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HomeMy WebLinkAbout056-240-109.�r.^,:y:,,�,,.wr:.;�r• �� ;,.. ►.....r-. _.,.,..�.y;;,.—•a..%.:... ... .�� ,;�.�,. � _ ....;..:. ,.:I' " ,•lr-- �_:: =w• tip=+...,.:r= ...:a.mm.l�»-�.ttr :.�;M�` � "^ - � �+yr ROBERT HINEY ►= -� C�� --- !� E/end pri dirt rd, 600' off E/S Rattle- ,4 yam,, / � >,�-•� snake, Forest Ranch Permit #3995-78P,E(ug: MH) LEC GAS SUPPORT-STRUCTU 9QQA --, COMPACTION TEST, 56-24-109 Lyle LaFaver E/end of pri.d at rd.,00'off /S , Rattlesnake Ridge Rd. Fore t Ranch _ Permit #1561- OP,-y�Wtf4kl ELEC.- GAS LEC.GAS Y SUPPORT. STRUCfURE Q. d I COMPACTION TEST REQ.2') 056-240-109 PERMIT#95-1761 j ARMSTRONG, Steve -- 16354 Hidden Forest Way, Fo est Ranch New Single Family 056-240-109 PERMIT#95-1762 ARMSTRONG', Stefe 16354 Hidden'TForest Way, Forest Ranch New Pri Det Garage„ /�IC1 0 { S I D E N T I A L 056-240-109 " PERMIT#95-1762 ARMSTRONG, Steve 16354 Hidden Forest Way, Forest Ranch New Pri Det Garage JOB FINALED (Date) 4-1 ` 6 — Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch POOLS (Plans) OK except #'s 3. Sewer; Location -Test -Fall -C/O Concrete 1. Setbacks -Easements 4. Water; Location -Test -Easement Needed (Sketch) 2. Soils; Compaction -Structure Stability 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Well Clearance & Disconnect 5. Elec.; Pool Lighting; 15 volts-GFI 8. Utility Clearance 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 10. Plumb.; Cir. Test -Water Supply Test 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 Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector Card B-1 Date Card B-1 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLA US Date DEC OVERS, CARPORT GARAG , lans OK except #'s 1. Zo g Requirements-Setbac - asements 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; Wi ws-D rs 7. Electric A,Fr : Sils-Anc uds-R - ru 9z5------ S-Sidtrig; Nailing -Veneer -Stucco -Mesh 1 - oof; Shthg-Rooting 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 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OKlexcept ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 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 h'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 ti's 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ---------------------------------------------------------- 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------ ---------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ ---------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------------------------------------------------- - --------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------------------------------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Sizer ! ga. Cu or At ------------------------------------- --------------------------------------------- 29. ------------------------------------------- 29. Range Circ. ! r 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. quip.32. Clothes Closet Light -Shower Light -Spa Light -- ----- -- -- ---- --------------------------------- -- 33. Smoke Detector ------------------------- ------------------------------ -------------- Date Card B-1 Date Card B-1 --------------------------------- - ----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti'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. 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 jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ____________ 55. -Siding -Nailing Veneer ------------ 56.- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----- --- 57. Glazing Area -Glass Protection -Skylights -Plastic - ------------------ 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. 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 -Meeh. 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 -Const ruction -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. Stucco: Brown -Finish -- ----------------------- 82. A.C. Unit; Disconnect, Electrical, Plumbing .. - -- -------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - ------------- --------------------------- 84. Water Well: Disconnect, Electrical, Plumbing 85 Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ----------------------- ------- 87. Glass Protection ..-------------------------------- ---------------- 88. Corrections from Previous Inspections ...... ---------- ------------------ -------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ----- ------ ------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -- --- --------------------------------- ---- - Date Card B-1 Date Card B-1 ----------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: -v' / COUNTY OF BUTTE - DEPARTMENT OF QEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville I California 95965 - Telephone (916) 538-7541 , , „P5RMIIT�NO. APPLICAtION AND PERMIT /p$ORPARCELNUMBER lV1 240-109 ZONING TIM20 BUILDING PERMIT OWNER STEVE ARMSTRONG TELEPHONE 892-9515 SQ. FT. OCC. BUILDING VALUATION 480 M XREXXX 8640 OWNERS MAIUNG ADDRESS PO BOX 562 FOREST RANCH CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 108.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.20 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 16354 HIDDEN FOREST WAY PERMITFEE $ 198.20 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE 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 JP Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24X20 Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUR ) OR ADDNS. 8 ACC. BLAS. 3 SQ so 16.80 NEW CONST. MULTI -OUTLET NON-RESID.( BRANCH CIRCUITS ) 97.50 S ( POWER APPARATUS ) 8 SINGLE OUTLET UCIR Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. (oFIXEEDrs PLNS.:ORA ) 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. ❑ 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 9 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 those provisions. /n� _ X Date 7- d�� �� —6-Contractor Signature of A plicant caner ❑ 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 occ CONST . TOTAL FEE $ 235.,p6 HAZ. I D. FEES I IMP I FLOO CDF C PD HD IS UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ate (Date Receipt No. . WHITE-D.D.S.