HomeMy WebLinkAbout072-040-012f
Q. . &
72-04-12
4082-89B,E
JACKSON; Dennis
95 Millet Ln, Oroville
(garage).
1
72-04-1
Permit#4208-90B is
(
l2
•
enewal/4082-89)•
72-04-12
Permit#497-91 ;E,M
( new sf.)
072-04-0-012
91-4288
JACKSON & - D I AZ.,
'ODD
CONTR: HEMST ,K,
95 MILLER OROVILLE q
-- WOODSTOV SF.1
3�1a�
072-040-012
06-0341
JACKSON, DENNIS
` 95 MILLET LN, OROVILLE
j -.CONT: OWNER -
ADD GARAGE
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Owner Name: Dennis J. Jackson and Rachael Diaz
Building Permit No: 06-0341 — Shop
DEED RESTRICTION AND
NOTICE. OF LIMITED USE FACILITY
I. WHEREAS, on this 15th day of March, 2006, Dennis J. Jackson and
Racheal Diaz, hereinafter referred to as owner(s), are the record owners of - the
following real property:
95 Millet Ln. Oroville, CA 95966 APN# 072-040-012, and as further set forth in Exhibit
"A" attached hereto and hereby incorporated by reference, hereinafter referred to as
"the subject property"; and
II. WHEREAS, the Building Division of the Butte County Department of
Development. Services is acting on behalf of the People of Butte County; and
III. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 06-0341 was applied for on 02/14/06 by
the owner in accordance with the provisions of the Butte County Code and the
California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 06-0341 has been
reviewed and approved for only the limited purposes set forth below; and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a new
application for a different use has been approved; and
3.21/0
7 -
2006-0026163
T �
Recorded I REC FEE 25.00
Official Records I
County of I COPIES 5.00
Butte I CONFORMS COPY 1.00
When recorded return to:
CANDACE J. GWBBS I
County of Butte
County Clerk -Recorders
Department of
I OD
Development Services
01:&M 22 -May -2006 I Page 1 of 7
Building Division
IIII"III"III'IIII"II�'IIII'IIII
7 County Center Drive
Oroville, CA 95965-3397,
Space above for Recorder's Use
Owner Name: Dennis J. Jackson and Rachael Diaz
Building Permit No: 06-0341 — Shop
DEED RESTRICTION AND
NOTICE. OF LIMITED USE FACILITY
I. WHEREAS, on this 15th day of March, 2006, Dennis J. Jackson and
Racheal Diaz, hereinafter referred to as owner(s), are the record owners of - the
following real property:
95 Millet Ln. Oroville, CA 95966 APN# 072-040-012, and as further set forth in Exhibit
"A" attached hereto and hereby incorporated by reference, hereinafter referred to as
"the subject property"; and
II. WHEREAS, the Building Division of the Butte County Department of
Development. Services is acting on behalf of the People of Butte County; and
III. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 06-0341 was applied for on 02/14/06 by
the owner in accordance with the provisions of the Butte County Code and the
California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 06-0341 has been
reviewed and approved for only the limited purposes set forth below; and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a new
application for a different use has been approved; and
3.21/0
7 -
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
06-0341 which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. 06-0341 to Owner
by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility,
as set forth below, which establishes restrictions on the use and enjoyment of this
limited use facility. The undersigned Owner, for himself/herself and for his/her heirs,
assigns, and successors in interest, acknowledges and agrees to those restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: No living, sieepin_g or
cookin_g
If any, provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of
execution. This document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to the issuance of
Building Permit No. 06-0341
DATE: , 204:2'
Owner Signature:
3 / Q6
C
3�Io6
J -fl I c l kc -k toJ
Print or Type Name of Above
Owner Signature:
Print or Type Name of Above
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA )
SS.
s -y COUNTY OF BUTTE )
0 ( before me, /`'/ �1 , Notar
`Public p sons appeared
/S , personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(so/are subscribed to the within instrument and acknowledged to me that
5)she/they executed the same ir6�Dher/their authorized capacity(ies), and that by
/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WIT)IOS myInd and officia eal. ANN P. MENKING
Commission # 1590350
roft
Notary Public -Callfoa A&4 Butte County
nature My Comm. ExplresJun26, 2009
(Seal)
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
On ��Zublie
rsp areal A \
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(so/are subscribed to the within instrument and acknowledged to me that
holstretthey executed the same in hisloNheir authorized capacity(ies), and that by
hi eir.signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
ANN P. MENKING
Commission # 1590350
NotaryPubllc - Collfomla
Butte County
fvly Comm. Ex Ires Jun 26, 2009
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This is to certify that the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof.
Dated: (b�
Scott Ruche ord, Manager
Building Division
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE )
On .2 1oc6 before me, ►M = I��,,1 ,Notary
'Public, personally appeared �-M-rr+ar--oa4r->
personally known to me
to be the persorjW whose
namej,%) is/aW subscribed to the within instrument and acknowledged to me that
he/sloe/they executed the same in his/Uer/t4eir authorized capacity4ies), and that by
his/hs-+ thr signatures on the instrument the person k or the entity upon behalf of
which the personl* acted,'executed the instrument. 1
WITNESS my hand and official seal. ice s =I
s - Camwft
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Mln. r 6. 2
SiCure ure
(Seal)
Common va6msl
Nosy ftft - caftova
ipt* CWft &Mh.C° w' ,. .
f ._ n•drr No.
Ex ow No. 3-98832
Loan No.
1 WHEN RECORDED MAIL TO:
j MR. 6 HRS. DENNIS J. JACKSON
2350 Via Corte
Oroville, CA 95966
MAIL TAX STATEr!ENTS TO:
j same as above
f
II
(pVTY f ._ � .�
U
S 9Y
MID VALLEY TITLE CO.
'339 APR -5 PH 12: 15
CMOACE J. GRUSSS
CLIRK-PECMER FEE.
88—.1n(;i i
SPACE AanVE THIS LINE 1U11 USe
DOaRVIENTARY TRANSFER TAX. $__
27 50__-_
• Computed on the consideration or venue of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
r"Iainirg at lime of saleA . ,
+•o•- — v.cr or Agent asterminlnp ter — Flrm Name
AP ` 072-04-0-012-0 HID VALLE TITLE 6 ESCROW COMPANY
i
t
{I GRANT DEED T'�Ns ❑
1 FOR A VALUABLE CONSIDEIRATION. receipt of which is hereby acknowledged,
JOSEPH C. Y.GRINEK, a single man Pages (
i
hereby GRANTS) to
1 r
I DENNIS J. JACKSON and RACHAEL DIAZ, husband and wife, as Juint.Tenants.:. f
tt
the real proprrty in 'he unincorporated area of the 1
County of Butte State of California, des:ribed as t
� t
**SBE ATTACHED LEGAL DESCRIPTION** 11 II
r � ��H ► r3i T
i
Dated-- Harc_h. 28,_1988 _ _
-
✓}� _ �Y_/'(
_&1------•--
JQI;EPH^�C'. ItORIHER
STATE OF CALIFORNIA !g -q
COIINTYOF BUtt2 _;
-- '--'---------•---
on_—ttarch_3Q,-19.88_
before me. the undersigned, a Notary Public In and for said State, per-
sonally appea•act=�_=J05jEPH_C.-KOkINEX---------
-----------------
-------._---...---.—�_._----_--_=_cmc--
�■e■■aa■ao■o■t.■�■■ett.aaaop
--------------------------------------
4600 1�ll�l/4t�A j)611Vglfi (proved to me on the basis of satlslaelnry
i ANQELA D.MASTELOTTO
■ - NOTARY PUDLIC.CALIFORNIA
"
'
evidence) to be the personfo venose names{I i3/yff/subscribed to the
^ C.ura Cnunt ■
■ Oi y
■
■ 7 key Cor.Tnl9slon ERpirea Sept. 7, 1(19(1 ■
within Instrument and atknowfudged to me that ho1&AVr fj executed
■
0■■■■■�■■■■■■■■■■■■r•■/■■�
tho eamo.
WITNESS my hand and ohlclnl seal
\�\.\Slgnaturd
�..\L���� �� , �
(Thi, area for 0#110.1 notarial wall
ANCK `STKLOTTp
\ MAIL TAX STATEMENTS
1002 (6/C2)
AS DIRECTED ABOVE
f
A
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1 0 6 1 1
ORDER NO. BU -98832-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF `
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: i
r �
in
PARCEL I•
PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A
PORTIIN OF THE N.E. 1/4 OF SECTION 18, T. 19N., R.5E., M.D.B. ,
M.", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 12, 1981, IN
BOOK 82 OF MAPS, AT PAGE(S) 76.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER THE WEST 30 FEET OF -PARCEL 1, AND OVER MILLET LANE, AS SHOWN
ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A PORTION OF THE
NORTHEAST QUARTER OF SECTION 18, T. 19N., R.5E., M.D.B. & M.",
SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 15, 1980, IN BOOK
77 OF MAPS, AT PAGE(S) 5.
PARCEL III•
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER THE WEST 30 FEET OF PARCELS 1, 2 AND 3, AND OVER MILLET
LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A
PORTION OF THE N.E. 1/4 OF SECTION 18, T. 19N., R.5E., M.D.H. &
M.", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 12, 1981,,IN
BOOK 82 OF MAPS, AT PAGE(S) 76.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PAR
CEL I, DESCRIBED ABOVE.
r
END OF DOCUMENT
i
770
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 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.).
❑ I am Exempt under A ' Bus' ess and Professions Code
Date: 6 6- Owner:
WORKERS' COMPEN ON 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
#:
a 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' 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: 6 -`
Applicant: —
WARNING: Failure t ecure 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.
BP060341
Issued Date: 05/26/2006 APN: 072-040-012-000
Site Address: 95 MILLET LN ORO
Map Index:
Description: ADDITION TO EXISTING GARAGE (1200)
Owner: JACKSON DENNIS J & RACHAEL DIAZ JT
95 MILLET LN
OROVILLE, CA
95966
Applicant: JACKSON DENNIS J & RACHAEL DIAZ JT
95 MILLET LN
OROVILLE, CA
95966
(530) 589-2496
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 1200 S.F.
