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Home My WebLink About028-270-18440I'RAVEL TRAILERS W/O PERMITIS . 12/6/94 Z' COMPLAINT TO INSPECTOR _028727-0-184 93=80 BPEM \ FISHER, Leroy 191 Teddy Ln, Bangor new sf 028-270-184 PERMIT#95-064 FI HER, LeRoy` 1 i Teddy Ln., Bangoo Util for Travel TrailerAQg worke 028-270-184 PERMIT#9 -0882 I FISHER, Leroy 191 Teddy LN., Bangor MH util for Ag Worker #2 A ELECTRIC GAS LINE 3/9('7,9 Sl l L COMPACTION TEST RE O SUPPORT STRUCT REQ yj 028-270-184 PERMIT#95-2996 FISHER, Leroy8 ` 191 Teddy; n., Bangor ( J MHI Ag Worker / B08-0932 $CAtsNE.D 028-270-184 MISCELLANEOUS Re -Roof REROOF W/COMP (13) 191 TEDDY LN YOUNG, KENNETH row" ' ! y.� is _ i /' , • vf., ! -"'RtSIDENTIAL f �` ' 028-27-0-184 r 93-80 �BPEM ? , FISHER, Leroy 191 Teddy Ln, Bangor ' l ; new sf 1 7 v �- OFFICE COPY '1 r 1 _ Address 1 Meter By , p ELECT RIC Meter BY _ l r i l r� \ ti JOB FINALE L,, Signature ' i J=OK �. O = Not OK- Not K - N t Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except If's 1. Zoning Requirements -Setbacks Easements - 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch �J 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except If's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r J=OK`_ O = Not OK = Not Applicable RESIDENTIAL (; = Not Ready , Date U ERFLOOR (Plans) OK except ti's ruZoning -Setbacks -Easements -FI d -Slope _ �g., Main; Soils-Elec. Grnd.-/ g. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd,-f " Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ g. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel ice 0,77 9. D.. •:V.; Fall -Fitting -Test -2 Way C/O -Se eF-T-est UF. Gas Pipe; Size -Anchors - y gas piping: ' e -t 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation 41 Date and B-1 Date Card B-1 Date T_rd B-1 Date Card B-1 DatcV ALUMMING (Perniit),OK except ti's ---- --16. -at r Htr_: Vent -Access -Combustion Air -Baffle - - - V.ater Pipe; Test & Anchor -Nail Protection - -- - - - D_W_V : Test -Fittings & Anchor -Nail Protection- -- - - - 19. Shower Pan: Test. First Floor -Tub Access _ - ---- 20. Test Tub & Shower. Second Floor -Tub Access - - - - - 21. Gas Pipe: Size & Anchors ------ - - -- -- --- - -- - - Card 671 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer_ Clearance -Ins. Protection -- - ✓�23� Elec. Receptacles Spacing -Lights & Switches at Doors --- -- - -- ✓ 24. Size Boxes & No. of Conductors -Stapled - ------------- V-1Z25. --- --- --- - -------------- 25. Installed Close to Edge of Studs & C.J. Equip Ground made 'up w/Mech. Fastners Bo d Gas Water --- - as - - ------ ---- --- ------------ ------- -- --- - Appliance Circuts in Kitchen & Conductor Size/GFI ----------------- ----------------------- -- tt-3ubfeed Wire Size i r ga. Cu or AI-A.C. Wire Size / / ga. Cu or At ------- ---- ----------------------------------------------- ange Circ /dga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- - ----------------------- ------- - - --- - - ---------- -- - 30. -------------------------------------------- vice -Riser Conductors & Ground -Main Disconnect -------- ------ ------------------------- ------------------------------ 31.°Equip. Clearances Panels-Motors-Mech. Equip. ------ ---�- ----- _---- -----------------�,Wo -s--- - - - - ------ _15? Light-S�ow-e-r----i--g-h---t-----S-p--a-- -L-i-g-h--t ----------------ector ------------------------------------- ------------------------------------------ ------- ----- - --- - - ---- ----------------------------------- Dat Carte Card 8_1 Date Card B-1 Date Card 8-1 Date MECHANICAL (Permit) OK except ti's 34. A. C. Ducts Insulation & Support 35. Vent Fan Exhaust above insulation -------^-- - 36. ondensate Dr & Overflow Size &Grade + ------- --- -- ------------ - - - - - � 7. Furnance- t: Access -Comb Air -Return Air Vent -115 outlet ------------------------------------ ----- 38. Attic Access & Platform if Furnance in Attic --------------------- --------------------------------------------------- ------ Dat eZ / and 1 Date Card B-1 ----{777-'----f--- --- -- --- - --------- ---------------- Date Card B-1 / Date Card B-1 Date FRAMING (Plans).OK except ti's 39. Sils. Proper Material & Anchors - --- ----------------------------------------------------- 40. Walls Steeds -Nailing. Spacing & Bracing-Plates-Sound -----------/Neadrs ------------------------------------------------------- Walls over Girders & Floor -Nailing p in Walls- (rat proof) s: Furred Ceilings -Stairs -Chases -Tub .............. ---------------------------& Beam -Size & Bearing Date _ Card B-1 Date Card B-1 DattT6 Card B - Date Card B-1 Date EEFEEF FI ans) OK except ti's teps-Door & Sidelight Protection -Landings -------- ---- 62. �®•Detector ----- Sm - -- Furnace: Vents -Clearance -Comb. Air -Connector - o IryGarege: Above Floor-Ducts-Mech. Protection i1 -------Exiting ------ `' ` __Ei4 I & Bath Fixtures & Tub Access-Sve Sizes replace or rove: Clearances -Hearth >---- 69. Ele lets at Wood Panel: Int. & Ext. di-------------------- _70. Kit xt. & Appliance: Grnd.-Air Gap -Cooking Clearance ---------- 71. -- - ----71. Ele ets & Receptacles at Kit. Counter --- -Garage Fire Door Swin nding-Closer - _C. Duct in Gara - amper 74- 1. Ve - arance-Comb. Air-Connector-P.R.V. af-a . Above Floor=Mech,P.rotection 75. x Mech. Equip. Lis for on ----c-ITeceptacles in Garage,&Qtf5qZRomex Protection 7;. Insulation: Foam -Looked in Attic ❑ Yes - �►--^T8"Guard -Deck Construction -Post Caps ----------------- ------------------ -- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clpaxertce Looked under Floor ❑_Yes Following instld.: Drive ❑ No; Walks ❑ Yes g- ... /-�- - --------,----- ' Planters ❑ Yes o .......................... ewn-Finish----------- Unit; Disconnect. Electrical, Plumbing-� `L------gs--- ------------------- �S3 nis�Abo Roof: PIbg.-Appliance-Fireplace. -Clearance to ------------------------ ---- -- -- Water Well; Disc . ctrical, Plumbing I r-ior Elec. Tri ceptacle- Underground 86. VeaUlation Throughout House ---------------- ----- a7. G Protectio ------ ----- - tl9. Ga Previous Inspections Aest-Meters Tagged: Gas -Electric_ ar & Sewer Connected -C/O to Grade -HD Approval--------------- rPy Compliance-Certificate.Other Certificates ---- Dat f, rd B- Date Card B-1 Dat and 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I 1 l i � :learance _ o -Ins. Baffles ansions s t/ otection riggers -- ss -� '-r o' G -:5- - r --mmiration-Walls-Windows ------------------------------ Date _ Card B-1 Date Card B-1 DattT6 Card B - Date Card B-1 Date EEFEEF FI ans) OK except ti's teps-Door & Sidelight Protection -Landings -------- ---- 62. �®•Detector ----- Sm - -- Furnace: Vents -Clearance -Comb. Air -Connector - o IryGarege: Above Floor-Ducts-Mech. Protection i1 -------Exiting ------ `' ` __Ei4 I & Bath Fixtures & Tub Access-Sve Sizes replace or rove: Clearances -Hearth >---- 69. Ele lets at Wood Panel: Int. & Ext. di-------------------- _70. Kit xt. & Appliance: Grnd.-Air Gap -Cooking Clearance ---------- 71. -- - ----71. Ele ets & Receptacles at Kit. Counter --- -Garage Fire Door Swin nding-Closer - _C. Duct in Gara - amper 74- 1. Ve - arance-Comb. Air-Connector-P.R.V. af-a . Above Floor=Mech,P.rotection 75. x Mech. Equip. Lis for on ----c-ITeceptacles in Garage,&Qtf5qZRomex Protection 7;. Insulation: Foam -Looked in Attic ❑ Yes - �►--^T8"Guard -Deck Construction -Post Caps ----------------- ------------------ -- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clpaxertce Looked under Floor ❑_Yes Following instld.: Drive ❑ No; Walks ❑ Yes g- ... /-�- - --------,----- ' Planters ❑ Yes o .......................... ewn-Finish----------- Unit; Disconnect. Electrical, Plumbing-� `L------gs--- ------------------- �S3 nis�Abo Roof: PIbg.-Appliance-Fireplace. -Clearance to ------------------------ ---- -- -- Water Well; Disc . ctrical, Plumbing I r-ior Elec. Tri ceptacle- Underground 86. VeaUlation Throughout House ---------------- ----- a7. G Protectio ------ ----- - tl9. Ga Previous Inspections Aest-Meters Tagged: Gas -Electric_ ar & Sewer Connected -C/O to Grade -HD Approval--------------- rPy Compliance-Certificate.Other Certificates ---- Dat f, rd B- Date Card B-1 Dat and 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC UB C WORKS 7 County Center Drive - OroviNe, Calitbrnia 95965 - Telephone: 916/538-7541 w APPLICATION AND PERMIT RMIT NO.() ' _v ASSESSOR PARCEL NUMBER 028-270-184 ZONING A-5 BUILDING PERMIT OWNER LpRn TELEPHONE 939-4270 SQ. FT. OCC. BUILDING VALUATION OWNER'S M ILING ADDRESS 2971 rth Way,Sacramento 95832 1 1,728 R 93,312.00 40007 M 7,200.00 CONTRACTOR'S NAME Owner TELEPHONE 215 0 1,505.00 CONTRACTOR'S MAILING ADDRESS 120 C 1,505.0 Fireplace "A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $618.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $309.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.0 Penalty $ BUILDING ADDRESS Permit fee $962.75 391 Teddy T.,qnp, Rqngor PLUMBING PERMIT Filing Fee 15.00 Each Trap 7 5.00 35.00• Solar or heat pump water heater 1 20.00 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ 3 Bedroom New Single Family Describe work: P Y Permit Fee $ 2.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200AORLESS 1 11 18.50 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1o00A1 37.50 NEW CONST. / DWELLING OCCUP.yd\ X 3.64sq.ft. 74.50 OR ADONS. \ ACC. BLDGS. // NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC TS @ 5.00 I IPOWER APPARATUS &) (SINGLE OUTLET CIR. Ex. 20 76 p OUTLETS OR FIXTURES @_4raj EX. Occup. OUTLETS (RESID.)AAI FIXED APPLNS. REA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 108.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Heat Pump 119.001 9.00 Under 100.00 Cooling None Hood 1 6.501 6.50 Ventilation 1 4.50 4.50 Permit Fee $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify an keep harmless the County of Butte against all liabilities, ju ments, costs and expenses which may in any way accrue agains aid Co yin nseq ce of the granting of this.ps"Pit. X Date �1, f - owner Contractor ❑ A ent ❑ �J $ignature ofe,�/.,Sonequired An OSHAwork pe for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEES1,257.75 HAz I DFEES IMP FL000 cDF PARCE Po HD Iss - This permit is hereby i sued under the applicable provi- sions of the Butte C my Code and/or resolutions to do indi t d e for which fees have been paid. OR OF PUBLIC WORKS By DatePERMIT EXPIRES Date , Receipt No. 130435 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT d �"+`�'`+��TidC";�•«.';rF�w'�'�"�,��,�1.Jar-i�'�''�'�"�'Wr"MuGir's.,z�% .. ""r....%• a . i� � . v r ,,.. . r - � �f -� � .. COUNTYOF BUTTE - DEPARTMENTQE.D .4GCLOPMENTSERVICES - BUILDING DIVISION I 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICAMON DATA SHEET, OWNER L.�= 4W 7�J �'I �� A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must -be submitted prior to permit processing and%or°issuance: 1 DATE RECEIVED BY II items have been submitted.....................�>.................. - lot plans; 3/4 sets, signed by preparer of plans. ......:......:. . ......:... . complete plans, 3/4 sets, signed by prepar`er of plans. : . ................. . 4. Engineered plans and calcs, 3/4 sets, with wet signature owplans. ...... ...... 5. Hazardous Material Form. .......................... ..... . 6. Energy Design Compliance and supporting documentation. .......... tatement of Intent for Non -Heated and A/C Buildings . .............. ! ...... ngineered truss details and layout in duplicate (required prior to plan check). .... ,, Mobilehome t f c r 's tallati ir. t ctio 2 sets. .... ) . ees of $ �f (�, 1.Sd�13 i 1 pact fees as'shown on attached schedules !�f%� . California Department of Forestry plan approval/fees................. ..... . Flood elevation letter (100 year'flood)y. - alifornia Engineer.......... j Sanitation and plot plan approval do HeaIt-h:'Department. . I I 15. City ,of�Chico plumbing permit . ..................... \............ �..... �, 16. Plot plan and business license approval from City of Biggs/Gridley. ............ ' 1../Pl6nning approval for (A) Use: (B) Parking: A- 84 ontact Land Development about (A) Improvements (B) Drainage. ........... r riveway permit (construction approval required prior to occupancy). . . FreanspecGonrequ � Pre -inspection for required. .. to Building Inspector Date) _ A1_'J2 ontractor's license information. (No., Name Style, Class cation) . .............. ertificate of Workmans Compensation Insu ce. ..... .wner-Builder Verification (Given to owner Mail to owner )...........ecorded copy of Agricultural Acknowledgeme t Statement . .............. ..etter 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 . ......................... : . : 17 29. Documentation of legal access . ........................ 