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HomeMy WebLinkAbout024-210-013024-21-0-013 93-3798 BPE A.P. # 024-21p-013 REED, WILLIAM 12250'METTEER RD, LIVE OAK /A� Aq -MINOR USE_PERMIT #,,.98-01 CONTR: BILL WAGNER ADDITION/SF 024-21-0-013 _ 94-0298 B,E` \ REED, William 'l 101109%_1 12250 Metteer Road. Live Oak Area -(addition & remodel)SF,,,Bill Wagner 024-210-013 #98-1833 REED, BILL 12250 METTER, GRIDLE 0 OWNER .�� ADDITION TO SF-_f11P 024=21-.0-013 99-0683 B REED, Bill 12250 Metteer,_ Gridley (add open couc V-, (ei 0247210-013 99-1970 REED, BILL 12250 METIER ROAD.; GRIDLEY "CONTR: OWNER 1sT RENEWAL OF BP# 98-1833 908-0771 ncrL V1j8108 024-210-013 MISCELLANEOUS Electrical SERVICE POLE`FOR AG PRODUCTIG 12059 METTEER RD REED WILLIAM G & PEG, E d'- Timm, Y BUTTE ,COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-1636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 53ti-2140 Website: www.buttecounty.net/dds Permit No: B08-0771 Issued: 4/25/2008 Address: 12059 METTEER RD Area: GRIDLEY Owner: REED WILLIAM G & PEG, Applicant: SUPERIOR WELL SERVICE Permit Type: Electrical APN: 024-210-013 Description: SERVICE POLE FOR AG PRODUCTION AREA 1 0 Flood Zone: None SRA Area: No Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROW� D BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do .Not .Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B. W.P. -Interior 135 Shearwall/B. W. P. -Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical AOR G4 OFFICE COPY Sj Bldg Permit: gFi Fi Address: .-_- Finials GAS By: _ Date Electric By: �� ( Date: 2 813 Inspection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 538-7281 Ceiling Insulation 118 Do .Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-GunutO 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 /V -rrulect rinai is a t,ernneate of occupancy for (Kesiaential Vnly) PERNII'I'S BECOME NULL. AND VOID 1. YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMNIENCED, YOU MAY PAY FORA I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy :N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 12059 METTEER RD APN: 024-210-013 Owner: REED WILLIAM G & PEG, Permit No: B08-0771 Issued Date: 4/25/2008 By GLB Permit type: MISCELLANEOUS PO BOX 471 Subtype: Electrical LIVE OAK, CA 95953 Expiration Date: 4/25/2009 Description: SERVICE POLE FOR AG PRODUC' Occupancy: Zoning: A40 Contractor Applicant: Square Footage: SUPERIOR WELL SERVICE SUPERIOR WELL SERVICE Building Garage RemdUAddn 1021 ELLA AVENUE 1021 ELLA AVENUE MARYSVILLE, CA 95901 (530)741-2598 MARYSVILLE, CA 95901 (530)741-2598 Other Porch/Patio Total FEE INFORMATION DBA Permit Issuance $58.90 DBA Travel and Documentation $89.35 DBE Three Phase Service (amps) $118.98 Total Charged: $267.23 Fees Paid: $267.23 Balance Due: $0.00 Receipt No: B7150 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SUPERIOR WELL SERVICE C466272 / C57 / 11/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects I HEREBY AFFIRM DERPENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with ctio 000) of Division 3 of the Business and Professions Code, and my license is in fu I force an a X 4/25/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section need not be completed if the permit is oror on�llars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 4/25/2008 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation L cos of California, and agree that if I should become subject to the workers' compensation visio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Owners Signature Date X; 4/25/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harnless officers, agents and employees from any and all claims and liability for personal Butte County, its o injury, including death"d prop damage caused by, arising out in anyway connected with the issuance of this it. I reby acknowledge that issuance of thisis pea rmit does not authorize the Ise or occupancy y ' ewalk, street, or subsidewalk. I hereby authorize representatives of Butte nty to enter e e mentioned property for inspection pu ses. I hereby certify that I am the erty o or ed to act on the property owner half. 4/25/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( 1 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY Name of Permittee (SIGN] PrI Date IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR; DAgent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. (� BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Name" ��o First Name 1// Mailing Address I �O�S 9 /J1 �'T T cf_& e, V_ City OA Stateev, Zip Phone O ax E-mail Lic. #yg-�a APPLICANT INFORMATION CONTRACTOR Name City Address /,v /glJt✓' , Ci ✓ St% Zip Phone,_,�_U Z �_ Fax E-mail Lic. #yg-�a Class .7 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PP (CANT SIGNATURE X / PROJECT LOCATION AP# 62 Li _ 2'10 —0 Property Address 2 G E T Lsa 2 e j, city WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. S�` r. 024-210-013 99-1970 REED, BILL 12250 METTER ROAD, GRIDLEY CONTR: OWNER IST RENEWAL OF BP# 98-1833 ,;z 024-210-013 99-1970 REED, BILL 12250 METTER ROAD, GRIDLEY CONTR: OWNER IST RENEWAL OF BP# 98-1833 ,;z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 T NO. (Rev. 12/96) APPLICATION AND PERMIT-� ASSESSOR PARCEL NUMBER 024-11 - _t I ZONINGZONING BUILDING PERMIT OWNER ATL TELEPHO IE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS P () Phil 4711 T TVV OAV r_ n zn CONTRACTOR'S NSM t,4ER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee I ORIGINAL $ 204.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILD1N2�k 14EE.. ',R . GRTDLEY Energy Plan Checking Fee $ $ PERMJT,FEE S 224.00 LAT NO. SUBDrvMONS NAME ;-�.,� �r - PARCEL MAP •-- -- PLUMBING', PERMIT Filing'Fee20.-00" Each Trap I r t;?, 7.00 " USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ADDITION SPECIFY - Solar or heat um 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 t Describe Work: 1ST RENEWAL/98-1833 I t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR UES Main Service zo.A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION + I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter t 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. i License Class I E OWNER -BUILDER DECLARATION �OUTLET 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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 ' I ;I ' 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. A ❑ 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 I Main Service 200A TO /000A 46.00 NEW CONST. OWELJNG OCCUP, SO OR ADDNS. ( & ADC. BUDS. 3.50FT_ NEW CONST. MULTI.O UTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CTR. Ex, Occup.BA0 p 1.000 OR FIXTURES Ex. Occup. ovrLEEDTSA AEsID.LNS oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 7. PERMIT FEE .$ - ' - ^20.00 MECHANICAL PERMIT Filing Feel 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.) ❑ 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 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 $ 224.00 HAI. D. FEES IMP I FLOOD I CDF PARCEL r7l 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. r BX•�` Ys�!!! t 14`-4—D ate 9/11 /2(700 PERMIT EXPIRES ON Date ReceiptNo. LQ�]� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF,DEVE-LOPMENT SERVICES - BUILDING DIVISION 7 County Center. Drive • Oroville, California 95965 • Telephone (530) 538-7541 T NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-21-0-013 ZONING A BUILDING PERMIT OWNER BILL REED TE o 69 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS TIME OAK CA 959513 CONTRACTOR'S VIV ITER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee 2 ORIGINAL $ 204.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILfffl ffsl�ETTER , GRIDLEY Energy Plan Checking Fee $ PERMIT FEE S 224.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ADDITION 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: IST RENEWAL/98-1833 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service pOAORLESS 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.POWEPPARATUS License Class Lie. 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 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 200A iOOOA ToNO 46.00 NEW CONST. DWELLING CUP. OCCU OR ADDNS. ( a ACC. Bins. SO 3.5¢x: Ipµq�,pT' MBRANCI.OUTLEr 97,50 8 SINGLER AOUTLET CIR. EX. Occup. OUTLET OR FDMRES .00 BAL @ I.50 Ex. Occup. GFucUTE Aa oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 294-00 FEES IMP I FLOOD I CDF PARCEL I PD 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. ate PERMIT EXPIRES ON 9/11/2000 pate Receipt No. 0 �% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building pernut has been applied for in your name. and -bearing your signature. Please complete and return ,this information' at' your earliest .opportunity^ to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. '1 personally plan to provide the major labor and materials for . construction of the proposed property improvement: YES K NO[ ]. 2. I HAVE"HAVE NOT[ ] signed an application fora budding permit for the proposed work . 3. I have contracted_ with the following ,person (firm) to provide ~the' proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: , 4. I plan to provide 'portions of this work, but I have hired the4 following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following -persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:— DATE: � UMBER: DATE:. �f ,) 5 - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 0R4(—a/_ 0-0,t-3 tot,' . O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. . For your .protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number_ on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you; planto subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are` not licensed as contractors or subcontractors, then you may be an employer. 0 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 securitytaxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks'for'you if you do not carry out these obligations,"and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale,'property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 AUGUST 10, 1999 BILL REED P. 0. BOX 471 LIVE OAK CA 95953 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 RE: Building Permit # 98-1833 Expiration Date: 9/11/99 A.P. # 024-21-0-013 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: [?]XX Permit work started, but not completed. Permit maybe renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Chico Office - 1469 Humboldt Rd/891-2751 Yours very truly, 4Mic4Vkira, C.B.O. Manager, Building Inspection Paradise Office - 747 Elliott Rd/872-6307 Wit 4 ,i CERTIFICATION OF INSULATION ADDRESS O TRACT SACRAMENTO INSULATION CONTRACTORS LOT M P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 �.. '� �� ❑ P.O+BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 �./ 0� ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 J ❑ 3326 A PONDEROSA WAY, LAS.VEGAS, NV 89118 LIC. #10675 OAT ULA 10 M 1�m CEILINGS �•• ( SQUARE FEET) ( SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS - FIBERGLASS _ FIBERGLASS' - M FORM FORM FORM BATTS BATTS & BLOW BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER OCF OCF OCF BAGS R - VALUE X APPLIED R - VALUE APPLIED MIN. INSTALLED R - VALUE APPLIED I INSTALLED THICKNESS INSTALLED THICKNESS WEIGHT PER SQUARE FOOT INSTALLED THICKNESS No - KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE • MATERIAL FORM R VALUE — MANUFACTURER FIBERGLASS BATTS. OCF AIR INFILTRATION SEALANT MATERIAL MANUFACTURER I W R GRACE w THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH'APPLICABLE CODES; MATERIAL STANDARDS AND REGULATIONS. SIGNAT E—I ULATIO TRA— TITLE TE MANAGER 9 SIGNATURE —GENERAL CONTRACTOR TITLE DATEI I{ ( REMARKS: - ' f s s SIC -303 BUILDER COPY .ter` -NOTES RESIDENTIAL t _ PERMITS' 024-21-0-013- - - -99-0683 B REED, Bill 12250 Metteer, Gridley (add open deck/SF) F F f S j i i i II SPECIAL CONDITIONS -1I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER . Q JOB FINALED (Date f �`� `✓ Signatu CHECKED BY V = OK 3. 0 = Not OK Not Applicable MOBILE HOMES = Not Ready 5. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 2. Soils; Special MH Support Sketch MISCELLANEOUS Date DECKS OVERS, CARPORTS GARAGES (Plans) OK except #'s 49 41 9 o ' Re ' ements-Setbacks-Easements Fo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; 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 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clea rances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s FINAL (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Receptacles and Lighting, Distance-GFI 5. Drain; MH Test -Fall -Flex Connector Elec.; Pool Lighting; 15 Volts-GFI 6. Water; MH Test -Regulator -Connector Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Gas and Electricity Tagged Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit 9. Tie Downs -Type -Installation Cert. Health Department Approval 10. Exits; Insp.-Sketch Plumb.; Cir. Test -Water Supply Test 11. Cert. of Occupancy Light Niche 12. Permanent Foundation Only; License Decal Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS OVERS, CARPORTS GARAGES (Plans) OK except #'s 49 41 9 o ' Re ' ements-Setbacks-Easements Fo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; 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-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. f; Shthg-Roofing V*fl-. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date L Card B-1 pate Card B-1 Dat Card B- 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- Pan elboards-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 J = OK 0 = Not OK - = Not Applicable = Not Ready r RESIDENTIAL (� Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Testa Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes J No/Walks ] Yes ] No/Planters Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic 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. Sits 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 jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer , 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes J No/Walks ] Yes ] No/Planters Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 8-754 PER o• (fkev.l2/9� APPLICATION AND PERMIT D� ff ASSESSOR PARCEL NUMBER 024-21-0-013 ZONING BUILDING PERMIT OWNER BILL REED TM!'N 707 SO. FT. OCC. BUILDING VALUATION 192 1344 . OWNERS MAILING ADDRESS P 0 BOX 471 LIVE OAK CA CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3:3' 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 122 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other BANK Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition OX Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: ADD OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLEFling 500VMain Service 200A 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: + I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason 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 c ' of one hundred dollars ($100) or less.) [�S 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 t Be provisions. X pal DateV' r 9 Signature of Applicant - wrier ❑ Contractor ❑ Agent An OSHA permit is required r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO /000A 46.00 NEW CONST. DWEwNG OCCUP. s0 OR ADDNS. ( OW.WC OCC. 3.5QFT. NoN-A°SID. MULTI -OUTLET @7,50 PowER APPARATus 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ I. 0 Ex. Occup. OUTLEEDTSA R91°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee Is Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 7(z. 0 HAZ. D. FEES IM FLo D cDF 1 P c 1 YDrV 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 Dat l PERMIT EXPIRES ON ete ReceiptNo. 264791 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: Aa "owner -builder" building permit has been applied for in your name and bearing your sigoapm, Please complete and return this information at your earliest opportunity to avoid unn ecesss�► �. in processing and issuing your building permit. No building permit will be issued until tbis verification is received. �1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES PC- NO O - ��2. I HAVE X HAVE NOT 0 signed an application for a building permit for the proposed w�ilc. 3. I have contracted with the following person (firm) to provide the proposed constrycHon: ;� ' -NAME;- ADDRESS: CITY:.7777— PHONE: CONTRACTOR'S LICENSE NO. t 4. I plan to provide po=tions of this work, but I have lured the. following person to supervise, and provide the major work: NAME: _ 47 .." ADDRESS:CITY• ' PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PRONE TYPE OF WORK" SIGNED: II c PROPERTYOWNER:'. /II C � SOCIAL SECURITY NUM03ER: DATE: —7— q-1� —�, "This Owner -Builder Verification is required by Section I993I an�798331'?fts California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propeity. improvements specified. For your protection. you should be aware that as "owner -builder" you are the msponsible party of record on satin . ; a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible" liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. t F 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: '' i 'It ♦ If you employ or otherwise engage any persons other than your immediate family, and the work(including miteriais and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors`or subcontractors, then you may bean employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and yoti are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions:.`.;` ♦ There may be financial risks for you if you do not c out these obligations, and these risks are p ecial'' Y y Y carry � esp iyserous with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service{and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ; If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building " permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs 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. 4irely, l C. Vi iia, C.B.O. r, Building Inspection NOTE. This Owner-Builder.Informatlon is required by Section 198.10 of the California Health and Safely Code - OVER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;-CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: P0_P.ZV ASSESSOR PARCEL NUMBER: C;LD ^� Proposed Buil mg Use: Building Inspector: Date:14-6 At time of permit application, I was advised the following data must be submitted prior to permit processingAd/or issuance: _ Date Received By 03. iemshave been submitted.----------------------------------------------------------------------------------- —3/4 setssigned by the preparer of plans.------------------------------------------------------------Complete 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. ---------------------------------------------------- 07. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ - ------------------------------------------------------------------------------------- O 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- OWianitation lood elevation certificate. ---------------------------------------------------------------------------------------- and plot plan approvalG�& Health Department. ----------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- l7. Planning approval for (A) Use: © 1 (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑20. Pre -inspection for required. Request to Building Inspector on 021. 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 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- 1128. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, C1 Grant Deed, Q'M.H. Title, ❑ Check to H.C.D $ . --------------- r3 030. Other:------- .Whe,yfou issue the permit r cess as follows ❑ Mail to owner, O '1 to contractor. CO-Telephon lowand hold for pickup a office. ❑ Deliver . ith inspector. Applicant: Gt4�* 'C/� / Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 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, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Di i i our , by Date: Plans reviewed by: Date: Plans approved by: Date. Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Anachad Floor Plan A had Sant to B.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I- u, l I l -�),-hn .0 I Z2S U M- Q-,12� LA Z t b— t Owner Location AP# Plan Approved for: Sewage Disposal Clearance for dwelling. Other /,;L Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Water Supply: Public Private Well"**"�- ill �- �- p Date (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 NUMBFP.� -- /T / ZONIN jl BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VAL AT N OWNERS MAILINGD SS CONTRACTOR'S NAME TELEPHONE 30 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMITg Filin 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ In tion ❑ ❑ Describe Work: 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 Filing Fee 20.00 Main Service zoOA 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: ❑ 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BUDS. 3.5¢FT, NON.RESIO. MULTMOUTLET @7,50 POWER APPARATUS a swGLE of fET CIR. Ex. OCCu OUTLET ORFVrURES B20 1.w Ex. Occup. ounEiS AesIoLNS �E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S 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 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 $ HAZ 1 O FEES IMP I FLOOD I COF PARCEL Po HD ssUE 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 provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR K -INSPECTOR GOLDENROD -APPLICANT f r � 024-210-013 #98-1833. _ RESIDENTIAL REED, BILL 12250 METTER, GRIDLEY OWNER ! ADDITION TO SF 9-11 PERMIT NO. r PERMIT EXPIRES 4 OWNER CONTR. `,ASSESSOR PARCEL 'LOCATION r CHECKED i BY SRA FLOOD CERTIFICATE REQ. 1 FIRE SPRINKLERS REQ. �. SPECIAL INSPECTION ITEMS VERIFY t , Temp. Power Pole Called PG&E lTemp. Elec. Service Called PG&E s} Temp. Gas Service r Called PG&E JOB FINALED (Date Signatu i E V=OK O = Not OK~ '=NottReaaldyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location-Test-Fall-Ci"oncrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location Test Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ ./Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / JUL / /Nat. or/ /'1 -'ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1: Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DemarKWake-Connector • 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/9 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date • Card B-1 ft MISCELLANEOUS Date DECKS, COVERS,. CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s • 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/9 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtq. 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 _No 0 = Not OK RESIDENTIAL - = Not Applicable * = Not Ready Date _UNDERFLOOR (Plans) OK except #s onin tbacks-Easments-FloodSlope IL/F,n , Main; Soils-Elec. Gmd. / P Fig. Depth r^ J7 Cl 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped v�)G 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors (Single & Duplex) 7. Slab, Steel -Wrapped Card B-1 Date Card B-1 . P' rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Card B-1 Date Card B-1 r. 10. Z. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test r 2. 3 Ur�Access . Water Pipe; Test -Anchors -Regulator -Service Test lectric Underground Pienums & Ducts; Clearance -Material -Support -Ins. ders-Sills-Anchor Bolts -Joists Vents-Crippies & Ventilation 35. 16. Insulation 36. Vent Fan, Exhaust above insulation Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 37. Dat Card B-1 Date Card B-1 Dafe Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 17. Water Htr.; Vent -Access -Combustion Air Baffle Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 1 . Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Gas Pipe; Sae & Anchors Ven ' on Throught House 891G_ is Proper Materials & Anchors 90. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. F' tore & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors Stapled R mex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI I sulated Neutral 0 Yes 0 No brvice-Riser Conductors & Ground -Main Disconect learances Panels-Motors-Mech. Epuip. Clothes Closet Light -Shower Light -Spa Light 4. Smoke Detector Date Stairs & Rails Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance MECHANICAL (Permit) OK except #'a Elec. Outlets & Recepticales at Kit. Counter 35. A.C. Ducts Insulation & Support 75. 36. Vent Fan, Exhaust above insulation Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 37. Condensate Drain & Overflow, Size & Grade 78. 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Insulation -Foam -Looked in Attic 39. Attic Access & Platform if Furnace in Attic l 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish Date A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground FRAMING (Plans) OK except #'s Ven ' on Throught House 891G_ is Proper Materials & Anchors 90. Corrections from Previous Inspections ails Studs -Nailing Spacing & Braces -Plates -Sound Gas Test -Meters Tagged, Gas -Electric 92, daring Walls over Girders & Floor Nailing 93. 431'att Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date j-- QCt'jCard Da'td- 45. Headers & Beams -Size & Bearing Date jor .4 RAMING (Continued) _VaKgers-Post Caps -Anchors -Connectors Af Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48:-Flf�place Ties or Type A Flue -Fireplace Throat clearance -Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions s+ r P Fire Protection Framing 52 �d t, iuep;ewall & Openings Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits Stai s; Width -Headroom -Rise -Run -landing -Fire Protection p. -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. iding-Nailinq Veneer Screed -Fd. Vents-Underflr. Access •5". lazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls'rNailing-Bolts , 60. Brace IDKrior / Exterior Wall Panels _ 62. Infiltration -Walls -Windows / Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date INAL Plans) OK except #'s Ex Ps -Door & Sidelight Protection -Landings Smoke Detector 65. Fu ; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedi 20 ng 6 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 & Recepticales 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 (G.F.I.)-Romex Protection + 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps l 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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. Ven ' on Throught House 891G_ lass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92, Wafer & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date j-- QCt'jCard Da'td- B-VLp Date Card B-1 Card B- 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 (916) 538-7541g8_1gWS NO. (Rev. 12/96) APPLICATION AND PERMIT It ASSESSOR PARCEL NUMBER _o 3 ZONINGS tv /T BUILDING PERMIT OWNER `p e (� f I ( 1( I TSL ��70 (g��i SO. FT. OCC. BUILDING VALUATION OWNERS MAILING rRFa�S ( q -7 Live 06-L G � -- s o,. do CONTRACTOR'S NAYEoU„ � ^ TELEPHONE O C) CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace I Fire P � ' r LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ r S ARCHITECT OR ENGINEERMAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' — ^ C Y) Energy Plan Checking F e ` 2 3 $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME FPRCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap -31 7.00 .211.00 Solar or heat pump water heater 23.00 Water piping 15.00 5 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities �,❑,, Installation ❑ Other ❑ Describe Work: ��-Pi'1 [ r- A d=-CJQi� � � Bend rj� LA Gas piping system 1- 5 outlets 15.00 j Buildingsewer 15.00 ISS Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service AORLESS 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 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢': IYE NON-RESID. �C _rI c- @7.50 S POWGLE OUTLER APPAREATUT CIR. 8 SIN Ex. Occup. OUTLET OR FIXTURES 20@''00 BAL @ .50 Ex. Occup. OUTLEETS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation Lr— 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.) ❑ 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 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 00 occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF I PARCEL I PD I HD 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 I (Da te Receipt No. -- _71 WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signapu+e, Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES J'& NO E3 2. 