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HomeMy WebLinkAbout056-250-060R 56-25-60 ') CLQ -- SANDRA SAIv`TOS ,�- /„ � /pQ' Ls= 16385 Stage Rd, Forest'Ranch ` PErmit#283=88B,P,E,M(new single family) j .s 056-25-0-060 ' 91-.3969 LONG,; CURT & CONNIE CONTR:, =NELSON, H 16385 STAGE RD, FOREST A NEW SHOP s 3 ' 056-250-060 03-2870 !FERMI BENE AL } t �� . LONGNECKER, THOMAS IBP # l 16385 STAGE RD,tFOREST RANCH' Date' F ADb'N TO EX GARAG j �I 2-1 ; BP Expires• C IO i lqlq e - LAM RE NTIAL 0 -25-0-060 91-3969 LONG, CURT & CONNIE CONTR: NELSON, H 16385 STAGE RD, FOREST RANCH NEW SHOP No Fe JOB FINALED (Date) Signature J=OK O = Not OK =Not Applicable' =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch t 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 #'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 MISCELLANEOUS Date DEC , C RS,.CARPORTS, 4RAGPlans)OK except #'s Zo g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing- onnectors- 3. s, Gri ails 4. Wood Awn.; Posts -Beams- rs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Colin ns-Congections-Splice-Decal-Enclosures 6. Carports; Winckdws-D s 8. Frmg; Sils-Anc s -Stu -Rftr -Trusses_ /Z.W/?jC( Siding; Nailing -Veneer -Stucco -Mesh <O. Roof; Shthg-Roofing f1. Ext.; Steps -Doors -Landings Date �jj Card B-1 d, ((2- Date Card B-1 f Date Card B 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 -GA 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 (S Date UNDERFLOOR (Plans) OK except 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-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 ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- --- ---------------------------- 17. Water Pipe: Test & Ancho.r-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. --------------26. Equip. Ground made 'up w!Mech. Fastners-Bond Gas & Water ------------- - ------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size i ! ga. Cu or At ---------------------------------------------------- ----------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral El --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 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 ti's 39. Sils. Proper Material & Anchors 40. Walls Stu -ds -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 0 Ingle 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- indows 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.-Tri m & 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 Lo_cation_ 76. Elec. Receptacles in Garage: (G.F.1.)-Romex Protection 7,. Insulation -Foam -Looked in Attic C1 Yes ----- --------------------------- -- 78. -Guard -Rails & Deck--Construction-Post Caps ------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.'Drive 0 Yes ❑ No: Walks El Yes 0 No: Planters E3 Yes ❑ No -------------------------------------------- --- 81. Stucco: Brown -Finish 82. A.0 Unit: Disconnect. Electrical, Plumbing - - - -- - --- -- ----------------------------- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - - - - -- -- - - - - ----- --------------------------- 9 - 85. Exterior Elec. Trim-:.-G.F.I. Receptacle -Under round 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 Comments at Final: Date. Card B-1 Date _ Card B-1 Date Card B-1 Ain, -, —~" 4,COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ,r 1.96 Memorial Way, Chico 3 Phone: 891-2751 7 County:Center Drive, Orovi Ile —Phone: 538-75e 747 Elliott, Road, Paradise — Phone: 872-6307 CORRECTION NOTICE I A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter need additional explanation, please contact this office immediately. V\ry --XlI21i !xol/'* Piv� Lj Ox. � Z F� `�1 (� •'iii'^� ti Date /2 - Inspector (/ • �f I ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 . APPLICKION�AND PERMIT PrERMIT NO. ASSESSOR PARCEL NUMBER 56-25-060 ZO BUILDING PERMIT OWNER Curt & Connie Lon TELEPHONE 343-7724 SO. FT. OCC. BUILDING VALUATI N g64 15 552.00 OWNER'S MAILING ADDRESS P.O. Box 9 Forest Ranch 95942 CONTRACTOR'S NAME H. Nelson C ntractin TELEPHONE 896-5626 CONTRACTOR'S MAILING ADDRESS P.O. Box 6724 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$15,552.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $142.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 71.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $228.75 PLUMBING PERMIT Filing Fee 15.00 16385 Stage Rd.. Forest Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex[—] Mobilehome❑ Other Det Shon S ECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Insstal lation ❑ Other ❑ Describe work: Shop Building I/ PRIV11) _ - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A To 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I��rl I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. 3' Classification /3 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ei OR ADDNS. ( ACC. SLOGS. 3.64 sq.ft. NEW CONSTFL MULTI -OUTLET N0NLRESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS s (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 76 FIXED AP❑ Ex. Occup. OUTLETS P(RESID ILNS.REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g "15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Itz 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ,against said County in consequence of the granting of this permit. Date Signature of Applicant — Owner ❑ Contractor A ent g ❑ An OSHA ion of structures toverr3gstoriesoineheightlons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P o coN TT PE TOTAL F $ 228. 