, ow r, was advised of above required data by one _ mail Counter by ate 2.l
Contractor, designer, owner, was advised of above required data"s",
PFj$ne —mail Counter by Date
Plans checked by Date data,
pfoved by , DateS—S—
Sets of plans on hold in File cabinet `P�fQI�
Copy - Department of Public Works �//
EV
At time of permit application, I was advised the above fees are required to be:paid
prior to issuance of the permit.
APPLICANT
r
DATE
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT
SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965
- TELEPHONE (9.16) 538-7541
OWNER
A. P. #0,-3
Cj
PROPOSED
BUILDING USE
DATE
REC. # DATE REC
1.
1,11 62.
a.
CHOOL DISTRICT FEES
(paid at District Office).........................Z A 5 F4
SHERIFF FEES
(paid at Building Department)
Residential ...... x
ZA'
Unit amt.
Commercial (sgft) x _$
—ft.
sq—. amt.
3.
URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
--
Commercial (per sq.ft) x =$
!!,PYA
A�.4.
sq.ft. amt.
RECREATION DISTRICT FEES
5.
(paid at District Office) .. ......................
DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
D-
r" 6.
SRA FIRE INSPECTION AND PLAN CHECK - $89.00......
(paid at Building Department)
7.
OTHER
8.
OTHER >
At time of permit application, I was advised the above fees are required to be:paid
prior to issuance of the permit.
APPLICANT
r
DATE
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 ma a ials for construction of
the proposed property i rovement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name_ Address . Phone Type of Work
Signed:
Property Owner
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and -
19832 of.the California Health and Safety Code.
This verification must.be_completed ind"returned to our office before we are.per-
mitted to issue the..permit.-.
fah^,4,�i� �.��.���'�r�'R��'t�ri+�'�I�FR,ds�,�.cr� araN,�� :, ..-,. � .-.,.-�-.•- a�•z�—�.n r• �. �+��+�r;,zvw rr .,. 'r�s:r �rvs .:.
p(• r , t + . �r
-BUTTE COUNTY SCHOOLS. IMPACT FEE�CERTIFICATION FORM
(One Form Per Building) •
School District • Q/2-•0 H S Building Department No.
A.P. Number�Jurisdiction 0 City County
�
Property Owner t U P2"4 ."74' !%U z-7,-.
Property Location/Address . W OAJ RSE .ZAJ
Subdivison Lot No. -9
Residential Development E4 0 Sq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial
0 = Sq. Footage
New Addition
(Floor Plans reviewed by School District Personnel)
District Identification No.
(Including Exterior
Roofed Areas) .
— -z- 4z_ ? C/
Date .
11 . School District certifies that
(Applicant)
(Street Address) (Phone Number)
r
7�n v Ike -' LPA
(City) •(9tate) (Zip -Code)
has complied with the requirements of Resolution No.. ��� - �� ' by payment of $ 1115
1;7 IfIr square feet. "
School Distri�I'Rep
Date
Paid by Check Number Remarks:
Bank Number. t'
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 on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
Alam G. Brown, P. E.
r.`
Gy I U, k11 • �' WRq7 Richard Barnhart, P,L.S.
A Cohlornio Corporotion
March 25, .1.994
Michael Vieira, Director
Butte County
Building Department
`7 County Center Drive
Oroville, CA 9596"
RE: Halt, �iPN _ 3-16-94 . �03 l
Dear Mr. Vieira:
Enclosed please find two (2) copies of the compaction tests taken
for Art Holt, 47 Iron Horse Way, Oroville.
Representative' tests taken indicate that the fill has been
compacted to a minimum.of 90% relative density.
If you have any questions, please feel free to contact our office.
Sincerely,
T -BROWN & ASSOCIATES
1 n G! Brown
Civil Engineer
AG Bf tm
a:94-027 t.
2060 Park Ave..
P.O. Box 1576
Oroville, CA -95965
(916) 534-1911 wun I r yr ou % i s
(916)533-6457 BUILDING DEPT
FAX (916) 534-0908 _n 03 AAAL
lgg4
\t\1n t\ In Gu -r1 l�
Comments:
Approved:
-7�y
— ff Ddr,7hart -" -7� Lro1Un &. aijociateJ
1881 A Robinson St. P.O. Box 1576 Oroville, CA 95965 916/534-1911
CIVIL ENGINEERS LANDSURVEYORS
RELATIVE DENSITY TESTS
FOR
Client Owner
Location L1 - iOD )E �e U )Cu-\ O ( env•% WL AP No.
Type of Construction 6<- �A 11oU5 Q,
Equip. for Compaction W he Q Vu
Personnel Present Operator
Sketch: �
V
T
SOIL. Opt. wet- opt M
Opt Dry Opt M% 13 ,1
COUNTS MS Prev. M
DS Did Avg. S
Test No.
1
2
3
4
5
6
7
8
9
0
Blw. FG
Time
Depth
MC
-
DC
WD
DD
pto,
-
1 O q
I Cko q
it, v
M
3.1
I .
