HomeMy WebLinkAbout042-610-02446—
..................
WEBB BROTHERS
J128 Brandonbury Ln, lot 45, &STRIvertree II
Chico' ��Q � 8�
Contr: Webb Homes.
Permit#550-87B,P,E,M(new single family)
42-61-24
NEW OWNER
KATIE MIL® /:qnal
728 Brandonberry, Chico 5 D
Contr: Carefree Pools
Permit#474-88B,PqE(new swimming pool)
ContR: Jay Slayton 42-61-24
PErmit#1642-89B,E(addition/S
042-610-024
610-024
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MILO, KATHERINE
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42-610-024 2-1757
MILO, KATHERINE
728 BRANDONBURY
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042-610-024 .4- 842
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728 BRANDONBURY LN, CHICO
Cont: TOMS AIR CONDITION
HVAC
B08-0594 042-610-024
MISCELLANEOUS Room Addn-First,Stry
ADDITION TO SINGLE FAMILY 104 S
728 BRANDONBURY LN,,
MILO, KATHERINE J TRUST
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
" . PROJECT INFORMATION
Site Address: 728 BRANDONBURY LN
Owner:
Permit NO: B08-0594
APN: 042-610-024
MILO, KATHERINE J TRUST
Issued Date: 04/30/2008 By TMP
Permit type: MISCELLANEOUS
728 BRANDONBURY LN
Subtype: Room Addn-First Stry
CHICO, CA 95926
Expiration Date: 04/30/2009
Description: ADDITION TO SINGLE FAMILY 1C
(530) 893-5976
Occupancy: Zoning: ASR
Contractor
Applicant:
Square Footage:
MILO, KATHERINE J TRUST
Building Garage Remdl/Addn
728 BRANDONBURY LN
104
CHICO, CA 95926
Other Porch/Patio Total
(530)893-5976
104
FEE INFORMATION
DBF Room Addition - First Stor $192.77
DBMSC Room Add -1st Story 250sf $289.15
DBSMIP Residential $0.50
PW DRAINAGE $0.00
Total Charged: $482.42 Fees Paid: $482.42
Balance Due: $0.00 Receipt No: B6894
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 04/30/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
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 Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL
the work himself or herself or through his or her own employees, provided that such improvements
MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number. Exp. Date:
(This section nee not a competed if the permit is or once hundred dollars ($100) or ess.
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
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 the Workers'
nsation Laws of California, an agree that if I should become subject to the workers'
04/30/2008
salion provisions of Section 0 of the Labor Code, I shall forthwith comply with those
n
Am
Ov;ne s ignature Date
04/30/2008
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Slgnat re Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION,
( )
injury, including death, and property damage caused arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Coun o enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro cone or am authorized to a on the property owner's behalf.
04/30/2008
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SI N] P nt Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner Contractor OR Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o =� o A FEE WILL BE REQUIRED AT TIME OF APPLICATION
C .� Website: www.buttecounty.nettdds
OV N� PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All pu
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
ARCHITECT/ENGINEER
OWNER INFORMATION
Last Name
.I LA
First Name k i u-
I
Mailing Address -72g& Vie'n ,n r h
City
Stat
Zip /y
_I 51
Phone
Fax
E-mail
Fax
ARCHITECT/ENGINEER
CONTRACTOR
Name
Address t ;427
1
Address
IState
City
Phone t -i
State
Zip
Phone
Fax
E-mail
Lic. #
Class
ARCHITECT/ENGINEER
Name
Address
Address t ;427
1
City
faoi
IState
Zip
Phone t -i
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
1 ^ fI
Address
City
State
Trp
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PERMIT
NO.
�6
g -()sq,
BIN #
PROJECT
L�OCATION
'T
AN 2- ° //
b 1 `JC
Property Address -7 r
City i
co I
I WORKER'S COMPENSATION
Policy Number
Carrier
N 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.
I UL R - ' `i
5 (n
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
401
Forffice use only:
Zoning -S Flood Zone
SRA I Yes No
Occ.
Type Const. V
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
"PERMIT APPLICATION DATA SHEET"
Reference Number:
B08-0594
Date:
04/03/2008
Location:
728 BRANDONBURY LN
By:
TMP
Parcel Number:
0.42-610-024
Sub Type:
Room Addn-First Str
Owner Name:
MILO, KATHERINE J TRUST
Phone:
(530) 893-5976
Description:
ADDITION TO SINGLE FAMILY 104 SQ.FT.
❑
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes
No
SEWER DISTRICTS
❑
n
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
1:1
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
1:1
❑
City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700
❑
PARKS & RECREATION DISTRICTS
❑
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
El
F1
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
E3 ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
❑ n Other:
[:] ❑ Other:
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public
information related to this application is ubject to -public inspe on and will be posted on the County's website for electronic
access. p
Signature of Applicant: v Date: 04/03/2008
APPLICANT
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
17-1
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
❑
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
❑
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
❑
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
El
F1
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
E3 ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
❑ n Other:
[:] ❑ Other:
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public
information related to this application is ubject to -public inspe on and will be posted on the County's website for electronic
access. p
Signature of Applicant: v Date: 04/03/2008
APPLICANT
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B08-0594
Date:
04/03/2008
Location:
728 BRANDONBURY LN ,
By:
TMP
Parcel Number:
042-610-024
Sub Type:
Room Addn-First Str
Owner Name:
MILO, KATHERINE J TRUST
Phone:
(530) 893-5976
Description:
ADDITION TO SINGLE FAMILY 104 SQ.FT.
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed: �IfilA�U�i a
Title: owkr
FILE
Date: 04/03/2008
BUTTE COUNTY FEE SUMMARY
Permit Number: B08-0594
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Job Address: 728 BRANDONBURY LN
Contractor:
Printed: 04/03/2008
1:22 pm
Fee Description
Account Number
Fee Amount
Paid Date
Pmt Amt
PW DRAINAGE
CSD 773 - Big Chico Creek
1821-0-280-1011973
$0.00
DBMSC Room Add -1st Story 250sf
0010-440001-4210500-1010
$289.15
04/03/2008
$289.15
DBF Room Addition - First Stor
0010-440001-4210500-1010
$192.77
04/03/2008
$192.77
DBSMIP Residential
1001-0-280-1011298
$0.50
04/03/2008
$0.50
Printed By: Tammie Powell
482.42 $482.42
Balance Due: $0.00
At the time of per itapplication, I was dvised the above fees are required prior to issuance of the
permit. These s may change du i g Ce plan checking process.
Signature: o Date: 04/03/2008
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS"
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY*
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if
the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for
Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to
process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the
permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund
amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-0594 Date: 04/03/2008
Location: 728 BRANDONBURY LN
Parcel Number: 042-610-024
Owner Name: MILO, KATHERINE J TRUST Phone: (530) 893-5976
Description: ADDITION TO SINGLE FAMILY 104 AXT.
Signature of Applicant: 99 Date: 04/03/2008
FILE
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the 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:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government 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.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact 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 thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PL, kRVO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (Y�ESJipR NO)
2. I VE VE 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:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE 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
Description: ADDITION TO SINGLE FAMILY 104 SQ.FT.
Reference Number: 1i08-0594
Applicant Name: MILO, KATHERINE J TRUST
Owner's Name: MILO E J TRU T AP # :042- 10- 24
Signature of Property Owne : Date:
' 042-610-024:T �— Y ,06-1155'✓
N OT ES MILO, KATHERINE
728 BRANDONBURY LN, CHICO o�
Cont: TOMS AIR CONDITION
HVAC
APN: Permit No.
Owner. .
Site Address:
Contractor.
Type of Permit:
t�
SPECIAL CONDITIONS
CHECKED BY
❑ SRA
Q FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
Q VERIFY
1 Q USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
Q ENV HLTH CLEARANCE
0
DATE JOB FINALED:
` SIGNATURE:
t . COUNTY OF BUTTE r
BUILDING DIVISION iT
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541 {
-k'
CORRECTION NOTICE
(0 -
OWNER PERMIT NO. I
A routine inspection indicates that the following violations of Butte County Ordinances exist at ' •ahs
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below. ,x
G
z,3
Date l� Inspector G /7 /i ✓1 ��--' ' .�i%U
REV 4/05 Phone # `71 k S K
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R
Site Address
Permit Number
INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE
Copies to: Builder, HERS Rater, Building Owner at Occupancy and Building Department
INSTALLER COMPLIANCE STATEMENT
The building was: ✓ P ested at Final ✓ ❑ Tested at Rough -in
INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE:
Remove at least one supply and one -return register, and verify that the spaces between the register boot and the interior
�6shing wall are properly sealed.
B If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points
between the air handler and the supply and return plenums to verify that the connection points are properly sealed.
B aspect all joints to ensure that no cloth backed rubber adhesive duct tape is used
✓ DDUCT LEAKAGE REDUCTION
Procedures for field verircadon and diaenostic testinz of air distribution systems are available in RACM, Appendix RC4.3 .
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
MeasuredValues
1
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ MCooling ✓ ❑ Heating) or ✓ ❑ Measured
2
If Fan Flow is Calculated as 400 cfin/ton x number of tons or as 21.7 cfm/(kBtu/hr) x Heating
O
Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here:
100
✓ ✓
3
Pass if Leakage Percentages 6% for Final or :— 4% at Rough -in:
11Pass ❑ Fail'
100 xLine # 1 /_(Line # 2
ALTERATIONS:
Duct System and/or HVAC Equipment Change -Out
Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct
4
System Alteration and/or Equipment Change -Out.
Enter Tested Leakage Flow in CFM from final Test of New Duct System or Altered Duct
5
System for Duct System Alteration and/or Equipment Chan e -Out.
Z
Enter Reduction in Leakage for Altered Duct System
6—(Line
# 4 Minus Line # 5 —(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
Entire New Duct System - Pass if Leakage Percentage :5 6% for Final or <— 4% at Rough -in
8
100 x Line # 5 / Line # 2
El Pass ❑Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -
Out Use one of the following four Test or Verification Standards for compliance:
9
Pass if Leakage Percentage:5 15% [100 x [ / rr�v (Line # 5) /� [�c7 (Line # 2)1]
5�
ass ❑Fail
10
Pass if Leakage to Outside Percentage 5 10% [100 x L_(Line..# 7) /. (Line # 2)]]
❑ Pass ❑ Fail
Pass if Leakage Reduction Percentage >: 60% [100 x ( _(Line # 6) / (Line # 4)]]
11
and Verification by Smoke Test and Visual Inspection
❑ pass ❑ Fail
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
❑ Pass ❑ Fail
Pass if One. of Lines # 9 throu h # 12 pass
❑ Pass ❑ Fail
U I, the undersigned, verify that the above diagnostic test results
and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. 1, the
undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with .
Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency Standards.
Signature Date Installing Subcontractor (Co. Name) OR
/ 3 A General Contractor (Co. Name)
Residential Compliance Forms January 2005
CERTIFICATE OF FnIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
Project
rte A ;1
Contact
Rater
Certifying Signature
Firm: ['y lh-%
—S-9 76
Telephone
Telephone
Date
Builder Name
Plan Number
Sample Group Number
>L
Sample House Number
HERS Provider:
Street Address: 8" zly i City/State/Zip: �'/� ► t_ 6. eJ 'q,,Y 5i 3 %
Copies to: Builder, HERS Provider and Building Department
HERS RATER COMPL ANCE STATEMENT
The house was: ✓ ested ✓ ❑ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies
with the -diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that
the new distribution system is fully ducted and correct tape is used before. a CF -4R may be released on every tested building.
The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample
andtest buildings.
he installer has provided a copy of CF -6R (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of
_,,-ducts).
Ef New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
c9mbination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
✓ ENINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3.
Duct Diagnostic Leakage Testine Results
NEW CONSTRUCTION:
Duct Pressurization Test Results (CFM @ 25 Pa)
Measured
-777
Values
I
Enter Tested Leakage Flow in CFM:,
2
Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured
Enter Total Fan Flow in CFM:
3
Pass if Leakage Percentage :5 6% [ p00 x L (Line # 1) / (Line # 2)]]
❑ Pass ❑ Fail
ALTERATIONS:
Duct System and/or HVAC Equipment Change -Out
t,
4
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
Duct System Alteration and/or Equipment Change -Out.
4
5.
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System
for Duct System Alteration and/or Equipment Chana-Out.
Enter Reduction in Leakage for Altered Duct System'
6
[ (Line.# 4)..Minus_ (Line # 5)J — (Only if Applicable)Ile+'
_ s
7
Enter Tested Leakage Flow in CFM to Outside (Only if Applicable)
8
Entire New Duct System - Pass if Leakage Percentage <_ 6%
100 x Line # 5 / Line # 2
❑ Pass ❑ Fail
TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out
✓
Use one of the following four Test or Verification Standards for compliance:
VK
97
Pass if Leakage Percentage _< 15% [100 x [(Line # 5) (Line # 2)]]
5v
P ass ❑ Fail
10
Pass'if Leakage to Outside Percentage S 10% [100 x L(Line # 7) / (Line #'2)]]
❑ Pass ❑ Fail
11
Pass if Leakage Reduction Percentage >_ 60% [100 x [__(Line # 6) / (Line # 4)J]
and Verification b Smoke Test and Visual Inspection
❑ Pass ❑ Fail
12
Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
a
❑ Pass ❑ Fail
Pass if One of Lines # 9 through # 12 pass
�� r''
❑ Pass ❑ Fail
Residential Compliance Forms March 2005
INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R
Site Address
Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required) After completion of final inspection, a copy must be provided to the building
department (upon request) and the building owner at occupancy, per Section 10-103(a).
HVAC SYSTEMS:
Heating Equipment
Equip Type
hot um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency
I Duct
(AFUE, etc.) Location
2CF-1R value attic, tc.
Duct or
Piping
R -value
Heating
Load
(BW/hr)
Heating
Capacity
(Btu/hr)
w a
v� �a7
/11
o o � t," &4
R9� a G
V. Z
ct #-( 6
/00, oya
WL4 0
�{$
CL -7-0'4&- �-
Cooling Equipment
Equip Type
(pkg. heat um
CEC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiencyt
(SEER or EER)
2CF-1Rvalue
Duct
Location
attic etc.