30. Documentation of'50% subdivision developed or (A) Road improvements completed M� and (B) Parcel meets zoning area'and frontage requirements.. s 31. ,Existing violations/expired permits. " f �!. l� lan check list . ..................................................... 33.- .34. 3.-.34. When XoG fssue� the permit, process as (lows: ' to owner. Mail to contractor: ` Teleph�i L(2 O )f of or pickup at,. ` office. Deliver with inspect/ Other 270 - Parcel Creation N ivy Acreage fapS licant Date Copy of Haz-Mat form sent Hea Copy of plans sent Health Dept. The following data must be submitted K —1. Index permit'for above items No. 2. Additional items required: Fire Dept. Air Pollution Date Fire Dept. Other Date _ new item not checked above). By Z Co Ps Qi S O r ?LA/JS RST-LA"e,)�- -ro C.GtjQ4k* Contractor, designer, owner, was advised of above required data by _ phone _ mail ' Counter by X Date 1 -21 -q3 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by - Date Plans -checked by G12,Q)onPS • Date_-cb-°13 Plans approved by C{1836,JsDate�� 3 Sets of plans on hold in -,X File cabinet AP folder Copy - Department of Public Works TO: Building Department* FROM: Encroachment Permit Section RE: Driveway Clearance ow r location AP Driveway permit 12m,".Q 0,e fla'lhas been issued for the .above property. si ature date f- 1� Phil I'Iwi Attschtd _ kout I'lati Atwelw(I Sent to 11:1). TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �r �� -� - Owler Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom fiTFhome. Othcr ,u Hold final for: • - Final clearance O.K. for: NOTE: Environmen 8/92 th Specialist a im Date COUNTY OF BUTTE a BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 14`69 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 C? 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 contactoffice immediately. c'L':A' 4 �'�.......,t,,..`.rt"`-.s..;�, ., , r - t ...2',# ,.� .�: ..��"�7'jr �v'..a�•SS'u*�.4.�+►.^..+��,,.:+��'Tj'.- . � { COUNTY OF BUTTE ., ,. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -1469 Humboldt Road, Chico, CA -. (916) 891-2751. 7 County Center Drive,'Oroville, CA.- (916) 538-75411 747 Elliott Road, Paradise; CA - (916) 872-6307 CORRECTION NOTICE' r ... OWNER iFERMIT NO , A routine inspection indicates.that the following violations of Butte County Ordinances exist ats the above address and should be corrected. Please notify this office when correction of work -`a' is completed. If you have any questions pertaining to this matter, or need additional explanation,;: please contact this office mediately. AT I Art, r fqq 1r `M Date — Inspec or r _ , REV 10/92 ' • � ..- .t - .r :.,:"�..,.'Y-1-�:ll;;t,�-`},t ;�-�:: `�v-"+Fi-" �:^^•.K7_.ii;....-�:7..�::c�-'Ci`.+F'�`.'y.=..e-,.,; �' : -, r f Y, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469:Wumboldt Road, Chico, CA - (91.6) 891-2751 �3 County Center Drive, Oroville, CA - (91 61 538`-7541 . 747 Elliott Road, Paradise, CA - (916) 872-6307 ; CORRECTION NOTICE O NER PERMIT N.O s x A routine inspection indicates that the following violations of Butte County Ordinances exist at 1_ the above address and should be corrected. Please notify this office when correction of work,,-- a; is completed. If you have any questions pertaining to this matter or need additional explanation,: ` `^ please contac is office immediately. CA ,.oc l •f yi MA .. - ..4 .. - ',4 Date ..' — Inspector _ x REV 10/92 Insulation Certificate - BUILDING OWNER: Is AE,e BUILDING PERMIT #: BUILDING LOCATION__ • (_11:�OA V-- 4 A� - - RAISED. FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material _._.—Brand Name Thickness (inches) Thermal Resistance .(R -Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby. cei ify that the above -insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Admi nrative5ode. / v �— eral Contractor (Buiider) License Number Signature and Title DXe Sub -Contractor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST BE PROVIDED -TO THE BUILDING DEPARTMENT.PRIOR'TO,FINAL INSPECTION APPROVALAND A COPY SHALL BE POSTED WITHIN,1'11E BUILDING. JANUARY 1993 :Description of Installation ROOF terial Brand Name C Thickness (inches) Thermal Resistance (R -Value) VC-EILING Bau or Blanket Type Brand Name Thickness (inches) / �►. Thermal Resistance (R -Value) Loose Fill Type i- Brand Name Contractor's minimum installed weigfit/ftL lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) �RIOR WAL Material �Srand Name Thickness (inc es) Thermal Resistance.(R-Value). RAISED. FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material _._.—Brand Name Thickness (inches) Thermal Resistance .(R -Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby. cei ify that the above -insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Admi nrative5ode. / v �— eral Contractor (Buiider) License Number Signature and Title DXe Sub -Contractor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST BE PROVIDED -TO THE BUILDING DEPARTMENT.PRIOR'TO,FINAL INSPECTION APPROVALAND A COPY SHALL BE POSTED WITHIN,1'11E BUILDING. JANUARY 1993 Installation Certificate: Residential 4 CF -6R BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be. used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that.the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance -submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certffled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficiency Type and Plping Before Over- Equipment heat pump, etc.) Model Number (AFUE. etc.) Location R -Value Sizing (Btuh) Capacity (Btuh) CEC Certified Cooling Equip.' Compressor Unit' Actual Distribution Duct or. Type (air Gond., Manuf. Make & Efficiency Type" and Plping heat Duma. etc.) Model Number (SEER) Location R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energy External Water Heating CEC Cartffled Rated Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation (storage gas, etc.) Model Number or Btuh) (gallons) Efficiency Loss (%) R -Value 1. For small gas storage (rated input15 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btwhr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters. list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24, Part 6. Subchapter 2, Section 111. Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE DEPARTT, T OF PUBLIC WORKS — BUIL'DING'DIVISION 7 COUNTY CENTER DRIVE-, CALIFORNIA 95965 --TELEPHONE (916)5387541 )WINER L E96 YA.P. `NO . Z 'Z70 (?5 1 ?ROPOSED BUILDING USE S • - . DATE- R:EC . 70 DATE_ REC r2. . --iSchool Distric Fees oxo' uw1o,t% " ( paid at District- Office) .:.............. ........ ��4 lq She_ff Fees (paid. at:Building Department) a-0 Residential ..... Z urfi t amt. Commercial( per- sq . f t :) x _$ sq.ft. amt. 3. Urban. Area Fees (paid at,Building`Department Residential (per unit) X 4 ir units amt. 4, Commerical(per sq. ft.) X =$ sq.ft. amt. Rerseation District Fees (paid at District Of=ice)............................. Drainage.District Fees (Contact,: -Land Development) 6. Other 7. Other time of permit application, I was advised the above fees are required to be paid pr Lo issuance of the.permit. /-/2 S3 .A2?LICANT DATE COUNTY OF BUTTE - Department of.Public Works 7 County Center Drive, Oroville., CA 95965 Phoned OWNER -BUILDER VERIFICATION Attention Property Owner: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. " Please complete and return this information at your earliest opportunity to avoid unnssary 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 . t e proposed property improvement (yes or no) 2.. I (have/have not) signed an application for a building permit for the proposed w k. 3. I have contra ed w' h the ollowing person (firm) to.provide the proposed construc o Name Address City Phone Contractors License No. 4. I p12n to provide-po-rtions of -this work, but I have hired the following person to -coordinate, supervise, and provide the major work: Name Address. City. Phone Contractors License No. 5. I will .provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: i Property,Owner Social Security Numbe Date NOTE: This Owner -Builder Verification is sent to you as required by'Sections 19831 and 198.32 of the -California -Health --and Safety. Code. This verification must be completed and returned to our office before we are .per_ mitted to issue the permit. g P - ceTL:n 'tb DPW AGRICULTURAL STATEM07 OF AC110IOWLEDGE`' IT FOR RESIDENTIAL DEVELOPMENT ,,Sectidn 26-8.1 of the Butte, County Code requires this acknowledgement be recorded prior to issuance of a building permit, a I 7 0 0.1 s48`1 -The property described herein is adjacent to land or included within an area zoned 1 Z agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records l . veniences-or discomfort arising from the County : of .tte 1 use of-: agricultural chemicals, including, BuI t but not limited to herbicides, pesticides, Candace Grubbs 'I and fertilizers; and from the pursuit Recorder I of a ricultural o or-tarinnc includi n 11:16am 12 -Jan -93 1 53 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Lural zones which.have as a priority use for productive within said zones and on adiacent Droperty should be or discomfort from normal, necessary farm operations. Rec Fee -11. OOf Cash 11. 0G PUBL XX Butte County has established agricul agricultural purposes, and residents prepared to accept such inconvenience All that real property situate in the County of Butte, State of California, described as follows: COUNTY OF BUT r= BUILDING DEPT JAN 12 1993 Date : / 7 . PROPERTY OWNERS: State of !Z, f}- On this the j� r� day of % '1 4 19_21--, before me, the SS. undersigned Notary Public, personally appeared County of ) / / i' Personally known to me. Proved to me onithe basis ~_• of satisfactory evidence. +■.mn� to be the person(whose name( /s 1994 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. r Present A.P.. No. NotaryRslic . g2-55'3.5.6 Description All that certain real property situate in the County, of -Butte, State of California, described as follows: All that real property described as a portion of the West. half of Section 31, Township 18 North, Range 5 East, M.D.M., -Butte County, California,. being more particularly described as followsc COMMENCING. at the West quarter section corner of said Section 31, said corner being -marked upon the ground by a brass disk stamped L.S. 3625; thence North 01' 141. 19" East along, the West line of said Section, 684.62 feet to a point on the South boundary of Bangor Park Road, as said road is described in Deed to Butte County and filed for record as Official Records, Serial Number 86- 068411 -thence. North 57' 34' 58" East along the South boundary of said road, 986.24 feet; thence South 00' 28" 26' West, leaving said road, 967.00 feet to a one-half inch rebar tagged L. S. 3625 and the true point of. beginning for the herein described parcel of land; thence North 73' 48' S2" East, 1022.67 feet to a .one- half inch rebar tagged L.S. 3625; thence .South :010. 16-' 13" -,West, 2042.72 feet' to s, point on the South boundary of that certain parcel of land as described in Deed to Butte- View Recreational Club as filed for record in Book 2845 of Official Records, at page 437, records of Butte County, California; thence South 73' 57' 33" West, along said South boundary, 192.87 feet; thence North 85' 21' 31• West, 422.61 feet; thence South 66' 44114" West, 280.64 feet; thence North 50' O1' 22" West, 114.11 feet to a one half inch rebar tagged L.S. 3625; thence North 00' 28' 26" East, leaving said South boundary, 1813.83 feet. to the point of beginning. The creation of 'this parcel was approved by the Butte County Advisory Agency as a Waiver to a Parcel Map on July 8, 1985. EXCEPTING THEREFROM all oil, 4as and other hydrocarbons and minerals- hereintofors. reaervep to the grantor named in that certain Deed from Bank of America National Trust and Savings Association, a national banking association, to P. B. Thomas and Mattie S: Thomas, his wife, Joint Tenants, dated May 14, 1943 County Official COUNTY OF 13th Te and recorded• .June.- 18, 1943 in Book 314 of Butte Records, at 'page- 152, together with all rights and privileges of BUILDING•DEPT the grantor in said Deed set forth with respect to said oil, gas Id JA 1�93 9 and other hydrocarbons and minerals. 