Valuation: $28,800.00
Census Code: C
$1IWuV
44""0-77
2 -1I -V
s hereby issued under the applicable provisions of the Butte County Code and/or
to do yvork indicatgd at;ove for which fees have been paid.
PERMIT EXPIRES ON:
Date: 5-2&0W
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official for or document of Butte County. I hereby
authorize representatives of Butte County to a /r�upon the above mentioned property for inspection pu
Print Name: 0&V1 (n (/S l T �- K50 d'3 Signature:
Date:
r1fir-Ra
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
UTi�'E.
BUTTE COUNTY
0
DEPARTMENT OF DEVELOPMENT SERVICES
irs me
I
BUILDING PERMIT APPLICATION
o
AND. SUBMITTAL REQUIREMENTS
–� p
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
= a' o
OFFICE #: (530) 538-7541
f-� qq
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
�rfN
Website: wwrv.buttecounty.neUdds
Class
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMATION
a
Last Nan,,—
,
9< KSO rJ
irs me
I
Address
s / /e J I
I
CltyO
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State A^
Zipno
Pho 3
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Fax .��• io " / (/ S
E-mail
Lic. It
APPLICANT INFORMATION
CONTRACTOR
Name 7W
W
Address
Zip
City
Fax
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
Lic. It
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Page
Fax '
E-mail
Date Approved:
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
LICANT SIGNATURE
X
For office usRy::
y:
Zoning
151 Flood Zone
I X I
SRA
I(Y!2
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K•\Fr)PhAC\RI III nimr: Fr)PhAC\RlrinAnnlCiihRnmt� rinr.
PERMIT
NO.
BPo6-O 7 y
BIN # 1
Description or Scope of Work:
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
refundable.
Paoe 1 of 2
Received by:�f Amount: -7/ '
Sly 9g SRA
C -1)F
Receipt It: �% Sheriff
�q- " SMIP
Date: Other
Total
1.14"T ASM111
PROJECT LOCATION
AP#O J,-aGZ-
✓o
Property Address
C, It r
Cross Street//
e`er o
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 Work:
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
refundable.
Paoe 1 of 2
Received by:�f Amount: -7/ '
Sly 9g SRA
C -1)F
Receipt It: �% Sheriff
�q- " SMIP
Date: Other
Total
1.14"T ASM111
c
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,
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.
❑ 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).
r_17.
Worker's Compensation Carder 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.
If you have questions or would like additional information regarding this process, please contact a
Permit 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
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
.7
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION'
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
�'
,1�% S&f.
OWNER:
f ASSESSOR PARCEL NUMBER
Proposed Building Use: 'HZA �6Lf- /tV,0177 t� Permit Technician: efC-�5 Date: 7_/ L/_0 G
it required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
/A J 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
/ rj 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
\03. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
(94r t/ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including 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
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
_ ❑ 11. Letter of intent for non-residential buildings
77 ❑ 12. Hazardous Material Form
hi 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
iReaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
! 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
\ ❑ ` 19. Erosion Control Plan Required........................................................................
20. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 21. City of Chico Plumbing permit........................................................................
..
O 22. Site plan and business license approval from the City of Biggs ............................ =��
23. California Department of Forestry plan approval ❑ paid. Sent by: ............
24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ..........
❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................
rtj 26. NPDES Form..............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
�❑� / N 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
400 32. Recorded copy of Agricultural Acknowledgment Statement .................................
33. Existing violations and/or expired permits...............................................:.J.
34. Deed Restriction..........................................................::................ s./..d..
i 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
3& -Other: ,5 �4,&rr � ��Z�'�' >/� h X71 � L= S ?y /G 7��11/�l
❑ 37. Other:
When issued Telephone 1 5 8 / ' 2V?Band hold for pickup. 6vl 5--66- 16 � S
I have been infor med.of--the abge items and requirements for obtaining a building permit.
Applicant: '11 Date: 6>- `
1. Index permit application for' th av item red: Plan Check Letter
2. Additional items required f 0 LIP
Contractor, designer, owng , was ad is d of the a6ovd dat y ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above dafa by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner was advised of theXd�ay phone, ❑mail, ❑counter, by Date:
Plans reviewed by: Date:Plans approved by: I V Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
All of these
Plot Plan Attadted
Floor Plan Attached
Sent to BD/DS
TO: Building Division = Development Services
FROM: Environmental Health Tl S
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal:
Clearance for dwelling. Other _
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health -8p ce lalist
Building Clearance 9/2005
Water Supp y: Public Private Weld
Date
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner jackson, Bennis APN No: 072-040-012
Application Date 2/14/2006 Permit No: BP 060341 — --
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION
Plan Check portion of Permit Fee
2 FEMA eYes Flood Elevation Review
3 SRA* x Yes Fire Plan Check - Non -Refundable
(State Responsibility Area) Building Inspection
NON-REFUNDABLE portion of fees due at application
1 --RECEIPT DATE Tech/Asst
It,129-7* I
$109.98 0
$95.00 _ $95.00
$109.98-
$109.98/ + r
_
4686:90 ECEIPT DATE Tech/Asst
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION /,;� ():$ 8 NL1321°l i _1,+_j OL4
4 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) ,/ 0$2!88;
5 Additional Plan Check Fees (NON-REFUNDABLE) �L-J
6 Other*:
6a Other*:
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT
7
8
9
9a
10
10a
IMPACT FEES - RESIDENTIAL*
Applications After 2/14/05
IPer Dwelling
SFD ,>
Per Dwelling
MFD #
Per Dwelling
MH
County
4096.87
3071.14
3117.43
Chico Urban Area
5372.09
3995.45
4889.56
EI Medio Fire District
3128.31
2297.77
2326.36
North Chico Specific Plan
SR -1, SR -3, SR-1/PD
R-1
ti° R-2
R-3
7938.531
8031.53
7541.531
6780.531
6757.081
6850.08
6360.081
5599.081
7633.49
7726.49
7236.49
6475.49
Processing Fee is automatically added to impact fee total
0
$100.00
WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.#
$200.00
DRAINAGE FEES*
CHICO STORM DRAINAGE
MASTER PLAN
770 Butte Creek
$7,736
1 1771 Comanche Creek
0-8069
New construction, vacant
land, on 1 acre or less -
Enter 1 or less acre value
772 Little Chico Creek
$8,792
773 Big Chico Creek
$6,596
774 Lindo Channel
$8,139
775 SUDAD Ditch
$6,975
776 Mud -Sycamore Creek
$6,070
777 PV Ditch
$8,603
More than 1 acre, existing buildings - fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
THERMALITO DRAINAGE AREA $652 Maximum
Per each new living unit on existing lots where full drainage fees have not been paid
Temporary Dwelling 1 $130 At time of building permit
$130 annual renewal fee for first 4 renewals. Not to exceed $652.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO
check is completed for applicant to take to respective district office.
RECEIPT DATE Tech/Asst
ISSUANCE OF PERMIT. Forms will be prepared after plan
11 SCHOOL DISTRICT FEES* Not Applicable par') l4ro
11a RECREATION DISTRICT FEES* Not Applicable
ec 15S 7 5 -2G -O6 k.6e
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applican : Dater— �(, D
Pursuant to Governm code Sec 66020, you are hereby notified those Items followed by an "*" may have been im osed on your project. You have 90 days
from the date of approval of the�%j�yy'ect or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
sRecified ir�Goverment Code Stc ion 66020(a). _ _ _ _ _ K:/Building/Forms/Schedule of Receipt Fees Residential 1105
- — _ aft
Butte CouniyDeparbnent ofDevelopinent SerP7CCS o ,0Tr�o
7 County Center Drive o a o
Oroville,CA 95965
(530) 538-7601 Telephone o ase. o a
(530) 538-7785 Facsimile c�UN1y
BUILDING PERNUT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained '
e I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building_ permit or require
submission of amended building Plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not .limited to, verification the parcel was
legally created, adherence.to all mitigations and conditions imposed on the paFcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant N - e
�1 (SS ZO 6,� APN: Ira 01 -0 - O 12—
Building site address: 4r1291 `/Q _ ) n a 6 �- j (l2 Permit No.: 6 D 3
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
1ATU F APPLICANT DATE
y
Copy to Applicant/EH/File K:Forms/BldePermitwithoutClearances 020705
Department
-C O U n t
J. Michael Crump, Director
C'Q U N" y
A�Uc
Public Works
f B U t.. t o
LAND DEVELOPMENT D1V151ON
Storm Water Management Pro -'ram
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Pian (SWPPP) Acknowledgement LLESS MAN I ACRE
Project Description: (sari a -e— . '4r"1114'
Project Location andlor Parcel Number:
L2 i
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 L 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 build -outs 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 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 laW.
Signed:
Title:
Date:
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 material for construction of this proposed
\ P YP P l P P
property improvement: YES [�/J NO [ .].
2. I HAVE [ - ] HAVE NOT signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S 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:
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
SIGNE
PROPERTY O R:
DATE:
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.