1 HAVE Pk HAVE NOT 13 signed an application for a building permit for the proposed 3. I have contracted with the following person (firm) to provide the proposed - -- - - ADDRESS:.CITY:: t. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide :. .._ ....:fa.: ,. p p portions of this work, but I have lilted the.following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prpviide the work indicated: =o: NAME ADDRESS PHONE TYPE OF WORK SIGNED: I cy/ PROPERTYOWNER:\� (�(J,l,�/p fu eV/ , P,-� 4� SOCIAL SECURITY NUMBER: DATE:_ S-17- J, e --"-This Owner -Builder Verification is required by Section I993I m- 19U2—o Ae California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER M-9 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property.:: improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible parry of record on such " a permit. Building permits are not required to be signed by property owners unless they are personally performing their "-' own work. If your., work is being performed by someone other than yourself, you may protect yourself from possible`` liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which, they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: t :" 2..'.i `r ♦ If you employ or otherwise engage any persons other than your immediate family. and the work -(including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contrractors`or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security �taxes...., workers compensation insurance, disability insurance costs, and unemployment compensation contributions: ♦ There may be financial risks for you if you do not carry out these obligations; and these risks are especially serious with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your - communiry 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. 4Mger%Vuii1d ly, '�1 l iia, C.B.O. ing Inspection NOTE. This Owner-Bullder,lnformatlon is required by Section 198.10 ojthe California Heald: and Safety Code. OVER I COUNTY OF BUTTE. DEPARTMENT OF DEVELOPMENT SERVICES. - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 959.65 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER ol I I ko-A PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ Additional Fees Due ........... $ Additional Fees Due ............ $ Revised Plan Checking Fee ....... $ 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 (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) . x -=$ DATE.-: REC # DATE REC 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. 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 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 Original -Owner Copy -Building Div. '(Rev. 12/96) .COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: & I I Eu, I ASSESSOR PARCEL NUMBER: De) -4-- lD -6)1 Proposed Building Use: Building Inspector: Date: 911:719E At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted-------------------------------------------------------------------------------------- O&2�`Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ *Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- Q,,V65"Et:ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ C t3. 1;nergy Design Compliance and supporting documentation.---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. --------------------------------- 09A4anufactured /Homedata and installation instructions including Tie Down Specifications .------------------ '"F(moop ees of $ • 0 5- ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. --------------------------------S lb ❑ 12. California Department of Forestry plan approval/fees.----------------------------------------- --------------- 0 P. Flood elevation certificate. --------------------------------------------- 4. Sanitation and plot plan approval 01"DVt 11 wealth Department. 1115. City of Chico plumbing permit. --------------------------------------- ❑ 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. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ❑ 2. Workers' Compensation carrier and policy number. ----------------------- 3. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - E124. Letter of signature authorization. ------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. -------------------- El 29. 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the -permit oce as follows 11 Mail to owner, ❑Mail t contractor. U*elephone �� + and hold for pickup at 1 �`'�- office. ❑ Deliverw'th inspector. Applicant. '"' "- / ` /64 Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) 1. Index permit application for the above items numbered: O 1 [Flan Check List- .11- 2. Additional items required 40 be- YL�i C � (g • 2S • - . �j� dee 5 0A pertY46 X 98 Contractor, designer, owner, was advised of the above data by hone, ail, ❑ Building Division counter, by ate: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date - Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ din ' ionre Bui unter, by eD�ate- 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' A TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 01'1 E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B. D. _2 / r-�,e A l z2sc ii1 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public _ Private Well Clearance for dwelling. Other t — T)y c+ /1 "MS Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 0 Date { _r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 IT N. (Rev. 12/96) APPLICATION AND PERMIT q�^ ASSESSOR PARCEL NUMBER 024-21-0-03-3 ZONING A-40 BUILDING PERMIT OWNBILL REED T'ME3707 jj,,�� T SO. FT. OCC. BUILDING VALUATIO'K 7R-5- 45, 6307UT OWNERMAILING D SS S OWNER'S P 0 BOXY x+71, LIVE OAK CA 95953 Est 1,000.OU CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1,500.00. LENDER'S MAIUNG ADDRESS Total Valuation $ 4R iin-nn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 408.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 965210 BUILDING ADDRESS 12250 METTER GRIDLEY Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FAMILY ROOM, 2 BEDROOMS AND BATHROOM Gas piping system 1 - 5 outlets 15.00 19.00 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 zoos OR mss 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.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: I, as owner of the property, or my employees with wages as their sole compensation,ty 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 29 98 OCU000A WEE200A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a Acc. BLOB. SO 3.5,x5 NON -RES DT B AULC. CIRCUI TS @7,50 b OUTIET OWER APPARATUCIR.S Ex. Occup. OUTLET OR FIXTURES 20 Q 1'00 BAL @ .50 Ex. Occup.OUxTLEEDTs REESSIU.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 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 f rthwith comply with Vse provisions. X �_//yy 1U. Date-�L/SL-- SigrYature of Applicant - X Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 o c3 conlsT. TYPE TOTAL FEE $ 932.7$ .11 HAAZ. _. D. FEES IMP FLOOD CDF - PARC PO HD SU -) This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON.D.S.-B.D. the applicable provisions Resolutions to do work been paid. at (( () Defe rRec7eiptNo. 2, r*�3 o' CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � :�Mi">. � :...i`tY.%7�.,•,i1r+"`,.Y..rl�i'-."�'?'ir M c i �+�"r+y, (rt � ' :.�:- +5 '-Y„—.. _,,ri ti..��.i/`� f'�+live.. .�,.`r:i .rf"4.�+....•..+F�. ,�r.�. , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �� I Building Department No. . A.P. Number O,�`i — ?lt9— 01 3 Jurisdiction: -city" f FV7,- County Property Owner U� (� I Q�yYI Pee Property Location/Address Z e`f"4e r Rd F Subdivision ' Lot No. Residential Development Q ® 'Sq. Footage AW51 No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Building Department Sq. Footage New Addition ns reviewed by School District Personnel) Date (Including Exterior Roofed Areas) Distr'ct:Identification No. School District certifies that (Applicant) l .2-250 ev (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing 0 /"S square feet. School Distri Paid by Check #1 / Remarks: 9-r 9�3 (State) (Zip Code) i 11 by payment of $ v2 G� Tc/ JFBi2592T6___ $ . LL AIITIGATION $ 8-3/-9� Date Notice: You may protest the imposition of the fees Identified above by submitting,a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: _ BUILDINGPERMITNUMBER: 98= /g33 PLAN CHECKER: C(gq '010 - D �.3 A. P. NUMBER: 0 Z7 :9g GENERAL: Zoning requirements: (side yards and number of peimitted living units). 2./ Valuation. Plans signed by designer. ,4---- Proper description of work on application. Existing violations on property. 6 Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: 1. Complete parcel size and dimensions. Setbacks, side yards, easements, etc. --3! Other buildings or structures. fi- Grading, fills and/or drainage. ,5-' Flood hazard. 6. /' Special conditions on creation map (Noise, SA.A., Fire Sprinklers, Water Tender, Trees, etc.), %j F.A.U. & F.A.S. road setback. 8. Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). 3. Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). 8. Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 37 exterior door (Section 1004.6). y2' Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1 J-111 1-4�/ Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: 1. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). 2. Standard bracing or engineered design (Section 2326.11.3): 3. Clerestory requiring balloon framing and/or engineering. 4. Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building. 8. Roof construction details complete enough to construct building. 9. Rafter ties or bearing ridge beam. 10. Fireplace construction details and calc. if necessary. 11. Garage door and/or porch header sizes. 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection requirements. 16. Header size. June 1997 3.2 7 8. 9. i. 1. 1. 1. 1. 1. i. 1. 19. Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. " Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion'air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. Automatic Fire Sprinkler Systems (Section 310.10) For Inspection Jacket: -- Flood Hazard/Elevation Certificate SRA Requirements - Special Inspection Requirements - Automatic Fire Sprinklers June 1997 t 3.2 APPLICANT: OWNER: •. PERMIr 1. A. P. 1: WORK DES( DATE , .9 g�25.9� PRC*ECT PROCESSING R&CORD D(;gIpTION OF STEP f2(c,4.- Jk� rev[sAo a Date: August 25, 1998 - • . '. utte Count LAND OF NATURAL WEALTH AND BEAUTY - W BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Permit Applicant: Bill Reed P.O. Boz 471 Live Oak, CA 95953 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check [ ] Resubmit Plans with Rev [ ] Return All Original M itt [ ] Other Permit Number: 98-1833 Assessor Parcel #: 024-210 s As Required and Revised Plans to the Building Department Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney Date: August 25, 1998 Permit Applicant: 0 Bill Reed P.O. Bog 471 Live Oak, CA 95953 • Permit Number: 98-1833 Assessor Parcel #: 024-210-013 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: tel/ New addition does not meet bracing requirements of Sec. 2326.11.3 UBC. Eight inch hardboard cannot be used for bracing. In addition you must name specific materials, show specific location and provide how material is to be attached. Bracing panels must be a minimum of 4 feet wide accept as described in 2326.11.4. Revise plans. Provide floor plan of existing house. Show dimensions of room next to this addition. Show window sizes of existing. You are removing window from existing for this addition andlight/ventilation requirements must be checked. 5 Z 46 NCe6l-d Devi 5 e � � F rovi c{�.� l3/ Energy calcs: 3.1 Remove evaporative cooler from calcs. Window unit does not meet energy requirements. 3.2 To model woodstove on energy calcs you must meet all requirements of Section 8.6 of energy calcs including providing a back up heating system which must be designed to provide all of the heating design load. (Item G) If you provide wall furnace you must show BTU's adequate to heat entire addition. Floor joists over spanned - maximum span is 9 feet 9 inches. Tighten up spacing or resize. ,,S Provide a complete plot plan showing all buildings within fenced area of 10 acre parcel. 6! Enclosed is your school fee form. Pay fees at district office and return yellow copy to Building Department. Plans can be picked up in Oroville office for revisions. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Friday. Martha Whitney COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER --15'-3 � 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 com leted. If you have any questions pertaining to this matter, or need additional explanation, p se contact this office immediately. TO 5 ) X47` d 9i9K- /Z/, I ) PAW, / & A+P 101 V posl 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 -1(-3-, 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, REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMT NO. (Rev. 12/96) APPLICATION AND PERMIT :ll2�S/�d/ye- ASSESSOR PARCEL NUMBER 024-21-0-01-1 ZONING BUILDING PERMIT OWNER BILL RRED TE o SO, Fr, OCC. BUILDING VALUATION & S-2107 OWNERS MAILING ADDRESS P 0 BOX 471, LIVE 0AK CA. 915953 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 ARCHITECT OR ENGINEERS MARINO ADDRESS Permit Fee 2 ORIGINAL S 204.00 Plan Checking Fee $ "LT" nffs14ETTER, GRIDLEY Energy Plan Checking Fee $ a PERMIT FEE S 224.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ADDITION 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 ❑ Installation ❑ Other 10 Describe Work: 151 RENEWAL/98-1813 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W §20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600V OR LESS 20. OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license IS In full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the 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 200A TO 1000A 46,00NEW CONST. DWELLING OCCUP. so OR ADDNS. a Acc. BIDS. 3.5¢FT; NtW CUM MULTI -OUTLET §7.50 N1D. BRANCH IRCUITS POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAIL @';50 Ex. Occup. ou Ds (POR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEF: 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.) ❑ 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE AL TOTFEE $ 22A nn ,,,�. D �� iMP PLooD CDP PARCEL Po HD 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 911/2000 (0fitB) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 e loo, vi Q ALL STRU OVERHANG A SET BAC FT. FT. CLEAR OF FOR A 2 FT. Mc,' fftrici. c►a+tYf,EtrtI Accorrlancz wW, RF -cognized G�oi,d Proctic4t 2.n' �$ s� quctl&j prQ5cr tJ for the 5 e,cifie d to t l:nife�t€�� BUildi,19, plumbing & Me as� � ' iw� k6ttriw CAW& W6 Ab ZUT Of c Moue allexis},� sl�do o--�.t a5 �'asF nd e y Mrd P e�t00 sp®c1T;rut!oM MUI ) t , \� \ ,apt ort the joli of ail times and it is unlav► t:5 fit—alterations on some w1fhm �.