Duct
R -value
Cooling
Load
ft/hr(Btu/10
Cooling
Capacity
v� �a7
/11
o o � t," &4
13.o
ct #-( 6
�{$
CL -7-0'4&- �-
1. > symbol reads greater than or equal to what is indicated on the CF -IR value.
Include both SEER and EER if compliance credit for high EER air conditioner is claimed.
I, the undersigned, verify that equipment listed above is: I) is the actual equipment installed, 2) equivalent to or more
efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy
Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for
manufactured devices (fr. the Appliance Efficiency Regulations or Part 6), where applicable.
310,6 S}"�G_
Signature, Date Installing Subcontractor (Co. Name)
OR General Contractor (Co. Name) OR Owner
COPY TO: Building Department
HERS Rater (if applicable)
Building Owner at Occupancy
Residential Compliance Forms January 2005.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530)'538=7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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
the Business and Professions Code, and my license Is In full force and
effect.
License Class : License Number:
Date: Contractor.
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
to its issuance, also requires the applicant. for such permit to File a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than five hundred dollars (8500).):
O 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
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.).
❑ I am Exempt under Article 3 Q14/he 00spess and Pro(psilon4ode
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally 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 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
❑ 1 certify that in the performance of the work for which this permit Is
Issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that If I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars (8100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. _
PERMIT NO.
BP061155
Issued Date: 05/17/2006 APN: 042-610-024-000
Site Address: 728 BRANDONBURY LN CHI
Map Index:
Description: HVAC REPLACEMENT
Owner: MILO KATHERINE J TRUST
MILO KATHEINE J TRUSTEE
728 BRANDONBURY LN
CHICO, CA 95926-7109
Applicant: MILO KATHERINE J TRUST
MILO KATHEINE J TRUSTEE
728 BRANDONBURY LN
CHICO, CA 95926-7109
(530) 893-5976
Contractor: TOM'S AIR CONDITIONING
P 0 BOX 6262
CHICO, CA
95927
(530) 864-2406
License #: 576836
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
r� 00
0 S. F.
$0.00
CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resoluti ns to do work Indic ted above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) . `j 2-0 c -
Name: BY C Date: 1
Address: PERMI 5i EXPIRES ON: (Da -1 M
❑ 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.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O 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 wl er. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a offici form or document f utte County. I hereby
authorize repr6sen lives of Butte County to enter upon thel above mentioned property for inspection pur os L
Print Na Iv J l� Signature: 'v\
Date:
Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
ts. L,. vuuumg rennu V i-1v-vy yy
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS.
DATE I Li PERMANENT FOUNDATION SOFT -SET
1.ZoningSetbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd 'Am -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Dnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cimes
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer. Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE
D E C KS -C O V E R S•C A R P O R T S -GARAGE S
1 Zoning -Setbacks -Easements
2 Ftgs; SollsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails .
4 Wood Awn; Posts-Seams-Rftrs-CnnctrsShthg•
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Fnng; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
yo- yo
DATE
JPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool.Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lung; 15 volts-GFI
6 Elec.Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Banding; Metal w/5'-Crcitng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-phlboerdi-lnsultn to Main Conduit
9 Health Dept.Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or. Slide
Pool Drawing
+=OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Solis -Flee Grnd Ftg DRth
54 Wtr Pipe; Test & Anchr-Nall Prtctn
3 Fig Garage; SoilsSteel-Elec Grnd Ftg Dpth
55 DWV; Test Fittings & Anchr'Nail "Prtctn
4 Ftg Porches/Decks; Sails -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub A&
5 Stemwalls Main; Steel-Blockouts Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Ace ,
6 Stemwalls Garage; Steel-Blockouts Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas.Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
��0
10 UF, Gas Pipe; Sz Anchrs-Sz Test
�-lip
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgmd
DATE
IM E C H A N -I C A L
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
61 AC Ducts Insulin & Support "
14 GirdersSills-Anchr Botts-Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Ace & Vntltn
63 Condensate Drain & Ovrfiw, Sz & Grade
16 Insulation
64 Furnace -Vent Au -Comb Air Rtm/Vent 115 Outlet
65 Attic Ace & Pltfrm If Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE
IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders 8 fir Nailing
67 Smoke Detector
20 Draft Stop In Walls (rat proof)
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
21 Fire Stops,'FUrred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-fir-Ducts-Mach Prtctn
22 Headers & 6eamsSi &" Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub AccSpa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Cimc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz & Rmx "Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handralls
27 Bdrm Wndws or Exitlng DoorsSill Ht & Dimensions
74 Frplc or Stove, Clrnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall .& Opngs "
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cirnc
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Vllldth-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Piywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-CIrnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Ace
Mech Prtctn; LPG Appince Undr House 3' drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drn e & Wood -Earth
86 Cimc Drnge Planters Yes ❑ No
°�• °`� °�� �s
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, PImb-Appinc-Frplc-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrncdns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Irispctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Gmdng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvi
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz 9 ❑ CU or ❑ AL
98 Address Posted
AC Wire Sz ga ❑ CU or ❑ AL
99 Fire Sprinkler
48 Range Circ ga ❑ co or ❑ AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral ❑ Yes ❑ No
o.�` 0* 0s`
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
0 fl
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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
the Business and Professions Code, and my license is In full force and
effect.
License Class: License Number:
Date: Contractor:
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
to its issuance, also requires the applicant. for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's Stale License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Protessions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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' Stale License Law does not apply to an
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.).
❑ I am pxept under Article3 he ess and Pro s io ode
4�1 1110
Date: D Owner:
— w6RKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 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 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy M
❑ 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant: +
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
PERMIT NO.
BP061155
Issued Date: 05/17/2006 APN: 042-610-024-000
Site Address: 728 BRANDONBURY LN CHI
Map Index:
Description: HVAC REPLACEMENT
Owner: MILO KATHERINE J TRUST
MILO KATHEINE J TRUSTEE
728 BRANDONBURY LN
CHICO, CA 95926-7109
Applicant: MILO KATHERINE J TRUST
MILO KATHEINE J TRUSTEE
728 BRANDONBURY LN
CHICO, CA 95926-7109
(530) 893-5976
Contractor: TOM'S AIR CONDITIONING
P O BOX 6262
CHICO, CA
95927
(530) 864-2406
License #: 576836
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
55 ,00
5055
5- 1'7-0 Co
0 S.F.
$0.00
CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Rens to do work Indic ted above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) Date:
Name: By. soluti
PERMI EXPIRES ON: 5— L/ - 0!1
Address:
❑ 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 fr the duly authorized agent of the wj C I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a offici form or document f utte County. I hereby
authorize represeAlatives of Butte County
�t`oenter upon
� three above mentioned property for inspection pur os
Print Name: " Vim, `✓� Signature:
Date:
Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMITPAPPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.netldds
"PLEASE PRINT CLEARLY"
OWNER INFORMAT/O
ARCHITECT/ENGINEER
Last Name lyl
110
Me
/�i/ n /J
tr i
Mailing Addres Gp., ra ^
,nil
city l co
State
ZiP q 5qZf,,,,
Phone ;�??_bFaKe-o'
x"
I 1ipq5q2&
'' 1l.
E-mail P (f'5 Y e -o t�V
(I(Q
WOO'
iT1011 M=14
For office use only:
ARCHITECT/ENGINEER
CONTRACTOR
Name-Fom
Me
-nage -ter
Address
120�
cqn
City
CkC0
Map Book
Statea.V
I 1ipq5q2&
Phone
q (,1+,7406
Fax ...
E-mail
Lic. # c6CI
ss
2o
WOO'
iT1011 M=14
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
SRA
city
%
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
WOO'
iT1011 M=14
For office use only:
APPLICANT INFORMATION
Name
Flood Zone
Address
SRA
city
%
State
Zip
Phone
Map Book
Fax
E-mail
Planner
WOO'
iT1011 M=14
For office use only:
Zoning
Property AddresslzC3
%''a
Flood Zone
Cross Street W
C r e n
SRA
I Yes
%
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP 1 ��
BIN #
PROJECT LOCATION
AP# 042 (o 10 0 Z
Property AddresslzC3
%''a
Cross Street W
C r e n
o
WORKER'S COMPENSATION
Policy Number
Carrier
It 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
e
scri tion qrScope of�Worl�,:
til—v
Sq FT- Living Garage Open Cov
❑ 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
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
Amount: .� Bldg Received by:�,6 , ' IS5g
Receipt #:45(53
SRA
Sheriff
SMIP
II 5-\� 6V Other
Date: $, 5 �p
Total I I
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 411-06
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
(E) Manufactured Home Support Data (form available on our website) all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs).
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
❑ 13. Planning Division approval for parcel check, use and parking (if required).
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
A FEE WILL BE REQUIRED AT TIME OF APPLICATION.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 411-06
NOTES
PERMIT NO.
ZeAfL,
RESIDENTIAL
042-61U-024
MILO, KATHERINE
728 BRANDON -BURY LN, CHICO
Cont: OWNER
ENLARGE BATH&CLOSET
SPECIAL CONDITIONS
CHECKED
BY
SRA
` FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
' USE PERMIT CONDITIONS
'r
s
SUB -STANDARD HOUSING LETTER
i
r�
r
JOB FINALED (D t )
Signature
F
1
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA . (530) 538-7541
CORRECTION NOTICE
OWNER PERMrr NO. s
• a
A routine inspection indicates that the following violations of Butte County Ordinances exist at s
the above address a d>should be corrected. Please call for re -inspection when correction of
work is completed/.If you have any questions pertaining to this matter, or need additional
explanation, ple contact the Building Inspector as indicated below.
iw/.;.i,-
Date Inspector
REV 2/05 Phone #
.Ji
. .._ �..- .i. ,_ .- .- ..•.�. �..�:.:.�...�,-.-..�•..`. . ,. +gym . �
__
/ ,;;;,t
COUNTY OF BUTTE
BUILDING DIVISION�
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA a (530) 538-7541
{
CORRECTION NOTICE
`
iA .4
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 call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
Date Inspector �� �i% / /W -
REV 2/05 Phone # 5 �U
W�
LOERKE INSULATM CO., INC. INSULAVON CERnFICATE
DESCRIPTION OF INSTALLATION
In
�. •�
Mee�al
Thickness (hudtes)
2. CEILING
Belt *r Type MmMbuAmft
Brow No"
ThwmW Regie (f�Value)
Brava! Nam® Johns Mamn'lis
ThICAMess (hrcI ' Thermetl Resistance► (R -Value)
Loose FM Type Fb!qg!w Brand Name Johns MamAW -
CmftcWds min. WoMM w&Wft sq. � 1_ ._b. Lln n TMdmw � •Z5
ManufQLW"uw%.ftwl@bdwsW per mpm W ro achimm ThwMd Roddm a (R Value) Q• 11
3 EXTERIOR WALL
miss
Ttdaknoss (irrdres�._
4. RAMW FL OOR
mdow_FRSs 8e�
5. SLAB FLOOR / PERIMETER
mate"
Tfddmess
Pedmater Insdown D"
& FOUNDATION WALL
DECLARATION
Thorned Rhe (R -Value)
Brand Now Johm Monvift
Tf wn-o l R (Ft -Value)
&and Name
Them al RedsW= (R -Value
Brand [Marne
The" Resistance (R-
V") -
:1•� r:; II 1 � :411: •t ,i � . ''1 . � :1 t,i� •�� .1 ': �..•[; r..� r.. •' :) ♦:
P i r .Y• tj ., I�r .•Ei'' �4.:�. x.1.4 Y! .�t�r.�•�/
-•• I', 4 .: r:' '. {:.•: i; ::1 .: 1 II 4'i r1'. r.' `�. r..;�v :l.
r
APPLIED TESTING CONSULTANTS
'MATERIALS ENGINEERING TESTING AND INSPECTION
REPORT OF EPDXIED ANCHOR
INSPECTION/ TESTS
DATE: 5-9-05
CLIENT: Katy Milo
728 Brandonbury Lane
Chico, CA. 95928
Type of Adhesive: Simpson Set
Number of locations: 2
Hole depth: 7"
Hole diameter: 3/4"
Anchor type: 5/8" Treaded Rod
Placement: Wall Hold Downs
DESCRIPTION OF WORK:
PROJECT: Katy Milo Addition
r
Arrived at job at 11.00hrs to provide special inspection of epoxy -grouted seismic anchors in the Wall Hold
Downs. A total of 2 anchors were installed per detail S-1: All holes were brushed and blown clean with
compressed air. The adhesive was injected into each hole sufficient quantity to cause exudation of the material
when the anchors were inserted. The anchor bolts were rotated during and after insertion to insure proper
bonding of the adhesive to the bolts.
Inspector
3060 Thorntree Drive, Suite 10 0 Chico, CA 95973 ° Telephone: (530) 891-6625 ° Facsimile: (530) 891-4243
COUNTY OF BUTTE -
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
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 call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional.
explanation, please cjAtact the Building Inspector as indicated below.
'119 /-_Y/ `iii /- r-/ ii L:
Date Inspector,
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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.netldds
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
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Date: Contractor.
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
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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
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.).
O I am Exempt under Article 3 f theBusiness and Pa6fessions Code
1
Date:11-1910 Owneh /.(Q-( J tub
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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy #:
KI 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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: p
Applicant: LL
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
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.)
Address:
PERMIT NO.
BP042842
Issued Date: 12/03/2004 APN: 042-610-024-000
Site Address: 728 BRANDONBURY LN CHI
Map Index:
Description: SF ADDITION BATH & CLOSET/ 112 SQ. FT.
1/2 FEES
Owner: MILO KATHERINE J TRUST
MILO KATHEINE J TRUSTEE
728 BRANDONBURY LN
CHICO, CA 95926-7109
Applicant: MILO KATHERINE J TRUST
Contractor:
License #:
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
112 S.F.
$7,280.00
�-jz��7 �4��17 �•aq .o�l-
This permit is. hereby issued under the applicable provisions of the Bntte
Resolutions t) do work indicated above for which fees have been paid.