Rev'd 11/4/2004
Butte County Department of Development Services
ADMINISTRATION ° BUILDING t GIS' PLANNING
o o
o
7 County Center Drive o��i:;
o
Oroville,CA 95965 0of
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -]BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your naine 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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o 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 their own employees, without a licensed 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 in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
ScottRu_4W
therford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
COPY of Document Recorded
• 22 -Play -2006 2006-0026163
Has not been compared with
original
When recorded return to: BUTTE COUNTY RECORDER
County of Butte
Department of
Development Services
Building Division
7 -County Center Drive
Oroville, CA 95965-3397
Space above for Recorder's Use
Owner Name: Dennis J. Jackson and Rachael Diaz
Building Permit No: 06-0341 — Shop
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
I. WHEREAS, on this 15th day of March, 2006, Dennis J. Jackson and
Racheal Diaz, hereinafter referred to as owner(s), are the record owners of the
following real.property:
95 Millet Ln. Oroville, CA 95966 APN# 072-040-012, and as further set forth -in Exhibit
"A" attached hereto and hereby incorporated by reference, hereinafter referred to as
"the subject property"; and
II. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
III. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 06-0341 was applied for on 02/14/06 by
the owner in accordance with the provisions of the Butte County Code and the
California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 06-0341 has been
reviewed and approved for only the limited purposes set forth below; and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a new
application for a different use has been approved; and
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
06-0341 which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. 06-0341 to Owner
by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility,
as set forth below, which establishes restrictions on the use and enjoyment of this
limited use facility. The undersigned Owner, for himself/herself and for his/her heirs,
assigns, and successors in interest, acknowledges and agrees to those restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: No living, sleeping or
cookinq
If any -provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of
execution. This document shall be recorded and returned to the Butte County
Department, of Development Services, Building Division prior to the issuance of
Building Permit No. 06-0341.
DATE: 20OK2
Owner Signature:
3
for�,
De,11 in te��Y4 �
A", Pi / c l kc- kSa W
Print or Type Name of Above
Owner Signature:
Print or Type Name of Above
•
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
before me, �s1��// % , Notar
appeared
1-.-lAffi/I/I/S V. ilgL4„/G�d n , personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(se/are subscribed to the within instrument and acknowledged to me that
she/they executed the same ir6�her/their authorized capacity(ies), and that by
/her/their signature(s) on the instrument the person(s), or the entity upon on behalf of
which the person(s) acted, executed the instrument.
WIT S m�nd and officia eal. ANN P MENKING
Commission # 1590350
Notary Public = Callfonla
Butte County
natureM 7 My Comm. ExPiresJun 26,2009r
(Seal)
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE )
On Ke�
��� before me,
v
ubli ally a p are '
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s)�is'/are subscribed to the within instrument and acknowledged to me that
h e they executed the same in his their authorized capacity(ies), and that by
hi eir signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
ANN P. MENKING
Commission # 1590350
. -i . Notary Public -California
Butte County
My Comm. Exl lyes Jun 26, 2009
This is to certify that the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof.
Dated: (b
Scott Rulhe ord, Manager
Building Division
STATE OF CALIFORNIA
' ) SS.
COUNTY OF BUTTE )
On MaQcf+ 2►, Zoa6 before me, P• -i = e�c.a�,.! , Notary
Public, personally appearede-e-m-rxc�j--oJ24=>
personally known to me
to be the persorlW whose
name,( is/aeg subscribed to the within instrument and acknowledged to me that
he/s.1 a/they executed the same in his/tier/their authorized capacitykie�s), and that by
his/bw/th& signatureka} on the instrument the person -s)•, or the entity upon behalf of
which the persor4s) acted, executed the instrument.
WITNESS my hand and official seal. # bM1
® . ca
. M11i. 6.20
Si a ure •
(Seal)
�s io ftx
C�Ca�ornl0
aa�
Mr20M Aix 6.2"01
a,
yn�,> r No.
Esc ow No. 3-98832
Loan No.
WHEN RECORDED MAIL TO:
MR: d MRS. DENNIS J. JACKSON
2350 via Corte
Oroville, CA 95966
MAIL TAX STATEI:!ENTS TO:
some as above
AP 1072-04-0-012-0 .
R�GUKD�� i i r
C"F(C!t L R.^!'~IJbU YT
U
MID VALLEY TITLE CO.
1;33 APR _S PM 12: 15
J. GnUZR$
CURK41COROER FEE
SPACE AUOVE 1H1S LINE I.n RCCC,RnE R•y USE
DOCLNV04TARY TRANSFER TAX g 27.50
Computed on the consideration or value Of property conveyed; OR
..-.. Computed on the consideration or value less lions or encumbrances
r#Tf inirq at time of saleA - ,
ngryt
MTn
GRANT DEED
FOR A VALUABLE CONSIDEIRATION, receipt of which is hereby acknowledged,
JOSEPH C. YGRINEK, a single man
nt determining torr - Firm Name -
d ESCROW COMPANY
klks
- qk N a
�P�o a
' Pages
hereby GRANTIS) to
DENNIS J. JACKSON and RACHAEL DIAZ, husband and Wife, as Joint. Tenants,:
the real pmpnrty in hr. goilcffll unincorporated area of the
County of Butte , State of California, des=ribed es
**SEE ATTACHED LEGAL DESCRIPTION** Ll it
Dated___March_ 28,_1488
i
✓k
�KORIMEK
I
JJEOPH
STATE OF CALIFORNIA ss
COUNTY OF__—_BUCi2' _•____I
_
On__N1rch-3Q.-19.88_._.
before me• the undersigned. a Notary Public in and for said State, per.
sonauy appeased✓. _-JOSEPH-C._KOkINEK---------
-- ---- --- — -'----—.._..- -'- - - —' ' - -
--------------------
---------------------------
ra 2nee■■0a2eta2ae2amelaea
-------- _ _---
fl/rfS�rfaflt/t�n�ifGrf f�,ArA,AIfiAprovcd to me on the basis of salislactory
evidence) to bo ilia porsonlAl whose nametAl izlgf�
m
a •..._. •ANGcW D. PdASTELOTTO e
■ .+_sr�rlr� NOTARY PU6UC.CALIFORNIA p
O •�'1`..'�% CUCC County e
subscribed to the
within instrument and nckeowledged to me that holigl5 yl executed
e 'i4•s Aty Ccr alsslon Expirac Sopl. 7,1890
■
It,;, snn,o ,
®se■e■■m■eeeee■■■■■�■■■■■®
WITNESS my hand and official goal
��
--I for 011-0.1 nolnrlol .�nll ,
ANCE 6. -MSTEL MOM
toot (6/C2)
MAIL TAX STATEMENTS AS DIRECTED ABOVE-
88- 1 061 1
AAA -
ORDER NO. BU -98832-3
DESCRIPTIO:?
F ..Y ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: STATE OF
PARCEL I
"= PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED
PORTI,)N OF THE N.E. "BEING P.
E. 1/4 OF SECTION 18, T. 19N., R.5E., M.D.B.
M.", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
j. BOOK 82 OF MAPS, AT PAGE(S) 76, ON MAY 12, 1981, IN
►";; PARCEL 11-
A NON-EXCLUSIVE EASEMENT FOR ROAD AND , AND OVPUBLIC UTILITY PURPOSES
OVER THE WEST 30 FEET OF •PARCEL 1ER MILLET LANE
�.: ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A PORTION OF SHOWN
NORTHEAST QUARTER OF SECTION 18, T. 19N., R.5E., M.D.B. & MTnE
SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1980, IN BOOK
77 OF MAPS, AT PAGE(S) S.
PARCEL III,
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER THE WEST 30 FEET OF PARCELS 1, 2 AND 3, AND OVER MILLET
LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A
PORTION OF THE N.E. 1/4 OF SECTION 18, T. 19N., R.5E., M.D.B. &
M•", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 12, 1981,,IN
BOOK 82 OF MAPS, AT PAGE(S) 76.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED ABOVE.
END OF DOCUMENT
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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) 538-7785 Facsimile
ADMINISTRATION * BUILDING * PLANNING
February 21, 2006
Dennis Jackson
95 Millet Ln.
Oroville, Ca. 95966
Assessor Parcel Number: 072-040-012
Building Permit Number: 06-0341
Thank you for submitting the plans for your building project. The plans have been reviewed and
comments are listed below. Please respond in writing to each item by completing and returning the
enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re-
check and approval of this project.
COMMENTS:
�1! Provide copy of your grant deed. The second floor Shop will be deed restricted for it not to be
0 used as second dwelling.
/2! Interior alternate brace wall panel between existing and new garage shall be a minimum width of
2'-8"and must have a continuous 12'wide x 12" deep footing. AO 0
Provide brace wall schedule on the plans.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00
p.m. and 4:00 p.m., Monday through Friday.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you
applied for your permit.) The counter staff will answer any questions concerning the Data Sheet.
Jim Peterson Philo Hunt, P.E.
Plans Examiner Plan Check Engineer
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) 538-7785 Facsimile
ADMINISTRATION * BUILDING * PLANNING
February 21, 2006
Dennis Jackson
95 Millet Ln.
Orovillc, Ca. 95966
Assessor Parcel Number: 072-040-012
Building Permit Number: 06-0341
Thank you for submitting the plans for your building project. The plans have been reviewed and
comments are listed below. Please respond in writing to each item by completing and retuming the
enclosed PLAN REVIEW RESPONSE FORM' Your complete and clear response will expedite there'
check and approval of this project.
.-COMMENTS: - -
1. Provide copy of your grant deed. The second floor Shop will be deed restricted for it not to be
used as second dwelling.
2. Interior alternate brace wall panel between existing and new garage shall be a minimum width of
2'-8 "and must have a continuousl2'wide x 12" deep footing. r4r''P DD e �d Fv✓dDa
3. Provide brace wall schedule on the plans. IJ o fi�D at4 P9 I Pf- 3
I£ you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00
p.m. and 4:00 p.m., Monday through Friday.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you
applied for your permit.) The counter staff will answer any questions concerning the Data Sheet.
Jim Peterson Philo Hunt, P.E.
Plans Examiner Plan Check Engineer
S19199S
L3
altl uos,�,Ioer ebb=60 90 10 JeW
i
LIGAN REVIEW RESPONSE FORM
In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. I
this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valic
response to every item requested in our plan correction letter. `By others" is not considered a valid response. Please indicate yow
response to each item and the location where the information can be found on the plarWcalcs.
ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH RMSED AND ORIGINAL PLANS.
