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Home My WebLink About024-190-017USING SECOND SF FOR LIVING �. AGREED TO MAKE STORAGE 12/14/92 rj RP S o %l o� F(al I(A to ►� - ei2c.�r�c�1 th seY�i� 30 0� koro 1 'k��a�' Building code violation 30 day BUILDING CODE VIOLATION LETTER 10 DAY —71k, y,y&o y 24-19=17~ 3247-91B,P,E,M 1 MEYER, Frank 1 12236 'Robinson; Grid ey , %. cont: Beste BuirdeS �C ( new s f) i �0 2� '/ 024-19-0-017 91-3826' MEYER, FRANK CONTR:, BEST LINE BLDRS 12236 ROBINSON, GRIDLEY NEW SINGLE FAMILY X024-19=0-017 �• �-n98-1575 E MEYER, Ellen (% +-1l0-0l 12236 Robinson Rd, Gridley (elec main ser repair & retag)sf, 024-19-0-017 00-0439 E ELLEN MEYER TRUST 12236 Robinson Rd, Gridley (elec main ser)SF ?G4 1 / -i3-0 1 92-4-190-017 02-0483 12218 R — RID Y MHU 2ND D LUNG , D 1-21 ELECTRIC GAS COMPACTION TEST REQ_ SUPPORT STUCTURE REQ 024-190-017 04-2530 MEYER, ELLEN 12236 ROBINSON'RD, GRIDLEY Cont: OWNER MH1 ADM 01-21 J t o • /7_ _1 Cto-- p t -7 1 YV1 0 Z�1066 rxsco (2cl . ry-) zi- A'bm o - a a Q i� 0 0 0 0 0 Q Q �r V-% i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042536 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/05/2004 APN • 024-190-017-000 - the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 12218 ROBINSON RD GRI Date: Contractor: Map Index: Description: NEW MH NEW SITE TIE DOWN (ADM 01-21) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MEYER ELLEN TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a MEYER ELLEN TRUSTEE signed statement that he or she is licensed pursuant to the provisions of 12236 ROBINSON RD the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA 95948 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: NANCY GUTIERREZ Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 12236 ROBINSON ROAD provided that such improvements are not intended or offered for GRIDLEY, CA 95948 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of (530) 518-9246 (530) 695-1312 sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: _W02 zrz �Z4E4D License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' 1 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A U Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one / < hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This Penni is ereby issued under the pylic ble provisions of the Butte Cnunty Co anrVpr I hereby affirm that there is a construction lending agency for the Resoluti do work indi t ab a for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name:V, r Date: Address: PERMIT EXPIRES ON: Dat ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: -a Date: �� 8 0 Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name Address ..O S y1 City State e� Zip Phone �j y2 Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Name Address merv6gz City 17_z3& State Zip Phone Book Fax E-mail Phone Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Name Address merv6gz City 17_z3& . State Zip Phone Book Fax E-mail Phone State License Number APPLICANT SIGNATURE X For office use only: Zoning APPLICANT NAME Name / 01 merv6gz Address 17_z3& D City Subdivision Name Map Book State Zip 4 Phone 5, _ Z Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning I a t#p I Flood Zone I >C I SRA I Yes F., No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP,o+A53 BIN # LOCATION AP# —Jq,6 — 017 Property Address kobl'q 5odQ5ii Cross Stree WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: itDI cl•>1 21.40 tA.wt t T M N 'r1 E D ow -4 Sq. Footage 4d Structure Built without Permits mo b, (� Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 4c� Amount: Bldg SRA Receipt #: ¢I z 140 Sheriff SMIP Date: 8.30 •04- Other S� Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a -permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval' from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2.. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMSS1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 J COUNTY OF BUTTE-DEPARTMEP T OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville,•CA 95965 Phone,(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:, E %/E- ►2'` I ASSESSOR PARCEL NUMBER Q 4- 8.3o.d Proposed Building Use -EM P M H IIA P O 1- 21) b CounterFechnician: N +�N Date: -� Items required in order to apply for a permit. All boxes MUST be checked OF�marked NA in order to apply. 1. Site plansolor 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! n ❑ 5. Letter from Engineer or Architect for truss design review. , __ ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes::Data slieets and installation inst, OMarriage line info Flo PI ie down o all in duplicate. ---- ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevatesr s in triplicate. D ans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ ,mod Elevation Certificate, wet -stamped and signed, in duplicate C11. Site plan and business license approval from the City of Biggs 12. Letter of intent for non-residential buildings I 13.Detached Accessory Building Form filled out by the owner ❑ Hazardous Material Form .V S,Lf • Sanitation and site plan approval from the Environmental Health Department in ❑ Chico aOroville, as applicable.. a C oo� fi n . Other T Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers............................................................................................. ik 18. AgriculturalTuffer clr and site plan apr Pm the Ag Commissioner'' Sent by .. ❑ 19. Soils Report an4d/or Engineered Fodndd n required ........................................... 20. Erosion Control Plan Rggujred .................. ................................................. 21. Fees as shown ori�ig�a ached%S?49dule of Fees Due Sheet .............................. City of Chico, .1. bing°pe��4-alu.4......................... "........................................ - 23. Calitor i- Departmen F�plan approval ❑ paid. Sent by: 24. n.lkg apRrova�(A) Us . (B)Parking: I(C) Parcel Check: ❑ 26.I!ES act)Lan evel'opmen bout _Improvements, _Drainage ......................... 26. Fo...}%�.t............................................................................. 27. Enir -�fto Penfiit'For driveway from the Public Works Dept ................ ❑ 28. Pre Ins,p�ctigl�ror required....... ❑ 29. Contractor's lcense information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .................... /� _ iven to owner, ailed to owner ................. 32. Letter of Signature authorization .....................................:.......... ...... owledgment Sta ent.......... 34. Manufactured home utility cleaiance.............................................................. 35. Existing violations and/or expired permits.............!...........................U... . ❑ 36. Deed Restriction....................................................................�............ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H. ❑ 38. Other: , ❑ 39. Other: When issued Telephone �,� _ 47 q �, and hold for pickup. I have been informed of theabove bove items and requirements for obtaining a building permit. Applicant: p Date: 1. Index p for the e ' m Plan Check 2. Additivole s re Contractor, designer wrier as advised of the above data by phone, ❑ mail, ❑ counter, b ate. � Contractor, designer, wner, was advised of the ov data by ❑ phone, ❑ mail, ❑ coun e�, by Date: Plans reviewed by: W / Date. Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: _ Note transfer by: Date: Yellow: Building Division L x/3010 �! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E—M+USE ONLY Flat Plan Anschad Flop` Wan Attachad\' r& Pk- - - /a a -�4 I) Owner Location AP# Plan Approved for: Sewage Disposal Water Suppl : Public riv to ell Clearance for dwelling. Other A Hold final for: Final clearance O.K. for: NOTE: AAj vironmental Health Specialist 8/96 ate COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # �'4-• l �l o o ►� I No l.l.Ll�T itDl� OI. 11 PROPROSED BUILDING USE VIEW Nl !-f T i E DD tN &J DATE B 30 04 RECEIPT # DATE REC. _ 1. BUILDING PERMIT FEES�7 �( --- Balance Due ..................... $ 4q • q D q(2?V 7 U --- Additional Fees Due........... $ /--- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES 210 (paid at School District Office) (form available afte lan Check) (! d 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ 3160•_ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. r 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE =Paid at Building Division) 8. WA T TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units-- Amt. Commercial (sq. ftg.) ......... 410. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) Building Permit Number: 0q -,2s,3('0 Owner Name: H Nk ly-- Residential Construction Requirements IldPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated .100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation . requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 1 Building Permit Number: Owner Name: / -1 tj/✓ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: Page 2of 2 All structures and equipment including overhangs shall be clear of all easements. 2 A setback of2S— feet from the side and 06—feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. X Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. M.H.I.-2 1. Owner's Name: CZ16—g 2. Assessor's Parcel Number: D a2 Y 19' o — O C -7 3. Installer's Name: `' I 4. Is the site currently under permit? Yes[ ] No[jq Permit No. 5. Is the site an existing site? Yes PQ No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. b� 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? LO Amperes. 9. Is the main service remote from the mobilehome site? Yes$4 NoM If it is, what is the rating? 9 Am eres. P 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoIf yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- . 11. Type of gas service at mobilehome site: Natural[ Propane[] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 314 �� inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?5(ft.). Z� l� 14. What is the mobilehome gas demand?B.T.U.* 1 *(This information is not required if the pipe ngt is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHIECKED ) SHALL COMPLY WITH CURRENT ED1711QV OF NEC, UIVIC AND UPC. May 1995 8.5 Mobilehome Manufacturer:��, \ � , . Manufacture Year: If other than single wide, furnis Setup'Model Number: Width: j9(fft.) Length: Q 4. (ft.) Tagalong or Expando Sizels-h( ft.) x (ft.) On all mobilehomes manufactured after October 7, 197 , manufacturer's installation manual sheets. FOOTINGS; ood_pressure treated or foundation gra[ ther: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location bLN GLE WIDE — MIILTI WIDE Line 1 e 1 Line 2 Line 2 Main Beams Line................................................................................................ ine2 Line 1 Line 3 Line 2 ..... ...... ................. Main Beams ............................................................................................. Line 2 Line 1 .............................................. ine 5 Tag or Triple e 4 el Line 1 Piers: Line 1 Openings Size minimum: x Size minimum: [ ] x [ ], Spacing maximum: Each side of openings From ends -maximum; with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: [o�'-�] x [ ]. Size minimum: [ ] x [ J. Spacing maximum: Q Spacing maximum: ` From ends -maximum: 0 From ends -maximum ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): ; k., j Vjc iaUILDINC-2 Utvp�n-�yrk�� . A p P ROV May 1995 8.4 ' E• -Z TIE DOWN SYSTEM DESIGN LOADS: *WIND LOAD-- 15 PSF 1. THIS TIE DOWN SYSTEM IS D£SIGNEO TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL. WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSE. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS 540WN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (OS) CAN OCCUR, MANUFACTURED HONE SHALL BE P,EADJUSTED WHEN DS EXCEEDS 1/4', OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH, CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36. BOLTS=ASTW A307. 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWIN£-1QADS: HEIGHT HORIZONTAL VERnCA UPLIFT 18" 2010 lb 6000 Ib 891 Ib Q�O�Essiff 21" 1825 �lb 6000 �Ib 801 Ib 25" 1510 (Ib 6000 (Ib 664 Ib ��'O a Q 28" 1419 6000 Ib 629 Ib J436"867 �Ib Ib 6000 (Ib 385 11bi / ALL METAL COMPONENTS AFO ATTACHMENT ITEMS SHALL BE PRO ND. 17913 COATED. Exp.�� t8 , WHERE STAND IS PLACED ON A CONCRETESLAB, USE 112' DON{ �rq erm 0 e. EXPAIISION ANCHORS TO SECURE 1HE STEEL FRAME TO THE SLAB. OF C pL�E C T4E PLASTIC BASE PADS ARE NOT REQUIRED. L -j :1 k9: ATTACHMENT METHODS FOR "C` & "J" BEAMS SHOWN ON SMT. 12. 1;0 THE LONG DIRECTION OF THE E—Z TIE PAD (37') MUST BE INSTALLED PEiIPENDICULAR TO THE CHASSIS BEAM. z. iI ARESC"US GUARD OOMPA SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. VARIES 10'-70' EVENLY SPACED BETWEEN rE_m -- -- —�--tet»- E 1_1 tl ITI Q ❑ l_1 L_1 RIDGE DEAN SUPPORT AS REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) D ❑ ❑ o ❑ o E -Z TIE SUPPORT PAD ❑ r-. (TYPICAL) r_', 18 11 O o O Z -CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQU;RED BY THE HDWE MANUFACTURER. LENGTH OF HOME 18" HT NUMBER 21 " HT OF E -Z RES 25" HT 28" HT 36" HT 40' 4 4 4 4 6 50' 4 4 4 4 6 60' 4 4 4 6 — S ' 4 4 4 6 S 70' 4 s 6 6 10 A?PROVED SMECT TO CORRECT10fiS NOTED Appraval does rat wftrits or approve any omission or deYiatian from requirements of appi'ir-64 State laws and regulations. State30: n<::Z Departm Cmunity Deme cpment S 0 S D STANDARDS 6Y �. /o 0 3 SPA NO CHTS I/?- C - This Plan Aapprrooval Exptres THIS TIE DOVM 9YSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). WAYNE T, POLVADO, PE -LISTING NO. 99001 SHEET 1 of 3 n 2"3t2"x3/18" CTL ANGLE 1/2" DIA HOLE f0t PLACES 3/8' CAD PLATED EOLT, NUT do WASHER COUNTER BORED, FLUSH WITH BOTTOM (8) REQUIRED 1/4" STAND BASE €� ABESCO ABS PAD 1503 1 3/4" DIA. k 18l. LG. (4% REQUIRED DETAIL "A" UHASSIS FRAME t/4- GRIPPER PLATE (2) REQUIRED 1/4' GRIPPER BASE - 1/2-13UNC-A307 x 4" BOLE WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/S" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 Q S STEEL FRAME F Eli! s TOP VIEW 30- 30 1 1/2"x (4) /REOUI EO x2" T.S. (QJ Plc 36" MAX t� / TO BOTTOM OFPAO ---------------------------------------- --- / z� SIDE VIEW / 01/2'x 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN IlNonllw }+--10.00 --1 0 0 10.00 09/16 HOLE (TTP) STAND BASE TOP VIEW 1/4'x1-1/4 TEK STS (2) REQUIREI 1/4- GRIPPER EASE 1/2" A307 BCL (4) REQUIRED 5851 FLORIN - PE UMS ROAD SACLU ENT0. CA 95823 PH: (800) 382-8831 FAX: (91 b) 383-5207 C —BEAM ATTACHMENT R "C" FRAME CORCII "J" FRAME 1/4"xl-1/4" RIPPER TEK STS ATE (4) REQUIRED .W NEL -\ r {2)2- A307 OLT REUUIRED 1/4" GRIPPER BASE I/2- A307 BOLT (2) REQUIRED J—BEAM ATTACHMENT E—Z TIE DOWN SYSTEM AYNE T. POLVA.DC, PE -LISTING NO. 99001 SHFEI 2 of 3 fl/3- a � a 0.50 $ $ + V-3".00 STEEL FRAME TOP VIEW 30- 30 1 1/2"x (4) /REOUI EO x2" T.S. (QJ Plc 36" MAX t� / TO BOTTOM OFPAO ---------------------------------------- --- / z� SIDE VIEW / 01/2'x 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN IlNonllw }+--10.00 --1 0 0 10.00 09/16 HOLE (TTP) STAND BASE TOP VIEW 1/4'x1-1/4 TEK STS (2) REQUIREI 1/4- GRIPPER EASE 1/2" A307 BCL (4) REQUIRED 5851 FLORIN - PE UMS ROAD SACLU ENT0. CA 95823 PH: (800) 382-8831 FAX: (91 b) 383-5207 C —BEAM ATTACHMENT R "C" FRAME CORCII "J" FRAME 1/4"xl-1/4" RIPPER TEK STS ATE (4) REQUIRED .W NEL -\ r {2)2- A307 OLT REUUIRED 1/4" GRIPPER BASE I/2- A307 BOLT (2) REQUIRED J—BEAM ATTACHMENT E—Z TIE DOWN SYSTEM AYNE T. POLVA.DC, PE -LISTING NO. 99001 SHFEI 2 of 3 fl/3- _INSTALLATION INSTRUCTIONS E—Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR ROSS MEMBER, OTHERWISE INSTALL W7_9 STI=FENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOW4 TO UNDISTURBED SOIL. 3.THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER, THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. I-BEAMI . 