17 �7 TOGETHER WITH a 60 foot non-exclusive road and public utilities easement lying -30 feet on each side of the following. described centerlines COMMENCING at the centerline of Bangor Park Road, -..at a point from . which the North quarter corner o! Section -31, --Township_ 18 North, Range 5 East, M.D.M., bears North 37' 27' 34" East, 1167.88feet; (continued) .. ........�_�_ ...�__,t.L.'.;. +�?' ;I�.r 'v`+^��i�,w`-'(•.^�bre�.•r--�tNiU:,,,1•v.�..✓�s'•�r;:i•::,:-- �3.3 Description continued; thence South 32' 40' 02" East, 40.06 feats thence along a curve to the right, having a radius of 200 feet, a central angle of 37' 25' 59" and an arc length of 130.67 feet; thence South 04' 45' 57" West, 790.43 feats thence along a curve to -the left having a radius of 1500 feet, a central angle of 03' 55' 240 and an arc length of 102.71 feats thence South 00' 50' 33" West,' 548.62 feet; thence along a carve to the right, having a radius of 600 feet, a central angle of 62' 46' 27" and an arc length of 657.31 feet; thence South 63' 37' 00" West, 1859.25 feet more or less, to the West line of said Section 31, and the end of said centerline. EXCEPTING from said easement, any portion thereof, lying within the parcel of land first described above. Said easement to be for the benefit of and appurtenant to the above described parcel of land and shall inure to the benefit of and may be used by all persons who may hereafter become the owners of any parts or portions of said appurtenant land. COUWY OR rjunB SUN DM DEPT JAn 12 093 END OF DOCUMENT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District ORC-) yk) 16 N Building Department No. \ A.P. Number Z B -270-18`1 Jurisdiction City County Property Owner f' ��y r- 5 1-1 E 2 Property Location/Address ) 1 A) 6 O , Gi Subdivison Lot No. Residential Development= Sq. Footage No. f Living MHI Addition (Group R) Units ; Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) 9.3 Building Depnl Rep ntative Date ,'(Floor Plans reviewed by School District Personnel) ' [? o��w�maucr� District Identification No. JAN f -2 181 � � C School District certifies that ""- (Applicant) 191 0. _0 J l0„ (Street (City) J (State) has complied with the requirements of Resolution No. 96 representing 17A 0 square feet. (Phone Number) (Zip Code) by payment of $ , a Paid by Check Number Remarks: Bank Number Paid by Cash ' 1-Ia�9 Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being,reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) RESIDENTIAL 028-270=184 PERMIT#95-0643 FISHER, LeRoy 1?1 Teddy Ln., Bangor A Util for Travel Trailer/ag worker OFFICE COPY Address GAS Meter By Date ELECTRIC Meter Byj�Z:: Date JOB FINALED (pate Signature ' J=OK O = Not OK = Not Applicable �. = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1 1. Zoning Requirements -Setbacks -Easements y 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete o. uas; Location- i est -wrap: ; / L n. / /"Nat. or/ /" L"ft./ _/"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card --B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged I 9. Exits; Insp.-Sketch t 10. Cert. of Occupancy i ( Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness DeadMen-Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts -GF] 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK =Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except h's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/:: /:' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ Y' 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. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ' 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation , 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ---------------- ------ ---------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --- ------------------- ------------------ 19. Shower Pan: Test. First Floor -Tub Access _ 20. Test Tub & Shower, Second Floor -Tub Access --------------------------------------- --- 21. Gas Pipe: Size & Anchors --------------------------------------------------------- Date Card B-1 Date Card -B- 1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------- ------------------- ----- ------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -------- ------------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip Ground made 'up w/Mech. Fastners-Bond Gas & Water ---- - - ----------------------------------------- 27. 2 Appliance Circuts in Kitchen &'Conductor Size/GFI ------------------------------ - ------------------ 28 -------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size r / ga. - Cu or AI --------------- ---------------------------------------------------------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- --------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------- -------------- ----- ------------------------------ -- 31. -Equip. -Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----- --- --- ------------------------------------------------------------- ----- - -- -- 33. Smoke Detector ---------------------------------------------------------------------------------- Date ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date MECHANICAL (Permit) Ok except h's 34. A.C. Ducts Insulation & Support •---------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----- - - ----- --- -------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade - --------------------------- ---- - ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - - --- ---------- ----------------------------------- ------------------------------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date ----------------------------------- Card B-1 Date ------------------------------------------------ Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------------ ------------------------------------------ 40. --------------------------------------40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------- - ------------------------------------------ 42. Draft Stop in Walls (rat proof) ------------------------------------------------ ---------------------- 43 Fire Stops; Furred Ceilings -Stairs -Chases -Tub ------------------------------- --------------------- 44. Headers & Beam -Size & Bearing 'ingle' & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ,49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions •50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ____ ___ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -------------- 54.-- plywood on Roof Overhang -Attic Vents -Rafter Outriggers --- ----------- ----- 55.- Siding -Nailing Veneer -------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------------- -- 57. Glazing Area -Glass Protection -Skylights -Plastic --------------- 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- - Date Card B-1 Date Card B-1 •----------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector •-------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting -------------------------------- - 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------ ----------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------------------- -1 67. --------- --------67. Stairs & Rails -----------•-------- ------------------ --- 68. Fireplace or Stove: Clearances -Hearth -------------- 69. ------------69. Elec. Outlets at Wood Panel: Int. & Ext. - -------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -1 - -- ----------------------p ----- -- - 71. Elec. Outlets & Receptacles at Kit. Counter •------------------------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer •--------------------------------- -- 73. A.C. Duct in Garage -Damper ---------------- ------------------ ------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - 78. Guard Rails & Deck Construction -Post Caps •------------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------------------ 81. ---------------------------------------81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- 83. -------------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - ----------------------------- - 84. Water Well: Disconnect, Electrical, Plumbing -------------- ---------------------- - ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - - -------------------------- ---- 86. Ventilation Throughout House --------------------------------- 87. ---------- -----------------87. Glass Protection ------------------------------ --------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric - --- ----- ---- - ----------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------------------- 91. Energy Compliance Certificate -Other Certificates - •------------------------------------------ ------ Date Card B-1 Date Card B-1 ---------------------------------- -Date--- --------------------------------Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT Of DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, Calif6rnia 95965 - Telephone (916) 538-754 �_O P RMIT N0. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-27-0-184 ZDN BUILDING PERMIT OWNER LEROY FISHER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE 04 HR CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation is Filing Fee $ •.2.Q.0.9 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS(j f ` TEDDY LANE BANGOR PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [I Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities WX Installation ❑ Other ❑ Describe Work: TRAVEL TRAILER/AG WORKER Mobile Home G W @20.00,1: PERMITFEE ; 0.00 Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service600v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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. icense Class Lic. No. -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) S 3.50 FTD.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES > 20 @ 1.00 BAL .50 FIXED APPLNS Ex. Occup. ( OU(RES D. )EA) OWNER 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20 00 Misc. Wiring 23.00 PERMITFEE S 6300 Contractor 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 PERMITFEE $ Contractor 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 shallTOTAL 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 ions of section 3700 of the Labor Code, I shall forthwith comply with thovisions. workers' compensation 7-1 7 ` r n Date f nZatur of - P' Iicant' ❑ Owner ❑ Contractor ❑ Agent An OSHA plaftit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE FEE $ 145.00 HAZ. �. D. FEES IMP FLOG CDF .. PARCEL PD D UE 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 r D to PERMITEXPIRESON q,(� (Date) Receipt No. 175672 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /1_ •t -.{l `j 71r y,.+,,y'f.MP'M"P"t,'.�.Fi"'�4.5+/aslA. T�`jr.N' 'N" COUNTYOF BUTTE -DEPARTMENT EL60i0.h4ERVICES -BUILDING DIVISION 7 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ti - PERMIT APPLICATION DATA SHEET OWNER P. No. -� - Proposed Building Use _ uilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED• BY ,n 1. All items have been submitted . ....................................... . 2. Plot'plans, 3/4 sets, signed by preparer of plans . ......... ................. . 3. Complete plans; 3/4 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 . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 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. ............ •.`........... . 'Flood elevation letter (100 year flood) by California� Engineer . ................. . 14. Sanitation and plot plan approval OrDUI 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: 09_ (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . . st 20. -Pre-inspection for to Buispeg Ins re for p a required. . . to Building Inspector (Date) r 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 _). .......... . 24. Recorded 'copy of Agricultural Acknowledgement Statement. ... . 25. Letter of signature authorization . ................. :.................... ... j r Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ' S,/letter of intent on building use. ...:.. ... I ............... `..-......... . 28 obilehome 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/expiredI�permits...................................... . ,32. Plan check list ........A.h..11 . h.14�. ; ............... ..... . 