ON:
�- �_ Date: (� 4
I -,> •3•cc.-,5
❑ 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 aN official form or document of Butte o nty. I hereby
authorize represent lives of Butte County to enter uj�plon the above mentioned property for inspection purpo
Print Name: r v IV l' `� Signature:
Date:
Owner
❑ Contractor
❑ Agent for Owner
O Agent for Contractor
d=OK
0 = Not OK
- = Not Applicable
. =Not Ready
1.
j
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or/ P' L "ft./ P LPG
12.
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.
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
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI '
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- 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
0 = NotOKRESIDENTIAL
- =Not AAppplicable
. = Not Ready
24.
Date UNP LO (Plans) OK except #'s
Zo ' g -Setbacks- Easements- Flood -Slope
3.
tg., Main; Soils-Elec. Grnd.-/a /" Ftg. Depth
Ftg., Garage; Soils-Steel-Ele . Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stem 11s ain; Steel- Bloc kouts-Wrapped
6.
5WMpffils, Garage; Steel- Bloc kouts-Wra ed
30.
d Downs d Special Anchors
31.
Slab, Sled -Wrapped
8.
Pi -Fire lace Ftg.-Steel
Vent Fan, Exhaust above insulation
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 Card B-1 Date Card B-1
Date Card B-1Zw Date Card B-1
Date 11 PLUM G (Frer'mj4 OK except #'s
17. Yater Htr.; Vent -Access -Combustion Air Baffle
118 ater Pipe: Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
5,)9- Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date, ,' Card B-1 Date Card B-1
Date ' Card B-1 Date Card B-1
(Single & Duplex)
Date ELECTRICAL (Permit) OK except #'s
24.
F ure & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
izeBoxes & No. of Conductors Stapled
1i' -os
omex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
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 O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
Date Card B-1 Date Card B-1
Date FRAM G (Permit) OK except #'s
. S. P op Materials & Anchors
Is Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
44. Draft op in Walls (rat proof)
45. F Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date FRA"G (Continued)
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
35.
Smoke Detector
52. Garage Fire Protection Framing -RC Channel
DateC_5-
1i' -os
Card B-1 Date Card B-1
Date
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
63.
;Z
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAM G (Permit) OK except #'s
. S. P op Materials & Anchors
Is Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
44. Draft op in Walls (rat proof)
45. F Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date FRA"G (Continued)
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
PJ_iwood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area Glass Protection -Skylights -Plastic
60.
a,
62.
Aear Walls; Nailing -Bolts
Brace Interior/Exterior Wall Panels
Insulation -Walls -Ceilings
Dat
Date
63.
;Z
Infiltration -Walls -Windows
Card B-1 Date Card B-1
Card 1 Date Card B-1
Date
FINA tans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
6 .
Smoke Detector
6.
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.r46sulation-Foam-Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
F Ilowin Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No
!�-GS
/$4.
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.
V elation Throughout House
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
W & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
95. Address Posted
Date/A,2
96.
-a
Fire Sprinkler
'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.neAdds
PERMIT NO.
BP042842
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: 12/03/2004 APN• 042-610-024-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 728 BRANDONBURY LN CHI
Date: Contractor.
Map Index:
Description: SF ADDITION BATH & CLOSET/ 112 SO. FT.
OWNER• 3UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
1/2 FEES
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
to its issuance, also requires the applicant for such permit to file a
Owner: MILO KATHERINE J TRUST
signed statement that he or she is licensed pursuant to the provisions of
MILO KATHEINE J TRUSTEE
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
728 BRANDONBURY LN
she is exempt therefrom and the basis for the alleged exemption. Any
CHICO, CA 95926-7109
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: MILO KATHERINE J TRUST
PP
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,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 f the usiness and P fessions Code
Date: � � 0iA Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
License #:
Cl I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
9
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 112 S.F.
Policy #:
Valuation: $7,280.00
q� 1 certify that in the performance of the work for which this permit is
Census Code:
\ issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall •
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and'attomey's fees.
41 266, -7 176�
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Bntte County C.odR ?never
I hereby affirm that there is a construction lending agency for the
Resolutions t do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Gid_ `=
Name:
B Y L�/ OLA- Date:
PER E IRES ON:
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 a official form or document of Butteo nty. I hereby
authorize represent lives of County to enter upon the above mentioned property for inspection purpo
/Butte
e- C � `�
Print Name: v Signature:
Date: Z.14d
Owner ❑ Contractor 13 Agent for Owner 13 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
'
Effill SRI' M/ I 1�011
For office use o ly:
OWNER
Last Name p r i x
First Name Ka0znVv
Address _7_47e?
f2ra V1d o n u r
City ` o
Yes
State
Zp q 5q
Phone
�/
1O
Fax �co _ r LC(a?Z- q
E-mail (�
i� � C'�Y6/1 Co t Q`lGL C�
'
Effill SRI' M/ I 1�011
For office use o ly:
CONTRACTOR
Name
cityn'
Address
City
Yes
State
Zip
Phone
Type Const
Fax
E-mail
Map Book
Lic. #
Class
'
Effill SRI' M/ I 1�011
For office use o ly:
ARCHITECT/ENGINEER
Name
cityn'
Address
City
Yes
State
Zip
Phone
Type Const
Fax
E-mail
Map Book
State License Number
'
Effill SRI' M/ I 1�011
For office use o ly:
APPLICANT NAME
Name
cityn'
Address
City
Yes
State
Zip
Phone
Type Const
Fax
E-mail
Map Book
'
Effill SRI' M/ I 1�011
For office use o ly:
API
q
ZoningFlood
cityn'
Zone
SRA
Yes
o
Occ.
Type Const
Subdivision Name
Address
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2
PERMIT
NO.
BP
BIN #
LOCATION
API
q
PropAddress
cityn'
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Wor
n i 5ter I efty-mvy)
avo e X0,5 -
Sq. Footage -2—
❑ 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
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.
II Received by:'P Amount 26.117 Bldg I I
SRA
Receipt #� ! `�' / Sheriff
/fK-44,3q/ • `-3 SMIP
q
Other
Date: /& // __ 9 ani / 2 Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE -SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK
W 1. Site plans, r 4 sets, signed by the preparer of the plans. No graph paperl
5;- 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer. APvx
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 10n S f
❑ 9. Site plan and business license approval from the City of Biggs. �"1°� • �4�• t8
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only). —
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2.' Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Kefunds can oniy be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refdndable.
OVER FOR BUILDING PERMIT APPLICATION
KAFFORMS\BUILDING F0RMS\B1dg4p1SubRgmts.doc Page 2 of 2
REV 7-27-04
i�.:TPa-:uctC.!�.T•n'.r..T^4+i�"�'�4'MivV�_.��_�..-M.w,.. .'F^`-�'T^'4r�'d .n�`R�.r..�.Ti.�tiiA?1" „+�^hr„�SD.Br�..S',''"��'Vy1r Mw.j�T�.. +"'A;��I^�r�\�V //��'
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SER.VI.CES-BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: Y ( I (�� l fl%l�/I O/' h%I �. ASSESSOR PARCEL NUMBER
J J R . �
Proposed Building Use:/4 '�C1({/I/(` I ��Z, �/ �{'i' Counter Technician: Date: C/_(114
�
Items required in order to apply for a permit. All boxes -MUST be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the 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.
-p'. 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 fnd 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
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
JPS 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........................................................................ ........
(ok 21. Fees as shown on the attached Schedule of Fees Due Sheet...,.c .}��x-;� ..�.� f �/
❑ 22. City of Chico Plumbing permit.......................................................................
❑ 23. California Department of Fores ry plan approval ❑ paid. Sent by: ........
.0 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check._4 J/�x-
❑ 25. Contact Land Development about _ Improvements, _ Drainage ..................:......
Q26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
-:A31. Owner -Builder Verification (AeGiven to owner, _Mailed to owner) .....................
O 32. Letter of Signature authorization....................................................................
O 33. Recorded copy of Agricultural Acknowledgment Statement .................................
O 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 S��s- CG ���, _ !/E ^rand hold for pickup.
7�-10 87G -GUrr fS r
I have been informed oft a above items and quirements for obtaining a building permit.
Applicant: Date:
1. Index permit app is ion Afor the above items numko bered: Plan Check It
ter
Additional items required
Contractor, design ner as advised of the above data by phone, ❑ mail, ❑ counter, by Date: i ,r
Contractor, designer, ner was advised of the abo a dala by ❑ phone, ❑ mail, ❑ co er y Date:
Plans reviewed by: Date: 1W Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER M 6 M'10 n A.P. #
PROPROSED BUILDING USE Z DATE
RECEIPT # DATE REC.
A-1. BUILDING PERMIT FEES le
(idue-
---
Balance Due ..................... $%2,�s A
--- Additional Fees Due........... $ �.
.-- ev`' d Plan Checking Fee.... $
C OL DISTRICT FEES
(paid at School District Office) (form available after Plan heck)Gt u,eA
VK 3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.).....
4. URBAN AREA FEES
X $0.03 = $
Sq.Ftg.
Residential (per unit)..... X
# Units
Commercial (Sq. Ftg.).... X
Sq. Ftg.
Amt.
Amt.
(paid at Building Division)
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Fig. Amt.
r� 10. OTHER.,
123 4�
At time of permit applica ' n, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during a plan hecking process.
� dtw. I
APPLICANT DATE J!�0
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8,-9, and 10 above may have been impo d on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
Department of Public Works
J. Michael Crump, Director
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase
eln
Construction Storm Water Permit and Storm Wat erACREtion Prevention
Plan (SWPPP) Acknowledgement [LESS THAN
Project Description: F.P11 0
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board..
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by laws n
i
Signed:
Title:
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County storm Water Management Program
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NO ❑
2. I HAVE HAVE NOT Cf 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: J
PROPERTYOWNER:
SOCIAL SECURITY ER:_
DATE: 0
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
O.B.-1
OWNER BUILDER INFORMATION ---I
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 owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise 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.
♦ 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.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" 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.
rely, s
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
� I
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
-
(One form per Building)
e,"(
Building Department No.
School District
A.P. Number"" ���;(•f}.� Jurisdiction:, City < County `
Property Owner i'V l i
4.
Property Location/Address !
/ ( Vii) rl'4r1/A
Subdivision
r Lot No.
Residential Development 0 Q
................. _....... .................................... :... ...................................
® Q € Sq. Footage
No of Living . -Mobile Home/Addidonl
'Supplemental to (Group R)
Units Installation
Conversion Permit #
................................. *(No foundation inspection) ... •
• . �_, _ .A
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial Q Q
Sq. Footage
New Addition
fJ
(Including Exterior
Roofed Areas)
�"
Ruildi^n rlpeartmnnt Renresentative
Date
District Identification No.
School District certifies that
i (Applicant)
(Street Address) C(Phone Number)
,
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 1�10 �— 01/ by payment of $
representing ' square feet. wJAB 2926 $
r FULL MRIGATION J $
V v '! ! � � l� l V �✓
School District Representative Date
Paid by Check # Remarks:
Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with
Government cods Section 66020(a), within 90 days from the date fes are paid. Failure to submit a finely written protest will'prohibtt
you from challenging the Imposition of the fes in any court action.
If, subsequent to the School District Repnsentatlw signing this Butte County Schools I,nipset Fee Certification Form, the School District Is
not! by the appikabie Local Planning Agency that this project Is being revliwed under the California Environmental Quality Act (CEQA), _
this projsat may be subject to additional school fee to fully mitigate its Impact on the school dle rkft schools.
White (applicant), Yellow (building department), Pink (school district)BUTTE feeform.xls (10103)dmm
COUNTY
NOV - 12004
DEVELOPMENT
SERVICES
SITE PLAN REVIEW APPLICATION
Date: '�loU- (2, 206( AP# bK2-6(0-02
Permit Number (if applicable) Oq— 29g2
APPLICANT INFORMATION Parcel Size:
Owners Name: leri✓le
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Residential
❑ New Single Family Residential
® Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic.
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well .
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved / ❑ Resolve Problems Prior to Approval
Site Plan roped Approved
By Date /' &I 121 206q
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
�f Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
o Flood Zone: X.
Flood Panel No.: n5eS G Index Date: -.,03 - l q ?9
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the Califomia Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: it — S R (1-02)
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
k
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees I Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
------------------------------------------------------------------------------------------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
IN Subdivision Map/Parcel Map:
Map Date of Recording:
�.,� 2 Sib
5,1v�
2 - `1-118
Lot: q5-
F1
S
❑ Use Permit/Minor Use Permit
Permit Number:
Book: Page: - �6
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
EJ
U
Page 4 of 5
n
u
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAL.arryslBuilding Permit Site Plan Reviewl.doc
Page 5 of 5
.3
1a171- CP
1
0. 3/6"OP 2" eI.P.
CURVE DATA PERP -1,11R -S
I i NO ACCESS 10.30 IP-I,R-J,R-S B MI
STAIR
DEOICaiED t0 THE H e9°4)'12"E IP-I.e-S B YI
Ol A - 6]0.00• O] R - 3)0.00' 1) A - ])0.00' SEE DETAIL LEFT COUNTY OF BUTTE IN FEE
D - 00'69'01° D - 30'1]•5]• D - OB'l0'3]• '•----,,,,-- I Fp. I"OVEN I,P.