1
%M
11.x,
Q.0.43
Rel. Wet
Rel. Dry�7,
�UA
Comments:
Approved:
1to' lqq(�- " , , - I .. .' —\ r\" � 1„ a I I -r,1--)
Q—, — ---j - ',A— - I I `j
-Damhart
RELATIVE DENSITY TESTS
-73rozon& 0jiociatei
FOR
Client Owner
To, t"(
1881 A Robinson St. P.O. Box 1576 Oroville, CA 95965 9161534-1911
CIVIL ENGINEERS LANDSURVEYORS
Location LA -1 TA AP No.
Type of Construction
Equip. for Compaction
Personnel Present
Operator
Sketch:
Opt. Wet Opt m
SOIL Opt Dry -4.1� Opt M% I
Ms —tol A Prev. M
COUNTS DS —:� QU9 Avg. S
Test No.
1
2
-3
4
5
6
7
8
9
0
Blw. FG
Time
Depth
MC
DC
WD
DID
I c)(0.
1ab.
M
I 'A -
3.1
ae)
%M
—Re -1
11-6
q AD
_- Wet
Rel. Dry
—j- b7, L4 1 1
Comments:
Approved:
TABLE OF CONTENTS. TOC
Project Title.......... Residence for Holt. Date........ 07/31/95
Project Address........ Iron Horse Ln.
Oroville tal
Documentation Author... Neal Kuopus Build*
19 Pefm'
Company ................ CALCTECH o
Telephone .............. (916) 534-5066 Plan Check Date
Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check Date
Climate Zone........... 11
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -TOC
User#-MP1320 User-CALCTECH Run -Proposed Residence
TABLE OF CONTENTS
Report
Page
FORM CF -1R ................ 1
FORM
MF -1R ................
4
FORM
C -2R .................
6
FORM
C -3R .................
9
HVAC
SIZING ...............
11
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title.......... Residence for Holt Date........ 07/31/95
Project Address........ Iron Horse Ln.
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone .............. (916) 534-5066
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Building Permit
Plan Check Date
Field Check Date
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
GENERAL INFORMATION
Conditioned Floor Area..... 1644 sf
Building Type .............. Single Family Detached
Construction Type ......... New
Building Front Orientation. Front Facing 90 deg (E)
Number of Dwelling Units... 1
Number of Stories.......... 2
Floor Construction Type.... Slab On Grade (Package D)
BUILDING SHELL INSULATION
Component
Insulation Assembly
Type
R -value
U -Value Location/Comments
Wall
R-19
0.062 FRONT, RIGHT,
BACK, LEFT
Door
R-0
0.330 FRONT ENTRY,
LEFT
Roof
R-30
0.035 FLAT CEILING,
TILT CEILING
S1abEdge
R-0
0.900 SLAB EDGE
S1abEdge
R-0
0.720 SLAB EDGE
FENESTRATION
# of Interior
Over -
Area
U- Pan- Shading/
Exterior
hang/
Framing
Orientation
(sf)
Value es Description
Shading
Fins
Type
Window Front
(E)
7.0
0.820 2 Drapes.Std
None
None
Metal
Window Front
(E)
55.8
0.820 2 Drapes.Std
None
Yes
Metal
Window Right
(N)
3.5
0.820 2 Drapes.Std
None
None
Metal
Window Back
(W)
30.0
0.820 2 Drapes.Std
None
None
Metal
Window Back
(W)
35.0
0.820 2 Drapes.Std
None
Yes
Metal
Window Left
(S)
3.5
0.820 2 Drapes.Std
None
None
Metal
THERMAL MASS
Area Thickness
Type
Exposed (sf) (in)
Location/Comments
S1abOnGrade
Yes
223 3.5
Exposed
SlabOnGrade
No
637 3.5
Covered
L
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
Project Title.......... Residence for Holt Date........ 07/31/95
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZllS92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
HVAC SYSTEMS
SPECIAL FEATURES/REMARKS
R-4.2 duct insulation - ALL ducts in Conditioned Space
Slab -on -Grade floor construction
R-19 wall insulation required per Form 3s
R-30 ceiling insulation required per Form 3
Alum. frame dual -pane glazing w/low-e req'd. MFR. UNKNOWN
Glazing U -values per CEC DEFAULT TABLES
HP.6.8.PKG: Day & Night 548CE036 packaged unit to be installed
HP.10.2.PKG: Day & Night 548CE036 packaged unit to be installed
HWH: STATE SD8-52-ART-W or EF=0.90 or better required.
HWH: R-12 External blanket insulation req'd.
HWH: R-4 or better hot water Pipe Insulation req'd.
0
Minimum
Duct Duct
Thermostat
Equipment Type
Efficiency
Location R -value
Type
HPPackage
6.80 HSPF
Conditioned 14.2
Setback
HPPackage
10.20 SEER
Conditioned R-4.2
Setback
WATER
HEATING SYSTEMS
Number
Tank
External
in - Energy Size
Insulation
Tank Type Heater Type Distribution Type System Factor (gal)
R -value
Storage Electric
PipeInsulation 1 0.90
EF 52
R-12
SPECIAL FEATURES/REMARKS
R-4.2 duct insulation - ALL ducts in Conditioned Space
Slab -on -Grade floor construction
R-19 wall insulation required per Form 3s
R-30 ceiling insulation required per Form 3
Alum. frame dual -pane glazing w/low-e req'd. MFR. UNKNOWN
Glazing U -values per CEC DEFAULT TABLES
HP.6.8.PKG: Day & Night 548CE036 packaged unit to be installed
HP.10.2.PKG: Day & Night 548CE036 packaged unit to be installed
HWH: STATE SD8-52-ART-W or EF=0.90 or better required.
