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017-090-133
011-280-133INALED 01-2987- o'Z%02� STEEN, CARY -�z MCRRITT 1- 1 IN D. CHICO CONT: RUSS COL :1: NEW 2 13RM / I BA-'- SP 011-280-133 INALED 01-2988 I a70a ��STeE'E�N�, CAR �3 OZ Y'*TVIERRrn' OR I R.D. CHIC CONT: RUSS COL 20 X 24 DETACHE RAGE 011-280-126 INALED 02-0105 / a�O�;TEEN, CARY % 3c pMERRITT I-! tl\ING D. CI-IICCI CONT: WILLIAM S RES ly SF FIRE SPRINKLERS t 1F 011.280-133 02-20 }3 STEEN,CARY ,%nalf"i Y 2,7-G2- 12702 MERRITT HORNING RD., CHICO CONT: RUSS COLLAR WOODSTOVE 13, rig 44-t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N�. (Rev.12/96.�,A APPLICATION AND PERMIT 02-2053 ASSESSNUMBER 011 133 ZONING BUILDING PERMIT OWNER STEE N Y TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 127Q2 RNING ROAD CHIM, CA CONTRACTOR'S NAME RUS9'COLLAR TELEPHONE CONTRACTORS MAILING ADDRESS HTM, CONSTRUCTION LENDER - - Fireplace A 1,500.00 LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12702 ME'.RRITT HORNING ROAD Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF M Ddplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ct Describe Work: WOO STOVE INSTALLATION Gas piping system 1 ' 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION l 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. 1 _.� '-'') License Class - r _ ' LIC. NO. •. ..- ( ! L) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service 2000 To 1000A 46.00 NEW CONST. OWEVIG OOCUP. SO OR ADDNS. a Acc. BLDs. 3.50x; NpµONS MULTI.OUTLET 10 @7.50 =10T POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLETORzo Q ,.00 FIXTURES eAL so NS FUCED APP., OR 5.00 EX. Occup.ounETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. fall have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carriev and policy number are: Carrier li-,t f •• .1s MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ _ Policy Number (The above sections fibid not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions ofrsection 3700 of the Labor Code, I shall forthwith comply with those provisions. \ X 1 !/, j '^ Ci' l_ Date " 1. _Signature of Applicant - ❑ Owner Contractor ❑ Agent / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55 HAZ. p. FEES IMP FLOOD CDF PARCELPO ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1'h Date PERMIT EXPIRES. ON / 3/-? Date Receipt No. 360307/&55.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 2— -5 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96hn APPLICATION AND PERMIT 02-2053 ASSESS ELNUMBER 011- 133 hb�� ZONING BUILDING PERMIT OWNER STEEN CARY TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 12702 MERRIT HOMING ROAD CHTCO, CA CONTRACTORS NAME RUSS COLLAR TELEPHONE CONTRACTORS MAIUNG ADDRESS 4425 WJ-LLk)W SPRINGS, ROAD CHIM, CA CONSTRUCTION LENDER Fireplace A 1,500.00 LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 12702 MERRITT HORNING ROAD C Energy Plan Checking Fee $ $ PERMIT FEE $ 55,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other IX Describe Work: WOOD STOVE INSTALLATION Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service . ' OR LEOR SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i�,i I force and effect. %rO (� License Class Lic. No. `'-1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' corp�en U_ Fa 'og incur ce Gerrie nd policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. so 3.50FT. NEW NON-gESIpT MULTI -OUTLET CIRCUITS @G 7.50 asOW,GP"LEo=US 1ING C. Ex. Occu OR Focru 20 @ 1•00 SAL @ .50 Ex. Occup. oFlx�eED�A AL o)OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 4q - 12- ?o 7/ c (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions o action 3700 of the Labor Code, I shall forth mply with thos prov' k4�of _ _ Date O Dgnature f Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction111 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ co NST. TYPE TOTAL FEE $ 55.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �1 }-� Date711 sat PERMIT EXPIR ON / - 31-3 I Date �ReceiptNo. 360807&55.00 -a, HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES' t' h TJ RESID+ITIAL - 0 11-280-133 • L/ 01-29 87 'TEEN, CARY -�270?—�.ERRITT HORNING RD. CHIC(' '6 CONT: RUSS COLLAR - NEW 2 BRM / 1 BATH SF ` Ca-�IvS j 1 OFFICE COPY Address GAS Meter;6 D I L2 ELECTRIC R Meter By Date SPECIAL CONDITIONS CHECKED BY = SRA• -� :. r Fx .CERTIFICATE REQ. . E SPRINKLERS REQ.-5Ct � oz-oror SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Ykri QJ 1� acb 2-7 le4 lo� 7C"~:i� • `- ! +� - � -�� t �///� , /'SOI "/ / I �� 'i L ' Y N / � �' (�•��j��"��`�/ F WALE JOB FINALED (Date) r - Signature j ` Y f . now - s OFFICE COPY Address GAS Meter;6 D I L2 ELECTRIC R Meter By Date SPECIAL CONDITIONS CHECKED BY = SRA• -� :. r Fx .CERTIFICATE REQ. . E SPRINKLERS REQ.-5Ct � oz-oror SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Ykri QJ 1� acb 2-7 le4 lo� 7C"~:i� • `- ! +� - � -�� t �///� , /'SOI "/ / I �� 'i L ' Y N / � �' (�•��j��"��`�/ F WALE JOB FINALED (Date) r - Signature j ` ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date ndertloor (Plans) OK except #'s 1 Voni-Setbacks-Easements- food -Slope Date 2.tPff, Main; Soils-Elec. Gr .-/ " Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. FA., Porches & Decks; Soils -Steel-/ P' Ftg. Depth temwalls,Main; Steel-Blockouts-Wrapped (retemwalls Garage; Steel-Blockouts-Wrapped encs ove Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 6E Hold Downs and Special Anchors 7. S)aty Steel -Wrapped rs-Fireplace Ftg.-Steel 9 .W.V.; Fall -Fitting -Test -2 Way C/O - xt let. Trim, G.F.I. Receptacle -Underground 10. F, Gas Pipe; Size Anchors and Gas Piping; S' est 1 Water Pipe; Test -Anchors -Regulator -Service Test 12. lectric Underground GI rotection 1f. Plenums & Ducts; Clearance -Material -Support- Ins. 1 Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies Q 15./Access & Ventilation eters Tagged, Gas -Electric insulation ater &_§Pwer Connected -C/O to Grade -HD Approval Date Date Card B-1 , Date Card B-1 Card B-1 Date Card B-1 Date LUMBING (Permit) OK except #'s Date W ter Htr.; Vent -Access -Combustion Air Baffle ter Pipe; Test & Anchor -Nail Protection Q.W.V.; Test Fittings & Anchor -Nail Protection (/ 0. Shower Pan; Test, First Floor -Tub Access C rant o ed under Floor d Yes @4-Tej Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 _ I� Date Card B-1 Date Card B-1 Date Card B-1 Date POECTRICAL (Permit) OK except #'s F' ture & Transformer Clearance -Ins. Protection encs ove Roof, Plbg-Appliance-Fireplace-Clea rance to Openings c. Receptacles Spacing -Lights & Switches at Doors 2 . S' a Bo & No. of Conductors Stapled R ex Installed Close to Edge of Studs & C.J. pp.Ground made up w/Mech Fasteners -Bond Gas & Water xt let. Trim, G.F.I. Receptacle -Underground ppliance Circuits in Kitchen & Conductor Size GFI 10�&-hfewi Wire Siz / ga. 0 or AI-A.C. Wire Siz /Cu r AI Ve<ange Circl /Cu r AI -Oven Circ. / / ga Cu or Al Irtsulated Neutral O Yes ❑ No GI rotection S ice -Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. Q a'ia- C121bes Closet Light -Shower Light -Spa Light eters Tagged, Gas -Electric . Smoke Detector ater &_§Pwer Connected -C/O to Grade -HD Approval DatZ1, 3, 3 Card 13-1 jr Date Card B-1 Date` Card -1 Date Card B-1 Date ECHANICAL (Permit) OK except #'s C. Ducts Insulation & Support Vent Fan, Exhaust above insulation �( 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date 0 Card B-1 �� , Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Bills Proper Materials & Anchors yKalls Studs -Nailing Spacing & Braces -Plates -Sound aring Walls over Girders & Floor Nailing grg—tt Stop in Walls (rat proof) Fir ops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing dingle & Duplex) Date FRAMING (Continued) !8�angers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. ,gL Fireplace Ties or Type A Flue -Fireplace Throat Clearance JS_-/ittic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions lu/Garage Fire Protection Framing roperty Line Firewall & Openings 5aw'115'xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits .60. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ' zing Area -Glass Protection -Skylights -Plastic AWO'Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date , ,(� Card B-1 AE6 Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s Ex eps-Door & Sidelight Protection -Landings &006,9,ke Detector 45 --furnace Vents -clearance -Comb, Air-Connector- In_Q ra , Above Floor-Ducts-Mech. Protection e om Exiting F.I. & Bath Fixtures & Tub Access -Spa Breaker Sizes & Labels airs & Rails 70. it a or Stove, Clearance -Hearth Ele utlets at Wood Panel, Int. & Ext. pjlKit. Fyct!L -Appliance; Ground -Air Gap -Cooking Clearance 1.3/Elec,00lels-& Receptacles at Kit. Counter iib Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i rage; Above Floor-Mech. Protection Plb., Mech. Equip. Listed for Location 7 ec es in Garage (F.F.I.)-Romex Protection ns on- ogked in Attic d Rails & Deck Construction -Post Caps Fdn. VBaai S rawl Hole Door Drainage & Wood -Earth Comments at Final C rant o ed under Floor d Yes Foll ng I we J Yes J NoMalks J Yes J No/Planters J Yes J No 8 _k_ejtwI5oBro Finish A.0 nit Disconnect, Electrical -Plumbing 8 encs ove Roof, Plbg-Appliance-Fireplace-Clea rance to Openings ate I, Disconnect, Electrical, Plumbing 7. xt let. Trim, G.F.I. Receptacle -Underground 41'en ' Throughout House GI rotection Correct' s from Previous Inspections Q 91. eters Tagged, Gas -Electric ater &_§Pwer Connected -C/O to Grade -HD Approval VFCI�ne`rgy Complia Certificate -Other Certificates Date Da Date 94. dres ed a -1 Date Card B-1 and B-1 Date Card B-1 Card B-1 Date Card B-1 Comments at Final T ✓ = OK FINAL (Plans) OK except #'s 0 = Not OK Setbacks -Easements - = Not Applicable MOBILE HOMES * = Not Fteady 3. Date MOBILE HOME UTILITIES (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Pool Lighting; 15 Volts-GFI 2. Soils; Special MH Support Sketch Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 DIC Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining - 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI j 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 Suoolv Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE r' BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ` OWNER PERMIT NO ',' �F A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office -when correction,of work -is completed. If you have any questions pertaining to this matter, or heed additional explanation,'., please contact this office immediately. yL Y0 Vf' �/�(/L'1 f 4 -foe- 54-cipe- r xx I �53�11�t1�i • k r ;r !aK J _ 45 J Date � 6' '�` Inspector ` REV 10/92 A t 5j tic COUNTY OF BUTTE 4 BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE c�1 0*11 ._ OWNER PERMIT NO: A routine inspection indicates that the following violations of butte county Ordinances exist at the above addres /and should be corrected. Please notice this office when correction,of work is. completed. you have any questions pertaining to this matter, or need additional explanation, = piease co aEthis e immediately. OVI 4L cL fed Se f 0f K. v V I a( I(,{ I c-C-vl I U C f/ 1 I.� I C 61-c �°✓f ✓✓eC�7 �1 f'la�rf� d G '4-3-v� r� -' % w orr iPS�rc �IjceA kl-eV5 ✓lrr�W4 r"v✓ide f#qA+ -rD ccs If -k. WbDdS v Ya-fcc+ Dw V +hv ez< < 4e /cam Date tJ� Irispector REV 10/92;, ! COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE e V-0 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at theF above addres and should be corrected. Please notice this office when correction of work is ,,Zh completed. Yyou have any questions pertaining to this matter, or need additional explanation, please con ct this office immediately.' REV 10/92 •-if afi `cam • - is Date Z— Inspector ^� REV 10192 ;` ,. . . f . . . . . ! - _._ . . . . . . • . . . . . , . . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE" OWNER PERMIT NO.< A routine inspection indicates that the following violations of butte county Ordinances exist at the 'above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. •-if afi `cam • - is Date Z— Inspector ^� REV 10192 ;` �rw+r8' s _ i it . y���a�•(f COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ti 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. x A routine inspection indicates that the following violations of butte county Ordinances exist at the -above address and should be corrected. Please notice this office when correction of work is comple ed. If you have any questions pertaining to this matter, or need additional explanation, pleay6 contact this office immediately. r y •�s d T- x! t t; r i Date . C) Inspector REV 10/92 ' .....:COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES } 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 r. ` a CORRECTION NOTICE OWNER PERMIT NO. a� A routine inspection indicates that the following violations of butte county Ordinances exist at the =Y -above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, t, please contact this office immediately.14 k 80710t, 9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.?2/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 011-280-133 ZONING 5 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1146 r-3 . OWNERS MAIUNG ADDRESS 125 PARMAC. #39 C14TCD, CA 95973 64 C 8-32-00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 4429-�aTJ,OW SPRINGS RD. CHIM, CA #AM 99998 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 471-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIN S MERRITT HORNING RD. CHICO CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 1b Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 35.001 Solar or heat um water heater 23.00 Water piping 15.00 1-5.00 Each gas water heater or vent 15.00 TYPE OF WORK New )7 Addition ❑ Remodel ❑ Uliliifiaes ❑ Installation ❑ Other ❑ Describe Work: NEW ? RRM / 1 RATE SE Gas piping system 1 - 5 outlets 15.00 15.00 is ob Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 10 Main Service zawo'.ss 23.00 3 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect, c/ License Class (j Lic. No. T 0 3 ( 7o OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 erformance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' corj�p5ns5tion psurangg carrier and policy number are: Carrier Policy Number (The above sections need not be c mpleted R the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions.This X Date /1%0 ti t _ Signature of Applicant - ITOwner Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in he' ht. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR so OR ADONs. ( a ACC. BEDS. 3.5¢-: An 11 NON•R61p.' MULTI.OLITLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL O I.w FIXPPLNSI Ex. Occup..OUTLETS RESID.OF.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating i 115 -no - Cooling Hood 6.50 6-50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ R_TD C I TYPE TOTAL FEE $ 1,124.06 HAZ. _ D, IMP X FLOOD X CDF X PARCEL X PD HD X X ISS/ permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By On PERMIT EXPIRES ON provisions to do work paid. ' ©2 a to Receipt No. 36 F e5- Q. `�J� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Oct- 2-01 01:46P P.01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION \ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev, 12116) 133 PPLICATIONAND PERMIT PPE-RMrr NO. AsaasollP,lacn�+.q�,� � ��l► i _a g% -2-� BUILDING PERMIT M9a(� SO. FT. OCC. BUILDING VALUATION awNa=fl 2 1 !a5annrlcze 39 eA 95 9� 3 _ C004 r11ueTlon ucroa UENDFA s HAIIMa Aooll mcmrracT on EMOUi[i ,n—LVT OR 04C MMV IYWNO ACIDNESS BUILD940 ADDAESS '-B -U , I dk� *PERAAIT FEE PAM SRA SHERIFF OTHER AMOVNT RECEMMb 1 S- *RECEZ" WAP6M �I s * TO BE PVT Zwo cowvm Fireplace k—rcu Q,rco ELECTRICAL PERMIT .OT No C� a Numxm PA11C4 YA► f USEOFSTRUCTURE )ra:Dl AL SFY Duplex O Mobllehome 13 other -T 0� Plan Checking Fee f • n Energy Plan Checking Fee TYPE OF WORK �3 00 ,— Newt( Addition O Remodel 0 UBF6es 0. tlsh&bon O Other O Describe Work: _ 2 & 0 PLUMBING PERMIT 20.00 Fling Fee 20.00 Each Tr 7.00 '-B -U , I dk� *PERAAIT FEE PAM SRA SHERIFF OTHER AMOVNT RECEMMb 1 S- *RECEZ" WAP6M �I s * TO BE PVT Zwo cowvm Fireplace &0 ELECTRICAL PERMIT Total Valuation i Main Service "IV01,LE6 2 »oA on .Z. ' 0� Filina Fee f 20.00 Permit Fee f -T 0� Plan Checking Fee f , Energy Plan Checking Fee f �3 00 ,— Ex. Occup. nxE0 AP oq NAL .50 ovrLm oto. a 1310 PERMIT FEE ! 