L - 6.16' L - 65.96• L - 5].116' _-+------ PER R -I
NB9°57'22"W (R -2,R-5 B M)- 295.44111-2.11-5 B Al) NB9;°57'22 W (R -2,R-5 BM)
100.00'
O3 R - ))0.00• OB A - ])0.00' 16 R - 6)0.00' 30.00 v 30.00'
D -. O]'])'Sl° D- 10']6.16• D- 06.00'18• 1 1
L- 16.99' L- 68.68' L- 30.08'
O Og R - 6]0.00' 15 A - 6)0.00' I )� SET P.P. SPIlE LOT I7 ^� n 57 I I 1 �9p
0 - Bl'1!'!1• D - 01'00']5• D - 10'5]'3]• AT BEG1uNIxG (R-51 - 0,I) AC I O O 11 I 56 zi 6Y 6� N
L - ]S.]7' L - ).511' L - Bl. )]' OF CuevE '� B• I 1 ( 0.28 AC. m
1E' WIDE 9TOPY 0:
O A 0.02',x00°00'00"E
DRAIN EASEMENT -� i 106_29'_- -j 1 \ > RUE _ 61CPAYfn 4
D - 11 65 1)" D - 10'0)•])+ D - 05.35'23• -
L - 56.01' L - )5.68' L - 61.6!' 0.05. NOO°00'OOTE m __ ____ , ,O L _---165.l---- ¢
r" 22° W \ NB9°59 0J'E (T ITE v a
Q R - uo.00 3)11 . 400.00• DETAIL o . `s H T \ \ 2'TB UILDINO P
D -
0
]•)1'6J• D - 09.66']9• D - 20.50'09• i \ SEBAC6 LINE G((A
L - 10.9)' L - )3.36' L - 165.661 g
NO SCALE c 56 , 1 O O \ o o ejpREL
O6 P • 20.00' 12 R - ))0.00' 10 R - 600.00' 2 '- 0'19 AC. \\ \\ \ 55
D - 90.00.00• D - 1]•]9.56• D -]0'19.31•\ \ yi \ 0.25 AC. m CH 0
L - 31.42' L - 80.71' L - 165.]5' PUE \
LOT 16 !23.60'
19 0 - io N 89-59'03"E
oi'us• (R -s) _ r---3'PpE� LOCATION MAP
L - 1).39' 2 \ \\ \ 1 NB9°5903"E J _ NO 60AL[
PHASE I '� 25 \ \ 0 \\ 1 ++
SILVER TREE D SU9DIVISION ��_ � O.xJ AC. ` B )o A0 \ �_
BOOK 104 PAGES 30-32 �'O w 1 \ 9D� O \I 1 54 D.
o rtPUE 42.80---- a` ! it , o.2oAc. 'm LEGEND
1 J PUE W
LET i2 LOT 13 LOT 14 LET 15 I NB9°50'03`E II p
\\ (R-51 ; (R-5) i (R-5) I (R-5) 20'BultOlxG SET 5/8• REBAR TAGGED R.C.S. 33381
SETBACY LINE { O
O2 (R 5,M) I I - ' { ) I NB9°5903"E O D E-aT mvIPT4 STANDARD CLNTLRI.INE MONfl!ffiNT
385.90 (R- ),M) B9.57'22'W (R-S,M) O.tO C. ` 1 O 6 I I h A SEI RAILSOAD BPIEx WITH PUNCH NARK
60.00 (R -S, M) O I
N 59°57'53' E (RLS,M) 142.42' :4.00' I i4,00' i )4.00' i 21.48' nPN6' J PUF 53 • POUIID 0/S• REBAR TAGGED R.C.R. 33381 -
♦♦ \ YPUE-� - 3 PUE-j 3 POE-- S PUE-! SP W I _ 100.00 I ! `
Oi (R -5,M) ♦ \ I 1 _� _______ Ju I I 0.19 Ac. m - x FOUND NONOI®IT AS NOTED
(R-5)LOT \ \ \ Op ` _ I +� 13 i 3 I ; JPUE-I NB9°5901 E u1
]'PUE- (R- 1 RECORD DATA
\A 1A 0 `♦ \ •i 'nl -,^° NI 102.14_ II __--
9.W-9• 66 65 91 0 6462 -i I �� ____ _l - IMI !(SASDiIED DIsrAMCR W 0YJ\RINc
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\ OS \t �\ •` ) OO \o- �\ 0.29
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♦\� ` l a D I p1O m 0.19 AC. I I 10 PUE
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52 LEAORIB1bPREE A
Ac.
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0
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RECORD DATA
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J
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RECORD DATA
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J
RECORD DATA PER NAP ENTITLED -BIG Ci]CO CREEK
HSS °51'53"E
U
Y- 20'Bu1LD1NG
O SETBACK LINE
a)
I I
N
ON-
o
Lin
ON
(R-2)
PEGGED DATA PER NAP ENTITLED -SILVER YREE
30, 31
A
BASIS OF BEARING
(R-))
w
J„l
In BASIS OF BEARING FOR THIS SURWY IS THE EASTERLY
NAPS, AT PAGE 15, BUTTE WUOlf OFFICIAL RECORDS.
OF LOT 69 AN ESTABLISHED PROM POUND MCNINEIR'S AS SA
THAT CERTAIN MAP ENTITLED 'PULSE I SILVER TREE II
(R-4)
RECORD DATA PER MAP RECORDED IN BOOR 86 OP PARCEL
SUBDIVISION•, RECORDED IN EDGE 106 OP MAPS, AT PAGES
AND 32, TAKEN AS ...... SOUPE OD•09']9• EAST.
MAPS, AT PAGES 36 AND 39, SUITE COUNTY OFFICIAL
RECORDS.
NOTES
I. DEVELOPMEIR OF PARCELS NAY BE SUBJECT TO SCROOL
2. DIVEJGPRIUT OF LOTS 22 THROUGH 66 WILL REQUIRE
CONNECTION TO A PUBLIC SANITARY 96MRR.ANO A PUBLI
WATE6 SUPPLY.
°� �il,�ae�til� ila�a✓atc.Ci /-/ 9 90 �`` %-� y y)
SEE SHEET
0{IN
Z
RECORD DATA
(R-1)
RECORD DATA PER NAP ENTITLED -BIG Ci]CO CREEK
�
a)
I I
SEE SHEET
0{IN
3 OF 3
RECORD DATA
(R-1)
RECORD DATA PER NAP ENTITLED -BIG Ci]CO CREEK
ESTATES, UNIT NO. 6•, BEODADED IN BODE 91 OP
NAPS, AT PAGES IB -33, BUTTE COUNTY OPYICIAL
RECORDS.
Lin
ON
(R-2)
PEGGED DATA PER NAP ENTITLED -SILVER YREE
30, 31
SUBDIVISION•, RECORDED IN BOOR 100 OF NAPS, AT
PAGES B) AND 88, BUTYB COUNYY OFFICIAL RCCOADS.
(R-))
RECOED DATA PER NAP RECONGSD IN 800E 50 OF PARCEL
NAPS, AT PAGE 15, BUTTE WUOlf OFFICIAL RECORDS.
(R-4)
RECORD DATA PER MAP RECORDED IN BOOR 86 OP PARCEL
'
MAPS, AT PAGES 36 AND 39, SUITE COUNTY OFFICIAL
RECORDS.
FEES.
(R-5)
RECORD DAA, PEA MAP ENTITLED •PNABE 1 SILVER TREE
JI SOBDIVI620N•, RECORDED IN BOOK 104 OP MAPS, AT
C
PACES 30, 31 AND 32, BUTTE COUNTY OFFICIAL
RECORDS.
PHASE 2
SILVER TREE II SUBDIVISION
A DIVISION OF LOT 69 OF
PHASE 1 SILVER.TREE II SUBDIVISION,
RECORDED IN BOOK 104 OF MAPS AT PAGES 30, 31 s 32
BUTTE COUNTY, -CALIFORNIA
FOR
WEaBHOMES
,P�.02%Ti arson a i1Lf
CIVIL ENGINEERS
_CD, CA10011U, 1-1
NOVEMBER, 1966 SHEET 2 OF 3
SEE SHEET 2 OF 3
66 65 1
xse1 O'i* E \ ��-63 62
I I 1 1
�" - - --- - - - - - -' I 52 RECORD DATA
3 PUE (R-1) RECORD OATA PLA tlAP E3]FITLBD •BI. CDIto CREER
` FSTAT_NO
, ORI? M. A•, R --= IR BOOR 91 OP
AT PACES 28-33, BOTTB COURPY OFFICIAL
\ `•` \ -�-� _IIS.O]�_ N 89°39'03E - - -- N 89.5903E PECORDS.
FLAMINGO ROAD i I (R-2) RD OATA �rn Eo IT EDDoi ioo onTS,EZ , ,T
Do
PACES97 ARo ea, E094B WImTr orrzcxAL RSCORDB.
23 \ `\` O o
°o
9\ 8.07' 74.00' I >a OD fi5.09 25 I 5I m (R-]) RBMBD DATA PP3 IOP REroRDED IN BOOR BO OF FAB-
. _____________ ______1 ____ '
G _____ _
- I --- ' -- ___.I _- � <C. yAyB, AT PAGE 19, BVPSB OOORTY OFFICIAL BEOpRp9.
01''haL \; \\ --- ' 3 1 W 1-----
z (R-4) UTA
28 AND J98DED" SOON
NTSBOOF OFICIARCEL
1 '„ w I I i102_36_
�'� r� • `\°o, e \ 33 0l '0 34 ci 35 81 �� 36 gi o 37 �o Q _ N e9^59.03E RErnnDs.
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]'PUE \,` \ OI ^ I I IZ 6N8DI9ISIOR•, RECORDED IR EWE LO{ OF IPP9, AT
24 \ '1 0 �� 9I
oJB <c. ,'' �`\ 1 0_ 1 8 1 g `� g ( I PAGES 30, 11 AID 32, B -IS COUNTY OFFICIAL
�\ j PGE I i R i f R o f I 50 ?
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20'BVILOING 13 <1_________
5FT8eCA LINE - _____
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O 38' I �O 3389°59'03"E
0.19 Ac. �j.J 4 00 0,\\ 32 m 31 $ ''• 0.17 Ac. I ; •,-1 i _-
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i PUE I ED : I o
3 "g. �,,'� `•a 36 A, Se_9o' I' 1 I 1 Z 8I ---- d 4 BBT s/e• REBAR TAaa6D R.C.E. 33281
p. i N89°...os'w 32 1 3D ^�___lal.%O____L _I 0 1 I 48
o BBT WORN STANOAAD cnrrERttRB RONWDOiT
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F • POORD 3/0• AEBAR TAGGED R.C.E. 32381 '
27 _--\ `aa i v� m 1 N89°5903 E j( FOUND NN -EST AB ROPED
LOT 67 0.26 et. - 1
(R-5) \0 \� ` -N-864)9• -iPUE I OPUE ¢
In I '� 1 (R- 1 RECORD DATA
-
royseoo _ m 28 ,^I Je •y .% _�________ ___ _ I oo,i I 47 S o w (N) wPA•..•.n Dis?u]cE on EEARaIa
J.0-
'60 o.21 Ac. 29 J 9 NB9^5903E j 1 O ,0 w
' J/�•,1 mil p11 ? 0.28 AC i PUE I 1 m l °.19 AC. m o u PUE p°BLIC UTILITY EABERBRT
4'!•qM/ ZJ.99I -YPUE mi 8 vg 1 i I iPUE - O
SDBorviexoR BODROAeF
41
19.1!' 0,17AC.
J~/ �4 9,3g ,!R -DD !].1S' , i vUE 152.00' g I 1'°- 1 NB9•!9'0!"E __ u L.P.A. LGC�xIID-)RLE AREA
70.00' 10.00' I _
jrI- 'e, 20'BAC DING
',T'••W !R190(R`4)5 M) NOO.00,00"WIR 9)M)._ _L _PUE10-fiT----L-I 1 SEre<cN LINE m
T;971903- 16 •� I C:S6AC.
mm
j PUE
F0. i OPEN LP. 3 e 0.15 4C. / 1]] 21 2 85.53'
,•per r ' , I x89•59b3E
CURVE DATA \moo �_ s?s-__ I_; 1; 22 I
D ]0.01'°9• _ 17,,,, p _ 300
PHASE 2
B 5000 R 160.00„ 0'
84. ' 20.00
'
L - moo
]7.]9' L - 6].]1' L - 1-5- L - 16.26' Z \ \0^06'4T'E \ O ] '
``� L! / 33520.00'
9°27'13
SILVER TREE II SUBDIVISION"w
29 A - 20.°0' ]0.00' ]0 R - 50.0°' 75 A - 1)0.00• _ \ a� _�
D 64.26.35^ D - 90'0°'°0• 0 - 4)•24'25' D - 15.18'3]• 3 \ -' - / `(-YPUE
L - 33.50•1 . 32.42- L - 37.06. y - 13413' E219TnC *ELI n 'D 2e c iPUE�i - \ 45 _ _ A DIVISION OF LOT 69 OF
5°.00' 20.00' ' \ 0.28
1Jo.00• N20•19'47' \ ¢ PHASE 1 SILVER. TREE SUBDIVISION,
O -]5.63'°9• p - 12.06'13• D - 59'10•]]• D _ )]'66.00• " ; V E i4\P II
L-22.4]' 16-24.97^ y. s1.9r L-76.]4• n"]i -„Cam o RECORDED IN BOOK 104 OF MAPS AT PAGES 80, 31 6.32
Q�Py 44 0 \ - BUTTE COUNTY, CALIFORNIA
LD - o.ovD' u 2] Ro )2 R 75.:%ro7• O Ro _ o17
°4
°0•
60o.23 AC. FOR 71.6] L - 65.)4• L 17.160.61 ':01
�.. (
]l R - 50.00 38 A - 70.00' 1l R • 50.00'
30.00' 16•.11' ` 50.00- 1 WEBB HOMES
D 39.6]•°0• D - 69'22'2)• IS -]0.57'16• I� 264.51 (Ft S 89°54.21•W (R-S,M)
L - 32.1]' L - 60.32' L - 1].03' I f1 _.mIwI1GlAO�
I �
1 LOT 68 1 CIVIL fw0Iw6ER3
(R-5)
aw5. uuwAxlA t»u
NOVEMBER, 1986 SHEET 3OF3
n
C;4.2, - ej;L" U'� ztz- /+ars vde •G /-/ 9- 90 >oc- 961- 9J
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
November 12, 2004
Katherine Milo
728 BrandonBury Lane
Chico, CA 95926
Subject: APN — 042-610-024
Dear Mrs. Milo:
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted Building Permit Application, and has found your application in compliance with the
established planning criteria. The site plan you submitted meets the setback requirements for
your zone as well as applicable map or use permit conditions. The Permit Application has now
been returned to their department for consideration and action.
If attached, please find a copy of any use permits, map notes and conditions for you property.
We are providing this for you information and future reference.
Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and
4:00 p.m. Monday through Friday at (530) 538-7603.