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCCPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THF CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT DOLE AND SECURE WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C -BEAMS AND J-8EAMS 8. HEAD OF PIERS.REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THR.0 THE SIOE OF THE BEAN IN ADDITION TO CNE GRIPPER PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN -HRU CUIDFS INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUICE. rte �m o 0 M ALTERNATIVE: (2) J12 S.M_S_ OR WELD (2) #12 S.M.S. ANGLE IRON 1 V2'Stl to 'l 3/t6" NOTE: USE STIFFNEf IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WED -STIFFENER DETAIL ABE SCO -GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO ,CA95823 WAYNE T. POLVADO, PE-LIST[UG NO. 99001 r' PH: (800) 382-3831 FAX: (9 16 383-5207 SHUT 3 of 3 ®> ,�/o/, % 1 0-9 EL g —r a LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 May 5, 2004 Ellen Marie Meyer 12236 Robinson Road Gridley, CA 95948 Re: Temporary Second Dwelling APN 024-190-017, ADM 01-21 Dear Ms. Meyer: On 7/3/2001, the Butte County Director of Development Services approved your permit for a temporary second living unit on your property for Nancy Ellen Jensen. Section 24-304, as amended, of the Butte County Code, provides that your permit shall'be only for a term of two years, and must be renewed annually if the use is to continue. Effective July 12, 1993, the Butte County Board of Supervisors adopted an annual renewal fee of $50.00 for temporary second dwellings. Inasmuch as your renewal expires on 7/3/2004, you are hereby advised to apply for a renewal. Please complete the enclosed renewal form and return it to this Office with your check in the amount of $50.00 made payable to the Butte County Treasurer. Should you have any questions regarding this matter, please contact this office. Sincerely, Roni Thornton Office Assistant II Documentl 4 SITE PLAN REVIEW APPLICATION Date: lho QL AP# Permit Number (if applicable) 0) l -,2 s3 APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: ( p a 1 � 0-"-s A_ Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ® Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ddw Q �� DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By �.- Date 9 to ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ` Expansive Soils (Test for expansive soils and if verified proper foundation design required)—mod ❑ SRA - (CDF to determine specific requirements) ' ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: •/ll` MIC -1 u- Sr - Index Date: 6 dhpl ❑ Sacramento River Reclamation District (Approval must be obtained from the Calif rnia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ----------------------------------- — -- — — — — — - — -- — — — -- — — -- — ------------❑ Detached Building Use Form ❑ Encroachment -Permit — ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: �i' �u Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side �s I Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: .,X�� A Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: No ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements F-1 Subdivision Man/Parcel Map.: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Pam- d of C R 0 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc D . 1 v vP— D iy e ,I)rl Vic v�vn �l� l a-��tv, Is vi -�o �cn_c�� ►� �_ � 0��190-01`7 C)i - 17 1_��- covJr - •530-51 -Qa�� e554t,:�i( 530-1n95-1312- Ji BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 12 10 L E y 076 N Building Department No. P o4 --2 e> B A.P. Number 4-- 17 o - 0 17 Jurisdiction: city County Property Owner Property Location/Address I ►.-I so, 92 1 a L C—y f Subdivision X Lot No. Residential Development 0, IQ No of Living Mobile Home Units Installation Commercial/industrial New Addition BU1JdingA)epartMent Representative .......... ......... ... . .. . . ...... .......... ............... ................... ............ Sq. Footage Addition/ *Supplemental to up R) Conversion Permit # *(No foundation Inspection) ........................ i -t til IT Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Ventification No. P. ICA School District certifies that (Street (City) has complied with the requirements of Resolution No. representing square feet. (State) Sq. Footage (including Exterior Roofed Areas) Date Ileimove- (Applicant) (Phone Number) (Z$ Code) by payment of $ IAB 2926 $ HFULL MMGATION $ Date Paid by Check # Remarks: Noyes: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Govwnnwd Code Section 66020(a). within 90 days from the date fen am paid. Failure to submit a timely written protest wtll'protdbtt you from challenging the Imposition of the fen 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 applicabis Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CIEOA] this p aI maybe a~ to additional school foss to fully mft%oe. Us Impact on the school dh*kft schools.. White (applicant), Yellow (building department), Pink (school district) feeform.xls (t0103)d1mm J Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACREI Project Description: OLO�(t„0ti Im t U \k J Project Location and/or Parcel Number: 1;5L;9- 3 to 'Z �) c VLSd- K - �W,_ By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: tau ��► ®ccJ /' Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 �P4.p,;y- i9c-c"7 ,.c I ► E� M �y e 2. � .L 2 3 Cc�1ck N IL h f YO?O Sed -BP e>4-2534. Ap" oa4.190..017 OWNER-BUIIIDER VERIFICATION Attention Property Owner. An "owner buildee' building pem3it has been applied for in your name and bea int your signature. Please complete and return this information at your earliest opporbmity to avoid unnecessary delay in processing -and issuing your building permit. No building permit will be issued until this verification is received. *�I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 1 " NO ❑ I HAVE R HAVE NOT ❑ signed an application for a building permit for the proposed work- . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work N A 1►AV & ADDRESS: CM: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: - - - NAME ADDRESS PHONE TYPE OR WORK SIGNED: j NOTE: Tku Owner -Builder Veryk-ation is required by Section 19831 and 19831 of the California Health and Safefy. Code, This veriftca on must be coWfeted and returned to our office before we are perrnitfed to 1ssae the nernrfL OWNER BUDDER ENFORMA'I ON Dear Property ownw. .0-B.- An - sp cM� a b�d�g p=& has been sabmiiied is your g yourself flee bt lder of pmPegY For yourprotection, You gwWd be aware that as "owner-bm� you, are the respon-,Zle ply ofrecord on mrdi a pew BuiWing p=ih are not requimd to be signed by Property owners unless they own worm If your wank is being perf� by someone onset than are PAY Per%maiBg Sieh liab�ity if that person applies for the yore Yan �' Proms Yourself from possible Proper pem� m his or her name. license fivm Contractom ate �ed by law to be licensed and bonded by the State of Cal famia and to have a business aPOY �y or COQ T� are also required by law to put their license number on all parm for v&ia they Ifyou plan be aware of the HOwing information iar Your own wod; Yo baa various trades that You Play in you should yoYombenefit and proro section: a yon employ cr s) is $300 or o anyand other costs) pM3CM otic baa your may, and �e wok (=- kding maimials anmore for the entire Projeet and such persons are not licensed as contractors or subcamxacEars, then you may be an employer. ♦ If YOU are an employer, yoU must register WA the State and Federal Goveanraenis as aseMployW subject to several obligations inctndbg state and fidezal fi=me to wid& and You are �'°� � ftabfty ins�ca costs, and unemploy social se�tY , ♦ Tbere may be financial risks for YOU if you Ho nct carry out tihese cb ' asa a go ons. With respell to worker's m=M� �o'� and time rift are especially serious ♦ Formore specific MD=hon aboutyow obligations under Federal Law ifyou wish, ribs U.S. Small Business - • , contract ribs %mai Revue Service (and, State Law, contact the Department ofBeaefit on )- For more c meson about your obligations under and the Divisicm of bdnstdd Axideats. If the stzvctme is intended for sale, property owners who are not licensed ed to PMfDM tbr work conditions.y through tizeir own employIr ees, without a licensed c�ra��an �, only under limited A frequent practice of nnHm=ed pFasoas pmSssng to be is to metro¢ an Permit; eMoneousiy �iymg t S2e ¢owner bu>_k a bnfidiag pem� are nat m be s otomy= is providmg his or lir own labor and material p=onaily. Bufidiog Oa f Ownersmoi' aro pe g Their own wCdC 0013tr� may be obtained by contm� gm CMtractors commmity or at 1020 N StrwA Ste, CA. 95814. State UM � your OOmP th are aware e "owner BULlder VeQfieatioe on the reuse side of dUS Sorin so ih� we can confr� that of Shese Matf =The bml&g P=nk will oat be issued awn the veaifiattion cis retume& Y� OTS• TYtit Owtcer-BW7dkrrrqrornta60rt it r ep&a by Secdan IRn# ofBre CWm= Hed& mrd Safety Code ell"T rvnv% BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required Nte plan to: Development Services Department, 7 County Center Drive, Oroville, CA ( 30)� 38-7601 Name: Phone:4�op elk Mailing Address: 1 E -Mail address Assessor's Parcel Number: 091/ - I Q Reason you believe you qualify for the unusual c tr - 6low" \\ Permit No. ces Owner or Authorized Agent's signature oa�e UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does no standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREM T: submit 4 copies with this form Refer to the Site Plan Su handout for specific re ui ........................................................ Internal Dept. Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/]/03 ECJ 7L \ July 5, 2001 Ellen Marie Meyer 12236 Robinson Road Gridley, CA 95948 CERTIFIED MAIL 1?e: A d imistrative Permit, AP 024-190-017 Dear Ms. Meyer: - th L'® L A N D O F NATURAL WEALTH A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Enclosed is your validated Administrative Permit No. ADM 01-21 to allow a temporary mobile Vit.. home on property zoned A-40 (Agricultural, 40 -acre parcels). The property is located at 12236 Robinson Road, Gridley, CA 95948. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Diane Lewellen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry June 4, 2004 • Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Ellen Marie Meyer 12236 Robinson Rd, Gridley, Ca. 95948 RE: Formal Warning Notice Building Code Violation Location: 12218 Robinson Rd., Gridley Ca. AP #: 024-190-017 Dear: Ellen Marie Meyer CO (16 (AlyfS l P� p rl - (n " O TP This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated July 2, 2001, notifying you that you are in violation of the Butte County Code, at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the installation of a 2nd mobile home and installation of utilities and occupancy prior to final inspection. (a) (b) Section 28A-1/1018 (c) Section 28A-1/1048 (d) Section 28A-1/1034 (e) Section 28A-1/1326 Permits Required for any Plumbing or Electric Inspections Required for any Plumbing or Electric Permits Required for Mobile home Installation Inspection Required for Mobile home Installation The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten UO days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. • Ellen Marie Meyer June 4, 2004 Page 2 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, A, ffroz/14p- Supervisor Building Inspector 0) 1 2 3 4 5 6 7 8. 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 • 0 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On June 4, 2004 I served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Ellen Marie Meyer 12236 Robinson Road Gridley CA 95948 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on June 4, 2004 at Oroville, California. no � v4m :. PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned; over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Bu(ss ivision. # 7 County Center Drive, Oroville, California 95965. 1 am readily familiahe County's practice for collection and processing of correspondence/documentailing with the United States Postal Service and that said correspondence/docuare deposited with the United States Postal Service in the ordinary course of busin the same day. On June 4, 2004 1 she foregoing 10 day letter on the person(s) named below by placing a true coeof in a sealed envelope with first class postage thereon fully paid, addressed asir1 icated below, and b placing said envelope In the appropriate place 'thin the Dep ment of Development Services where mail is collected for maffi wit the United States Postal Services on the same day. X In the United States Postal Servig Mail in O'rov�ille California. yerthe arie Meyer obinson Rd, Ca. 95948 1 declare under penalty of perjury ulaws of the Stateof California on June 4, 2004 at Oroville, California. Myles J. Strand �L ��I I��1—f- w�c� �� vvl,��S COUNTY OF,BUTTF, - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION #)1.-* 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. LHev.12/96) APPLICATION AND PERMIT <'.Q r "� :Z, ASSESSOR PARCEL NUMBER_ ZONING C J40 BUILDING PERMIT (12 5 OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING (iADDRESS TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECTO EI INE IIJNG ADDRESS LOT NO. I SUBDIVISION'S NAME LISEEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Er Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodels[Lnn,�❑ Utilities ❑ Installation ❑ Other ❑ I Desc.ibe Work: M T]- ) a_l b ion. .QV\ GA - a F"Lc3vT-3 = x 1 12L�; C, *PEMW FEE PA10 SRA SHERIFF OTM AAS bVNT RECEIVED 16(a . 00 *Ws" t�Ull%M D 54L� RE " TO tl Pir zwo COMPJTER Receipt No. U - i J y CGI WHITE-O.D.S.-B.D. CANARY -ASS K -INSPECTOR GOLDENROD -APPLICANT Fireplace I_ Total Valuation $ Filing Fee $ 20.00 Permit Fee $ Plan Checking Fee $ _ w __ Energy Plan Checking Fee $ PERMIT FEE $ PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.001 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home 920.001 c., PERMIT FEE $ YO, C.' o ELECTRICAL PERMIT Fling Feel 20.00 OOVMain Service 200A OR LESS 23.001 « Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BIDS. 3.5�SG. FT. NON -NEW RCONST.ESMULTI.OIJTLET, 10. q(77.5D POWER APPARATUS 'PO'WER OUTLET CIR. -- Ex. Occup. OUTLET OR FIXTURES p C4 I.00 9AL ns so flXED APP— OR Ex. Occup. OUTLETS RESID. EA S.00 Temporary Service _ 23.00 Mobile Home Facilities J20.00 `�(�,cc' Misc. Wirinq 23.00, PERMIT FEE t W MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO AL FEE $ HAZ. I D. FEES I 11AY I FLOOD I COF I p EL I - I HO I 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. By Date PERMIT EXPIRES ON 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 OWNER: 6_11 eyi ASSESSOR PARCEL NUMBER 1 ' D +� I Proposed Building Use: 1 ► 1 ! I V Counter Technician: I •V- ' Dater ` r7 -02 - Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. 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 or foundation plans, all in duplicate. ❑ 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 en ig neer. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other . Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... �j 15. Statement of Intent for Non -heated and A/C Buildings ................................ Oi A..... .EJ 16. Sanitation and plot plan approval from the Environmental Health Department in Q 1 UWl 47. City of Chico Plumbing permit......................................................................... 8. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: O it (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... E ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. 4426. 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... TtA17. 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 C11t L F1 and hold for pickup. I have been informed of the above i ms and requirements for obtaining a building permit. Applicant: 50Date: 1. Index permit application for the above items numbered: -f !J Cr Plan Check Letter 2. Additional items required 91ALcbntractor, designer, owner, was advised of errs �. onon ❑ mail, ❑ counter, by _Date: /.3 Contractor, designer, owner, was advised of the above data by `❑ phone, ❑mail, ❑counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by; Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUIL'DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. 6711er) 1 /6111 ' PROPOSED BUILDING USE M +4 U 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. .SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) ice= l . 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. OTHER A.P.# MAI IVU Q1 / DATE 3- /'Q51% RECEIPT # DATE REC. 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. APPLICANT DATE /0;;�-_ 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) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on the job site. A.P. No. 024_190, 017 02_0483 Owner MEYER, ELLEN MARIE Contractor12218 ROBINSON RD, GRIDLEY _ ND �..�,� MHU 2 DWELLING ADM 01-21 Permit No. _ txpm > PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Underground Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan ................................ Insulation f.... Fireplace Footings Fireplace Throat ................................. Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses ......... 24 Hr lrisp _... Oroville - 7 Count Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 a NOTES 024-190-017 02-0483 MEYER, ELLEN MARIE 12218 ROBINSON RD, GRIDLEY MHU 2ND DWELLING ADM 01-21 RESIDENTIAL 024-190-017 02-0483 MEYER, ELLEN MARIE 12218 ROBINSON RD, GRIDLEY MHU 2ND DWELLING ADM 01-21 II SPECIAL CONDITIONS II CHECKED BY SRA FLOOD CERTIFICATE REQ. _ FIRE SPRINKLERS REQ. _ SPECIAL INSPECTION ITEMS _ VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ,/ = OK 0 = Not OK = Not ReadApolicable 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. /'Nat. or / /"L"ft./ /'LPG 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- 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 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 ./= OK 0 = Not OK - = Not Applicable Not Readv RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ f' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 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- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 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 G Yes ❑ 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 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. 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 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 FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting. -Ring. 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 ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J 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 Dale 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 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0483 ASSESSOR PARCEL NUMBER 024-190-017 ZONING BUILDING PERMIT OWNER ELLEN MARTE. MEYER TELEPHONE 895-1312— SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 19916 ROBINSON RD, GRIDLEY 999LLR CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS 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 Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [A Other SPECIFY Each Trap 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 Y1 Installation ❑ Other ❑ Describe Work: MHU 2ND DWELLING ADM 01-21 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service *O.,v, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPUS License Class Lic. No. 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00 NEW CONST. DWELLING OCUP. WE CCU OR ADDNS. ( a ACC. BLDS. SO 3.5¢,. rNONN-REBID. MULTI.OUT 7 97,50 SI a SINGLE RAounErPARATC. Dn EX. Occup. OUTLET OR FURES .00 BAL Q I. 0 FIXEDI Ex. Occu . O. rs , D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) rA I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thosq provisions. X Date 3 _ Signature( of ApplicA t - ❑ Owner ❑ Contrctor 0 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 $ HA2. D. FEES IMP I FLOOD CDF I PARCEL PO I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 343465/$166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY QF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0483 ASSESSOR PARCEL NUMBER ZON1i4G• BUILDING PERMIT OWNER T TELEPHONE - -1312 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 19216 ROBINSON RD, G IDLEY 4 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS 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 Plan Checking Fee $ BUILDINGADDRESS ROBT_NSON GRIDLEY$ Energy Plan Checking Fee $ _ - PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 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 -111 Installation ❑ Other ❑ Describe work: MHU 2ND DWELLING. ADM 01-21 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ' 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, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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 Main Service zooA To ,000A 46.00 NEW CONST. DWEWNG OCCUP. ( 3.SQ so. NEW CONST. MUL�TICOu�TLET NO.RESID. C @7.50 FSINOWGERLEUTLET APPARATUS 8 OCIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL. @ .50 Ex. Occu OFlxurLEEDTSA Aa o 011 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section. 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 i Ventilation PERMIT -FEE $ 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.) � 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 comply with those provisions. X Date 3 d Signat r of Applic&ft - ❑ Owner ❑ Contrctor p 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 EE $ HAZ. I D FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 343465/$166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY 4F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02—M3 ASSESSOR PARCEL NUMBER 024-190-017 ZONING BUILDING PERMIT OWNER ETLEN NARTE MEYER TELEPHONE 895—A3 12 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ROBINSON12236 45948 CONTRACTOR'S NAME ER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1,2218 RMNM RD, GRID11EY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeGyl Other SPECIFY Each Trap 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 -0 Installation ❑ Other ❑ Describe Work: MHU 2ND DWE"LUNG ADM 01-21 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE 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, and my license is in full force and effect.S License Class Lic. No. 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5QFT. T. RESINEW D MULTI.OUTLET 97,50 POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FOcruREs BAL @ .50 Ex. Occup. OFUT rs R91 °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 t Ventilation PERMIT FEE S Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) In I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. II'' LL X i%Zl..�' a / Date C%T Signat re of Applic t - ❑ Owner ❑ Contra ctor 00 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 $ HA2. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date - (Date) Receipt No. 4�� + WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY Q,F,BUT. E - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 01 (Rev. 12/96) APPLICATION AND PERMIT 02-0483 ASSESSOR PARCEL NUMBER 024-190-017 ZONING BUILDINGPERMIT OWNER EJ,LVN MARTE METER TELEPHONE 895-1312 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 Plan Checking Fee $ BUILDING ADDRESS 1223A RORMSM RD, GRIMAY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Each Trap 7.00 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 N Installation ❑ Other ❑ Describe Work: HRU 2ND DWi:>r,i,.iNC MM 01-21 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VLE Main Service A OR LESS 23.00 v 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I4 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢FT. NEON-RESID. C,W CONST. MULTI.OUTLET ' @7.50 8 OUTLET COWER APPARATUS IR. Ex. Occup. OUTLET ORFIXTURES 20 Q'.0O BAL- o .so Ex. Occup. pUT1EETS p p°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 a Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) R 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 comply with those provisions. "/ L X /11�/ j s.�[_ll�i° Date j ('i ,� Signat'LIre of Applicant - ❑ Owner ❑ Contractor O 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 $ HA2. p. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. V� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ia�ll, � Gas 7slee. 14 J ={ PLANNING DIVISION -BUILDING PLAN APPROVAL Use: Date: 3 3� C'2 Barking: Landscaping: Other: Signature: t� Pu. m p Nou -,-I- m Pt W P Nou :�� S I O `J wPi Q ' � I •�. ' ate! 5'/ 61. � Lq PLANNING DIVISION -BUILDING PLAN APPROVAL Use: Olt Date: Parking: Landscaping: Other: Signature: 0 r `J r Jv, S r J 7 I D �Q ;- aJ F4 rel P No F•I\tw`.- ( r� PLANNING DIVISION -BUILDING PLAN APPROVAL Use: P 1� Date: Parking: Landscaping: Other: Signature:- ---------------- ignature: l' TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Ran Attached Floor Ran Attached Sent to B.D._ as, (A-\ (Ao --0 (-+ Owner Location iGl�� AP# Plan Approved for: Sewage Disposal j Water ply. T,�YP�ub is Private Well Clearance for dwelling. Other L7 OVL l 1-pMY9.. l l 1� Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 cialist Date $0-1 I i FCC rri IA C. u Cana �AJ6LY- T 07 f 'LK 70— 1 Mn dao Nk, 4 CT q 'F 01 i U APPROVED Butte County Environmental Health t stswdure PLANNING DIVISION -BUILDING PLAN APPROVAL Use: C)" -Date: rg -) 41- Q 2-- Parking: Landscaping: Other: Signature: Lz2 v Ellen Marie Meyer 12236 Robinson Road Gridley, CA 95948 CERTIFIED MAIL tte Count r LAND OF NATURAL WEALTH -AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 Re: Administrative Permit, AP 024-190-017 Dear Ms. Meyer: Enclosed is your validated Administrative Permit No. ADM 01-21 to allow a temporary mobile home on property zoned A-40 (Agricultural, 40 -acre parcels). The property is located at 12236. Robinson Road, Gridley, CA 95948. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Diane Lewellen Office Assistant III Enc. cc: Land Development Di Sion Building Division Environmental Health Department of Forestry C/ ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Ellen Marie Meyer FROM: Tom Buford, Interim Director, Development Services DATE: June 21, 2001 File#ADM 01-21 PURPOSE: Administrative Permit for Ellen Marie Meyer on APN# 024-190-017 for a temporary second dwelling to be located at Robinson Road & Riviera, Gridley, on property zoned A-40 (Agricultural, 40 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Nancy Ellen Jensen. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butt County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. Permittee Signature Date Randy Wilson, Principal Planner Date \ I RE al etHl WW rA- July 2, 2001 Ms.Ellen Meyer, Trustee 12236 Robinson Rd. Gridley CA 95948 RE: Building Code Violation 12236 Robinson Rd., Gridley CA 95948 AP # 024-190-017 Dear Ms.Meyer: B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the conversion of an agricultural exempt building to a single-family residence. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. i cerely, Mich el Vieira Manager, Building Inspection MCV: tp cc: Assessor �f A Assessor Asmt # o w Fee # 024.190.000 Name...................................0 / MEYER'ELLEN",TRUST_... I —17--- Status, ACTIVE ,�s , _Status Date ,Ad drl- MEYER ELLEN TRUSTEE ` � Tax ��0--0-1—I BUSINESS OWNERSHIP TRA 082 006 Addr2 12236 ROBINSON RD R � I---�� • ' Situs (12236 ROBINSOWRD GRI Addr3 GRIDLEY CA 95948'• Base Dt Addr4+ ,Land 1.40,740' 3 Ag. res� IStructure 74,493 Etal '1,Fixtures 0 s. Comments; 2419001700 CONVERTED 09/08/88 II r Notes Growing 0, Creating D`66#1197582033427 # ` Date`Bonds?' '" Notal L&1 _ 215,231 Cufrent Doc# 1 9938 21 827., ." Date.,05/ 8A 993I ;Multi Situs " R 'flag! Killing Doc# . Datel it MH'PP 0 Flagg R Asmt Desc OFF HWY 99E - SuplCnt� PP �2,406, ;1, Exempt 7,000 Zoning A40 Dwell . r Asmt PP'Pen k Net 210,633, µ Acres ,• 60.24!' N/C 024., Tax FP Pen, -° -- p 8lC# AfPpeal Pending 5,` TIRibt- � r Split Pending+ JjR/C Stat OWN: EXP. TAX ° . - ATT� HON ] SLT APR, PCL raj,J`a Fes# i ►a �_, _.0 .; 2000 so=08f08l2000 6:17:48 P RESIDENTIAL "J24-19-0-017 91-3826 MEYER, FRANK ..CONTR: BEST LINE BLDRS y 12236 ROBINSON, GRIDLEY NEW SINGLE FAMILY JOB Sig OFFICE COPY Address � I GAS Meter By Date—_=,x4�, i ELECTRIC Meter By Date J=OK O=Not OK Not Applicable MOBILE HOMES _: s Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L" ft./ /"LPG 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 'J Date Card B-1 Date Card,B-1 Date Card B-1 Date Card B-1 • MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exc%pt #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Departmerit'Approval 10. Plumb.; Cir. Test -Water Supply Test 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i i 1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date LAN ERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -FI od-Slope Main; Soils-Elec. Grnd. Ftg. D pth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.- Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -T Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation In ulation Date Card B-1 Date Card B-1 Datel/,2 Card B-1 Date Card B-1 Date PL GING (Permit).OK except #'s -ter Htr.; Vent -Access -Combustion Air -Baffle ------------ -------------------------------- er Pipe: Test & Anchor -Nail Protection -- - -- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection-- ----- --- wer Pan: Test, First Floor -Tub Access --- 2 es - t Tub &Shower. Second Floor -Tub Access - --- ---------------- ----------------- 21. Gas Pipe: Size & Anchors -------------- ---------- ----- t �y� ------�F -COP-1-44"u---� -- , '=-- --- ------ Date -- Card B_1 ---- Date - Card B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. lure &Transformer Clearance -Ins. Protection -- -- 23. Eleq. Receptacles- Spacing=Lights-& Switches at Doors ----------- 4. ize Boxes & No. of Conductors -Stapled 2 . omex Installed Close to Edge of Studs & C.J. --------V--- - - -------------- ip. Ground made up w/Mech. Fastners-Bond Gas & Water - -- 27. 2 Appliance Circuts in Kitchen_ & Conductor Size/GFI x/28. Subfeed Wire Size r r ga Cuor AI-A.C. Wire Size r ga. Cu or At ------------------ ---------- - 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Lnsula led Neutral ❑ Yes- -❑ No ------------ ------------- --------------------------- 30. ce-Riser Conductors & Ground-Mam Disconnect -------------- ----------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light - ------------- -- ------- -- Smoke Detector ---------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 --------------- ------ ----------- ----------------------------------- -- - ----------- Date Card B-1 Date Card B-1 Date M ANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 5. Vent Fan: Exhaust above insulation ------------------------------------------------ ------- %---3Condensate Drain & Overflow Size & Grade Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet -------- ----------------------------------------------------- ------ Access & Platform if Furnance in Attic -------------------------------------------------------------------------- -- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 9. Sits. Proper Material & Anchors - - ---- ---------------I-------------------------------- ____A0. s Studs -Nailing. Spacing & Bracing -Plates -Sound -- --- ------------------------------------------------------ -- 4L._Bearing Walls over Girders & Floor Nailing Draft Stop - Walls (rat proof)-------------_----------------------- - - - - ----------------- - ----------------------- F - -- -- D - - ------ ---------------- ---- ---- 4 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------- ------------------------------------------------------------- 44. Headers & Beam -Size & Bearing (,Single & Duplex) Date FRAMING (Continued) --- 4 Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat clearance -L- 4✓ d. is Access: Size & Romex Protection -Draft Stop -Ins. Baffles 4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 5 arage Fire Protection Framing r y --Line Firewall & Openings ------- Ext. Doors -One-- 3' -Check Garage -3rd Story, 2 Exits - ------------------ -- _��_ """".��airs: Width -Headroom -Rise -Run -Landing -Fire Protection ---- wood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer Mesh -Drip Screed -Fd. Vents-Underflr. Access --- --- GI _ Area -Glass Protection -Skylights -Plastic Shear Walls: Nailing -Bolts - 9. Insulation -Walls -Ceilings Infiltration -Walls -Windows ---------------- Datrd B-1 Date Card B-1 Date -7:43-Cam --1 Date Card B-1 Date FINAL (Plans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings �S ke Detector Furnace: Vents -Clearance -Comb. Air-Connector- arage: Above Floor-Ducts-Mech. Protection --------- ------------------- J. ------4. Beclfoom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa -- -- -_lec_ Trim -& Subpanel: Breaker Sizes & Labels 6Z q4a •s & Rails Fireplace or Stove: Clearances -Hearth ------------ -- ------------------- 69. 6ec. Outlets at Wood Panel: Int. & Ext. r70. Kit Fixt_& Appliance: Grnd_Air Gap -Cooking Clearance 7 Elec. Outlets & Receptacles at Kit. Counter - 7 Garage Fire Door: Swing -Landing -Closer - Duct in Garage -Damper 4. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --- 'V75. b.. Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage: (G.F.I.)