- D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT ., • s COUNTYOF BUTTE - DEPARTMENTOFDE-VELOPM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI ' ji, C IFORNIA95965 - TELEPHONE (916) 538-7541 r'' PERMIT APPLICATION DATA SHEET OWNER < _ A P94 P. No -YO Proposed Building Use 4._ ._ Building Inspector Date aS 9 s At time of permit application, I was advised the following data must b`e submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. .................................... . T 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed ly 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 planapproval/fees................... •tom 13 Flood elevation letter (100 year flood) by alifornia Engineer . ................... 4. Sanitation and plot plan approval i% 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). ...gt reqs 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of, Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ...:.................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........ ............................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed -and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. (/ Telephone and hold for pickup at C /7 office. Deliver with inspector. Other Parcel Creation � G Acreage Applicant, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Cir ph 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 Co nter by _ Date Plans checked by Date Plans approved by O --z,-_ Date s Sets of plans on hold in File cabinet " AP folder /� d✓ �Ji�xo �S Copy - Department of Public Works e'7 TO: Building Department (.. kC© FROM: Environmental Health Cit'! cq SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile home. Other H.H. USE ONLY Plot Plan Attached Floor Plan Amchod Seat to B.D. / ®S-6 -P-V lam APIs Private Well Hold final for: Final clearance O.K. for: NOTE: T X-7 nvironmental H th Specialist Date - 8/92 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 y in processing and issuing your building permit. No building permit will unnecessary dela 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[ NO[ ]. 2. I HAVE[ K 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: NAlME: 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: SOCIAL SECURITY NUMBER: ? DATE: , !�I' , l �2 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 Iaw 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 tar 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 employers, 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. Sincerer , 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. 0VER a RESIDENTIAL 056-240-109 PERMIT#95-1761 ARMSTRONG, Steve 16354 Hidden Forest Way, Forest Ranch New Single Family .4Q - -( OFFICPE COPY Addr ss f ' GAS Meter By Date ELECTRIC (3 Meter By v Date OFFICE COPY Address GAS Meter By Date / A . ELECTRIC Meter By Date JOB FINALED (Date) Signature �� J=OK - O=Not OKNot = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) - 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"Uft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card'B-1 r 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-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI _+ 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater. 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health 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 RI 4 O O = Not OK = Not Applicable RESIDENTIAL = Not Ready Date UND LOOR (Plans) OK except ti's ng -Setbacks -Easements -Flood -Slope 2. Ftg. n; Soils-Elec. Grnd.-/ . Depth tg., Garage; Soils-Steel-Elec. Grnd.- ZC -Ftg. Depth 4. Ft_g., Porches & Decks; Soils -Steel-/ /Ftg. Depth jAmwalls, 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 BA" Date PLUMBING (Pe ),OK except N's 16. Waterr.: Vent -Ac -Combusti it- e ------------------------- ---------------------- - 17. Water T & Anchor -N Protection --- --- 1 W _Test -Fittings & Anchor -Nail Protection-------- ----- -- ho an: Test. First Floor -Tub Access est Tub &Shower, Second Floor -Tub Access -------- t Tub-------------- ------------------ --------- 21. Gas -Pipe: Size & Anchors Date Card B-1 C3 Date Card B-1 Date Card -1 Date Card B-1 Date ELE ICAL (Permit) OK except a's F & Transformer Clearan -Ins. Protection -------------- --- -- ----------------------- --- - _ EI( Re epI cles Spaa g -Lights & ___wit at Doors 2 e oxes & No. of Conductors -Staple ----------------- -- --------- --........ - - ------ --- ---- 2 omex Installed Close to Ed tuds & C.J. -------------------------- -- - ---- --------------------- ---- 26. Equ' round made up w/Meth. Fastne -Bond & W ------------ ------------------------------------ App' e Circuts in Kitchen &Conductor Size/GFI -------------- - - ---------cuts- ---------& Co-------------- - ---------------- ubfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / ga. Cu or At --------------- -------- --- -------------------------------- ---- 29. Range irc ! r ga Cue 11w�� en Circ. / / ga. Cu or AI. laced Neutral �F s No ------ --------------------------------- ------------------------------------- S Riser Conductors &Ground -Main Disconnect ------------------ --- - S'iearance5 Panels-Motors-Mech. Equip 32. Clo s Closet Light -Shower Light -Spa Light --- - ------------------------------------------------------------_ - -- - 3 '.oke Detector ------------------------------------------------------------------- ------------- - - - ----------- -------------------------------------- Date `J Card B-1 Date Card B-1 Date Ca 'B-1 Date Card B-1 Date ME ANICAL (Permit) OK except P's A. .Ducts Insulation upport ----------------- -- -- ------------------------------------- ---------------------------- - -------------- -- ---- 3 - en xhaus above insulation ----- ----- - ---- - - - - -- -- -- --- 3 nden<ate rat Overflow: Size & Grade -------------- Furna e-Ve :Access -Comb. Air -Return -Air nt-11 let ------- ---------Acce--Comb------------------ 3 . c Access & Platform if Furnance in Attic Date Card B-1 Date Card B -t Date Car -1 Date Card B-1 Date FRA G (Plans) OK except n's 3 Sils r er Material & Anchors ------------ 4 s ds -Nailing. Spacing & Bracing -Plates -Sound - -- -- -- --- ----- - - - - ------ ---- --- ----- - 41'. B g Walls over Girders &Floor Nailing --- - ----------------------------- --- - --- - ---- ----- - -- 4 raft S in Walls (rat proof) ----- ---- - - - - ---- ----- --- --------------- -- 3 Fi Stops: Furred Ceilings -Stairs -Chases- ------------- - - -- ------------------------r- -------- ------- 4 Headers & Beam -Size & Bearing (Single & Duplex) Date FRAMI (Continued) 45. Ha -Post Caps- nchors-Connectors Ing. Joist-RfIt. ties -P rlin-ro c- hthng.