HWH: R-12 External blanket insulation req'd.
HWH: R-4 or better hot water Pipe Insulation req'd.
0
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R
Project Title.......... Residence for Holt Date........ 07/31/95
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the, Special Features/
Remarks section.
DESIGNER or OWNER
Name.... Art Holt
Company. Owner
Address.
Phone...
License.
Signed.. -7
(date)
ENFORCEMENT AGENCY
Name....
Title...
Agency..
Phone...
Signed..
(date
DOCUMENTATION AUTHOR
Name.... Neal Kuopus
Company. CALCTECH
Address. 1835 S. Villa Ave.
Palermo, CA 95968
Phone... (916) 534-5066
Signed.. -iu-91-7 713/%gs
(date)
MANDATORY MEASURES CHECKLIST: RESIDENTIAL
Project Title.......... Residence for Holt
Project Address........ Iron Horse Ln.
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone .............. (916) 534-5066
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Page 4 MF -1R
Date........ 07/31/95
Building Permit
Plan Check Date
Field Check/ Date
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZllS92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
Design- Enforce-
er ment
(_- 30
minimum R-8 in concrete raised floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
2-/ q
/J.4
_yJ1L
-YU1L
°YJK_
AM
_Yl 91c
-wp
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R
Project Title.......... Residence for Holt Date........ 07/31/95
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC. 'XJJL
150(i): Setback thermostat on all applicable heating systems.j(�
150(j): Pipe and Tank insulation
1. Indirect hot water tanks .(e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in,recirculat'n
sections of hot water system. 'rp�g0ovb4ty wf P,-1al
4. Cooling system piping below 55 degrees insulated. vV1 sok., blevnit t � r2 4,ov
5. Piping insulated between heating source and indirect &PUA •v h0tuV.�v
hot water tank.
*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers. -IX
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch. _y0A,
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot < 150 Btu/hr.) .
LIGHTING MEASURES
Design- Enforce-
er ment
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved. �J�L
COMPUTER METHOD SUMMARY Page 6 C -2R
Project Title.......... Residence for Holt Date........ 07/31/95
Project Address........ Iron Horse Ln.
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone .............. (916) 534-5066
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check Date
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Zone Type
MICROPAS4
ENERGY USE
SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating..........
17.25
13.13
4.12
Space Cooling..........
12.10
8.53
3.57
Water Heating..........
13.37
20.89
-7.52
Total
42.72
42.55
0.17
*** Building complies with Computer Performance ***
GENERAL INFORMATION
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type..........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint Area .............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Ceiling Height.....
1644 sf
Single Family Detached
New
Front Facing 90 deg (E)
1
2
ReducedYear
Slab On Grade (Package D)
1
14929 cf
860 sf
860 sf
860 sf
8.2 % of FA
9.1 ft
BUILDING ZONE INFORMATION
Floor # of
Area Volume Dwell Cond- Thermostat
(sf) (cf) Units itioned Type
Vent Special
Height Vent Area
(ft) (sf)
HOUSE
Residence 1644 14929 1.00 Yes Setback 8.0 n/a
COMPUTER METHOD SUMMARY Page 7 C -2R
Project Title.......... Residence for Holt Date........ 07/31/95
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
HOUSE
1
Window
7.0
2
OPAQUE
SURFACES
0.820
90
90
0.88
Area
U-
Insul
Act
Solar
Form 3
Location/
Surface
(sf)
value
R-val
Azm
Tilt Gains
Reference
Comments
HOUSE
3
Window
7.0
2
Metal
Slider
0.820
1
Wall
440
0.062
R-19
90
90 Yes
MW.19.2X6.16
FRONT
2
Door
36
0.330
R-0
90
90 Yes
None
FRONT ENTRY
3
Wall
515
0.062
R-19
0
90 Yes
MW.19.2X6.16
RIGHT
4
Wall
474
0.062