OWNERS NAME DATE:
4e V� V� (S
ASSESSORS PARCEL NUMBER
PERMIT NUMBER
7A,-, DC-( 0-0l 6D -3
RESPONSE FOR PLAN CHECK LETTER DATED:
PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALLS:
oZ • Gle� �� ��. I� le%
COMMENTS:
PLAN CHECK ITEM #
V
COMMENTS:
i
PLAN CHECK ITEM #
COMMENTS:
PLAN CHECK ITEM # F
� LA-
/ 0� '?
LOCATION ON
9
14
PLAN REVIEW RESPONSE FORM
In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. I
this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a vali.c
response to every item requested in our plan correction letter. `By others" is not considered a valid response. Please indicate youw
response to each item and the location where the information can be found on the plans/calcs.
ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIE
OWNERS NAME W LETTER AND RETURN WITH REVISED AND ORIGINAL PLATS.
DATE:
ASSESSORS PARCEL NUMBER PERMIT NUMBER
RESPONSE FOR PLAN CHECK LETTER DATED:
PLAN CHECK ITEM # RESPONSE
PLAN CHECK ITEM
:SPONSE BY:
ON P
LOCATION ON
PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS:
ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS:
CHECK ITEM # RESPONSE BY: LOCATION ON
JOB FINALE
Signature
i
RESIDENTIAL
712
497-91B,P,E,M
JACKSON, Dennis & Rachel
.95 Millet Ln, Oroville
Contr: Todd Hemstalk
(new sf)
-90St
-
JOB FINALE
Signature
i
I
I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872'6307
CORRECTION NOTICE
"1o'asv Z�l qy 7 - ( i
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
A is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date 3 ' /U • 2 Inspector
REV 11/91
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
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 pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector. Date
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Inspector. Date
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COUNTY OF BUTTE
7'
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;
ER
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'rieed additional explanation, please contact this office immediately.
l�P�2/�Li � l�/L� VaW L-)//.%�E_ I��Ui .SlduJ
Inspector Date /': ;? /13 —�
. . COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS r`
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 pertaining to this
6
Inspector Date
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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
OMEFI PERVIIT NO.
5
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.
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COUNTY OF BUTTE
-' DEPARTMENT OF PUBLIC WORKS
,;196 Memorial Way, Chico — Phone: 891-2751
7::County Center Drive, Oroville — Phone: 538-7541'
r,"747 Elliott Road, Paradise — Phone: 872-6307
JCORRECTION NOTICE, .
41
R
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 pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date w Inspector %1
117
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
!!�( q 7- 9/
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 pertaining to this
matter, or need additional explanation, please contact this office immediately.
/r) Ds a p*f ' the /� w�? ./un,.�l' , s/ �,.,14 s v,
/J
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ga. % o � 7� :r t n r46414'. /t /'4 JP r
O G3N .v O f- sg 7 ---
Date �� / Inspector
J=OK
0 = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=.,
Date ' UNDERFLOOR Plans OK except #'s w
on ing-Setbacks-Easements-Flood-Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Pier, _X_11 place Ftg.-Steel
W.V.; Fall -Fitting TeAL4Way C/O -Sewer Test
ams P' , Size -Anchors
1 ater Pipe; Test -Anchor -Regulator -Service Test
12. Electr' ;Underground
le-FTe-nums & Ducts; Clearance- aterial-Support-Ins.
r 4 f 14. Girders- 'IIs- n oY B Joists -Vents- rippl ��
15. Insulation
k—dka Azo TC / N /,D ASD Vo T/ cer y K 3
Date ;/ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
rtt3'�lat tr.; Vent -Access -Combustion Air -Baffle
1 to est & Anchor -Nail Protection
1 es itt' Andre - ail P ection
hower Pan; Test, First Floor -Tub Access I--3 -QRZ
. est•Tub & Shower, Second Floor -Tub Access
as Pipe; Size & Anchors
in 4
Datel�L,e>-'?( Card B- ,,E)ate Card B-1
Date Card B-1 Date Card 13-1
Date ELE AL Permit OK except #'s
. Fi e& Transformer Clearance -Ins. Protection
. E
2 Receptacles Spacing -Lights & Switches at Doors
S�oxes & No. of Conductors -Stapled
Roroom nstalled Close to Edge of Studs & C.J.
Ground made up w/Mech. Fastners-Bond Gas & Water
2iance Circuts in Kitchen & Conductor Size/GFI
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
ange Circ. / Cu or A] -Oven Circ. I a. Cu or Al.
Insulated Neutral U-1es U No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33 moke Detector X -Ig---
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MEC CAL (Permit) OK except #'s
&,.'A. C. Ducts Insulation & Support
ent Fan; Exhaust above insulation
- Condensate Drain &.Overtlow;_Size & Grade
finance -Vent; Access -Comb. Air -Return Air Vent -115 outlet
ttic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FR I G (Plans) OK except #'s
ils, Proper Material & Anchors
Woa,Studs-Nailing, Spacing & Bracing -Plates -Sound
4>>. perrTg Walls over Girders & Floor Nailing
4 r t Stop in Walls (rat proof)
4 WIFir ops; Furred Ceilings -Stairs -Chases -Tub
4 . enders & Beam -Size & Bearing
Date ARAMING (Continued)
Hangers -Post Caps-Anchors-Connec o
Joist-Rftr. ties- Puri i c-Truss-Shthng.-Ring.
Fire a Ties or Type A Flue -Fireplace Throat clearance
ttic ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
p drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-eO-C arage Fire Protection Framing
. rope Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
,35653. Stairs idth-Head room-Rise-Ru n- Land ing- Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
c Mesh -Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection -Skylights -Plastic
ear Walls; Nailing -Bolts
-I$C' e . Insulation -Walls -Ceilings 1g:
\! 60. Infiltration -Walls -Windows
n -
Date/•_y,Z( Card B-1 Card B-1
Date Card B-1 Date Card B-1
Date FIN! Plans OK except #'s
1 _Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
6. Elec. Trim & Subpanel; Breaker Sizes & Labels
J 6 airs & Rails
8. Fireplace or Stove; Clearances -Hearth
Outlets at Wood Panel; Int. & Ext.
Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
72-@ara* Fire Door; Swing -Landing -Closer
` t9-A:C-b-]i ct in Garage -Dam
L,WWtr. Htr.; Veats-Clea=n per - Connector -P. . .
^H+-Gavage-4bove Floor-Mech. Protection
Fib., Elec. & Mech. Equip. Listed for Location
76-E4ee-Receptacles in Garage; (G.F.I.)-Romex Protection
7, -kuulation-Foam-Looked in Attic 13 Yes
LZ8!Guard Rails & Deck Construction -Post Caps
n. Ven Crawl ole Door -Drainage & Wood -Earth
Clearance Looked under Floor �es
80. Following instld.; Driive/Yes o; Walks --*es o;
Planters O Yes 61 No
rown-Finish
A.C. Unit; Disconnect, Electrical, Plumbing
�nts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
Water Well; Disconnect, Electrical, Plumbing -
Exterior Elec. Trim; G.F.I. Receptacle -Underground
1.8"entilation Throughout House
[A7 --Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric.
90. Water & Sewer Connected -C/O to Grade -HD Approval
1. Energy Compliance Certificate -Other Certificates
Date r902 Card B-1 Date Card B-1-
Date 3a /Z , �2 _pard B-1 �fjj0 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
v=OK
O = Not OK
Not = Not Ready MOBILE
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1 a
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except S's
1. Zoning Rea uire ments-Setbacks-Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mash
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date card B-1
Date Card B-1 Date Card B-1
Certificate of Compliance:
Residential
Interior Exterior Overhang
Climate. Zone 11
Project Title
(single. double)
(Tolls blind. etc.) (shadescreen, etc.) (yesJno)
ProjectAddress
North ( Y. /--:Zq
Building Pamit #
A% 5 - /�q/
t,"7 ec
+
Checked By 1 Date
Documentation Author
Telephone
Enforcement Agency Use only
BUILDING DATA
East ( )
North
Glass Area % Glass
a9 (o • 9
1
Conditioned Floor Area /k7f
Number of Stories
East
5 Z
South
Sla sed Floor
Number of Units �_
South
i o
[L]'Sln a lams y Detached (SFD)
[ ] Addition Alone
West
—7 '9'
[ ] Single Family Attached (SFA)
[ ] Multi -Family (MF)
[ ] Existing Building
[ ] Existing -Plus -Addition
Skylight
Total
O �—
3 6 & / -.5
BUILDING SHELL INSULATION
Component Insulation Locaflon/Comments.
Type R -Value (attic. w garage. kal. etc.)
Wall .............. L 9
Wall ..............
Roof ............. T
Roof .............
Floor ............. i
Floor .............
Slab Edge.....
GLAZING
Shading Devices
Glazing Area
Glass Type
Interior Exterior Overhang
Framing Type
Orientation (sf)
(single. double)
(Tolls blind. etc.) (shadescreen, etc.) (yesJno)
(metait wood)
North ( Y. /--:Zq
North ( )
+
East ( )
1
East ( )
1
South ( ) /0 /
i
LJ%,.f� !rte
!
South
_
West ( )
1
West
Skylight....... 4_
THERMAL MASS
Type/Covering
Area Thickness
(stab/exposed, tile. etc.)
(sf)
(inches) Location/Description (kitchen. bath. etc.)
HVAC SYSTEMS Minimu.--1 Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, hest pump) (SE. SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
Maximum Furnace Heating Output: Btuh 'R
" qtr ��: �
HOT WATER SYSTEMS Tank Manufacturer/Model# ��L,�l�, j ���;
System T (storage gas, etc.) Capacity or approved equal) Special tt�
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
1
Ownerr�N�s N {„ Permit No.
!p .
ENERGY CERTIFICATION
DESCRIPTION OF INSULATION
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
A.P. NO.