5 HAZ I D FEES.J IMP I FLO CDF PARC PD ISSU This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicat above f hich fees have been paid. RE T PUBLIC WORKS By 9�11� Date// -2J-'1/ PERMIT -EXPIRES Date 2 / 'Z/ - gZ Receipt No. 101916 WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT �,.+!'�,.TPr�'TT'�x��"p.�r.--�-Tyr'—"s""„q"^!'*'+.-r..a+1+r;.�.r•.„�..�,'7��'�-.:�fa�R.-`(•w� "$tt�i''.�.'1^�-�,'"`3cv s--^rY.�. �.'r'.-!•.. ,,. ... .5 ; COUNTY OF BUTTE - DEPAR MENrr OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APICATION DATA SHEET _ / Permit No.��// OWNER GUS% �COA/ti/4 Ga�i6 A No. 53; Cp Proposed Building Use ��i� S/`f�� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED II items have been submitted . .................................... lot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazar ous Material Form .......................................... 6. En gy Design Compliance and supporting documentation ......... 4n.gineered tement of Intent for Non -Heated and AC Buildings .............. truss details and layout in duplicate (required prioao4alata-eheckr � ✓ bilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. t4.Sanitation approval from �%r7`/Ga Health Department �/_ A i ,S ► City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) ` 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for - required Pre-Inspec. request to Building Inspector (Date) 21!- Contractor's license information (No., Nam.e� Style, Classifications ... —101&62* Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of`Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ..................................... 26. / 27. When yo issue the permit, process as follows: MWtoowner. Mail to contractor. (.� Telephone �S-10 end hold for pickup atoffice. Deliver w/inspector. Other AppI ica Date Copy of Hdz-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 pAc qrperpit issuan (Cir le new item not checked above). 1. Index permit for above items No. 2, Additional items required: Contr tor, designer, owner, was advised of above required data by—phone---Mai I —counter byA±::-..date. Contractor, designer, owner, was advised of above required data by—phone —mal l—counter b date, checked byDate Plans approved by Date 1 Sets of plans on hold in PW ` File cabinet AP folder TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home: Other j4Lg / h� NOTE * * * San arian Date COUNTY OF BUTTE_-•DEFfARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICA-TI'O'N AND PERMIT PERMIT NO. ASSESSOR PAR L NU B r� ZONING BUILDING PERMIT T LEPHON� S0. FT. OCC. BUILDING VALUATION S OW,NJR•S MAI ING A DR CON ACTOR'Sv �eev / TELEPHONE C/.'(/O It ONT C R'S AILING A DRESS f�c �� p� !T / G� Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ .a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILZX ADDRESS r� Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobiiehome❑ Other 511e2P SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 015.00 TYPE OF WORK New riAddition 11Remodel Utilities ❑ Installation[] Other ❑ Describe work:Jar �L�LJi Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A ORV LESS LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.al 3.64 sq.ft. OR ADONS. ACC. SLOGS. // NEW CONSTR. U TI.OUT LET ^ 5.00 NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 20 976FIXED d Ex. Occup. OUTLETS PRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ions over S'0" deep and demolition or construct- ion of structures tover 3q stories in excavations Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEES HAz I DFEES IMP FL000 cDF PARCEL I PO I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date / Receipt No. �,5� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-250-060 ZONING TM -5 BUILDING P RMIT OWNER THOMAS LONGNECKER TELEPHONE 518-3377 SQ. FT. OCC. BUILDING VALUATION 544 U 9792.00 . OWNERS MAILING ADDRESS 6385 STAGE RD FOREST RANCH 95942 CONTRACTORS R�77'S��77 NAME NA OWLVr'.n TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 BUILDINGADDRESS 16385 STAGE RD, FOREST RANCH Energy Plan Checking Fee $ $ PERMIT FEE $ 213.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ADDITION TO EXISTING GARAGE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ;K I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service CoA TO 1000A 46.00 NEW CONST. ( DwEwNG ocS. 3.50 Fr.. 19.04 NEW CONST. MULTI-OMLET NON -REBID. BRANCH-CARCUATS 97.50 PowER APPARATus 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDRUREs BA L Q +.00 .SO Ex. Occup. DUTIEETS RAID) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t 39.0 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier 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. Date 11 v Signature plic nt - Owner ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over 5'0" deep and demolition or constructionA of structures over 3 stories in heigh MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST Tv TOTAL FEE $ 252.09 HAZ. v D. FEES IMP FLOG CDF� .Y/ PAROL HD u 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. , ByOt Date r 3 V3 PERMIT EXPIRES ON 3 114 I F (pJ,,) Receipt No. 37_7&2�Agazwoq WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �,a,'-.CYT-•w--„ti_.+t ._ -h .. .�'�- 7�,.� �.%r'L' S ttP-wi:�:,<.,:s�S��r'.�i�-.++��S�t•�.7 �5'�its.f yYR�+F�.=dSr•/..ts�,�i:. ti.+.)-�.�. f• .. .+�.