-Rfng. (Dyireplace Ties or ype A Flue -F eplace Throat clearance c Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 rm. 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 aprig Area -Glass Protection -Skylights -Plastic - ------ - 58. ear Walls; Nailing -Bolts pI$ I ulation-Walls-Ceilings Fr�`3 6 Infiltration -Walls -Windows Date Card B-1 Date Card B-1 --------------------------------- -- Date Card -1 Date Card B-1 Date FIN Plans OK except #'s 61.E eps-Door & Sidelight Protection -Landings S ke Detector 6 . Furnace: Ve Clearance -Comb. Air -Connector - In - -- Garage: Above Floor -Ducts -Meth. Protection 64. Broom Exiting --- - - ----- 65 ,e.F & Bath Fixtures & T ccesg-3 6 lec. Trim & Subpanel: Breaker Sizes & Labels --- --------------- --------------- _ _ 6 airs & Rails _ ____ --_ ---_- 6i}�.�ce or Stove Clearances -Hearth .-----....._ utfets at W --!!T-, 7 t.�Fixt. & Appliance: Grnd.-Air G_ ooking Cle_ nce -- 7d!Elec_ Outlets & RecepraGes at Kit. Counter -- - -- ----- - 73. -- - ---- ---------- 7 tr. Htr. Vents -Clearance -Comb. Air-Connector-P4A In age: Above Floor-Mech. Protection -------------- Ib.. Elec. &Mech. Equip. Listed for Location ------- ------- ------ 7 sulation- am -Looked in Attic - s - 7 Rails & Deck Constru aps 7 Fdn Vents &Crawl Hole Door -Drainage & Woo t� Cle ce Looked under Floo 8 ollowing instld. Drive No. Walks 0 Yes o; Planters 0 Yes ❑ ..----------------------------------------- ----- d - --�Roof: Vece-fireplace.-Clearance to enings-- ---------------- Water Well: Disconnect. Ele I, Plumbing ------ ------- ------ _------8 or e5.:Trim: G. .cep -Underground 8 . V ation Throughout House - --- ---- -------------------------------- Gla P------ otection .... ...... tif iInspections - - - ----- ------ -- -- 89. Gas T eters Tagged; Gas -Electric 90. Water & Sewer Conn ected-C rade-HD Approval F y Compliance Certificate. Other Certificates --------------------------- - - --- Date : (' - Card B-1 Date Card B-1 ---1 - -9 - --- -- -Y-6. --------- -- 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, Galifornih 95965 - Telephone (916) 538-7541 PE IT NO. APPLICAUCINAND PERMIT �S �� T ASSESSOR PARCEL NUMBER 056-240-109 ZONING TM20 BUILDING PERMIT OWNER STEVE ARMSTRONG TELEPHONE 892-9515 SO. FT. OCC. BUILDING VALUATION 1248 57 392.00 OWNERS MAILING ADDRESS PO Bny 562, EORESI RANCH CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 495.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 21.75 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16354 HIDDEN FOREST WAY FOREST RANCH PERMITFEE $ 859.75 PLUMBINGPERMIT Filing Fee 20.00 Each Trap g 7-00 56.00 LOT NO. 3 SUBDIVISIONS NAME PAR,C�L MSP_ L, Solar or heat pump water heater 23.00 USE OF STRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.0 Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 .00 Building sewer 15.00 15.00 TYPE OF WORK New F] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BR Mobile Home S G W 920.00 PERMITFEE $ 1 .00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 f the following reason: 7I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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 NEW CONST. DWELLINGOCCUP. OR ( 8 ACC. BLDS. ) SO. Ll CNS. NEW CONST. MS NON-RESID. ( BRANCH CIRCUITS ) @7.50 97. 0 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 Ex. Occup. I FIXEEDrs PLNS .OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 86-68 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 6-9 Ventilation PERMITFEE $ 41 50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation �f 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 those provisions. r X Date ��Jr =�-5� Signature of Appl cant __ ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC P11 CONST. TYPE 11,1VTOTAL FEE $ 1169.93 -'I I HAZ. D. FE IMP FLOOD _ _ X cDF X PARCEL PD HD This permit is hereby issued under the of the Butte County Code and/or indicated above for wh' shave By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. C aD (D te) Receipt No.1� J�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION.: , i ..., , ..,-.I :►.„a; .. DEPARTMENT OF DEVE.IzOQMEmVT SERVICES ' ^I 1469 Humboldt Road, Chico,'CA-. (9'16T891-2751 7 County Center Drive, Oroville, CA'- ('916) 538-7541 747 Elliott Road, Paradise; CA - (916) 872-6307' CORRECTION NOTICE '`OWNER PERMIT NO.I 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.' Date 1-13- 75 Inspector REV 10/92 yi Date 1-13- 75 Inspector REV 10/92 INSULATION CERTIFICATE STEVE ARMSTRONG IC -1 16354 HIDDEN FOREST WAY FOREST RANCH Number and Street city BUTTE County Subdivision Lot Number Description of Installation' ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type FIBERGLASS Brand Name CERTAINTEED. Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type INSUL-SAFE III Brand Name CERTAINTEED Contractor/s min installed weight/ft' 66Tlb Minimum thickness, inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 38 3. EXTERIOR WALL Frame Type WOOD A. Cavity Insulation Material FIBERGLASS BATTS Thickness (inches) 3 B . Exterior Foam Sheathing Material Thickness (inches) 4. RAISED FLOOR Material FIBERGLASS BATTS Thickness (inches) Brand Name CERTAINTEED Thermal Resistance (R -Value) 13 Brand Name Thermal Resistance .(R -Value) Brand Name CERTAINTEED Thermal Resistance (R -Value) .5.. SLAB FLOOR/PERIMETER Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item s- mature; pate 1/4/96 Item Item'#s Revised July 1995 Signature, Date Signature, Date SHASTA INSULATIONI OR Installing Subcontractor o. ame General Contractor (Co. Name) OR Owner Installing Subcontractor(Co.Name) General Contractor (Co. Name) OR Owner ailing Subcontractor(Co.Name) General Contractor (Co. Name) OR Owner COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 r PERMIT APPLICATION DATA SHEET, OWNER ew s N a A. P. No. D C:�Z -4 L�0,/of 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: 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 . ...................... 