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Home My WebLink About079-340-042PERMITN95-0649 SIM ONS 11'76 Mt Ida Rd., Oroovil 9/g�Si Cont: Phil Wendell Construction New Single Family 07 —0c/2— . 6 TI-- . I -- RESIDENTIAL f 036-670'042 PERMIT#95-0649 SIMMONS Mt Ida ,Rd., Oroville Cont: Phil Wendell Construction New Single Family Y -,Z 0(f Z GAS Meter By Date ELECTRIC 'C Meter By_ Dat 408 FINALED (Date) Signature allAd' Zill I /. OFFICE COPY Address Y36191-- GAS Meter By /,A Date Me GAS Meter By Date ELECTRIC 'C Meter By_ Dat 408 FINALED (Date) Signature allAd' Zill I /. V=OK O = Not OK = Not Readyable MOBILE HOMES R Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a . d. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch '• 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ /'L" h./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 41!fkoning Requirements -Setbacks -Easements 2.r Footings; Soils -Size -Depth -Spacing -Connectors -Steel r (3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails O -A. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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 Equlp.-Pool Lghtg. Boxes- Enclosures -Pane Iboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O Not Not Applicable RESIDENTIAL - = = Not Ready �. Date/initials UND F OOR Plans OK except #'s i 1 / g -Setbacks -Easements -Flood -Slope F ., Main; Soils-Elec. Grnd.-/ P' Ftg._Qopth A. / Ftg., Garage; Sol ls-Steel-Ele rn - tg. Depth 4. Ftg., Porches & Decks; Soils- eel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped s �6a. F1p1d Downs and Special Anchors 0 8. Pie ireplace Ftg.-Steel `j Jy ICS .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test r 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation rw," Date/Initials P BIND Permit OK except #'s 1 -Water Htr.; Vent -Access -Combustion Air -Baffle 17. ipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection r Pan; Test, First Floor -Tub Access 20. ub & Shower, Second Floor -Tub Access 1. Gas Pipe; Size & Anchors OK except #'s `, xtu & Transformer Clearance -Ins. Protection 23. c. R!22ptacies Spacing -Lights & Switches at Doors 4. Boxes & No. of Conductors -Stapled 25. Ro nstalled Close to Edge of Studs & C.J. t. Equ' round made up w/Meeh. Fastners-Bond Gas & Water -27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI C 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. ( _,r�or Al 9. Range -Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. _,J,r<uIajed Neutral ❑ Yes 13 No 30. S is -Riser Conductors & Ground -Main Disconnect E p learances Panels -Motors -Mach. Equip. thes Closet Light -Shower Light -Spa Light Smoke Detector Date/Initials MECHAWCAL Permit OK exce t Jr Ducts Insulation & Support Fan; Exhaust above insulation Co to Drai & Overflow; Size & Grade Furnan ant; Access -Comb. Air -Return Air Vent -115 outlet 38 is Access & Platform If Furnance in Attic Material & Anchors /49iBearina Walls over Girders & Floor Nailina . Draft Stop in Wells (rat proof) 43. Fi ps; Furred Ceilinas-Stairs-Chases-Tub i44. Headers & Beam -Size & Bearina J Singe& �+uplex) 1 FRAMING ties-Purlin=roof Brec- Ties or Type A Flue -Fireplace Throat clearance V8. Attip_�ess; Size & Romex Protection -Draft Stop -Ins. Baffles C---49�J3606 Windows or Exiting Doors -Sill Hgt. & Dimensions Firewall & O C,�r2. E t. QWrrs-One T -Check Garage -3rd Story, 2 Exits Protection e,.54 Gfywsoii on Roof Overhang -Attic Vents -Rafter Outriggers ailing Veneer C S6.SWco Mesh -Drip Screed -Fd: Vents-Underflr. Access 57. qjAzh1g Area -Glass Protection-Skyllghts-Plastic . Shear Wells; Nailing -Bo 59. Insulation- ill'"' ilin s Date/Initials FI Plana OK except #'s Steps -Door & Sidelight Protection -Landings Smgke Detector urn ; Vents -Clearance -Comb. Air-Connector- arege; Above Floor -Ducts -Mach. Protection 11-W. G.FJ. & Bath Fixtures & Tub Access-SDa /6 . 