Si rely,
Chris Tolley
Assistant Planner
r � r
PERMIT NO. 5550-87B,P2E,M
PERMIT EXPIRES
OWNER WEBB BROTHERS
CONTR. Webb Homes
ASSESSOR PARCEL
LOCATION 728 Brandonbury Ln,lot 45, Chico
OFFICE COPY
Address
I
GAS
Meter By Uate I
ELECTRIC
Meter By Datei
OFFICES COPY
Address / 2
GAS
Meter By Date
ELECTRIC
Meter By Date
Temp. Power Pole
Called P(
Temp. Elea S
Called P(
Temp. Gas Sei
Cal led PG
JOB FINALE[
Signature
s
I
.0,,4 T 1,&l. q
• A
T I OR.]
OW
j
i
qT
ot1 (J -3_1t
n
— � c,•yu1.,rv��2
r ..
���• COUNTY OF BUTTE
DEPARTMdNT,OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
ERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
` when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, pi se contact this office Immediately.
IS
I'.
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaiping to this
may or need additional explanation, please contact this office Immediately.
at
QJ W -c -l'e— �'P,TC/' ver
.r z � C V / �4 ! 1-- T O -1�- In - S_
Inspector
• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of,work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Y
v
i
Inspector_ Date
V. = OK o - ,
0 = Not Applicable
RESIDENTIAL (SVngle and Duplex)
= Not Ready
g,.
is Date UND LO R Plans OK except N's
ing requirements-Setb - asements
F -,Main: Soils -Steel lec. Grn / /" Ftg.
Ftg., Garage: Soils -Steel- / /" Ftg. Depth
4. F_ Porches & Decks; Soils -Steel- / Ftg. C
Stej a ls, Main; Steel-Blockouts-Wrapped-STA
6 temwalls, Garage; Steel-Blockouts-Wrapped-Sla /
7. Pi _ fireplace Ftg.-Steel
_ W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
_ 9. Gas Pipe; Size -Anchors
_ 10. Water Pipe: Test -Anchors -Regulator -Service Test
11. Electric; Underground
_ 12. Plenums &_Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
j Card -BI M12 Date i 3 Card -BI Date
Card -BI Date -hard-BI Date
Date PLUMBING (Permit) OK except N's
14, W der Ht.: Vent -Access -Combustion Air
1! /a ter Pipe: Test & Anchors -Nail Protection
D.W.V.: Test-Fitngs & Anchors -Nail Protection
•;' Shower Pan: Test, First Floor -Tub Access
.1 —. TT' '' 'Tub & Shower, 2nd Floor -Tub Access
1 Gas Pipe: Size &Anchors
Card -BI m Date _ _ _ Card -BI Date
I Card -BI Date Card -BI Date
ELECTRICAL (Perrr.it) OK except q's
2m:' F lure & Transformer Clearance -Ins. Protection
21. EIQc. Receptacles Spacing -Lights & Switches at Doors
22�� Boxes & No. of Conductors -Stapled
23. DPffrex Installed Close to Edge of Studs & C.J.
24 - EEquip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25./2 ppliance Circuits in Kitchen & Conductor Size
2 ' Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27 ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Ins hated Neutral Yes �No
28 ice -Riser Conductors & Ground -Main Disconnect
2�t> p. Clearances: Panels-Motors-Mech. Equip. _
31 : Clothes Closet Light -Shower Light
Cara B -I )w Date Card -BI Date - -
tard B -I - Date Card -BI Date
Date MECHAMCAL (Permit) OK except N's
31• C. Ducts. Insulation & Support _ _ -
3p/nt Fan: Exhaust above Insulation
`3 .. Condensate Drain & Overflow: Size _& Grade
Y rnace=Ve . Access -Comb. Air -Return Air Vent -115V outlet _-
3 Altic Access & Platform if Furnace in Attic
Card -BI /) Date Card -BI Date
!�
,p Card -BI Date Card -BI Date
Date FRAdING(Plans) OK except p's
3 Its, Proper Material & Anchors
t 3alls: Studs -Nailing, Spacing & Bracing -Plates -Sound
3 8B aring Walls over Girders & Floor Nailing _
39f Draft Stop in Walls (rat proof)
MIAFire Stops: Furred Ceilings- Stairs_ -Chases -Tub
s 4 der & Beam -Size & Bearing
4 angers -Post Caps -Anchors -Connectors
4• -Rfl.- -Roof Brac.-Truss-Shthng.-Rfnq.
ireplace Ties or Type A Flue -Fireplace Throat
4949< /`tic Access. Size & Romex Protection -Draft Stop -Ins. Ba_tfl_e_s
4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
41Fire Protection Framing
11-- -------
(NOTE Anentrymust be made each time youvisit jobsite)
Date
FRA ING Continued
48e"' Pf Obrty Line Firewall & Openings
49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
fi9:--3tdirs-Width-Headroom-Rise-Run-Landing-Fire Protection_ -
5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers
52. Siding -Nailing -Veneer
. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ _
5 Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; N iling-Bolts ,
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FI
L (Plans) OK except q's
5K
Fxr Steps -Door & Sidelight Protection -Landings
Smoke Detector
58. Fur ce; Vents -Clearance -Comb. Air -Connector -
Garage; Above Floor -Ducts -Meth. Protection
5V
B born Exiting
6 .
I. & Bath Fixtures & Tub Access
6 .
Elec. Trim & Subpanel; Breaker Sizes -Labels
Rails
Fireplace or Stove; Clearances -Hearth
mac. Outlets at Wood Panel; Int. & Ext.
6i/Kit
Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
6
Outlets & Receptacles at Kit. Counter
6 ..
Garage Fire Door; Swing -Landing -Closer
I ra a -Dam er
V earance-Comb. Air-Connector-P.R.V.-
n age; ove Floor-Mech. Protection
7(r.
II . Elec. & Mech. Equip. Listed for Location
7a/E`lec.
Receptacles in Garage; (G.F.I.)-Rom Protec.
- 7
ulation-Foam-Looked in Attic es
7
uard Rails & Deck Construction -Post Caps
dole Door -Drainage & Wood -Earth Clearance
Lo lte under Floor El Yes
75
ollowing instld.: Des ❑ No: Walks Yes E] No;
nters El Yes
Yes No
co; Brown -Finish a
nit; Disconnect-Clrnces- Cond. Size -115V Outlet
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
_
Disconnect, Electrical, Plumbing
8.tarior
Elec. Trim; G.F.I. Receptacle -Underground
8
dation throughout House
82l/F
s Protection
rections from Previous Inspections
s -est -Meters Tagged; Gas -Electric
VV,%ter & Sewer Connected -C/0 to Grade -HD Approval
B.�-Energy
Compliance Certificate -Other Certificates
Card -BI
Date and -BI Date
Card -BI
_
Date Card -BI Date
Card -BI
Date Card -BI Date
Com: lents at Final:
• d
J = OK a
0 = Not OK
- = Not Applicable MOBILEHOMES ' ' f i' �•' MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except k's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK ezcept'N's
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec:-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / -Amp-Concrete
6. Gas; Location. -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
_
5. Alum. Awn:; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. ^
Card -BI
Date Card -BI Date I
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -'Easements
Date
POOLS (Plans) OK except #'s
1• Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool. Structure; Steel-Connections-Thickness-Dead.Men-Lining .
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elea; -Pool Lighting; 15 volts-GFI -
6. Water; MH Test -Regulator -Connector t
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date o Card -BI Date
Card -BI
Date Card -BI' Date
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541S'��
APPLICATION AND PERMIT '
w
ASSESSOR PARCEL NUMBER
Z G
M
BUILDING PERMIT
OWNER
Webb Brothers
TEL P O
89 —331
�' D G` B L
t
I VALUATION
OWNER'S MAILING ADDRESS
389C Connors Ct., Chico, CA 95926
528 M 7,392
CONTRACTOR'SNAME
Webb Homes
TELEPHONE
92 ,
920
CONTRACTOR'S MAILING ADDRESS
Fireplace '
CONSTRUCTION LENDER
U({xKNOWN
79,912
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
01
$ '
NbC1TITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$...15.00
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
728 Brandonbury Ln.
Permit fee
$ 413.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Chico
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
II
PARCEL MAP
104- l07
Water Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
-F--1---5.00
Mobile Home SG W0.00
ea
TYPE OF WORK
New Addition E:1 Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: Master #36-82 (Plan #224B)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service/EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):56
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full fo a and effect.
License No. 37/ 27 5- Classification
❑ i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I,
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW ADDNST C ACCLBLDGSCCUP.N Yz¢sgft
70
NEW CONST R. ULTI.OU ILE 2,50 ea
NON.R ESID BRANCH CIRC ITS
(POWER APPARATUS Q
SINGLE OUTLET CIR. )
Ex. OCCU OUTLETS OR FIXTURES 20®50C
p� eAL030
Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $
70
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
'
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
6.00
Hood
3.00 3.00
Ventilation
3.00
permit Fee
$
28.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said -County in c°�s�que f the granting of this permit.
X a — J_7—?7
Date
Signature of Ap nt - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3�^stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 593.70
OCCUP.
,l
CONST.TYPE
FLO(A
PARC
PD
No
-Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work dicated above for which
PUBLIC
BY
PERMIT EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date Q�
Q of -g-
Receipt No. 9=
WNITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
� 9
COUNTY OF BUTTE - DEPART .EN,T PF, PUBLIC WORKS - BUILDING D VISION
.�. r
7 COUNTY CENTER DRIVE - OROVILLE,. CA"L'-WORNIA 95965 - TELEPHONE: 91 /534-4541
O .A ♦ .4
PERMIT- APPLICATION DATA SHEET
Permit No.
OWNER A P. No.
1-6
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1, All items have been submitted. . . . . . . . . . . 4
2. Plot plans in duplicate. /triplicate, signed by preparer of plans.
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
:,,ans with Energy Design Compliance Statement. . . . .
CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . ,
Letter of signature authorization.
V -4cSanitation approval fromph i co SLP ✓^Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's 'License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑•)
_15. Improvements may be required. . . . . . . .. . . . .
16. Mobi lehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
_ 17 Pre -Inspection for Required. Building Inspector
U1�_8. Recorded copy of Agricultural Acknowledgment Statement.
L111 IK_,,Driveway Permit.
20. Plot plan approval from city of
21.
22.
When
you issue the ermit, process as follows: Mail owner, Maii to contractor.
7.—�p/�Telephone ('3 and hold for pickup n office, Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to pr it i
1. Index permit for above items No.
2. Additional items required:
ance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date &Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Copy—DPW
i.
— Flours: 10:00 a.m. - 3:00 p.m.
Owner: Webb Homes Permit No.
ENERGY C t R T I.F I C A T I O N
lot 45 - plan 224B - Silvertree _
LOCATION A.Y. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal
Resistance (R Value)
EXTERIOR 'WALL '
Material Fj b _rgl aG:G Brand Name Cprtai ntPPd
Thickness(inches) 315" Thermal Resistance(R Value) R-13
CEILING
Batt or Blanket 'Type Bat -s Brand Name_ .cPrta;ntPPd
Thickness(inches)_ 10" Thermal Resistance(R Value)_R—qn
Loose Fill Type Insul Safe TTT Brand Name C:Prta;ntPad
Minimum Thickness(Inches) 11" Number of Bags Wt..per bag lb.
axpa (-over.ed(ft.21 Thermal Resistance(R Value) R-30
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness (inches)
Width(inclies)
FOUNDATION WALL
Material
Thickness(inches)
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 above building
in conformance with the Stats of California Energy Requirements.
SHASTA INSIZATION
FIRAI01 /OWI
SIGfifATUR5 OF INSTALLATI
272941
STATE CONTRACTOR'S CENSE NO.
,�. z
DINE
I hereby certify Lite above insulation and all required items as shown on the
Building Department.approved.plans and attachments have been installed as
required by the State,of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWM.R (Please print) STATE CONTRACTOR'S LICENSE NO.
2Z eev
SIGNATURE OF CONTRACTOR OWNCR ..0' DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
PLAN 224B
1740 SQ.FT-
L 04-A',- 16
89:'59' 03"
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful t;
make' any changes or alterations on same with-
out written permission from the Department of
Public Works, County of Butte.
See Master Plan -on file for building
plans. .56-72...
9
TO
�+p �Iz -S"8 .-(o �
�1
au.f �I c COUNTY
BUILDING DEPARTMENT
A�H®VED
53V-97
1642-89B,E
4
PERMIT NO.
PERMIT EXPIRES.
OWNER KATY MILD �®
CONTR. Jay Slayton
ASSESSOR PARCEL2-61-24
31 2-11ti j 6100v°J® o�J F�4 z�le- 34-o LOCATION 728 BrandonburyLane , Chico
s,
Temp. Power Pole,
Called PG&E
f.
Temp. Else. Service
Called PG&E
Temp. Gas Service
Called PG&E q
JOB FINALED (Date)
Signature �"✓ ��
COUNTY OF BUTTE
+ DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, ,Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
z -
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the a ve address and should be corrected. Please notify this office
when corre on of work is completed. If you have any question pertaining to this
;matter r need additional explanation, please contact this office immediately.
Inspector Date
VK r ti
0 = Not Applicable
RESIDENTIAL (Single and Duplex)
- =Not Applicable `
= rVot Ready _
Date UNDESMOR (P18r(s)" OK except #'s
Main; $edf-St6ef=/"
mwalls,
FL •epl��teel
Test -2 way C/O -Sewer Test
iII2-9ite-Anchors
st-Anchors- Reg ulator-Service Test
42 6'estrie, ground
1;$-Pllenerrr-&-l5ucts; Clearance-Material-Supprt-Ins.
Amehor Bolts -Joists -Vents -Cripples
Card -B1" Dat!6_./5�jCard-B1 Date
Card -B1 Date Card -131 Date
Date PLUMBING (Permit)K except #'s
16. Water Ht. Vent -Access- bustion Air -Baffle
17. Water Pipe; Test & Anch s -Nail Protection
- 18. D.W.V.; Test-Fttngs & chors-Nail Protection
19. Shower Pan; Test first Floor -Tub Access
20. Test Tub & S Wer, 2nd or -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date and -B1 Date I
Card -131 Date Card -B1 Date
Date ELECTRICAL (Perr?h,4-OK except #'s I
Ixture A Trans
xes & No. of Conductors -Stapled I
omex Installed -Close to-Edae of Studs & C.J.
fi F.I.