R-19
270
90 Yes
MW.19.2X6.16
BACK
5
Wall
497
0.062
R-19
180
90 Yes
MW.19.2X6.16
LEFT
6
Door
18
0.330
R-0
180
90 Yes
None
LEFT
7
Roof
119
0.035
R-30
0
0 Yes
R.30.2X12.16
FLAT CEILING
8
Roof
375
0.035
R-30
90
12 Yes
8.30.2X12.16
TILT CEILING
9
Roof
366
0.035
R-30
270
12 Yes
R.30.2X12.16
TILT CEILING
0.78
Drapes.Std
10
PERIMETER
3.5
LOSSES
Metal
Slider
0.820
180
Length
0.88
F2
Insul Solar
Surface (ft)
Factor
R-val
Gains
Location/Comments
HOUSE
Window-
Overhang
10
S1abEdge
46
0.900
R-0
No
SLAB EDGE
11
SlabEdge
78
0.720
R-0
No
SLAB EDGE
Surface
(sf)
Hght
Wdth
Dpth Hght
FENESTRATION
SURFACES
Ext
Dpth Hght Ext Dpth
Hght
# of
Vent
SC SC
Interior
Area Pan-
Frame
Open
U- Act Glass Int
Shading/
Surface
(sf) es
Type
n/a
Type
value Azm Tlt Only Shade Description
HOUSE
1
Window
7.0
2
Metal
Slider
0.820
90
90
0.88
0.78
Drapes.Std
2
Window
24.0
2
Metal
Slider
0.820
90
90
0.88
0.78
Drapes.Std
3
Window
7.0
2
Metal
Slider
0.820
90
90
0.88
0.78
Drapes.Std
4
Window
15.0
2
Metal
Slider
0.820
90
90
0.88
0.78
Drapes.Std
5
Window
9.8
2
Metal
Slider
0.820
90
90
0.88
0.78
Drapes.Std
6
Window
3.5
2
Metal
Slider
0.820
0
90
0.88
0.78
Drapes.Std
7
Window
30.0
2
Metal
Slider
0.820
270
90
0.88
0.78
Drapes.Std
8
Window
15.0
2
Metal
Slider
0.820
270
90
0.88
0.78
Drapes.Std
9
Window
20.0
2
Metal
Slider
0.820
270
90
0.88
0.78
Drapes.Std
10
Window
3.5
2
Metal
Slider
0.820
180
90
0.88
0.78
Drapes.Std
OVERHANGS AND SIDE FINS
Window-
Overhang
Left Fin
Right
Fin -
Area
Left
Rght
Surface
(sf)
Hght
Wdth
Dpth Hght
Ext
Ext
Ext
Dpth Hght Ext Dpth
Hght
HOUSE
2
Window
24.0
4
6
1.5 1.1
n/a
n/a
n/a
n/a
n/a
n/a n/a
n/a
3
Window
7.0
2
3.5
1.5 1.1
n/a
n/a
n/a
n/a
n/a
n/a n/a
n/a
4
Window
15.0
3
5
1.5 1.1
n/a
n/a
n/a
n/a
n/a
n/a n/a
n/a
5
Window
9.8
2.5
5
1.5 1.1
n/a
n/a
n/a
n/a
n/a
n/a n/a
n/a
8
Window
15.0
3
5
1.5 1.1
n/a
n/a
n/a
n/a
n/a
n/a n/a
n/a
9
Window
20.0
4
5
1.5 1.1
n/a
n/a
n/a
n/a
n/a
n/a n/a
n/a
COMPUTER METHOD SUMMARY Page 8 C -2R
Project Title.......... Residence for Holt Date........ 07/31/95
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Mass Type
HOUSE
1 S1abOnGrade
2 S1abOnGrade
THERMAL MASS
Area
Thick
Heat
Conduct-
Surface
(sf)
(in)
Cap
ivity
R -value Location/Comments
223
3.5
28.0
0.98
R-0.0 Exposed
637
3.5
28.0
0.98
R-2.0 Covered
System Type
HOUSE
HPPackage
HPPackage
HVAC SYSTEMS
Minimum Duct Duct Duct
Efficiency Location R -value Efficiency
6.80 HSPF Conditioned R-4.2 1.000
10.20 SEER Conditioned R-4.2 1.000
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
1 Storage Electric PipeInsulation 1 0.90 52 R-12
SPECIAL FEATURES/REMARKS
R-4.2 duct insulation - ALL ducts in Conditioned Space
Slab -on -Grade floor construction
R-19 wall insulation required per Form 3s
R-30 ceiling insulation required per Form 3
Alum. frame dual -pane glazing w/low-e req'd. - MFR. UNKNOWN
Glazing U -values per CEC DEFAULT TABLES
HP.6.8.PKG: Day & Night 548CE036 packaged unit to be installed
HP.10.2.PKG: Day & Night 548CE036 packaged unit to be installed
HWH: STATE SD8-52-ART-W or EF=0.90 or better required.
HWH: R-12 External blanket insulation req'd.
HWH: R-4 or better hot water Pipe Insulation req'd.
CONSTRUCTION ASSEMBLY Page 9 3R
Project Title.......... Residence for Holt Date........ 07/31/95
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM 3R•
User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . MW.19.2X6.16'
Description .... Wall R-19 2x6 16oc
Type ........... Wall
R -Value ........ 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.15
Sketch of Construction Assembly
LIST
OF CONSTRUCTION COMPONENTS
Material
Cavity
Frame
Name
Description
R -Value
R -Value
0.
FILM.EX
Exterior air film: winter value
0.17
0.17,
1.
PART.BD.0.63
0.625 in particle board
0.82
0.82
2.
BLDG.PAPER
Building paper (felt)
0.06
0.06
3c.
BATT.R19
R-19 batt insul (cavity = 5.5 in)
17.80
--
3f.
FIR.2X6
2x6 in fir framing
--
5.45
4.
GYP.0.50
0.50 in gypsum or plaster board
0.45
0.45
• I.