\ Asn Permission from Oe Deportm®ei a# paps Ps owne s plar). + or UM AM EOUIPMENT WCLI DID SHALL EE CLEAR OF ALL EASEAMM. -� OF FT. FROM THE SIDE AND 40M THE REAM PROPERTY LINES AND OM THE ROAD CENTERLINE SHALL BE 'RUCTURES AND EOULPMENT EXCEPT AYE OVERHANG. / JU-J T"E GQUN-- 1101 LING DEPART P `� ti q q -g 9ii 1 a> i 1 -+. 3 m o 01 c °' c i a 1 t t t• a rrfis sl~', aq pians cnd specification MUST t:p ,6.0 on }he job of all limes and if is unca l 4 fnaka any changes or alterations on some withow °*mitten permission from the Department ad POW E--SQL- N e. � �� Tiabd',S1eNer 1 pc1 ;owl, 9. 4 I w �R�o . c de Ong `A. PMI,I,- a :^ UC ^ d� u a 3 `j P--►► � p.fi pr:i e: n T) -pe A Flue. CT re Gt.0 ru ( No+.s : (. /{oo•+, ado%fic•, gV4, S1.4. R tk •3. 3trucfu, 4o 6e InSu1aftd: 1f' l9 1aC L' w• 11 — R-30 � i l� �1— �Q-W i✓l o°r 4. All WiwdoW3 4o be W" NVX M) hell lor_in Sidep"q roe.."". X Lip O1 Q S. 411. (..w,ndows '+`'o be Dud 1 Pane. c' 8 Part-O Ct/1�n9.�°'sem tU be f r P `tee �o /71 in�erec/ Trans . See - e_ eJ v n S{, ref- 1* ✓,c luded'• To b-- awe r5 6� /n ca>!►ri Oro r o /1 L�iH�cu15 4 (boerS• See Frn.r;-f u� jntluded• vyouide G(O V 0�- �[l ►N 1 i / f yy� - Exs.S4;..qq WQ1\ A &_ ss W ce S= v p /ViW Slruciurt trtsP"d&WO. uBt. 2 cx 5 5KJ,4�,;o kyt so RMTRICA . !'BCH?.A"Cls!., AND PLUMaM SHALL EMM. 41 sexes � 0 5- A.�! 54D upc; PTP�fdoa _,m kande. • F1 c � � Pl en •`f �11TTE COUR!%r `,Jt: M f�-ra U rig 1�1�0 4 6-e (o `I O. C e 1 ,_ , ��JU OU :'i>bE►� a �DOGS /21FI'IiC.ILCQLe '4 w M (I ee�• . �r(c, P.� 1Z1 :0Cf"c P R. APPRO'NED /a /5 -92 r _ --�CJ /lam LONGFELLOW LUMBER CO. ■ Qual-ity-Truss Design ■ Roof & Floor Systems-.., 89 Loren Avenue Chico, CA 95928-7434 (530) 893-0112 FAX (530) 893-0140 INC* Customer: �\� � Q R= c s Job No: Address:�����'��� Alpine Engineered Products, Inc. Christian W. Chappell 8351 Rovana Circle �l Sacramento, CA 95828-2522 (916) 387-0116 APPROVED AP#: d Timber Products Inspec1.trony ����� P.O. Box 20455 MEIV Portland, OR 97220 �� (503) 254-0204 ^ I LONGFELLOW LUMBER CO. INC. Quality Truss Design • Roof & Floor Systej (800) 678-0112 (530) 893-0112 • FAX (530) 893-0140 89 Loren Avenue M Chico, CA 95928-7434 Important Information for Users- of Wood Trusses Longfellow's goal is to supply superior quality trusses. Sensible truss designs, the best available lumber and exacting workmanship are the key ingredients of our quality control program. (Once trusses arrive at the job site, quality control becomes the responsibility of the builder.) For best results we suggest: DO'SDON'TS ❑ Do review your field copy of truss engineering for important bracing, ❑ Do Not cut, notch or drill chords or webs of trusses. bearing and connection details. (Exceptions will be clearly marked on engineered drawings.) ❑ Do review the HIB -91 Summary Sheet's recommendations for handling, installing and bracing of wood trusses. ❑ Do install roof sheathing ASAP. Trusses hold their profiles best when they have been plumbed and braced with roof sheathing. Especially in hot weather, we recommend sheathing be applied over as much of the building as possible before installing outriggers and gable -end siding. ❑ Do inspect trusses for missing plates or broken lumber. Report defects to Longfellow immediately. ❑ Do secure tails with fascia board. In recent years, the production of lumber from second -growth timber has resulted in an increased tendency for unrestrained tails to twist. We recommend a sub -fascia be installed behind gutters. ❑ Do call Longfellow if you have questions or need additional information. ❑ Do Not cut or remove plates. ❑ Do Not overload single or groups of trusses with plywood, roofing, tools or other construction materials. ❑ Do Not make field repairs without written approval from Longfellow Lumber Co. ❑ Do Not load HVAC units, solar equipment, fire sprinklers, etc. on trusses unless truss engineering has been designed to accomodate the specific point loads. BEFORE INSTALLING: Make certain truss sequence and end -for -end orientation are correct. All: (;AI)LE QA) UI:TA.IL S IF6IGBACK (NAIL 10 LEDGER 12' D.C. (ORA(EU AT 55' U.C.) - A 35 LEDGER. (NAIL n–GAUL (K) 10 VERTICAL 1(/2-IOd HAILS ) ( K ) SPAC IIG FUR 113 = 56.0' O. C. REFEP, TO SIMPS(IN CATALOG C-9411-1 FOR PRODUCT A1lACHIVII SPECIFICATION (ATTACH A35 IN FI OIREC11UN (PI: IS) (N) 6MAX( n (Sl) (M) 2X4 F.L. OR H.F. 12 OR \ / BIR SIP.ONGOACK BRACE iPl) PEAK PLATE 10 MAICH C(01711 TRUSSES. ( SI 1 SPLICE PLATE ID NATO( (OM)UNI TRUSSES (HI) FEEL PLATE 10 MATCH COMMON TRUSSES. (0) OPTION 10 WEB PLATING: USE 43)-2' WIRE STARES (0.072 OIA./15 GA.) I(IENAILEO 111RU CHORD INTO WEB 6 IHRU WEB INTO CHORD ON ONE FACE FUR A ILIAL OF 6 STAPLES. (PI 1, ISI) 6 (HI) MUST BE PLATED. (G) GABLE END DESIGN BASED OI 75MPH WIND LOAD. EXPOSURE 'B' AT 0-25 Ff. MEAN TIE 1(711. i RUM= MATERIAL GaELEOENpUUKER I, (02x6\ 1 2X LEDGER lI COMMON I TRUSSES STRONCBACK (M) BRACED AT 55' O.C. (C) IX4 CONI NANOUS LATERAL BRACING FOR BRACE (S IPUNGBACK) MEMBER LONGER THAN 72'. ATTACH AT MIOPUINT [F EACH BRACE W/2-Od CCONMON NAILS. 24' MAX �>, _ /GABLE Ell) \ \ \I )I NOTE: CHORDS TO BE 2X4 FIR -LARCH 42 MIN. NOTE: THIS DETAIL MAY BE USED FOR IRUSSES WITH PITCHED B.C. ALSO. PLATE MAX. WEB LENGTH WARNINU."'SE3 IEOUIRE EXIRIK CANE OATRUSS 2X4• 0-1-0 3X0 13-6-0 OUILOOKER O O O O O NMIMPORTANT)f XALPIIE ENGIIEENED INIOOIIOTS. INC. WARNINU."'SE3 IEOUIRE EXIRIK CANE OATRUSS SMALL MIRESPONSIBLE FOR A11f IN NAI01.1110. ERECIION AIG 15:0 ,K OEY IAl10N /Rpl NNIS DESIGN OR 11ESE SPECIFICATIONS. ON ANY BRACING. SEE NIB -01 Bf IPI. SEE IVIS DESIB l� FAItUAE 10 BOtLO INE JAUSS IN COKOrou10E Willi OSIS( BY IPI. FOR ADDITIONAL SP(CIAL PEPNAIENT BRACING 1� ALPIK CdOECtORS APE NAD[ Of [ODA QALY, STEEL NE[lltq ASIN OUIRENCIIIS. U4.E3S 011EPWISC SIDIEAI[D. O A446 IRR B EXCEPT AS IVIED. APPLY COIPECIOn3 10 EACH FACE Of CIGPD SIIAtL BE LAIEDALLY BRACED 01 IN o 1"S AIG I94ESS OIIERNISE LOCAI[O ON THIS DESIGN, POS1110N 4 If AIIAE141D PLYWOOD SIEA11111G, 130110H CI EA p COIuEc1ORS PEP OAA.IICS 00, ISO C IEOA-F. DESIGN SIANVAPOS WHIN PIIDP[1l, AIIACIEO PI010 CEILING -- E 1.I5 [Ou10NN N/APR ICABL( rraVll IO/A OF NG3 S IPE. AN [IGIIEFR'f ALPIfE IECINiCAt IROA IE (7/1/91) FOR PP I OO PEAL ON IVIS DnAWIIG APPLIES f0 IIE COMMII[NT DEPICIEO KR( DRYWALL APILICAIION. FUOIISN A COPY Of 111 O L7 L-1 UI 011f, AM SHALL IIOf BE PLIED U'OII 10 Alit OVER Al.• —. oEs ICN to Im IPUss [KCIIO't canPAC1on. IPI - 11AI;3 PILI! Nr11111!ED !AIS - 1011 IIAIIIIIIAL Uf Slfll 9-tClf 11:4ilull FDR WIIIIII L'1IN511WIia l(ul COT 12 6 - IDd (UHHUN 13LDCK FIA l l 5 3-IOd BP.aCE, HAILS EACH E110 OUTLOOKER CRITERIA \ 3.5' MAX. a 24' O.C. 1.5' MAX. I I 12' MIN 24' MAX 2X4 F.L. LUMBER GRADES MAX. LENGTH WITICUT BRACING (11) IAX, t I W/ S1RO1IGBA(K BRACE ( S ) SIANDARO 5 -II -0 11-10-0 15:0 PSF ,o BC OL 5.0 PSF No. C43845 LL III 7-9-0 15-6-0 11 6 BETTER. 7-9-0 15-6-0 PSF f IIYI%- OUR. FAC.. MESS/ TC LL 30.0 PSF c TC OL 1EIC 15:0 PSF ,o BC OL 5.0 PSF No. C43845 LL PSF CXp 63091 A TOT.LO. 50.0• PSF f IIYI%- OUR. FAC.. 1.I5 �DL-II►iO .9PACT rtr Apt ■ U.eDUU 10/31/94. CD112 TOP CHORD 2x4 FL #1 BOT CHORD 2x4 FL #1 WEBS 2x4 FL Standard CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE 7.3.3. 5X 4X4=- 5 X X4= THIS DWG PREPARED FROM COMPUTER INPUT (LOADS & DIMENSIONS) SUBMITTED BY TRUSS MFR ROOF OVERHANG DESIGNED FOR A 2.00 PSF SOFFIT LOAD. CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949. NOTE: BC CHECKED FOR 10 PSF ADDITIONAL LIVE LOAD ACCORDANCE WITH TABLE 16 -B -SPECIAL LOADS (1994 UBC). 1.5X41.5X40 5 r 5 4 (A2) = 5X4 (A2) � 8-0-0 3X4= 3X4= 3X4= -J I, 14-0-0 _I 14-0-0 I 28-0-0 Over 2 Supports R=1125 W=3.5" R=1011 W=3.5" k U, Apro PA Rovl:P C PLT TYP. Alpine TPI -95 Design Criteria: UBC CA - i - - - F Scale =.1875" Ft. O On_lN l l O ^ ^ -WAR NING" TRUSSES REQUIRE EXTREME CARE IN FABRICATION, HANDLING, SHIPPING, INSTALLING AND BRACING. REFER TO HIB -91 (HANDLING INSTALLING AND BRACING), PUBLISHED BY TPI (TRUSS PLATE INSTITUTE, 587 O'ONOFIO DR., SUITE 200, MAOI SON, WI 53719), FOR SAFETY PRACTICES PRIOR TO PERFORMING THESE FUNCTIONS. UNLESS OTHERWISE INDICATED, TOP CHORD SHALL HAVE PROPERLY ATTACHED STRUCTURAL PANELS, BOTTOM CHORD SHALL HAVE A PROPERLY ATTACHED RIGID CIELING. "IMPORTANT" FURNISH A COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. ALPINE ENGINEERED ILURE TO 8 ILDCTHE TRUSSESALL IN CONFOROT MANCEOWITHLTPIORORAFABR/GATING NHANOLING`SSHIPPIMG, INSTALLATION OR BRACING OF TRUSSES. THIS DESIGN CONFORMS WITH APPLICABLE PROVISIONS OF NOS (NATIONAL DESIGN SPECIFICATION PUBLISHED BY THE AMERICAN FOREST AND PAPER ASSOCIATION) AND TPI. ALPINE CONNECTORS ARE MADE OF 2OGA ASTMA653 GR31 GALV. STEEL. EXCEPT AS NOTED. APPLY CONNECTORS TO EACH FACE OF TRUSS, ANO UNLESS OTHERWISE LOCATED ON THIS DESIGN, POSITION CONNECTORS PER DRAWINGS 130. 150 AND 160 A•F. AN ENGINEER'S SEAL ON THIS 0RANING APPLIES ONLY TO THE DESIGN OF THE TRUSS DEPICTED HERE AND SHALL NOT BE RELIED UPON IN ANY OTHER WAY. �' W. C �� �Wp X97 '� f r lr 043815 r " 1 * Com, /� �r T C L L TC D L BC DL BC LL 16 . 0 10 .0 10.0 0.0 P S F PSF PSF PSF R E F R427--28923 DATE 09/08/97 DRW CAUSR427 97251005 CA -ENG A E B/ C W C TOT . L D . 3 6.0 PSF S E Q N - 5068 DUR .FAC. 1.25FR0M E . D SPACING 24.0" 1234CERTIFICATE OF COMPLIANCE: Residential Page 1 Project Title: R845SW Run: 466 28 -Aug -98 Project Address: 12250 METEER RD. R845SW LIVE OAK, CA. Building Title: R845SW Building Permit # Document Author: MICHAEL F. SROKA Telephone: 742-6148 Plan Check / Date Compliance Method: CALRES2 Version 1.31 Field Check / Date Climate Zone: 11 GENERAL_INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Floor Construction Type: BUILDING SHELL.INSULATION 845 ft2 SFD Single Family Detached 225 deg (South) 1.00 Raised floor Component Insul Assembly # of Energy Volume Type --------------- R -value U -value Location/Comments Htrs Factor Door -------- 0 -------- 0.330 ---------------------------------------- Outside / SIDE ----------------- Storage gas ---- 1 Wall:• 19 0.065 Outside Floor 19 0.037 Crawlspace Ceiling 30 0.031 Attic FENESTRATION Area U- Interior Exterior Overhang Frame Orientation ----------------- (ft2) value Panes ----- ----- ----- Shading Shading ---------- and Fins Type Window South 40.0 0.520 2 ---------- Std Drape Bug Screen -------- None -------- Vinyl Window North 84.0 0.520 2 Std Drape Bug Screen None Vinyl THERMAL MASS Area Thick Type Exposed? (ft2) ----------------- ----- . (in) Location/Comments ----- ---------------------------------------- None HVAC SYSTEMS Duct Location , Type Efficiency and R -value -------------------------- ---------- ------------- AlM COUNN Furnace 0.80 AFUE Attic R-4.2 BUILDING DEPAR7ME Air cond. -- central split 10.00 SEER Attic R-4.2 U V WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name Heater Type Htrs Factor (gal) R-val -------------------- S•tandard_Gas Standard ------------ StandardGas ----------------- Storage gas ---- 1 ------ 0.53 ------ 50 ----- 8 CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: R845SW Run: 466 28 -Aug -98 WATER HEATING SYSTEMS MISC Solar savings Solar system $ystem Name fraction type Standard Gas -- -- WATER HEATER/BOILER DETAILS Rated Water Recovery Input Heater Name Efficiency AFUE (kBtuh) StandardGas 76s -- 36.00 HYDRONIC DISTRIBUTION AND TERMINALS Wood stove Wood stove boiler? boiler pump? No No Pilot Standby Tank Light Loss R -value (Btuh) -------------- ------ Pipe System/Name Type Number run (ft) None SPECIAL FEATURES, REMARKS, AND NOTES None Pipe Insul Insul diam (in) thck (in) R -value COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted. for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. JUITE COUNTV 0ILDING ®EPAR hAERr Ari hu Vw=n CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: R845SW Run: 466 28 -Aug -98 DESIGNER OR OWNER DOCUMENTATION AUTHOR BILL REED MICHAEL F. SROKA OWNER DESIGN & DRAFTING SERVICE 12250 METEER RD. 4140 DAN AVENUE LIVE OAK, CA. MARYSVILLE, CA. - 695 -3707 742-6148 • -.Date Signed Date ENFORCEMENT AGENCY Name: Title. Agency: Telephone: Signed Date JUffE COMM a -U LDING DEPArR IIME . APry="'e%VF:D COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: R845SW Run: 466 28 -Aug -98 Project Address: 12250 METEER RD. R845SW LIVE OAK, CA. Building Title: R845SW Building Permit # Document Author: MICHAEL F. SRO_KA Telephone: 742-6148 Plan Check / Date Compliance Method: CALRES2 Version 1.31 Field'Check / Date Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Space Heating 13.34 Space Cooling 15.69 Water Heating 21.42 Total value 50.45 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Number of Stories: Proposed Design --------------- 11.37 17.20 21.80 -------- Complies 50.37 Yes 845 ft2 SFD Single Family Detached 225 deg (South) 1.00 1 Floor Construction Type: Raised floor Number of Conditioned Zones: 1 Total Conditioned Volume: 6760 ft3 Conditioned Footprint Area: 845 ft2 Ground Floor Area: 845 ft2 BUILDING ZONE INFORMATION Floor Zone Area Volume Thermostat Name (ft2) (ft3) Type Type ADDITION 845 6760 Conditioned CEC_Standard OPAQUE SURFACES Vent Vent Height Area (ft) (ft2) 2'0" 12.4 Surface Area U- Insl Tru Slr Construction Type (ft2) value Rval Azm Tlt Gns Type Location/Comments Zone = ADDITION - Door 20.0 0.330 0 315 90 Yes CEC_30-Wood �. Outside / SIDE Wall 200.0 0.065 19 225 90 Yes W19.2x6.16 Outs dei �c `i Wall 165.0 0.065 19 315 90 Yes W19.2x6.16 Outside Wall 196.0 0.065 19 45 90 Yes W19.2x6.16 Q;iff-bltie Wall 225.0 0.065 19 135 90 Yes W19.2x6.16 Outside Floor 845.0 0.037 19 -- 180 No FC19.2x8.16 Ceiling 845.0 0.031 30 -- 0 Yes R30.2x4.24 