33. .34. When you issue the permit,,process as follows: Mail to owner. Mail to contractor. Telephone -' and hold for pickup at office. Deliver with inspector. Other ,* Parcel Creation' . - Acreage- y "' Applicant � Date S �� 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 nermit issuircle 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 Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date . • Plans approved by /3i� Date -1 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i • f J r Imo) air iJ . I El Attention -Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this, information at your. earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. D I' personally plan to provide the major labor and materials for construction of the .proposed property improvement: YES`'] NO[ J. 2. I HAVEV( ] HAVE NOT[ ] signed an application for a building permit for the ,proposed work. 3. I have contracted with- the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. 5. I willprovide some of the work but I have contracted (hired) the following persons to, provide the work indicated: NAME ADDRESS PHONE TYPE OE WORK SIGNED: PROPERTY OWNER: %- DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health' and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.' OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 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 security taxes, 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. Michae'l 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. OVER .., '✓ =SlNawwoo HaHZo uaewAN 3NOHd ssxdaavI J 01" Lfmml 7dwoo 7f 1 r r -- t. NInk r. APPRD) — Butte County E--- ----- — -Health - --- t------- ..------- ----- - _ --- --- --- Signa -t -u -re ----- z y�N�NVIP -� and. aationa 'ibis set of plans s1 to �O�q` • ,c p kept on the job at all times and it is urilatl r changes or alterations on same;voitholie . R�? 0�S'QU inalre any p'. writien.peseion from'th® D.epartme?iL of Pub G T'F,q m su e� of Bu trte. LFor� Fgo o� �4Fs a qo �o Goo(4s 1 5 - v / APPROVED r Butte County Environmental Health •Pate / • x�" r'' Signature x _ ._ off• �� o`pl,,6 A !1,f 'i.r '"t°'.'.iA!; 41 _ 1 a r *1 •"r• , • �� t� Q,/T' �� O -- -. T .�.. . . �-1 � ��?' -------- - ---- :�'` ��' �` ,::��:: _ .. ��.� AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-21.020 Agriculture Employer/Employee (Applicable only in zones A-5, A-10, A-15, A-20, A40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least, thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or .is anticipated to be, derived from any of the following described occupations: (a) The preparation, care . and treatment of farm land, pipelines . or ditches, including leveling for.agriculture purposes, plowing, disci.ng and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing andplacing in field containers or in the vehicle in which the commodity will *be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding -and management of livestock, fur. -bearing animals, bees, fish, frogs and, other aquatic animals, including but 'not limited:.to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to -be filed.- Employer iled:Employer tax .records may be requested as proof of employment status. Signed: Dated: `� C®u�r o� �Urr AGRICULTURAL AFFIDAVIT sui�owc oePT � EMPLOYEE MAR 2 Employee . ,L �C,_ ��p� e✓ Phone Employee.'s Address (Present) .., Gd q L w. Name of Property Owner Zy. S y Property Owner's Address 1 f ed du 1 o-. Owner's Assessor's Parcel Number �,2.�G1 Z 0 Parcel Size '* :f Ac. I, 4_4 4 v %-�3 e ✓ , do declare, subject to the; penalty of perjury, that I am the employee of e o seJG e-)-, address (present) ] / + ,�JA S,, �_Y4 and that I will be employee under Section 24=21.020 for at least thirty-two (32) hours per (a to (g) week for at least sixteen (16) weeks per year on AP# Signed: �,, r.r� �r�-�,.�„� Dated-^ Environmental Health Approval: Permit Description and Number. Date Issued � By i Planning Approval: Date >- to ��S Zone_ Dwelling on AP# �g _ 7Q By. Crop/Commodity Produced AGRICULTURAL AFFIDAVIT EMPLOYER Employer49 . Phone Employer'sAddres . -1�1 /`--�-- Name. of Property Owner Property Owner's Address Owner's Assessor's Parcel, Number �� L '� G I �-� Parcel Size Ac. do declare, subject, to the penalty of perjury, that I am the employer of address (present) and that I will be employer under Section 24-21.020 for at least thirty-two :(32) hours per a) to (g) week for at least sixteen (16) weeks per, year on AP# Signed: Dated: Environmental Health Approval: Permit Description and Number 6-)ASLY Date Issued J— 16 7 3 By � N Planning Approval: Date 5, -lo -q5 Zone Dwelling on AP# By S Crop/Commodity Produced 0 18-B County Center Drive Oroville, CA 95965 (916)538-7282 FAX (916) 5382165 77 mow•. - - - utte ount LAND .OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 0 1469 Humboldt Road Chico, CA 95928 (916)891-2727 FAX (916) 895-6512 March 29, 1995 Leroy B. Fisher III 191 Teddy Lane Bangor, CA 95914 RE: AP# 28-27-184 - Teddy Lane To Whom.It May Concern: 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 El .747 Elliott Road Paradise, CA 95969 (916)872-6308 The septic system that was installed and inspected:.on March 16, 1993 has a septic tank large enough for at least a six (6) bedroom home or residences that add up to six (6) bedrooms.. The building department says that there are at least 2 ttave1 trailers and a 3. bedroom house connected at this time. Our office has no .problem with this setup at this time. If you'have any. questions regarding this letter, please contact, me at the above listed address or telephone number between 8:00*- 10:00 a.m. Monday through Thursday, closed on -Fridays. Very ruly yours, Phi ip E. Nelson Supervising E.H.S. Division of.Environmental.Health PEN/sg/a:fisher A CLEAN INDOOR .AIR ENVIRONMENT FOR A HEALTHIER TOMORROW Agr +moo 4 y LAN D C: NAT UA L 'N\1 EA -LT H A N D B EA UT'! •RIh BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE : OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (9164 538-7541 ' FAX: (916) 538-2140 January 23, 1995 Leroy Fischer ` 2271 Kenworthy Way ;Sacramento,. CA 95832 5661 l HVW RE: Code - Violations 1.d3a E)N(ailne 31i.n6 aoAiNnooA.P. #028-27-0-184 191 Teddy Lane, Oroville Dear Mr. Fischer: This is a courtesy notice to notify you that you ar.e in violation of the Butte County Code, -as follows, at the above=referenced location:- Failure to obtain the' required permits, inspections and approvals from this- office for installation of two (2) travel trailers. Since the property is zoned A-5'9 which allows only.one,(1) living unit per parcel a use permit Will have to be obtained from the Butte County Planning Department. e i Since permits and inspections are required for the above work, .please submit three (3) -complete sets: of plot plans, apply for the` required permits, and pay the appropriate fees. •All work must stop until these permits are issued and ,you 4 -re authorized by our field inspector to"proceed.• The field authorization cannot' be made until the existing, work is inspected' and approved. ` It is the�aCounty'.s goal Ato obtain voluntary compliance with,the:Butte County Code. However, .you should be 'advised that Butte6'County has an active Code Enforcement Program which,' provides an effective means of• enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance . of citat ons,,fines and the . recording' of. a Notice of Violation including«&'description of the action necessary to abate the violation. You have thirty 30) days to voluntarily comply .with the•"above directions or to present an acceptable plan for abatementor corrective actions to be taken by .you. Should ,you have any, questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address'on-telephone number •.listed.above. Sincerely, - MCV: dms Michael C: Ueira, C.B.O. Manager, Building Inspection cc Assessor 1 'r`i•�'/IC:7e�! �'O�rJu/'c� N/ P/a�,�:�y�p„ 3�Z1�9 �i, :Corr[G�fP�o6�G�, �lAi►n:n�.l'L;��I�lJ�iirc �nrc �,�: rrv-i [ W. C�p Y. -,/Fr 5/t�S/A✓ l��dsL Oi3>� 77" s A�11116 91125� IcDle Sfll� e�i� o pEP YTE � rlm z 9 1995 Voint System Summary: Climate''Zone 11 P -2R L E2oY F�sN�il 1-25'.93 Project Title Date BUILDING DATA Conditioned Floor Area a V 8 Number of Stories 42 Slab/Raised Floor SL Check all applicable Unit Type condition(s): _ Do Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) - [ ] Existing -Plus -Addition SCORECARD Measures 1. Fenestration R-30 or Area % North 80s 4.7 East_ 2.1 South t1 R. S West.. SS.S 3. Skylight 99 Total P-31 3, 1. Ceiling Insulation R-30 or 7iQ�� AFUE of MSt'—. h R -value [38] U -value [0.028] 2.. Wall Insulation R- or R -value 1.1 U -value [0.065] 3. -Ralsed Floor Insulation or R -value 1191 IJ -value [0.037] 4.. Slab Edge Insulation--- or R-value.[O] F2 factor [0.75] 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Y] 6. Fenestration Heat Loss DoHSt tE 13. q Type U -value [0.65] Total % Fenes. [16] 7. Fenestration Heat Gain % Fenestration North y-7 x East � --� x South z, g x West 3,2 x Skylight 8 x Overhangs? ( Y /& SCShade open • 77 = Eff. % Fenes. 3.6 2 n 8. Interior Thermal Mass 0 or % Exp. Slab [20] Int Mass/CFA 9. Exterior Wall Mass SEER [10.0] 10. Heating System 11. Cooling System X 88 = Duct Effic. [1 story: 0.83; 2+ story: 0.881 X J7 = Duct Effic. [t story: 0.81; 2+ story: 0.871 Shade Eff. Ratio Effective F or HSPPF a Point — Effec Scores _.O f f 3 _4 Zonal Control Adjustment [0] Zonal trot Adjustment [0] 12. Water Heating System 1 a f -A T PHM t -1 _ S T J1 Heater Type Energy Factor Ext Ins. R -value Auxi iary Input Distribution 1SG50] 10.53] [12] [None] [STD] System 2 Heater Type [None] Energy Factor Ext Ins. R -value Auxiliary Input Distribution Point Total: Form Revised January, 1992 Point Goal: 3 Sum 1-6 -3 Sum 7-9 0 Ext Wall Mass 7iQ�� AFUE of MSt'—. h [78% or 6.8] 10 10. Heating System 11. Cooling System X 88 = Duct Effic. [1 story: 0.83; 2+ story: 0.881 X J7 = Duct Effic. [t story: 0.81; 2+ story: 0.871 Shade Eff. Ratio Effective F or HSPPF a Point — Effec Scores _.O f f 3 _4 Zonal Control Adjustment [0] Zonal trot Adjustment [0] 12. Water Heating System 1 a f -A T PHM t -1 _ S T J1 Heater Type Energy Factor Ext Ins. R -value Auxi iary Input Distribution 1SG50] 10.53] [12] [None] [STD] System 2 Heater Type [None] Energy Factor Ext Ins. R -value Auxiliary Input Distribution Point Total: Form Revised January, 1992 Point Goal: 3 Sum 1-6 -3 Sum 7-9 0 9' 1y Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds ADMINISTRATION * BUILDING * PLANNING June 26, 2006 Kenneth Alan Young P.O. Box 592 Bangor, CA 95914 RE: Formal Warning Notice Butte County Code Violation Address: 191 Teddy Lane, Oroville AP# 028-270-184 Dear Kenneth Alan Young; Through our courtesy notice on April 5, 2006, you were notified pursuant to Section 41-2 of the Butte County Code of the'presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. Unauthorized camping or otherwise occupying a'recreational vehicle. 2. The keeping of inoperable vehicles in public view. 3. The accumulation of garbage for more than seven (7) days in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard"' is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. 'COPY Kenneth Alan Young AN 028-270-184 June 26, 2006 Page 2 Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and Prohibitions. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except man outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk". junk kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.170 - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. • Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having. possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 2. Remove all inoperable/junk vehicles from the property. Kenneth Alan Young AN 028-270-184 June 26, 2006 Page 3 3. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). This is your final wamin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from. the ' date of this letter; enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and .the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed. above. Sincerely, Wendy Jone Code Enforcement Officer WJ:ajf cc: Department of Development Services, Building Division t. , ill 211 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On June 26, 2006, I served the foregoing 10 Day Notice on the persori(s) named below by .placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for:mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Kenneth Alan Young P.O. Box 592 Bangor, CA 95914 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on June 26, 2006, at Oroville, California. (44ise J. Foots Office Assistant COUNTY OF BUTTE W` BUILDING DIVISION U DEPARTMENT OF DEVELOPMENT SERVICES 7 QQUNTY CENTER DRIVE \ OROVILLE, CALIFORNIA 95965-3397 coumormm BUILDING DEPT FEB 2 3 1995 e � <X v U.S.POSTAGE s� JAN23'95 o .q 7 4 W ^� JBaiEIEN L s l� 6818744 «, /,Vo r 4 ' Gees,&c- 0� hil"'lli�itl>>,1i,idll+dd=i RESIDENTIAL..