EXTERIOR WALL
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS OF4 0 THERMAL RES._cl
CEILING'
BATT OR BLANKET TYPE• RAND NAME CERTAINTEED--
'THICKNESS G THERMAL RES. gyp
LOOSE FILLTYPE INSUL-SAFE I,IIBRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
FLOOR,ELEVATED
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS- fog K THERMAL RES. i
FLOOR, SLAB
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS :THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED.•IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
SHA LATION INC. #530235
IRM lE OWNE ~'STATE CONTR. LICENSE N0.
I hereby certify theaboves oZ and.all required items as shown
on the Building Depart. approved plans and attachments have been installed
as required .by the State of California Energy Requirements.
All equipment, devices and materials are of theualit
q y prescribed or
are s,pecifi ally approved by the State of Xa.lif.
NA R (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO.
L CONTRACTOR OWNER DA
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
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
V Y 7,f, oldity Center Drive - OrovVle, CallJorn)G.-15965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
72-040-01
ZONING
, AR
BUILDING PER
OWNER y IT, 58qTELEPHONE
and Rachel Jackson a?47
,-
SQ. FT. OCC. BUILDING VALUATION
i878 R 75,±28.88
OWNER'S MAILING ADDRESS
2 V' Corte,Oroville 95966
CONTRAC TOR'S NAME
Todd Hpmstalk Constr.
TELEPHONE
589-1689
f
:124 deck �,629.99
CONTRACTOR'S MAILING ADDRESS
75 Shelterwood Ln., roville 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 82,400.00
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Fee $ 382.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 191.00
Energy Plan Checking Fee $ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 598.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00 22,00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PA`-R�CEL MAP,
d 2- % b
Water piping , 5.00 .00
Each pas water heater or vent 5.00 9,00
USE OF STRUCTURE
SF KR Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 9,00
Building sewer 5.00 5.00
Mobile Home S I G I W 10.00 ea
F
TYPE OF WORK
New qX Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 3 BR
Permit Fee $ 52.00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS in nn
Main service EA. ADD'L 100 AMP 2.50
NTRACTORS LICENSE LAW
1 declare u penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio C and my license is in full foreq and effect.
(��
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING 0 c P. 1/2Qsgft
OR ADDNS. \ ACC. BLDGS 61.10
NEW CONSTR ULTI.OUTL T 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES e20 A 0It 90
Ex. Occup. OUTLETS FIXED (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalt rjury (check one):
❑ The It is for $100.00 (valuation) or less.
ave placed on file with the County of Butte Building Department1
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ Ishall 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 60,000 6.00
s lit system 3- ton
Cooling 11.00
Hood 3.00 3.00
Ventilation
Permit Fee $ 30.00
Contractor
I
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.
to save, indemnify and keep harmless the County of Butte against
alt liabilities, gments, costs, and expenses which may in any way accrue
--against said Count in consequence of the granting of this perm't.
Date
Signature o ' ant - Owner ❑ Contractor E]Agent
An OSHA permit is required for excavations over 5'0" p and demolition or ons ruct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
CON T P
TO L EE $ 793.60
HAz. CUA PARK
Sc
coF
--
PARS
PD .
ISSU
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated ab for which fees have been paid.
IR T OF PUBLIC WORKS
9-&-91
BY Da
PERMIT EXPIRES Date ; rt
/� ,O /0 ,r
eceipt No. - 6J tib/ lI3/v','��D%
L�WHITE-D.P.WYELLOW -ASSESSOR. N - - N __L0
t � s
y, tom- •�,= .
x
COUNTY,OF BUTTE - DEP AR JMENT.QF+` 9LIC WORKS -BUILDING DIVISION_
r•-
• 7 COUNTY CENTER bRIVE - OROVI6LE; PALIFORNIA 95965 - TELEPHONE; 916/538-7541
- r
PERMITLAPPLICATION DATk`StItfT
Permit'No.
OWNER �.�n9i S 9-�h�9t.G/�San� A. P. No.
�� - Df%"� I�
Proposed Building Use k Building Inspector Z=S Date 2-2.5-91
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 . .......... ............ .........
Plot plans in duplicate/triplicate, signed by preparer of=plans ....... .
)Complete plans in duplicate/triplicate, signed by preparer.of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ...........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ....................... !`..........................
ii.L. .
10. Fees of $ ,st ........................
11. Chico Urban Area fees paid ....................... ..............
Park fees paid 7 ., s.
13. op*T- School District fees paid .
`Sanitation approval from LI& viz_ Health Department z- 2 &-
15. City of Chico plumbing permit ..................................
16. Plot plan and business license approval from City of +:
1
(see City for other requirements) `
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy,)'
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ...................
3. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) .....
Recorded copy of Agricultural Acknowledgment Statement ......... - -
-Letter of signature authorization ...................................
26.s.y,.�.��c,E.S .
27.
When you issue the permit, process as follows: Mail�to owner. Mail to contractor.
X Telephone 539- A! at and hoid/for pickup at �-m office. Deliver w/inspector.
Other
J 1 '!
Copy of Haz-Mat form'sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be subs
1. Index permit for above items
Additional items required: _
ontract ,designer,oo�ne,was advised of above required data by_�—pl%ne�nail—counter by ..date 3-14— 2)
Con r .tor, designer, owner, was advised of above required data by_phone—mal l—counter by date
Plans checked by .\ Date Plans approved by �e$) Date
Copy—DPW
Sets of plans on ho I die
J�IOIOJ
J
t � folder
ay.4o
FROM:
Buildinv Department
Environmental Health .
SUBJECT: Sanitation Clearance
cics Yr;.1 14- t -r. `7 a- - o y -
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile e. Other
NOTE * * *
Sanitarian �•U Date
Ckt-NAt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orgvlllet Californie,25985 - Telephone: 916/538.7541
'APPLICATION AND PERMIT
PERMIT N G
9SFSSZONING
a�- o , D �
J�
BUILDING PERMIT
wNa
Z�N
HO/N� G
SO. FT. OCC. BUILDIN
G VALUATION5y.S
/o-0-
_
OWNER'NG ADDRESS
"557�
0-
CONTRAC
CONTRACTOR'S
OR'S NAM
on -- „ Caste
TELEPHONE
2_0 r ®�<
CONTRACTOR'S MAIL'I'NG AOOR SS
%17 S/1&.� Z-eS>Oo .
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Oct r d•
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ pj� pa
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ / E>D
Penalty
$
BUILDING ADDRESS
Permit fee
$ s •DD '-'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00, q�
Solar or heat pump water heater
20.00
LOT NO.
SUBDI VISION NAME
PARCEL MAP
Water piping
5.00 0'0
Each qas water heater or vent
5.00 5 o a
USE OF STRUCTURE
S�Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 -a9 0
Building sewer
5.00 s7 -OD
Mobile Home S I G I W
0.00 ea'
TYPE OF WORK
Netg—Addition❑. Remodel[] Utilities Installation[] Other ❑
pp
Describe work:
'-' --' -
Permit Fee
$ o0"
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR1 01 LESS10.00
paD
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p t y (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
ElI, 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
Main service EA. ADO'L 100 AMP
2.50 GiO.
NEW CONST. //DWELLING o uP.
OR ADDNS. t ACC. BLDG?
, 6sr O
�2Csgft
NEW 1ON5TR ULTI.OUTL T
NON.RESID BRANCH CIRC ITS
2.50 ea
— /PowER APPARATUS a
(POWER
OUTLET CIR.
Ex. OCcu OUTLETS OR FIXTURES
P
eALO30
2AL032
FIXED
Ex. DCCUp. OUT ETS PIRI-SIO )RE A.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$7 T t50 .
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating 60. Op D
vt - 3 x ba
Cooling
. OO `
Hood
( 3.00 300.
Ventilation
Permit Fee
$ B
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
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 in h ht.�
Mobile Home Installation Fee $
Energy Inspection Fee $ 3,0,0
occ
CONST TYPE
TOTAL FEE $
3. �Q
HA2.
CUA I PARK
SCH.
L
FLD coF
PAR
PO
I HoIssue
This permit is hereby issued unser the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. S3 24 t.
/ % / 3 -
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
13234;,
„Return to DPW AGRICULTURAL STAMIE.NT OF ACUTOWLEDGEMNT
FOR. RESIDEDITIAL DEVELOPMENT
Section 26-8.1- of the Butte County Code
requires this acknowledgement be recorded
prior -to issuance of a building permit.
a
2k
-
91-0323gg
Rec
I Rec Fee
The prodescribed herein is adjacent
7.00
to land or included within an area zoned
1
Recorded
STF 1.00
for agricultural purposes, and residents
I
Official Records I
Check 8.00
of this property may be subject to incon-'
County of I
veniences or discomfort arising from the
Butte I
use of agricultural chemicals, including,
Candace J. Grubbs I
but not limited to herbicides, pesticides,
Recorder I
and fertilizers; and from the pursuit
8:01am 7 -Aug -91 I
of agricultural operations including,
CD 2
but not limited to cultivation, plowing,
spraying, pruning; and harvesting which
occasionally. generate dust, smoke, noise, and odor. Butte County
has established agricul-
tural zones which have as a priority use for
productive agricultural
purposes, and residents
within said zones and on adjacent property
should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
6e_r
'Date: _ - 9/ PROPERTY OWNERS:
/ r4
State of On this the day of 19_L, before me, the
SS. undersigned Notary Public, persoYially appeared
County of c e ) (� / � a c h 1� � L D /,4 Z -4 N d d e •Vy 's J
•` :�`� '' OFFICIAL SEAL
BEM ANNSENTNER Personally known to me. M Proved to me on the basis
` MYCc
MY of satisfactory evidence.
februory25,1994 to be the persoC"Mrk*n BON ns) crhose name(sA RE
subscribed to the %rithin.instrument and acknowledged that e
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
locs Public
.. r� � .-.. ,��
�G �\Y //
/��
Z=:- . -;�l .
3 9 1 --32345
88-1 06 11
ORDER NO. BU -98832-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I -
PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A
PORTION OF THE N.E. 1/4 OF SECTION 18, T. 190, R. 5E. , M.D.B. &
M.", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 12, 1981, IN
BOOK 82 OF MAPS, AT PAGE(S) 76.