-Romex Protection -- --- Insulation -Foam -Looked in Attic Yes 8. Guard Rails & Deck Construction -Post Caps a 7f-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth earance Looked under Floor C1Yes 0ve . Following instld. Drive Yes �No: Walks ❑ Yes L� No: Planters ❑ Yes No ------------------ --------------- -- '�8'r5 ucco: Brown -Finish A.C. Unit. Disconnect. Electrical, Plumbing --------------- - -- Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to -------------------- pen�ngs %e<,.Water Well: Disconnect, Electrical, Plumbing d5. _erior Elec. Trim; G.F.I. Receptacle -Underground 86. ntilation Throughout House ....... - d7. s Protection ---- -- - ------ _---_ is8. Corrections from Previous Inspections ---- ----------------- 89. Gas Test -Meters Tagged: Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval-- 9 Energy Compliance Certificate -Other Certificates 4- -- - -------- - -- --- ap ------ - --- Date rd B- Date Card B-1 Date rd B-1 _ Date _Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE �* t ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891=2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER " — P`EnMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, oMneddl— I explanation, please contact this office immediately. �1Ah f AiP !/"10 7' /1i«4 r3 M We �4u FIM Y' Dateiz D� Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, paradise =Phone: 872-6307 CORRECTION NOTICE 1 PERMIT N A wutine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office aben cowection of work is completed. If you have any question pertaining to this ®v weed additional explanation,, please contact this office immediately. V' O vie rj 40 C.010 rt/ 0 Al B '774-4- C% 6^4 J a nib _7�I�ih��rr7�.t � � � • r � � r . � 4 D'te Ins ector �� P — COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orville —Phone: 538-7541 747 Elliott Road, Parad e — Phone: 872-6307 ilii CORRECTION NOTICE C�'ZZ VNE'R l T PERMIT NO. I � A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 v Date_ _f —� '71 Inspector4LZ--'. �. Owner /Z 23 1 LOCATION ROOF MATERIAL THICKNESS Permit No. ENERGY CERTIFICATION , DESCRIPTION OF INSULATION BRAND NAME THERMAL RES. A.F. NO. EXTERIOR WALL MATERIAL FIB GLASS BRAND NAME CFATAINTEED THICKNESS THERMAL RES. ,/9 CEILING BATT OR BLANKET TYPE-FiberglasBRAND NAME CERTAINTEED THICKNESS THERMAL RES. LOOSE FILLTYP INSUL-SAFE IIIBRAND NAME CER�INTEED THICKNESS/2'Z'0 THERMAL RES. —Tp FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH ,i FOUNDATION WALL MATERIAL BRAND NAMF�' THICKNESS THERMAL RIS. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. #622184 FIRM NAME q,WNf,R STATE CONTR. LICENSE N0. e- �! G — I hereby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. ,crs --Z-t-k-_1 -------------- - a� FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S 1.1('FNSE NO. NA-1.1IRE OF/GLNERAL CONTRACTOR/0WNER /6 - 9z 1) A TE z 1)ATE This certificate must be on file with the 13tllLDING D.LPARTMENT prior to final inspection approval and a copy shall be posted within the building. JAN t,ARY 1084 - -- - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND'PERMIT o• PERMIT NO. ASSESSOR PARCEL NUMBER -- 24-190-017 P ZONING A 40 BUILDING PER IT OWNER FRANK MEYER TELEPHONE 695-1312 S0. FT. OCC. BUILDINTV-ALUATIOKJ OWNER'S MAILING ADDRESS 12236 FEATHER RIVER BLVD 1270 R 64,770-- 528 M 9,50 CONTRACTOR'SSACRAMENTO SAVINGS TELEPHONE 108 C 1, 0 CONTRACTOR'S MAILING ADDRESS Fireplace tt AII CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Pe mit Fee $__498.50 ARCHITECT OR ENGINEER LICENSE NO. PI n Checking Fee $ 249.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20,00 Penalty $ BUILDING ADDRESS 12236 ROBINSON GRIDLEY 95948 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 71 5.00 35.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ___[PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New[ Addition El Remodel❑ Utilities❑ Installation❑ Other EJ Describe work:- 2 BDRM t Permit Fee $ 84.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I decI re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 7�,St % License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUR.&) OR ADDNS. l ACC. BLDGS. 3.64 sq.ft. 62. 0 NEW CONSTNO NFL MULTI -OUTLET .R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. OccUp(OUTLETs OR FIXTURES 120@791- FIXED APLNS. Ex. Occup. OUTLETS (PRESID,)REA.) I 3.00 Temporary service 15.00 19.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 111-40 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating SPLIT 8.00 Cooling 9.00 Hood 6.50 6,50 Ventilation 1 4.50 4.50 permit Fee $ 44.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.coN I also agree to save, indemnify and keep harmless the County of Butte against�Ic II liabilities, judgments, cos s, and exp uses which may in any way accrue Inst said Cou ty cone n of the Wring of this permit. Date �� ' gn t re of Applicant - Owner ❑ Controc r Agent ❑ An s A permit is required for excovptions ov eep and demolition or construct- ion of s ructures over 3 stories in h i r Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 jvP� .r�L FEE $ A 1062.15 HAz OFEES MP FLOOD COF PAAc I/ PD HD Issu This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees E PUBLIC LpBY E PIKE Dated�J applicable provi- resolutions to do have been paid. WORKS Date y-9� Rece' t No. v �� 8V WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECT . GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION -{SND PERMIT 3 PERMIT NO. ASSESSOa A SEL NUMBER YONJ�` o BUILDING PERMIT OWNER I Q TELEPHONE 3/17 SO. FT.- 0 C. BUILDING VALUATION OWNER'S MAILING ADD CON CTOR'S NAME EL HO O Fireplace 4 j�7) �J✓ Total Valuation $ / / / n Filing Fee $/ `W 15.00 CON RACT MAILI R S CON QT OI LENDER v UNKNOWN LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT R ENGINEER LICENSE NO. Plan Checking Fee $ARCHITECT Energy Plan Checking Fee $ OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. I SUBDIy,ISI°aNAM('EE PARCEL MAP �� Water piping 7.00 C90 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 0 Building sewer 15.00 SlJO Mobile Home S I G I W 1@ 15.00 TYPE OF WORK New5Z Addition❑ Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: �2 _ Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .d0. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCu OR ADDNS. ACC. 3.60sq.ft. ,C� L11 IBLDGS. NEW CONbTRESID. RANCH CIRCUITS) NON•R ESLD BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 20 76d FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 3.00 Temporary service �— 15.00 1 S7.dV Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. u I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor /.,!qzo MECHANICAL PERMIT FiIingFee 15.00 Heating' Cooling "�p�J O Hood 6.50 6,570 Q S/. Q Permtt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.c I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHAz against said County in consequence of the granting of this permit. X Date Si natuA Applicant re of 9 PP — Owner❑ Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition Dr construct- ion of structures tover r3Qstories ain height. Mobile Home Installation Fee S i.-*- Energy Inspectio Fee / L U , TT E OT L E % $ / (�� . /5— FEEtIM2 FLVb I CDF 1 PDA HD ISSUE This permit is her issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. _ �D/3 R -t WHITE-D.r.W.. TELLU--ASSESSOR. PINK-INSPEC R. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. -7 OWNER � �G1P A. P. No.0, Proposed Building Use --r� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered)truss details and layout in duplicate (required prior to plan check) 9. Mobilehome in tallation data including manufacturer's installation instructions'W.e7 1p�...................................:.. 10. Fees of $ l l ........................ 11. Chico Urban Area fees paid ....................................... W12, Park fee paid/ .... 13. I--7,CJry -'O School D' trict fees paid .............. A:o 14. Sanitation approval from (/ Health Department /e/- 2/ 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: O-K.4Z5 improvements may be required. Contact Land Development Section DPW 0--" X as—% -pt 4ZN 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... f�-I 25. Letter f sigxlatur authori at'o � 5 ............................... 26. % 27. When you issue the pelnfWit, process as fol ws: Mail to wner. Mail to contractor. Telephone and hold for ickup at office. Deliver w/inspector. Other Applican Date'`'��1 Copy of Haz-Mat form sent Health Dept. re Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Det. Other Date By. The following data must be submitted prior to i i u nce: ( rc w i e not checked above). 1. Index permit for above items No. 2. Additional items required: , R Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by�Date -ZL� Pians approved by Tom— Date — — Sets of plans on hold in File cabinet AP folder Copy—DPW RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER % A. P. #�2 V- a, -,1,7; GENERAL Plan Checker 4,.n 8/91 Zoning requirements: (sideyards and number of permitted living units). / /aluation. Plans signed by designer. f -- Proper description of work on application. Existing violations on property. IItems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. la� Flood hazard. Special conditions on creation map, �stible, and foundations). I. FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - wilding or utilities across lot lines (Record form). FLOOR PLAN �-Xfomplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). �Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). �GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). �ight fixtures, switches, receptacles, and exterior receptacles for.main- /tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. . Garage firewall, door size, and closer (Sec. 503(d)(3)). . 1 - 3'0" exterior exit door (sec. 3304 (f). 1replace and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). .Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS >Standard bracing or engineered design (Table 25V) /Unusual shape, size, or split level house requiring lateral design. etestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. 'Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct r Roof construction details complete enough to construct building. Fireplace, construction. details and calcs if necessary. Gafter ties or bearing ridge beam. arage door or porch header sizes. Stud heights. Adobe soils - special foundation design. i- Retaining walls requiring design. 5 -r -Special Inspection required. building 1 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). fExterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). -7." Foam insulation - protection. 36" halls and stairways. Living area over garage-- complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits.on three-story dwellings (sec. 3303 & see Mezannines - 1716). ar�.Attic access and ventilation (Sec. 3205). -12-;-Underfloor access and ventilation (Sec. 2516). 'Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. � 1�Flashing at all exterior openings. DF responsible area requirements. 1661 b t ON Id30 JNIQlln9 Funis do Woo September 24, 1991 To Butte County Building Department RE: Frank & Ellen Meyers Upon the Completion of New Home at 12236 Robinson Road, Gridley, California, 95948. The existing home will be used for storage, the kitchen will be removed. Thank You, FRANK MEYERS W4� _ / L_✓�� - Department TO Buildinc Environmental Health COUNTY OPEPBUTTE FROM,." BUILDING DEPT SUBJECT: Sanitation Clearance N 0 V 14 1991 ge'le gas ��f�� J.�-��-1 7 ,��,� - —" Y Location �r,d AP# Owner el for: Sewage Disposal � 'Rater Supply �--- — Pian Approved . Water Supply Hold final for: Water Supply 7inal clearance O.K. for: L fo mo •"e�i-o�ne-., Other e r NOTE *** Date Sanitaria PROPOSED V i El i b SED SE Sl 0 !W -6,-j 1 PROPOSED G.Z -7 AF NO. 24-ic!0-01 I - PLOT IOLAN- (111=200') spt of Nom` Y 01 for too, C, Be In 'Is Vlorlanan. r'llip Shan gM*. An ;-ed GOOe Practices and ADOOrdance use Vi Orf a. Q��-! in tile COO& GON - G.Z -7 AF NO. 24-ic!0-01 I - PLOT IOLAN- (111=200') spt of Nom` Y 01 for too, C, Be In 'Is Vlorlanan. r'llip Shan gM*. An ;-ed GOOe Practices and ADOOrdance use Vi Orf a. Q��-! in tile COO& GON - Owner to Q.ve r Permit No. Q l — '3$a(o A. P. No. ';141 - 19 O — 0 l -7 Telephone No. X95 -4 3 l 12- Date /0 - 30 - 91 1. Parcel creation Map Book _� Page 7 Legal Parcel Lc,4 S t -7 `i, Creation date 20 lqcYe Paoz eAS 60' R/W Certificate of Compliance Other (Specify) created by subdivision map prior to July 1, 1949 17- Parcel size is less than 5 acres 20 a.c�..e Parc¢ is Parcel exempt from items 3, 4, and 5 and improvement requirements 3. Minimum Parcel Size (must meet zone or) Parcel meets frontage and area requirements of zone / Parcel does not meet frontage a kzequirements of zone or Parcel is merged pursuant to Section 20-180.2 Parcel has vested right to develop i - _j 4. Legal Access Parcel fronts on publicly maintained road (Road Name) Parcel does not front on public maintained road (Road Name) f Documentation on legal access required (must be by Title Co. or licensed engineer or surveyor) Documentation on legal access submitted and accepted. .5. Copy of form sent to Land Deve. by opment for improvement requirements /0-,3 (Date Copy of form sent to Building Department 0 Road Improvements not Required Road Improvements Completed and Approved for Building Permit Issuance Date By 7/26/91 c: • • BUTTE COUNTY SCHOOLS DEVELORMENT..FU CERTIFICATION FORM (One Form per Building) A.P. Number2-Y-/90-01 7 Building Department No. School District&f-�O((.e_t/ City � County [jEj Jurisdiction A A Property Owner J-MpJ_& / V (-C,(l i Project Location Address e Subdivision Lot Number Residential Development: /070 Sq. Footage` # of tiving MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) i 1 d n Depart/7t Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. ' c School District certifies that 5- - (Applicant N e) (Phone Number) (Street Address) d W ` (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ HCl representing ---a --- square feet. o -4oAz Sch 1 District Representative Date PAID BY CHECK NO. REMARKS: _,-Q BANK NO PAID BY CASH white -applicant, yellow -building d partment; pii'fk-school district SCHOOL.FEE (8/88) fi Return to DPW "AGRICULTURAL STAT7ML-VT OF ACKNOWLEDGE!= FOR RESIDENTIAL DEVELOPMENT Section 26=8.1 of the Butte County Code requires this acknowledgement be "recorded' prior to issuance of a building permit. - — The property described herein is adjacent 91-047521 to land or included within an area zoned for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of useof agricultural chemicals, including, Butte .but not limited to herbicides, pesticides; Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including 9:27am 14 -Nov -91 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 91- 4 75Z,i Rec Fee 7.00 STF 1.00 Check 8.00 XX 2 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property. situate in the County of Butte, State of California, described as follows: Date: op__< - q% PROPERTY OWNERS: State of ) On this the C� day of 1()',91before me, the SS. undersigned Notary Public, person ly appeared County of ) OFFICIAL SEAL Personally known to me. Proved to me on the basis PWR19A F. WILLIAMS � ❑ pmoo�� NOTARYPUBLIC-CALIFORNIA of satisfactory evidence. BUTTE COUNTY to be the person(s) whose names):subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IV111TTVE� WHEREOF, I hereunto set my hand and official seal. Present A.P. \'00 Notary Public L 14, Rec,,-rded ai the "quest of: Return to: Froank W # NevPr Route 1, ijox 231 _rrlsllev_.;�ct>tlfoa�ie •'- 15Zi OFFICIRt. AeCOItOS V TTE COUNIY-CALIF r--ZIU�70 By OEC 0 11 00 aH 9Ir EOUISE KI. U'0 COUNTY RE CORDER4 FU 15903 THIS aOE IDE !E[1 uSIYE USE OI COON/T El COED[E _ GRANT DEED 7� PAID (Indiridnal Grantor) Order No. C-372005 For value received IO}f?7 V. :3AI?,P1'I and L ILLIAiI K. IA1 ;A17, his wife GRANT to'.'I'A!:f 4, itrF.YER and i•W'Jr ?RiYiTO his wife, as .Joint tenant:; all that real property situate in the Unincorporated art's or the County of 311tLe State of California, described as follows: Lots lb, 17 ani 18, accor(iinp to that certain map entitled, "LIVE OAl, C"WN.Y' ir.). 1", which rmp was riled in the office or the Recorder of the County of'Butte, State of California, February 7, 3.911 in ?gook 7 or yhps, at page 51. rY;Cjlf!-tIr}i"( TRA"tEP, T.J(:.../_1..0• nU V C0477U7ED Oli I'U:t V!::'!E CF r9Drrm-f mrr rmn, oR C; a 4—n-'JKr- M WIL .Atilt EE;," utas a RL:iIh:DR41ECf.5 REM,Vh;Yr, hl 'f"" CP %%.J. W','i::1 TW C:,?Jrr!C( (Y.V,rAIYY h+I C�(A�;xttsr7 DI4iSION --.ir glmahlte of etc wf or agrfrt dao,. n1nR tar WITNESS our h stdV.,19tI for iolnt tenancy deed add aft rann at i rnants" VIE V. 01"PW, day of November . 19 75 ii Lillian Y. tarmn STATE OF CALIFOR A C.auntr al ' a..s:•.ua.....