23.00 PLUMBING PERMIT 20.00 Fling Fee 20.00 Each Tr 7.00 Solar or heat um water heater 29.00 Water piping Heetln 1 15.00 �s Each gas water heater or vent f 15.00, Gas I In stem 1 • 5 outlet Ventilation 15.00 Building wwer 15.00 Mobile Home S G W Mobile Home Installation Fee f 0920.00 PERMIT FEE f &0 ELECTRICAL PERMIT Flln Fee 20.00 Main Service "IV01,LE6 2 »oA on .Z. ' 23.00 Main Service SooA To IOWA ,(X] 46.00 OR ADONS. a ADC. Owl. law 3. SOT, NON•RF]IO VuUFovrLLT @7.50 rowed A►IAMTtie as O CIR EX. Oeeu olrnn 011 Wnjaes 200 I.00 Ex. Occup. nxE0 AP oq NAL .50 ovrLm oto. a 1310 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. Wiring 29.00 PERMIT FEE i MECHANICAL PERMIT Filing Fee 1 20.00 Heetln 1 IS, Coolin Hood 6.50 Ventilation ---------------- PERMIT FES ! ,S Mobile Home Installation Fee f Energy Inspectlon Fee f r 10,«6-v TO Al FEE i U(o NAS. , n'. ".90 1 -VI4%, I asuE This permIt h h;rgY- Issued under the applkable provisions Of the Butte County Code and/or Resolution@ to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date '�:,• , -,; ,, �, ,_ ;� �. -. i • - -• �� �� -.;..-,:-:.+Y,.�.ic,,=k1ss?'c.f.,�.:'r....:�:�:n+�-..�e���k�',t?d,.:�`s►x�'�....•�:�+..�.�,.�<L:,r+�wr,L�`�r �,;,t�'""• • d:., ic�t�'.:y�C;;,;,.Fl�,,..1:nY�'��..►'t4'rt�.�ral1 <+�+ .d6+�:+ka�%3tx.. COUNT' OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET � o s �33 OWNER: ASSESSOR PARC L N MBER. atil Proposed Building Use: Building Inspector: %� . Date: / 1- o? j- 0I At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans,, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. " ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ { ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... r2California anufactured Home Data and Installation Instructions including Tie Down Specifications .............. es of $ � • to 1 ......................................................................................................... v pact Fees as shown on the attached schedule�,.....:. �.:�..�•.'�:�t7-V Department of Forestry Plan Approval/Es@e'p4.;.�2.(,U! ,/. 13. Flood Elevation Certificate.......................................:........................................................................ Sanitation and Plot Plan Approval (? Environmental Health Department......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: 0)Z (B) Parking: ...........�O ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainaggal Parcel ........................... ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number............................................................................. ❑ 23. Owner -Builder Verification .(❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ �25. Recorded Copy of Agricultural Acknowledgment Statement..............................................................�'�' L 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. .Existing violations and/or expired permits.......................................................................................... ❑ 4336,Q Grant D!;;d,�Lj�MH Tit] , ❑ Check to H.C.D. $ - 0. Other When you issue the permit, process as follows: ❑ Mail to Owne , VMail to Contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with Inspector. Applicant: 0:: �h Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other '1.p 16dex`permit Application for the above items numbered: ' 2. Additional items reed: C O C S I b OhS Oil Q10CC� I Date: /V c ✓ Z ( 0 / Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By By: By: Ian Check Last - I ct�uv Date: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, -w advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Plans reviewed by:� Date:21 (? �o! Plans reviewed by: wt' Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Yellow Copy - Department of Development Services - duilding Division , I Note transfer by: Date: r66tq, Pa TO: Building partment FROM: Envi omental Health SUBJECT: S nitation Clearance D I d �V 1 . O -"iA.H. USE ONLY Plot Plan Attac1k, hed Floor Plan Attae d Sant to B.D. ' �= P pza ner Location AP# Pla Approved for: Sewage Disposal % Water Supply: Public Private Well I Cl arance for dwelling. Other _� r4 r Mold final for: 4:��� 4y4i Final clearance O.K. for: (VOTE: Envi 8/96 Is mental Health Specialist 3- n Date INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE r .. FROM: 4W, ENVIR. HEALTH, CHICO DATE: RELEASE ENW. HEAL Tia Hi ,iD ON BUILDING FU AL FO—': OWNER NAME: SEPTIC: WELL: AP#:� 2.�'�—�. �� ADDRESS/LOCATION:W41 < Comments: GL /memos/releasehold R COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE ' 133 A.P. #01 J60b - DATE ' ( _1-) I _01 RECEIPT # DATE REC. (� 1. BUILDING PERMIT FEES u--Balance Due ...............................:........................ $ I �. f3da4v_kPr�al Fees Due ............................................ $ 19 2 co-crac-P c0 Ott dna 0 4 --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ j 4 2. SCHOOL DISTRICT FEES I K(paid at District Office) IS"HERIFF FEES (paid at Building Division) r� Residential ..........:....... l .................. x $360.00 = $ Units Commercial (sq. ft.) ................ 4. URBAN AREA FEES Residential ............................ x $0.03 = $ Sq. ft. x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #�_) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OCHER 3��A'S /).,)/ - I a -5�br'�LT ��_ +6d At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. 4— APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner _ (Rev. 6/00) 4 School District A.P. Number Property Owner 7 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) CJC),� �1' l e " Building Department artment No. 13 3 Jurisdiction: City County (7 a vU S4 e e,- ,. Property Location/Address Subdivision Residential Development x* IBJ No of Living Units Commercial/Industrial • _ 0 _ New Building Department Representative ctr-4PJ1IJ ul- o- _J _ 4' ` Lot No. i._..............................................................................................: I F Sq. Footage Mobile Home Addition/ 'Supplemental to Installation Conversion Permit # *(Nofoundation inspection): ...................................................................................................... . 14G (Group R) Y +r' . v: - -,�w�• z :.Sq.,Footage Addition (Including Exterior Roofed Areas) Date (t-ioor Plans reviewed by School District Personnel) District Identification No. 02— y L/0 –z— CU School District certifies that (Applicant) C. -44- 3 l 3 q3 i2*1t (Street rAddress) 11 (Phone Number), U1IC-0 C/ ( C%JcIZ�o (City) (Statte)�7� (Zip Code) �1 has complied with the requirements. of Resolution No. / 9. T �!0 by payment of $ Q�t (� r representing ' `� square feet. AB 2926 $ f FULL MITIGATION $ School District Rep(eentative Date Paid by Check # Remarks: r` r i Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you',from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm V, f f r i ,RRY VA!NTER Well ICO ENV. HEALTH "I ❑ APPROVED k: C)► — 2c)8-7 ?F) mer.