PARCEL Ii:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER THE WEST 30 FEET OF PARCEL 1, AND OVER MILLET LANE, AS SHOWN
ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A PORTION OF THE
NORTHEAST QUARTER OF SECTION 18, T. 19N., R.5E., M.D.B. & M.",
SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 16, 1980, IN BOOK
77 OF MAPS, AT PAGE(S) 5.
PARCEL IIS
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER THE WEST 30 FEET OF PARCELS 1, 2 AND 3, AND OVER MILLET
LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED, "BEING A
PORTION OF THE N. E. 1/4 OF SECTION 18, T. 19N., R.5E., M.D.B. &
M.", SAID PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 12, 1981, IN
BOOK 82 OF MAPS, AT PAGE(S) 76.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED ABOVE.
END
END ®F D.CUMENr
"' .1 =: x\ ', y2 _wn+.... 3"'.r."y„v"=;J`i .f"' : r : --. FP+``Iir�""lin.Z�.1>'�:Y�,1••�^!h..r.. '•.ti ..•''i&_.fCh'�r'Li '+'«•,;'.fy..,itirYr.'. .. ,•, n._ .,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building').
A.P. Number 7Z - oc/ % oZ Building Department No. -
School District Z*i City n County [Z Jurisdiction
Property Owner Awma" - [)V_nn+,5 jac,K:S
' Project Location/Address �'� Me,C,L t� ,1,�, aea
Subdivision -i Lot Number
' Residential Development: a
Sq. Footage g�
# of Living MHI Addition (Group R)
Units
Commercial/industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Buildi -Depa ent Representative Date '
'(Floor' -Plans reviewed by School District Personnel)
District Id•No.
�3 /3
School District certifies that
(Applica, t Name) (Phone Number)
(Street Address-)
CA
(City) (State) (Zip Code)
has complied with the requirements of Resolution No..
b thepay
a ent of o29lo% �:a- representing c' 0,,y'� gu rhe fe
Y P Y $ g ��}. s�..�
•A i, f
School District Re esentative Date
PAID BY CHECK NO. // REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
C- r)
WORKSHEET ONE: STORAGE TYPE GAS OR STORAGE TYPE ELECTRIC
FOR SHOWING.COMPLIANCE WITH
RESIDENTIAL BUILDING ENERGY EFFICIENCY STANDARDS WATER HEATING BUDGETS
EQUIPMENT DATA
1 Water heater type Enter SG or SE
2 Manufacturer A. r�� r� From: building plans
3 Model number ML 1,4p From building plans
4 Tgnition device GP., gas pilot.or IID, intermittent ignition device
5 Tank volume Total gallons, from CEC Appliance Directory
6 Recovery efficiency_ Percent -.from CEC Appliance Directory x .01
7 Standby loss Percent/hour, from CEC Appliance Directory
8 Rated input Btu/hr,.from CEC Appliance Directory
(1 kWh = 3413' Btu)
9 Number of Heaters From building plans (total)
1
Climate Zone
(I
See Appendix.D
2.
Water heating budget
2 Annual savings O
KBtu/yr/uni.t, see Table 1
3
Tank set temp.
140
°.F, fixed input
4
Water main temp.
�_
OF, see Table -1
5
Daily hot water load
00
50 or 35 gallons/unit, see Table 1
6
Ambient air temp.
14,e
OF, see Table 1
7
Adj Standby Losses
.4010
See Tabl.e 2
8
No. dwelling units
I—
From building plans (total)
Number of pumps
._
From building plans
,0
Pumping energy
"j !®OD
Watt-hr/yr, see Table 3
C WATER HEATING ENERGY CREDITS
�')
��
1 Credit name \/
See Table`5 I
2 Annual savings O
KBtu/yr/dwel ing
unit, see Table 5
D CALCULATE ANNUAL WATER HEATING ENERGY KBtu r
1 Recovery -load ([B5 x 8.25 x (140-B4) x 365 x .0011 - C2} x.B8
2 Recovery energy
3 Standby loss energy
71G✓ D1/A6
.� (24 - [(D2 x 1000)/(A8 x A9 x 365)]} x 8.25
x A5 x B7.x.365 x (140-B6) x .001 x A9
4 Pumping energy B9 x'B10 x -3.413 ,x 3 x .001
5 Total energy 1,6 l GAS SYSTEMS: (D2 + D3'+ D4)/B8�
6 Water heat 'ELECTRIC: ([(D2 + D3) x 3] + D4}/68
comparison*
budget G7 � -ti
2KBtu/yr/unit B2 -.D5
7 Water heating budget t 4�9vz- Points (D6/conditioned floor area per
dwelling unit) x 2
►� 1 point = .5 KBtu/yr
* If positive, the system complies. If negative, the system does not comply.
Water Heating
b
6-19
"x.
�OM:
an A
nal c
earan
77
120' -� y -_ _. - TM - :_ ' .�: `��� ' _ P.-
.
TZ
100' ---- -- -- - ; - i ,"L� •- - - _ - _ _ ni t a r
80' I __ _
60'
- - APPrOVED T
- Butte C^.unty
Environmental`Health
Date _..
20' ---- - - S►gnatur - s
• 20' 40' 60' 80'
100'120' 140' 160'
F -ROM :
SUBJECT:
Building Department
Environmental Health
Sanitation.Clearance
Ifl _.
Owner Location
AP#
Plan Approved for: Sewage Disposal _ x, Water Supply
Hold final for:
Water Supply
Final clearance O.K. for: Water Supply
Clearance for _ bedroom 6dbakle home. Other
NOTE * * *
SAnitarian
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
".1Z APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
72-04-12
ZONING•'.
;�----AR3'
BUILDING PERMIT
OWNER
DENNIS JACKSON & RACHAEL DIAZ
TELEPHONE
589-0707
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2350 VIA CORTE OROVILLE
CONTRACTOR'S NAME
TODD HEMSTALK CONST.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
75 SHELTERWOOD ' LANE OROVILLE
Fireplace "All1,500
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS -
Filing Fee
$ 15,00
Permit Fee
$ 30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING 95 ADDRESS
MILLER LANE OROVILLE
Permit fee
$ 45.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: WOODSTOVE RE— B P #497-91
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 20cATO IOOOA)
37.50
OCCUP.&)
NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. //
3.6Q sq.ft.
NEW CONST- -.1-11-OUTLET
NO N•RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES20
@ 76
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID,) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
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.
Noice toCApplicant: 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
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
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.
I also agree to save, indemnify and keep har less the County of Butte against
all liabil iti judgments, costs nd expens s which may in any way accrue
against s i County 'n con quheof a gr nting of this permit.X Date �� �/
Signature of Applicant — Owner�j Contra ❑ Agent ❑
An OSHA <<
ion of strutover 3gstoriesoin he ghttions over 5'0" deep and demolition or construct -
lures
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 45.00
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of th utte County a and/or
hich fees
work in 'ca d aboOrF!PUBLIC
DIR
By �
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date/z -/2-cJ7
Receipt No. 1 QgSAC)
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle. California 95965 - Telephone: 916,'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
2- JL -- / Z.
ZONING
BUILDING PERMIT
OWNER` J� Ni�
J T/ /n/ ('1{`/ (7f, v
TELEPHONE
S�_0?07
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESSU
:Z356 V i /i- C o 0 e C5 �0 °f 516
CONTR AG^INAI�EEM 5 C D N C+r
TELEPHONE
CONTRACTOR'S MAILING AOORF�SS
�S S 2�`�eYuJFb CA)
Fireplace o
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 155,00
Permit Fee $->J6,cLL�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
of
Permit fee $ s -
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF (X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Ro/Ctiemodel ❑ Utiillities InstallationOther 25
Describe work: GUB0ATue- &_ - 9 ❑ f �� /7- ��
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600v LESS
200AORLESS 1 18.50
Main service 200ATOI000A1 1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed. under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.R) 3.60sa.1t.
OR AODNS. 1 ACC. BLDGS. I
NEW CONSTR MULTI -OUTLET
N O..RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
OUTLET CIR.
.-SINGLE
Ex. OCCUp(OUTLETS OR FIXTURES 20 1 760
FIXED
Ex.. Occup. OUTLETS (RESID IPLNSREA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g '15.00
Permit Fee $
—
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 SeiT-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 FiIingFee 15.00
Heating
Cooling
Hood 6.50
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant - Owner _
g pp ❑ 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 S
Energy Inspection Fee $
occ
CONST TYPE
Di -
TOTAL FEE $ ZIS
HAz
1 0FEES I
IMP
FLDDD
cDF
I PARCEL
I PD H0
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 16-55,6 6
WNIT[-D.P.W.. YELLOW -A3 eC790 R, PINK -INSPECTOR. GOID[N ROa-APrll[ANT
RESIDENTIAL PLAN CHECKING GUIDE 12/90
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER A.P. # % :R
GENERAL Plan Checker
—I—"Zoning requirements: (sideyards and number of permitted living units).
--2' Valuation.
-x Plans signed by designer..
-4'.�` Proper description of work on application.
Existing violations on.property.
6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
. Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc-.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.-
(noise, CDF, fire sprinklers, non -comb- {_
Building or utilities across lot lines (Record form).
FLOOR PLAN
.-.--Complete to,scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
CIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of.mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
. Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
lumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design'(Table 25V)
Unusual shape, size, or split level house requiring lateral, design.
=Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
'Roof construction details complete enough to construct building.
--Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes:
-Stud heights.
_Adobe soils - special foundation design.
-Retaining-walls requiring design.
-Special Inspection required.
building.
t�
12/90
RESIDENTIAL PLAN CHECKING GUIDE•
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
y.Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
(Exterior plaster - weep screeds (Sec. 4706).
�roper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
'Foam insulation - protection.
7 36" halls and stairways.