-,. .. . - � _ . ,.:. �I ��*,COUNTY OF BUTTE -DEPARTMENT F. D€VELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: - "� Ci ASSESSOR PARCEL NUMBER Proposed Building Use: +16 �SG� - Counter Technician: Date: ' 1ttems required in order to apply for a permit. A boxes be checked OR marked NA in order to apply. jil 1. Site plans, 3 or 4 sets, signed by the prep of the ptaa . v 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ,,f! 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must bb stamped and wet -signed by the engineer. f s Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review_ line-up when required items are received. Date Received By ,r ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... 't ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other y R r�taining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 16. Fees as shown on the attached Schedule of Fees Due Sheet ......... :I ............................ EY 17./Statement of Intent for Non -heated and A/C Buildings ..................................... 7E09. Sanitation and site plan approval from the Environmental Health Department i �' 1,0-3-o3 �Y��T$ City of Chico Plumbing permit .................... California Department of Forestry Ian approva ❑ paid. Sent by: u�.....�Q'. .: r e �- to ' o� ❑ 21. Planning approval for (A) Use: P (B)Parking. (C) Parcel Check: 1 D-2- 0 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... O 31. Manufactured home utility clearance............................................................... O 32. Existing violations and/or expired permits......................................................... O 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.G.D. $ O 34. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining building permit. Applica� Date: �� d 1. Index permit applicatio for the above items numbered: Com/ Plan Check Letter 2. Additional items re i Contractor, designo Contractor, design Plans reviewed by: Structural reviewed by: Note transfer by: vne , was advised of the above data by e.. Oone, ❑ mail, ❑ counter, by V M Date: _ (D ;.3 -03 vripl, was advised of the above daty ❑ phone, Elmail, ❑ counlrr b Date: Date: � 0 � �� Plans approved by: 1 ► �� Date: 0 O � Date: Structural approved by: Date: Yellow: Building Division s E.H. USE ONLY t 402 Plan Anach--d Floor Plan A to B.Dl DJ��OO TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �` Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well �-- Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: 3 Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OWNER SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ x " =$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) I � k COI;JNTY OF BUTTE N DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PROPOSED BUILDING USE _ 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ _ .2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) _ 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ................. x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -X-=$ # Units Amt. Commercial (sq. ft.) ............. -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 1T SRA FIRE INSPECTION AND PLAN CHECK r $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE RECEIPT # DATE REC. X e, At time of permit application,.I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3;.4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projector from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy -,Applicant 3rd Copy - Owner (Rev. 6/00) t ' COVNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ......... ............ $ Additional Fees Due .................. $ Additional Fees Due ................. $ Revised Plan Checking Fee . .............$ f2. ' SCHOOL DISTRICT FEES % (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES _�4$510.00 (paid at Building Division) _7. SRA FIRE INSPECTION AND PLAN CHECK { 00- $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER DATE RECEIPT # DATE REC. W /l43)zz r' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy -Owner. (Rev. 6/00) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754-1, MIT NO. (Rev. i @/96) APPLICATION AND PERMIT /I ZONING BUILDINGPERMIT ASSESSORPARC�N ER ` / - I IN_) _ /lJ\ U uJ TELEPHONE SO, Fr. OCC. BUILDING VALUATION OWN 1f, s Iu� RE RACTOR'S NAME / T TELEPHONE TORS MAILING ADDRESS TRUCTION LENDER Fireplace ER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fling Fee $ 20.00 Permit Fee $ j CT OR ENGWEERS MAULING ADDRESS $ Plan CheckingFee IN G ADDRESS Energy Plan Checking Fee $ _ U7'�"�E c i-j�ee� Ct2EGl QST 1 9� 1_' g^ g� PARCEL MAP LOT NO. ,� SUBDIVISIONS NAME V -T USEOFSTRUCTURE 5 4 R L SF Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition Remodel Utilities [3 Install ation E3QOther C3Describe Work: ZC '�/� ►i l �� �\,V` ��" J�> > SNOW To 3eUb-FT- r— 1—eN 7� y -><) L.-- �92APERMIT 'FEE PAID $ SRA $ SHERIFF $ OTHER $ $ $ IC AMOUNT RECEIVED $ �SO` lJ DATE RECEIVED. RECEIPT # PERMIT FEE pC I D I �,JJ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or tpump-water heater 23.00 Water piping 15.00 Each gas water heater o ent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 eow oR Ms Main Service xooaoR ups 23.00 Main Service zoos To 1000A 46.00 NEW COI$T. DWELI.WG OCCUR OR ADONS. ( 8 ACC. B.S. 3.SQ F°: NE, aONs .