FILM.IN.WLL
Inside air film: heat sideways
0.68
0.68
Total Unadjusted R -Values 19.98
7.62
FRAMING
ADJUSTMENT
CALCULATION
Cavity Framing
Total
U -Value:
(1 / 19.98 x 0.85) + (1 / 7.62 x 0.15) =
0.062 Btuh/sf-F
Total
R -Value:
1 / 0.062 =
16.07 sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 10 3R
Project Title........... Residence for Holt Date........ 07/31/95
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
O. FILM. EX
1. SHNGL.ASPHLT
2. BLDG.PAPER
3. PLY.0.50
4c. AIR.RF.1.75
4f. FIR.2X12
5c. BATT.R30.0
6. GYP.0.50
I. FILM.IN.RF
d
Exterior air film: winter value
Asphault shingle roofing
Building paper (felt)
0.50 in plywood
1.75 in (approx) air space: heat flow up
2x12 in fir framing
R-30 batt insul (cavity > 9.25 in)
0.50 in gypsum or plaster board
Inside air film: heat flow straight up
FRAMING ADJUSTMENT CALCULATION
Cavity
Total Unadjusted R -Values
Framing
Cavity Frame
R -Value R -Value
0.17
0.17
Reference Name .
R.30.2X12.16
Description ....
Roof R -j0 2x12 16oc
Type ...........
Roof
R -Value ........
30 sf-F/Btuh
Framing
11.14
Material .....
FIR.2X12
Spacing ......
16 inches on center
Fraction .....
0.10
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
O. FILM. EX
1. SHNGL.ASPHLT
2. BLDG.PAPER
3. PLY.0.50
4c. AIR.RF.1.75
4f. FIR.2X12
5c. BATT.R30.0
6. GYP.0.50
I. FILM.IN.RF
d
Exterior air film: winter value
Asphault shingle roofing
Building paper (felt)
0.50 in plywood
1.75 in (approx) air space: heat flow up
2x12 in fir framing
R-30 batt insul (cavity > 9.25 in)
0.50 in gypsum or plaster board
Inside air film: heat flow straight up
FRAMING ADJUSTMENT CALCULATION
Cavity
Total Unadjusted R -Values
Framing
Cavity Frame
R -Value R -Value
0.17
0.17
0.44
0.44
0.06
0.06
0..62
0.62
0.77
--
--
11.14
30.00
--
0.45
0.45
0.61
0.61
33.12 1 13.49
Total
U -Value:
(1 /
33.12 x 0.90) + (1 / 13.49
x 0.10) =
0.035
Btuh/sf-F
Total R -Value:
1 /
0.035 =
28.91
sf-F/Btuh
HVAC SIZING Page 11 HVAC
Project Title.......... Residence for Holt Date......... 07/31/95
P t Add H L
ro�ec ressI
........ ron orse n.
Oroville
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone .............. (916) 534-5066
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check Date
MICROPAS4 v4.02 File-HOLTBCO Wth-CTZ11S92 Program -HVAC SIZING
User#-MP1320 User-CALCTECH Run -Proposed Residence
GENERAL INFORMATION
FloorArea .................
Volume.....................
Front Orientation..........
Sizing Location............
Latitude ...................
Winter Outside Design......
Winter Inside Design.......
Summer Outside Design......
Summer Inside Design.......
SummerRange ...............
Interior Shading Used......
Exterior Shading Used......
Overhang Shading Used......
Latent Load Fraction.......
1644 sf
14929 cf
Front Facing
OROVILLE RS
39.5 degrees
30 F
70 F
104 F
78 F
37 F
No
No
No
0.20
HEATING AND COOLING LOAD SUMMARY
Heating
Description (Btuh)
90 deg (E)
Cooling
(Btuh)
Opaque Conduction and Solar...... 10589 4719
Glazing Conduction ............... • 4421 2874
Glazing Solar .................... n/a 7275
Infiltration ..................... 8492 3486
Internal Gain .................... n/a 1650
Ducts............................ 0 0
Sensible Load .................... 23502 20004
Latent Load ...................... n/a 4001
Minimum Total Load 23502 24005
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant design factors such as air flow
requirements, outdoor design temperatures, coil sizing, availability of
equipment, oversizing safety margin, etc., must also be considered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.
Page No.