1sq.,Trim & Subpanel; Breaker Sizes & Labels ace or Stove; Clearances -Hearth . Elec. Outlets at Wood Panel; Int. & Ext. 7,0. xt. & Appliance; Grnd: Air Gap -Cooking Clearance d -EIe Outlets & Receptacles at Kit. Counter Garage Fire Door; Swina-Landina-Closer 7. r 7 r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection ec. & Mach. Equip. Listed for Location Ele soeptacles in Garage; (G.F.I.)-Romex Protection nsulation-Foam-Looked In Attic ❑ Yes s eo onstruction-Post Caps 7-9-F rainagge & Wood -Earth Clearance Looked under FlogO Yes 80. Following instld.; Drive Yes o; Walks ❑ Yes ❑ No; Planters ❑ Xn!XPA9 - 99/12, 81. Stu co; B wn-FI s A.C..Unit Disconnect, Electrical, Plumbing ants Above Roof; Plbg :Appliance -Fireplace: Clearance to Openings 84.-V ftte''rWeil-Disconnect, Electrical, Plumbing LaS'E6terlor Elec. Trim; G.F.I. Receptacle -Underground cAe'vqptilation Throughout House , Glass Protection 88. Corrections from Previous Inspections s T t -Meters Tagged; Gas -Electric r & Sewer Connected -C/O to Grade -HD Approval Z4?.�Energy Compliance Certificate -Other Certificates Comments at nal: INSULATION CERTIFICATE PHIL WENDELL 1200 MT. IDA OROVILLE BUTTE NUMBER AND STREET CITY COUNTY SUBDIVISION LOT NUMBER PLAN NUMBER DESCRIPTION OF INSULATION CEILING BATT OR BLANKET TYPE FIBERGLASS BRAND NAME GERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R-VALUE)y LOOSE FILL TYPE INSULSAFE III BRAND.NAME CERTAINTEED CONTRACTOR'S THERMAL RESISTANCE (R -VALUE) MINIMUM THICKNESS .. INCHES EXTERIOR WALL BATT OR BLANKET TYPE . FIBERGLASS THICKNESS (INCHES)_ BIB SYSTEM JUEULSAFE III CONTRACTOR'S MINIMUM THICKNESS RAISED FLOOR MATERIAL FIBERGLASS THICKNESS INCHES BRAND NAME . CERTAINTEED THERMAL RESISTANCE (R -VALUE) BRAND NAME CERTAINTEED THERMAL RESISTANCE (R -VALUE) BRAND NAME CERTAINTEED THERMAL RESISTANCE (R -VALUE) DECLARATION I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS, INSTALLED IN.THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE CURRENT BUILDING ENERGY EFFICIENCY STANDARDS FOR NEW RESIDENTIAL BUILDINGS CONTAINED IN TITLE 24 OF THE CALIFORNIA ADMINISTRATIVE CODE. GENERAL CONTRACTOR (BUILDER) LICENSE NUMBER *l. SIGNATURE & TITLE DATE SHASTA INSULATION '.272941 SUBCONTRACTOR (INS TION INSTALLER) LICENSE NUMBER 4-ij PRODUCTION SUPERVISOR SIG ATURE TITLE DATE COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF'DEVEL(`iPMENt SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. A / L / /tet Date, Inspector REV 101d2 tier s �; COUNTY ZOF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Ceriter Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION .NOTICE OWNER - 0"�'/!2 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any questions pertaining to this matter, or need additional explanation, please contact this offf' a immediately. / G / 2i -, "'e r' — ) P'0'.44Z /i?_SLt 'L I Date / Inspector REV 10/92 S� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF. DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE r f >o py\ OWNER' —� PERMIT N6. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address andshould be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to Phis matter, or need additional explanation, please contact this officepimmediately. / ti. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 .County Conter Drive - Oroville- California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��`0& �` ASSESSOR PARCEL NUMBER 036-670-042 ZONING ARA o BUILDING PERMIT OWNEI Simmons TELEPHONE SO. FT. OCC. BUILDING VALUATION 1836 R 99,144. 1NET' X0111 SDR'1`Ia Rd., oroville, CA 95966 624 M 11,232. DOMRACTOR'S NAME Phil Wendell Construction TELEPHONE589-0401 365 C 4 745. CONTRACTORS MAILING ADDRESS Fireplace 'A' 1,500. CONSTRUCTION LENDER UNIDJOWN Total Valuation $ 116 621. Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 699.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 454.35 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 1198 Mt- Tdn Rd-- nrnuilltn PERMITFEE $ 11196.35 PLUMBINGPERMIT Fling Fee 1 20.00 Each Trap 9 7.00 163.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF [5t Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 Bedrooms Mobile Home S G W @20.00 PERMITFEE S 143.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service EOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO ,aooA ) 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 full force and effect. License Class - Lic. No. 0/07 61), 9 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. OR ADDNS. ( 8 ACC. BUDS. ) SD. 3.5¢ FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) zo ,.00 BAL SO EX. OCCU FIXED APPLNS. OR p. (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 423.00 PERMITFEE S 129 55 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 Policy Number e above sections need not be completed if the permit is for work of a valuation f 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 h Iy w- h thosens.-- - ✓ �jr - X Date _J 7J Sign ture 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. L MECHANICAL PERMIT Filing 9 Fee 20.00 Heating 4 ton 20.00 Cooling 20.00 Hood 6.50 Ventilation PERMITFEE $ 66-50 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ Occ R-3 CONST. TYPE V -V TOTAL FEE $ 1)581.40 HAZ. X I D. FEESIMP FLOOD X X CDF Pn�CEL P� HD X 1� X X 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. B 4(2 � 95 Y �7ate Q PERMITEXPIRESON 2 7 / I (Date) g$cXMMUX0 175825/559.60/// 3s-,a� Receipt No. -�O� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GO DENROD-APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION - Y� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER S*(V)qMnY1 S P No. (D " Qs Qq Proposed Building Use 0 l 1)> Building Inspector -QftDate 9d 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. '10. 12. 13. 4. 15. 16. 17. 18. M,Z_ 19. 20. 21. 22. � 23 - 4. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs,,3/4 sets, with wet signature on plans . ............. Hazardous Material Form. . and supporting .. ument .......................-moi Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ �+� .'•ova ! <. g0 .............................. Impact fees as shown on attached schedule. .. . California Department of Forestry plan approval/f es. y�(v ......... Flood elevation letter (100 year flood) by California ngineer. .................. Sanitation and plot plan approval Omit 114 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).i<<i'�t�-�l..- Pre4rispectf fn request Pre -inspection for required. N1,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. ..... 4 Letter of intent on building use . ......................................... Mobilehome utility clearance ............................................ s Documentation of legal access......................:....7............ . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plancheck list . ..................................................... Whenyou issue the permit, process as follows: I :� Telephone-� and hold for pickup at Other Parcel Creation Acreage Applicant Mail to contractor. - office. Deliver with inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date _ The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: (Circle new item not checked above). y� Date ' By 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 3 Sets of plans on hold in File cabinet AP folder V!