Living area over garage - complete 1 -hour separation. required on garage side'
including supporting walls and posts, etc.
. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
. Attic access and ventilation (Sec. 3205).
LNOUnderfloor access and ventilation (Sec. 2516).
ombustion air for fuel burning appliances - L.P.G. requirements.
ise requirements on duplexes.
nergy design.
Flashing at all exterior openings.
. CDF responsible area requirements.
' s
RES
w
Fm
T
IDEN_Y_IAL (-
72-04-12
JACKSON, Dennis
95 Millet Ln, Oroville
(garage)
.4
JOB FINALE
t
• '' Signature
OFFICE COPY
Address �
GAS
Meter ByDate
ELECTRIC
Meter By Da J
J=OK
O•= Not OK••
' = Not Readyable MOBILE HOMES ,
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / PV'ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DEC S, COVERS, CARPORTS, GARAGES, Plans OK except #'s
jSffQ• . Zones -Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. EleOric ck, 11 y
rm ils-Anchors-Studs-Rftrs-T sses
Nailing -Veneer -Stucco -Mesh
woof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
L
Date Card B-1 Date Card B-1/
Date_ _ ./,j .Cj / Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-PaneIboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (E
=
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearinq
,incgle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic,
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive Cl Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
r.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
l t%
ASSESSOR PARCEL NUMBER
72-04-12
;ZONING
AR5
BUILDING PERMIT
OWNER
Dennis Jackson
TELEPHONE
534-8659
SO. FT. OCC. BUILDING VALUATION
1st rpnewnl
OWNER'S MAILING ADDRESS
2350 Via Corte Oroville 95966
CONTRACTOR'S NAME TELEPHONE
owner
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee i F
$40.25
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 50-29
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[]Mobilehome❑ Other _garag ePECIFV
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New❑ Addition Remodel❑ Utilities❑ Installation❑ Other [—I
Describe work: 1st renewal of BP#4082-89 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100VAMP OROR LESS10.00
Main service EA. ADD-[- too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
SI/I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
,
2/20sgft
NEW CONST R. ULT' -OUTLET
NO N.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES
20@50C
aAL@3o
FIXED APLNS.
EX. OCCUp. OUTLETSP'RESID .)1R EA.)
2.00
Temporary service
0
Mobile Home Facilities
Misc. bVirinors. g
E15.00
0
Permit Fee
$
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
f 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.
N tice 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
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.
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
agains aid unty in cons&q a of the granting of this permit.
X J��J�G�O
Date /
Signatu pplicant — Owne 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 $
occ
CONST TYPE
TOTAL FEE $
E
HAZ
CUA
PARK
SCHL
PAR
I PD
I HD
Issu
This permit is hereby issued under
si-ins of the Butte County Code and/or
work i dicated above for which fees
DI OFPU
PERMIT EXPIRES Date 12-19— S—A1
the applicable provi-
resolutions to do
have been paid.
WORKS
Date (!� 190
Receipt No. FLYS?1- 2�
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
1 -
COUNTY OF :BUTTE - Department.of Public Works
7 County Centor Drive, Oroville, CA 95965 Phone: 916-538-751,1.
.. OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for i.n 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.
T
M
3.
I personally plan to provide the m labor and materials for construction of
the proposed property improvemen (ye or no)
Iav have not) signed an application for a building permit
fo he proposed work.
I have contracted with. the following person (firm) to provide the proposed
construction:
Name
Address _ _ City
Phone', Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed :
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the•California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Lawarnia 96965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
&P 2- —�
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER Q - I
TELEr N �
G
SQ FT. OCC. BUILDING VA ION
OWNER�[tLl G ADDRESS
CONTR r TOR'S NAME
TFdpE ON
-.+
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
n
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
4'
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTUUBJE �c
SF ❑ Duplex❑ Mobilehome❑ Other `�40A `
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
/� TYPE OF WORK
NeW.li I Addition❑ Remodel Utilities[] Installation[] Other ❑
Describe work: 2 _
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):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
NEx.
L� I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.91
OR ACDNS. (ACC, )
2/zQsgft S�
MULTI -OUTLET
NEW RESIC.CONSTRANCH CIRCUITS)
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS tr1
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
2L Sot
5A030
FIXED
OCCup. OUTLETS PLNS D )RE A.)
(RESI
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin 9
15.00
Permit Fee
$
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.
1VI 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
FiIingFee 10.00
Heating
Cooling
g
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 Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
I also a ree to save, indemnify and keep harmless the County of Butte against
all liab'l ties, judgments, costs, and expenses which may in any way accrue
against id Co my i cLNu a of the granting of this permit t�
%� Date \
'
Signature of Applicant — Owner o tractor ElAgentwork
An OSHA permit is required for excavatio over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
"�
TOTAL FEE $ / aS
E
HAZ
---
CUA
._
PARK
SCHL
PAR
PD HD UE
This permit is hereby issued under
sions of the Butte County. Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
BY
IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date '2—I
Receipt No. SIG/(,
'PE
WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
f 0
7
' COUNTY OF BUTTE - DEPART.MIttg OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTfR'DRIVE - QVV' Ly CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMITAPPOCATION DATA SHEET
_ /'.. .,,i. Permit No.
OWNER4I[,—:41411,�i IAC-4CS0T A. P. No.—
! Proposed Building Use &AIZ G Building Inspector&4C Date 5
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. ............
rJ 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 ..
W5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.
....................................................
10. Fees of $ .......................
11. Chico Urban Area fees paid .........................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ..... .
18. Improvements may be required. Contact Land Development Section DPW
?tom . 19. Driveway permit (construction approval required prior to occupancy]
20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone S3'f—kQF4 and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date
i Copy of plans sent Health Dept., Fire Dept., 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. 4�. ,VN
2. Additional items required:
e
r
d
�. Contractor, designer, owner, was advised of above required data by_phone_�ail counter by ..date t
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter
by date
Plans checked,by CD4- —Date Plans approved b�k,_ oCoi. Date,
Sets of plans on hold in File cabinet ✓SAP folder;,
Copy -DPW
COUNTY OF BUTTE— Department of Public Works
7 County Center Drive, Orovil;le, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the maj labor and als for construction of
the roposed property improvement yes or no)
2. I (have have snot) < signed an application for a building permit
fo proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed; r
Property Owner
Social Security Number,
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to_our office before we are per-
mitted to issue the permit.
T9 Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
LAwc
ownerLocation AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for,. --- Water Supply
Final clearance O.E. for: ater supply
Clear/(S
ance" for b r �/
sanitaria Dates
Certificate of Compliance: Residential Climate Zone 11
Project Tide 9 77 Q 7
I=�I�if / t I d Building Permit# n
Project Address —T A, 5 3 - /J 5 /
he n • Oro ro Checked By / Date
Documentation Author Telephone Enforcement Agency Use Only
BUII.DING DATA
Area
North
Glass Area % Glass
ay (0-9
Conditioned Floor Area / k7f
Number of Stories /
East
-457
SIA•sedFloor
Number of -Units 1_
South.
/'Of
Stn a amily Detached (
[ ] Addition -Alone
West
7c' .
( ] Single Family Attached (SFA)
[ ] Existing Building
. Skylight
C7 0
( ] Multi -Family (NIF)
[ ] Existing -Plus -Addition
Tom
3 S2& /
BUU,DING SHELL INSULATION
Component Insulation LocatioNComments
Type R -Value (attic, to garage, rTical, etc.)
Wall .............. -�--�
Wall ..............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge .....
GLAZING Shading Devices
Glazing
Area
Glass Type
Interior Exterior Overhang
Framing Type
Orientation
(sf)
(single. double)
(yoller blind, etc.) (shadescreen, etc.) 6rlWflo)
(tnetal(wood)
North ( )
-
o
yea.
North ( )
East ( )
-57-
7East
East( )
South ( )
/D /
_
t� !�-y
South
,/n,P
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile. etc.)
(sf)
(inches) Location/DCscription (kitchen. bath. etc.)
HVAC SYSTEMS
Type (furnace, air
conditioner, heat pump)
Minimum Duct
Efficiency Location Duct Output Manufacturer / Model #
E. SEER,HSP) (attic, etc.) R -Value tuh or approved equal)
Maximum Furnace Heating Output:
HOT WATER SYSTEMS .r. .
Btuh
Manufacturer/Model #
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
� ��:1•f �:b ,!� � �r N
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures reprdkss of the compliarrce
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance mquuements listed
on the Certificate of Compliance. Wben this checklist ii incorporater: into the permit documents• the features noted shall
be considered by all parties as binding minimum component performance specifications for the ihandatery measures
whether they arc shown elsewhere in the documents or on this checklist only. -
DESCRIPTION
r Building Envelope Measures
• §2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fall insulation manufacturer's labeled R -Value.
' §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2-5352(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor
+ transmission rate no greater than 2.0 perm/inch.
§2-5311: Insulation specified or installed matt California Energy Commission (CEC) quality
I standards. Indicate type and form.
{ §2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiluation/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed tolimit au
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
§2.5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
{ standards.
§2-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
1 a. Tight fatting, closeable metal or glass door
b. Outside au intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilon allowed.
HVAC and Plumbing System Measures
42-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC.
! §2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas -rued space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2.5352(1): Water beater insulation blanket (R-12 or greater) or combined interiorkxterior
l insulation (R• 16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception 1): Pipe insulation on steam and steam condensate mum & recirculating
piping.
§2-5318(d)• Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2.53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermiuent ignition devices.
I §2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
4 COMPLIANCE STATE ENT
DESIGNER I ENFORCEMENT
This certificate of compliance lists tih-, building featlares and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20. Chapter 2. ShbchepW4. Article 1 of the California Administrative code- This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to my subsequent purdtaser of the building.