DIRECTORY OF CERTIFIED CENTRAL HEAT PUMPS
Updated 08/02/93 Single Package Air Srce (HP1)
------------------------------------------------
------------------------------------------------
CALCTECH
------------------------------------------------
Equipment Finder v2.2 User # EF1320
------------------------------------------------
Selection Criteria:
3 of 1369 Marked
07/31/95
0
Cooling Heating
Brand Capacity Capacity Add
Compressor Model (Btuh) EER SEER HSPF @ 47F ACOP Typ Date
----------------------------- -------- ---- ----- ------------- ---- --- ----
DAY AND NIGHT 36400 9.4 10.20 6.8 35200 3.1 32 9202
548CE036-AC
DAY AND NIGHT 47000 9.1 10.40 7.0 47000 3.1 32 9202
548CE048-AC
DAY AND NIGHT 59000 9.2 10.65 7.3 62000 3.2 32 9202
548CE060-AC
I
Retun to: - AGRICULTURAL STATEMENT OE ACKNOWLEDGEMENT
Buil ft Division FOR RESIDENTIAL; DEVELOPMENT
r Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building
permit. 94-0081291
94-08129P
Rec Fee 9.00
The property described herein is adjacent to land or included I Cash 9.00
within an area zoned for agricultural purposes, and residents Recorded I
of this property may be subject to inconveniences or Official Records I
discomfort arising from the use of agricultural chemicals, County of I
including, but not limited to herbicides, pesticides, and Butte I
fertilizers; and from the pursuit of agricultural operations 'Candace J. Grubbs I
including, but not limited to cultivation, plowing, spraying, Recorder I
pruning, and harvesting which occasionally generate 12:4 S p m 22 -Feb -94 I P U B L XX 2
dust,smoke, noise, and odor. Butte County has established
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date: �2
PROPERTY OWNERS:0, 7V
,
Ae % 4 r ma ra QLa&2, c a - /riilf
State of California
County of `� )
On aU 9 before me,
personally appeared /�/�7`zCJt'_ /�• A66vl- X-- %i1
persuzad�l 1---,y(or proved to me on the basis of satisfactory evidence) to be the persons) whose names) is/ar—owia to me e
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on•the instrument; thg&%"J4GVJb%6%4i1tgV&kW,9 Jwhich the
person(s) acted, executed the instrument. a JUDITH M. WILLIAMS s
WITNESS my hand and official seal. N OTMY PUBI".AUFORNIA s
0arnnl
1►'►f� M EEq n,tylMarch 11, 1004 N
Signature Seal: �siliawe�•sssssss■ssssssopam
.94-08129
ORDER NO. BU -107218-3
ALL .THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I•
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
,OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON .AUGUST 21, 19891 IN BOOK -1.17 OF MAPS, .AT PAGES)
4 AND 5.
RESERVING -THEREFROM THAT CERTAIN RIGHT OF WAY FOR ROAD AND PUBLIC
UTILITY PURPOSES OVER THE SOUTHERLY PORTION,, AS SHOWN ON THE
PARCEL.MAP REFERRED TO ABOVE.
PARCEL II:
THAT CERTAIN RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER PARCELS 1, 2 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP,.
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON AUGUST -21, 1989,.IN BOOK 117 OF MAPS, AT
PAGE(S) 4 AND 5.
PARCEL III:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE WEST
60 FEET OF THE FOLLOWING DESCRIBED PARCEL:
THE SOUTHWEST ONE QUARTER OF THE NORTHEAST ONE-QUARTER AND ALL
THAT PORTION OF THE NORTHWEST ONE QUARTER OF THE SOUTHEAST ONE
QUARTER LYING NORTHERLY OF THE NORTH LINE OF THE COUNTY ROAD, AS
SAID ROAD IS DESCRIBED..IN DEED TO. -BUTTE COUNTY, RECORDED NOVEMBER
..2.2, 192.9, IN BOOK 217 OF, DEEDS, PAGE 377, BUTTE COUNTY RECORDS,
IN SECTION 34, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M.
EXCEPTING THEREFROM ALL THAT PORTION THEREOF CONVEYED TO THE
COUNTY OF BUTTE IN DEEDS RECORDED AUGUST 4, 1989, UNDER BUTTE
COUNTY RECORDER'S SERIAL NOS. 89-29263, 89-29264 AND 89-29265.
ALSO EXCEPTING THEREFROM ALL THAT PORTION OF THE ABOVE EASEMENT
LYING WITHIN PARCEL II, DESCRIBED HEREIN.
END OF DOCUMENT
•
- - • .. ""' /JCS'
�..:{
_
. kS�
711
BUTTE COUNTY DEPARTMENT OF IC HEALTH
PHEALTH
'.
r
DIVISIO r ENVIRONMEN
1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD-
CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965 PARADISE, CALIFORNIA 95969
i N
(916) 891-2727 (916) 538-7281 (916) 872-6308
APPLICATION FOR. PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM '...
' ` i rpt' Assessor's Parcel No. J-1'J� rI j�c. �/ { / ,-
Owner's - f„ �. r iy /�r'iil �'l. r � �T
�-'
Applicant's Name /% �' � , �� -r> j� Phone No. � � � � V�'
:,
Mailing Address
1. Construction Site AV``_
(Street'and number or direction and distance to nearest crossroad)
2. Lot Size / feet > 2-V feet. acres
x
.v
3. APPLICATION FOR: New system for new building ,L'7J Auxiliary or secondary system ❑
Repair of or addition to old system ❑ New system to replace existing facilities ❑
4. Type of building to be served by proposed system:
Mobile Home ❑ (size No. Bedrooms Garbage di s osal?
House Z. No. Bedrooms `2_ Garbage disposal?
Other ❑ (specify) ,
5. Water supply -for premises: (Must be safe, potable water) Community ❑ ' Private well 9.Other.
Water supply for ajoining properties: Community ❑ Private well ❑ Other
6. WORKMEN'S COMPENSATION INSURANCE
❑ I have placed an file with thq Co(imy of Butte a car
I am aware of the provisions of Section 3700 of the California Labor Coda Compensation Insurance. J �>
Which requires every employer to be Insured against liability for Workmen's r�T
Compensation. Y I certify that In the,Wormance of the work for
Issued I shall not emptoyany person in any manna
the Workmen'smpensatlon Laws of Cal a.