Attic°�% COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: R845SW Run: 466 28 -Aug -98 PERIMETER LOSSES Insul Perimeter Length F2 Insul Depth Type (ft) Factor ----------- R-val (in) Location/Comments -------- ------ None ----- ------ ---------------------------------- FENESTRATION SURFACES Glazing Fenestration Area Tru Open Frame Charactr Name Type (ft2) Azm Tlt Type Type Name Comments Zone = ADDITION - - W1 Wind 20.0 225 9.0 Slider Vinyl U=.52 W2 Wind 20.0 225 90 Slider Vinyl U=.52 W3 Wind 20.0 315 90 Slider Vinyl U=.52 W4 Wind 20.0 315 90 Slider Vinyl U=.52 W5 Wind 20.0 45 90 Slider Vinyl U=.52 W6 Wind 4.0 45 90 Slider Vinyl U=.52 W7 Wind 20.0 45 90 Slider Vinyl U=.52 GLAZING CHARACTERISTICS Glazing Charactr Glazing # of U- SC Gls Interior SC Int Exterior SC Ext Name Type Panes value Only Shade Type Shade Shade Type Shade U=.52 Clear 2 0.520 0.880 Std Drape 0.780 Bug Screen 0.870 OVERHANGS Fenestration -------------------------- Above Left Right Name . Height Width Depth Glazing Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Exten Dist Exten Dist -------------------------- Fin Fin above to Fin Fin above to Name Height Width Depth Height glzng glzing Depth Height glzng glzing ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None JUTl E MUS ..,. i COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: R845SW Run: 466 28 -Aug -98 THERMAL MASS Vol Cond Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- None SOLAR GAIN DISTRIBUTION Fenestration Winter Name Fraction ------------ -------- None HVAC SYSTEMS Summer Targetted Fraction Thermal Mass Comments Duct Location System Name System Type Efficiency and R -value Zone = ADDITION GAS80 Furnace 0.80 AFUE Attic R=4.2 ACsplit10 Air Gond. -- central split _10.00 SEER Attic R-4.2 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name Heater Type Htrs Factor (gal) R-val Standard_Gas Standard StandardGas Storage gas 1 0.53 50 8 WATER HEATING SYSTEMS MISC System Name ------------ Standard—Gas Solar savings fraction ------------- Solar system Wood stove type boiler? -- No WATER HEATER/BOILER DETAILS Water Recovery Heater Name Efficiency AFUE --StandardGas 76% - Wood stove boiler pump? ------------- No Rated Pilot Input Standby Tank Light (kBtuh) Loss R -value (Btuh) -------- ------- ------ 36.00 JUTM CO UN -M COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: R8458W Run:.466 28 -Aug -98 HYDRONIC DISTRIBUTION AND TERMINALS System/Name Type Number None SPECIAL FEATURES, REMARKS, AND NOTES None Pipe Pipe Insul Insul run (ft) diam (in) thck (in) 'R -value AME COU N ~ ` F MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the. Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures: • §150(a): Minimum R-19 ceiling insulation. §I50(b): Loose fill insulation manufacturer's labeled R -Value. �. • §I50(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). • §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in raised concrete floors. §150(1) : Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pertn/inch. §118: Insulation specified or installed meets insulation quality standards.. Indicate type and form. §116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Manufactured fenestration products have label with certified U -value, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. I. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilot lights allowed. �^ Space Conditioning, Water Heating and Plumbing System Measures: §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. § 150(i): Setback thermostat on all applicable heating and/or cooling systems. §1500): Pipe and tank insulation I. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (RA or greater) 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/external insulation. 3. All buried or exposed piping insulated in recirculating sections of hot water systems. 4. Cooling system piping below 55° F insulated. 5. Piping insulated between heating source and indirect hot water tank.—' • §I50(m): Ducts and Fans _ 1. Ducts constructed, installed and sealed to comply with UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. §114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. � � r 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. �p NG WILDIIV DEPA� b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. tf% §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no Q V�. continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/fir) Lighting Measures: § 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures are IC (insulation cover) approved. Revised March 1, 1996 CALIFORNIA ENERGY CODE REQUIREMENTS (TITLE 24) (JULY Ig95) ��j CE -C -I PROVIDE 40 LUMENS/WATTS OR GREATER LIGHTING IN KITCHENS AND ROOMS WITH WATER CLOSETS AND RECESSED CEILING FIXTURES IC (INSULATION COVER) APPROVED. Igq5 CEC, SECTION 150 (K). CEC-2 EXTERIOR DOORS AND WINDOWS SHALL BE WEATHERSTRIPPED; ALL JOINTS AND PENETRATIONS SHALL BE CAULKED AND SEALED. Igq5 CEC, SECTION 116 & 117. CEC-3 PROVIDE A SETBACK THERMOSTAT ON ALL APPLICABLE HEATING SYSTEMS. Igq5 GEC, SECTION 150 (L). CEC-4 THE FIRST 5 FEET OF PIPES CLOSEST TO WATER HEATER TANK SHALL BE INSULATED WITH R---4 OR GREATER. Igq5 CEC, SECTION 150 (J). CEC-5 MASONRY AND FACTORY BUILT FIREPLACES SHALL. HAVE CLOSEABLE METAL OR GLASS DOORS; AN OUTSIDE AIR INTAKE WITH DAMPER CONTROL; A FLUE DAMPER AND CONTROL; AND NO CONTINUOUS BURNING GAS PILOTS. Igq5 CEC, SECTION 150 (E). CEC-6 EXHAUST FAN SYSTEMS SHALL HAVE BACK DRAFT OR AUTOMATIC. DAMPERS. Igq5 CEC, SECTION 150 (M). CEC-7 INSULATION INSTALLER SHALL POST IN A CONSPICUOUS LOCATION IN THE- BUILDING A CERTIFICATE SIGNED BY THE INSTALLER AND BUILDER STATING THAT THE INSTALLATION CONFORMS WITH THE REOUIREMENTS OF TITLE 24, CHAPTER 2-53 AND THAT THE MATERIALS INSTALLED CONFORM WITH THE REQUIREMENTS OF TITLE 20, CHAPTER 2, SUB -- CHAPTER 4-, ARTICLE 3. CEC-8 ALL INSULATION MATERIALS SHALL BE CERTIFIED BY THE MANUFACTURE AS COMPLYING WITH THE CALIFORNIA QUALITY STANDARDS FOR INSULATING MATERIALS. A. INSULATION IN WALLS EXPOSED TO AMBIENT CONDITIONS OR TO UNCONDITIONED AREAS (SUCH AS GARAGES) SHALL AVE A THERMAL RESIST'ANGE OF NOT LESS THAN AN R__� . B. INSULATION IN THE CEILING AND ROOFSS ALL HAVE A THERMAL RESISTANCE OF NOT LESS THAN AN 2 . C. INSULATION IN RAISED FLOORS SHALL HAVAA THERMAL RESISTANCE OF NOT LESS THAN AN R�- . D. INSULATION AT PERIMETER OF SLAI3' SHALL HAVE A THERMAL RESISTANCE OF NOT LESS THAN AN R P' RESIDENTI14L (,-.024-21-0-013 93-3798 BPE REED, WILLIAM 12250 METTEER RD, LIVE OAK CONTR: BILL WAGNER ADDITION/SF h09 tt, { OFFICE COPY Address GAS iu� Meter By Dat ELECTRIC �, /-7� Meter By Da JOB FINALED (Date) / J Signature V=OK O = Not OK -=Not Applicable. =Not Ready MOBILE HOMES ' -Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P'L"ft. - / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance .9 Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Una 3.. Gas; MH Teat -Demand -Valve -Connector 4..Electricity; MH Test-Crossovers-Breakere-Clearances S. 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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'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.; Posta-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trueses / 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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 S. 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 V=OK O=Not OK - = Not Applicable R RESIDENTIAL = Not Ready Date/Initials'UND)ERFLOOR Plans OK except #'s GI Z�rig-Setbacks-Easements-Flood-Slope . Ftg., Main; Soils-Elec. Grnd:-/ P' Ftg. Depth 1 , 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /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. Pte -Fireplace Fta.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way CIO-§fwer Test 10. UF. Gas Pipe; Size -Anchors - yard*Xs piping: sizaAest Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Cy'rders-Sills-Anchor Bolts -Joists -Vents -Cripples & Ventilation Date/Initials PLUMBING Permit OK except #'s r Htr.; Vent -Access -Combustion Air -Baffle bl'Vafe'r Pipe; Test & Anchor -Nall Protection 46- D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Te Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date/initials ELEC CAL Permit OK except #'s F & Transformer Clearance -Ins. Protection . 51e l -Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 6. 52!!!:p. Ground made up w/Mach. Fastners-Bond Gas & Water 67.'2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 32. ice -Riser Conductors & Ground -Main Disconnect Rulp. Clearances Panels -Motors -Meth. Equip. lothes Closet Light -Shower Light -Spa Light 3 oke Detector _Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRA O Plans OK except #'s S' ,-Proper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound tol'B_paring Wells over Girders & Floor Nailing L421."Deft Stop in Walls (rat proof) ir?Atops; Furred Ceilings -Stairs -Chases -Tub 4.4.-Xe'aders & Beam -Size & Bearina Single & Duplex) Date/Initials FRAMING (Continued) ;FHangers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. ace Ties or Type A Flue -Fireplace Throat clearance AO.-Atti Access; Size & Romex Protection -Draft Stop -Ins. Baffles . d . Windows or Exiting Doors -Sill Hgt. & Dimensions ire Protection Framing 1. operty Line Firewall & Openings Doors -One 3' -Check Garage -3rd Story, 2 Exits Width -Headroom -Rise -Run -Landing -Fire Protection plyy+aood on Roof Overhang -Attic Vents -Rafter Outriggers •65**'S-idina-Nei1inn Vwnwwr 1 Screed -Fd. Vents-Underflr. Access P . Glazing Area -Glass Protection -Skylights -Plastic 58. S ar Walls; Nailing -Bolts Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINWPIansl OK except #'s ef Steps -Door & Sidelight Protection -Landings 62' S ke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection Bath Fixtures & Tub 66GEISpe-Trim & Subpanel; Breaker Sizes & Labels 67 -.-'St & Rails . Face or Stove; Clearances -Hearth 69. Ele2,�Outlets at Wood Panel; Int. & Ext. 70.-'kit-F+xf & Appliance; Grnd: Air Gap -Cooking Clearance 7J- Elec. Outlets & Receptacles at Kit. Counter -fierags-Fire Door; Swing -Landing -Closer 7 . .C. Duct in Garage -Damper 7kV r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 7"b., ec. & Mach. Equip. Listed for Location 78 ec,Receptacles in Garage; (G.F.I.)-Romex Protection 77 sulation-Foam-Looked in Attic ❑ Yes 7B. and Rails & Deck Construction -Post Caps 79,.Fd-n Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive.O`Yes No; Walks ❑ Yes N% Planters ❑ Yes 0 No X8.1--9tncCo; Brown -Finish A.C. nit; Disconnect, Electrical, Plumbing 83elents Above Roof; Plbg: Appliance -Fireplace: Clearance to 83iWater Well; Disconnect, Electrical, Plumbing 8 xterior Elec. Trim; G.F.I. Receptacle -Underground 86. nt lation Throughout House 87 I e'Protection 8 . Cojxe ctions from Previous Inspections 89 -Ga est -Meters Tagged; Gas -Electric 4 90. r & Sewer Connected -C/O to Grade -HD Approval 91`�Energy Compliance Certificate -Other Certificates Dom4nta at Final: f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 0.5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 93-3798 , ASSESSOR PARCEL NUMBER 24-21-13 ZONING A40 BUILDING PERMIT OWNER WILLIAM REED TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS (12250 METTEER RD LIVE OAK) PO BOX 471 LIVE OAK 9595 g (o a CONTRACTOR'S NAME BILL 14AGNER TELEPHONE A 695-1337 CONTRACTOR'S MAILING ADDRESS 10330 LARKIN ROAD LIVE OAK Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $1180-70;69M Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12250 METTEER RD, LIVE OAK PERMIT FEE $ PLUMBING PERMIT -Tel Filing Fee 20.00 Each Trap 3 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF fp Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition N Remodel (b Utilities O Installation C1Other ❑ Describe Work: ADD FAMILY ROOM PERMIT FEE $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 8001 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONS.OR ADONS.T ( D &SACLLIC BLDSUOCCP ) 3.50FT. 48.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ® I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full forc nd ffect. s-� License No. (v �C1 3 Classification C�-1 ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @x.50 Ex. Occup. FIXED APPLNS. OR p' (OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 68.50 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou%y-lo c'Vyonse'q'ue`nce of the granting of this permit. X 1a Date -®�3 �j 3 Signature of Applicant -U Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures3 stories 9 ove . h i ht. Mobile Home Installation Fee $ Energy Inspection Fee Is 46. 00 occ CONST. TYPE TOTAL FEES I I HAZ. 10,71 IMP '� F100D CDF kPARCrL PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove fo which fees have been paid. R ,CTOR OF PUBLIC WORKS BY Date 2g DE�93 �� ��� PERMREXPIRES ON 94 (Dere) A.r/� ` Z/-7/7- Receipt No. WHITE-D.D.S.- . . A Y- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT.OF EVELOPMENTSERVICES -BUILDING DIVISION 71COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLICATION DATA SHEET vv OWNER 2 d A. P. No. 6,2 Y.- 2-10- c-3 Proposed Builting Use 4C,01+('QAl FAAAi11� Building Inspector Date t23 C,-31 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. ... " 2. Plot plans, /4 seas, signed by preparer of plans. ......................... . 3. Complete plans43/4 sets, signed by preparer of plans. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Orz 8. Engineered truss details and layout in duplicate (required prior to plan check). . 2 10 93 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ..... 10. Fees of $ . ? .......................................... 11. Impact fees as shown on attached schedule ............................... 12. California Department of Forestry plan approval/fees......................... ` 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approval 44w,111 -e- Health Department . ............ Z 15. City of Chico plumbing permit . .............tom i ..: ...................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: f . j . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (constructio`nf approval required prior to occupan y)................ ' Pre -Inspection requeR I 20. Pre -inspection for a required. . . to Building lnspectobl`J0w // � • (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. r 22. Certificate.of Workmans Compensation Ins Insurance .. N . .'�`...t................ ''- 23. Owner -Builder Verification (Given to owner , Mail to owner �. ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. .......` ................................. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27: Letter of intent on building use . ....................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .... .............................................. . V n n )dam• - r- n n QQ •34. When u issue the permit, process as follows: Mail.to owner. Mail to contractor. Telephone 6and hold for pickup at e-- y/` office. Deliver with inspector. Other Parcel Creation ' .\ Acreage Applicant w�'G'1 Date < < 2 Y 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 Vftprn ce� a new ite n t 7rc!0 above . 1. Index permit'for above items No. 2. Additional items required: tractor esigner, owner, was advised of above required data by phone -mail Counter by _ Date 1 Z -?Q -j3 Contractor, designer, owner, was advised of above required data by _ phone _ mail Co ter by _ Date Plans checked by Date Plans approved by�y Date 1��7 Sets of plans on hold in File cabinet AP folder o,1-"1te -Irl� GC Copy - Department of Public Works ' ` TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance � � /b ' m �o � � / �as��4� lA Owner Location Plan Approved for: Sewage Disposal Water Supply: I'UbIIC Clearance for bedroom tif(WL home. Other Hold final for: Final clearance O.K. tor: NOTE LPA' VS 1 i Environmental Health Specialist MA h.n, uses ONIA Hot Plan Almehed W t� Ilner Hun Aluiehwl seal lu II.U, AP# Private Well )OIL. (0), Date COUNTY OF BUTTE BUILbING DIVISION DEPARTMENT OF'DEVELOPMENT SERVICES 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 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 cont t this office immediately. Fo P- 4 px,� jT-, 7z,) jai ,74tx i cd v)i &20 %-gw�r-"411 i Date01 Ll pector REV 10/92 13 Ittht►Inlittlt l:rltlllirnlrl '• _..i.._Z2 S`' /tot:... .�'`� . �... �.y.,M.w.,.... .. _ .w�.._— w.__""'•_•....�,-r-•.._........�.......... , ....,., 'irrrnnh`:tihd •.e �.__......... _ ..t�_L 4 1 ...t ... V iry — ------ - — I�nsrll�,litt►t nl Irt!Ilttlinllt111 ___. floor M�Irrl�l tfilc4neft (Inclrtfj -" hrAn,l NA,n� --•--._�-_�-..- -- ___.: ih'rrhAlM'HlrAnce(rt�VAhre) .�.—_-'.____..__._..__ ............ . h,r1 nr lllnnket 1'Y� . thlct•rietf (Inches —_��� FY .. MMnA tlArnA. - _— . 1Jt�lfn/l MITfIN� ; Cc t (ranee tilt - Cnnlrrrlr»'t rniniLb ( t InniwcR hUhIh (n�llAnrlrrr1rrtuIrronIbArnnrn Ineitc►n�HOirfct�rl ......... - � K s"� �•-�a-�G:_..`� Mennlachrrtr'f (nsr�llerl �elght per fill►! roll in AcM-IY611thl"Al f1e1111Arx (ft VA�,nchrl r x r r'-11101`1 WAIA. — -- ----- -- tr1;1nss yhir.4netf (InclKe) � ' M,�rri,l %.Ibc.ts'►ass_._-_ lhic4neee(hrchef) --"-- �Lnn rl.oc)rt ttlar�rinl _ _ �Vhl►h (inchcer `--�`- rc�l INDAtiol•l WALL. hr�nd NAmA rcc :rinl crJ Mt Anrl r•►ronR . t;r•.tt.tLi 1hr?►mAl hltlflnncA (R-VAtn�)--'-`_—•--..._..-...__...._ Mrm1IIJArne re►mA) ftefleanie hrAnrl NAmA yherrrrAl fflflf�Ar�et (R�VntnPj� ` Irerrby chilly Ufsl the AI>rrve h;Atllcran►rrntlrArl AdminlsltallvIns..a.. lAl„lolt *Ahulydll►t r-jit hIn 1116 bUilrl6+ AI die AlxvtfYh7J(ttnty $IArdAfd! 1br of* ttjl ItftliAl hulldinpll �nlsi,nlM In 1111 �M� nP it' �'Illt SlptlhrrA Mrt 11111 �r., ►`�'"'�.u:•+a::. llrtwking lndtlgtt•lt±d tht!r _ u Ceotc�l��j! iugr its of I�nlhd! Clk a row o --y 6 ` t�lfa a il�"�"-- • `t title �- t COUNTY OF BUTTE — DEPARTM8NT OF' DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 OWNER WILL nY% A. P. PROPOSED BUILDING USE_. ►� 1 r- l orj DATE_ 2 / REC. # DATE REC y' I. SCHOOL DISTRICT FEES (paid at District Office).... 2. SHERIFF FEES ..................... (paid at Building Department) Residential..... x =$ unit amt. Commercial (sqft) x =$ -- 3. URBAN AREA FEES sq.ft. amt. (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ........................: 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE _�'""%"�S�"jl�+� C: ' K`t'+?w�.:7rR*+A"'Yi'►�Yr�%�"'��"►Tx4Kti'1�,+�q"`a"�Fr[s�v�+-•nG1}Ta--*n BUTTE COUNTY SCHOOLSNMPACT FEE CERTIFICATION FORM (One Form Per Building) School A.P. Number Wl-Z1 A - Property Owner V V I Property Location/Address _;- •� Subdivison Residential Development Jurisdiction 0 Building Department No. City Q�] County Lot No. 0Footage-560- , f 5(SJ// Sq. Footage No. of Living '" MHI Addition (Group R) Units Commercial/Industrial 0 New Addition Sq. Footage (Including Exterior Roofed Areas) (212o(C�2 Date (Floor4tPlans reviewed by School District Personnel) s Disfrict Ider tfication No7:. J.r- V16 rl�School District certifies that Q h (Applicant) /0 330" All 337 (Street Address) (Phone Number) dam C� 9S9S3 (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ --8--' representing square feet. y'3 School Distri t Representative p Date Paid by Check Number Bank Number Paid by Cash . Remarks: ti.. i If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully miti.nate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) ADDITIONS TG RESIDENTiAL• BUILDINGS ENERGY SHEET PACKAGE COMPLIANCE r Owner_ p�WM. o?,CEl7 " Climate Zone_ Permit 9 Fl-oor 'Area SIBS The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned. space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zonesoand 16* Component-- <=100 sqft 101_,49.9 500-999 >=1000 sqft Ceiling R-19 r%R=3g'; R-38 R-38 Ins. , Wall Ins.' R-13 A:- 13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge I NR NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) I ,75 ,75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% + 696 + 16% Removed •Remov Shading NR .66 .66 .66 Coeff(S&N) . Shading NR -.40, .66 _ :40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas I AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat PumpHSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling -I SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling - SEER.9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation x One entry/column = req both zones, 2nd entry = req zone 16'. SPECIAL FEATURES/ REMARKS WH/7G KOU4-r ✓HHC � W D. V/Fs_r:4 EAST -Slogs LOOSE FILL INSULATION (Density) 'du, fFI UNTY INFILTRATION CONTROL (Weatherstrip doors ��'ggX�i.f�}ed�rwindows, caulking) v��(� G AR MiC-19 VAPOR BARRIER (Zone 16) � � � DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 !p"►� iU LIGHTING KITCHEN b BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANC= STATEMENT: The above buildinc lesion meet= the requirementsons. ct T -4 --le - � and c a e: tae Cat..o.r..a oae of iceoul at_ c.^.s . ,4794k> COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 O�ER�QIr NO. APPLICATION AND PERMIT` c, ASSESSOR PARCEL NUMBER ' - 024-210-013 ZONING A-40 BUILDING PERMIT OWNER WILLIAM REED TELEPHONE SO. FT. OCC. BUILDING VALUATION ST 16,000.00 OWNER'S MAILING ADDRESS 12250 METTEER RD LIVE OAK R 3,891.00 CONTRACTOR'S NAME BILL WAGNER I TELEPHONE 695-1337 CONTRACTOR'S MAILING ADDRESS 10330 LARKIN ROAD LIVE OAK Fireplace 1 "A" 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 21 391.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 225.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 146.25 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19950 MFITTRER RD PERMIT FEE $ 414.25 LIVE OAK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF (X Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ElRemodel ❑ Utilities O Installation ❑ Other Describework: ADDNL WORK RE #93-3798/NEW WOODSTOVE, PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 NEW ROOF TRUSS OVER ENTIRE HOUSE, KITCHEN ADDITION, Main Service ( 200A OR LESS II OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW BATH FIXTURES , KITCHEN REMODEL, SIDING, NEW SERVICE OR ADDNST. ( D &EACCG OCCUP ) 3.5C F°; CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) 2L 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Pode and my license is in full force -end effect. License No. 34 3 SC) Classification 1 ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.000 Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 10 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. l `' X O JJC__ CuJr — Date Signature of Applicant - O Owner Contractor ❑ AgentO� 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 $ 457.25 0. D CDF PARCEL PD H ISS 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 2 y I PERMIT EXPIRES ON Ci (Da el Receipt No. 155993 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i,COUNTY OF BUTTE - DEPARTMENTOFDEVEL6PMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI E CALIFORNI ,95965 - TELEPHONE (916) 538-7541 PERM TAPPLICATION DATA SHEET OWNER L�!A. P. No. 02 y - 9 0 Proposed Building Use Building -inspector Date Z 3 7�Gi At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ...... �'.. . 2. Plot plans;'�?4 sets, signed by preparer of plans . .......................... 3, Complete plansi/314 sets, signed by preparer of plans. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. .... .................... . 6. Energy Design Compliance and supporting documentation . .................. 7.Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .. . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... 11. Impact fees as shown on attached schedule . .............................. . California Department of Forestry plan approval/fees. ....................... . y 1/3. Flood elevation letter (V0 year flood) by California Engineer . ............:::.. . 4. Sanitation and plot plan approval lJ,�v•?'1 -e --Health Department. . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . . ' �Freanepaction,eque� 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )......... I..- 24. ..24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ...................................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... l31. Existing violations/expired permits . .................................... r. 32, Plan check list . ..................................................... 33. 34. Wh yo'u issue the,Permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone &1r)5-/337 and hold for pickup at .lam�J4i�i/ice. Deliver with inspector. Other Parcel Creation 1 \ Acreage Applicant W AL -a ^ LUDc-P-Date f 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 permyt ists�ance�(Circle_new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Co titer by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail ACqnter by _ Date' Plans checked by Date Plans approved by Date /01 W Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works STATE OF CALIFORNIA FIRE SAFFTY INSPF[_TinN RFAI IF-QTCOPYDISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION 1-0-OI„IC rIMr- MANONAL STD 850 (REV. 3.93) 2 -FIRE AUTHORITY 1. REQUEST DATE 2. PROGRAM 4 -5 -LICENSING AGENCY . 110/4/95 3. AGENCY CONTACT 4. TELEPHONE NO. 5. - EVALUATOR CDSS/COMMUNITY CARE LICENSING (916) 895-5033 0104/WHITTED 6. SFM REGION 7. SFM I.D. NO. 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 045400707 1A CODES 1. ORIGINAL A. FIRE CLEARANCE • 2. RENEWAL B. LIFE SAFETY 10. AGENCY DEPARTMENT OF SOCIAL SERVICES 3. CAPACITY CHANGE 4. OWNERSHIP CHANGE NAME COMMUNITY CARE LICENSING 5. ADDRESS CHANGE AND 520 COHASSET RD. #6 6. NAME CHANGE ADDRESS CHICO, CA 95926 PREVIOUS NAME 7. OTHER • DATE OF ORIGINAL REO. 11. AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY MEDICAL CARE PREVIOUS CAPACITY CAPACITY MEDICAL CARE PREVIOUS CAPACITY 19. CODEITY 810/FAMILY DAY 12 ❑ YES ja NO 0 ElYES ElNO 0 12 12. FACILITY NAME - 13. NO. BLDGS. CODES CARE REED PEGGY FAMILY DAY CARE 1 1. GACH 9. ADHC 2. GACH/R 10. CLINIC 14. STREET ADDRESS (ACTUAL LOCATION) • P.O. BOX 15. RESTRAINT 12250 METTEER RD. 471 NO 3. SH 11. JAIL 4. APH 12. ICF/DDN CITY ZIP CODE 16. HOURS • LIVE OAK CA 95953 DAYS S. PHF 13. RCF 6. SNF 14. CCF 7• ICF/OT 15. DAF 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL PEGGY OR WILLIAM REED (916) 695-3707 8. ICF/DD 16. OTHER TO BE COMPLETED BY INSPECTING AUTHORITY 18. FIRE 26. CLEARANCE CODE AUTHOR BUTTE COUNTY BUILDING DEPARTMENT NAME ATTN: SCOTT RUTHAFORD AND #7 COUNTY DRIVE ADDRESS OROVILLE, CA 95965 CODES .CTR. IRE CLEAR. GRANTED 2. FIRE CLEAR. DENIED 3. FIRE CLEAR WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. -3 5 7 s- W T S-352- 22. CFIRS ID NO. 23. T-19 OCC. CLASS 1. EXITS 3. CONSTRUCTION 3. FIRE ALARM 4. SPRINKLERS 5. HOUSEKEEPING / . IN DATE / 25. INSPECTOR'S SIG TURE i 6. SPECIAL HAZARD 28. EXPLAIN DENIAL O SPECIAC CONDITIONS - 7. OTHER STATE FIRE MARSHAL USE ONLY RETURN TO: F -� 20. REGION. DEPARTMENT OF SOCIAL SERVICES OFFICE COMMUNITY CARE LICENSING AND 520 COHASSET RD. #6 - ADDRESS L CHICO, CA 95926 COUNTY OF BUTTE_ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 89.1-2751 7 County Center Drive, Oroville, CA - (91 6), 53877541 747 Elliott Road, Paradise, CA - (916) 87.2-6307 CORRECTION NOTICE 100T11 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. i r4 - c �r i' a .y R sY f L i; � µµ1 �4 4 Date /M Inspecto,� r a REV 10/92 COMMUNITY CARE FACILITIES LARGE FAMILY DAY CARE HOMES Suite, Co LAN D OF NATURAL W E A L T H A.ND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 EFFECTIVE JANUARY 1, 1991 SECTION 13146, HEALTH AND SAFETY CODE Fire and life safety requirements for large family day care homes were developed to provide a safe environment while maintaining the home environment. Large family day care homes provide family day care for seven to twelve children, including children who reside at the home for a period of less than 24 hours per day. The following requirements are the minimum acceptable standards and are to be employed when making an inspection for the Community Care License Board, 520 Cohasset Road, Suite 6, Chico, 95926. Phone (916) 895-5033. The inspection fee shall be $100. HEALTH AND SAFETY CODE, SECTION 13146.2 (1) A use permit is required for all large family day care uses. Contact the Butte County Planning Division at (916) 538-7601. TITLE 24 CCR, PART 2, SECTION 310.15.1 (3) HEALTH AND SAFETY CODE, SECTION 1597.46 (2) A floor plan of the dwelling is required that shows the entire house, including the area to be used for day care, location of exits, fire extinguishers, smoke