Designer
Name:
Tide/Firm:
Address:
Lie. N:
m S
y (signattuc dale)
Documentation Author
Name:
Ti k/Fum:
Address:
Building Owner
Name:
TitkJFirm:
Address:
Telephone
(signature)
Enforcement Agency
Name:
Agency:
Teicomc
(date)
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
.2
R-30
2
-1
.1
R-38
0
0
0
U -value
8
6
4
0.50
-176
-84
-54
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
-9
-6
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Insulation in Floor
Single-
Single -
Number of stories
R -value
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-144
-70
-46
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
Insulation in Floor
Controlled Ventilation Crawlspace
-4
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
.2
-1
R-19
0
0
0
R-30
3
1
1
U -value
4. Slab Edge Insulation
40
-90
0.60
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
.30
0.30
-69
-34
-22
0.20
-13
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
-4
-3 -1
Number of stories
.1
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
.2
-2
R-19
-1
-2
-2
4. Slab Edge Insulation
40
-90
"
Number of Stories
-14
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
-3 -1
0.80
.1
.1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
040
12
8 4
S. Infiltration (Air Leakage)
Specificapon Pcints
Standard , o
Y
6. Glass Heat Loss
Total
Single-
Single -
Etrecdve Percent Glass
Wall
U -value
(Peircent alas x SC)
Percent
Effective
Stories
.51 to
.41 to
.31 to 0.30 or
Glass Single
Double
.60
.50
.40
less
50
-121
-53
-39
.24
-10
4
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
.12
-3'
5
12
28
-55
-18
-10
.2
5
13
27
-52
-17
-9
.2
6
13
26
-49
-15
-8
-1
7
14
25
-46
.14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
3
3
9
15
21
-34
-7
-2
4
10
15
20
31
-6
0
5
10
16
19
-29
4
1
6
11
16
18
-26
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
Single-
Single -
Etrecdve Percent Glass
Wall
Effective Percent Glass
(Peircent alas x SC)
Mass
Effective
Stories
(Percent QWs x SC)
Family
Effective
0
%Glass
Norio
Etat
%Glass
North
East South West
Skylight
18
5
1 4
1
na
16
4
2 5
1
na
14
4
2 5
1
na
12
3
3 5
2
na
11
3
3 5
2
na
10
2
3 5
2
1
9
2
3 5
2
2
8
2
3 5
2
2
7
1
3 4
2
2
6
1
3 4
2
3
5
1
2 4
2
3
4
0
2 3
1
3
3
0
1 2
1
3
2
0
0 1
0
3
1
-1
-1 -1
-1
2
0
-1
-2 -4
-2
0
na = not allowed
-1
-9
1
�!. Shading (Shade Closed)
Single-
Single -
Etrecdve Percent Glass
Wall
Slab Floor
(Peircent alas x SC)
Mass
Effective
Stories
Attached
Family
Stories
0
%Glass
Norio
Etat
South
West
Skylight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
.1
-6
-8
-7
-23
3
0
-4
-5
-4.
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na . not allowed
10
10
4.5
3
9. Interior Thermal Mass
Single-
Single -
Interior
Wall
Slab Floor
Raised Floor
Mass
Mass
Stories
Attached
Family
Stories
0
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
.1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12.
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
Sum of 1.6
Wall
Family
Family
Multi
Mass
Detached
Attached
Family
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
10
8
5
1.00
13
10
7
1.20
13
12
8
1.40
12
13
9
1.60
10
13
11
1.80
10
12
12
2.00
10
11
13
11. Heating System
SE or KSPF
(assumes ducts in attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
i
12. Cooling System
SEER
(assume) ducts In attic)
Sim of 7-10
-25 or -24 to .•14 to
-4 to
Sum of 1.6
16 or
SEER
less
-15 1 -6
-25 or -24 to
-14 to -410
+6 to 16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8'
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
15
13
11
8
17 14
12
EfTective'SE
or HSPF
3
(SE or HSPF x duct
efficiency)
Effective -25 or -24 to -14 b
-4 to
+6 b
16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.30
2.75
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
i
12. Cooling System
SEER
(assume) ducts In attic)
Sim of 7-10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
-25 or -24 to .•14 to
-4 to
+6 to
16 or
SEER
less
-15 1 -6
+5
+15
more
8.0
-14
-12 -10
-8 .
-6
-4
8.5
-9
-7 -6
-5
d
-3
8.9
-5
-4 4
-3
-2
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
20
17 14
12
9
6
3
ERedive SEER
5
3
3
(SEER x.ifuct eMclenc7)
2
POU
S1;n of 7-10
5
43
Effective -25 or
-24 to -141o,
410
+6 b
16 or
SEER
less
-15 -5
+5
+15
more
5.0
-30
-25 -21
-17
-13
.9
6.0
-12
-11 -9
-7
-6
4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
% Glass SC
Eff. % Glass
a. North
X
Soli
b. East
One
-5
-4
-4
-3
-2
-2
Two +
3
3
2
2
2
1
Single -Family
}
Detached
and
Attached
t
Unit Size (sQ
Water
;i99
1200
1700
2200
2700
Heater
Credit
or
1 b
to
to
or
Type
Type
less
.1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
POU
8
5
43
55X,
3
SE
None
-37
-24
-18
-15
-12
100% 105% 110% 115% 120% 125-
Solar
-1
-1
-1
0
0
1.1
HWR
-18
"-12
-9
-7
-6
25
WSB
-25
-16
-12
-10
-8
4
POU.
-18
-12
-9
-7
-6
IG
None
-5
-3
-2
-2
-2
1.4
Solar
7
5
4
3
2
2.9
POU
3
2
1
1
1
IE
None
-28
.19
-14
-11
-9
0.3
Solar
8
5
4
3
3
1.8
POU
-10
-6
-5
-4
.3
3.3
Multi
-Family (Individual
3.9
units)
4.3
4.5
4.8
5
Unit Size (sQ
5.4
Water
30%
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
3.4
WS8
9
4
3
2
2
4.9
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
23
Solar
2
1
1
0
0
3.8
HWR
-23
-12
-8
-6
-5
5.3
WSB
-25
-13
-8
-6
-5
1.1
POU
-23
-i 2
-8
-6
-5 ', t
IG
None
-8
-4
3
-2
; .2
4.1
Solar
6
3
2
1
1
5.6
POU
1_
0
0
0
0
IE
None
30
-15
-10
-8
-6
2.9
Solar
18
9
6
4
4
4.4
POU
-8
. -4
-3
-2
-2
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
Measures
12 3V or
R -value [38] U -value [0.030]
R /I- or
R -value [11] U -value [0.098]
or
R -value 19) U -value [0.037]
Or
R -value (0] F2 factor [0.77]
19-5
Type [double] U -value [0.65] % Total 1
% Glass SC Eff. % Glass
1 •9 x �L =
3.D x
O x = D
% Glass SC
Eff. % Glass
a. North
X
Soli
b. East
Effective SE or
[0.7216.6] d
c. South
d. West
xi
0
. a x
,
e. Skylight
Interior Mass/CFA
= f7
Ic.ryet.d .1_el
TYPE
I'IUSS
(UINC 4.2,
!e:
exposed slab)
0%
5%
101.
15%
20%
25%,1301.
35%
40%
45%`50%
55X,
60%
6566
70%
75%
80%
85%
90%
95%
100% 105% 110% 115% 120% 125-
0y.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21 .
23
25
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
23
2S
2.7
2.9
3.1
3.3
3.S
3.7
4
4.2
4.4
4.6
4.8
S
52
54
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
52
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
28
3
3.2
3.5
3.7
3.9
4.1
4.3
4.S
4.7
4.9
5.1
5.3
56
58
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5 7
59
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
3.2
3.4
3.5
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
53
5.6
S8
6
62
60%1
1.2
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
S
5.2
5.4
5.6
5.9
Si
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
36
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.6
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
62
64
75%
1.3
1.5
1.7
1.9
21
2.3
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
801.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
33
3.1
3.9
4.1
4.3
4.S
4.7
4.9
5.1
5.4
56
5.8
6
62
64
66
85%
1.4
1.7
1.9
2.1
2.3
2.S
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
S9
6.1
63
65
67
90%
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.2
64
66
68
95%
1.6
1.82
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
67
69
100%
1.7
1.9
21
2.3
2.5
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
66
687
1101.
1.9
2.1
2.3
2.5
2.7
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
S
5.2
5.4
5.7
5.9
6.1
6.3
6.S
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
72
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
73
125%
21
2.3
2.5
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
.1.4
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
Measures
12 3V or
R -value [38] U -value [0.030]
R /I- or
R -value [11] U -value [0.098]
or
R -value 19) U -value [0.037]
Or
R -value (0] F2 factor [0.77]
19-5
Type [double] U -value [0.65] % Total 1
% Glass SC Eff. % Glass
1 •9 x �L =
3.D x
O x = D
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
' 12. Cooling System
Zonal Control? ( Y / N )
13.1 Water Heating
TYPE 1 MASS AREA = %
Interior W- ss/CFA COND . FLOOR AREA
TYPE 2 MASS AREA
Exterior Wall Mass
% Glass SC
Eff. % Glass
a. North
X
Soli
b. East
Effective SE or
[0.7216.6] d
c. South
d. West
xi
0
. a x
,
e. Skylight
V x
= f7
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
' 12. Cooling System
Zonal Control? ( Y / N )
13.1 Water Heating
TYPE 1 MASS AREA = %
Interior W- ss/CFA COND . FLOOR AREA
TYPE 2 MASS AREA
Exterior Wall Mass
ND. FLOOR
AREA $
.79_x Q�_
Soli
SE or HSPF Duct Efficiency (0.78]
Effective SE or
[0.7216.6] d
HSPF [0.5615.15]
-7.4-
k1. % x � �2
= 5
SEER [9.5] Duct Efficiency (0.74]
S_ �-
4N
Effective SEER [7.03]
Type (SG] Credit [none]
Point Scores
D
X
0/
Y 't ,�
Sum 1.6
-a
Sum 7.10
Point Total: ��/
DATAPRINT CORP. M IM CLARa10MT ST. am MATZO. CA. N*
i