°gra/Information wn::r, Name: C 1 wners Address: 2S jilding Site Address: _ EFIS ) OCT 4 2001 Y APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE IrLrr, ase- # 'Sc� CH I co 9.S9 `? pro eray Information �rmit Type: ❑ Agricultur'e Building E] Commercial El Industrial ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Date: /0 r L>I 1 Z $ O/-) 2� et PT"J AP#:C) ,�\\i V Parcel Acreage: , I A 2-1 3y3—92tif3 ❑ Mobile Home FD W Residential Accessory Otic Well ❑ Other )ne District: i• — Date of Zoning Ordinance: :neral Plan: 2 Development Agreement: :e Permit: Variance: 3rcel Is In: land Conservation Agreement a No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan jg No ❑ Yes Violation Area ® No ❑ Yes Specific Plan No ❑ Yes ❑ Chico ❑ D2N ® No E] Yes, check use Enterprise Zone - � Floodplain ®N0 F] yes Zone: Watershed Protection Zone No [:] Yes -)nosed Use Complies With: *9 General Plan Zoning oposed Use Requires: ❑ use Permit ❑ Minor Use Permit ❑ Administrative Permit ,mmercial; Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes )olicable Setbacks: ❑ Other ❑ Other ❑ Cohasset Panel Number: D 3 / S ❑ Accessory Building Use Zoning Code Street & Hlahways Fire Prevention Subdivision M Front 0 Side O SO Side street Rear Heiaht Septic Permit Review Well Permit Review: Land Development Review cel Created bv: ❑ Deeds Date of Creation: Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: Legal Access Required: ❑ No ❑ Yes, Road Name: • ❑ No ❑ Yes ❑ No ❑ No ❑ Yes ❑ Yes Map Date of Recording: Lot: Block: Book: I 1 Page: B -iditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other feral Comments: SE A r rA if-HG]D ❑ Meet parcel sae required by zone ❑ Meet current EHD requirements. Ir e ����IIIIIIIIIII�IIIIIIIIII�I��IIII AND WHEN RECORDED MAIL TO: 2 2 _ Il ep 105 -7 S BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE Recorded I REC' FEE 10.00 OROVILLE, CA 95965 Offiecordecords i Countyf BUTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I• Assistant I Kristy 02:26PM 04 -Feb -2002 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The 2. property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date a State of California County of � On PROPERTY OWNERS: P�� STE-A (mown to me (or proved to me on tie basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature of ! Seal: A.P.# /)II -.-2 00-133 ELYSE M. HOLT 0COMM. # 1253657 Q f NOTARY PUBLIC-CALIFORNIAni BUTTE COUNTY. n o w COMM. EXP. FEB. 14, 2004 EXHIBIT "A" THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 15, 2001, IN BOOK 151 OF MAPS, AT PAGE (S) 84 AND 85. APN 011-280-129-000 (PORTION) PARCEL II: AN EASEMENT OVER A STRIP OF LAND IN SECTIONS 17 AND 18, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B. & M., BEING 60 FEET IN WIDTH AND LYING 30 FEET ON EITHER SIDE OF THE'FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT IN THE CENTER OF THE EXISTING HUMBUG ROAD IN SAID SECTION 18 FROM WHICH POINT THE NORTHEAST .CORNER THEREOF BEARS NORTH 040 20' 45" EAST,- 1818.50 FEET BY TRUE MERIDIAN; THENCE FROM'SAID POINT OF BEGINNING, NORTH 140 12' 30" EAST, 816.20 FEET ALONG AN EXISTING PRIVATE ROAD TO A POINT IN SAID SECTION 17; THENCE SOUTH 7.60 53' 30" EAST, 390.00 FEET ALONG AN EXISTING PRIVATE ROAD AND BRIDGE TO A POINT ON THE EASTERLY SIDE OF BUTTE CREEK; THENCE SOUTH 110 22' 35" WEST, 212.00 FEET ALONG AN EXISTING PRIVATE ROAD TO A POINT ON THE SOUTH LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER'OF SAID SECTION 17. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 12, 1998, IN BOOK 144 OF MAPS, AT PAGE(S) 55 AND 56. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PROJECT PROCESSING RECORD Applicant: �7 Com— Owner: PP A.P. #: 0I - Zg0 — ( 3 3Permit #: -. Work Description: Date , Description of Step or Status 4b co • I I • l I �AV ' �uTT ° °0 RESIDENTIAL PLAN ° `_. REVIEW GUIDE o'~�` "....: o SINGLE FAMILY, DUPLEX AND r%.. MISCELLANEOUS ONLY Owner: ' CAVI- o - e e/n Building Permit Number D(- W49-7 Plans Examiner Martha Christy A. P. Number: GENERAL: Zoning requirements — (number of permitted living units). Plans signed by the designer. ,3. Proper description of work on the application. 4. Existing violations on the property. 5. Recorded notice of violation. 6. Building permit valuation. PLOT PLAN:n I Complete parcel size and dimensions. etbacks, side yard, easements, etc. too �. Other buildings or structures. 4. Grading, fills and/or drainage. 5. Flood hazard. 6. Special conditions on Parcel Nlap: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement. S. Buildin; or utilities across lot lines (Lot merger approval by Butte County Land Development) OR PLAN: PClans and specifications drawn to scale with dimensions and of sufficient clarity (UBsection 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When «utdows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). 1- Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest nroiection from the ceiling (Uniform Building Code section 310.6.1). All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFC1 in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath cad or bedroom (Uniform Plumbing Code section 509.0). LDC G>10. uel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). ,,,kr Garage firewall separation - required on garage side including supporting walls and posts.(Uniform Building Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). ,1). Wood stove location - Alcove — UNIC section 205 confined space & 223 unconfined space & 304.2). Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 „.13 Water closet clearances (Uniform Plumbing Code 408.5). 'ower compartment minimum 1024 sq. in & 30” circle (Uniform Plumbing Code 412.7). .X. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the area of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C). 5. Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. 8. Fireplace construction details and calculations if necessary. 9. Garage door header size(s). 10. Porch header size(s). 11. Typical header size(s). 12. Stud heights. 13. High expansive soil — special foundation design required. 14. Retaining walls requiring design. 15.,Gypsuwallboard nailing inspection required. �K. m ff the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction filesign requirements must be shown on the building plans. JX'Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. AUSCELLANEOUS ITEMS: Stairway details — landings, rise and run head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). Foam insulation - protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). 0. Attic access and ventilation (Uniform Building Code section 1505). 1. Sound requirements. 2. Energy design compliance and supporting documentation. 3. CDF re risible area requirements. UEL G PERMIT REQUIREMENTS: 1. SRA. 2. ❑ elevation cenificate. 3. ire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub-Standard Housing lever. Page 2 of 2 0 ALAN RE i'ISION Please complete the following information in order to process your submittal. If this form is not comp and legible. is may cause a delaX in processing. Owner's Name: Received By:Date: / — 0j a, A.P. #: (� f' l ^ oZgy — /3 3 Permit #: C)/ a q e 4- Time: ContactPhoneNumber: 5c3� Purpose of submittal: O Permit Application Data Item 8Tru-c, +0 Puy (a PI oYflan. il,5�?V-6 . Nt� ❑ Engineering ❑ Plan Revision, ❑ Requested by Building Inspector or Correction Notice - Inspect is Nam : - �Yt4Z� SI-equested By Plan's Examiner - Examiner's Name: M Ct at--k� ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions -eview. If engineering is involved in this revision, the engineer must put his requirements on these drawn ;tamp and sign the drawings. Include two (2) sets of wet signed engineering. Revise drawin¢s must clearl When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: �cl�o� ' and hold for pickup at the Cts' hico Office � � r r Cl Deliver with next inspection. ❑ oroville offic Revised Plan Check Fee: ❑ 546.00 Receipt b: �itional Fees Not Req Additional fees may be due based upon complexity and time involved to process this subm Additional Fees: Receipt #: • • 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-submitiai. If 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 valid response to every item requested in our plan correction letter. "By others" is not considered a valid response... Please indicate your response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TOA CnPV nF Vn11Q DI AN QVVTcw 197TOD AFun orn ION UffTU oev*eeU% w.,., .,.�..»........... OWNERS NAME _ .. _ .._ _.._ .. _.... C' C'" I� DATE: ASSESSORS PA CEL NUMBER PERMIT NUMBER RESPONSE FOR PLAN CHECK LETTER DATED: l8 O� PLAN CHECK # RESPONSE BY: LOCATION ON PLANS/CALCS: NTS NSE BY: ICOMMEI PLAN CHECK ITEM # RESPO SE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # IRESPONSE BY: t LOCATION ON PLANS/CALCS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: k- RESPONSE FOR PLAN CHECK LETTER DATED: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANSICALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE- BY: 1 LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: - � r PLAN CHECK ITEM # _ r RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: RESPONSE FOR PLAN PLAN CHECK REM N � 10. Z.