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. .. California Department Department of Forestry plan approval fees 13. Flood elevation letter (100 year flood b Californi gineer. ................. . 4. Sanitation 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). .. Fre-Inspedio; regjest 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... Owner -Builder Verification (Given to owner Mail to owner _). . . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 01 S• 25. Letter of signature authorization . ........................................ 4r 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the it, process as follows: Mto o ner. Mail to contractor. Telephone e and hold for pickup at office. Deliver with inspector. Other Parcel Creation p Acreage Applican Date 9s - 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 it s uance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail 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 TO: Building Department C4 ; FROM: Environmental Health �u CIO SUBJECT: Sanitation Clearance E.H. USB O Y Plat Plan Aftdwd Ploor Plan AttwW ' Seat to B.D. -Fw62 Owner J Location AP# Plan Approved for: Sewage Disposal Clearance for, bedroom mebAe home. Other Hold final for: Final clearance O.K. for: NOTE: Water Supply: Public Private Well Ys Environmental H Specialist A -r' s Date COUNTY OF BUTTE - DEPARTMENT OF DEVEWPHEW SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916)538-7541 OWNER G A.P. --/0 PROPOSED BUILDING USE. S DATE 0-44-J, SCHOOL DISTRICT FEES (paid at District Office).. ..................... 0t 4�Z . SHERIFF FEES . . (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =� # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. REC. # DATE REC 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. =a 6. SRA FIRE INSPECTION AND PLAN CHECK =.S89.00 ...... i O S��- (paid at Building Department) 7. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT ,� l/��.9-� DATE -4�.!'''e.. '�!"...:r •Y,�w�+.r".Y+-y ��r►.:arr•l"I�f►•�"i•Y.Yr<Tr+•'.''i'. ,,,,��,,,,„Cvii+..'-x ,�„ it BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One. Form Per Building) School District G4 (� Building Department No. A.P. Numbero Jurisdiction: _J City !^.►''""Count)! Property Owner co Property Location/Address f Dry &f)D� W �/ �— —X. A Subdivison Lot No. Residential Development [ 0 Sq..Fogtage No. of Living MHI Addition (Group R Units Commercial/Industrial 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) --J- cz-- 9 �. Date District Identification No. q,5-60-33 U _School District certifies that /l all-n�a (Applicant) (Street Address) (Phone Number) (City) (State) .(Zip Code) a has complied with the requirements of Resolution No, by payment of $ � representing g square feet All 2926 $ FULL MITIGATION $ School District Rep entative Date Paid by Check #,; Bank Number Paid by Cash . Remarks: 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) feeformmkl (tf sa)dmm 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[ A, NO[ ]. 2. I HAVE[ t4' 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: PHOyE: 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: SOCIAL SECURITY NUMBER: " DATE: � — --�, 5 — -� 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 fora 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 Iicensed 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. 0%v -ER And when recorded mail to: Building Division #7 County Center. Drive Oroville, Ca. 95965 284 95'0252841 Rec Fee 15.00 I Check 15.00 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 9:51am 317Jul-95 I PUBL XX 4 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,. including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE EXHIBIT "A' Date: 7—;- 7— PROPERTY OWNERS: State of California ) County of On g,S'—before me, personally appeared ersonally known to me (or proved to me on the basis of satisfactory evidence) t be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they execdt d the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ... BARBARA EDGAR UI CYPUBm. #1049629 ^ C ' oNOTARY PUBLIC CALIFORNIAy/ Signature Seal: ` BUTTE COUNTY (j Comm. Expires March 27. 1999-, A.P.# NOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement of Acknowledgement: 1_ Insert the legal description of the property in the space provided on the other side of this. form. The.legal description is the narrative description of the property - which will be on your deed. - If 'you don't- have- access to -the deed, the Recorders Office can provide this' - information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). OVER ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) EXHIBIT "All 95-25284 POLICY NO. BU -141147 TB ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON OFFICE OF THE RECORDER ON FEBRUARY 23, 1972, PARCEL II: THAT CERTAIN PARCEL MAP, RECORDED IN THE OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 41 OF MAPS, AT PAGE(S) 25. A NON-EXCLUSIVE EASEMENT FOR ROAD.AND PUBLIC UTILITY PURPOSES OVER, UPON AND UNDER THAT CERTAIN REAL PROPERTY THAT LIES WITHIN THE BOUNDARIES OF SECTION 28, TOWNSHIP 24 NORTH, RANGE 3 EAST, M.D.B. & M., AS DESCRIBED IN THE PATENT RECORDED JULY 29, 1896, IN BOOK "E" OF PATENTS, PAGE 393, BUTTE COUNTY RECORDS, 80 FEET IN WIDTH LYING 40 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 28, MARKED BY A BRASS CAP MONUMENT OF THE U. S. BUREAU OF LAND MANAGEMENT; THENCE NORTH 87 DEG. 59' 05" WEST (THE BASIS OF BEARING BEING THE NORTH BOUNDARY LINE OF THE NORTHWEST QUARTER OF SAID SECTION 28 TAKEN AS SOUTH 88 DEG. 00' 49" EAST FROM THE EXECUTOR'S DEED RECORDED IN BOOK 1413, PAGE 193, OFFICIAL RECORDS) ALONG THE NORTH BOUNDARY LINE OF THE NORTHEAST QUARTER OF SAID SECTION 28, A DISTANCE OF 1344.65 FEET TO THE NORTH ONE SIXTEENTH CORNER OF SAID NORTHEAST QUARTER OF SECTION 28, MARKED BY A 3/4 INCH DIAMETER IRON PIPE TAGGED R.C.E. 14203; THENCE CONTINUING ALONG SAID NORTH BOUNDARY LINE NORTH 87 DEG. 59' 05" WEST, 48.94 FEET TO THE SOUTHERLY RIGHT OF WAY LINE