•wE•rwt..r•.p --jabk wessriai, Witnens On_ . 19_, he/ore me. , was « Ir E. ••M •1-1.1 a Nutory Public. In and Jnr raid•• _County and State, personally oppeorrd _ Antown to me to he the pertun_whote name___ subscribed to the within Instrument, and aeknowtedged to me that—hr executed 'y the some. • •1/ notary it commissioned In another County +. sun.. t. aE•a.s tat. w n+•1 •a.•.1 ..sn C ttriA, "said" and name County. Notary Pfthllr ..•rt r•. n•n..rr aE so 1 .00Eov Same an Above 6KANT blCpl) flndl.ldontt .L...,.n,. ,.. r' ............... 1...... T........ END OF DOCUMENT 166, J,e�d �oN I , . 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 SUM"1? f-• /1-'7� 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. 9/eT"- r Ca' -,7'r -'-tet J'L_ otf�c"':�e F. CAJ 17 /6 Date `Z U7) 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 CORRECTION NOTICE R 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. 3 O :5 Q �'/✓� GJOy �.c.�✓a e, P 9 Date Inspector. REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES e� O 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 39 - 75 /l /1-.7 r OWNERI 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. ,19-7 FEB 2 9 2000 BUILDING DIVISION Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov1lle; -Call}oiffie 9596i'- Telephone: 918/538.7541 APPLICATION AND PERMIT /PPEJJR��MIT NO 3C✓ q 7r ASSESSOR P RC L NUMBER 24-190-017 zQNING�- - 1 A 40 1BUILDING PERMIT OWNER FRANK MEYER695-1312 TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1085 R 55,360 OWNER'S MAILING ADDRESS 12236 ROBINSON GRIDLEY 440 M 7 20 CONTRACTOR 'S NAMETELEPHONE RANDY WILLIAMS BEST LINE BUILDERS 534-6406 66 C 863 CONTRACTOR'S MAILING ADDRESS 1363 FEATHER RIVER BLVD Fireplace "A" 1,500 CONSTRUCTION LENDER SACRAMENTO SAVINGS UNKNOWN Total Valuation $ 65,643 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit ee $ 331.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Cheoking Fee $ 0 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Pena $ BUILDING ADDRESS 12236 ROBINSON GRIDLEY 95948 Pf rm t e $ MBING PERMIT Filing Fee 10.00 Trap ) q 2.00 16-00 C�La r or heat pump water heater 20.0'0- 0.0 -LOT LOTNO. SUBDIVISION NAME PARCEL MAP 7 Water piping 5.00 Each qas water heater or vent 5.00 nn USE OF STRUCTURLY SF[N Duplex❑ Mobilehome❑ Other sP CI FY Gas piping system 1 - 5 outlets 5.00 nn Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New -1 Addition El Remodel ❑ Utilities ❑ instal Other ❑ Describe work: 2 BDRM Permit Fee $ 46 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LE SLESS 10.0010.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRA ORS SE LAW 1 declare under penalty of perjury (Uheck ne): I am licensed under pro Io hapt. 9, Div. 3 of the Busines$ Professions Co n license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s{ AMULTI-OUTLET• h¢sgft 38.00 NEW CONSTR. NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUSeand (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50Q sALe30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 60.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed .revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 Cooling g 6.00 Hood 3.00 3.00 Ventilation__ 1 _3.00 permit Fee $ 28.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any we accrue again id County in conse pence of the granting of this permit. G X Date Signature of pplicant - Owner ❑ Contractor`s. Agent ❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 , o CONi. IST E TOTAL F E $ 68§.00 HAZ. [CUA-1PARK SCHL L CDF PA PD ) HD. ISSUE This permit is hereby issued unser ttte applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. I nn831 9SLL 5n WHITE-D.P.W., YELLOW-ASSE930R. PINK -INSPECTOR, GOLDENROD -APPLICANT U ,�,r �:rrs's`jF*:-�p-r�`i"t�"'='xs�"i•— t'. �^.,�.rls•�'�'iagC�p•r..�... .. ��-�.,i�n'w.r.... 'r. COUNTY OF BUTTE - DEPAR f�M9086_t P BIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. ► OWNER FrC4n C /1�e�,>el'/ P. No. 2Y—/c1d7 Proposed Building Use, f. 19eCkYtrJ'� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: w DATE RECEIVED APPROVED 2 3. 4. 5. 6. 7. 8. 9. _Z1 0. 11. —1L 14. 15. 16. 17. 18. int 19. 20. 21. 22. 3. r 24. 27. All items have been submitted . ............ Plot plans in duplicate licate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer of plans . . Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions ... ;�. . Fees of $/�► Chico Urban Area fees paid ....................................... Park fee�s pai ........... (� rr'� ��✓ School g(strict fees paid .............. Sanitation approval from r^ /I Health Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of sianatL.re authorization ... I _ When V Telephone 3 AY-6N(1(nand hold for pickup at Date) Other Applicant office. Deliver w/inspector. Date x',- Copy / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept., Other Date By The following data must be submitted prior to permit issuance:LCircle new item not checked above). 1. Index permit for above items No. /a ly, :5�,Co. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone _mail—counter by Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by Plans checked by Copy—DPW Sets of plans on hold in Date %'oC�L Plans approved by File cabinet AP folder date date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroill16t dallfornla 95M5 - Telephone: 916/538-7541 APPLICATION AND PERMIT AsaEsaow PARCEL. NUMB (b c f 2 f zoNl 6 BUILDING PERMIT OWNER IerTELEPM_07NE Firnri k- �� 3� SQ. FT. OCC. BUILDING VALUATION r O s 'J OWNER'S MAILING AODRfi 1 o ,1 VJ ' e �� , p CONTR OR•S M oc1/1 (/l�il(rcir�t5 �thc A6 TELEPHONE S> 0 CONTRACTOR'S M LING AO KESS` e� i r� tr 0�/u Fireplace t' 5 oQ CONST -.TION LENDER r •. UNKNOWN Total Valuation 1 $ 466L57- LENOER•S MAILING ADDRESS Filing Fee $ 1().00 Permit Fee ; � � . o0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee § / �5_0 Energy Plan Checking Fee $ S 00 ARCHITECT MAILING ADDRESS Penalty § BUILDING ADDRESS e, sn56 h Permit fee § �2 r JO PLUMBING PERMIT Filing Fee 10.00 /)_ - // CJ�lcl' Each Trap 2.00 F6 FO Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water pining 5,00 ,5700 Each qas water heater or vent 5.00 Gro USE OF STRUCTURE SDuplex❑ Mobilehome❑ Other 1\ SPECIFY Gas piping system 1 - 5 outlets 5.00's -0-C) Building sewer 5.00 C '0 Mobile Home S I G I W 10.00api �,% TYPE OF WORK NewfiXl Addition ,T\ ❑ Remode��❑ Utilities ❑ Installation[] Other ❑ Describe work: l(Le��[7C3C�1/� Permit Fee $ o0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00 AMPOROOV OR 10.00 0V Main service EA. ADD -L too AMP 2.50 ro CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai OR AODNS. ( ACC. eLOGs. ,1CSU z¢sgft 3 NEW CONSTR. � ULTI.OUTLET NON•4ESID BRANCH CIRC ITS 12.50eaI POWER APPARATUS &) (SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES '203SCtl :SAL.3-0 FIXED APLNS. Ex. Occup. OUTL TS P(RESID )REA.) 2.00 Tpora y Mobile Home Facilities 115.00 Misc. Wiring g 15.00 Permit Fee $ 60.3-0 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shalt be deemed revoked. Contractor { MECHANICAL PERMIT Filing Fee 10.00 Heating ,moo Conlin g �> Hood 300 Ventilation�c> permit Fee § _ �3 Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ,on of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE ©U TOTAL FEE $ E NAZ CUA I PARK , sOrL LLD =qR = i ; i i o -Io.;.�s�� permit is hereby issued unaer sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the appllcaole provI- resolutions to do have been pard. WORKS Date Receipt No. 00083 I - .0 5Il l'o . CL. .`IRIre•o. P. w.. YELLOW-Asetss0R. PINK-14SPECTOR. G 0L.D[NROa•APPLICANr RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit OWNER_ A.P. # GENERAL Plan Checker f6'6 ning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN VComplete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinkler -s, non -comb- . Building or utilities ;across lot lines (Record form). FLOOR PLAN / complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). �-_ Required room sizes, ceiling heights (Sec. 1207). �FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- enance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical ogas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). Y. 1.- 3'0" exterior exit door (sec. 3304 (f). fireplace and wood stove location, alcoves, and clearance. 9' Smoke detectors (Sec. 1210). t -Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS —Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. �h-ree story -building requiring engineered calculations and plans. /Foundation plan complete enough to construct building. �loor construction details complete enough to construct building. ovations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. —'Fireplace construction details and calcs if necessary. 9!1�after ties or bearing ridge beam. arage door or porch header sizes. 2" -Stud heights. 3% Adobe soils - special foundation design. etaining walls requiring design. 5—Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. r 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). erf loor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. 1 oise requirements on duplexes. . Energy design. Flashing at all exterior openings.* . CDF responsible area requirements. /% ORDER NUMBER 8REG. R.U. I INCIDENT NO. START MO DATE YEAR FIRE NUMBER FIRE NAMEi Epd% REG. R.U. N0%_,c?,-;ltt---,,.l T z_ , _ _ _ /offc>v c— FC-1811/801' _�rof_ 65-c <_ eS5 ORIGIN LOCAilOW�,---;:-_r.see Ipu of - SEC. Ffz� I C. TO, TOWNSHIP RANGE QE NA.FOREST, FIRE DIST., CITY & STREET NO., �1 0 i: - S 4.x� ; W MILES El FROM IN. NA.FOREST, FIRE DIST., CITY & STREET NO., ....... . jqIRECTIONEl E TAC. -d off to N - -i SIOM f—,NINCI ENT TYPE'. FIRE El FALSE ALARM—GO TO BLOCK 10 4A RESPONSIBILITY N/ STATE ZONE STATUTORY 0 WILDLAND BURNED OR THREATENED RESPONSIBILITY: 2 ❑ CDF LOCAL GOVT. CONTRACT, j AT ORIGIN) 3❑ UNPROTECTED' Cl ASSIST OTHEI14"AGEN-CY,(�Not 'N El tL i.S.F.S;�� LOCAL ZONE;''., 5 CDF LOCAL GO' N CT C3 ASSIST OTHER AGENCY NotO City) El OTHER FEDERAL FEDERAL ZONE ❑ OTHER 0 ASSIST FED. AGENCY (Not mil.) 0 CDF LOCAL GOVT. CONTRACT MISC. AND OTHER El ASSIST CITY, CONTRACT CO., MIL, OTHER '\CAUSE (STARTS IN OR 8 ONLY) ❑ LIGHTNINGEl P EBRIS D PLAY W/FIRE ❑ CAMPFIRE [].ARSON -OTHER/MISC. ❑ SMOKINGj-'t- Q EQUIPMENT --7- LAND USE OATS IN .0 02 -45OR 8 �ONL" 4, [,.DOMESTIC -.-_p E] RANCH -FARM 0 DUMP E] ROAD UTILITY, RAIROAD UTILITY, ELICTRIC FOREST. INDUSTRY. -aftECREATIONI QbTHEP _INDUS TRY E]WILDLXN F1 NON-WILDLAND El OTHER o--%, DAMAGE r 62 � OR <8) ONLY) ACRES OF VEGETATION BURNED n8A ....... . S DAMAGE Number -d off to N - -i SIOM &/or!& 05 ............. ................................ ........ .......... TIMBER &/OR DIRECT ............. . .... ...... ........... ..... ...... . ................ ....... ....................... . .. I ..... ...................... .......... x .... YOUNG GROWTH PROTECTION ..... . .............. ......... . . ............. WILDLAND VEGETATION ACRES BURNED ACRES BURNED (Other than T &_Y G) VEG. AGRICULTURAL PROD TYPE (Other than T & Y G) TIMBER DWELLINGS vt 8/OR CONTENTS OTHER STRUCTURES WOOD. LAND 6/OR CONTENTS OTHER VEHICLES & CONTENTS BRUSH OTHER _xx 4 TOTAL S ACRES OF VEGETATION BURNED n8A ....... . ..... .. . ......... ... .... . ............. ................................ ........ .......... DIRECT ............. . .... ...... ........... ..... ...... . ................ ....... ....................... . .. I ..... ...................... .......... x .... AGENCY PROTECTION ..... . .............. ......... . . ............. ACRES BURNED ACRES BURNED VEG. CDF TYPE TIMBER vt ..... WOOD. LAND OTHER BRUSH 4 TOTAL GRASS ........ ..... . . . ........ ....... A GRIC. ........................ .. .... ....... ... .............. I ........... . ... PROD' CDF SIZE CLASS TOTAL . ....... ..... 8 D .. A .25 ACRE OR LESS ......... .... ...... ..... STATUT. ... B ACRES ....... RESPON.Oj ACRES BURNED E] .26-9 OF C 10-99 ACRES STATE ❑ D 100-299 ACRES U.S.F.S. E 300-999 ACRES ❑M X. ❑ F 1000-4999 ACRES ❑ G.5000 ACRES OR MORE B.O.R. OTHER • FED. OTHER ... ....... TOTAL - -- --------- . . ......... ON ARRIVAL VEGETATION FIRES ONLY) 7- '4 — SIZE DISTANCE (Origin to head) ACRES FEET WEATHER (ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE ('9 10 OVER PLEASE CDF 7540-130-0118 91939-336 9-83 1 DOM OSP N, ORDER NUMBER � � R G R.U. INCIDENT NO. YEAR . ORGAN- IZATION .- �. r1 QF 2r:rn2n een nerr. TIME 1 1 OUTSIDEoOR 8 PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE & LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION Enter 1ST. C0 D Dispatch AIRCRAFT FLT. HRS. 1 ST. ATK / CDF CREW FIRE STARTED FIRE DISCOVERED : 2 FIRST REPORT v SECOND REPORT , FIRST ATTACK BY CDF FIRE CONTAINED - UVJ I ,' 1 �• ? ? ., rREW /nVERHEAn RECORD GO TO 1© LOOKOUT: (if 1 ST. or 2ND. report mode b SITE NAME: SITE t� CDF STATE & LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE & LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. 1 ST. ATK / CDF CREW � C 2:1 CDF OVERHEAD TOTAL ONFIRES, ENTER 1 2 TOTALS BELOW :'<:' ::`%s>>»»:z::`::: z: U.S.F.S. (Incl. Overhead) TOTAL OTHER FEDERAL (Ind. Overhead) TOTAL ^" FIRE DIST. & OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL Ef..4blM1:;:. VOLUNTEERS (Unpaid) TOTAL .....`<£ FC -18B Additional crew ATTACHED ❑ ( activity) e -N ORIGINAL REPORT BY! r'1 COMMENTS Isa MAP IS:❑ONE SECTION 0 FOUR SECTIONS MAP ATTACHED e000nvcn RY. 14 SIGN TURE 7ITLE DATE INTL DATE N Jw-T--rc-- __ , , - - I J S! �E a�n, ��j IlAvwe� OIJ q, Ao CON..-- COiiyT'r' OF RUI..Tc DEPT. OF PUBLIC WORKS_ OCT g p 1985 WeJ buyLwn ca.i &j ro •4Lq-t-tkor i. uj e a, �e `— � r. i u ; ►l off- tip 'COW- C4 COW- C /Vo w,- t- ol c,it,). t4e-a-a � _ �-� � 1. � C d �✓�� G�'7�/> 3 —/0--T3 ,�, ,air, t �;►, .;,• �t r '4 7 '._ • ar ' Cr ' � l � t {�.,��/ �.1r i `, 1,,� � i �y..• 1,_[7t.�,�'{Miff ,t-' � li.•{ D"�r,` • <t !� S � �` a ° 'Prix ;'ot 1 ° ' .. .... .i 's� �. t..7 � y`• � : ;z„ � ss. F`' s,;, ••. 4,"ik Nom., � e!'.+Y] �.x. �+��' 7"'�,.�! $ �� T •�, - .. •-., .. _ ....... _ '±trr� ��~' H�'r` � ' _ j�4t r x � t y f z! �� . N+fir '� a xn tti S f^;•� fL�'�a�, �,ScU . le N" r ' 4 i "ir r � y��7Y .7'� i �t �t �.�r. / 7^' 't 's r�� t !y ``' • , L.. � r �k <„cf,., d;•.il rit j.-^ •~(ln r r i �,t L#t }5 � ° t rr..fi� ` ' - v h� t � y. n �q• � r d ' y ry : v s . ' K , .� ' v� � } �:.: xtj�d f 'F,ji+<, f � •'i �} �• r r - - - `. tx°" z } ,X�s .r � tii ; •t t� s5��: .r try._ :. );• <.. ' � - t . ,,t L =�'', . � s , ,Fid% .Sr M?•.;, ti i }� r �.. , , ;Y . '. Y. +� t�Y < irl{ i S .{ 'L' �.4 L � 3.�'�,,.�• I v 3 •i t '. - ^.� ` � , x ��' x;z°� ?r t; ( : � fii., � '�'y�y +^� 'ri j4. t E ,z 's � 4 y .• - ...r � �r < .. r h 2 1<.. 4 .'•`41i r t`wi(z ..` �� ." H.rt, Y • z4 t �ir At:.y '`�� n✓t'`i } a �� Irk,; n� a}`;}} w�� rI '� h'Px ..� .. f z t i ,- f s r�•� � , r.^�(� e `•• i�'xS•�.'{'xF" 3v �i r� �,,.4*� r ^� t ' J : � �F 4 t!'� ,.s I -... , w^ F ' r - a c „eri' Y• `` ky7�'�,e S h t f"', �. *.... � «� t +t. K-�F��;yS �.�.i- �� Gt �<i d*`it "ri ��1'tM ticl ,t i•'t�.'.,• ! F f tr +.^ tir � . 4 i )},<t-At�tr,.t¢si°rt t z.aL`�� r f' �jiy•��°,s;` t.�. � �ti•„'y��+rl'I-+ i '�''• "�� j a f 7. j y 3 t 3�t ( x 'i4' } .k- t" t w;,Y r'7 h 7 •1 �s'' z 4p • F x • �r . 4, yy Y !: � I..f. t � � ��r �: n r•Y4 s� �: t k tai '�. - t4 p ♦ r � "i ` f . o y { ty.t.s'}, xrzr. K il�F1K1fr.�« o y•1� a.�`.�ti. ;�xx3j� x St+P.��rt-tii��itjQ hz` �. .!. t.� � � i j Ft i t}y this f ` 1�11,.��r4i f.�'i•" +k'f$ �yf , t• `l ... V M, �,'�n• .( �it M�t';!'�Y4� } x 14•,4..f �, ,� + 4 r• ' f fwy r`1st� t Jj1!�iA�' {sa1zr�ty lrtlt + < P-'tEr2.'' '• hf ; �1T '1 , N ,,tp' `y, It'i fix'' r t . • di'�yy�,r. °•J 1 • �: Gt lj 7, IRA a .5 M r ti k•;'Li° .4� - r 4''$f.. ,'1- } .t, aic..- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE M C OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 0:e z4:21WAE _T q v A ugh -z) i2F-"aov6 Vy 0 L'o )s�.JS d— lJ SA vim. s -rV.4_0 /4 � ©NL .o,�Ap a -i Date inspector REV 11/91 AGN. Id3Q ONIcnins 3=sAoXanoo September 24, 1991 To Butte County Building Department RE: Frank & Ellen Meyers Upon the Completion of New Home at 12236 Robinson Road, Gridley, California, 95948. The existing home will be used for storage, the :kitchen will be removed. Thank You, FRANK MEYERS ELLEN MEYERS Witness 51,-110( RE: Formal Warning Notice Building Code Violation 12236 Robinson Road Gridley, CA 95948 AP # 024-190-017 Dear Ms. Ellen Meyer: 'eufte Co L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 28, 2001, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the failure to final main electrical service, is in violation of the 1998 California Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). May 8, 2001 Ms. Ellen Meyer Trust 12236 Robinson Road Gridley, CA 95948 51,-110( RE: Formal Warning Notice Building Code Violation 12236 Robinson Road Gridley, CA 95948 AP # 024-190-017 Dear Ms. Ellen Meyer: 'eufte Co L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 28, 2001, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the failure to final main electrical service, is in violation of the 1998 California Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). r May 8, 2001 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. 