°LAN CHECKING GUIDE 8/91 (S.F:, DUPLEX & MISC. ONLY) Bldg. Permit # 7.3-90 OWNER Lf -(Z -o y F I S 9 f -K A.P. # 88 2Ta - 181 Plan Checker I fag an/5 GENERAL / Zoning requirements: (sideyards and number of permitted living units). �1. luation. Plans signed by designer. eper description of work on application. sting violations on property. ms on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).. orded notice of violation. PLOT PLAN mplete parcel size and dimensions. Setbacks, sideyards, easements, etc. f 3;r-51Other buildings or structures. 4 Grading; fills, drainage-. -5-- Flood hazard. 6. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). 7c --NU & FAS road setback. $— Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan,with dimensions. Required windows 'for ht' vent' (Sec. 1205). Required windows for secon exit (Sec. 1204):` 4—Skylight's (Claapte`r 34`& See. - 5207) Human impact glass .(Sec,. 5406) .. �Required room•sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen; and' ext'erior':o:utlets'B.(Article '210-8). Light fixtures, switches; reeep'tacles; and •extefior.:receptacles for main- tenance of mechanical. equipment. e 9. Locations of water heater', heating and cooling" equipment,} other electrical e -JJor gas 'eq'uipment. Y. J arage firewall', door size,, and closer (Sec. 503(d)(3)b). Yl. 1 -.3'0" exterior exit .door (.sec. 3304 (.f).. _ l�Fireplace a'nd`w6od stove location, alcoves, and clearance. pmoke .detectors, (Sec.. 1210). .lumbing fixtures,, water closet clearancesand shower'size. " STRUCTURAL DETAILS / Standard bracing or engineered design (Table 25V) i". Unusual shape, size, or split level house requiring lateral design. 8! Clerestory, requiring balloon. framing and/,or engineering. Three'story building requiring engineered calculdtions arid° plans. Foundation plan complete enough -to construct building. &'."- Floor construction details complete enough to construct building. -Elevations and wall construction details complete enough;to construct building ►B Roof, construction details complete enough to construct building. Fireplace construction 'details and talcs if necessary. Rafter ties or bearing. ridge beam. ill. Garage door or porch header sizes. Y£: Stud heights. 1,3" Adobe soils - special foundation design. 1<-. Retaining walls requiring design. ]r" Special inspection required. , 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELf ANEOUS•ITEMS TO LOOK OUT FOR Z' Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). r2� Guardrail details (Sec. 1711 & 3306(j). 3. Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). �3. Proper roof pitch for roof convening (Chapter 32). 6� Roof covering type - (fire hazard). 7/."- Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. L0: Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). V. -Attic access and ventilation (Sec. 3205). 1 --Underfloor access and ventilation (Sec. 2516). VK. -Combustion air for fuel burning appliances - L.P.G. requirements. 14<. -Noise requirements on duplexes. Energy design. 1l.Flashing at all exterior openings. _ 1-7- CDF responsible area requirements. IFT 10 MY HIM 110"IRM, is - ! RdGE� g- Tyff- OF IZOOF1116 /DecK ASnoe- GA�ZAGE,�o�u�a J2�1=I^� Ir ' r-1 CRLL To Lt�t2�a-j [r-15vjq,(Z A -i 93`(--14270 - RIF-U(I*-L/ Cr(- A(3oL/%F- i r-EA'xS- NL;r WIct, Caivi.} e.T Coni s?Ae (-n 2 A"r M 'k P< L N6C"S 4rLy Clf/wc-9-S - /-20-03 - y%00 FANS 1403- ZaMftrz— E d:Na"GH Y'o cOW[-I/✓kif- P AA/ C141;-' Cle I-ZI-�t3 r*T 01;26 - O i ABOVIE, ITe_Iv'S' W I V w (`)R- R,- C�ywvrE2 R�-Tt`kRN\4i Z e0?%1�-5 F PL,A/Vs i0 Can/i (L.Jicra(L C6 MAK\=4 C FANG-ff-S COUNTY OF BUTTE BUILDING 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 -,� �-Z7 OWNER PERMIT 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. 1 1-? Date � Inspecto REV 10/92 9 �� ) 028-27-0-184 93-80 BPEM FISHER, Leroy 191 Teddy Ln, Bangor �j,,v✓�I new A Ill 0 c e � Yo 9 �� ) 028-27-0-184 93-80 BPEM FISHER, Leroy 191 Teddy Ln, Bangor �j,,v✓�I new A Ill 0 18-B County ` Center Drive Oroville, CA 95965 (916) 538-7282 FAX (916) -538-2165 i t/_6 Elf ount LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF,PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ❑ . 1469 Humboldt Road Chico, CA 95928 (916) 891=2727 FAX (916) 895-6512 March 29, 1995 Leroy B. Fisher III 191 Teddy Lane Bangor, CA 95914 RE: AP# 28-27-184 - Teddy Lane To Whom It May Concern: 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 747 Elliott Road Paradise, .CA 95969 (916) 872-6308 The septic system that was installed and inspected on March 16, 1993 has a septic -tank large enough for at least a six.' (6) bedroom home.or residences that add up to six (6) bedrooms. The building department says that there are at least 2 travel trailers and a 3 bedroom house connected at this time. Our office has no problem with this setup at this time. If you have any questions regarding this letter, please contact me at the above listed address or telephone number between 8:00 - 10:00 a.m. Monday through Thursday, closed on Fridays-. Very ruly yours, Phi ip E. Nelson Supervising E.H.S. Division of Environmental Health PEN/sg/a:fisher Irk � � n C1 �o �� A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW OWNER Y—` S -- PERMIT It MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. rvice Other Pipe YES NO YES NO ze Load Type Size Len th 21 G Y 1 _-RESIDENTIAL 028-270-184 PERMIT#95-0882 FISHER, Leroy 191 Teddy LN., Bangor MH util for Ag Worker #2 q5 - 0(0q'3 JOB FINALED Date) •Signature &=22 OFFICE COPY i Address I ' GAS Meter By J / Dat =�cS ELECTRIC Meter By Dat JOB FINALED Date) •Signature &=22 V=OK 0 = Not OK - = Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MQMIE HOME UTILITIES Plans OK except #'a t. Ing Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Sewer; Location -Test -Fall -C/0 Concrete Wa catlon-tqXlkasement Needed (Sketch) le city; Location-Clearences-Grnd mp-Con to as; Lo tion -Teat -Wrap: / P -1-1t./ at. or/ /'L"ft./ /"LPG Well ce 8 Disconnect Date/Initials MOINLE HOME INSTALLATION Plana OK except #'a 1. 49PAn§-Requirements-Setbacks Easements t/14o gs; Size -Spacing -Marriage Line .. Gas• H' Test-Demand-Valve—Connector j r city; MH Test -Crossovers -Breakers -Clearances i aJn,'M`H Test -Fall -Flex Connector ; 8. Water: MH Test-Reaulator-Connector ---7-Water and Sewer Connected -C/0 to Grade -HD Approval MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boa rds-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except Its 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 13 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke 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 FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single, & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes O No; Walks O Yes ❑ No; Planters ❑ Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541P R IT r O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 28-270-184 A5 ZONING BUILDING PERMIT OWNER LEROY FISHER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 306 BANGOR, 95914 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ Z37. M ARCHITECT OR ENGINEER uC E No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 191 TEDDY LNPERMITFEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome l] Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities t Installation ❑ Other ❑ Describe Work: _ UHU 2) AG WORKER Mobile Home § G 7 1 920.00 40.00 PERMITFEE g o0.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 0v OR LESS Main Service ( 200AORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. ) s0. 3.5Q FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( SIPOWER APPARATUS ) 8 NGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) 20 Q 1.00 BAL SO Ex. Occup. ( FIXED ERESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ XTIZ00 43. Contractor 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 PERMITFEE $ Contractor 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.) .A I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. t� X O �v Date 1 / Signature of pp icant - ❑, 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 Is GCC CONST. TYPE TOTAL FEE $ 146.00 I H;q D. FEES ,� IMP FLo CDF PARCEL PO D SUE This permit is hereby issued under the applicable of the Butte Count Code and/or Resolutions indicated above for which fees have been By D79?P PERMITEXPIRESON �l6 ( provisions to do work paid. .) Receipt No. 176145 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEIITOF D�VL,P ,ENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROViLE; Af_IFORNIA 95965 - TELEPHONE (916) 538-7541 K r PERMIT APP.LICATION'DATA SHEET OWNER Proposed Building Use ng Inspector Date At time of permit application, I was advised the following dao must be submitted prior to permit processing and/or issuance: r '' DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 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: `• 8. Engineered truss details and layout in duplicate (required !prior to plan check). .... 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 letterr(100 year flood, 1byrn California Engineer . ................. . 14..§aniLaC6 and plot plan approval 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: .l (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. r . Preapedion rnsequ� 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. =7- -22, Certificate of Workmans, Compensation Insurance. �.......................... 23. Owner -Builder Verification (Given to owner I Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement:- ................. . t29. tter of signature authorization. . . py of recorded deed of parcel creation and 60 right of way to atpublic road. .... . tter of intent on building use. . ......................................... obilehome utility clearance . .......................................... cumentation'of legal access. ........ ..........,........ cumentationof 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets"zoning area and frontage requirements. isting violations/expired permits. pJ�.,l2-:.. ��.an check list . ........... :............................................ 33. 34. When you issue the permit, process as follows: / Mail Telephone` and -.hold for pickup at Other Parcel Creations- { � Acreage I ��,r� Applicant owner. Mail to contractor. office. Deliver with inspector. Copy of Haz-Mat form sent Health, Copy of plans sent ' Health Dept._ Fire -Dept. Air Pollution Date Fire Dept. Other Date Date Z The following.data must be submitted pr' r`to permit issu e:�Circle new it not checked above). ' 1. Index permit for above items No. t' 5-D(pt% 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required .data by. phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP.folder Copy - Department of Public Works ra; a Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. N6.building permit will beissued until this verification is received. �1. I personally plan to provide the mDor labor and materials for construction of the pro property improvement ] NO[ ]' 2. [ ] HAVE NOT[ ] signed an application for a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: • CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired, the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will;provide some. of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: R: DATE: /��i�t /� �✓ NOTE? This oder-Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 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 security taxes, 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. OVER ThIs'set Of plans and spedfteations MUSTbe kept on thajob at e.11 times and it is ur-lawful th make any change6 or alterdtions On same w'Mout ,writteu:permission from the DePgrtment of Public Works, County of Butte. � �ao� pacordsAOe ?.9serilbed fO of a qua'," 'aM Builth,in. tne e'gatjonal Be TU d rMetices en Specited IWO . ca edwical Cwd 6- /:5 19-r- 7--L-7-41r7z z BERRY CREEK RANCHERIA PHASE II LOT # ADDRESS ROAD NAME ALTERNATE 26 103 YELLOW HAMMER DRIVE 27 104 28 95 29 96 30 85 31 88 32 79 33 82 34 71 35 74 36 68 37 64 38 55 39 58 40 54 This,eet of plates and sPecMa ti0 s is f kept on the -job at all times an to m&ka any changes or alterations on Same.Without written permission from the Depsx=eut of Public Works, County of Butte- . � With p ecog�' Ate° prescribed Id of a @u, 0 Building, COUQdrm tue li8j Be to od practises ate S eked lade pG•Q< GF y�d'0,9C g3./51�- z GePJ AGRICULTURAL AFFIDAVIT ` EMPLOYER Employer n Phone Em rto y er'sAddres 1 Name of Property Owner`z 4 Property Owner's Address Owner's Assessor's Parcel Number - Parcel Size 41.