OF THE GARLAND ROAD; THENCE LEAVING SAID NORTH BOUNDARY LINE ALONG SAID SOUTHERLY RIGHT OF WAY LINE, SOUTH 54 DEG. 30' 00" WEST 29.18 FEET; THENCE NORTH 86 DEG. 00' 00" WEST 79.46 FEET TO A 3/4 INCH DIAMETER IRON PIPE TAGGED R.C.E. 14203, MARKING THE TRUE POINT OF BEGINNING OF THE EASEMENT CENTERLINE HEREIN DESCRIBED; THENCE LEAVING SAID SOUTHERLY RIGHT OF WAY LINE SOUTH 19 DEG. 35' 13" WEST 122.06 FEET; THENCE SOUTH 24 DEG. 00' 37" WEST 72.21 FEET; THENCE SOUTH 55 DEG. 55' 25" WEST 68.53 FEET; THENCE SOUTH 74 DEG. 05' 13" WEST 380.55 FEET; THENCE NORTH 77 DEG. 40' 21" WEST, 100.64 FEET; THENCE NORTH 18. DEG. 18' 35" WEST, 289.77 FEET; THENCE NORTH CONTINUED ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) PARCEL II: CONTINUED 95-25284 a POLICY NO. BU -141147 TB 55 DEG. 34' 13" WEST 49.29 FEET; THENCE NORTH 87 DEG. 59' 05" WEST, 116.83 FEET; THENCE SOUTH 59 DEG. 23' 10" WEST, 94.09 FEET; THENCE SOUTH 26 DEG. 40' 20" WEST, 58.18 FEET; THENCE SOUTH 00 DEG. 28' 05" EAST 141.10 FEET; THENCE SOUTH 16 DEG. 55' 27" WEST, 100.48 FEET; THENCE SOUTH 07 DEG. 53' 25" EAST, 157.02 FEET; THENCE SOUTH 06 DEG. 31' 55" WEST 167.36 FEET; THENCE SOUTH 08 DEG. 04' 01" EAST, 75.0 FEET; THENCE SOUTH 08 DEG. 04' 01" EAST, 234.67 FEET; THENCE SOUTH 16 DEG. 00' 34" EAST, 144.15 FEET; THENCE SOUTH 04 DEG. 05' 36" EAST, 191.19 FEET; THENCE SOUTH 31 DEG. 20' 13" WEST 91.18 FEET; THENCE SOUTH 81 DEG. 37' 30" WEST, 80.66 FEET; THENCE NORTH 69 DEG. 18' 50" WEST, 75.86 FEET; THENCE NORTH 54 DEG. 10' 20" WEST, 220.35 FEET; THENCE NORTH 29 DEG. 04' 28" WEST 178.74 FEET; THENCE NORTH 46 DEG. 34' 26" WEST 262.81 FEET; THENCE NORTH 33 DEG. 59' 30" WEST, 133.50 FEET; THENCE NORTH 85 DEG. 06' 54" WEST, 96.94 FEET; THENCE SOUTH 58 DEG. 43' 58" WEST, 86.80 FEET; THENCE SOUTH 17 DEG. 36' 04" WEST 138.05 FEET; THENCE SOUTH 11 DEG. 13' 29" EAST, 158.71 FEET; THENCE SOUTH 05 DEG. 17' 06" WEST 194.19 FEET; THENCE SOUTH 15 DEG. 47' 25" EAST 180.91 FEET; THENCE SOUTH 36 DEG. 52' 47" EAST 129.51 FEET; THENCE SOUTH 42 DEG. 161'14" EAST 225.53 FEET; THENCE SOUTH 26 DEG. 17' 29" EAST, 140.57 FEET; THENCE SOUTH 26 DEG. 17' 29" EAST 100.0 FEET; THENCE SOUTH 38 DEG. 09' 43" EAST, 195.05 FEET; THENCE SOUTH 52 DEG. 23' 52" EAST, 156.69 FEET; THENCE SOUTH 15 DEG. 39' 42" EAST, 64.12 FEET; THENCE SOUTH 21 DEG. 05' 20" WEST, 110.61 FEET; THENCE SOUTH 55 DEG. 43' 49" WEST, 256.03 FEET; THENCE SOUTH 29 DEG. 56' 40" WEST, 112.88 FEET; THENCE SOUTH 10 DEG. 36' 10" EAST, 397.40 FEET; THENCE SOUTH 05 DEG. 43' 50" WEST, 266.64 FEET; THENCE SOUTH 27 DEG. 04' 51" WEST, 228.43 FEET; THENCE SOUTH 87 DEG. 00' 00" WEST, 79.80 FEET; THENCE SOUTH 01 DEG. 51' 52" WEST, 311.98 FEET; THENCE SOUTH 05 DEG. 20' 22" WEST, 290.63 FEET; THENCE SOUTH 14 DEG. 36' 21" WEST, 390.43 FEET TO THE END OF SAID CENTERLINE. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER, UPON AND UNDER THAT CERTAIN REAL PROPERTY SITUATE IN SECTION 28, TOWNSHIP 24 NORTH, RANGE 3 EAST, M.D.B. & M., 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: CONTINUED ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) PARCEL III: CONTINUED 85-.25284 POLICY NO. BU -141147 TB BEGINNING AT POINT 92, LOCATED IN THE CENTERLINE OF THAT 80 FOOT ROAD EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 82, 83 AND 84; THENCE FOLLOWING ALONG THE CENTERLINE OF SAID 80 FOOT ROAD EASEMENT NORTH 14 DEG. 36' 21" EAST, 40.0 FEET TO THE TRUE POINT OF BEGINNING FOR THE 60 FOOT ROAD EASEMENT HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 85 DEG. 19' 34" EAST, 556.41 FEET TO A 3/4 INCH IRON PIPE TAGGED R.C.E. 14203 IN THE EASTERLY BOUNDARY OF LOT 15, AS SHOWN ON SAID PARCEL MAP, SAID POINT BEING LOCATED NORTH 0 DEG. 14' 34" WEST, A DISTANCE OF 1000.0 FEET FROM THE SOUTH QUARTER CORNER OF SAID SECTION 28. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR .ROAD AND PUBLIC UTILITIES PURPOSES, 30 FEET IN WIDTH, LYING WESTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING'AT THE SOUTH QUARTER CORNER NORTH, RANGE 3 EAST, M.D.B. & M., AND 14' 34" WEST, 200.0 FEET TO THE TRUE LINE TO BE DESCRIBED HEREIN; THENCE BEGINNING, CONTINUING NORTH 0 DEG. 14' END OF SAID LINE. PARCEL V: OF SECTION 28, TOWNSHIP 24 RUNNING THENCE NORTH 0 DEG. POINT OF BEGINNING FOR THE FROM SAID TRUE POINT OF 34" WEST, 830.0 FEET TO THE A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 23, 1972, IN BOOK 41 OF MAPS, AT PAGE(S) 25. END OF DOCUMENT RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS ONLY OWNER: BUILDING PERMIT NUMBER: PLAN CHECKER: < 5 ASSESSOR PARCEL NUMBER: E RAL ' ning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. per description of work on application. Existing violations on property. Items on data sheet, (Impact fees, Health, Developer fees, License law, etc.). _ Recorded notice of violation. PLO PLAN: 1 plete parcel size and dimensions. _ tbacks, sideyards, easements, etc. er buildings or structures. rading, fills, and drainage. ood hazard. e ial conditions on creation map, (noise, C.D.F., fire sprinklers, non-combustible, and foundations). AU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. tPlumbing uired windows for light and ventilation (Section 1205). uired windows for second exit (Section 1204). lights (Chapter 34 & Section 5207). man impact glass (Section 5406). wired room sizes, ceiling heights (Section 1207). .C.I. in baths, garage, kitchen, and exterior outlets (Article 210-8). ht fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ations of water heater, heating and cooling equipment, other electrical or gas equipment. age firewall, door size, and closer (Section 503(d)(3)3'0" exterior exit door (Section 3304 (f). place and wood stove location, alcoves and clearance. oke detectors (Section 1210). fixtures, water closet clearances and shower size. Standard bracing or engineered design (Table 25V). Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and cals if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS MISCELLANEOUS ITEMS TO LOOK OUT FOR: Stairway details:-landings, rise and run, head clearance, handrails (Section 33.06).. Guardrail details (Section 1711 and 33060). ' Brick or stone veneer (Chapter 30). xtenor plaster - weep screeds (Section 4706). per roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). 