7.. SCALE PLOT PLAN TO BE FURNISHED . �/�"�
Sketch to scale on.reverse side hereof, or attach scale sketch of,plot plan of the emis xsl� i m
a. Property lines.
b. Location of all proposed and existing buildings,
structures, driveways and parking areas.
c.' Location of large trees, rocks, or other obstacles.
d. Location of -any well, spring, creek or other body of
water on the parcel and within 100feet of property line.
e- how dein
fS,0- e of
01(.41
. ater liA
h.ck lines andemerfs` %=%'"
i. Proposed sewage disposal system and area* for
replacement. �w • ;�- .r ..� ..Mw . ,,•°
I hereby state that the information above and on the reverse side hereof or attached hereto is correct and
true to the best of my knowledge. I understand that the permit must be obtained before any construction is
begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system
is required before the new building or dwelling maybe occupied or the system backfilled, or put into use. I also
understand that a safe potable water must be supplied to the new building or dwelling before occupancy can
take place/'
Signed �' Owner f Authorized agent ❑ Licensed contractor ❑
Date `.��' �% % (An original letter of authorization must accompany this application in order for
an authorized agent to sign.) '
FOR OFFICE USE ONLY
Legal parcel? zoning Use permitted
Access -5e' No_ _Amount f T 4
Water plans cleared Potable water
Comment
P . CVM
111/1P®RTAoiI'i';MESRAGE
FOR
A.M.
DATE TIME �. P.M.
M
OF
PHONE
AREA CODE NUMBER EXTENSION
TELEPHONED
a
PLEASE CALL
CAME TO SEECALL
AGAIN? ' fy
WANTS TO SEE YOU>µ s <
t,
FIUSHs
s".,�"�::
WANTS TD SEE YOUa
;RUSH +�b�*ayes
r
spa x
s
s RETURNED YOUR CALL
s�
SPECIAL ATTENTION
' '
'RETURNED YOUR,CALL''
'SPECIAL ATTEN.TION ;
MESSAGE
L� 1•t�
!vim
.o
SIGNED
LITHO IN U.S.A.
TOPS 0 FORM 3002S
lMPORTAPJT;MES'SAGE,
FOR e
A.M.
DATE TIMEQ-' P.M.
M '
lj�� `
PH E`
AREA CODE NUMBER EXTENSION
SIGNED
LITHO IN U.S.A.
TOPS Q FORM 3002S
a
PLEASE CALL
�`
CAMETO SEEYOU
•�:za=,�•,��6� ����'
es �Wz��
WI�LLCALLAGA�IN��g�,..,,�,:.
s".,�"�::
WANTS TD SEE YOUa
;RUSH +�b�*ayes
tH:
spa x
zx,
s�
'RETURNED YOUR,CALL''
'SPECIAL ATTEN.TION ;
SIGNED
LITHO IN U.S.A.
TOPS Q FORM 3002S
t _ 036= 159 � 1 �i FPS IT#96-0901-�T' �
HOLT, Arthur & far Tara
47, Iron: Horse tn •7oroville
Complete Batfirooms/SF.
31
qq
;y e • t
• K
i
—
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGIDIVISION�
7 .County Center Drive - Oroville,� California 95965 - Telephone (916)`538;5 PERMIT NO.
APPLICATION AND PERMIT '_� �!
ASSESSOR PARCEL NUMBER
036-130-159
ZONING
BUILDING PERMIT
OWNER �LS ..� '-�. }
t
TELEPHONE
SO. FT. OCC. } BUILDING
VALUATION
OWNER'S MARJNG ADDRESS •\ .�. _ _.
47 IRON LL411, CA 95966
CONTRACTOR'S NAME
OWER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace ,
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
•�'...
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
47 IRON. WISE LN- F
PERMITFEE $
PLUMBINGPERMIT Fling Fee_ 20.00
Each Trap 4
7.00 •
LOT NO. SUBDIVISION'S NAME
PARCEL.MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF CDX Duplex`I]' Mobilehome ❑ Other
SPECIFY _
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherlr
Describe Work: CUTE BATHROOMS A�.
— I
Mobile Home S G W @20.00
PERMITFEE $ 48 .00
Contractor
ELECTRICAL PERMIT20.00
Filin Fee
J
Main Service ( Zoon oa LEss )
23.00
Main Service ( 200A TO 1000A )
46.00
}
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisionsIOf 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
Lawfor the following reason: 1.
N1 I, as owner of the property, or my employees with wages as their sole compensation,
P", will do the work, and the structure is not intended or offered for Sate%'
❑ 1, as owner of the property, am exclusively, contracting with licens-1A pontractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions ,Code for this
reason IFS
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
SO.
3.50 Fr.
NEW CONST.MULTI-OUTLET
NON-RESID. ( )
APFRCUIT
97.50
PBORWS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FOCTURES )
BAL I.w
Ex. Occup. ( ounEEDrs RES . R )
5.00 \
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations;
❑ 1 have and will maintain a certificate of consent to self -insure Ifor workers',,
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. "I'
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this pe=mitis_ issued.