7ierely, Mic el C. Vieira, C.B.O. Manager, Building Inspection MCV:tp 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16. 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On MAY 8, 2001, 1 served the foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the. same day. X In the United States Postal Service Mail in Oroville, California. Ms. Ellen Meyer Trust 12236 Robinson Road A. P. # 024-190-017 I declare under penalty of perjury under the laws of the State of California MAY 8, 2001, at Oroville, California. &-/// ammie PdWell March 28, 2001 Ellen Meyer Trust 12236 Robinson Road Gridley, CA 95948 RE: Building Code Violation 12236 Robinson Road, Gridley A.P. # 024-190-017 Dear Gentlemen: Ea tte Co LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 p' I This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to final main electrical service. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. cerely, Mich 1 Vieira Manager, Building Inspection MCV:dm cc: Assessor 0 ,.y.y .�.,...y,�.�%3 3y,..r.n✓.,�c�^�.6:7•tP•ro:.7r .m._-+c:..`c!'c:...a...a .,y,�ril^a�...rw�n •,1.,✓s� ^•'..� i 024-19-0-017 98-1575 E MEYER, Ellen 12236 Robinson Rd, Gridley (ele mmain ser repair &:retae)s£ C4p 7 o^� E t OFFICE COPY Addre§s GAS Meted By 2::7771 Date `ELECTRIC Meter By ' iFDate a� r it COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ' APPLICATION AND PERMIT , .t, ASSESSOR PARCEL NUMBER OWNER ZONING BUILDING PERMIT V TELEPHONE %Q SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Q *i CONTRACTOR'S NAME �- TELEPHONE CONTRACTORS MAILING ADDRESS 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 Plan Checking Fee $ SUILDINGADDRESS 12236 ROBINSON RD, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFU Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 ❑ Unities ❑ installation ❑ Other ELEC MAIN SER REPAIR AND RETAG Describe Work: Gas piping stem t - 5 outlets 15.00 Building sewer 15.00 Mobile Home TS -1 GI W11 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 R LES "OOVMain Service zo.A OR LESS M 23.0 • iUU LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class I No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .. A p I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier a Main Service zuuA TO tOooA 46.00 NEW CONST. p:A C. OCCUP. S° OR ADDNS. ( a Cc. Bins. 3.50Fr: NON- HFSID. MULTI -OUTLET 97,50 PowER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @': o Ex. Occup. °�`unFEDTs aFUsSiD.°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WINSP PERMIT FEE $ 14 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 the permit is for wor of a valuation of one hundred dollars ($100) or less.) s s I certify that in the performance of the work for which this permit isued, 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 secti66,3700 of the Labor Code, I shall �: forthwith comply with those provisions .� " ' X /�_!�E'.• ? f I u,i cam_ ...Date +. ! r /r 9 Signature of Applicant -' Ownef ❑ 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 $ 63.00 HAZ. 1 D. (EES IMP I FLOOD CDF PARCEL PD HO 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. By �DateJ r PERMIT EXPIRES ON II —,✓ /// Deter Receipt No. 244498 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CbUNTY 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 ASSESSOR PARCEL NUMBER 094-19-0-017 ZONING A-40 BUILDING PERMIT OWNER El I MEYER TRUST TELEPHONE. 695-1319 SO. FT. OCC. BUILDING VALUATION _,EN OWNERS MAIUNG ADDRESS 12236 ROBINS ROAD, GRIDLEY CONTRACTOR'S NAME -0-N OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12236 ROBINSON RD, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDN610N'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Id Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 IM Describe work: ELEC MAIN SER REPAIR AND RETAG Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service . , OR LESS 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La_ w for the following reason: A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. DWEWNG OCCUCUP. SO EL OR ADDNS. ( a ACC. BLDS. 3.50FT: NEW MULTI.OUTLET 97,50 NON -ID. R A 8PSINOWGOUTLET CIR. ELEPPARATUS 20 @ 1•00 Ex. Occup. ourLEr OR FocruREs BAL @ .50 Ex. Occup. oimFrs F=.GEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PREINSP 0.00 PERMIT FEE S Aq WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) —14 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 comply with those provisions. X 22� Date Signature of Applicant - OwnoOf ❑ Contractor ❑ Agefit An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 63.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD SSUE 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. 7 By Date / rr`�y/� �� PERMIT EXPIRES ON C/ ate ReceiptNo. 74449R WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 9 O ZOMN43 BUILDING PERMIT OWNER 11f.Al e �� rc�4.9-6, TELEPHONE /3 1� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDREs9 CONTRACTOR'S NAME T NE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 Permit Fee S ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ r.nr.1 15 PERMIT FEE $ LAT NO. LSIONSNAME CEL MAP SUBDNPAR PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF UP006uplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 i Describe Work:LrGT )//C2/��✓ 1"'-C aaL,LY �' %C �- 7�Y.e_ 01 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service EOxoAOY ORlESoR tEssB 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby Affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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.f_ ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height Main Service 200A TO l000A 46.00 NEW CONST. DWEl1N1G OCCUP. SO OR ADONS' ( s ACC. BLns. 3.5Q�: ppµ'EOSIDNST MULn-OUTLFT @7,50 PSO APPARATUS 1NO1� O CIIL Ex. Occup. OUTLET OR FIXTURES 20 ®+.50 eAl ® .so Ex. Occup. os"PPLs ° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 lN_6' N PERMIT FEE $ - O� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 63, a -v D FEES IMP I FLOOD I COP I PARCEL Po HD 6SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I fDaTe provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. AN RY-A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .'l_1-4..��.�.7�,. .r.+T -�-- A! 'Y, ^�rr,•w-xa'?:5?{ ��c�.;"'A' .x.aX.Ir7'-�i+"yty,',:+.rC'�'lw+�r �1 .�N. r.7 .1uT"r,, .... r . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -, TELEPHONE (916) 538-7541 PERMIT APPLICATION D4 TA SHEET rte ! �4 OWNER:ASSESSOR PARCEL NUMBER:L/ Proposed Building Use: 15 /W Building Inspector: Date: 7711items'f permit app ' tion, I was advised the following data must be submitted prior to permit processing and/o issuance: Date Received By have been submitted .------------------------------------------------------------ ------------------------ ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 1:13. C bmplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------` -------------------- ❑.� 4. Engineered plans, 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. -------------------------------- ------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------- 1112. -------------------- ❑12. California Department of Forestry plan approval/fees.-------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- 1116. ------------------------------------- ❑16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18: Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9 croachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0. Pre -inspection for o l-ec- ;N Q �fi c Request to Building Inspector on 1121. 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 EI) - -------------------------------------- Q 24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. -------------------------------- (Date) 027. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28: Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 04-331A,❑Giant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. /Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑lHealth Department, ❑ Fire Department, ❑ Other: Date: / By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail', -0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data_ by ❑phone o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of.plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy!/ -Department of Development Services, Building Division. �y OWNER BUILDER INFOR1tiIATION 1 Dear Propertv Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property, improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing heir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: _ v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including maaectats . and other costs) is $300 or more for the entire project, and_ such persons are not licensed as cont<aclaois or subcontractors, then you may be an employer. {. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social secttrity.taxes, Workers compensation insurance, disability insurance costs, and unemployment compensation contributions:: , . ♦ There may be financial risks for you if you do not c '':Q Y y y arty out these obligations, and these risks are especially sett u9 with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations ur�depFedeml Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limned conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracSprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4MMicly, l C. Vi ira, C.B.O. r, Building Inspection NOTE. This Owner Builder Information is required by Section 19830 of the California Healdr and Safety Coda OVER OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing yoursigoap• ; Please complete and return this information at your earliest opportunity to avoid unneeessatir daisy. in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide a major labor and materials for construction of the proposed property ' provement : YES NO E32. I HAVE HAVE NOT 0 signed an application for a buUdin + gn aPP � g permit for the proposed wio& . 3. I have contracted with the following person (firm) to provide the proposed aonstYnctton; .:_=,` �. ADDRESS•1 •°� i�.�-�,y �,..�..,� CITY: .x.. . e - PHONE: G Z5-- / 3/2 CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to cooiiditiiie; supervise, and provide the major work: NAME: ADDRESS: CIZ•y; PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to Prgv. the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTYOWNER: SOCIAL SECURITY NUMBER:__ DATE: �,. O. J /J -7, 9 5�- - NOTE: This Owner -Builder Verification is required by Section 19831— 79U California Health and Safety Code. This verification must be completed Md returned to our office before we are permitted to issue the permit. PRE -INSPECTION OWNER: / ��e/✓ / DATE LOCATION: drC_P>�'��.'S ��tJ A.P. # CONTRACTOR: ZONING D PRE -INSPECTION FOR: / �G � ��%Gl �N ��V/ !e Q DATE TO INSPECTOR PERMIT HISTORY: NONE] AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES HEATED -COOLED ED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: ISSUE CJ HOLD FOR OTHER: BY DATE ,7 r , f i i —Izz 6_f6bvnopr�_ i 1PP.Y li.'¢r:-.,,G.i�§�.rtA1�eK•..�a-�'�:zn..•�:Tq::�':*'ii^!."yn p. .•. r,�•�, o-��-r-��f�,��. } 'a,w-.;�,.�.. :u's- .. . r.�,ti .,, .,,r�•�,f s:;•:n�r•aesaet•�e;w.=,'•.w{�y,��..: �. • 024-19-0 '017 �-;� � • � R �� 00-043 ELLEN MEYER TRUST ' 12236 Robinson. Rd, Gridley (elec main ser)SF ` Op T -r A5 k �. ,,t.: �. s ,. ,...,� ��. '.r .r--: •- _ . .. .. �-'y�..��< _<sfiY' . , «r,71�N,v.t L`tt?'.� `• 1 1 .'COUNTY OF BUTTE -:DEPARTMENT OF DEVELOPMENT SERVICES - BU,ILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PET NO. (Rev. 12/96) APPLICATION AND PERMIT ' ASSESSOR ARCELNUM U14_ 9U -U1 ZONING A 4 BUILDING PERMIT OWNER Fri MEM IRUSI TELEPHONE Qr.— SQ. FT. OCC. -.BUILDING VALUATION -ph T MAIL'Ktif3iiv1 RD, GRIDLEY C�1 95948 1312 CONTRACTOR ' S NAME \A'Y ER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS 12?.36 RMINSdN Energy Pian Checking Fee $ $ r +' PERMIT FEE $ LAT NO:. �. SUBDIVISIONS NAME {{.. + PARCEL .MAP PLUMBING PERMIT Fling Fee _ 20.00 USEOFSTRUCTURE� SF ❑ -Duplex ❑It Mobilehome ❑ Other sPECIFY Each Trap 't 7.00 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 ❑ h �� 1 �� l�jCAL MA�j ,, $,WE Deso+ibe ((Zk� r Gas piping system 1 - 5 outlets 15.00 .► Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL,P__ERMIT Fling Fee 20.00 OVOR LESS Main Service .0. OR LESS 23.00 23.00 LICENSEDICONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and.my license is in full force and effect. License Class Lic. No. ,•, Iv ; ; 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. a ACC. BLDS. SO 3.50Fr. NON REOSID. MULTI.OUTLET @7,50 POWER APPARATUS E SINGLE OUTLET CIR. '^ OUTLET OR FDrrURES Ex. Occup.BAL 20 @ t'00 .50 Ex. Occup. DFlUT�TS RAID) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI S Policy Number (The above sections need not be completed if the permit is,for work of a valuation of one hundred dollars ($100) or less.) I Zc rtify that in the performance of the work for which this permit is issued, I shall jY.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 comply with those provisions. -" X Date - 7- G' Signature of Applicant -.3"Owner ❑ Cor— ntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. t. FEES IMP I FLOOD CDF PARCEL Po I HD I 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. By1 ti.%' Date-•�� PERMIT EXPIRES ON 3 ate Receipt No. -Z - �/ 3 — WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Alt 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 we 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, pleaso-cgntact this office immediately. 0 /Z- Date L Date -? U� % Inspector" REV 10/92 :� ^s r.-+. t . •T^'-�ao""`r"�JIA ."...,' r" �..� ��cvse.. -a�wy . v tiu:arix_i=@s + 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 1h, j ©0 o 3 OWNER PERMIT NO. 1 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. aAA -t 4 (S T !3 L -a4 tZL= ,-tl CAA;? -0- Date Inspector y(� REV 10/92 �y •.lam' ` - • 44 �. !' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEFPI NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-190-017 ZONING A 40 BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION TMV� O URON RD, GRIDLEY CA 95948 1312 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 12236 ROBINSON RD Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME 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 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRICAL MAIN SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( ; ACC. BUDS. SO 3.50 FT. =REOSIUT BRANC=T @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FarURES 20@''00 BAL @ .50 Ex. Occup. DLI�,EEDTS" pa.6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ 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.) 61 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 comply with those provisions. /� X Date 3 � L/ Signature of Applicant -Owner ErContraclor ❑ 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 $ 43.00 =.AFEES IMP I FLOOD CDF PARCEL PO I HD I 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. B Date PERMIT EXPIRES ON 2 — < Date Receipt No. Z1� 23 •'e WHITE -D.D.S.• .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT Rev.12/96) APPLICATION AND PERMIT ¢� ASSESSOR PARCELNUMSER — _ D /77 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION / .� lam-' OwN£AS/�NADDRESS I CMCJ 1�.• v � ". 