©0 / RESPONSE BY: cge,� &&4, n ,OCATION ON PLANS/CALCS: PLAN CHECK ITEM # 1 RESPONSE BY: q2 9 Iql�f LOCATION ON PLANS/CALCS: COMMENTS: v'iy► . GGi C tti i'+►i � LOCATION ON PLANS/CAL - COMMENTS:]v� r -- PLAN CHECK ITEM # 2- - P�-f�' 1PLAN CHECK ITEM N RESPONSE BY: ILOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK REM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # ccwf l *� RESPONSE BY: aerw LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK REM # trar'F I �'r I RESPONSE BY: r -i. k- 6 6 LOCATION ON PLANS/CAL - COMMENTS:]v� r -- PLAN CHECK ITEM # 2- - P�-f�' RESPONSE BY: LOCATION 01,4 P NS/CALCS: w� COMMENTS: 1�1 PLAN CHECK REM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: • 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. If 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 valid response to every item requested in our plan correction letter. "By others" is not considered a valid response.- Please indicate your response to each item and the location where the information can be found on the plaxWcalcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGMAL PLANS OWNERS NAME _ .. _ .._ _.._ couv DATE: ASSESSORS PAR EL NUMBER PERMIT NUMBER COMMENTS: V a ` Nnrcq Gs u RESPONSE FOR PLAN CHECK LETTER DATED: C fZ or PLAN CHECK ITEM #. Po V, (f RESPONSE BY. LOCATION ON PLANS/CALCS: _ COMMENTS: COMMENTS: V a ` Nnrcq Gs PLAN CHECK ITEM # RESPONSE BY: f4S5 6/ LOCATION ON PLANS/CALLS: COMMENTS: 0✓1� 1 �` a / COMMENTS: V a ` Nnrcq Gs PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: V a ` Nnrcq Gs PLAN CHECK LOCATION ON PLANS/CALCS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: RESPONSE FOR PLAN CHECK LETTER DATED: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: < PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: er. AAA ech November 21, 2001 erticalTechnology Engineering P-0 ft M?, GE4 CA, 99927 PK(5M)8999M F�c(5M)899-1102 Re: Steen Residence Roof Trusses, Merritt -Horning Rd., Chico, CA To Whom it May Concern: I have reviewed the truss designs as provided by Longfellow Lumber Co. Inc. dated 10/29/01 and the calculations seem to be in accordance with the load criteria for the project. The engineer who sealed the calculations shall be responsible for their design. Sincerely, Mike Hubley P.E. CEI'V Ej) NOV 21 2001 DWf) 6 DIVNry ISION e December 18, 2001 Russ Collar 4425 Willow Springs Rd. Chico, CA 95928 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 011-280-133 Building Permit Number: 01-2987 . i This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: r NON-STRUCTURAL COMMENTS: Locations of structures shown on the plot plan are within a 100 foot right-of-way for power lines. All easements are to be shown on your plot plans and structures may not be located in these easements. Provide three sets of revised plot plans for this project. Provide location of HVAC system. If any equipment is located in the attic, please have specific truss sized for loads. Fire sprinklers are required for this structure. Permits for house and sprinklers will be issued concurrently. Please make application for fire sprinklers (owner or licensed C-16 contractor) and provide two sets of plans drawn by licensed C-16 contractor. Trusses must be designed for sprinkler loads and each truss calc must state so. STRUCTURAL COMMENTS: &K— Provide calculations for spacing of Simpson A35 clips and sill nails. 12! Please specify in the structural calculations the required holdown sizes along wall lines A and B. �•2 Please define "cond A" and "cond B" shown in the shear wall schedule for the Simpson clip �I,lIJ.I� spacing and specify which condition is appropriate. It appears that condition B applies to the sole plate fastening per footing detail C. Please clarify or remove conditions from the shear wall schedule if not applicable. 1 of 2 PART - H The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Provide 3 Plot plans, signed by the person that prepared the plans. 2. Pay Balance of Building Permit fees in the amount of $713.61 3. Impact fees: 3.1. Complete and return the Butte County School Impact fee certification form. 3.2. Sheriff fees = $360.00. 3.3. Water tender fees in the amount of $200.00 are required prior to the issuance of this building permit. 4. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. (Plot plan submitted to health department must be same revised plan you are submitting to the building department.) 5. Contact the Butte County Planning Division to obtain approval parcel map conditions. 6. Obtain Encroachment Permit for Driveway from Butte County Public Works Department. 7. Submit a Recorded copy of your Agricultural Acknowledgement Statement. If you wish to discuss any non-structural requirements in PART - I, you may me at (530) 538-7541 between -the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Structural questions should be directed to the Plan Check Engineer. The attached PLAN REVIEW RESPONSE FORM must accompany corrected items. Sincerely, I(�IIJti�� Martha Christy Plans Examiner Cc: Michael Hubley, P.E. 6Z'V"� WW --'t7 Philo Hunt, P.E. Plan Check Engineer 2 of 2 December 12, 2001 Russ Collar 4425 Willow Springs Rd. Chico, CA 95928 Department of Development Services Building Division 7 County Center Drive .Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 011-280-133 Building Permit Number: 01-2988 Q This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN, REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: NON-STRUCTURAL COMMENTS: I. 2x8 ceiling joists at 24 inches on center will not meet span. These have been changed to 16 inches on center. 2. Braced wall panels are missing from rear wall of structure. I will note them for you. 3. Provide three sets of plot plans. Each separate permit and building requires its own complete set of plans.. This structure is located in a 100 foot easement for power lines. Please show all easements on the plot plan. Structures may not be located in any easements. STRUCTURAL COMMENTS: PART - H The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Provide 3 Plot plans, signed by the person that prepared the plans. 2. Pay Balance of Building Permit fees in the amount of $147.80 3. Impact fees: 3.1. Thermalito Drainage Area = $ 3.2. Complete and return the enclosed Butte County Park Facility certification form. 1 of 2 w ! J 4. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. (corrected plot plan must be submitted to health department.) 5. Contact the Butte County Planning Division to obtain approval for parcel map conditions 6. Obtain Encroachment Permit for Driveway from Butte County Public Works Department. If you wish to discuss any non-structural requirements in PART - I, you may me at (530) 538- 7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Structural questions should be directed to the Plan Check Engineer. The attached PLAN REVIEW RESPONSE FORM must accompany corrected items. Sincerely, Martha Christy Philo Hunt, P E Plans Examiner Plan Check Engineer. 2 of 2 ,CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING (Page 1 of 7) CF -411 UA �-r - ;� ► , tel.-l�ra2_ Proje elle ! I . D ���� IVOF_'fl.tP 1"S�T��1�j 1Zo�� •SSS � �l ProjeFl-"ress aBui er Name 52,1 !BjLu1i1kr Contact Telephone Plan Number Z. N DI-, ILr.1G�J (n,L�io� q— HqA& NIERS Telephone Sample Group Number . Ccrti 11 1 ignature Date Firm: fid t 1— ZrO<s-i"LIC5. Street Address: _i "1 /i%l��o► �F, Copies to: Builder, HERS Provider Sample House Number HERS Provider: C 14 Lr /�S City/State/Zip: C q)�aQ/ 5d-lf HERS RATER COMPLIANCE STATEMENT The house was: Tested ❑ Approved as part of<sample testing, but was not tested As the I ll --'RS rater providing diagnostic testing and field vcrilication, I certify that the houses identified on this form comply with the diagnostic tested compliance requirements as checked on this form. The installer has provided a copy of CF -611 (installation Certificate. �. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM @ 25 Pa) values Test Leakage Flow in CFM If fan flow is calculated as 400cfnVton x number of tons enter calculated value here If fan now is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ -72-, Check Box for Pass or Fail (Pass=6% or less) ❑ Pass Fail TFIERMOSTATIC EXPANSION VALVE (TXV) ❑ ❑ Yes No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail Nil NIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT ❑ Yes ❑ No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1R and design on plan. 2. ❑ Yes ❑ No . TXV is installed or Fan. flow has been verified. If no TXV, verified fan flow matches design from CF - IR. Compliance Forms Measured Fan Flow = Yes for both 1 and 2 is a Pass Pass Fail August 2001 A-16 v•i` .INSTALLATION CERTIFICATE (Page 3 of 13) CF -6R Site Address Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) =� Pass if leakage fraction 5 0.06 ❑ Pass Fail El For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM) CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ Pressure pan, test or House pressurization test ❑ Yes ❑ No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) ❑ Yes 11 No Thermostatic Expansion Valve is installed and Access is provided for inspection ❑ ❑ Yes is a pass Pass Fail ❑ DUCT DESIGN ❑ Yes ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2• ❑ Yes ❑ No TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow = ❑ ❑ Yes for both I and 2 is a Pass Pass Fail I, the undersigned, verify that the above diagnostic test results and the work 1 performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements l'or compliance credit.] -f7� USS �bLL.r4G? , Testsure, Date Installing Subcontractor (Co. Name) OR ign Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy Compliance Forms August 2001 A-25 DESCRPTION 1. ROOF Material 7hldmess fn 2. CEILING Batt or Blanket Thickness (incl Contractorls m'. Manufactuws 3. EXTERIOR Wj Material –BbA Thickness (incl 4. RAISED FLOO Material _ Stig Thwwass (Inch S. SLAB FLOOR 1 Material Thic lures Perimeter insulr 6. FOUNDATION 1 Material Thidaws (Inciu INSULATION CERTIFICATE n INSTALLATION Brand Name Thermal Resiskuwe (R Value)_____ _- --� Brand Name Johns Manville j `! ' -__ Thermal ResWtant..e (R Value) 3u- . Fihemglasss _ - :i�11r9S-firi�nWiie_.. installed w ht * sq. Jb. Min mtun Thickness inches. / '� weight per uare foot to achieve Thermal Resistance (R Value) sq S f e) 'ERIMETER Ion Depth (inches /ALL DECLARATION w h �th��currentiner�rggyy Regcdasons) as ixrdic�ri+ C.L#4iwm-99150 mks Name .!ohne M &W _ _ ThermW Resistance (R ValueL /3_,4 Brand Name .(ohne M9nuitlra _ Thermal Resistance (R Brand Name Thermal Resistance (R Value) Brand Name _ Thermal Resistance (R-Value)---- Is R-Value)—__ s installed in the buf10 the above location In conformance s for re iiowtial dir s 1119 Part 6, Callfomia Code of of com canoe, w p cab LOERgKE INSULATION CO., INC. GeneralnContractor (Co Name) Or nrne er ns -li ng�u`�ractoaccts r General u0n[tractor (Co r General Con�ar�or (Co.r ame) Ore nor qJ. Certificate ®f Conformance Certificate 054053 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated. below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated' Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. by 0 y EAI- ; 3: Thomas G. Williamson iul�• %f' o Executive'Vice President ENGINECRED WOOD SYSTEMS is a rolatod corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Stroot • P.O. Box 11700 • Tacoma. WA 90411.0700 . Tolophona: (253) SGS -15600 • Fax Numbor: (253) 555.7265 07/30/2002 12:35 0163451630 WILLIAM F SQUYRES JR PAGE 01 WILLIAM F. SgUYRES, JR. Fire Protection Uc. No. 275206 mow! 4 30/ 20o Z IV islet) 5 Stevic" 0 C44-:. lit CA CV,, co, CA S V1$ 7 : f'7 ��a N►�,C,'� W c �'ti r c S P c �c. �� • "s1'e �,. + T +�< a1� I p r`1w i e W C -i �►r . S�r w.�.lr►. , yz�'�„ %� s �16 1•,s'�'gIt.a o.s P�. CPA 131' J -Tc a.4r itlt. risco , T LIC bcll rq I aln ki as rc BVItell P.O. Box 3175 • Chico, Callfamia 95927 • (916) 345-1012 NOTES • r� i3. a �.ti RESIDENTIAL 011-280-133T ` 01-2988 STEEN, CARY . Y75f MERRITT HORNING RD. CHICO CONT: RUSS COLLAR 20 X 24 DETACHED GARAGE =CM SPECIAL CONDITIONS CHECKED BY SRA ElfoOD CERTIFICATE REQ. FIRE SPRINKLERS REQDZf- SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i INALED .t 6y JOB FINALED (Date) �I Signature OFFICE COPY Address ` on GAS Meter- By Date +f ELECTRIC Meter By D� OZ i SPECIAL CONDITIONS CHECKED BY SRA ElfoOD CERTIFICATE REQ. FIRE SPRINKLERS REQDZf- SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i INALED .t 6y JOB FINALED (Date) �I Signature V= OK 0 = Not OK - = Not ReadApplicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 1 iKIT. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector . 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails } 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing r t 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 1 iKIT. Ele ' t t rm Sills-Anchors-Studs-Rftrs-Trusses Me-li-di_W-Nailing-Veneer-Stucco-Mesh v oof; Shthg-Roofing 11. .; Steps -Doors -Landings Braced Wall Panels Date r l Q Date Card B-1 ' Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s i 1 ba s -Easements '-2,49K, Compaction -Structure. Stability _ -iAooi Structure; Steel -Connections -Thickness geaad Men -Lining c.; Receptacles and Lighting, Distance-GFI c.; Pool Lighting; 15 Volts-GFI 6 ; Enclosures; Conduit Entries -Terminals -Listed I .c.; Bonding; Metal w/5' -Circulating Equip. -Heater txes-Enclosures-Panelboards-Ins. l Y"fiealth ',&W, WY roll. E ; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. to Main in Conduit Department Approval Plumb.; Cir. Test -Water Supply. Test Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'i: ✓ = OK 0 = Not OK - = Not Applicable = Not Ready FRAMING (Continued) RESIDENTIAL (S Date 47. Underfloor (Plans) OK except #'s 48. 1. Zoning -Setbacks -Easements -Flood -Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 51. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 54. 5. Stemwalls, Main; Steel- Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel Insulation -Walls -Ceilings 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 82. Following Instld./Drive J Yes J NoMalks D Yes J No/Planters J Yes J No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Battle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 92. Water & Sewer Connected -C/O to Grade -HD Approval Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 23. Fixture & Transformer Clearance -Ins. Protection Date 24. Elec. Receptacles Spacing -Lights & Switches at Doors Date 25. Size Boxes & No. of Conductors Stapled Comments at Final: 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date A Card B-1 Date Card B-1 Date ( FINAL (Plans) OK except #'s xAjExt. 41 Steps -Door & Sidelight Protection -Landings moke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J NoMalks D Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION E • -7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PER No. (Rev. 12/96) APPLICATION AND PERMIT b/_ aneF ASSESSOR PARCEL NUMBER 011-280-133 ZONING FR 5 - BUILDING PERMIT OWNER STEEN CARY TELEPHONE 343-9248 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 125 PARMAC #39 480 11 R,640-00 CONTRACTOR'S NAMETELEPHONE RUSS COLLAR CONTRACTORS MAILING ADDRESS 4425 WILLOW SPRINGS RD- mTcn, CA CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filina Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $70.20 BUILDINGEnergy M ERRITT HORNING RD. CHICO CA Plan Checking Fee $ $ PERMIT FEE $ 198.20 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: DETACHED 20 X 24 GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I TTG W (GP20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z'oo's oa v ss 23.00 22 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -7 License Classes Lic. No. �0 ( O OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereaffirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co5mption i rance arrier and policy number are: Carrier Policy Number — '13% d (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith complyItha provisions. X Date in v L ( I Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢,T: go NOµg0E ID T. MU T.' CI CUT 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. TU Ex. Occup. OUTLET OR FIXRES 20°'.O0 BAL O .SO FIXI Ex. Occu OUTLETS REDS DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC 11 CONST. TYPE VN TOTAL FEE $ 258.00 — D FEEsD Rr F P EL 7 This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By pate r✓ 2 PERMIT EXPIRES ON a d ate Receipt No. 3SFK� () ��� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Oct -22-01 01:46P P.01 ` COUNTY OF 6UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-754 IRev. 12/96) APPLICATION AND PERMIT / a I:- NO AHESIORPAAC& te / 33 _ BUILDING PERMIT OwMIR rasr.wMs SO. FT M OCC. BUILDING OWMMI I MAILO�VALUATION ora 3 3- d las � # 39 CU o 9� 9 3 0 cownucroe s MAW. Cole rRR1C" MLAWaR - UPOER S 4MVq ADOMS ARC«RECT oR EMOUtEN ARCIRICT 011 pIQNURV WIrNO ADORES• DUIDNO ADDRESS Total Valuation S Filinfl Fee = Permit Fee S Plan Checkin Fee = rd Energy Plan Checking Fes S .or Mo•uaoNslONSNA►ei PAr+eE� SAP PERMIT FEE S PLUMBING PERMIT USEOFSTRUCTURE Each Trap SFO Duplex O Mobllahome Solar or heat um water h or /2 Other Water piping • n TYPE OF WORK Each heater • vent es water r Now fit Addition ❑ Remodel O UliW@s E3. Insolation O Other Gas I In stem 1 5 outlets Buildin sewer Describe Work: 4 �� (�Gp Mobile Home S G W "PERMIT FEE PAIb $- 1 ©, a -O SRA � S . F$, �- SHERIFF saw ; OTHER AMOILo VT RECEX"b *RE -011M WAALM 3 3 (O F E S TO se FVr INTO C10#111111im' .e PERMIT FEE I S 7.00 23.00 15.00 15.00 EI 5.00 5.00 020.00 00 .00 ELECTRICAL PERMIT FiAnp Fee 20.00 Main Service �oO'R ase 23.00 Main Servlce 2*" ro *wA 48.00 DR AooMs.� OW11104 ACC. aWI ) 3.5¢;°' Ex. Occup. ovw OR Ww uRO so @ 1.00 Ex. Oceu o,o, a aAL .SO ops 5.00 Temporary Service 23.00 Mobile Home Facilities 1 20.00 Mise. Wiring I I .....,., PERMIT FEE 13 5 C1. go MECHANICAL PERMIT Filing Fee 20.00 Heating 8.50 tion IYERMIT FEZ: I S Mobile Home Installation Fee S Energy Inspection Fes $ T X 7,Il n TO AL FEE _ I I $02.I o. «o r Rnoo f a ssu IX� This permit h hereby Issued under the applicable provision: Of the Butte County Coda and/or Resolution@ to do work Indicated above for which teas have been paid. By Date PERMIT EXPIRES ON w. .. • � ,�. , � ..�..7 �,i-., ., r{Y'. ,r �4y , � .+y' l...Y t .- .'.. •. . ti.. •.�...,� � w—A c9l'Y*.,.,,v`M�4ue'�^...- . Y �. v n � V CO UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION TCOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �� ASSESSOR PARCEL NUMBER: Ol l'c c&O+ 33 Proposed Building Use: Building Inspector: U WALI�i Date: 11 •Cl -61 At time of permit application, I was advised he f9llowing data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans,, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. t Ail engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... 9 anufactured Home Data and Installation Instructions including Tie Down Specifications .............. kis'' 10. ees of $1 y9 .R0.......................................................................................................... Da ❑ Impact Fees as shown on the attached schedule.................................................................................. IJA62. California Department of Forestry Plan ApprovalAPoess 1 ',,*'Flood Elevation Certificate............n.j..........................................:................................................. 4. Sanitation and Plot Plan Approval 2 V11 -c.0 Environmental Health Department......... G 15. Cit of Chico Plumbing Permit ........................ City .................................................................................... ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... Q 17. Planning Approval for (A) Use: ©1= (B) Parking: )I— 8—e 1 ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainaegal Parcel ........................... `1 7) ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number.............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization....................................................................................................... ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, Q M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other .................... When you issue the permit, process as follows: Q Mail to Owner,Wail to Contractor. ep�leplrerae and hold for pickup at office. ❑ Deliver with Inspector. Applicant: W Date: 9 I. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, Q Air Pollution Date: By: Copy of Plans sent ❑ Health Department, ❑ Fire Department, Q Other ate: By: k4n1. Index permit Application for the above items numbered: Ian Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required /data by: ❑ phone, Q mail, Q Building Division counter, By: Date: OAPlans reviewed by: C� Date: ` ' I2 •01 Plans reviewed by: (2-, Date: Sets of plans on hold in Q Plan Cabinet, Q A.P., folder. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division N 1'5 ,j ` 4 2 F 2�8 r.' . 360 .................. WqXRUMMM 825. 82' C) 97. 82 5Y DG50 FOOT SLDi'; LSE _`\ so, AGC LWI W 1 ;n O SEE NOTE 18 � \ SEPTnc Alb APPROWD Buti-e Count; Onvironrnenta6 Health Environmental�' n � 2v- e health C�_-_,_.--------/ JAS 5 2002 -- FZLCL 2 M eP- IT . y Q{LrJ� lJL Chico, California 5snafiur << /1 -2so- �2� i NOTES RESIDENTIAL 011-280-126 02-0105 NOTES f, T SPECIAL. C SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER , +s t f yt JOB FINALED t Signature CHECKED BY RESIDENTIAL 011-280-126 02-0105 PERMIT NO. _�. STEEN, CARY -- ��oMERRITT HORNING RD. CHICO j CONT: WILLIAM SQUYRES J 11 SF FIRE SPRINKLERS T J� 1 }�1 f, T SPECIAL. C SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER , +s t f yt JOB FINALED t Signature CHECKED BY r T ^� � T= OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ " PLPG MISCELLANEOUS Date 7. Well Clearance & Disconnect 1. 8. Utility Clearance 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing Card B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Can. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date 4. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI i I 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 R = OK 0 = Not OK - = Not Applicable = Not Ready Date RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. ater Htr.; Vent -Access -Combustion Air Baffle ��// 2 q, , V��64,10 19. Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection - Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Receptacles at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No Guard Rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground Main Disconnect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor O Yes 33. Clothes Closet Light -Shower Light -Spa Light Following Instld./Drive'] Yes ] No/Walks J Yes J No/Planters 0 Yes J No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Exterior Elec. Trim, G.F.I. Receptacle -Underground 35. A.C. Ducts Insulation & Support Ventilation Throughout House 36. Vent Fan, Exhaust above insulation Glass Protection 37. Condensate Drain & Overflow, Size & Grade Corrections from Previous Inspections 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Gas Test -Meters Tagged, Gas -Electric 39. Attic Access & Platform if Furnace in Attic Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Ingle & Duplex) n - Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive'] Yes ] No/Walks J Yes J No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: 1_ •� 'COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C b Q-605 o5 ASSESSORPARC B J '` p D -Z (0 O ZONINGBUILDING PERMIT OWNER C r t c TELEPHONE 3 13 -92 (48 SO. FT. OCC. BUILDING VALUATION O 1) 66k KI eo . OWNERS MAILING ADDRESS CONTRA 'S NAME V4VI s TELEPHONE 5a -s CDNTRAC �13 o G C h� co A CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Ic Plan Checking Fee $ 13 S. Ob B11LD1N° i Energy Plan Checking Fee $ $ e PERMIT FEE scfs.00 LAT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping I 15.00 ��,Co Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ � .j- I Describe Work: �1 l V��{� M c�� r 4 VN(�� 1Q-l� � 1 i c� C to r2,K�s ®Z, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S M q•+ I Pyr^� ,, ELECTRICAL PERMIT Filing Fee 20.00 a00VOR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NpNp°NID and my license is ' ull f a and effect. / License Class — I Lic. No. S O �j OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section rk for which this permit is issued. 