//s 9S - Copy - Department of Public Works R.H. rwc rhn AM -a -a / r Scat f0 B.D— I I / 'Ii): Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance k / ?c�7c---P-4 c-11 Owner / Location Plan Approved for: Sewage Disposal G/ Water Supply: Public t� Clearance for room e. ther AP# Private Well Hold Final clearance O.K. for: Environmental Health 8/92 ` Date COUNTY OF BUTTE — DEPARTMENT ° OF DEVEMPMENT SERVICES — BUILDING DIVISION .7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 OWNER 3'(M PROPOSED BUILDING USE i 1. SCHOOL DISTRICT FEES (paid at District e13Office). ........................ 2. SHERIFF FEES (paid at Building Department) Residential .......Ix $ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) A. P. DATE . REC. # DATE REC -ghlZr71- At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P, NumberC66 (oJurisdiction 0 Property Owner Property Locatic Subdivison Building Department No. City (] County Residential Development Lot No. Sq. Footage No. of Living MHI Addition ((rup R) Units Commercial/Industrial 0 A A A;+;=fin (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) 4 r 4//"! 5 h � — Date District Identification No. School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State),. (Zip Code) has complied with the requirements of Resolution No, 9� - C/fL /4 by payment of $. /S%= '9 -2 - representing square feet. El Check here if fee received represents "Full Mitigation". School District Representative Date Paid by Check # Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under. the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district). feeform.wkl (aiea) Installation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PERMIT #: BUILDING ' LOCATION : An installation certificate is required to be posted at the bi gilding site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate,(or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. . I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under. Water Heating Systems. Heating Equip. CEC Certifled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efflcloncy Type and Piping Before Over- Equipment heat pump, etc.) Model Number (AFUE, etc.) Location R -Value Sizing (Btuh) Capactty (Btuh) ball- c • 383 � [1n41�i/ fYD% ��Jm"�f y , z _ _. O CEC Certifled Cooling Equip. Compressor Unit' Actual Disiributlon Duct or Type (air Gond., Manuf. Make & Efficiency Type and Ming heat pump, etc.) Model Number (SEER) Location Ming The building design heat loss and design heat gain rat:, have been determined using a method specified in Section 150(h) of the Anergy Effic* ncy St dards, and are two of the criteria used, for equipment sizing and selection. +' j C Kignature Date HVAC Subontraaor (Co. Name or General Contractor or Owner WATER HEATING SYST.-EMS1 a Energy Water Heating CEC Certhled Rated' Tank Factor or System Type Manuf. Make & Input (kW Capacity Recovery Stani (storage gas, etc.) Model Number or Btuh) (gallons) Efficlencv Loss EGA-ya ki. 51thi 1640c) f 0 s,,(L(L_ *asp 1. AIL External Tank Insulation R -Value R, (6 1. For small gas storage (rated input 5 75,000 Stu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Lcss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All fau s and sho erhe d installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursu n to itle Pa Subchapter 2, Section 111. // /�DDa l i `O Signature Date Plumb,ng Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Point System Summary: Climate Zone 11 BUILDING DATA oned Floor Area�� Number of Stories wised Floor eck all applicable Unit Type condition(s): [vr'Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ J Multi -Family (MF) [ J Existing-Plus-Adddlon P -2R Date - SCORECARD Measures Point Scores 1. Ceiling Insulation or R-value1381 U•valus 10.0261 2. Wali Insulation I_ or R -value 1181 "aloe 10.0651 3. Raised Floor InsulaUonor H A' R -Value 119 U -value 10.0371 O 4. Slab Edge Insulation -61— or R -value 101 F2 factor 10.751 