My workers' compensation insurance carrier andnumber
Carrier U
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number "NF IT
(The above sections need not be completed if the permit is for work?of, a valuation
7 of one hundred dollars ($100) or less.) r;
�Q I certify that in the performance of the work for which this permit isis-,I shall
'\ not employ any person in any manner so as to become subject?to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
_
X _�, ,��--� n ! Date _ _—r_—
Signature -of Applicant - .Q Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionDate
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
coNsr. TYPE
TOTAL FEE $ 48.00
HAZ.
1 O. FEES
I IMP I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
gy '1 _
` . �` �fJ�(L
L r/
PERMITEXPIRESON # 0 r,-
Date)
GG
Receipt No.
WHITE-D.D.S.-B.D.I CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVISIO
7'�County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ^, PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PAF ELNUMBER
036
ZONING
BUILDING PERMIT
OWNER R lk
ARTHUR
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
47 TRON HORSE LN. , OROVTT.T.F., CA Q9966
CONTRACTORS NAME
ER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
4 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF [AX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )ff
Describe Work: COMPLETE BATHROOMS
Mobile Home ISI GI W
@20.00 �
PERMITFEE
$ 48.00
Contractor
ELECTRICAL PERMIT
FilinQ Fee 20.'00
Main Service a DV oR LESS
( zooA OR LESS )
23.00
Main Service ( 20CA TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
7 I, as owner of the property, or my employees with wages as their sole compensation,
/ \ will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BLDS. )
SO.
3.5¢ FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FOCTURES )
20 Q 1.00
00
BAIL.50
Ex. Occup. ( OUFIXED APLNS. TLETS(RESD.OR 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with �cply" it those rovisions.
_
X Date _ —��
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is require for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 48.00
HAZ.
1 D. FEES I IMP
I FLOOD
I COF
PARCEL I PD I HD
ISSUE
This permit is hereby Issued under the
of the Butte County Code and/or
indicated above for which fees have
(L
PERMITEXPIRESON VPS
applicable provisions
Resolutions to do work
been paid.
Date
Date)
Receipt No. `7'�
WHITE-D.D.S.-B. CANARYSSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 personally plan to provide the major labor and materials for construction of the
proposed property improvement . YES[] NO ].
I HAVE[ ] HAVE NOT[ ] signed an application for a .building permit for the
proposed work.
3.. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
- PROPERTY OWNER: WE
SOCIAL SECURITY NUMBER: -
DATE: 4 9
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property are
unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildet"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building, permits are not required to be signed by property owners unless-they-ar-e-perfomung 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.
Sincerel
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This ONNmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
Y'\ -
CHECK LIST AP#
Application_
Cv7 AP#
C� Workmen's Compensation Insurance
ri --ttU1T' r) --1 I -e r
C>=fir-Permit application letter
Cid' Plot Plan for Well and Septic application
11 Floor Plan for Septic application only
1-1 Correct box checked for signature
(i.e.authorized agent—need letter from owner
giving permission to take out permits)
C',T": Receipt # and amount
'�
C' Log in
CY� Make copies of Planning, Public Works and
Environmental Health Files on computer
After Permit Has Been Issued:
CEJ/ Log in that permit has been issued
C To Supervisor for approval
i1aY copy of Well permit to Well Driller
M----RaiT copy of Well application letter to Well
/ Driller/Owner
CO"Input into computer
Make copy of permit and send to Assessor's
Office +-
C] Clearance issued for Septic Permit only
c:chkIist
�_• n, BUTTE COUNTY`DEPARTMENT•OF HEALTH
} r DIVISION'OF-ENVIRONMENTAL' HEALTH
"i SEWAGE DISPOSAL PERMIT
�d-
196 MEMORIAL•WAY7 COUNTY CENTER DRIVE
CHICO, CALIFORNIA 95926 ,_747 EL`LIOTT ROAD OROVILLE, CALIFORNIA 95965
PARADISE, CALIFORNIA 95969 Phone: 538-7281
Phone: 891.2727 Phone: 872-6308
r f � 1
4A
;> Date Issued
EXPIRES•ONE YEAR FROM DATE OF ISSUANCE
�X Permit'Issued'to � 14c -e
To' construct a; sewa eadisposal sys/te for:"
Located, ati
SEPTIC TANK SYSTEM`REQUIREMENTS
.,� Septic Tank
(Inside,Mea�rements)�-Leaching Field
;Lengthft. Total Length:. ft.
Width:ft. Trench width:. . inches
s Liquid depth:. ft. Minimum No. of lines. i
, 4
Y �• f
Rock under file ? inches
f Liquid capacity: �. gals.
jr
}• ' ' Irl S : 1 ,�/ 6.. - N e_ -:7--:S �•-� Al 71 '
Sppecial c�nl t •n /;•"'�--
• • '' .L:.t:�c/� L i /t�'"F'" �? cam• cam': s
r. Additional Ieachinglfield will .be required if `experience shows it to be necessary. No part of -the system may
be located within 50 feet of the center line of•any County Road.
' NOTE: Satisfactor ins ection.b . thetHealth'De artment is required before backfilli' or uttin
Y' P Y p. q ng,or g
the system into us�e.:Occupancy.of a.newbuilding' is not permitted until the system is approved.
Permit Fee S ' •',Penalty;. Fee ,1 Fee°
rJ
Building Sewer.Fee Issu
c j Sanitarian i
Recei t
a, *
S31 -278R • .• �.
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