-5 Ac. do• declare, subject to the penalty of perjury, that I am the employer of address (present) and that I will be employer under Section 24-21.020 or at least th' ) hours per thirty-two (32 a) to (g) week for at least sixteen (16) weeks pertyear on AP# /)'I, s Signed: ..**sass*sssss Z Dated: • F Environmental Health Approval: Permit Description and Number S �- Date Issued — /o/ ' �-� By Planning Approval: Date Cr Jd-y5 Zone Dwelling on AP# By. S,�s Crop/Commodity Produced AGRICULTURAL. AFFIDAVIT EMPLOYE'. COUPQ OF BUILDING DEPT MAR 19 9995 p Employer .��-�'� 1 0 � °� � � Phone Employer's Address I �� Tec L, l•, ,::k. V\ Name of Property C Prop a Owner . o B's, , Property Owner's Address Owner's Assessor's Parcel:- Number � �— �. � Parcel Size � � Ac. do declare, subject tothe nalty of a perjury, that I am the employer o �-- er (3 t ` e address (present) i h 0.1 and that I will be employer under Section 24-21.020A�e,3 for at least thirty=two,(32)-:hours per (a) to (g) week for at least sixteen (16) weeks p year on AP# Signed: s Dated:." gn _ Environmental Health Approval: GG Permit Description and Number S 07� wr' Y►1 Date Issued J / — J� By Planning Approval: Date C, iv",1S Zone Dwelling on AP.# By Crop/Cornmodity.Produced CERTtFtCkTE OF ANCHOR INSTALLATION Title 25 CCA Mobilehome Parks Act Section 1326 MR I certify than portions of the tiedown system installedbelow grade were not. damaged prion to or as a _result of the installation, were not modified prior to or during the installation, and were installed in accordance with the -manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: - Manufacturer. Model: Installed by: �� — Date:/4-2 / [� Contr./Owner. License No.: 4' ABES.CG, ENGINEERED COMBINATION TIE -DOWNS ANUFACTURED HOME TIE -DOWN CALCULATIONS AD SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN & GENERAL NOTES LL'iJllll`I 'LVHLJ. * WIND --------- 15 PSF * SOIL BEARING ---- 1000 PSF *TIE DOWN STRAPS - 3150# WORKING LOAD TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FOR TYPE 1, CLASS 8, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. • EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.) # CROSS DRIVES -------- 1727# CALCULATED • CONCRETE SLAB ANCHORS - 1390# CALCULATED GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE -DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE -DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. r 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. 5. FOR ALL TIE -DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED. 6. END TIE -DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM 'D (ONE END TIE -DOWN MANDATORY ao AT EACH END OF "I" BEAM) 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. ENGINEER APPROVAL 0. 1718 3 {U * Exp&1?-. 7 7� qlf OF CAv\F�� 0 W 0 U W THIS TIEDOWN SYSTEM MEETS THE REOUIREMENTS a OF SECTION 1336.3, SUBSECTION (a) PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 STATE APPROVAL �t�rov oB/oy/9�. J APPROVED 7 SUBJECT TO CORRECTIONS NOTED Approval does not ou!horite or approve any omission o. deviafion from requirements of applicable State laws and regulations. State of California Department of Housing and Community Development DIVISI CODES AND STANDARDS By (signature) 0 SPA This Plan Approval Exo - Bv e 1 n ABESCO 5851 FLORIN—PERKINS ROAD SAC. CA. 95828 PH: 916-383-8831 END TIE -DOWN #406 PIER BOLT -ON TOP #614 STI..// uo. STRAP 6� GR�J 60 r �a r T I E' DGW N "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. I FOR !S; " TIE -DOWN INFORMATION SIDE TIE -DOWN #606 STEEL STRAP (TYPICAL) DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 ..• ::,. BOLT "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION o;v Ot � tit;,i INSTALL GROUND ANCHOR INTO,)GROUND, LEAVING 8'-12" OF SHAFT EXPOSED. d SPLIT BOLT< \\ & NUT GROUND LINE #616 T.D.A. STABILIZER PLATE NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL IPA DETAIL "A" (TYPICAL) INSTALLATION INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION j FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. Z 3 1 CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM -AS PER THE INSTALLATION INSTRUCTIONS. W I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. 0 N COMPANY NAME:___—__ --------- --__ CONTRACTORS LIC.#____�___ m DATE:—___SIGNATURE:___-_____ aur,r�ro;ry�3_�;i►�g�'�Fi.�r+�.,�;;�,�`:T�`xr�+��;a^-��wrsw�,yurv�aE��'.�?g3=N�tS�r�'YSfS�*�9'�^'—d:,.. r. 184 ,. PENT#95=2996028-270. FISHER•Lery;9'Teddy L'= Bn,an or MHI Ag Worke. 1�r ' �7s M P COUNTY OF BUTTE -DEPARTMENT OF DEVEL6PMENTSERVICES - BUILDING DIVISION 7- County Center Drive - Oroville, Californi& 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT =29 c2� 'ASSESSOR PARS NUMBER 28-270-184"• ' ZONING BUILDINGPERMIT OWNER - •- 1.EROY FI — TELEPHONE i SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 306 BANGOR, 9591� CONTRACTOR'S NAME a VWl'IliR 1 — TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNI(NOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE - ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 191 -TEDDY LN PERMITFEE $ 3 • BANGOR 95914 t _7" PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. ' ON'S NAME 4 PARCEL MAP Solar or heat pump water heater 23.00 - USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00, .4 Building sewer 15.00, 'A TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [J• Other ❑ Describe Work: MHI AG WORKER QJHU #05-0882) Mobile Home--PT—GT,' W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 ' Main Service ( 200A TO 1000A ) 46.00 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. ❑ • I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) SO. 3.50 Fr. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET LIR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .SO EX. Occup. (oFFIXED PLINS.OR LETS . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor ,• 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. 2 ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X `�_/f" I 'r ` t Date _fl 2 Signature oj%pplicant -_D Owner ❑ Contractor ❑ Agent An OSHA permit is required for, excavations over 5'0" deep and demolition or construction of structures over 3 stories in height^•` i-�- :� MECHANICAL PERMIT Filing Fee 20.00, Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $; , 143.00 HA2. _ I D. FEE IMP FLOOD COO PARC PD HDe ISS UE R This permit is hereby issued under the of the Butte County Code and/or, indicated above for which fees have l By /" '- • PERMITEXPIRESON 17/- applicable provisions Resolutions to do work been paid. Date 17 (Date) Receipt No. 19(?4&. WHITE-D.D.S.-E.D. <-- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :'�"r"� �r.R"f��a+^'45.n :.-..��.�."��y"r,�.•'"'„b.'�u--,...'>Y`'��-,-•�}.-w..,...,...,�- .•c�.-.,c'3�K'""t'S�,�r•i.�--,--w,••.,.�--r-.!'�-'"",`,Y'-�•,,,,,�,,,f-. ,a,�^.rw� r�,.t'-'_"r-n.•-`- w -.-......, .. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN0 I �q PERMIT NO.: -� Owners: EO Name: Owners: Address: Mobilehome f Year of I I Manufacturer Manufacture: Serial number AInsignia , (,F�3 7D or or V.I.N. HUD number: (y Official ap roving in lation: Date: If the mobilehome is moved or relocated the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B / White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor ti� 1 Vl*" COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, CaiifdWa 99965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� l - ASSESSOR PARCEL NUMBER 28-270-184 ZONING A5 BUILDING PERMIT OWNER LEROY FISHER TELEPHONE SO. Ff. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX. 306 .BANGOR, 95914 CONTRACTOR'S NAME O[�1 EP. TELEPHONE CONTRACTORS MAUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE 1V UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER NONELICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 191 TEDDY LN PERMITFEE S 3ANGOR, 95914 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [Y Other ❑ Describe Work: lli?I AG WORKER WHU #95-0882) Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service600v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 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. ❑ 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 NEW CONST. DWELLING OCCUP, OR ADDNS. ( d ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CHR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SO ) Ex. Occup. (OFIXED PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 y Misc. Wiring 23.00 Y PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 forthwith comply with thos�jprovisions. X Date _[� Zi Signature f pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. _ D. FEE IMP FLOOD CDF PARC PD HD ISSUE his permit is hereby issued under the of the Butte County Code and/or in"d d above or which fees have /,^ /"� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date �2 96 77� (C4.) ReceiptNo. 1 A0466 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUO(OF BUTTE - DEPARTMENT OF,[ 7 COUNTY CENTER DRIVE - OROVILLE, PERMIT OWNER Proposed Building Use ENT SERVICES - BUILDING DIVISION 95965 - TELEPHONE (916) 538-7541 APPLICATION DATA SHEET P. No. C,)GP -2776-1e<.1 ',Date Z i Building Inspector 01 At time of permit application, I was: advised the following data must be submitted prior to permit processing and/or issuance: ,t 40, DATE RECEIVED BY 1. All items have'beer0submitted.......................................... 2. Plot plans, 3/4 sets, signed by preparer of -plans . .......................... 3. Complete plans, 3/4 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 . ................... } . . 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome d t and manufacturer's installation instructions, 2 sets. ........ t / 0. Fees of $ / C�'' .......................................... / 1. Impact fees as shown on attached schedule... 12. California Department of Forestry plan approv /fee / '7 ...... 13. Flood elevation letter (100 year flood) by Califor ' ineer. ................ . 14. Stanitation and plot plan approval 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). . . 'FrB-Inspection est- 20. Pre -inspection for required. .. to Building Inspectrequor (Date) 21. Contractor's license information. (No.,.Name Style, Classification) . .............. f' 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). I........... 24. Recorded copy of Agricultural Acknowledgement Statement. ....�.:..� ?'j. .... . 25. Letter of signature authorization. ." .........................I............. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... _ 27. Letter of intent on building use. t 28. Mobilehome utilityclearance. legal I i 29. Documentation of access.] . .................... ............:.. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed ............... and (B) Parcel meets zoning area and frontage requirements.; 31. ..............� ....................... - Existing violations/expi red $erm its. ........................................... 32. 33. Plan check lis. .............. ............. '%Ci -mss'., .. .` « 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation "' I Applicant I Date Z Acreage �� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air VoIlution Date I Copy of plans sent Health Dept. Fire Dept. Other Date ' By -1 The following data must be submitted prior, to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works rty'WNW1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - WELDING DIVISION 7 COUNTY. CENTER DRIVE, OROVILLE CA 95965 TELEPHONE. (916) 538-7541 A.P. # 2-9- Z76 —1 PROPOSED BUILDING USE DATE REC • # DATE REC SCHOOL DISTRICT FEES (paid at District Office) 2. SHERIFF FEES (paid at Building Division) Residential:..... x =$ 7 , , unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit).. x =$ #units amt. Commercial (sq -ft-), . x =$ sq.. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 . (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER lAJ9GG is 3 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. -DATE APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES�1 NO[ ]. 2. I HAVE[y] HAVE NOT[ ] sign an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons, to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK i SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: /� J NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. O.B.- I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 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 security taxes, 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. 