/ ga. Cu or AI-A.C. Wire Size / /ga.
--Ge-ea•-A
2 . / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Yes No
ctors & Ground -Main Disconnect
Panels-Motors-Mech. Equip.
ht
33 "-ak0-0eteLAQ1
Card -B1 Dam Card -131 Date
Card -131 -bf> Date' Zk�j�yCard-B1 Date
Date MECHANI ermit) OK except #'s
34. A.C. Ducts Ins tion & Support
35. Vent Fan; E>_heust above insulation
36. Conde to Drain & Overflow; Size & Grade
37. Furnace Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Acc2'&
3 &Platform if Furnace in Attic
or
Card -B1 Date Card -131 Date
Card -131 Date Card -B1 Date
Date FRA!OG (Plans) OK except #'s
3 i , Proper Material & Anchors
alls Studs -Nailing, Spacing & Bracing -Plates -Sound
4 • 'ling
4 raft Stop in Walls (rat proof)
SPL
Beam -Size & Bearin
Date FRAMING (Continued)
- choLs_-C4m+eet0Te 404%
In is ies- w449-RoofBFacf.-T+trss-S ng
oa nce
les
rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
s
rage -3rd story, 2 exits
53. Staii,s: e-Run-Landi g -Fire Protection
ywnnd_oa44eef-"rhang-Att nts-Re#tef-Auukjprs
er
� ,150tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass - -
nsulation-Walls-Clg.
�,Z Q filtration-Walls-Wndws
Card-BOJ70 Da and -B1 Date
Card -B1 Da%���Card-B1 Date
Date FIN41. (Plans) OK except #'s
. Ex Steps -Door & Sidelight Protection -Landings
P -Smoke Detector
-68-Furnace; Vents -Clearance -Comb. Air-Connector-
Ingarage; Above Floor-Ducts-Mech. Protection
edroom Exiting
-". G.F.I. & Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel; Breaker Sizes -Labels
.Stairs & Rails
-6&-Fireplace or Stove; Clearances -Hearth .
-69✓ Elec. Outlets at Wood Panel; Int. & Ext.
-716: Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
4+ Elec. Outlets & Receptacles at Kit. Counter
-73. Garage Fire Door; Swing -Landing -Closer
48-A.C. Duct in Garage -Damper
- 4-,Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
-v�6rEl c. Receptacles in Garage; (G.F.I.)-Romex Protec.
nsulation- Foam- Looked in Attic oXes
-7" rd Rails & Deck Construction -Post Caps
. dn. Vents & Crawl Hole Door -Drainage & Wood -Earth '
Clearance Looked under Floor ❑ Yes
89: Following instld. rive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
P anters ❑ Y ❑ No
Stucco; Br n-Fi ,�
-82: A.C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
-8d' Water Well; Disconnect, Electrical, Plumbing
-89' Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
C31ass Protection
. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90.. Water & Sewer Connected -C/O to Grade -HD Approval
90Energy Compliance Certificate -Other Certificates
T22. Roofing Certificate
Card -B1 !&J Date ?4Z44t;ard-B1 Date
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit iob site)
= OK
_
t.
0 = Not OK
MOBILE HOMES
MISCELLANEOUS
= Not Readyable
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'l- ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements r.
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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.
Card -81
Date Card -61 Date
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville; CalPfornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
12 ��
ASSESSOR PARCE BER
ZO N
BUILDING PERMIT
OWNER , TELE HONE
SQ. FT. DCC. BUILDING VALUATION
OWNER'S MAILING AD ESS
CONTRACTOR'S NA ELEPH ONE
�j
CONTRACTOR'S M IN DDRESS
(� O
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
1000
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ In
Penalty
$
BUILDING ADDRESS
Permit fe@ o
s
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCELMAjP
Water piping
5.00
U(–f� 1`/GO
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 oup6ts
5.00
SF ❑ Duplex❑ Mobilehome❑ Other a §moi
Building sewer
5.00
SPECIFY
Mobile Home G JW I
O.oOea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Penult Fee
$
Describe work:���(���1?-IAiYt_ r%% �a/�
�i
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.SI
OR ADDNS. (
,/20sgft
I declarnder penalty of perjury (Check one):
ACC. SLOGS.
NEW CONSTR. TI.OUTLET
2.50 ea
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON-RESID BRANCH CIRC ITS
/ POWER APPARATUS e
m
and Prafessions ode and license is in full force and effect.
(SINGLE OUTLET CIR. )
License No. Classification —�
EO�
x. CCUpOUTLETS OR FIXTURES
20950t
SALO 30
El 1, as the owner, or my employees with wages as their sole compen-
FIXED PR
Ex. OCCUp. OUTLETS (RESID.)
ID )NSREA.)
2.00
will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
❑ I, the
Mobile Home Facilities
15.00
as owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
Misc. bYirin 9
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Penult Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare unde penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ e permit is for $100.00 (valuation) or less. ��
Heating
Rr I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
g
❑ I shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
penntt Fee
=
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
1s correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$ 30, oo
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
1 also agree to save, indemnify and keep harmless the County of Butte against
OCCUP. CONST. YPE SCHOOL D PARCEL PD ; ISSUE
all liabilities, ju en , osts, and expenses which may in any way accrue
1
v 2---"
a inst said Co c ce of the granting of this permit.
This permit is hereby issued under
the applicable provi-
sions of the Butte Cou ty Co a and/or resolutions to do
S:fA'�,Applic t — Owner❑ Contractorgent ❑
work indicate ove for ich fees have been paid.
nit is required for excavations over 5'0" deep and demolition or construct-
C R LIC WORKS
ion s over 3 stories in height.
7Date
r/
Receipt No. �� oC Y
By Z�o
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERM(T !21114Eil Date
I
COUNTY OF BUTTE - DEPARTMENT.,OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER !1~rf A. P. No.x'60 9
Proposed Building Use /11 ry d1 Building Inspector �S- Date
• r
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
43.
1. Park fee paid................................................2. School District fees paid ............ Sanitation approval from Pm.— Health Department��1�
14. City of Chico plumbing permit ..................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... Pre--Inspec. request to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
4. Letter of signature authorizati n..:...............................I.. .
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone d 011 and hold for pickup at4/n office. Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire De tom; Other Date
The following data must be submitted prior to permit. issuance: (Circle new item not checked above).
1. Index permit for above items No. /a�, 15? -5
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
co^
Plans checked by Date Plans approved by �✓ Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
t
''BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A. Pt. Number - �p a Building Department No.
School District c" City n County Jurisdiction
111- -
Property
1v-
Property Owner
Project Locati
Subdivision Lot Number
Residential Development:. a a
Sq. Footage.
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
I�Adl 4,411W
"--Building Department' `Repp`resentative Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No.
1 At_�n Urn i1ADk School District certifies that
cant Name
t5treet Aaares•s)
53,R-03-7,
Phone Number
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by the payment of $ Cep representing /qq square feet.
.3/3I /r,
chool" District Representative /: Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS:
white -applicant; yellow -building department,.pink-school district
1 SCHOOL.FEE (8/88)
_. j
FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction work under build -
in g permit application 9 ,�� at
u
A.P. # for does
not equal or exceed the definition of "Substantial Improvement."*
I am aware the building site is in..a flood -plain area, even though I
am not required to comply with the flood plain management criteria.
t
PROPERTY OWNER. Lao
ADDRESS
PHONE NO.
DATE /41
*Substantial improvement is defined as follows: Any repair, reconstruc-
tion, or improvement of a structure, the cost of which equals or exceeds
50% of the market value of the structure either, (a) before the improvement
or repair is started, or (b) if the structure has been damaged, and is being
restored, .before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
FORM 7
ADDITIONS TO RESIDENTIAL`BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner/ /0 Climate Zone
Permit # / Floor Area
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, -house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
CEILING
O WALL
FLOOR
SLAB
p GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11
R-30
R-11
R-11
R-7
U-.65 (Dual)
or .36 Shading Coefficient
WEST .- .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
R-
R-
-19
R-7
U-.65 (Dual)
A INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE'- Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
0
HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity) -
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
(B)
(B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Stu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ • (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
[3* Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*I Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following: _
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load a maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administra n Co
,2o 3
�Ci
S3aD3 j2
2 0 -
T
J
.J
O �
� �
Vd 042-610-024 2-1757
MILO, KATHERINE
728 BRANDONBURY LN., CHICO
RE -ROOF
w
0
a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) / APPLICATION AND PERMIT '0�
ASSESSOR PARCEL NUMBER t f /�
ZONING j3 n
BUILDINGPERMIT
OWNER
TEUPHO/N!)jE�,�`
SO. FT. OCC. BUILDING VALUATION
. OWNEAS _UjJODRES�+� ^ � � vI/ R.y LA W C � 1co '15`1
1{�✓'](FJI+�'�/P_
CONTRACTOR'S NAME TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
TENDER'S MAILING ADDRESS
Total Valuation 760
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 13-V,
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS —/ �N !l/
Energy Plan Checking Fee $
b
PERMIT FEE $ Q1
LOT NO.
SUBDNIS IONSL ,. E�
PARCEL MAP
1
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SFX.,1Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat Pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W I @20.00
PERMIT FEE $
P'
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zo.AORLEss 23.00
LICENSED CONTRACTOR'S DECLARATION j
I hereby affirm under penalty of perjury that 1 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
aw br the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
W 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 proisions of section 3700 of the Labor Code, I shall
forthwith comply with ose provisions.
"�
X , / Date / Z' 02 _
Signature of Applicant`'��bwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1C00ACU 46.00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( VTAU S. 3.5QFT;
MULTI -OUTLET �a 7.50
NON•RESD ' BRANCH CIRCUITS
POWER APPARATUS
6 SINGLE OUTLET CTR.
.00
EX. Occup. OUTLET OR FIXTURES BAL @ I.w
FIXED APPLNs. OR
Ex. Occup. ounETs RESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
.
CONSTTYPE
TOTAL FEE $ CfI
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Bu�tte�County Code and/orAResolutions to do work
indicated above for which fees h e been paid.
f
By � Date
r
PERMIT EXPIRES ON �" r �7
Date
Receipt No. �i 1 l y
WHITE-D.D.S.-B. CANARY ASSE OR''/ PINK -INSPECTOR GOLDENROD -APPLICANT
.� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O.
(Rev. 12/96) APPLICATION AND PERMIT 'o"7 P -196
ASSESSOR PARCEL NUMBER Of L.. O
ZONING /,[\ /�
BUILDING PERMIT
OWNER _ 1' 1
'■V'
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S DRES I✓,ktj Poo V pef
CONTRACTOR'S NAME � � TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS ��tr
v /��
t3 111gLz!i
Energy Plan Checking Fee $
$
PERMIT FEE $
�D
LOT NO.
SUBDN510 ME�eiE
T
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF>Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑!!Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ?6ywor- , (�r� �yG�(f r C�f
� /tif�IJ /VI 7-4y4-- 1"i
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
'OOVOR LES
Main Service 20OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is 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
Vw r 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
Main Service zooA To 1000A
46.00
NEW CONST. DWELLING CUP.
OR ADDNS. ( 8 ACC. S.
sD
3.5¢FT.
MULTI-OUTLET CIRCUITS
NON-RNON
Ln 7,50
PowER APPARATus
SINGLE 0 ET CIR.
Ex. Occup.a OR FD(TURES
20 SALOUTLET @ 1.00
Ex. Occup. oFlimETs .Es ) E.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
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 pro ions of section 3700 of the Labor Code, I shall
fort 'th comply with ose r visions.
'%IMof
X Date 1
Signature of Applicant - wrier ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ V, cc)
FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
I ISSUE
This permit is hereby issued under the applicable provisions
the Bu unty Code and/or Resolutions to do work
indicate a vee for which fees a been paid.
By. Date
PERMIT EXPIRES Oe�n
Dete
ReceiptNo.
WHITE-D.D.S.•B. . CAN R -ASSE O PINK -INSPECTOR GOLDENROD -APPLICANT
I
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 a major labor and materials for construction of the proposed
property ' provement : YE NO C
2. I HAVE HAVE NOT O signed an application for a building permit for the proposed work.
3. I have contra the f 1 ' g n (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:
N ME`�` DDRES PHONE TYPE F WORK
l� LLo C-u-� 1+ 7Z goo
ICU (o r�G 1
SIGNED:
PROPERTYOWNER:
SOCIAL, SECURITY NU1MER:
DATE: 712- 0-
7 -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
OWNER BUILDER INFORMATION I
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 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 time.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" 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 Contactors State License Board in your
community or at 1030 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
i rely,
ice--.
Mic el C. Vi ira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information Is required by Section 198.10 of the Californla Health and Safety Code -
OVER
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Celled PGI
Temp. Gas Ser
Called PGI
JOB FINALED
Signature
OK
0 Not OR;.
Not Applicable t adyMOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils;•Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2.Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
PO PCS Plans OK except #'s
5. Drain; MH Test -Fall -Flex Connector
tbacks-Easements
6. Water; MH Test -Regulator -Connector
ils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
G2Pool Structure; Steel -Connections -Thickness -
De d Men -Lining
8. Gas and Electricity Tagged'
9. Exits; Insp.-Sketch
'14 lec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. ec.; Pool Lighting; 15 volts-GFI
lec.; Enclosures; Conduit Entries -Terminals -Listed
7Xlec.; Bonding; Metal w/5' -Circulating Equip. -Heater
� oEtec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pa nelboards- Ins. to Main in Conduit
Card -131 ' Date Card -B1 Date
Card -B1
Date Card -B1 Date
9. ealth Department Approval
. Plumb.; Cir. Test -Water Supply Test
(Card -81
Card -B1
ate and -131 Date
Date Card -B1 Date
I
r.