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) d 6. Fenestration Heat Loss NI Vef7 I I• v O Type U•value 10.661 TOW % Fenec. [161 Sum 1.6 7. Fenestration Heat Gain % Fenestration SC&wwo cc en Elf. % Fenes. Shade Eff. Rata North It x East 4 x South $ x T O West x Skylight -tom x = � � a Overhangs? ( Y / N 8. Interior Thermal Mass- or % E. Slab [201 0t; t"l FA O 9. Exterior Wall Mass --fes' t'�WAM sum 7-9 10. Heating System J01 x AFUEorHSPF Duct Effie. ri story: Effecdw AFUE Zonal Control [78% or 6.61 0.83; 2. •toy: 0.881 or F Adjustment [oJ 11. Cooling System 10-41 x a v' •� 0 SEER 110.01 Duet Effie. 11 s Effec ive SEER Zonal Control 0.81; 2* story: O)A;l Adjustment 101 12. Water Heating System 1 moor --�- s.hfv- YPe rterppY Faotot Ext. Ins. R�rakw Auxiliary Input tnbunon System 2 W1 [8Y 1 [121 [Worwj 0e 1�V�(STDJ n Heater y actor Ext.ln— S— R-valuee A n-pu�V GL_ Type i ,fig �� 0 Point ro tai: 0 Form Revlwd . nuoy 1992 Point GoW. 0 -- Fenestration �rgga o North East South West Skylight� O Total � I • v SCORECARD Measures Point Scores 1. Ceiling Insulation or R-value1381 U•valus 10.0261 2. Wali Insulation I_ or R -value 1181 "aloe 10.0651 3. Raised Floor InsulaUonor H A' R -Value 119 U -value 10.0371 O 4. Slab Edge Insulation -61— or R -value 101 F2 factor 10.751 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) d 6. Fenestration Heat Loss NI Vef7 I I• v O Type U•value 10.661 TOW % Fenec. [161 Sum 1.6 7. Fenestration Heat Gain % Fenestration SC&wwo cc en Elf. % Fenes. Shade Eff. Rata North It x East 4 x South $ x T O West x Skylight -tom x = � � a Overhangs? ( Y / N 8. Interior Thermal Mass- or % E. Slab [201 0t; t"l FA O 9. Exterior Wall Mass --fes' t'�WAM sum 7-9 10. Heating System J01 x AFUEorHSPF Duct Effie. ri story: Effecdw AFUE Zonal Control [78% or 6.61 0.83; 2. •toy: 0.881 or F Adjustment [oJ 11. Cooling System 10-41 x a v' •� 0 SEER 110.01 Duet Effie. 11 s Effec ive SEER Zonal Control 0.81; 2* story: O)A;l Adjustment 101 12. Water Heating System 1 moor --�- s.hfv- YPe rterppY Faotot Ext. Ins. R�rakw Auxiliary Input tnbunon System 2 W1 [8Y 1 [121 [Worwj 0e 1�V�(STDJ n Heater y actor Ext.ln— S— R-valuee A n-pu�V GL_ Type i ,fig �� 0 Point ro tai: 0 Form Revlwd . nuoy 1992 Point GoW. 0 -- Certificate of- Compliance: Residential (Page 1 of 2) CF -1 R Prolect Title L111110w 1.17 ' Project Addresal 2 Building Permit �► G' I PL.N"i l ?J ��✓?7 I Plan Chock/ Date Documentation Author Telephone Z!2 I I t Field Chock/ Date Compllan Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: J- ft2 Building Type: Single Family . Addition (check one or more) Multi -Fa '' Existing -Plus -Addition Front Orientation: North �Eat�st'/ South / West / All Orientations (Input o tion in degrees and circle one.) Number of Dwelling Units: Floor Construction Type: '/ Raised Floor (circle one or both) BUILDING SHELL INSULATION Component Type Construction Insulation . Assembly Location/Comments R -Value LI -Value (attic, to garage, typical, etc.) Wall .............. �_ "rY'Pll.Ali Wall .............. Roof ............. Roof ............. Floor ............. �f Floor ............. Slab Edge .... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Orientation (sf) LI -Value (roller bl Front..... (�) Front..... ( ) Left....... (fj) Left ....... ( ) Rear..... (��) Rear ..... ( ) Right..... (1,J) Right..... ( ) Skylight ....... Skylight ....... Exterior etc. Overhang Framing Type (ves/no) (metal/woodNinvl THERMAL MASS Area Thickness (sf) (inches) . Locatiol 411.1+ :�='6 L, L_ Revised December 1992 Certificate ofComplian'c'e: Residential (Page 2 of 2) CF -1 R Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump, etc.) (AFUE/HSPF ducts/attic, etc. R -Value Type (split or package) Toms _ -,2e-A'- t'l a Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, eva . cooling) SEER