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MASTER PLAN --------------------- minimum R-8 in concrete raised floors. CHICO, CA. 150(i): Slab edge insulation - water absorption rate no greater Documentation Author... BOB METZGER 865-9688 ; Building Permit # ; Company ................ BOB METZGER 0 D S 118: Insulation specified or installed meets CEC quality Telephone .............. 865-9688 or 342-9688 ; Plan Check / Date ; 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls Compliance Method...... MICROPAS4 by Enercomp, Inc. ; Field Check/ Date ; Climate Zone........... 11 --------------------- MICROPAS4 v4.01 File-. Wth-CTZllS92 Program -FORM MF -1R ' User#-MP1000 User -BOB METZGER 0 D S Run- j ------------------------------------------------------------------------------- 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklisYom; o y. IK&.'& BUILDING ENVELOPE MEASURES G -------------------------- _a esign- n f o r c e - er went *150(a): Minimum R-19 ceiling insulation. 81.11 ' 1 t' f t labeled R -Value 150(b). Loose i enmen su a ion u ac urerIt s *150(c): Minimum R-13 wall insulation in framed walls (does not apply to•exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints r �� and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: 1 a. Closeable metal or glass door b. Outside air intake with damper and control C. Flue damper and control 2. No continuous burning gas pilots allowed. _ - E to �.� 110-13: HVAC equipment, water heaters, showerheaas ana faucets certified by the CEC.rr 150(i): Setback thermostat on all applicable heating systems. (� 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non- recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank.-� *'150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation � �/� pump time switch. '- 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non-electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES ----------------- Design- Enforce- er hent 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures. IC (insulation cover) approved. Be aware that glazing units (including doors with :glass) must have permanent NFRC labels. Glazing labels will be `checked against the Title 24 calculations at the time of framing inspection. If the installed U-value is of a lesser value, the Title 24 calculations must be-redone, and appropriate changes made to the structure (e.g., this may include additional insulation, addition of screening devices, reduction of window sizes, etc.). Note that an Installation Certification Form CF-611 is required to be posted at the residence proper to the issuance of a Certificate of _Occupancy. This is in addition to the Insulation Certificate. IF APPLIES GENERAL NOTES SHEET E 1. ALL PENETRATIONS THRU THE BUILDING ENVELOPE (CLG. WALLS AND FLOORS)Tb 6F CAULKED, SEALED OR WEATHER STRIPPED. SHIM SPACES AROUND EXTERIOR DOORS OF THE BUILDING ENVELOPE TO BE INSULATED. 2. ALL EXTERIOR PANELS EDGES TO BE CAULKED. 3. ANY ACCESSESS TO ATTIC SPACE OR CRAWL SPACE FROM CONDITIONED SPACE TO BE FULLY WEATHER STRIPPED. 4. EXHAUST FANS TO HAVE BACKDRAFT DAMPERS. 5. FIRE PLACES TO HAVE. a) O.S. COMBUSTABLE AIR TO F.P. BOX W/ MIN. DUCT CROSS-SECTIONAL AREA OF 6 SO. INCHES b) DAMPERS TO ' 'DUCT ACCESSABLE FROM INSIDE F.P. AREA c) FLUE DAMPER. TIGHT -FITTING 8 READILY ACCESSABLE d) TIGHT -FITTING F.P. DOORS OR HEAT CIRCULATING DEVICE. 6. A/C DUCTS TO BE INSTALLED PER 100k U.M.C. 8 INSULATED ()- INSUL. - GAS EQUIP.) 8 (2" INSUL.-HEATPUMP EQUIP.) 15# DENSITY TYP. R . 2• 7. MAIN LIGHTING SOURCE IN ALL BATHS 8 KITCHEN TO BE FLOURESCENT OF 4.0 LUMENS/WATTS OR GRATER. 8. FAUCETS 8 SHOWER HEADS TO BE WATER SAVING TYPE 8 CERTIFIED BY C.E.C. 9. W.H. TO HAVE. a) V-6" HIGHT PLATFORM. b) . VENT T HRU ROOF.. c) ADEQUATED CONBUSTABLE AIR VENTING. d) R-4 INSULATION 5'-0- TO 8 FROM UNCOND. SPACE. e) R-12 INSULATION WRAPPING. f) R-4 INSULATION ON CIRCULATING SYSTEM. g) CERTIFIED BY C.E.C. 10. GAS COOKING APPLIANCES NOT TO HAVE CONTINUOUS BURNING PILOT LIGHT. il. A/C UNIT TO HAVE a) SIZED 8 CERTIFIED BY C.E.C. b) SET -BACK THERMOSTATS. 12. INSULATION INSTALLER TO BE CERTIFIED BY STATE 8 LOOSE FILL INSULAT- ION TO HAVE MANUFRS. LABLED R -VALUE 13 BUILDER TO SUPPLY TO OWNER ALL INFO. PERTAINING TO THE OPERATION ' OR TREATMENT OF ALL APPLIANCES 8 DEVICES RELATED TO ENERGY OR WATER USE. 14. ALL WDOS. @ CONDITIONED SPACED DUAL -PANE. DOORS 8 WOOS. TO BE FUL- LY 1 WEATHER STRIPPED. 15. CAULK BETWEEN BOTTOM PLATE AND CONC. FLOOR. 16. PROVIDE INSULATION BAFFLES.@ EAVE BLOCK VENTS. 17. USE ELECT. OUTLET GASKETS @ O.S. WALLS. 18 WATER HEATER TO HAVE P -T VALVE WITH DISCHARGE TO OUT SIDE. 19. REF. FRZRS. FLUR. LAMP BALLAST TO BE CERTIFIED BY C.E.C. CON TRACT-. OR -OWNER TO SUPPLY MAKE AND MODEL. I SC (9c PERMIT PCO. ' 1561-80P;E• • • o PERMIT EXPIRES s. ^OWNER Lyle LaFaver CONTR. owner 56-24-109' LOCATION (A.P. ) E/end of pri.dirt rd., 600'off E/S Rattle- snake Ridge Rd., Forest Ranch Temp. Power Pole Called PG&E *emp'Elec. Serv. Z Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED v l' .Y I SC (9c PERMIT PCO. ' 1561-80P;E• • • o PERMIT EXPIRES s. ^OWNER Lyle LaFaver CONTR. owner 56-24-109' LOCATION (A.P. ) E/end of pri.dirt rd., 600'off E/S Rattle- snake Ridge Rd., Forest Ranch Temp. Power Pole Called PG&E *emp'Elec. Serv. Z Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED v t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING tback Fir all Soil spin F Para is 1st loor M%Jn Bldg. Restro Finish 2nd k0or otin s Windows 3rd Flkr St wall Sidin To out Slab Roof Sheath Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings A Prov. for 1) sicall handicapped N Conformance of ex. structure A Appliances Gas PI Ing & Test Temp. Gas Slab Final Sanitation Patio JFIREP CE Final Footings Footing LECTRICA - Masonry Wallst Throat Rough Reinf. Ste Final Fixtures Bond Be FIRE SPRINKLE Motors Framing Test Water Htr Stucco Final Sub ane Meshf MECHANICAL Grd. FAR Prot. Scr ch Heatl BrJwn Coo ng T p. Pole nish Du s 1ervilit nder round In rior Lath V tllation Permanent or Closer Anal inal MOBILEHOME UTILITIES = El, Service Elec. Pedestal Water Piping Sewer vC Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) C� COUNTY