1 �— L ! s— CONTRACTOWS NAME T NE ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS mrepiace Ex. Occup. OvnE°Ts (,,,n.j A ELECTRICAL PERMIT Total Valuation b Main Service ARCHITECT OR ENGINEER I LICENSE NO. Filina Fee b 20.00' Permit Fee b 3.5Qso ARCMTECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee b BURDINO ADDRESS . • � � I � �� 6Zf L9/ ` Energy Plan Checking Fee b . b. PERMIT FEE _ IDT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex O Mobilehome ❑ Other. I SPECFY Each Trap 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 O Addition O Remodel O Utilities ❑ Installation 0 Other Describe Work: E�%Z( _�� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 mobile Home I S I G I W @20.00 EX. OCCU . OUTLET OR FUTURES PERMIT FEE t Ex. Occup. OvnE°Ts (,,,n.j A ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�ooAo�aL�Ess 23.00 ^" Main Service TOGA TO 1000A 46.00 NEW CONST. OR ADONS. DWBr 00CUP. ( L ACC. BIDS. 3.5Qso GUMT. NON•RESID. ARA.MCMVV UTLET Twe AMRTS @7.50 EX. OCCU . OUTLET OR FUTURES BAL .SO Ex. Occup. OvnE°Ts (,,,n.j A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE b f - MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling N Hood 6.50 \ Ventilation PERMIT FEPE t Mobile Home Installation Fee b Energy Inspection Fee b °C CONST 11 TOTAL FEE $ el I ,5 C7'� HAIL 1 D. FEES I MP RDOG I COO' PARCEL I PO HO 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. By PERMIT EXPIRES ON Date t-�eruileace or 1-111nale Lone ii ProjectTlUa ---------------- ProlectAddrrn a Euiildini g P-eemu r •� , / L S �rOa Y %:2.7, 3 e. i j del �r iio��yc / medeed 9y /.Dam Doeumentatlon Author ekphone' Fslforeanefit Agency Use Only Glass Area Glass M. BL'II,DING DATA ..9b ..,.:..... North �� a ditioned Floor Area -- Number of Stories East U SIa.Maised floor �- Number of Units / South el, S west [Q -'Single Family Detached (SFD) (] Addition Alone ' (l Single Family Attached (SFA) [ ] Existing Building Skylight Skylight (j Multi -Family (NM [ ] Existing -Plus -Addition Total 03 BUU.DLNG SHELL INSULATION Component Insulation Locafiorx/czmrna.-2ts Tvoe R -Value (slat, to garage, t' =L CW Wall .............. Will .............. Roof ............. D Roof ........... Floor ............. Floor ............. . Slab Edge..... GLA*J-'IN'G Shading Deyi= Glazing Area Glass Type Incetior E=dor Overhang Framing Type Orientation (Sr) (single, double) (Jolla blind, ett.) (shadc=reen, etc.) (yes/no) (metal/wood) No ru11 ( ) P North ( ) East ( ) •. r, ( ) EastSouL�i Al South ( ) West ( ) •► it West ( ) Skylight....... A THERMAL MASS Type/Covering Area Thickness (slab/ezvosecltile. etc) (sf) incties) L=tion/Descriodon (kitchen. bath, etc.) / HVAC SYSTEMS . Minimum Duct Type (runts«, air Efficiency Location Duct . Output Manufacturer / Model # conditioner. heat flume) (SE, SEER.HSPF) (stat, ere.) R -Value (Bitch) (or arlroved equal) Maximum Furnace Heating Output: Btuh -, -4 HOT WATER SYSTEMS Tank Manufacturer/Model # �y� Svstem Tvpe (storage t;as, etc.) CaDacity (or aoomved ecual) 'I,c•SOeCt� Feattlre(s) �S1- �A DO 1'04 S SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Ntandatory Measures Checklist: Residential MF -1R NOT1 La- n:adatdal buitdutgs subou to tht Standuds mug caiiaro chats !fAC234M tesadk= d the t 013201 = snpoace used loons mamcd .Wm an uvfut (-) may be suoeraeoed by mac stimngtat eormptunee requsrenetts bd on the Cauf== o(Comptmanoa what ten c•-•l.l u irciaVwased iso use permit documents. We (euuns.omassstit be cowooed bit all pores as binding mummum comporrsa;v(oivynos speafteatdns (or the mandatory mosures f wfrarrer Vwy am shown cisewncm N the documents or an this checklist ordy. DPSciurnoty I DESIr.NF3t I D(FORCEMENT atrilding En-iope Messgra • 12.5352(a): Min -un ccliint msulauan R-19 watMrd &'orate. 12.5352fbk Loose rill insuiumn manu(acam's labeled R•Value- • 12.5352(c): Minunu m wall insulation is lamed walls R-11 werthted average (does am apply tti eatertor mass wad). 12.5352fkk Scab edge imulauon - -uw abmrwxn tam no gseamr than 0.3.11, watts vMW transmtown rate no graver than 2.0 pernuinelL 12-5311: lruulatim specified or insalkd mats Calilamia Energy Commission (c= qualify standards. Innate type and form. 12.53574M Vapor earners mandatory in Clime¢ Zara 1e. and 16 only. §2.5317: InfnluatronnEsfrlvacon Conools a. Doors and wud)ws Oew¢o eonatua,ed and unconditioned spaces drsigsted to limu air lokage. b. Doors and-indown eerufred. a Doors and .Widows wutcrsaippm aC jeune and pencsraia s aulkcd and seakd ;2.5352(e), Spual infilvauan buner uwalka mcomply with 12-5331 mew CEC qualify aandards. 12.5352(d): tnstallation of Firepucts 1. Mason" and factory-bmt4 fuepta¢s !rave L irgm fusing. closeable meal or glut deter 0. Outsde au make vnui damper and sabot e Flue damoer and eansid 2. No continuous otumng pts pilins allowed HVAC MW Plunibiot System Messures 12-5352(y and 2-5303: Spaet conditioning I 1 ipnmt sizing: ameb ok-1-dons. 42.5352(b) and 2-5315: Sou=k dw nos= do aV applicable hcaint systems •_12-5316(1)- Dots ea stnrctea. installed and inatlattd per Chapter 10. 1976 UMC 12-5316(b): Eshaaa systems have damps coaaols. 12.5314(e): Gasfutd space homing egWpnwu has iatamitteeu ignition ds. rirsi 12-5311: HV AC copnem wata heaters, thowvlrsds and fatness ernified by tee CF -C. 12.535209 Watc hots irmuladon blanker (R-12oe pour) or combined intrsiontaterior inuuauon (R-16 or vca=)* fuse 5 fats of pipes closest to tank insulated (R-3 or Vasa). 12.3312(Esccpion M Pipe insulation on steam and gram condau= Mugu a reaneulatittg I p snr_ i 12.5319(d): Swimming Pod Hating 1 1. Syucrn has: L onro(f switch on hats. b. wcaumvroof inswadn plate on heater. e Plumbed to A60- for solar. 2. 75 per=t uw mai dracirney. 3. Poot cove. a. Tumc clod:. 5. Duccuorw water inks. t Lithtint and Applcmce McXu res . ii2.5352a Ughunt - 25 bw =m0wast or grata for temcral fithint in kimbArts and batAeoonts i 12.5314(c): Gas Gerd appliances equipped with imermincru ignition deviccL 12-S314(a): Refrigerawrs, ro(rigmtor-fern. Gnaws and 0uoraeau lamp ballots eetirsed I by the CMC tndtate make and Mede! ourntrer. COMPLIANCE STATEblErfr This certificate of campfianoe lima the baducg featcu>rzs and pent mu= specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Clzomr 2. Subebaptu 4. Article 1 of the California Administrative code. This c= ficate has bees signed by the indivi&W with overall designs responsibility and the building owner. who shall m=in a copy of it and transmit the certificate to say subsequent ptudlase of the building. Designer Building Owner I Nasse m Name T>�JFunc Titkrflrarc Addrew Addms= Tekphone Telephone 1x. a: I (si.tort C+m ) (date) (signaaae) (date) Documentation Author Enforcement Agency Name Nunez Titic,Fn c Atencr. Addrt=: I S.Infiltradoa (Air Leakage) speof,m6on Poin-a SISON42fd 0 1. Ceiling Ituu: r•=;= Slab Floor % Total CLS(161 Numoer of smnes SE or HSPF :Glass R•vatue One Two Three Srtyrght R-0 -103 -4 3Z 4 R-19 -8 .t •2 U -value Rao -2 .1 A 14 R38 0 0 0 Glass U -value Double .EO .50 0.50 -i76 44 -S4 11 0.20 -102 -119 32 ' 0.10 -26 .13 -8 37 0.08 .18 •4 -6 . 8 US •11 -5 .4 - -19 0.04 -t .2 .1 30 O.Cz 4 2 1 -4 O.CO 11 5 3 a -20 -12 3 ' 2, Wall Insulation 28 -55 -18 Single- Single. 5 13 Famtry Famtry Multi• •9 R -value Oeta=ed Attac`.ed I=iy 26 R-0 -68 -51 34 .1 R -it 0 0 0 -46 R-13 2 2 1 7 14 24 . ' U-vaiue -12 -5 •' = 0.80..._- - 14 23 . _- ' O.SO " -31 38 -A6 8 00 -' 36 -24 .9 0.10 J 3 0 15 0.08 4 3 2 .2 O.C6 9 7 5 - 0.04 14 3 7 5 0.02 9 S 10 -29 O.Co _1 3 12 11 -.3. Raised Floor Insulation -18 __26 •26 Insulation in Floor 2 - 7 12 Number of stories 17 -23 R-vaiue One Two Three 12 R-0 -17 -8 -5 0 R-11 3 •2 .1 17 R-19 0 0 0 6 R-30 3 1 + '•�- 1 14 U -value 3 7 10 -_0.60 -144 -70 46 -'t 0.50 -120 _s8 a 15 0.40 -95 -16 -M 6 0.30 -69 44 .22 19 0.20 "3 .21 -14 10 0.10 -17 -8 •S 10 0.08 -11 S ' -4 14 0.06 -6 -0 -2 .1 O.C4 .1 0 0 17 0.02 4 2 1 12 O.CO 10 5 3 20 Controlled Ventilation Crawispaee 3 1 Number of stories a o R•value One Two Three 0 R-0 -11 -7 -5 -23 R-5 -4 .4 3 1.00 R-11 .2 .2 .2 10 R•19 -i .2 •2 �S8 4. Sl2b Edge Insulation -12 _i 8 •5 1.40 SS% - -' Number of Stones 13 9 R -value One TWO Three ' R-0 0 0 0 , R-5 8 5 2 .4 R-7 8 6 3 ZC0 F2'actor 10 3 11 0.90 l 3 .1 POU 0.80 •1 .1 0 0 0.70 2 2 1 .33 - 0.60 6 4 . 2 .6 0.50 9 6 3 9 0.40 12 8 4 S.Infiltradoa (Air Leakage) speof,m6on Poin-a SISON42fd 0 7..Shading (Shade Open) Effective Pereerst Class (peewit glass x SC) ESeeve SCORE CARD Slab Floor % Total CLS(161 Raised Floor SE or HSPF :Glass Norm East 6. Glass Heat loss Srtyrght 18 5 Total 4 1 na 16 U -value 5 _. Percent na 14 51 13 .41 to .31 to 0.30 or Glass Single Double .EO .50 .40 less 50,421-43-M-.,24__•10_ 11 3 3 5 2 _ A -- AC •90 37 .26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 •21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 •52 -17 •9 .2 6 13 26 -119 -15 _41 .1 7 14 25 -46 -IA .7 0 7 14 24 -SS -12 -5 1 8 14 23 . -W -11 -4 2 8 15 22 .37 .9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 3 0 5 10 16 19 -29 -4 1 6 11 16 -18 __26 •26 3 2 - 7 12 16 17 -23 .1 3 8 12 17 16 -20 0 4 9 13 17 :..is -,,7 1 6 10 14 17 14 -14 3 7 10 14 t8 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 4"0 8 2 12 14 16 _ 18 20 7..Shading (Shade Open) Effective Pereerst Class (peewit glass x SC) ESeeve SCORE CARD Slab Floor % Total CLS(161 Raised Floor SE or HSPF :Glass Norm East South .West Srtyrght 18 5 1 4 1 na 16 4.,.,x.2. 5 _. 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 _ 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 •1 -1 -1 .1 2 0 -1 •Z -{ -2 0 na s not allowed 10 4.0 3 6 �. Shading( Shade Closed) 9 10 Effective Peremt Claw 4.5 3 . (percent Sias x SC) 8 Efrecdw 11 11 5.0 4 Nora Etta South West Skylight 18 -is -A8 -69 _64 na i6 •12 -12 -59 .55 m 14 •10 -35 -50 -4 na 12 -8 .29 -110 37 ria 11 -7 •26 36 33 na 10 -6 •23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 •17 _Z1 •21. -56 7 -t -14 -"9 •18 .47 6 3 -11 -15 1A 38 5. .2 .9 -11 -:a x a a -6 3 0 .23 0 0 3Hp ; 0.20 26 .16 3 2 1 16 0.40 WS3 5 4 4 3 1 -t a o 5 s 3 0 9. Interior Thermal NUSS Interior SCORE CARD Slab Floor % Total CLS(161 Raised Floor SE or HSPF Mass One Sones - (stissutaes dtdets to sttlra Stories .2 1CFA One Two Three One Two Three 0.0 -8 -5 .4 .2 -1 .1 0.1 -8 -5 3 •1 0 0 0.3 .7 .4 -2 0 1 1 OS -6 3 .1 1 1 2 0.7 -5 •2 -t 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 -1.5. ,3_1_2_ -29 •24 _4 _5____5. _-- z0 -1 2 a 5 6 7 z5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 35 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 65 6 9 10 12 13 13 7.0 6 9 11 13 13 14 75 6 10 11 13 14 14 8.0 7 10 11 13 id 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass tob Enerior Su,gb- . Su1glo. Type Type Wad 1199 Ftlm4 Fw* Multi SG ulnas 0* Detatfled Attached 0 Family 0.00 HWR 0 7 0 0 3Hp ; 0.20 26 ' 3 3 2 1 16 0.40 WS3 5 4 4 3 2 0.60 POU 8 5 6 4 2 0.80 None 10 -23 8 5 -9 1.00 Solar 13 1 10 7 0 1.20 �S8 13 -12 12 8 •5 1.40 SS% 12 -13 13 9 -5 1.60 _ P_QU 10 _2 13 11.. , 1.80 None 10 .4 12 12 -2 ZC0 it 10 3 11 13 i 11. Heating System SCORE CARD U-vaiue(0.65] % Total CLS(161 SEER SE or HSPF ' One (assmatt duces In attic) - (stissutaes dtdets to sttlra . .2 -2 � San of 1.6 .25 or .24 b ►14 b -< In +6 to 16 or -25 or -24 in • 14 to -4 to +6 to 16 or SE HSPF less •15 •5 +a +15 mote 0.72 6.60 .0 0 0 0 0 0 0.75 Us 3 3 3 2 2 1 0.80 1.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 it 9 7 095 8.71 20 18 15 13 11 8 5 ERective SE or HSPF 17 S 14 12 9 (SE or HSPF x duct etliden4) 4 ENec9ve -25 or -24 to -14 b -41a +6 to 16 or SE HSPF less -15 -5 +S +i5 more 0.30 2.75 ./7 $4 -56 -117 38 30 na 3.41 -15 -39 -34 -29 •24 -18 0.40 167 -34 .W -26 -22 -18 -14 0.!0 4.58 -10 -9 3 -7 -5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.s0 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 40 17 13 1.00 9.17 37 32 28 24 19 15 15 Zonal Control Adjustment None Zonal Coauvi Adjusunent .3 System Type 10 8 7 6 4 3 Resistance 10 9 7 6 4 3 Omer 6 5 4 3 2 2 12. Cooling Syst•:m SCORE CARD U-vaiue(0.65] % Total CLS(161 SEER 7. Shading (Shade Open)�- Measures One (assmatt duces In attic) .4 .4 Sim of 7-110 .2 -2 Two + .25 or .24 b ►14 b -< In +6 to 16 or SEER .leas •15 1 •6 +5 +15 man 8.0 .td -12 -10 4 .6 -4 8.5 g .7 S -5 -A -3 8.9 .5 .4 .4 .3 .2 •2 9.0 .l 3 3 -2 •2 -1 -9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 105 7 6 5 4 3 2 11.0 10 9 7 6 4 3 iz0 15 13 11 9 7 5 13.0 17 S 14 12 9 6 4 Etradve SEER HWR 8 5 (SEER xiod efScie 7) 3 3 QIA of 7-10 WS3 5 Effecree-25 or -2410 -1410 -4 b . +6 to 16 or SEER Vass .15 S +5 +15 more 5.0 40 .25 41 -17 -13 -9 6.0 .12 .11• -9 -7 S -1 6.6 5 -4 •4 3 -2 •2 . 7.0 0 0 0 0 0 0 8.0 3 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 20 26 22 18 114 9 13.0 33 29 24 20 15 10 None Zonal Coauvi Adjusunent .3 -2 10 8 7 6 4 3 Solar No Cooties; System Installed 5 -Stories SCORE CARD U-vaiue(0.65] % Total CLS(161 Sum lc 7. Shading (Shade Open)�- Measures One •5 .4 .4 3 .2 -2 Two + 3 3 WallInsulation f 2, bq or b. East Singie•Fltm4 Detached and Attached R -value (1'11 U-vaiue 10.0981 iUnit Size (so If= Water :139 120. 1700 2200 2700 Heater trea or • b to to . or Type Typo less 1699 2199 2699 mon SG None 0 11 0 0. 0 0 or Solar 12 ' 8 6 5 4 HP HWR 8 5 4 3 3 9. Interior Thermal Mass WS3 5 3 3 2 2 COND. FLOOR POU 8 5 4 3 3 SE None 37 -24 -18 -15 •12 O% Saiar •1 .1 .1 0 0 U HWR -18 42 -9 -7 3 27 WS3 -z5 •16 -12 -10' 4 4.2 POy -18 -.12 •9 -7 -6 IG None -5 .3 -2 .2 -2 1.1 Solar 7 5 a 3 2 13 POU 3 2 1 1 1 IE None -28 -19 -14 •11 -9 1 Solar 8 5 4 3 3 14 POU •10 S -5 s 3 19 Multi-F=dII (individual units) 43 4.5 4.8 It Unit Size (sn 5.4 5i Water OS 699 700 1200 1700 2200 Heater Gedt or tob 26 b or Type Type less 1199 1694 2194 man SG None 0* 0 0 0 0 or HWR 14 7 5 4 3Hp ; 24 26 2.8 3 12 14 16 16 WS3 9 4 3 2 2 51 POU 9 5 3 2 2 SF None _tS -23 -15 -11 -9 3 Solar 2 1 1 0 0 l4 �S8 .23 -12 -8 -6 •5 5.9 6.' SS% r25 -13 -8 -6 -5 2 _ P_QU -23 _2 -a b .5 IG None a .4 -3 .2 -2 4.9 it 6 3 2 1 1 1 POU 171, 0 0 0 0 IE-- -No^e - .33 - 13 -:0- - -0r-- .6 U Solar 18 9 5 1 1 28 POU -a _t .3 _ •2 Imerior Mass1CFA . TM I ■►al u.7�ttC•..If SCORE CARD U-vaiue(0.65] % Total CLS(161 Sum lc 7. Shading (Shade Open)�- Measures 1. t Type 1 MJLS3 (UIM[ s 4.2. Sbf •sowed slab) or f°o Glass SC Eff. % R-valae(381 U -value (0.0301 2. WallInsulation f 2, bq or b. East 0 x R -value (1'11 U-vaiue 10.0981 3. Raised Floor Insulation or If= 3 R-valotJ191 U -value (0.0371 4. Slab Edge Insulation or e. Skyll ght �_ x R-vahtt: (01 F2 factor 10.-M S. Infiltration Standard 0% S% I(M 15% T% S3% 30$ fl57 Atl%.45% - 50% 55% 60% 834. 70% 73% 80% 85% 90% 05% 1007:11057:1101:1157. 1207:1:`. e. Skyli ght J(�_ x = U 9. Interior Thermal Mass t TYPE 1 t4ASS AREA 1( � InteiwrNvs/CFA COND. FLOOR AREA AREA r` 10. Exterior Wall Mass TYPE 2 MAS N0. F L OR AttEA - Sum t .. . 11. Heating System E um" W .M. . x = O% 0 a2 0.4 OA U 1.1 U 13 1.7 1.9 11 23 15 27 11 12 14 16 18 4 4.2 44 .1.6 .4.8 S 51, IV. 0.2 114 as 0.6 1 1.2 1.4 1.6 1.1 It z3 15 Zl 21 11 13 15 17 4 42 4.4 45 '4.6_ 5 52 5.4 29% a3 as a's 1 1.2 1.4 1.6 1.8 2 22 14 Z7 29 11 13 15 17 19 4.1 43 4.5 4.8 5 52 5.4 5i 30% OS a3 Q9 1.1 1.4 1.6 1.6 2 Z2 14 26 28 3 32 3S 17 33 4.1 43 45 4.7 49 5.1 S.3 56 S 407. a.1 a1 1.1 13 1.5 1.7 11 22 24 26 2.8 3 12 14 16 16 4 4.3 4.3 4.7 4.9 5.1 51 53 5.7 5 SOT. 19 1.1 1.3 13 1.7 19 21 Z3 2S 27 3 32 14 l8 3.8 4 42 l4 4.6 41 5.1 5.3 5.5 S.1 5.9 6.' SS% 19 1.1 1.4 1.8 1.8 2 22 24 26 28 3 12 15 17 19 4.1 43 4.3 4.7 4.9 it 53 56 $.8 6 6 . 60% 1 12 1.4 1.7 1.9-Z1 1 _6: 65% 1.1 U 1.5 1.7 1.9 22 24 26 28 3 12 14 36 3.8 4 43 lS 4.7 11.9 51 S 3 S 5 5.7 5.9 6 1 6 • 707: 1.2 1.4 t.s 1.6 2 22 2S z7 21 311 13 15 17 19 U 4.3 46 la 5 5.2 5.4 5.6 58 6 62 64 7S% 13 15 1J 1J 11 2.3 2S z7 3 12 14 16 l8 4 42 4.4 49 a 5.1 SS _ SS 5.7 S.9 6.1 6.3 61 or. 1.4 i.5 1.8 2 12 14 26 28 3 13 IS 17 19 4.1 4.3 4S 4.7 4.0 5.1 5.4 St 5.8 6 62 64 6E 8S% 1.4 1.7 1.9 21 23 2S 27 29 it 13 15 18 4 4.2 4.4 46 4.1 S 52 54 56 59 6.1 63 6S 6: 901r. 1.5 1.7 2 22 Z4 2s 21 3 32 14 16 36 41 U 4.5 4.7 4.9 It 53 .55 51 5.9 62 64 66 6: 957: 1.6 tJ 2 22 25 2T Z9 11 33 15 17 19 4.1 43 4.6 4,6 S S2 5.4 56 58 6 S2 6.4 6.7 6 s 100% 1.7 19 21 23 2S 26 3 32 3A 10 3.8 4 42 44 46 43 SI 53 53 5.7 SA 6.1 U 63 6.7 7 105y. 1.8 2 22 14 26 18 3 13 33 17 19 4.1 4.3 43 4.7 49 Si 14 39 is 6 6.2 6.4 66 98 7 110y. 1.9 21 23 2S 27 29 11 13 16 3.6 4 42 44 4.6 4.8 S S2 5.4 5.7 59 61 U 6.5 6.7 69 7.' 115% 2 Z2 24 26 26 3 12 14 16 18 4.1 4.3 4.5 4.7 4.9 S1 S3 55 5.7 5.9 6.2 6.4 6.6 6.6 7 7: 123% 2 23 IS 27 29 11 13 15 17 19 4.1 44 4.8 4.8 5 12 S.4 56 SO s 62 6.S 6.7 6.9 7.1 7: 125% 21 23 2S 28 3 3.2 1A 16 3.6 4 42 4.4 4.6 49 11 53 53 ST 5.9 6.1 63 63 6.7 T 7.2 ,7.• Point System Summary: Climate Zane 11 SCORE CARD U-vaiue(0.65] % Total CLS(161 Sum lc 7. Shading (Shade Open)�- Measures 1. Ceiling Insulation or f°o Glass SC Eff. % R-valae(381 U -value (0.0301 2. WallInsulation f 2, bq or b. East 0 x R -value (1'11 U-vaiue 10.0981 3. Raised Floor Insulation or If= 3 R-valotJ191 U -value (0.0371 4. Slab Edge Insulation or e. Skyll ght �_ x R-vahtt: (01 F2 factor 10.-M S. Infiltration Standard 6. Glass Heat Loss % Glass SC Point Scores 0 Type(double( U-vaiue(0.65] % Total CLS(161 Sum lc 7. Shading (Shade Open)�- f°o Glass SC Eff. % a. North :z�_ x -?7 b. East 0 x I= O_ c. South 5 x If= 3 d. West / • S x e. Skyll ght �_ x 8. Shading (Shade Closed) % Glass SC Eff. S Glass -75 -,A a. North b. Fast :z. ;?