attic, etc. R -Value T split or package) WATER HEATING SYSTEMS Energyl External Ratedl Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standbys Insulation Type Type in System or Btu/hr) (gallons) Efficiency. Loss (%) R -Value 1. For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) NdFJC�/ 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 (per Business & Professions Code) Name: Title/Firm: Address: Telephone: Lic. #: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (date) Revised December 1992 Documentation Author Name: l/1 1 F4\1-16.4 Title/Firm: Address: It 1 -4,* ---- Telephone: y . -'e�a i (signature) (date) Mandatory Measures Checklist: Residential MF -1 R NOTE:.Lowrise- residential buildings subject to the Standards must contain these measures regardless of the compliance M 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 DESIGNER ENFORCEMENT Building Envelope Measures * §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. * §150(c): Minimum R-13 wall insulation in framed walls;(does not apply to exterior mass walls). * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab 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 California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -valve, 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 §151 meets Commission quality standards. §150(e): Instal►iltion 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. Space -Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §1500): 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 interiorlexterior 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 recirculating sections of hot water system. y 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect 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 dampers or automatic 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. 6114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36' 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. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot tight. (Exception: Non -electrical cooking appliance with pilot < 150 Btwhr.) Lighting Measures §150(k): 40 lumenstwatt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. V Revised January 1992 LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. OWNERS A.P. NAME NUMBER: PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION:, /Aa 9 14 R FLOOD ZONE: FLOOD MAP: APPROVED: V CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS `"*' PLrfiZ yu e (.s- if d G DATE OF CREATION: J/F-✓ Ze', /Y 9Z DEED REFERENCE: 'I Z--UO3ry Z �" F r>�e✓i LEGAL ACCESS PROVIDED: ib YES NO LEGAL ACCESS REQUIRED: S° YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: io YES NO COMMENTS/CONDITIONS: C (%C /SSoL-V PARCEL CREATION BY MAP DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a building setback from right-of-way/centerline of _ 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ " 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 12. ,. ' ,'Y' it _way . CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12/94 • C:%WP511F0RMS.KI8LDGPERM.CLR " •,eS, lueux9oj9A80 PUF-' 5661 9 - M Sun® A0 AaE .a And when recorded mail to: Building Division 9 5-0116 26 I 1626 Rec Fee 9.00 COP 1.00 #7 County Center Drive Recorded I Cash 10.00 Oroville, Ca. 95965 Official Records I County of Butte I Candace J. Grubbs I Recorder I 1:51pm 10—Apr-95 I PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte Countv Code requires this acknowledgment to be recorded prior to .issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary -farm operations. All that real property situate in the County of Butte, State of California. described as follows: Date: to k PROPERTY OWNERS: , State of Californi• ) County of DE4 ) � do On � �� 1 5 before me, Tr �_ yedo personally appeared �r� �,r ( �'1 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand d official sea T. A2EVED0 COMM. #990044 Z = ° ' NOTARY PUBLIC -CALIFORNIA M Signature Scal: BUTTE COUNTY 14 COW,. ExFIires Mach 311, 1997 1 NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A.