= OK
=Not OK
= Not Applicable p RESIDENTIAL (Single and D°Uplex)
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.,Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop-Ins..B�affles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh=Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -61 Date
66. Stairs & Rails
Card -131
Date Card -131 Date
67. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic O Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage &Wood -Earth
Clearance Looked under Floor 0 Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
80. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -137
Date Card -131 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -81
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
Card -131
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments
at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
r r
► . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI l--
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. l
APPLICATION AiND PERMIT
ASSESS WRCEL NUMBER`
7`,��/! C/v
z°" G
BUILDING PERMIT
OWNU
1�
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
/
OWNER'S MAI IN ADDRESSelgh�/S
�v' V
m
CON ACTOR'S NAMETELEP ONE
l��D45
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRU ION LE DER
UNKNOWN
Total Valuation $
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITEC R EN NEER
LICENSE NO.
Plan Checking Fee $
i
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
7�V ����
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
(OK
Water piping 5.00 47 -
Each qas water heater or vent 5.00
USE OF STRUCTUM
SF❑ Duplex❑ Mobilehome❑ Others
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home I S -T G W 0.00 ea
TYPE OF WORK
Neww Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:Contractor
13& JP2-9,5--
722 I
Permit Fee $
ELECTRICAL PERMIT Filing Fee 10.00
Main service e0ov OR` LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions force and effect.
jl Code and my license is in full
Classification
License No. 3O O ?)(0 (�.�3i
E] 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.li ,
OR AODNS. ACC. BLDGS. 2(tsgft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID .BRA C CIRC S
/POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES SALO 30
Ex. Occup. OUTLFIXEETS P(RESID NS ) EA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
Hood 3.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against Ad Count inconsequenceof the granting of this permit.
X Date d — / ?_
.Signature of Applicant - Owner ❑ Contractor � Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories iQ height.
Mobile Home Installation Fee $
Energy Inspection Fee $
p
TOTAL PERMIT FEE $ O o X5
Occup.
COMST*TYPEJ
SCHOOL
FLOoo
PARCEL
P11
1 H
Is
This permit is hereby issued under the applicable provi-
sions o he Buttq County Code and/or resolutions to do
work nd t a Ove for which fees have been paid.
C.TrOR OF PUBLIC WORKS
BDate ry
/y �,�/,�/����/J)
_��/�—�Mb
PERMIT EXPIRES Date r
Receipt No. SR
WNITE-O.P.W., YELLOW-A3E330. PINK -INSPECTOR. GOLDENROD-AP►L ICANT
'�ry� ,1 •+'r[ -�_ /i'.T J/`R._�" if V, �i ` Vl �Y�/(X'� y.VV.(►�. ' +` 4'
11
COUNTY OF BUTTE -DEPARTMENT^OF'IPUBLIC WORKS -BUILDING DIVISION+
- 7 COUNTY CENTER DRIVE - OROVjbLEp r,AI4FORNIA 95965 -TELEPHONE: 916/538-7541
'
PERM ITxAPPLICATION DATA SHEET
OWNER �SJ�
Proposed Building Use
I",
A. P. No.
Building Inspector/ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . . —
2. Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .-
6. School District "Fees Paid" Stamp on Floor Plan.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . . . .
9.
Letter of signature authorization. . . . . . . .
0!
Sanitation approval from Health Dept.
Plans checked by Date
Planning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance.
13.
Contractor's License Information (no., name style, classif.)
_14.
Owner -Builder Verification (Given to owner❑, Mail to owner ❑)
' _..-..._15.
Improvements may be required. . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . . .
17.
Pre-Inspec. request to (Date
Pre -Inspection for _.. _ _ _._ _. _ Required. Building Inspector t
18.
Recorded copy of Agricultural Acknowledgment Statement.
l; 19.
Driveway Permit. —
_ 20.
Plot plan approval from city of _
21.
22. _t' --
When you issue the permit, process as follows: Mail to owner, I�.aii to contractor_/
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Othe
C!' G0 _ Applicant Date
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required
data by_phone_mail—counter
by date
Contractor, designer, owner, was advised c? 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
Copy—DPW
AP folder
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TABLE OF CONTENTS TOC
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
Project Address........ BRANDONBURY LN. *******
CHICO, CA *v7.10*
Documentation Author... ROBERT A. MANGRUM ******* Building Permit #
Paradise Mechanical
5655 Almond Street Plan Check Date
Paradise, CA 95969
530-877-8882 Field Check Date
Climate Zone........... 11
Compliance Meth.od...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc.
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -TOC
User#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
TABLE OF CONTENTS
Report
Page
FORM CF -1R ................ 1
FORM MF -1R ................ 7
HVAC SIZING ............... 11
i
w
�
433.1
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
Project Address........ BRANDONBURY LN *******
CHICO, CA *v7.10*
Documentation Author... ROBERT A. MANGRUM ******* Building Permit
Paradise Mechanical
5655 Almond Street Plan Check Date
Paradise, CA 95969
530-877-8882 Field Check Date
Climate Zone...... 11
Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc.
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
MICROPAS7 ENERGY USE SUMMARY
Energy Use
(kTDV/sf -yr)
Space Heating..........
Space Cooling..........
Water Heating..........
Standard
Proposed
Compliance
Design
Design
Margin
40.24
39.57
0.67
48.09
48.43
-0.34
29.06
29.06
0.00
Total 117.39 117.06 0.33
*** Building complies with Computer Performance ***
GENERAL INFORMATION
HERS Verification.........
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Vintage Assumptions .......
Fuel Type .................
Building Front Orientation.
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type..........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Glazing U -factor...
Average Glazing SHGC.......
Average Ceiling Height.....
'� f .zl�l f J I I
Not Required
2118 sf
Single Family Detached
Existing+Addition+Alteration
1984-1991
NaturalGas
Front Facing 310 deg (NW)
1
1
FullYear
Slab On Grade
2
16944 cf
2118 sf
12.3 % of floor area
0.52 Btu/hr-sf-F
0.57
8 ft
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2
Project Title. _ _ _ _ _ _ _ _ _ MTT,n 7\nnTTTnnT r,_, /_ - /-- -- - --
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
Vent Vent Verified
Height Area Leakage or
(ft) (sf) Housewrap
2.0 Standard Housewrap
2.0 Standard No
U- Sheath- Solar Appendix
Frame Area fact- Cavity ing Act Gains IV Location/
Surface Type (sf) or R-val R-val Azm Tilt Reference Comments
ADD - New (Added)
0
310
BUILDING ZONE INFORMATION
Wall
Floor
64
# of # of
Cond-
Thermo -
Wood
Area
Volume
Dwell Peop-
it-
stat
Zone Type
(sf)
(cf)
Units le
Toned
Type
ADD - New
(Added)
38
0
6
Wall
Residence
110
880
0.05 0.2
Yes
Setback
HOUSE - Existing
0.110
8
Wall
Wood
152
Residence
2008
16064
0.95 3.8
Yes
Setback
10
Wall
Wood
OPAQUE
SURFACES
Vent Vent Verified
Height Area Leakage or
(ft) (sf) Housewrap
2.0 Standard Housewrap
2.0 Standard No
U- Sheath- Solar Appendix
Frame Area fact- Cavity ing Act Gains IV Location/
Surface Type (sf) or R-val R-val Azm Tilt Reference Comments
ADD - New (Added)
0
310
1
Wall
Wood
64
0.039
2
Wall
Wood
34
0.095
3
Wall
Wood
80
0.039
4
RoofRad Wood
110
0.015
HOUSE -
Existing
38
0
6
Wall
Wood
176
0.110
7
Wall
Wood
295
0.110
8
Wall
Wood
152
0.110
9
Wall
Wood
392
0.110
10
Wall
Wood
491
0.110
11
Wall
Wood
269
0.110
13
Wall
Wood
134
0.110
14
Door
Other
18
0.500
15
Door
Other
20
0.500
16
Roof
Wood
2008
0.049
HOUSE
-
Deleted
right
11
12
Wall
Wood
110
0.110
Length
Surface (ft)
ADD - New (Added)
5 S1abEdge 29
HOUSE - Existing
17 SlabEdge 208
21
0
310
90
Yes
IV.9
A6
front
15
6
130
90
Yes
IV.9
A4
back
21
0
220
90
Yes
IV.9
A6
right
38
0
n/a
0
Yes
IV.1
A18
attic
11
0
310
90
No
IV.9
A2
to garage
11
0
310
90
Yes
IV.9
A2
front
11
0
40
90
No
IV.9
A2
to garage
11
0
40
90
Yes
IV.9
A2
left
11
0
130
90
Yes
IV.9
A2
back
11
0
220
90
Yes
IV.9
A2
right
11
0
220
90
No
IV.9
A2
to garage
0
0
220
90
No
IV.5
A4
to garage
0
0
310
90
Yes
IV.5
A4
entry
19
0
n/a
0
Yes
IV.1
A4
attic
11 0 220 90 Yes IV.9 A2 right
PERIMETER LOSSES
Appendix
F2 Insul Solar IV Location/
Factor R-val Gains Reference Comments
0.730 R-0 No IV.26 Al
0.730 R-0 No IV.26 Al
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD
CF-1R Page 3
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
FENESTRATION SURFACES
Exterior
Area U- Act Shade
Orientation (sf) factor SHGC Azm Tilt Type Location/Comments
ADD - New (Added)
1 Wind Back (SE) 30.0 0.350 0.320 130 90 Standard 131/Vinyl/Wood Operable L
2 Wind Right (SW) 30.0 0.350 0.320 220 90 Standard R2/Vinyl/Wood Operable L
HOUSE - Existing
3 Wind Front (NW) 15.0 0.580 0.650 310 90 Standard F1/Vinyl/Wood Operable
4 Wind Front (NW) 15.0 0.580 0.650 310 90 Standard F2/Vinyl/Wood Operable
5 Wind Front (NW) 15.0 0.580 0.650 310 90 Standard F3/Vinyl/Wood Operable
6 Wind Front (NW) 20.0 0.580 0.650 310 90 Standard F4/Vinyl/Wood Operable
7 Wind Front (NW) 20.0 0.580 0.650 310 90 Standard F5/Vinyl/Wood Operable
8 Wind Left (NE) 9.0 0.580 0.650 40 90 Standard L6/Vinyl/Wood Operable
9 Wind Left (NE) 10.0 0.580 0.650 40 90 Standard L7/Vinyl/Wood Operable
10 Wind Left (NE) 10.0 0.580 0.650 40 90 Standard L8/Vinyl/Wood Operable
11 Wind Back (SE) 4.0 0.580 0.650 130 90 Standard B9/Vinyl/Wood Operable
12 Door Back (SE) 40.0 0.530 0.650 130 90 Standard B10/Vinyl/Wood Patio Doo
13 Wind Back (SE) 17.5 0.580 0.650 130 90 Standard B11/Vinyl/Wood Operable
14 Wind Back (SE) 24.0 0.580 0.650 130 90 Standard B12/Vinyl/Wood Operable
OVERHANGS
Window Overhang
Area Left Right
Surface (sf) Width Height Depth Height Extension Extension
ADD - New (Added)
1 Window 30.0 6.0 5.0 2.0 0.0 3.0 3.0
2 Window 30.0 6.0 5.0 2.0 2.0 3.0 3.0
HOUSE - Existing
3 Window 15.0 3.0 5.0 2.0 0.0 n/a n/a
4 Window 15.0 3.0 5.0 2.0 0.0 n/a n/a
5 Window 15.0 3.0 5.0 2.0 0.0 n/a n/a
6 Window 20.0 5.0 4.0 2.0 0.0 n/a n/a
7 Window 20.0 5.0 4.0 2.0 0.0 n/a n/a
8 Window 9.0 3.0 3.0 2.0 0.0 n/a n/a
9 Window 10.0 2.0 5.0 2.0 0.0 n/a n/a
10 Window 10.0 2.0 5.0 2.0 0.0 n/a n/a
11 Window 4.0 2.0 2.0 2.0 0.0 n/a n/a
12 Door 40.0 6.0 6.6 2.0 0.0 n/a n/a
13 Window 17.5 5.0 3.5 2.0 0.0 n/a n/a
14 Window 24.0 6.0 4.0 2.0 0.0 n/a n/a
SLAB SURFACES
Area
Slab Type (sf)
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM CF -1R
User##-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
ADD - New (Added)
Standard Slab 110
HOUSE - Existing
Standard Slab 2008
HVAC SYSTEMS
System
Number
of
Verified Verified
Minimum
Verified
Verified
Verified
Maximum
Type
Systems
Efficiency
EER
Refrig Charge
or TXV
Adequate
Airflow
Fan Watt
Draw
Cooling
HOUSE - Existing
HPSplit
55674
ACSplit
n/a
Capacity
ADD - New
(Added)
HPSplit
ACSplit
.05
6.60 HSPF
8.90 SEER
n/a
No
n/a
n/a
n/a
n/a
.05
HOUSE - Existing
No
No
No
No
HPSplit
.95
6.60 HSPF
n/a
n/a
n/a
n/a
n/a
ACSplit
.95
8.90 SEER
No
No
No
No
No
HVAC
SIZING
Total
59589
Sensible
Cooling
Load
(Btu/hr)
Design
Cooling
Capacity
(Btu/hr)
Verif ied
Maximum
Cooling
Capacity
(Btu/hr)
n/a
Total
n/a
Heating
System
Load
Type
(Btu/hr)
ADD - New
(Added)
HPSplit
3915
ACSplit
n/a
HOUSE - Existing
HPSplit
55674
ACSplit
n/a
Total
59589
Sensible
Cooling
Load
(Btu/hr)
Design
Cooling
Capacity
(Btu/hr)
Verif ied
Maximum
Cooling
Capacity
(Btu/hr)
n/a
n/a
n/a
2635
3160
n/a
n/a
n/a
n/a
37667
45170
n/a
40302
48330
n/a
Sizing Location............ CHICO EXP STA
Winter Outside Design...... 22 F
Winter Inside Design....... 70 F
Summer Outside Design...... 100 F
Summer Inside Design....... 75 F
Summer Range ............... 37 F
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD
CF -1R Page 5
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM CF -1R
User##-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
DUCT SYSTEMS
System Duct Duct VeDucted Surfaced VBuriedd
Type Location R -value Leakage Area Ducts
ADD - New
(Added)
HPSplit
Attic
ACSplit
Attic
HOUSE - Existing
HPSplit
Attic
ACSplit
Attic
Tank Type
DHW - Existing
1 Storage
Heater
Type
R-6 No No No
R-6 No No No
R-2.1 No No No
R-2.1 No No No
WATER HEATING SYSTEMS
Distribution Type
Number Tank External
in Energy Size Insulation
System Factor (gal) R -value
Electric Standard 1 0.864 50 R- n/a
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items in this section should be documented on the plans, ***
*** installed to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection. ***
This building incorporates a Housewrap/Air Infiltration Retarder.
