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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 42 7 MILO, KATHERINE 0 U Y 42-610-024 2-1757 MILO, KATHERINE 728 BRANDONBURY 00 RE -ROOF 042-610-024 .4- 842 MILO,, KATHERINE 728 BRANDONBURY LN, LE NER M 7 0 2 42 L B 6 0 RA 0 K N 02 A 04 Cont:0 t. #- 1042 n _ OWNER NL ENLARGE BATH&CLOSET I 042-610-024 06:7155 MILO, KATHERINE " , . . A , , 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 A :N O42 — (o/o'DZ� s k p=- R ` ls-� ' 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 .NI \ OS \t �\ •` ) OO \o- �\ 0.29 A. n1 °g 0.18 aC. of 0.10 AC. ^I 0 0.18 aC. OI a 0. 0 AC. of 0 61 I N 89°S90J"E N RUE PUBLIC PTILITY .•aCMCMT ♦\� ` l a D I p1O m 0.19 AC. I I 10 PUE \\ NbO \ ♦♦:. ♦ `\ \ i I 1 I a of I u ; ; � W � SUBDIVISION BWIIDARY \ I IDPUE 1 - \ 22`♦ J1` l I 01 I 0.9AC. o LF.4. ARR 52 LEAORIB1bPREE A Ac. /- ♦ J i •"• p° ♦� 6].01' 74,00' )4.00' )4,00' 80.00' 0. 0 p0 '. \ `♦ PO 4O O O $ ?co L i I !PUE O O N59 y \ ♦ ` _--� AIS.OT' N 69°!9'p] E p �f-� Z NB9°S9'03`E u 1 FLAMINGO ROADY R. - m 0.19 C. \ ♦♦ O 1 O 0. ♦O'%�. S t ♦♦♦♦♦ N-)PUE > 24 RECORD DATA 20.00 J 33 i I 34 35 � I 36 1 37 N-)PUE > 24 RECORD DATA 20.00 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. o.21 <c. 01 0 o 1T Ac. o.V ec. dl .0 0.0 ec. dl • o.» ec. I b J (R-3) REDOAD DATA PEA RAP ENTITLED •Ji% BE 1 SILVER 5•AEE ]'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 ? O _1 !•vUE- YPUE O I I I i I 0.19 OC, m 0P '� ' \``\ 74.00 74.00' ]0.00' 85.00' 1 3•PUE \ m 141,95' n B9°59'03E 1 140.00' N 69^5903E •n 101.)0 ' _ -- N `\\\ B N09°S9'OS"E I 1 I IOL.4fi 20'BVILOING 13 <1_________ 5FT8eCA LINE - _____ ; „ 1 ( _ 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 _- b 10' PUE U.26 AC. I O 0.28 AC. j PVF s 3 PUE pp 49 A. _ -�- - --- - _ D1.AC. _ z �= 1 w a ?, h \\`?a, \`�\/� -__J __- \ �9:Aq'O 4- AB9°S9'03E J 1 I 3' PUE Oe O 7t 0 N W 'ti 'j PUE \``` ^ \2B - O O `a°-'a`hh 39 I ; L_I._____102_5]____ J__ O IS `l N89•59'O3'E O a ip 0.:6c. \ ) 39 2' \ o.1TAc. I 1J LEGEND 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 \tea` , 117 ml 0.19 AC. w B9.59'0)'E ��i �i`h \ `•tea 15 O / Z I j Pue ~ ♦ BEY ahrLSOAn zo.00' I i. ePxla9 NITx vDI]al Iv.Ra ' b i PUE _---". 33 O ^ x45°100' _ 40 m a' _ ---- --1 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 ."•`�)= Y`l'}.: Wim.: {•�'�r''x--^�''�#��•�r''` - `• . 1 �}`!0. 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MAOt 1 -r`y. 1•' t` d `�I) Q-. _ �.ft j1;1, .^•!� •?+j''V; t� � 1 i ,K� ' .�, O11 i� r�'� �z aJ ej I qT�`` � o��• Jl.1 i•m �, '. 1 '� r- � ; i 6 Vp i c W as , k�,o�ww-t Ir 111F,,t �,lk , J V I • 131 �. s^ : C. {- \$Q 0Z; v Q -O � Y I i r � el, 4 to 3 L14� Nis J TE lull LIN 0Z; v Q -O � Y I i r � el, 4 to 3 L14� Nis J TE jOl.➢itllWtx4wlA�In tlh'flllNl NA'I 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- �� .a+ �a- t"�"� <.... v ... .y.. s i . �.�x�s y; ,. i .. ... .. .c. n a .,..,._ }> �., k r'k' ..,.,�. t.� x � w ..,< ,. .. .i°., W ,�' �. 3• ..r'S'. Y - .f :.. .. :�} , v .. ..,.. _ ,. Y ".,,. t -,..... ...w a. 'tk... .S§.. F' ,3 ... w._ t.;.• .. .. _.. � •: N.» , 'e,:�. , .., a 'qa. :::, ,. 1v ,. .. ✓t -r-.4'; $ , ,.. 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