3700 of the Labor Code for the perfor ofid workers' co ran arrier olic number ere: MYP Y Carrier of C V Y1 Main Service To 46.00 WEE200A CU00A NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLnS. SO 3.5QFT: MU LTI.OUTLEr @7,50 POWER APPARATUS 8 SINGLE OUTLIFT CIR. OUTLET OR FXrURES Ex. Occup.SAL 20 @ I'00 O ,50 Ex. Occup.DF"ILITi�°� Rem .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number ) (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation ovisions of section 3700 of the Labor Code, I shall forthwith omp rovisions. X Date Signature of Applicant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excav Ions over 60" deep and demolition or construction of structures over 3 stories in heigh . Mobile Home Installation Fee I $ Energy Inspection Fee $ OCCrn^r ry? _�? 'YPE TOTAL FEE $ 133 •bd FEES IMP FLOOD COF PARCEL PD HD ISSU 90 This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / 8Lb By ate PERMIT EXPIRES ON cS afe Receipt No. j 4-M WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT VO- 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 O�NER: I c ASSESSOR PARCEL NUMBER Propo?ret ed • Ui1 ing Use: �' �" �^" �+ Counter Technician: U &talo Date: -' Ite • required• in order to apply for a� permit. 1 boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑' 5: Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down o foundation plans, all in duplicate. ,j ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................... . ❑ 11.Detached Accessory Building Form filled out by the owner ..................................... ❑ :1'2. ITazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require ddi i nal plan review upon receipt of the following ifems.)I I ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... f ❑ 15. Statement of Intent for Non -heated an(d A/C Buildings..'........... f ............................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... o ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ....I ................. 1 ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: i ❑ X20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 2:3, -Contractor's license information. (Number, Name Style, Classification) ....................... ❑ 24.4•-W,,orker's Compensation Carrier and Policy N• umber r �'° .................. ,' P ❑ 25. Owner Bii Pder Y=er.:ificati, _,(O�,G ven1-to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization..................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed,'❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone f r, pickup. I have been informed of the above items and requirements for obtaining a building permit Applicant: Date: „r 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: 01 Date: Plans approved by: C Structural reviewed by: Date: Structural -approved by: i Note transfer by: Date: Yellow: Building Division Plan Check Letter Date: _Date: Date: Date: - .. .. ... .z .. +.rae•r.•t.u�'NW.6'.,...., r:,.T.,,.v..rr,4'Kl^.a:if+:�+' -�i3h'i'/�'tl:: ^41i3i?L^..)SIIiA�N•'!'1�t •Q?n. IM1II.:..li)ii.K".: i. 71. 'W� .. .t - w. 0 WAWES "LL BE..TAMV TO C,MIM FtOnW Durr aZSW FRW ALC" Qf tVAY: AAD; OTTER CV L- TVN ASSDa4 Tl D WJTH �:.RESIDENTHL *DEM0P%ENT.=A M DUET C OYMOU AC49l4ES ARE fix+llfp!PN!'7i+E'�fiJgflfW'DL5T, 00NiMJ°r.AN f.'GiRA?Wi37JE•;APARDM B�YY IW &J�TIr COUNTY-AAR�`Q�LU4Urr bryPW�i�1y. � M' D�(S Wr, A L�'Y QF IH#I;CA/V.BE�OBT�•fRCU VE ffJ77 �.00LNT,Y LE MMT . O �VqA�JY/ 3g?i�rLti. o1J�.Y/R7 1.T►JJrHf'P `ti, _ ". s. '.w �. ;..•K ! u :J'1: 'i.v.S.. �J � - 2j'FV CNG FOR AREAS OTWt -MW RESOEN1gAL AREAS SCALL BE LUTED TO A�64k1191'AIf'CF FW-(5)'_li'RE STRANDS TW tONIEST'SM4AID ` SI'IALL BE AT LEAST S V NOES ASOVEr W. GROUV AND 7W LF1� 7RAND SMUSEM M47M TMN FVTY--f aff j48) NaLs ABOVETWO 11Dt .5) AT TFE 7W QF eu� F�]51Ii AAhiL'A7lq� F A DEER IdEi�D IMPACT F�"5)"� CL�M'VJZY 11f �7�TECi, IT Sfb4Lt BE PAD P1fiDR TO IWZ%WYC�E' OF TWSULCNG fER4�'r. i) A FLAN F4llV5ARED BY A CLRTFED AR90RfST,�•BOTAWT'ClR LAM=4FE Tx7T4lT SMC)W, 7W EJ�S' M OV=SyfF• TE4-TF= • ' .' . LOCA TED N ANY AREA FOR BLS AFKS•'iU1D YF /C1LAR A �Aw � R, 1f�l7IQSdT�O'F!?OT T�71£ T R�uam TO BE FRISMM, SHALL SE FROM=- In AND APPRIOVED BY 7h PAW •7017W 59UVVQ : CF:JW. SuLcm P000m A DIOR FFVR TO (.TfEAl7W4 OR VECETTAT OV FZOVAL TW REMOVAL OF MATI�RE' SWB'l8 ' WERE POSE 'A-',U4TW- ° 1�E S NAL L BE DOIN D AS A' VW A TIKAK MEASUM .4 NOES N 4,FaT'FRQtl £f. GROM LE WL MA TW TRIS Rf WWD OR WO TMD BY CO TRWTDV AC nES SMU LSE' /EPLAAED OV�1 RA_774VUTLOV 057M OAK TRW STOOX �'4CH TRE' TV 6E' PRE"W D SHALL W SUtl?WQED BY A C I LAR ZaE OMM 40 FOOT RA= OR AS A EVER BY IW ABOVE FSM) DD EWTJBY AV OWXE FENW-DUW CONSTRU TVV AC MO VElETA7DV RElWVAG,_S0L D E#WNC& OR OTh R DEVELaMNT ACTM ES SHALL OOCLR WTYNV ThE FUMED AREA 5) Dr/4W DEVELMIAI ' ACTPATES SHO" ANY AROLAEOILOGCAL ARTFACTSBE. 05WbEFE4!71E:FLANMUG DM5M SHALL BE A1n7FED h EZX4TELY, AND ALL WORK SHALL CI E• WM A QIJi4LF M ARC•f MOGST fi4SZXAi4/rED'7hE ARIFAC7S AND 7W WE = •. AAD SU1/TIED W OR MR FTDNGS TO TYE PLAMM DIW59K AND 1tECOA UEDED CLEARAACE'TO COARM.E RECOUW9K8WU0 CIF CONSIT C70M SHALL BE LPOv ThE APPROVAL CF VE FLAN MNG D SM ' • 6) 57RCX7U= DLM*4 FILL U47ML, WOETA70V tEWVAL ANDIOR aCAVAMV Sfi LL NUT BE- ALLOWED WTTHV 77E ?V MELOPMW MV AS DEFCTEA 7) DEvaaM7VT APACT FEE FOR S Vf7 S FACIMY SHALL BE PAD ACRSG04NT • TO VE ARO "OF pV+4PTDtKLAR=E I' O^ 7hE BlTIE• COUV7'Y C OIOF, FMOR TV 5SU4A CE` OF BL[D111C F'ERWTS 77E FEE A!rlC1UVT• L BE• LEIERWED AND CALCELA7ED AS OF TY E DATE CE AFFtJC4TTAN FOR 7iyE BG LDW PERW 8) A OEVEZAcWff APACT FEF FOR SOF40M FAaJiES 5MLL BE PAD PROR TO SWANCE O',BLLD1MfG PO MM THE FEE' AM Wr ill BE DIETOMED AND CALCILLATED AS CF 71C DATE OF AF F(JC. 47A00N FOR B.[11W FUMM , 9) 77E BU FDNC SETBACK FRO6I TIE SDE AND REAR FiWMTY LNES SHALL BEAT MST 30 FEET ' TO S4 WY PESLV AESOLRGES OOIOIE QtO M S4fE REGL[A700 M7) FRE SUfPRESS�t3YY'SPRIV M SYSTEIAS SMU BE WALLED N ALL AEW WM MTAL STRUC7LfZES N AOC+OIRDAA1 r WN 71C NA7VML` FRE PR07iECMV AS51OGkWV STANDARD FOR TFf NSTAUATX N OF SPR nW SYSTEMS N OE AND TWO FAML:Y DWELL GS AND MOBILE NEPA STMDARD M VLM A C�NI� NrY WAIiR SMTIDK NITH N=4NITS•'7MAT MEET FLEE' DI PARTUE?ff V Q 4 SERIF'S 7TEPARCELS �' 1) mbEZC1mNT OF n ESE PALLS u4Y I -ww PAYMENT NTO n E WATER 7E?AXR FLFQ IV Ca67RtCTW NSTALLAMV OR DEYQO'ILEJVT OF S7 WnAES OR FACILM OV 77C PARCELS, NC LUM AS A, NIMM 9 DRIVEWAY STANDARDS -8U WG SE784CTGS AND ADDRESS SMLL OO FLY WTH 7W TW LATFST'FRE S VE REO(LATDC OF BUTTE COLNTY PUBGC RESOURCES CO IE 4290, jtNO ALL OIIER APPLI ASLE STATE' AND COUNTY Ca= AEOS AND RMLATEW N EFFECT AT 7W TW O' APPUCA TOV FOR AFROVE1 eir FERWTS x3)PARCEL �7hE FAR 7FERaVE OVER S RE T AND QA o P Y 1lAYAinT E+ TOVL1E QR FRE APPARATUS DLE TO MW WA 14) AD PUXC 8fMY SHALL BE RENVASIXE FVR 71E UWUMAM OF 7W STRAP SK,'NL N AMVRDANCE WITH M CODE SECTI N 844 UW7EW CE OF IW ROAD, NMUM TW STOP SIM SHALL BMS S84RED BY THOSE PR0FM7ES WITH A LEGAL ME1;?EST N 77E PRIVATE RGfff 0E -WAY OR EAS&ENT.. 15) COUNTY OF BUTTE *LL NOT BE W.V A►VSBLE FOR 777E O' 7W BRDCE• ACROSS BUTTE CREEK 7W B Q ES A PRVA7LRY OWNED FACUrY AND ThOSE, LLSNG JW ealUXEE'' HAVE -TW CIAV 1WIG � FOR ITS U4NIFN4NCE AND MWVEUWM-w+•--- .._ MS) . fROI,IW SLGPES N DCCESS OF 30 FER6Nr ARE (NSUTAME FOR V E)MO[ D SEWAGE DWWAL t7);ANY PROPOSED *RL DIRLLNG AA BE DFMLT DEC TO 7W PJEE'SE CE OF COBBLES AND STRATill! VARKTXw IS). CROSS-HATC7VD AREA IS REOMM USABLE SEWAGE DISPOSAL'AREA (USDA). ,`.• ....._.'' 19) NO WATER WELL MAY BE LOCATED WM V 100 FEET OF TW,SHOWV USDA,. FM 1S1- 89 a5 S- Is -c ADDI T10NAL MAP,, SHEET THIS; -ADDITIONAL MAP SHEET."SHOWS ADDITIONAL INFOR, FOR INFORMA TIONAL PURPOSES, DESCRIBING CONDITION,( OF THE DATE OF FILING AND IS NOT INTENDED TO AFF RECORD TITLE INTEREST. PARCEL -MAP FOR GARRY COOPER BEM A PORTION OF PARCEL 1 OF TELE' PARCEL MAP FOR GARRY COOPER RECORDED N BOOK 144 OF MAPS AT PAGES 55 ALD 56 LMG ,N ThE NORTH 1/2 OF ThE NORTHKCST1 4 OF SECTION 17, TOWN94P 22 WRTH, RANGE 3 EA T, UDE. IV ThE WCORPORA TED AREA OF BUTTE COUVTY, CALFORAK SHEET 2 OF 2 MICHAEL MOONEY 5A MADRONE AVENUE rYVH F Nr WFR OPOIA I P" r A 454gF;