_ x go x =q = - �•�-- c. South t f x -�' d. • West/• x - e. Skyli ght J(�_ x = U 9. Interior Thermal Mass t TYPE 1 t4ASS AREA 1( � InteiwrNvs/CFA COND. FLOOR AREA AREA r` 10. Exterior Wall Mass TYPE 2 MAS N0. F L OR AttEA - Sum t .. . 11. Heating System E um" W .M. . x = -1`3Zonal J Control? ( Yl% N) S tar . 10,7y6A Duct Effieimry 10.781 Eff active SE or HSPF la -W5.151 I 12. Cooling System �iGf x 4 _ + Zonal Cona-al? ( Y / N) sEZI 1951 Duct Yr, cy [0.741 FlfC_=%16 SEER (7.031 0 13. `Vater Heating -6 _ - -- - - - Credit (naleJ Pni nr 7'ntal-4-10 Lertiiicace orCompuance: rceslaenuai• Climate Lone 11 Project Tlue Address BLTILDING DATA wused oned Floor Area / 70 floor WSingle Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family QvM A Number of Stories Number of Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition BuildingemtiL it 4 Checked B y Data Fnforceneiit Agency Ust:0 iy Glass Areae 4b G1�� t North East South West Skylight O — TOW /S BUII,DING SHELL INSULATION Component Insulation Locafion/Qomraents Type R -Value (atic, to garage. =i=L eta) ' WaU.............. Wall... Roof ............. ALSO Roof ........... – Floor ............. t Floor ............. Slab Edge..... GLAZING Shading Devices GIazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (Tolle= blind. etc.) (shadescram etc) (yeshto) (metallwood) North ( ) iris North ( ) East ( ) �% rI •, East ( ) Sough South West West Skylight....... �� THERMAL MASS •� Type/Covering Area Thickness (stab/ext)osed, tile, etc.) s inches Location/Dmcri tion itchen• bath, etc. /AP '(ort HVAC SYSTEMS . l finimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # condi(ioner, heat vulny) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS�J� -x-V Ki ' }) G. Tank Manufacturer/Model # System T . (Storz a as, etc.) Capacity ora roved equal) Soe°�' SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I Mandatory Measures Checklist: Residential MF -IR Nor- Lo- se resKk ncW buildings subject to the Sortdants mug contain CKIMpliaeec approach used. Items marled wun in umna (-) may be woorscded by mors stnngetu compliance requirements fisted on ole Ccairratc o(Cornptianoe. When the checl,1*, u incorporated inn the petmit documents. the (erose molcdsmd be conudercd by all panes as binding minimum component pefonnance spooCrations (or the mrndxtory measure; .Maher they arc shown elscwhcm In the documents or on this checlW" only. . DESCRfPnON . I DESIGNER I ENEORCEUVIr BuiWint Envelope Measures • 52.5352(a): Minimum, ceding rnsulatiom R•19-eighted average. 42.5352(b), Loose fill imialm manu(acum's labeled R -Value. • 12-5352(e): Minimum waU insulation in framed walls R -I I weighted aveage (does not apply to cstenor mass waUs)- §2.5352(kk Slab edge insulation . water absorption nee no greyer than 03%. weer vapor uansmtssrom n¢ no grater than 2.0 pc mftnrlL 1 . §2.5311: Insulation spoctrsed or installed mats California Energy Cornmission (=quality standards. Indicate type and torn. 62.5352M Vapor banum mandatory in Climate Zanes 14 and 16 only. 12.5317: InfnlcmuordExGltratiun Controls L Doors and wudows between condntnoned and unconditioned spaces designed to limit air Itakage. '. f b. Doors and windows cutiried. e Doors and winder-s-adnerstripped: sV joints and penetrations caulked and salad 42.5352(e), Special imftttu m baric installed to comply with 62-5351 merest CEC quality standards. 12.5352(d): Gmallauon al lrotptaccs 1. Masonry and fatsory-busts fireplaces have a. Tight fitting, close&ble metal or glass door b. Outside air make with damper and control e Flue damoar and control 2. No comunuous burning gas pilots albwcd HVAC and Plumbiog System Measures 12-5352(g) and 2-5303: Space conditioning equipment sizing: attach—A-J,00ns �e §2-5352(h) and 2-5315: Setback tserrnoasu on aU applicable heating systems. • 12-5316(x) Ducts cangnsclrn, installed and insulated per chapter 10. 1976 UMC §2-5316(b): Eahaug systana have damper controls. §2.5314(c): Gas -rued space beating equipment has intermittent ignition devices tt , ;•�+ 42-5314: HVAC cqu>ipment. water heater, showerheads and faucett unified by the CEC " 12.5352(x Water hater insulation blanket (R- 12 or greater) or combined imc ior/exte for insulation (R-16 or gmata): rust 5 feet of pipes cloaca to tank insulated (R-3 or grater). 12.5312(Exception It Pipe insulation on steam and Stearn condensate return & r=itculating piping. 12.5318(dy Swimming Pod Heating I. system has; a. ONoff switch on hater. b. Weuh-proof instruction plate on hater. e Plumbed to alio- for solar. 2. 75 percent Nenmal drrieney. 3. Pool cover. > t 4. Time clock. 5. Dirtsuoral water inlet. Lighting and Appliance Measures ' 62.5352a Lighting - 25 Ionetu/walt or grater for general lighting in kitchens and bathrooms. §2.5314(c): Gu Grad appliances equipped with inketmiucrit ignition devices. §2.53144}. Refrigerators. refrigerator4reciers. freezers and 0uorescm lamp ballasts erstirtcd by the CEC Indi—te make and motet number. , COMPLIANCE STATENDENT This certificate of compliance lists the building fmaires and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Clupttr 2. Subci peer 4. Article 1 of the California Administrative code. This certificate has b= signed by the individual with overall design nxpcnsibility and dx building owner. who shall retain a copy of it and transmit the certificate to any subsequent purd)aser of the building. Designer Naive: TukiFir. Addm= Tck w= i ('lgnaCurc) (date) i Documentation Author Name: - tae F., Building Owner Name: Tatk/Firlm Address: i Telephone: (signature) (date) Enforcement Agency Name: Age err. T_f—L 7 tow .5. Infiltration (Air Leakage) Spwfcacon Points $tartdafd 0 6. Glass Heat Loss Total 1. Ceiling Insulation - Sum of 1.6 (pa cent Number of stories Pement R -value One Two Three .41 to R-0 -103 -49 32 Double R-19 -8 -4 2 less R30 •2 -1 -1 39 R38 0 0 0 40 U -value 3 -26 -14 0.50 -176 -84 -54 -75 0.30 -102 .49 32 - ! 0.10 -26 -13 -8 -21 0.08 -18 .9 -6. 12 Us -11 •5 -4 -12 0.04 .4 .2 -1 28 0.02 4 2 1 .2 O.CO 11 5 3 a 0.06 -6 ` 3 -2 6 O.C4 .1 0 0 -15 2. Nall Insulation 4, 2 1 14 Single- Single- 3. -7 Famdy Family Mul6- Number of stories R-value Detached Attached Family One Two R-0 -68 -51 34 -11 .7 R-11 0 0 0 -4 -4 R-13 „ 2 2 1 -2 -2 �8 3 4 - • 9 .0 -value _... '. ...... ' r .0.80 -----153 - _._-114 _ ' ...- - --0 50 - '" -91 a8 _db 5 0.30 -47 36 -24 Three 0.10 0 0 0 a 0.08 4 3 2 2 O.C6 9 7 5 = 0.04 14 11 7 f 0.02 19 14 10 .1 _ .0.00 24 18 12 0 13 .5. Infiltration (Air Leakage) Spwfcacon Points $tartdafd 0 6. Glass Heat Loss Total --3. Raised Floor Insulation - Sum of 1.6 (pa cent Insulation in Floor %Glass Pement East Number of stories St to .41 to R -value One . Two Three Double R-0 -.17 - -8 .5 less R -i t 3 .2 4 39 :. R-19 0 0 0 40 R-30 3 -26 -14 U-vaius 8 35 -75 _ -144 -70 -46 - ! 0.50 -120 -58 38 -21 0.40 -95 -46 30 12 0.30 -69 44 .22 -12 0.20 -13 -21 -14 28 0.10 -17 -8 -5 .2 0.08 -11 ..-6 .4 •52 0.06 -6 ` 3 -2 6 O.C4 .1 0 0 -15 0.02 4, 2 1 14 0.00 10'' 5 3. -7 Controlled Ventilation Crawispace 7 14 Number of stories .43 -12 Fl -value One Two Three 14 R-0 -11 .7 -S -4 R-5 -4 -4 3 22 R-11 -2 -2 .2 3 R-19 15 21 �i 4. Slab F;dge Insulation .2 4 10 15 20 41 - -" Number of Stories 5 10 R -value One Two Three -4 • R4 0 a a i6 R-5 8 5 2 2 R-7 8 6 3 %',17 =' F2 facmr -1 3 8 0.90 -t ` 3 .1 -20 0.80 .1 -1 0 13 0.70 2 i 2 1 1 0.60 0.50 %6 , .. t 4 -3 9 6 ` 2 3 17 0.40 12 a 4 .5. Infiltration (Air Leakage) Spwfcacon Points $tartdafd 0 6. Glass Heat Loss Total Effective Pei c t Clan - Sum of 1.6 (pa cent 1.1 -value %Glass Pement East South St to .41 to .31 to 0.30 or Glass Single Double .60 -50 ,40 less 50 -121 -53 39 •24 .10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 4 5 12 28 =55 -18 .10 .2 5 13 27 •52 .17 .9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 .43 -12 -S 1 8 14 23 -d0 -11 -4 2 8 15 22 47 -9 4 3 9 15 21 34 -7 .2 4 10 15 20 41 a 0 5 10 16 19'„ -29 -4 1 6 •' 11 i6 -:18 - - .---26 9 -3 2 _7 7 12 16 %',17 =' .23 -1 3 8 12- 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 a 11 15 18 12 A 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 i7 19 9 -1 10 13 15 17 M 8 2 12 14 16 18 20 7. Shading (Shade Open) Etieett.e Peremt C127a (percent &I&= x SC) Md.' e Effective Pei c t Clan - Sum of 1.6 (pa cent glass x SC) %Glass North East South :West Skylight 18 5 1 4 1 na 16 4,_-- 2 5 .._. t .-.•. na 14 4 2 5 1 na 12 3 3 5 2 na _ 11 3 3 5 2 . na 10 2 3• 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 _ 1 . 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 .1 -1 -1 2 0 .1 .2 -4 -2 0 na = not allowed •4 0 2 3 & Shading (Shade Closed) na - rat alkwed 9. Interior Thermal Mass Interior Effective Pei c t Clan Stab Floor Sum of 1.6 (pa cent glass x SC) - SEER S10ries Masa Detached stones Famaf r_FA Cil" Nora East S41Uth West Skylight 18 -14 -48 a9 -64 na 16 .12 -42 -59 -55 na 14 .10 -35 •50 -46 na 12 •a -29 -40 37 na 11 •7 -26 36 33 na 10 -6 .23 31 -29 •74 9 -5 -20 -27 -25 X75 8 -5 -17 •23 •21 -56 7 •4 -14 -19 -18 •47 6 3 -11 .15 .14 38 5 Z -9 . -11 -10 -30 1 t a ' a -7 -23 3 0- -t . .5 d -i6 2 1 1 2 -1 •9 1 1 1 1 1 •4 0 2 3 4 3 0 na - rat alkwed 9. Interior Thermal Mass Interior Single.. Stab Floor Sum of 1.6 - Raised Floor plass - SEER S10ries Masa Detached stones Famaf r_FA One Two Three One Two Three 0.0 -8 -5 -4 •2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 .2 0 1 1 OS -6 3 -1 1 1 2 0.7 -5 •2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 . 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 it 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Etterior wan Single.. S'u,gle- Sum of 1.6 - F - SEER One Masa Detached Attaached Famaf 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8" 1.40 12 13 9 1.60 10 13 it..., 1.80 10 12 12 200 10 11 13 11. Heating System SE or HSPF (asstnues ducts In ante) System Type Resistance 10 9 7 6 4 3 Other 5 5 4 3 2 2 12. Cooling Syst•:1111 =tenor Wall Mass Sum of 1.6 - _ - SEER One -25 or -24 to -14 to -t to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 0 0 Effective SE or HSPF 4 3 3 (SE or HSPF x duct efficiency) Effective -25 or -24 to -i4 to -410 +610 16 or SE HSPF less -15 a +5 +15 more 0.30 27S -73 a4 -56 -47 38 .30 na 3.41 45 -39 -34 -29 .24 •18 0.40 3.67 -34 30 -26 -22 -18 .14 0.50 4.58 -10 .9 •8 -7 . -5 d 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 ' 9 7 0.80 7.33 25 22 19 . ,i 6 13 10 0.90 8.25 32 28 24 - 20 17 13 1.00 9.17, 37 32 28 24 19 15 0 Zonal Control Adjustment 8.0 System Type Resistance 10 9 7 6 4 3 Other 5 5 4 3 2 2 12. Cooling Syst•:1111 =tenor Wall Mass - - SEER One -5 -1 4 3 (assumet ducts In attic) Two + 3 3 Sten of 7-10 2 2 1 Fsfccdve SEER (7.031 -25 or -24 In ►14 In -4 b +6 to 16 or SEER .less -15 t -6 +5 +15 mon 8.0 -14 -12 -10 a -6 -4 8.5 .9 -7 a -5 .4 4 8.9 .5 .4 -4 3 .2 •2 9.0 -4 3 3 -2 .2 .1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 None 37 S -18 -15 •12 2076 Solar EReadve SEER -1 -1 0 - 0 (SEER xdaet eQldeney) HWR -18 -12 S%n of 7-10 -7 •6 17 Effective -25 or -24 to -14b -4 b . +6 b 16 or SEER less -15 -S +5 +15 more 5.0 •30 •25 41 -17 -13 -9 6.0 -12: -11. -9 -7 •6 -4 6.6 -5 -t -4 3 .4 -2 . 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 270 26 22 18 14 9 13.0 M 29 14 20 15 10 Zonal Caotroi Adjustment 10 8 7 6 4 3 No Coolies; System Installed • stories =tenor Wall Mass 11. Heating System One -5 -1 4 3 -2 •2 Two + 3 3 .: 2 2 2 1 Fsfccdve SEER (7.031 13. Water Heating j t 7TPt 1 tU►SS tUt/eC a 4.2, 1a. exposed -•labl Single -Family Detached and Attached I Unit Size (SQ i Water 0% ti39 .,1200 1700 2200 2700 Heater Credit or b to to ,or Type Type less 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 ' 8 6 5 4 HP HWR 8 5 4 3 3 14 WS8 5 3 3 2 2 2S POU 8 5 4 3 3 SE None 37 -24 -18 -15 •12 2076 Solar -1 -1 -1 0 - 0 1.8 1.8 2 22 HWR -18 -12 -9 -7 •6 17 WS8 -25 -16 -12 -10' a 5.4 POU .18 _-12 -9 -7 -6 C None -5 .3 .2 .2 -2 15 Solar 7 5 .4 3 2 4.9 5.1 POU 3 2 1 1 1 IE None -28 -19 14 -11 .9 12 Solar 8 5 4 3 3 4.7 POU -10 a •5 -4 -3 a9 MuiU-Family (individual units) 13 1.7 i9 21 III 2S 27 Unit Size ($Q 32 Water 31 699 700 1200 1700 2200 Heater Credit or to to b or Type Type less 1198 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 21 WS8 9 4 3 2 2 l2 POU 9 5 3 2 2 SE None 45 -23 -15 •11 .9 17 Solar 2 1 1 0 0 11 HWR .23 -12 -8 •6 '•5 S3 WS8 .25 .13 •8 a •5 i.4 _ P4U _23 _12_8 22 a -5 {G None a .t .3 •2 .2 5 Solar 6 3 2 1 1 75% POU 1 0 0 3 a IE None 30 15 -10 -8 a 46 Solar 18 9 6 4 4 6.3 POU a -t .3 -2 .2 3. Raised Floor Insulation or R -)value 1191 U -value (0.037] 4. Slab Edge Insulation or R -value (01 F2 factor 10.771 S. Infiltration Standard 6. Glass Heat Loss ( lel U-Value[0.65] 4LT 1161 7. Shading (Shade Open) azo Gd SC Eff� Glass a. North e x % % _ �v4Z_ b. East x = _0_ C. South X 3,00 d. West • 3 x = / • dd e. Skylight _�_ x 8. Shading (Shade Closed) 0 Sum to 9'o Glass SC Eff Ja Glass --L- a North x _ b. Fast x = �_ C. SOtltll X = --� /. d. West 3 x =_ e. Skylight _�_ x ' 77 9. Interior Thermal Mass TYPE 1 MASS AREA DntsriorNusiCFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = 1t ND. FLOOR AREA _ =tenor Wall Mass 11. Heating System x InteriorMoss/CFA SESE or RSPF Duct lueacy (0.781 Effective SE or 12. Cooling System (07i(I x - �71 HSPF 'Al I T'T►f t PASS Il. 7gT•C•.:71 _� S 19 1 - - - - Fsfccdve SEER (7.031 13. Water Heating j t 7TPt 1 tU►SS tUt/eC a 4.2, 1a. exposed -•labl Credit (noncl i 0% 5% 10% 15% 20% 2S% 3016 3S% 40% ISY. 50% ISS% 60% IlA 70% 75% 1111% 8S% 90% 95% 1007: t0S9. 1107: Its: 120% 125- 0% 0 02 0.4 0.6 0.8 1.1 13 13 1.7 1.9 21 23 25 27 29 32 14 16 3.8 4 42 4.4 -4.6 4.8 5 53 ' 107: 112 14 ai 0.6 1 1.2 1.4 1.8 1.9 21 23 2S 27 29 11 23 35 17 4 4.2 4.4 4.6 z.8- S 52 5.4 2076 a3 0.6 at 1 1.2 1.4 1.8 1.8 2 22 24 27 29 11 13 15 17 19 4.1 4.3 4.5 4.8 5 52 5.4 55 i 30% a5 tU a1 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 15 17 33 4.1 4.3 4.5 4.1 4.9 5.1 S.3 56 5S 40% al 49 1.1 1.3 1.5 1.7 19 22 24 26 26 3 12 74 16 16 4 4.3 43 4.7 49 5.1 5.3 5.5 5.1 59 50% a9 1.1 1.3 13 1.7 i9 21 III 2S 27 3 32 14 31 it 4 42 4.t 4.6 4.8 it 5.3 i5 51 i9 6.1 i SS% 0.9 1.1 1.4 i.6 1.8 2 22 24 26 28 3 12 35 17 19 41 4.3 4.S 4.7 4.9 11 , 53 56 S.6 6 6 2 617% 112 1.4 1.7 1.9 21 23 25 27 29 3.1 3.3 3.5 3.8 4 l2 444.6 4.8 ' S 52 5.4 5.6 5.9 61 63 65% 1.1 11 1.3 17 1.9 22 24 26 28 3 12 34 36 11 4 4.3 4S 4.7 4.9 5.1 S3 55 5.7 5.9 6.1 64 70% 12 i.4 1.6 1.1 2 22 2S it 29 11 13 35 17 19 11 43 4.6 46 5 5.2 5.4 5.6 5 8 6 6 2 64 1 75% 1.3 13 t-1 19 21 2.3 25 27 3 32 14 16 18 4 42 4.4 46 4.8 5.1 i3 53 5.7 19 5.1 6.3 65 807. 1.4 1.6 1.8 2 22 24 26 28 3 13 IS 17 10 4.1 43 45 4.7 40 5.1 5.4 56 5.8 6 6 2 6 t 6 6 65% 1.4 1.7 19 21 23 25 2:7 29 It 3.3 3.3 21 4 4.2 4.4 4.6 41 S 52 S4 5.6 59 6.1 63 65 67 907.' 1.5 1.7 2 22 24 2621 3 3.2 l4 18 31 4/ 4.3 4.5 4.7 49 it 33 . SS 17 5.9 5.2 64 6 66 95% 1.6 .IA 2 22 25 27 29 it 33 35 11 19 11 4.3 4.8 4.1 S 12 5.4 5.6 i8 6 6.2 6.4 :. 6.7 6.9 100% 1.7 19 21 22 25 28 3 32 3A 3.6 38 4 42 44 46 4.9 it 13 SS it 59 6.1 6.3 6.5 6.7 1 105% 1.8 2 22 24 26 28 3 13 IS 17 19 4.1 4.3 43 4.7 49 11 5.4 58 5.6 6 6.2 64 6.6 So 7 1107. 1.9 21 23 25 21 29 11 13 36 3.6 4 4.2 4.4 46 4.8 S S2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 62 7.1 115% 2 22 24 26 28 3 12 14 16 36 4.1 43 4.5 4.7 4.9 i1 i3 5.5 5.7 5.9 6.2 6.4 6.6 6.1 7 72 I 120% 2 23 2S 27 29 11 33 15 3.7 3.9 41 4.4 4.6 48 S 52 U 5.6 58 6 6.2 6.5 5.7 6.9 7.1 Z3 1 125% 21 23 2.5 26 3 12 14 16 IS 4 4.2 4.4 .4.6 49 11 5.3 IS it 59 6.1 i3 63 6.7 7 7.2 ',7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures Point Scores 1. Ceiling Insulation q40 or 2. Wall Insulation JJ? v 1381 '`- / or U -value 10mol R -value ( 1J U -value (0.098) - '- 3. Raised Floor Insulation or R -)value 1191 U -value (0.037] 4. Slab Edge Insulation or R -value (01 F2 factor 10.771 S. Infiltration Standard 6. Glass Heat Loss ( lel U-Value[0.65] 4LT 1161 7. Shading (Shade Open) azo Gd SC Eff� Glass a. North e x % % _ �v4Z_ b. East x = _0_ C. South X 3,00 d. West • 3 x = / • dd e. Skylight _�_ x 8. Shading (Shade Closed) 0 Sum to 9'o Glass SC Eff Ja Glass --L- a North x _ b. Fast x = �_ C. SOtltll X = --� /. d. West 3 x =_ e. Skylight _�_ x ' 77 9. Interior Thermal Mass TYPE 1 MASS AREA DntsriorNusiCFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = 1t ND. FLOOR AREA _ =tenor Wall Mass 11. Heating System x Zonal Control? (Y / N) SESE or RSPF Duct lueacy (0.781 Effective SE or 12. Cooling System (07i(I x - �71 HSPF 'Al Zonal Control? ( Y / N) _� S 19 1 - Duct lifticiemey 10.741 Fsfccdve SEER (7.031 13. 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