OF BUTTE 3 DEPARTMENT OF PUBLIC WORKS t 695.Oleandar Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, OroviJle — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 COR E9-'TI/O/NN�O/TILE l BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. you ve any question pertaining to this �.tte , or nee ad�Hion�I explan on pl a contact thl office immediately. A / �� Septic system.and location of - All utility. connect ns shall J�' to be m per. County Health. DRP Rer located within 4 f* ° tmobile home 1 Bu#e ty, Pt" third section of th quirementse on the left (road) sid of the mobile 1 . home. 21 s Ae Ift. Setback shall be 0 ft. from fha��1 ,side property line and 50 ft. from tliw aentedine of the road, permitting a max% \mum of a 2 ft, eave overhang but entirely , 1 out of all easements. r� 14i0A permit will be required for, f�i� `✓ installation of the mobilehome,' I 30•: �- �� BUTTE COUNTY eowlvovWILDING EPARTMENI APPROVED •fhis- set of-plans and-specifications MUST a. NOT:=—AI, Materials & Workmanship Shall Be ira e } on the job at all times and it is unlawful to Acco make an Chan es or alterations on same wit oui of a quality prescribed for the Specified use in the jp� �S� � y. _ .9 Uniform' B'u�ilding, Plumbing & Mechanical Codes and v✓riften permission 'frorh the Department of Pub- .the National Electrical Code. nc Works, County of Butte. - COUNTY 01: BLh-TE - DltPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 • Telephone: 534-4541 • • APPLICATION AND PERMIT I 111� 6 6/-A9 authorize representatives of the Co ty of Butte to enter upon the above-mentioned property for insp ti n purposes. p def Sign Pymi�e rt Receipt No. (/J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECT PUBLIC WORKS` By Date__ BuiLdfng permit expires Date BUILDING /� F-,4 Owner Lyi-E La f}ejr-p, SQ. FT. OCC. BUILDING VAL ON Mailing Address 1-13(a4 S` 572 7_ 10 %'(/ l/7 6 /t A ' C14 T s N �fV 0.5E9 � Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee //���� Building Address p�, !vim' Plan Checking Fee&/or Penalty Permit Fee i6eol L-- s A?v,+T7ZC—skl,46L PLUMBING No.1 @ FEE / PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 y h J�Q A. P. No.1567 -�� JJ �/, ![di,l�n� 8,`�Yanning Water piping 1.50 Each gas water heater or vent 1.50 F s W . SaMg Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � �� Bldg. PI�Rec'd Parcel royal Plqns Approval �/ Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ �Qlj Bt ELECTRICAL No. @ FEE S 79 PERMIT FILING FEE $3.00 �Bt� Main service &0ov OR LESS ,1 100 AMP OR LESS 5.00 FN 0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPR OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST V ADWECCLBLDGS.LING CCUP. S) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR BRANCH CIRCUITS) NON.RESID. (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiRES) B 1 Ex. Occup. (OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 4,;5—,0V License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. TVI I certify that in the performance of the work for which this 1,04 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the Co ty of Butte to enter upon the above-mentioned property for insp ti n purposes. p def Sign Pymi�e rt Receipt No. (/J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECT PUBLIC WORKS` By Date__ BuiLdfng permit expires Date And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 S',,TTE (;OU ii TY RECORDER SERIAL NO. 95- - a sakl nECORDED AT THE REQUEST OF i AID VALLEY TITLE COMPANY DATE RECORDENUL 3.1.1995 TMAE: 9: SIA► AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an aiea'zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE EXHIBIT "A" Date: —� 7-51 PROPERTY OWNERS: State of California County of —aS'CE z'r On '/ - ;% ;;7 U.S . before me, personally appeared .. IA5Z�'- L/' i known to me (or proved to me on the basis of satisfactory evidence) within instrument and acknowledged to me that he/she/they execdt that by his/her/their signature(s) on the instrument, the person(s) executed the instrument. WITNESS my hand and official seal. ' r ✓, Signature c �' % ` . Seal: A.P.# C'7 6 vl Ve, - COt1NW CJ= 01ITTE BUILDING DEPT - J U L 3 1 1995 .Clf. personally 9/be the person(s) whose name(s) is/are subscribed to the d the same in his/her/their authorized capacity(ies), and or the entity upon behalf of which the person(s) acted, 1-� BARBARA EDGAR UI COMM. #1049629 ^ c NOTARY PUBLIC CALIFORNIA) G BUTTE COUNTY 0 Comm. EVIrdS March 27. 1999 -+ ALTA OWNERS POLICY POLICY NO. BU -141147 TB (REGIONAL EXCEPTIONS) EXHIBIT "All ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 23, 1972, IN BOOK 41 OF MAPS, AT PAGE(S) 25. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER, UPON AND UNDER THAT CERTAIN REAL PROPERTY THAT LIES WITHIN THE BOUNDARIES OF SECTION 28, TOWNSHIP 24 NORTH, RANGE 3 EAST, M.D.B. & M., AS DESCRIBED IN THE PATENT RECORDED JULY 29, 1896, IN BOOK "E" OF PATENTS, PAGE 393, BUTTE COUNTY RECORDS, 80 FEET IN WIDTH LYING 40 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 28, MARKED BY A BRASS CAP MONUMENT OF THE U. S. BUREAU OF LAND MANAGEMENT; THENCE NORTH 87 DEG. 59' 05" WEST (THE BASIS OF BEARING BEING THE NORTH BOUNDARY LINE OF THE NORTHWEST QUARTER OF SAID SECTION 28 TAKEN AS SOUTH 88 DEG. 00' 49" EAST FROM THE EXECUTOR'S DEED RECORDED IN BOOK 1413, PAGE 193, OFFICIAL RECORDS) ALONG THE NORTH BOUNDARY LINE OF THE NORTHEAST QUARTER OF SAID SECTION 28, A DISTANCE OF 1344.65 FEET TO THE NORTH ONE SIXTEENTH CORNER OF SAID NORTHEAST QUARTER OF SECTION 28, MARKED BY A 3/4 INCH DIAMETER IRON PIPE TAGGED R.C.E. 14203; THENCE CONTINUING ALONG SAID NORTH BOUNDARY LINE NORTH 87 DEG. 59' 05" WEST, 48.94 FEET TO THE SOUTHERLY RIGHT OF WAY LINE OF THE GARLAND ROAD; THENCE LEAVING SAID NORTH BOUNDARY LINE ALONG SAID SOUTHERLY RIGHT OF WAY LINE, SOUTH 54 DEG. 30' 00" WEST 29.18 FEET; THENCE NORTH 86 DEG. 00' 00" WEST 79.46 FEET TO A 3/4 INCH DIAMETER IRON PIPE TAGGED R.C.E. 14203, MARKING THE TRUE POINT OF BEGINNING OF THE EASEMENT CENTERLINE HEREIN DESCRIBED; THENCE LEAVING SAID SOUTHERLY RIGHT OF WAY LINE SOUTH 19 DEG. 35' 13" WEST 122.06 FEET; THENCE SOUTH 24 DEG. 00' 37" WEST 72.21 FEET; THENCE SOUTH 55 DEG. 55' 25" WEST 68.53 FEET; THENCE