This building incorporates a Radiant Barrier.
This building incorporates a Radiant Barrier used as part of an alteration.
This building incorporates a non-standard Water Heating System.
REMARKS
CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 6
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM CF -1R
User#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
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.
DESIGNER or OWNER DOCUMENTATION AUTHOR
Name....
BRANT NIGHTINGALE
Name....
ROBERT A. MANGRUM
Company.
BRANT NIGHTINGALE DESIGNS
Company.
Paradise Mechanical
Address.
Address.
5655 Almond Street
Phone...
PARADISE, CA
(530) 877-4589
Paradise, CA 95969
Phone...
530-877-8882
License._
Signed �- .. r %�- rte, l'
date date
ENFORCEMENT AGENCY
Name....
Title...
Agency..
Phone...
Signed..
date
MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 7
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
Project Address........ BRANDONBURY LN *******
Documentation Author..,
Climate Zone...........
Compliance Method......
CHICO, CA
ROBERT A. MANGRUM
Paradise Mechanical
5655 Almond Street
Paradise, CA 95969
530-877-8882
11
MICROPAS7 v7.10 for
*v7.10*
*******
Building Permit
Plan Check Date
Field Check Date
2005 Standards by Enercomp, Inc.
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM MF -1R
User$#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
Note: Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. More stringent compliance
requirements from the Certificate of Compliance supersede the items marked with
an asterisk (*). When this checklist is incorporated into the permit documents,
the features noted shall be considered by all parties as minimum component
performance specifications for the mandatory measures whether they are shown
elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
*150(a): Minimum R-19 insulation in wood framed ceiling or n/a
equivalent U -factor in metal frame ceiling
150(b): Loose fill insulation manufacturer's labeled R -Value
*150(c): Minimum R-13 wall insulation in wood framed walls or
equivalent U -factor in metal frame walls (does not apply
to exterior mass walls)
*150(d): Minimum R-13 raised floor insulation in framed floors
or equivalent U -factor
150(e): Installation of Fireplaces, Decorative Gas Appliances
and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door covering the entire
opening of the firebox ,
b. Outside air intake with damper and control, flue
damper and control
2. No continuous burning gas pilot lights allowed
-150(f): Air retarding wrap installed to comply with Sec. 151
meets requirements specified in ACM Residential Manual
150(8): Vapor barriers mandatory in Climate Zones 14,16 only v
-150(1): Slab edge insulation - water absorption rate for the
insulation material without facings no greater than 0.30,
water vapor permeance rate no greater than 2.0 perm/inch +%
118: Insulation specified or installed meets insulation quality
standards. Indicate type and include CF -6R form
116-17: Fenestration Products, Exterior Doors and Infiltration
Exfiltration Controls
1. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage
2. Fenestration products (except field -fabricated) have
label with certified U -factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification
De- En-
sign- force-
er ment
I/
MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 8
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM MF -1R
User#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
3. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
110-113: HVAC equipment, water heaters, showerheads and n/a
faucets certified by the Energy Commission
150(h): Heating and/or cooling loads calculated in accordance
with ASHRAE, SMACNA or ACCA
150(i): Setback thermostat on all applicable heating and/or
cooling systems
150(j): Water system pipe and tank insulation and cooling
systems line insulation
1. Storage gas water heaters rated with an Energy Factor
less than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R12 or greater
2. Back-up tanks for solar system, unfired storage tanks, or
other indirect hot water tanks have R-12 external
insulation or R-16 internal and indicated on the
exterior of the tank showing the R -value
3. The following piping is insulated according to Table 150-A B
or Equation 150-A Insulation Thickness:
1. First 5 feet of hot and cold water pipes closest
to
water heater tank, non -recirculating systems, and
entire length of recirculating sections of hot water ,r
pipes shall be insulated to Table 150B°
2. Cooling system piping (suction, chilled water, or
brine lines), piping insulated between heating source
and indirect hot water tank shall be insulated to al
Table 150-B and Equation 150-A ✓
4. Steam hydronic heating systems or hot water systems >15 ps
meet requirements of Table 123-A t
5. Insulation must be protected from damage, including that due
to sunlight, moisture, equipment maintenance and wind
6. Insulation for chilled water piping and refrigerant suction
piping includes a vapor retardant or is enclosed entirely
in conditioned space
7. Solar water -heating systems/collectors are certified by he,
Solar Rating and Certification Corporation ✓
*150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to
meet the requirements of the CMC Sections 601, 602, 603,
604, 605 and Standard 6-5; supply -air and return -air ducts
and plenums are insulated to a minimum installed level of
R-4.2 or enclosed entirely in conditioned space. Openings
shall be sealed with mastic, tape, or other duct -closure
system that meets the applicable requirements of UL 181,
UL 181A, or UL 181B or aerosol sealant that meets the
requirements of UL 723. If mastic or tape is used to seal
openings greater than 1/4 inch, the combination of mastic
and either mesh or tape shall be used
De- En-
sign- force
er ment
�N
MANDATORY MEASURES CHECKLIST: RESIDENTIAL
MF -1R Page 9
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
1
g ins ructions, no
electric resistance heating and no pilot light
2. System is installed with:
a. At least 36 inches of pipe between filter and heater
for future solar heating
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation
pump time switch
115: Gas-fired central furnaces, pool heaters, spa heaters or
household cooking appliances have no continuously burning
pilot light (Exception: Non -electrical cooking appliances
with pilot < 150 Btu/hr)�
118(i):Cool Roof material meets specified criteria'`
RESIDENTIAL LIGHTING MEASURES
150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID:
contain only high efficacy lamps as outlined in Table
150-C, and do not contain a medium screw base socket
(E24/E26) B 11
De- En-
sign- force
n/a er ment
CIL ast for lamps 13 watts or greater are electronic
and have an output frequency no less than 20 kHz
150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain
only high efficacy lamps as outlined in Table 150-C,
luminaire has factory installed HID ballast
150(k)2: Permanently installed luminaires in kitchens shall
be high efficacy luminaires. Up to 50 percent of the wattage,
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM MF -1R
User#-MP1342 User -Paradise Mechanical
Run-NIGHT122 TITLE 24
2302
2.
Building cavities, support platforms for air handlers, and
plenums defined
or constructed with materials other than
sealed sheet metal, duct board or flexible duct shall
not
be used for conveying conditioned air. Building cavities and
support platforms may contain ducts. Ducts installed in
cavities and support platforms shall not be compressed to cause
reductions in the cross-sectional
3.
area of the ducts
Joints and seams of duct systems and their components
shall not be sealed with cloth backed rubber adhesive
duct tapes unless such tape is used in combination with
mastic and draw bands
4.
Exhaust fan systems have back draft or automatic dampers
5.
Gravity ventilating systems serving conditioned space have
either automatic or readily
accessible, manually
operated dampers
6.
Protection of Insulation. Insulation shall be protected
from damage due to sunlight, moisture, equipment mainten-
ance and wind. Cellular foam insulation shall be protected
as above or painted with a coating that is water retardant
and provides shielding from solar radiation
that can cause
degradation of the material
7.
Flexible ducts cannot have porous inner cores
114:
Pool and Spa Heating Systems and Equipment
1.
A thermal efficiency that complies with the Appliance
Efficiency Regulations, on-off switch mounted outside of
the heater, weatherproof operatint
g ins ructions, no
electric resistance heating and no pilot light
2. System is installed with:
a. At least 36 inches of pipe between filter and heater
for future solar heating
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation
pump time switch
115: Gas-fired central furnaces, pool heaters, spa heaters or
household cooking appliances have no continuously burning
pilot light (Exception: Non -electrical cooking appliances
with pilot < 150 Btu/hr)�
118(i):Cool Roof material meets specified criteria'`
RESIDENTIAL LIGHTING MEASURES
150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID:
contain only high efficacy lamps as outlined in Table
150-C, and do not contain a medium screw base socket
(E24/E26) B 11
De- En-
sign- force
n/a er ment
CIL ast for lamps 13 watts or greater are electronic
and have an output frequency no less than 20 kHz
150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain
only high efficacy lamps as outlined in Table 150-C,
luminaire has factory installed HID ballast
150(k)2: Permanently installed luminaires in kitchens shall
be high efficacy luminaires. Up to 50 percent of the wattage,
MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 10
Project Title.......... MILO ADDITION Date..03/26/08 09:30:50
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -FORM MF -1R
User##-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
as determined in Sec. 130(c), of permanently installed luminaires
in kitchens may be in luminaires that are not high efficacy
luminaires, provided that these luminaires are controlled
by switches separate from those controlling the high
efficacy luminaires
150(k)3: Permanently installed luminaires in bathrooms,
garages, laundry rooms, utility rooms shall be high
efficacy luminaires OR are controlled by an occupant
sensor(s) certified to comply with Section 119(d) that
does not turn on automatically or have an always on option
150(k)4: Permanently installed luminaires located other than
in kitchens, bathrooms, garages, laundry rooms, and utility
rooms shall be high efficacy luminaires (except closets
less than 70 ft2), OR are controlled by a dimmer switch
OR are controlled by an occupant sensor(s) that complies
with Section 119(d) that does not. turn on automatically
or have an always on option
150(k)5: Luminaires that are recessed into insulated ceilings
are approved for zero clearance insulation cover (IC) and
are certified air tight to ASTM E283 and labeled as air
tight (AT) to less than 2.0 CFM at 75 Pascals
150(k)6: Luminaires providing outdoor lighting and permanently
mounted to a residential building or to other buildings on
the same lot shall be high efficacy luminaires (not in-
cluding lighting around swimming pools/water features or
other Article 680 locations) OR are controlled by occupant
sensors with integral photo control certified to comply
with Section 119(d)
150(k)7: Lighting for parking lots for 8 or more vehicles shall
have lighting that complies with Sec. 130, 132, and 147.
Lighting for parking garages for 8 or more vehicles shall
have lighting that complies with Sec. 130, 131, and 146
150(k)8: Permanently installed lighting in the enclosed, non -
dwelling spaces of low-rise residential buildings with four
or more dwelling units shall be high efficacy luminaires OR
are controlled by an occupant sensor(s) certified to
comply with Section 119(d)
HVAC SIZING
n�
HVAr pnn- ,
J'"_ 11t -ie..........
Project Address........
MILO ADDITION
Description
Heating
BRANDONBURY LN.Date..03/26/08
09:30:50
Documentation Author...
CHICO, CA
ROBERT A. MANGRUM
12629
Infiltration....,
Paradise Mechanical
*****0* Building Permit ##
Internal Gain. " " " " '
5655 Almond Street
3133
Ducts.....
n/a
Paradise, CA 95969
Plan Check
Date
Climate Zone...
Compliance
530-877-8882
11
Field Check
Date
Method....,
MICROPAS7 v7.10 for
2005 Standards by Enercomp,
Inc.
PAS7 v7.10 File-NIGHT122
[77User-MP1342 User
Wth-CTZ11S05 Program -HVAC SIZING
-Paradise
Minimum Total Load
59589
Mechanical
Run-NIGHT122 TITLE 24 2302
GENERAL INFORMATION
Floor Area.........2118 sf
Volume. 16944 cf
Front Orientation.... Front
Sizing Location......, " Facing 310 deg (NW)
Latitude........, CHICO EXP STA
Winter Outside Desi n.....• 22 F degrees
Winter Inside Design• • 22 F
Summer Outside Design n.. • 10 F
Summer Inside Design • 75 F
Summer Range.... g • 75 F
37 F
Interior Shading Used...... Yes
Exterior Shading Used...... Yes
Overhang Shading Used...... Yes
Latent Load Fraction....... 0.19
HEATING AND COOLING
LOAD SUMMARY
Description
Heating
Cooling
(Btu/hr)
(Btu/hr)
Opaque Conduction and Solar......
Glazing Conduction and Solar.....
28537
12629
Infiltration....,
6466
11233
Internal Gain. " " " " '
9827
3133
Ducts.....
n/a
2520
14758
10787
Sensible Load........
Latent Load. " " " "
59589
40302
n/a
8028
Minimum Total Load
59589
48330
Note: The loads shown are only one of the criteria affecting the selection
Of HVAC equipment. Other relevant design factors such as air flow
requirements, outside air, outdoor d
availability of esign temperatures, coil sizing,
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.
HVAC SIZING
HVAC Page 12
Project Title.......... MILO ADDITION
Date..03/26/08 09:30:50
MICROPAS7 v7.10 File-NIGHT122 Wth-CTZ11S05 Program -HVAC SIZING
User#-MP1342 User -Paradise Mechanical Run-NIGHT122 TITLE 24 2302
HEATING AND COOLING LOAD SUMMARY BY ZONE
ZONE 'ADD/N'
Floor Area ............. 110 sf
Volume ........................... 880 cf
Description
Heating
(Btu/hr)
Opaque Conduction and Solar......
1700
Glazing Conduction and Solar.....
1008
Infiltration
..............
Internal Gain.
461
Ducts.
n/a
745
Sensible Load............
Latent Load.
3915
....
n/a
Minimum Zone Load
3915
ZONE 'HOUSE'
Floor Area ..............
Volume
2008 sf
...........................
16064 cf
Description
Heating
(Btu/hr)
Opaque Conduction and Solar......
26837
Glazing Conduction and Solar.....
5458
Infiltration
...............
Internal Gain
9367
.............
Ducts. " " "
n/a
...........
14013
Sensible Load....
Latent Load .....................
Minimum Zone Load
jls 1""111H��:
55674
n/a
55674
Cooling
(Btu/hr)
286
1558
147
126
519
2635
525
3160
Cooling
(Btu/hr)
12343
9676
2986
2394
10268
37667
7503
45170
!11
PLANNING DIVISION - BUILD7�nm
Us
e:: ate:
Parkin
9 � andscaping:
Other:
Signature:
?Z-5 �►��eY
_77-
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