detectors, and hot water heater and heating appliances. A plot plan is also required showing the location of the building and distances to property lines, and a pre -determined meeting place outside to be used when the house must be evacuated. UNIFORM FIRE CODE, SECTION 1213.2 TITLE 19, DIVISION 1, CHAPTER 1, ARTICLE 3, SECTION 3.13 1 (3) Rooms used for day care purposes shall not be located above the first story except in buildings provided with an automatic fire sprinkler system throughout. For the purposes of this section, the first story shall be designated as the floor used for residential occupancy nearest the street level which provides primary access to the building. TITLE 24 CCR, PART 2, SECTION 305.2.3 TITLE 24 CCR, PART 2, SECTION 310.15.5 (4) Provide single station residential type smoke detectors which are approved by the California State Fire Marshals Office. The number and placement will be determined by the inspector when each home is visited. In most cases this will be one detector centrally located in the corridor or area giving access to the rooms used for sleeping purposes, one within each bedroom, one in each vaulted ceiling area, one at the top of each stairway, and at least one in each story. TITLE 24 CCR, PART 2, SECTION 310.15.2 1994 UNIFORM BUILDING CODE, SECTION 310.9.1.4 (5) Provide portable fire extinguisher having a minimum rating of 2A: lOBC.. Fire extinguishers shall be hung on the wall so they are readily accessihle and visihle, and shall be no more than five (5) feet to the top of the extinguisher and no less than three (3) feet from the floor. Fire extinguishers shall be serviced annually and immediately after each use. TITLE 24 CCR, PART 2, SECTION 310.15.3 1996 CALIFORNIA HEALTH AND SAFETY CODES, SECTION 13190.3 TITLE 19, DIVISION 1, CHAPTER 3, ARTICLE 11, SECTION 596.4 (6) Provide a device suitable for sounding a fire alarm in a readijy accessible and visible location. It shall be attached to the structure and mounted no more than five (5) feet to. the top of the alarm, and no less than three (3) from the floor. It shall make a distinctive tone and be audible throughout the house. The following devices are acceptable for alarm systems: (a) A bell and switch that is battery powered. (b) A bell and switch that receives its power from the residence. TITLE 24 CCR, PART 2, SECTION 310.15.4 (7) At least two approved exits are required from a house. Every required exit doorway shall be of a size to permit the installation of a door not less than 32 inches in clear width and not less than 6 feet 8 inches in clear height. A manually operated horizontal sliding door may be used as one of the two required exits. If there is a screen on the glass door, the lock shall be removed. Yard gates blocking egress to the public way shall comply with the exterior door latching requirements. When basements are, used for day care purposes, one of the two exits required shall 2 `. 1 open directly to the exterior of the build* g without entering the first floor. NOTE: Horizontal blinds or other window treatments which would impede emergency evacuation are prohibited - TITLE 24 CCR, PART 2, SECTION 1025 TITLE 24 CCR, PART 2, SECTION 310.4 TITLE 24 CCR, PART 2, SECTION 1003.1 TITLE 24 CCR, PART 2, SECTION 1004.6 (8) Exit door(s), including manually operated horizontal sliding doors, shall be openable from the inside without the use of a key or any special knowledge or effort. This means that door hardware must be "self -releasing" and that one tingle mov .m _n or operation of the door will unlock and open the door. Manually operated edge or surface mounted flush bolts, thumb and key operated dead bolts, hooks and eye chains are prohibited. If a dead bolt is desired, it shall be "self -releasing" and unlock by just turning the door knob. TITLE 24 CCR, PART 2, SECTION 1025 TITLE 24 CCR, PART 2, SECTION 1004.3 (9) A self-closing solid core door 1-3/8 inches in thickness is required between the living area and garage. 1996 UNIFORM BUILDING CODE, SECTION 302.4, exception 3 (10) The garage must be separated from the home by materials approved for one-hour fire resistive construction on the garage side, or equivalent materials as determined by the Building Division. NOTE: This is generally 5/8 inch Type X sheetrock with no openings, that has been taped and sealed at the joints. 1991 UNIFORM BUILDING CODE, SECTION 302.4, exception 3 (11) Afire evacuation drill must be conducted monthly and a record kept of such stating: (a) Date of drill. (b) Evacuation time. (c) Number of persons participating. These records shall be maintained for a minimum of three (3) years. TITLE. 19 CCR, DIVISION 1, CHAPTER 1, ARTICLE 3, SECTION 3.13 (12) Extension cords shall not be used as a substitute for fixed wiring of a structure, and shall be removed where they run through walls, ceilings, floors, doorways, windows, or similar openings, where attached to building surfaces, or where concealed behind 3 building walls, ceilings, or floors 1995 UNIFORM FIRE CODE, 8506 (13) Every unenclosed gas fired water heater, furnace, or appliance employing open flames such as gas, wood, or oil which is within the area used for child care shall be protected with a fixed and suhstantially constructed metal guard. Such guards shall be located not less than ten inches from the appliance, be a minimum of 36" high, and the guard members shall be spaced not more than 2" apart. Exception: This does not apply to kitchen stoves or ovens. TITLE 24 CCR, PART 2, SECTION 310.12 TITLE 19 CCR, DIVISION 1, CHAPTER 1, ARTICLE 3, SECTION 3.17 (14) Chimneys, flues, and stovepipes shall be maintained in a safe condition, and all portions of any tree which extends within ten feet of the outlet of any chimney or stovepipe shall be removed. Provide a spark arrestor for the top of a chimney, flue, or stovepipe screened with a screen with maximum 1/2" openings. TITLE 19 CCR, DIVISION 1, CHAPTER 1, ARTICLE 3, SECTION 3.07 (b) (15) Storage of gasoline, fuel oil, and other flammable liquids shall be limited to the amount required for maintenance, operations, cleaning, and etc. It shall be stored outside in a private garage or other approved location. Storage in excess of 10 gallons shall be stored in an approved flammable liquid storage cabinet. UNIFORM FIRE CODE, 79.202 (a) 1994 UNIFORM BUILDING CODE, SECTION 310 AND 312 (16) Approved numbers or addresses shall be placed on the house in such a position as to be plainly visible and legible from the street or access road fronting the property. Said numbers shall contrast with their background. They shall be illuminated or mounted next to alight source. The minimum height of numerals shall be: 3" for numbers on illuminated address fixtures located on buildings within 25' of the property line, and for numbers posted on on-site mail boxes at the front property line. 4" for numbers posted on buildings within 50' from the property line. 4 C • f- 6" for numbers posted on buildings more than 50' from the property line provided that the addressing is plainly visible and legible. PUBLIC RESOURCES CODE 4290 1994 UNIFORM BUILDING CODE, SECTION 502 (17) Provide a firebreak around and adjacent to buildings or structures by removing and clearing away all flammable vegetation or other growth for a distance not less than thirty (30) feet or the property line, whichever is nearer. Does not apply to a single specimen of tree, ornamental shrubbery, or similar plant used as ground cover, if they do not form a means of rapidly transmitting fire from the growth to the building or structure. TITLE 19 CCR, DIVISION 1, CHAPTER 1, ARTICLE 3, SECTIONS 307 a and .b PUBLIC RESOURCES CODE 4290 Should you have any questions concerning the above, please contact Scott Rutherford of this office. W Yours very truly, ----- L�_ Mi ael Vieira, C.B.O. Manager, Building Inspection COUNTY 'OF BUTTE - DEPARTMENT'OF PUBLIC WORKS ✓'"j ,' 7 County Center Drive, Oroville, California 95965 / Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner A. P. No. Mailing Address '` Q Al P Lee, Q, Telephone No L. � v � as � �� ` • 9S-�S.3 / ' Applicant (itJ 11Ohl Telephone No. (0 lm�i Mailing Address 'go me, Building Location I hereby request a special inspection of the following building: / 1. Dwelling (if only a portion, specify) ; �C/!C ' r�' #-/ 4 2. Apartment House (if' only a portion, specify) Fo m r RoOry-) Q 3. Commercial (specify present occupancy) Q 4. Other (specify) I am requesting a special inspection•forthe purpose of: 0 1. Moving the building. 0 2. Financing (specify agency) 3. Change of occupancy to 4. Other (specify) o Case No. cG r P 1" r `p %L I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations; or repairs within -30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. `��f Date ?7 Signature of Owner Fee Paid $ 1st=DPW/2nd-Inspector/3rd-Applicant Receipt No. 3 o42 .3 /�7( MINOR USE PERMIT BUTTE COUNTY PLANNING COMMISSION NOV 4 1997 DATE: (Certified Mail Receipt) MUP 98-01 PERMIT NO. 024-210-013 ASSESSOR'S PARCEL NUMBER Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: William & Peggy Reed is hereby granted.a Minor Use Permit in accordance with the application filed July 29, 1997, to allow a large family day care facility for up to 14 children on property zoned A-40 located at 12250 Metteer Road, Live Oak. 1.. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 month_ s of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. FINDINGS: Section 1: Environmental Findings. A. This application for a Minor Use Permit to allow a large family day care facility is Categorically Exempt from environmental review; and Section 2: Zoning Ordinance Findings. A. The proposed location, size, design, and operating characteristics of the proposed use is in accordance with the purpose of Chapter 24 of the Butte County Code, the purpose of the zone in which the site is located, the Butte County General Plan, and the development policies and standards of the County; and B. The proposed location, size, design, and operating characteristics of the proposed use will be compatible with and will not adversely affect, or be materially detrimental to adjacent uses, residents, buildings, structures or'natural resources, with consideration given to: 1. Harmony in scale, bulk, coverage and density; 2. The availability of public facilities, services and utilities; 3. The harmful effect, if any, upon desirable neighborhood character; 4. The generation of traffic .and the capacity and physical character of surrounding streets; 5. The suitability of the site for the type and intensity of use or development which is proposed; 6. Any other relevant impact of the proposed use. C. The proposed location, size, design, and operating characteristics of the proposed use and the conditions under which it will be operated or maintained will not be detrimental to the public health, safety and general welfare, or materially injurious to properties or improvements in the vicinity; and D. The proposed use will comply with each of the applicable provisions of Chapter 24, Section 265, of the Butte County Code. Section 3: Action. A. Subject to the findings indicated in Sections 1 and 2 of this Exhibit A, Minor Use Permit for William & Peggy Reed on APN 024-210-013 to allow a large family day care facility is approved subject to the conditions listed herein. B. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant and only as to those conditions or requirements recommended by their respective departments. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. C. Conditions of Approval: 1. The facility is a single-family residence that is the principal residence of the provider and the use is clearly incidental and secondary to the use of the property for residential purposes. 2. Large family day care homes shall meet the following traffic control measures: (a) Provide 2 additional off street parking spaces for a total of 4. (b) To provide a circular driveway or other suitable turn around so vehicles will not have to back out onto Metteer Road shall be maintained. 3. One sign, not to exceed 3 square feet, shall be allowed. 4. The Large Family day care home shall be licensed by the California Department of Social Services, Community Care Licensing. 5. Meet all State Fire Marshall regulations pertaining to Large Family day care facilities. 6. The applicant must meet all other applicable State and local statutes, ordinances, and regulations. 7. Facilities not meeting the above standards shall require a Conditional Use Permit to operate. 8. Provide an all weather access to all structures, which is designed to carry a 40,000 pound fire apparatus, at least 10 feet wide with a 15 foot vertical clearance. 9. Obtain and keep on file for 1 year statements from parents acknowledging proximity of agricultural spraying. 10. Limit spraying, on orchard owned by the applicant, to times when children are not outdoors. NOTE: Issuance of this permit does not waive the requirement of obtaining Bui�ldina Division and Environmental Health Division permits before starting construction nor does it waive any other requirements of federal state and local law. Butte C my Planning Commission Chairman cc: Land Development Division Building Division Environmental Health Division California Department of Forestry . �. AppRO.VED o., Development Plan USE PERMIT VARIANCE i MINOR U.P. ADM.PERMIT r/ PLANNING COMMISS. DtREC1OR OF W�1 fUll� _%fe S pEV LUpMENT SERVICES i Shea -- (�...\,a. I it n e. � 1 1A �a Gate, IM e�Te n'- s -- - -- o`\- Planning Dlvision Qfi J U L 2 9 1997 1j Oroville, California an — �3 lo _ o A3 N� November 4, 1997 William & Peggy Reed P.O. Box 471 Live Oak, CA 95953 CERTIFIED MAIL Re: Use Permit, AP 024-210-013 Dear Mr. & Mrs. Reed Enclosed is your validated Use Permit No. MUP 98-01 to allow Minor Use Permit to expand use from a small family daycare facility to a large family daycare facility for fourteen (14) children. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Thomas A. Parilo Director of Development Services Ten Bndenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Count - ... utte LAND O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 CERTIFIED MAIL Re: Use Permit, AP 024-210-013 Dear Mr. & Mrs. Reed Enclosed is your validated Use Permit No. MUP 98-01 to allow Minor Use Permit to expand use from a small family daycare facility to a large family daycare facility for fourteen (14) children. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Thomas A. Parilo Director of Development Services Ten Bndenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health I . l Pl,d Plan Allachcd Floor Ilam Allached _ (✓__ Jcnt In li,U. TO: Bklilding Dcpartment FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP/1 Plan Approved for: Scwaoe Disposal Water Supply: Public)i � _/__ Pri to /ell mobile home. Othcr �� I K - k— �1�f Clearance for bcdPc c � � % -z' Hold Final for: Final clearance O.K. for: NOTE Environmental Health Specialist 8/92 - ? V Dat Reed Family Day Care 12250 Meeteer Road Live Oak, CA 95953 Attn: William or Peggy Reed B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 536-7541 FAX: (916) 538-2140 August 20, 1997 RE: Day Care Fire Inspection A.P. #024-21-0-013 The Department of Social Services Community Care Licensing in Chico has made a request to this office for a fire safety inspection of your proposed day care facility (maximum capacity, 12) at 12250 Metter Road, Live Oak Area. Your property is located within A-40 zone which requires a use permit from the Butte County Planning Department prior to business operation. Please contact them at (916)538-7601 between 8:00 a.m. and 4:00 p.m. for information on how to proceed. When you have made the application for the use permit and paid the appropriate fees, you may apply to this ,office for a Special Inspection for the fire inspection. For the Special Inspection, we will require a plot plan showing the building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may be required. We will not notify the Department of Social Services of any clearance until you have been issued a use permit and complied with both the Planning and Build- ing Department requirements. Should you have any questions concerning this matter, please contact this of f ice. MCV:dms cc: Department of Social Services Planning Department Yours'very truly, Mi c ael C. Vieira, C.B.O. Ma ger, Building Inspection Peggy Reed Family Day Care 12150 Metteer Road Live Oak, CA 95953 Attn: Peggy or William Reed 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: (916) 538-7541 FAX: (916) 538-2140 October 12, 1995 RE: Day Care Fire Inspection A.P. #024-21-0-013 The Department of Social Services Community Care Licensing in Chico has made a request to this office for a fire safety inspection of your proposed day care facility (maximum capacity, 12) at12250 Metteer Road, Live Oak Area. Your property is located within A-40 zone which requires a use permit from the Butte County Planning Department prior to business. operation. Please contact them at (916)538-7601 between 8:00a.m. and 4:00p.m. for information on how to proceed. When you have made the application for the use permit and paid the appropriate fees, you may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a plot plan showing the building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may be required. We will not notify the Department of Social Services of any clearances until you have been issued a use permit and complied with both the Planning and Building Department requirements. Should you have any questions concerning this matter, please contact this office. Yours very truly, MCV:dms Mic el C. ieira, C.B.O. Man ger, Building Inspection cc: Department of Social Services Planning Department -Plammng :Department APR 29 1993 villa, Calibmia DEPARTMENT OF PUBLIC WORKS ' WILLIAM (Bill) CHEFF; Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 93965 ' Telephone: (916) 53&7541 August 19, 1991 RONALD o. MCELROY Deputy Director RE: Day Care Fire Inspection (A.P:, 45-26-47) Dear Sir.:: The Department of Social Services Community Care Licensing in .Chico has made a request to this office for a fire' -safety inspection of your proposed day care facility (maximum capacity, 12) at 1080 Rey Circle in Chico. Your property is located within an �_R-L' zone which requires a use permit from. the Butte County Planning Department prior to -business operation. Please contact them at (916)538-7601etween 10:00a.m. and 3:p.m. for' -information on how to proceed. When you have made the application, for the use permit and paid the appropriate fees, you may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a plot plan showing the building location 'on the property, a" floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee. and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and -building permits that may be required. We will not notify the Department of Social Services of any clearances until you have been issued a use permit and complied with both the Planning.and Building Department requirements. Shouldou .have an ` ' y y questions concerning this matter, please contact thi:s:of�ice. Yours very truly, ; William Cheff Director of Public Works.? ' . _ �tJclil,3a� ::•fid 'rte JFG:dms cc: Department of Social Services Planning Department K &m�4, �• J:F. Glander ��.� Manager,.Building_Inspection L E. �c DEPARTNIrNT Or c PM SOCIAL. SERVICES, CCL Q 520 CO!►ASSET r,OAD,S'rc a 03 oc CHICO, CA 95926 ® X99 VIC7 1 a r � �IS�!'.li.11S14115'IItEfli�4ti''.S� C"'Co ' C POSTAGE,-* {CT -595 CA H METER 445301 * i i l i It J1t STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST STD. 850 (REV. 10-94) See instructions on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER. REQUEST DATE PROGRAM DSS/COMMUNITY CARE LICENSING 916 895-5033 8/18/97 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE SALGADO/.Q.104. 045400707 3A CODES RESPONSE REQUIRED 1. ORIGINAL -A. FIRE CLEARANCE 'LICENSING DEPARTMENT OF SOCIAL SERVICES RECEIVE 2• RENEWAL B. LIFE SAFETY AGENCY NAMEAND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 AUG 19 1997 4. OWNERSHIP. CHANGE CHICO, CA 95926 f`-' BUTTE C®` rI": ': 5. ADDRESS CHANGE L BUILDING Ids ... _.._ Y 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPAGTY 14 6 0 0 0 0 14 FACILITY NAME LICENSE CATEGORY REED, PEGGY & WILLIAM FAMILY DAY CARE 810 - FDC STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 12250 METTEER ROAD 1 CITY RESTRAINT LIVE OAK NO FACILITY CONTACT PERSON'S NAME HOURS PEGGY OR WILLIAM REED. (916) 695-3707 SPECIAL CONDITIONS FIRE BUTTE CO. BUILDING DEPARTMENT AUTHORITY 7 COUNTY CENTER DRIVE NAMEAND OROVILLE, CA 95965 - ADDRESS . L J INSPECTOR'S NAME (Typed or Printed) TELEPHONE NUMBER INSPECTION DATEI INSPECTOR'S SIGNATURE (Typed or Printed) { i>{D EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 1 CFIRS NUMBER OCCUPANCY CLASS CLEARANCE /DENIAL CODE CODES 1. FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER F. STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST See instructions on reverse. STD. 850 (REV. 10-94) AGENCY CONTACTS NAME _TELEP,HONE NUMBER - ) REQUEST -DATE. _ P.ROGRAM . DSS/COMMUNITY CARE LIOENSING� 916) -895-5033 8/18/97 EVALUATOR'S NAME- r REQUESTING AGENCY FACILITY NUMBER REQUEST CODE .��54 045400707 `" 3A CODES 3 RESPONSE REQUIRED ' i. ORIGINAL A. FIRE CLEARANCE LICENSING ' DEPARTA=NT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY- NAMEAND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS : - 520 COHASSET ROAD- SUITE, 6; �.... ... `.x 4 OWNERSHIP CHANGE: 5. ADDRESS CHANGE " 6. NAME CHANGE 7. OTHER AMBULATORY. NONAMBULATORY ` ^ BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY i4 6 0 0 0 0 _ 14" FACILITY NAME LICENSE CATEGORY - REED, PEGGY & WILLIAM FAMILY DAY CARE 810 - FDC_ STREET ADDRESS (AcfuefLoc�etion '• ' `; .. � '' b- ` -- -;• " -: `. "'' ' ? ".?'NUMBER;OF'BWILDINGS` ; 12250 MiETTEER ROAD CITY' ° 1 RESTRAINT s LIVE. OAK NO FACILITY.CONTACT PERSON'S NAME HOURS PEGGX OR WILLIAM"REED (916) 695-3707 SPECIAL CONDITIONS CLEARANCE /DENIAL CODE CODES FIRE BUTTE CO. BUILDING DEPARTMENT AUTHORITY 7 COUNTY CENTER DRIVE 1. FIRE CLEARANCE GRANTED NAME'AND OROVILLE, CA 959656 2. FIRE CLEARANCE DENIED .ADDRESS-. 'r A. EXITS . . B. C. FRE ALA MTION �. 'D. SPRINKLERS' INSPECTOR'S NAME (Typed or Printed) TELEPHONE NUMBER CFIRS NUMBER OCCUPANCY CLAS E. HOUSEKEEPING F. SPECIAL HAZARD INSPECTION DATE INSPECTOR'S SIGNATURE (Typed or Printed) G. OTHER EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 3 STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST STD. M (REV. 10-94) (REVERSE) INSTRUCTIONS This form is designed for use with a window envelope Licensing or Requesting Agencies --Complete the following 19 sections on this form before submitting it to the fire authority having Jurisdiction. 1. AGENCY CONTACT, 2. TELEPHONE NUMBER, 5. EVALUATOR. Enter the name and telephone number of agency contact person. 3. PROGRAM. Licensing agency use. 4. REQUEST DATE. Enter date request was prepared. 10. FACILITY NAME. Insert the name of the facility as it will appear on the license. List identifying sub name if known (i.e., Hacienda Corp/Medina Lodge).. 11. LICENSE CATEGORY. Insert the category of license being sought as it will appear on the license certificate. 6. REQUESTING AGENCY FACILITY NUMBER. This is 12. ADDRESS. Insert street address and city only. A post the file number assigned by the licensing agency. office box is not acceptable as only location. 7. REQUEST CODE. Use the seven codes shown and 13. NUMBER OF BUILDINGS. Insert the total number of insert the appropriate -number in the, box following "Re- buildings to be used for housing of the occupants quest Code". If NAME CHANGE, please list previous covered by the license. name. Insert date of original request is other than an 14. RESTRAINT. Indicate if physical restraint (locked in a original. room or the building) is to be used in the housing of the 8. AGENCY NAME AND ADDRESS. Enter the name and address of the licensing facility requesting the inspection. 9. AMBULATORY-NONAMBULATORY—BEDRIDDEN. Capacity: Insert in the appropriate section, the capacity of licensed ambulatory or nonambulatory oc- cupants covered by this request. Previous If request is for renewal or capacity change, Capacity: insert capacity of previous clearance. Total Show total licensed capacity. If the facility is Capacity: intended to house part ambulatory, nonambu- latory, and part bedridden, show the total of the three types of occupants. occupants. 15. FACILITY CONTACT PERSON=TELEPHONENUM- BER. Indicate the name and telephone number of the responsible individual at the facility to be contacted by the fire authority. 16. HOURS. Indicate the number of hours the occupants are housed at the facility (less than 24 or 24+). 17. SPECIAL CONDITIONS. Indicate any conditions unique to this request. As an example, if the inspection request is for one building in a multi -building facility. FIRE AUTHORITY CONDUCTING THE INSPECTION—COMPLETE THE FOLLOWING: 18. FIRE AUTHORITY, NAME AND ADDRESS. Insert the 22. OCCUPANCY CLASSIFICATION. Use California name and address of the fire authority where the facility is Building Code occupancy classifications and insert the located. occupancy determined by the inspector. 19. CLEARANCE/DENIAL CODE. Use the two codes: 1 for clearance granted, and 2 for clearance denied. If denied, also include the appropriate letter code. As an example, Denial based upon exiting would be coded 2A. 20. INSPECTOR'S NAME. Print the initial of the inspector's first name and full last name; insert the telephone number where the inspector may be contacted. 21. CFIRS I.D. NUMBER. Insert the fire department's num- berassigned by California Fire Incident Reporting System. 23. INSPECTION DATE. Enter the actual date of the inspection. 24. INSPECTOR'S SIGNATURE. To be signed by the inspector conducting the inspection. 25. EXPLAIN DENIAL OR SPECIAL CONDITIONS. If clearance code #2 is used, briefly explain reason. This space is also to be used to specify any additional limitations placed by the fire authority, of certain floors or sleeping room: nonambulatory clients. f_, STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST , See instructions on reverse. STD. 850 (REV. 10-94) AGENCY,CONTACTS NAME, y y , -. ° - TELEPHONE NUMBER % . REQUEST,DATE, - PROGRAM DSS/CO.LMNITY CARE LIOENSING T � 916 895-5033 . � 8/18/97 CLEARANCE /DENIAL CODE EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE CODES; 04540.0707 3A FIRE 7 COUNTY CEi't'TERDRIVE CODES RESPONSE REQUIRED 1. FIRE CLEARANCE GRANTED AUTHORITY 1.'ORIGINAL A. FIRECLEARANCE LICENSING DEPA.RTTIFIrl OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY NAMEAND =TPlUNITY CARE. LICENSING 3. CAPACITY CHANGE ADDRESS 520 ,COHASSET ROAD, SUITE. ..6.. �.e... [. '.Yv ..-.s c�.., ..s � ._.. M I _.. .. 'wrn -. riv...h a..; u..hf.� ,.'!Y 4 OWNERSHIPCHANGE _ ... - .- .... ti-k.f.3ty�.W'it-+oi.h•+...:.' .msµ: .Ma. .i.'w.c•.n:w ..�1...,<.i/.n.. �CHICO, CA X3526` A. EXITS ' S. ADDRESS CHANGE r 6. NAME CHANGE ..7. OTHER AMBULATORY . NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY. PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 14 6 0 .0 0 0 `- 14• FACILITY NAME LICENSE CATEGORY . REED, PEG WILLIAM FAAiILY DAY CASE 810 -RDC .STREET ADDRESS •(AGtual'Lodation)-' :...:.. d. _ _ -: _ 1 .. .. ..._ -„ s •: ... .: ,...._._ .: -NUMBEROPbUILDINGS ..712250 METTEER ROAD 2 , CITY - RESTRAINT LIVE. OAK _ . " NO.., FACILITY CONTACT PERSON'S NAME HOURS. PEGGY OR WILLIAM REED (916) 695-3707 .. SPECIAL CONDITIONS ti ce - s`�is�u+a�. mr y. , -. •,az..xCraxm, Mxxx�uz,in�nyn,atwn�a+z+.�,">aava,a+r,z¢tca�s'.wv. z,xa^.-m w. -e. �+:..a� ...mw.,on.«m.sars. �wca�rx-ax ,.. ». CLEARANCE /DENIAL CODE K CODES; BUTTE CO. BUILDING DEPARTMENT ' FIRE 7 COUNTY CEi't'TERDRIVE 1. FIRE CLEARANCE GRANTED AUTHORITY NAME AND OSOVILLE, CA 959656, 2. FIRE CLEARANCE DENIED ADDRESS A. EXITS ' r B. CONSTRUCTION d—FIR EALARIVII SPRINKLERS INSPECTOR'S NAME (Typed or Printed) TELEPHONE NUMBER CFIRS NUMBER OCCUPANCY CLASS > RSD. / E. HOUSEKEEPING F. SPECIALHAZARD G. OTHER INSPECTION DATE INSPECTOR'S SIGNATURE (Typed or Printed) y EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS .. ,� =, ..+>� .+-•"-.�: Io-. • . t 0/ .SPOO. bp- (�% \aP r be re �. �oo►'�'� amu• .,., . P k k 4 Ailwi„dd�.,s be q4” nex hviy t- in 3 lee" pnA ro o vrt s. 5-. ,Q 11 _ w t V%dowS +b fx. 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