SOUTH 74 DEG. 05' 13" WEST 380.55 FEET; THENCE NORTH 77 DEG. 40' 21" WEST, 100.64 FEET; THENCE NORTH 18 DEG. 18' 35" WEST, 289.77 FEET; THENCE NORTH CONTINUED PAGE 4 ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) PARCEL IIs CONTINUED POLICY NO. BU -141147 TB 55 DEG. 34' '13" WEST 49.29 FEET; THENCE NORTH 87 DEG. 59' 05" WEST, 116.83 FEET; THENCE SOUTH 59 DEC. 23' 10" WEST, 94.09 FEET; THENCE SOUTH 26 DEG. 40' 20" WEST, 58.18 FEET; THENCE SOUTH 00 DEG. 28' 05" EAST 141.10 FEET; THENCE SOUTH 16 DEG. 55' 27" WEST, 100.48 FEET; THENCE SOUTH 07 DEG. 53' 25" EAST, 157.02 FEET; THENCE SOUTH 06 DEG. 31' 55" WEST 167.36 FEET; THENCE SOUTH 08 DEG. 04' 01" EAST, 75.0 FEET; THENCE SOUTH 08 DEG. 04' 01" EAST, 234.67 FEET; 1 THENCE SOUTH 16 DEG. 00' 34" EAST, 144.15 FEET; THENCE SOUTH 04 DEG. 05' 36" EAST, 19.19 FEET; THENCE SOUTH 31 DEG. 20' 13" WEST 91.18 FEET; THENCE SOUTH 81 DEG. 37' 30" WEST, 80.66 FEET; THENCE NORTH 69 DEG. 18' 50" WEST, 75.86 FEET; THENCE NORTH 54 DEG. 10' 20" WEST, 220.35 FEET, THENCE NORTH 29 DEG. 04' 28" WEST 178.74 FEET; THENCE NORTH 46 DEG. 34' 26" WEST 262.81 FEET; THENCE NORTH 33 DEG. 59' 30" WEST, 133.50 FEET; THENCE NORTH 85 DEG. 06' 54" WEST, 96.94 FEET; THENCE SOUTH 58 DEG. 43' 58" WEST, 86.80 FEET; THENCE SOUTH 17 DEG. 36' 04" WEST 138.05 FEET; THENCE SOUTH 11 DEG. 13' 29" EAST, 158.71 FEET; THENCE SOUTH 05 DEG. 17' 06" WEST 194.19 FEET; THENCE SOUTH 15 DEG. 47' 25" EAST 180.91 FEET; THENCE SOUTH 36 DEG. 52' 47" EAST 129.51 FEET; THENCE SOUTH 42 DEG. 161'14" EAST 225.53 FEET; THENCE SOUTH 26 DEG. 17' 29" EAST, 140.57 FEET; THENCE SOUTH 26 DEG. 17' 29" EAST 100.0 FEET; THENCE SOUTH 38 DEG. 09' 43" EAST, 195.05 FEET; THENCE SOUTH 52 DEG. 23' 52" EAST, 156.69 FEET; THENCE SOUTH 15 DEG. 39' 42" EAST, 64.12 FEET; THENCE SOUTH 21 DEG. 05' 20" WEST, 110.61 FEET; THENCE SOUTH 55 DEG. 43' 49" REST, 256.03 FEET; THENCE SOUTH 29 DEG. 56' 40" WEST, 112.88 FEET; THENCE SOUTH 10 DEG. 36' 10" EAST, 397.40 FEET; THENCE SOUTH 05 DEG. 43' 50" WEST, 266.64 FEET; THENCE SOUTH 27 DEG. 04' 51" WEST, 228.43 FEET; THENCE SOUTH 87 DEG. 00' 00" WEST, 79.80 FEET; THENCE SOUTH 01 DEG. 51' 52" WEST, 311.98 FEET; THENCE SOUTH 05 DEG. 20' 22" WEST, 290.63 FEET; THENCE SOUTH 14 DEG. 36' 21" WEST, 390.43 FEET TO THE END OF SAID CENTERLINE. PARCEL IIIc A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER, UPON AND UNDER THAT CERTAIN REAL PROPERTY SITUATE IN SECTION 28, TOWNSHIP 24 NORTH, RANGE 3 EAST, M.D.B. & M., 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: CONTINUED PAGE 5 ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) PARCEL III: CONTINUED POLICY NO. BU -141147 TB BEGINNING AT POINT 92, LOCATED IN THE CENTERLINE OF THAT 80 FOOT ROAD EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 21, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 82, 83 AND 84; THENCE FOLLOWING ALONG THE CENTERLINE OF SAID 80 FOOT ROAD EASEMENT NORTH 14 DEG. 36' 21" EAST, 40.0 FEET TO THE TRUE POINT OF BEGINNING FOR THE 60 FOOT ROAD EASEMENT HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 85 DEG. 19' 34" EAST, 556.41 FEET TO A 3/4 INCH IRON PIPE TAGGED R.C.E. 14203 IN THE EASTERLY BOUNDARY OF LOT 15, AS SHOWN ON SAID PARCEL MAP, SAID POINT BEING LOCATED NORTH 0 DEG. 14' 34" WEST, A DISTANCE OF 1000.0 FEET FROM THE SOUTH QUARTER CORNER OF SAID SECTION 28. PARCEL IVs A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, 30 FEET IN WIDTH, LYING WESTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTH QUARTER CORNER OF SECTION 28, TOWNSHIP 24 NORTH, RANGE 3 EAST, M.D.B. & M., AND RUNNING THENCE NORTH 0 DEG. 14' 34" WEST, 200.0 FEET TO THE TRUE POINT OF BEGINNING FOR THE LINE TO BE DESCRIBED HEREIN; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING NORTH 0 DEG. 14' 34" WEST, 830.0 FEET TO THE END OF SAID LINE. PARCEL V: A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 23, 1972, IN BOOK 41 OF MAPS; AT PAGE(S) 25. PAGE 6 3�®z8 pE!NMIT NO. 3995-78P,E PERMIT EXPIRES r OWNER ROBERT HINEY w,CONTR. owner ;LOCATION (A.P. 56-24-109 ) E end pri dirt rd, 600' off ES Rattlesnake Rd, Forest Ranch F Temp. Power Pole_ Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTOWRECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Agewall Soil Piping Forms Pakpets 1st Floor Main Idg. Rest)Qom Finish 2nd Floor Foo ' s Windo 3rd Floor Stem II Siding To out Slab Roof SheaNhing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for phsical . Appliances Carport handica ed p Conformance of ex. Gas Piping &Test Footings structure Temp. as Slab Final Sanitation Patio FIRE ACE Final Footings Footino ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS d 8c) Y� r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ' Telephope:,53441541 APPLICATION AND PERMIT ��; --=,17/ r gno, e o ermlfee or gent I"? O S- ,� ey Date,?— Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Vdress .— 13z x- Tel pho e Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 Z§*.q Yarificefion Only Repair drainage or vent piping 1.50 , A. P. No. 7/1 a 0 Zoning & P anning Water piping 1.50 Q r Each gas water heater.or vent 1.50 F S on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Pa el 60' R/W I Improve s additional outlet .30 Building sewer 5.00 Bldg. Pla Recd �"+Arcel royal Ptans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES OTHER ❑ Permit Fee $ CWQ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESS 5.00 . 1 cro Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. 51 2�sgft OR ADDNS. ` ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTRBRANCHCIR-OUTLET NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(DUTLETS OR FIXTIIRES a �� x. ccu FIXED APPLNS. OR EO p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee L26AZ$,Q6 LZ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. orkmen's Compensation Insurance. WlI have placed on file with the County of Butte a certificate of certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. * X Date �✓�` IV S 1P A Land Development Fee 1 TOTAL PERMIT FEE $ 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 bee 'd. DIRECTOR PU LIC WORKS gno, e o ermlfee or gent I"? O S- ,� ey Date,?— Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ding permit expires Date