- 1 Instructions for recording Agricultural Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a m. - 3:00p.m. (Monday - Thursday). OVER 95- 1 1 626 DESCRIPTION Beginning at the southwest corner of Lot 1 of the Mt. Ida Subdivision, filed in Book 11 at page 21 of Butte County Official Records, thence North.00-19'00" West along the west line of said subdivision 275.14 feet to the true point of beginning; thence from said true point of beginning continuing along the west line of the*Mt..�Ida subdivision North 0019'00" West 175.24 feet, thence leaving said.west line,North 69-04'00" East 149.95 feet; thence North 27-35'00" East" 102.79 -f eet;- thence North 1139'00" West 124.65 feet; thence North 1425'00" East 65.45 feet to the south line of the parcel described in Book 65 of Maps at page 100, -,-thence along said south'line South 8552'44" East 202.88 f eet,2-. thence North .7759'31" East 1.00.71 feet more or less to the southwest corner of lot 3 of -Simmons Subdivision as recorded in Book 43 of Maps at Page 57;.. -thence 479►36 feet along the westerly line of said Simmons Subdivison', said westerly line being a curve to the rightconcave to the northeast, having.''. radius of 755 feet, and a central angle of 36-22'40"' to the southwest -corner of lot 1 of Simmons Subdivision Number 2 as recorded in. -Book 66 -of Maps at pages 38 & 39; thence South 7406 ' 59" . West 147 -60 --feet; thence South 4418 ' 52" West 175..54 -feet; thence North 8645'521;' West 481.81 feet more or less -to the*true point of beginning; said parcel containing 5.96 acres more or, les TOGETHER WITH a 60,.,foot wide easement for road and public utility - purposes described as follows;- Beginning at the -southwest corner of Lot -1. of Simmons Subdivision No -2, thence along -the south line of im 11 ...w .: 1. os{:.`�u •'`'r'� said Lot 1 North 59-39'04" East 90..34 feet;. thence 58.80 feet along a curve to the left concave to the northwest,. having a radius of 30.00 feet and a central angle of 11218'27"; thence 125.12 feet along the westerly right of way line of Mt. Ida road,. said westerly right of way being a curve to the right concave to the northeast, having a radius of 630 feet and a central angle of 1.1-22'45"';' thence. 1 eavi ng said westerly right of way line of Mt. Ida road 19.66 feet along a curve to the left concave to the south,. having a radi us. of 20 feet and a central angle of 56-18'48"; thence South 5939' 04" West 169.24 feet; thence South 7406'59" West 259.16 feet; thence North 4418'52" East 121.49 feet; thence North 7406'59" East 147.60 feet to the true point of beginning. This easement is appurtenant to and shall inure to the benefit of Trudy Lee Delp and Terri. Jean Peterich, any heirs,. successors,, or assigns and is applicable to any or all portions thereof. ,c; 020641 ^ � r �* 9-30 - C43 EiiD OF ®Oo.UNiENT END OF DOCUMENT A TN O. W FL. UNI T NO 4, 8 MT IDA 5U,6. T19N.-R.4E. (GOT 3) 4. 5 2AG N. "9 IW AC. (D4 jpc. LOl A Lai B 0 J.ZAC SIMMONS SUB. NO. I 1.5 AC k-25 191.3 A 73AC Is; rm tiOLLS'o moi 2 a20AC z) c ft m 21 424 c- -96 0� .0 Q' /D� oo A 0636.12— i14 ,V 860 C, (Lor 13UOe County ent 1 Health NO. 4, M.O. R. BK. /1, P9.27, 28, 29, 30 a J/ -------- 144 imi Sim (00-00 100.00 .44 45 4 0) IJ4AC 206.97 (LOT 95) 2.04 AC mo 268.48 39 2.23 AC tn 0 J.ZAC SIMMONS SUB. NO. I 1.5 AC k-25 191.3 A 73AC Is; rm tiOLLS'o moi 2 a20AC z) c ft m 21 424 c- -96 0� .0 Q' /D� oo A 0636.12— i14 ,V 860 C, (Lor 13UOe County ent 1 Health NO. 4, M.O. R. BK. /1, P9.27, 28, 29, 30 a J/ -------- 144 imi Sim (00-00 100.00 .44 45 4 0) IJ4AC 206.97