95314. 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. S�n'c��rel Michail 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. N M BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One Form -Pier Building) School District o'z.y o Il (,y�o-s- 14)"/ At,,oL" 'Building Department No. A.P. Number 07�=- %t- -1� Jurisdiction: City E lCounty Property Owner Property Location/Address Subdivison Residential Development ► � � `-nr-aL� Lot No. Sq. Footage Z- d S >F -r No, of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department epres tative Date f (Floor Plans reviewed by.$,chool District Personnel) District Identification No. 970066 01P 06A School District certifies that 1 (Ap licant) A «, N Number) (City) : O (State) (Zip Code) has complied with the requirements of Resolution No. 105- f/ O by payment of $ �o7Y representing square feet. 1,AB 2926 $ FULL MITIGATION $ School i t ' "Representative ' Date Paid by Check # Remarks Bank Number Paid by Cash 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 buality Act (CEQA), this project may be subject to additional school fees to fullv mitioate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) I feeformmkl (11/94)dmm This set of plane and epecincatlons Wff be kept on the.job at all times and it 1a unlawful to make any changes or alterations on gamy Without of Public written permission from the Departm Works. County of Butte• � �� cow' jxcordsn0e ,e,C fbed fo' of a Qkla-Utlrm Building,nff Cis Sud the ia 1 - Y - uT(E T GPL�F �p a a 0 appCove co�Qd app 2L \ pica° 01 jwv-- eci�ed uee eco Coda 0 9 FSO 9 13UTTE - c - N E UIPN�ENTEAgE1L�AE STRUCTURES AND of ALL ALL NQS SHALLSE C1- IFTFROM THE SIDE AND OVERNA OF„� PROPERTY LSNES AND A SET BACK R SHALE 8� 3 a FT, FROM THE CENTERLINE WOO FT. FRO T1�F. ROAD CU1l�tof Nj CR OF STR�� OVE��A t�• �. FORA 2 r. EA �,'C __4 This tset of pleuras and spmcations MUM@ kept on th%job at all times and it is unlawful to maka any changes or alterations on same w Public Written permission from the ]Department Works, County of Butte. e 6.70 A11 �� cogni A�°T� prescribed Yo of a @u!ELU orm Biding, ill die raj the SpeaMed We lutnb code. e x l q 3 . / 519-�- I APPR�}a��D FC A,9'90 G CDF FIRE SAFE REQUIREMENTS -7,f_- 2-q q� is �� 2vY AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.01 culverts and other apparte-iant structures which supple- ment the roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. ] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of l curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of ver':i^�l curves in roadways exclusive III of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I\ feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :3 -, AP # PERMIT # NAME 1�3 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [""A 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre ai,d larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [� 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction Dr fi_ial inspection of a building permit. Page 2 of 3 r AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 2 -f/-q lr Date Signature Page 3 of 3 �Mobilehome Manufacturer: anufacture Year: If other than single wide, furnish Setup Model -Number: Width:(ft Length:_6_0 (A.) Tagalong or Expando Size (ft.) x (ft.) On all -mobilehomes -manufactured after' October* 1, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treatedor f6undition grade[ �4 Other: SUPPORTS: Concrete block[ kj- Other: X V` Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I Line 2 Main Beams ................................................................................................ Line 2 Line I ...................................................... Main Beams ....................................................... ......................... .. 10 ..................... ............. I .............. e4 el .ine I Line 2 ane 2 Line 3 Line 2 Line 2 Line I Line I Piers: Line 1 Openings nimuni Size minimum:, x Size mi x A Each side of openings 'Spacing maximum: 'From &ds- um with width over: Line I.Piers: Line 4 Piers: It n I M I I Size'"m"ininium: - - -1 -i �- I - I i, Spaciifg qiaximu From ends -maxi . 1c, Line 3 Roof Lo Lifie 5 Roof Loads: Size minimum: .- Location .(from front): Spacing maximum: Fi6 tnends-maximum: L! OVER i ew r 91! OV40 PPP�Ova eD �r1. Owner's Name: LE –,_�P?�S �`t'✓�, 2. Assessor's Parcel Number: 3. Installer's Name: U 4. Is the site currently under permit? Yes[ d No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?__/Do Amperes. 7. What is the mobilehome site circuit breaker rating? Lo ej Amperes. 8. What is the electrical rating of the mobilehome site? 16-6 Amperes. 9. Is the main service remote from the mobilehome site? Yes[.-IZNo[ ] If it is, what is the rating? fes— Amperes. 10. Is there any other electric load to bWif rved by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ ] 12. Size of gas pipe at the mobilehome site from the . meter , or tank: / Linches. 13. What is the gas pipe length from the meter or tank to the mobilehome?.2S(&). 14. What is the mobilehome gas demand? -B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane).^ -THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMITAPPLICATION ♦ I May 1995 8.5 f 0 V 3 o - 0 0 t ABESCO ENGINEERED COMBINATION TIE -DOWNS ANUFACTURED HOME TIE -DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE vVIDES DESIGN & GENERAL NOTES l/GJll7l`I 'LVHLJ: * WIND --------- 1.5 PSF * SOIL BEARING — — — — 1000 PSF * TIE DOWN STRAPS— 3150# WORKING LOAD TIE—DOWN STRAPS MEETS FEDERAL SPECIFICATION 00—S -781H FOR TYPE 1, CLASS B. GRADE 1 STRAPPING AND BE AT LEAST 1 1/4!' x .035 ZINC PLATED. * EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.) * CROSS DRIVES -------- 1727# CALCULATED) * CONCRETE SLAB ANCHORS — 1390# CALCULATED) GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE -DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE -DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF -THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. 5. FOR ALL TIE -DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED. 6. END TIE -DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM '0 (ONE END TIE -DOWN MANDATORY co AT EACH END OF "I" BEAM) 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. ENGINEER APPROVAL Zs THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTSInc I OF SECTION 1336.3, SUBSECTION (a) PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 STATE APPROVAL �itf�r �yv oB/osi/9r APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not outhorice or approve any omission o► deviation from requirements of applicable State lays and regulations. State of California Department of Housing and Community Development DIVISI CODES AND STANDARDS By (signature) �0 SPA NO. ��i G� This Plan Approval cx ABESCO 5831 FLORIN—PERKINS ROAD SAC. CA. 95828 PH: 916-383-8831 END TIE -DOWN #406 PIER BOLT -ON TOP #614 STL.. a o. STRAP 6� up0 •TIE -.DOWN 1 BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION IDE TIE—DOWN #606 STEEL STRAP (TYPICAL) /-DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION =t!'' �:;•: INSTALL GROUND ANCHOR • `. ;^; INTQ,, GROUND, LEAVING T-12" OF SHAFT EXPOSED. SPLIT BOLT & NUT —, GROUND LINE #616 T.D.A. STABILIZER PLATE NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL INSTALLATION INSTRUCTIONS (TYPICAL) 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT "OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 4 FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. CONTRACTORS VERIFICATION - 3 . $ I. CERTIFY THAT 1 HAVE INSTALLED THE ABESCO ANCHORING SYSTEM -AS PER THE INSTALLATION INSTRUCTIONS. �.. :..I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. o . vo COMPANY NAME:— __ CONTRACTORS LIC.#_ __�___r__ W ID DATE:--SIGNATURE:_ CROSS DRIVE -TIE -DOWN END TIE—DOWN CHASSIS #406 PIER BOLT—ON TOP I I SIDE TIE—DOWN y\ r — STEEL STRAP 1 #614 ST / �' 60 a,%'o' #606 BOLTT &608 PNUT � / #607 CROSS STRAP / �o STEEL / DRIVE ANCHOR cao�i� ' \oqo STRAP CONCRETE: / 12" SQUARE o 0 \ x 12" DEEP ' . GROUND LINE INSTALLATION INSTRUCTIONS 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "A". IF A 'CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS CROSS DRIVES MUST BE a DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE "A". WITH ONE TIE—DOWN. EACH ONE BEING BOTH INDEPENDENTLY CONCRETED. i ENCASED IN CONCRETE AS SHOWN IN DETAIL .................................................................................................% .......................................................................................— CONCRETE TIE -DOWN INSTALLATION END TIE—DOWN INSTRUCTIONS ,#406 PIER BOLT—ON TOP v 3 0 0 0 0 i W r�. 0 v W a CHASSIS SIDE TIE—DOWN #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB. A MINIMUM OF 12" FROM ANY EDGE. #615 WET I. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. r .00I. ABE5CO -TIE-DOWNS CABE-SCO NAME STAMPED IN 1 HEADS OF TIE -DOWNS // �vv. vI�V JJ DRIVE ANCHOR I #601 30" T.D.A. #604 CONCRETE #602 48" SLAB ANCHOR W/ T.D.A. #SH 5822 SLEEVE ANCHORS (DRY) #606 STEEL #406 PIER STRAP 1V/BUC BOLT -ON TOP #614 STEEL STRAP W/HOLE #615 CONCRETE #616 STABILIZER. SLAB ANCHOR PLATE (WET) SIDE TIE -DOWNS (SEE NOTE BELOW) SIDE TIE -DOWNS (SEE NOTE BELOW) =o �� ow <; SINGLE WIDE W� <' \ \ W z W WN EVENLY I SPACED I.2'I v /'� LENGTH VARIES �\ TRIPLE WIDE SIDE TIE -DOWNS (SEE NOTE BELOW) r <\ 20 \ 3W om I W W_ 1- <, DOUBLE WIDE WN T T- T T 2' EVENLY SPACED EVENLY SPACED EVENLY SPACED 2' LENGTH VARIES NOTE: SIDE TIE -DOWNS: MUST BE WITHIN 24" OF THE END OF CHASSIS BEAM. END TIE_DOWNS: CAN BE LOCATED WITHIN 18' OF EITHER SIDE OF CHASSIS BEAM. ONE TIE -DOWN IS MANDATORY AT EACH END OF "I" BEAM. (SEE PAGE #1, GENERAL NOTE #6) �I T T T T 2'I EVENLY (SPACED � EVENLYSPACED 12'l LENGTH VARIES EARTH AUGERS MAX. LENGTH OF 36' 54• 1 72' 62' 73' MFG'D. HOME MINIMUM NO. OF 2 1 3 1 4 1 7 7 SIDE TIE—DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF 32' 42' 52' 62' 73' MFG'D. HOME MINIMUM NO. OF 3 4 56 1 7 7 SIDE TIE—DOWNS CONCRETE* SLAB ANCHORS MAX. LENGTH OF 34' 42' S0' 59' 68' MFG'D. HOME MINIMUM NO. -OF 45 6 1 7 1 8 SIDE TIE -DOWNS F'- COUNTY OF BL"I'TE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDLNU ytVM()N 7 County Cencer Drive, oroville CA 95965 Phone: 916-538-7541 RE: Permit Appin #95-2996 (Mobilehome Inst) DATE: 2/13/96 A.P. 028-27-0-184 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of S , payable to Butte County Treasurer. =Impact Impact fees paid. Scho 1 District Fees California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley.. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle, Class) or exemption statement. Certificate of Wcrkmans Cc --,e .saticn Insurance. Owner -Builder Verification Form. Recorded= py of Agricultural Acknowledgement Stat_:-,enz. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other: To avoid Code Enforceme on as poss I v G -Yui- Ca Should you have any questions concerning the above, please contact LTNDA 4RXTnm of this office. Y rs very try,ly, MiciJael C. oieira, C.B.O. MCV:ahb Manager, Building Inspection BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 PROOF OF SERVICE BY MAIL November 25, 1996 Leroy B. Fischer 2271 Kenworthy Way Sacramento, CA 95832 RE: Code'Violations A.P.#028-27-0-184 191 Teddy Lane, Oroville Dear Mr. Fischer: This - is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated January 23, 1995 notifying you that you are in violation of the BCC at the above -referenced location.. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome in violation of the Mobile - home Parks Act of Title 25, California Code of Regulations adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Mobilehome Accessory Structure (b) 1048 -Inspections Required for any Mobilehome Accessory Structure The above violation shall be corrected or abated by you applying for the required permit to replace the permit application that expired and paying the appropriate fees. Also the permit for the travel trailer expired without inspections and approvals. A permit will be required to complete the work. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to -appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Letter to Leroy B. Fischer RE: Code Violations A.P. #028-27-0-184 Page 2 November 25, 1996 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Mic el C. Vieira, C.B.O. Man ger, Building Inspection 1 2 3 4 s 61 7 a 9 10 11 12 13 14 is 16 17 18 19 20 21 22 23 24 25 26 27 28 29 PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party of this cause. I amla resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing _ (A.P. #028-27-0-184 Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND'NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 25TH. OF NOVEMBER, 1996 and addressed as follows: LEROY B. FISCHER 2271 KENWORTHY WAY SACRAMENTO, CA 95832 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 11/25/96 at -OROVILLE , California. Donna Sperling Office Assistant III V Suite (0, L A N D O r N AT U RA L W EA LT H A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 January 23, 1995 Leroy Fischer ��agcel,.2'i/ Ker��vO.-�f�i y GcJ�� vi vii' i' or c� nQr"r;cs."�yy SprG�� RE: Code Violations A.P. #028-27-0-184 191 Teddy Lane, Oroville Dear Mr. Fischer: This is a courtesy notice to notify you that you are in violation of .the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of two (2) travel trailers. Since the property is zoned A-5, which allows only one (1) living unit per parcel a use permit will have to be obtained from the Butte County Planning Department. Since permits and inspections are required for the above work, please submit three (3) complete sets of plot plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has. an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Sincerely, "ICV: dms Mic el C. kVieira'��, C.B.0. Manager, Building Inspection cc: Assessor Dear Property Owner: For many years we have been experiencing an i wide system that will insure the health, safe County Board of Supervisors adopted a new ad& 1874). { We are requesting your help and cooperation in information section below for the piece of pro; Assessor's parcel number (.A.P.#) as shown and i County Department of Public Works. Upon completion of your. address calculation, } of the new address for your home, rental and/oi Thank you-for your cooperation. VERIFICATR DATE: �� Q Owner's Name Address C� 2- Establishment Establishment Name (if any) ,�2-q 1�7#tz- VIOLATION CHECK LIST A. P. # 028-27-0-184 Address 191 Teddy Lane, Oroville 95966 Owner LEROY FISCHER Owner's Address same Owner's Phone No. Supervisoral District Tenant's Name Phone No. 1 Type of Violation in Detail with Code Section Priority No. Travel trailers without permits Specific Plot Plan with C/V Noted _yes no Penalties Required lst. Notice Sent 1/23/95 2nd. Notice Sent ate Date Comments and/or Determination .d Tl Ee� A"-&� Wim. /% l 1 /% D > n Y -L n I f P / J, 1�1; - - 2/20/96 (KIR FISCHER CALLED AFTER RECEIVING WE NEED LETTER HE WAS VERY IRRITATED.' SAID THAT HE WAS WAITING TIL AFTER NOVEMBER 1996 BECAUSE AT THAT TIME THERE WOULD BE NO SCHOOL FEES'' 6 s r, . Disposition For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) jJ l . � �"� � � 9 40AC i ��'i .•'; )'.� :; , �� I nil M 1 `• •�.. 20. 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'�. .>�' ...a �t'i:3•..s:.. `�,�' I �.•il�• I Certifikate of Compliance: Residential Climate Zone 11 LErtl2nY F I5HER , BU ELDING DATA Conditioned Floor Area 1 2 Number of Stories 2 Slab/Raised Floor SLA Number of .Units _L QQ Single Family Detached (SFD) [ ] Addition Alone (] Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (MF) [ ] Existing -Plus -Addition BUII,DING SHELL INSULA710N Component Insulation Locannn/Commenits Tvoe R. -Value • (attic. to wage, tTiaal. etc.j wall .............. P 3q _ Wall .............. Roof ............. - 30 Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices 4.3-26 Building Permit # GI a BONS I-25-13 Checked By / Date Enforcement Agency Use Only % Glass 4.2 2•? Z. 8 302 +3-Y Glaring Area Glass Type Interior Exterior Overhang Framing North ( ) 80•'S Glass Area North o. S East _ _(t & South _ ig_ West Skylight D Total 231 % Glass 4.2 2•? Z. 8 302 +3-Y Glaring Area Glass Type Interior Exterior Overhang Framing North ( ) 80•'S bolASLIE 1 �. North East 4 n • East ( ) South South West ( ) 55.5 t� �• West ( ) Skylight....... �— THERMAL MASS Type/Covering Area Thickness (slab/exposed, cite. etc.L (SO (inches) Location/DCSCr'iption (kitchem bath. etc.) , -- HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location conditioner. heet pump) (SE, SEER,HSPF) (attic, etc.) N eAT F&4 69,6 q . ATTIC Duct Output Manufacturer / Model # R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem Tvve (storage gas, etc.) Capacity (or approved equal) Special Feature(s) Hew PHM P 36 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these me u n 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 feuurcs noted shall be considered by all parties as binding minimum component perfonrtance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT I . Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pcmV=h. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and forth. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltrauon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed tocomply with 12-5351 mc@uCECquality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and e;r trol 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach tokulations. §2-5352(h) and 2-5315: Setback dwinvstat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. . §2-5314(c): Gas -fuel space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment..water heaters, showcrheads and faucets certified by the CEC. i2 -5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 bi greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.53I2(Exception 1): Pipe insulation on steam and steam condensate return cit recirculating piping. §2-53 18(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed no allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators. refrigerator. freezers. freezer and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of eompHx= lists t1r building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Nana: Tttk/Fum: Address: i I Telephone: t.ic. 0: (signature) i Documentation Author Building Owner None: Tttk/Funt: Address: Tckphonc i (date) �-.two(date) Enforcement Agency Name: Name: TttWFtrm: Agency: Address: Tckomc 1. Ceiling Insulation -4 -3 -1 0.80 Number of stories -1 0 i1F-value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 40 -90 -37 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -52 -17 -9 Single- Single - 13 26 Family Family Mul6- R-value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -4 2 8 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -23 -1 Insulation in Floor 8 12 17 Number of stories -20 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4 8 11 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -16 2 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 1.00 -23 - Number of Stories 10 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inrtltration (Air Leakage) Specificalti" ° P40ts Standard 0 ` 6. Glass Heat Loss Total -5 Slab Floor -4 Raised Floor U -value %Glass North Percent South West .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2, 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -0 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Ef ecdve Pee cetI Class (pavmt shm x SC) Effective -5 Slab Floor -4 Raised Floor SE or RSPF %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 4.0 3 6 8 1B. Shading (Shade Closed) 10 10 Effective Percett Clans 3 7 (Pmvwt ghm x SC) 11 11 5.0 4 7 9 it %Glass NoM East South West SWot 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 10 1 8 5 9. Interior Thermal Mass Interior -5 Slab Floor -4 Raised Floor SE or RSPF Mass Two + Stories (assumes ducts In attic) 2 Stories (assume ducts ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 it 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 ) 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 20 Exterior 10 Single- single - Control Adjustment SG WWI 0 Family Family 6 Multi 3 Mass No Cooling System Installed Detached Attached 4 Family HP 0.00 9 0 3 0 0 50% 0.20 9 3 3 2 1 21 0.40 9 5 3 4 3 SE 0.60 -45 8 -15 6 4 5.1 0.80 2 10 1 8 5 0.9 1.00 -23 13 -8 10 7 24 1.20 -25 13 -8 12 8 3.9 1.40 -23 12 -8 13 9 IG 1.60 -8 10 3 13 11. . 1.80 6 10 2 12 12 2.7 2.00 1 10 0 11 13 1 11. Heating System -5 -4 -4 -3 SE or RSPF EER Two + 3 (assumes ducts In attic) 2 2 (assume ducts In attic) Sum of 14 k Iletached and Attached S< of 7-10 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 9.5 Efrective SE or HSPF 0 0 0 (SE or HSPF x duct efficiency) 0 Effective -25 or -24 to -14 b 4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 less Zonal Control Adjustment +15 System Type 5.0 -30 -25 -21 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst m -5 -4 -4 -3 -2 EER Two + 3 3(; 2 2 (assume ducts In attic) Single -Family k Iletached and Attached S< of 7-10 = Unit Size (sQ X -250f -2410 1410 -410 +610 160r SEER less -15 .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 ) 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 - -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 '• 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 - 4.2 HWR -18 -12 -9 -7 -6 0.2 E41ve SEER -25 -16 -12 (SEER )educt efficiency) -8 1.6 POU_ .0n of 7-10 _-12 -9 -7 Effective -25 or ,24 to -14 to 410 +6 fa 16 or SEER less -15 -6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0. 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 1699 Zonal Control Adjustment SG None 0 10 8 7 6 4 3 Solar No Cooling System Installed 7 5 Stories One -5 -4 -4 -3 -2 -2 Two + 3 3(; 2 2 2 1 Single -Family k Iletached and Attached X = Unit Size (sQ X Water ;199 12tr 1700 2200 2700 Heater Credit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 70% WSB 5 3 3 2 2 Me POU 8_ 5. 4 3 3 SE None -37 -24 -18 -15 -12 2.7 Solar -1 -1 -1 0 0 4.2 HWR -18 -12 -9 -7 -6 0.2 WSB -25 -16 -12 -10 -8 1.6 POU_ -18 _-12 -9 -7 -6 IG None -5 -3 -2 -2 -2 4.6 Solar 7 5 4 3 2 0.6 POU 3 _ _2_ 1 1 1 IE None -28 -19 -14 -11 -9 3.5 Solar 8 5 4 3 3 5 POU -10 -6 -5 -4 -3 0.9 Multi -Family (individual units) 1.6 1.8 2 2.2 I Unit Size (sQ 26 Water 3 699 700 1200 1700 22M Heater Credit or 10 to 10 0f TYPO TYPO less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 50% WSB 9 4 3 2 2 21 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 5.1 Solar 2 1 1 0 0 0.9 HWR -23 -12 -8 -6 -5 24 WSB -25 -13 -8 -6 -5 3.9 _ PQU -23 __ 12 -8 -6 -5 IG None -8 -4 3 -2 -2 1.2 Solar 6 3 2 1 1 2.7 POU 1 _ 0 0 0 0 IE None -30 -15 -10 -8 -6 5.6 Solar 18 9 6 4 4 1.5 POU -8 . -4 -3 -2 -2 Interior Mass/CFA t TOL 2 PAS$ U -value [0.65] % Total Glass [ 16] % Glass Sc Eff. % Glass X = X = X = X = X 11.1du211c•4.21 (urp.t.d slab) % Glass SC Eff. % Glass t TYPE I KASS (1711IC a 4.2. le sed slab) : exposed X X '�• 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 80% "t 70% 75% 80% 85*/. 90% 95% 100% 105% 110% 115% 120% 125• Me 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 29 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% O.S 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S 27 3 32 3.4 3.6 18 4 42 4,4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 23 2.S 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1:1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 701/. 1.2 1.4 1.6 1.8 2 22 15 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 14 16 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.5 5.7 5.9 6.1 6.3 6.5 80*/. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 S.6 5.9 6.1 63 65 67 90% • 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 1001/. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.0 3.8 4 4.2 4.4 4.6 4.9 S.1 S.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110*/. 1.9 2.1 2.3 2.5 27 29 9.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.62.8 9 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '8.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value [38] U -value [0.030] 2. Wall Insulation or R -value [11] U -value [0.098] 3. Raised Floor Insulation or R -value [19] U -value [0.037] 4. Slab Edge Insulation or R -value [0] F2 factor [0.77] S. Infiltration Standard 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. • Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Type (double] U -value [0.65] % Total Glass [ 16] % Glass Sc Eff. % Glass X = X = X = X = X % Glass SC Eff. % Glass X = X X = X = TYPE 1 MASS AREA % COND. FLOOR AREA InteriorM..Iss/CFA TYPE 2 MASS AREA B Exterior Wall Mass ND. L R AREA X = SE or HSPF Duct Efficiency [0.78] Effective SE or 10.72/6.6] HSPF [0.5615.15] X = SEER [9.5] Duct Efficiency [0.74] Effective SEER 17.03] Type (SG] Credit [none] Point Scores R1 Point Total. Sum 1-6 Sum 7-10 WITH !mS DE$Y6ij G?EC5 J1tiA tlHC�'�`YT��1 lEQp)CCIHSU11l'BLtiG A13t3TuPOTt OR LT, IHEM