-MULTFouTL @7.50 EX. OCCU OUTLET OR FD=RES sAL @ .50 Ex. Occu oars 610 OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 U;— WiA— 23.00 9 PERMIT FEE $ " l - " ' MErHANICAL PERMIT Fling Fee 1 20.00 6.50 PERMIT FEI_ S Mobile Home Installation Fee $ Energy Inspection Fee $ COrT T1 PE [TO - VL FEE $ HAL I D. FEES ��" rL0 u wr F7t:L •,•• •••••• This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Building Permit Number: ©3 --297-0 Owner Name: t �?�� J Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW .s. Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 3 —:28 70 Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easem A setback of feet from the side andrear eats. feet (25 feet if Federal Aid Route) from the o the t of property lines and 20 structures and equipment except for a 2 foot overhang. way shall be clear of Expansive soil may y be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. PL CDF FIRE SAFE REQUIREMENTS 1 �Z-Aknl6�, 79>1,,� AP# PERNIIT # 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. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long . with a minimum 25 foot taper on each end. [X] 1273.10 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 [X] 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. [X] 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 [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. IN 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. [X] 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 f� 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all 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 on page 3. [j 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 shalt be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 ®3r2.8 -7o E �n/Ec.K�2. 7���•�•d-� AN PERMIT # NAME Other Requirements [ .] If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire 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 �o -W-03 Date Signature Page 3 of 3 OWNER -BUILDER VERIFICATION 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.0 NO ❑ . I HAVE W HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: CITY: ONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hiredlthe following person to coordinate, supervise, and provide the major work: NAME: ADDRESS • CITY: HONE: CONTRACTOR'S LICENSE NO. • 5. I provide some of the work but I have contracted (hired) the following persons to provide the r k indicated: N ADDRESS PHONE TYPE OF WORK SI NED: PROPERTYO R: DATE: !� NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUDDER IlVFORMATION 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; ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to seveial obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building p rrnu 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 cammimity 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 retuned. lY. 1 13e 1 C. Vi ira, C.B.O.r, Building Inspection NOTE: Ykis Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER PERMIT NO. 9,93-88R, P, F M 69� 2r PERMIT EXPIRES. 42 OKI/ Q OWNER SANDRA SANTQ� CONTR. C1�nAr ������ sem- ,�►✓ � / . ASSESSOR PARCEL56-25-60 LOCATION 36.325 Stagg 8�d, .Forest, Ranh ��� ,�.ee as � • OFFICE COPY ` Address a I 7, GAS Date Meter By ELECTRIC C Meter By Date fl _ 9 OFFICE COPY Address ' I i GAS S�Meter By Date ELECTRIC Meter By Date Temp. Power Pole Called Temp. Elec. Service Called PG&E — Temp. Gas Service _ Called PG&E — JOB FINALED (Date) Signature = OK. _ 0=Not OK Not Applicable _ -Not Ready MOBILE HOMES OUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9: Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card -131 Date Card -81 Date Card -131 Date Card -61 Date 9. Health Department Approval E ' 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -B1 Date = OK 0=Not OK - = Not Applicable = Not Rgady. RESIDENTIAL (Single and Duplex) Date UNbERFLOOR (Plans) OK except #'s Date F MING Continued Hing requirements -Setbacks -Easements "angers -Post Caps -Anchors -Connectors VF ., Main; Soils -Steel -E rnd.-/jZ /" Ftg. Depth g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. / Ftg., Garage; Soils -Steel- /" Ftg. Depth ireplace Ties or Type A Flue -Fireplace Throat PC 4. f=tg., Porches &Decks; Soils -Steel-/ /"Ftg. Depth W. Otic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . mwalls, Main; Steel-Blockouts-Wrapped t. . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Stemwalls, Garage; Steel-Blockouts-Wrapped 49. farage Fire Protection Framing 7. Slab; Steel -Wrapped ,Property Line Firewall & Openings - ee W. Ex ,,Doors -One T -Check Garage -3rd story, 2 exits . D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test - room -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors W. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Vf Water Pipe; Test -Anchors -Regulator -Service Test 54. Sidiny-112111rig-VoTnMr 12. Electric; Underground 55. Stacco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. . Wzing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Wj I}ear Walls; Nailing -Bolts 15. Insulation 9.) sulation-Walls-Clg. M. Infiltration-Walls-Wndws Card -131 SP,_ Date 2SCard-B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 -50_ Date Card -B1 Date Date PL BING (Permit OK except #'s 1 ater Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 1ater Pipe; Test & Anchors -Nail Protection . Ext. Steps -Door & Sidelight Protection -Landings 1 �f.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 11F. Shower Pan; Test, First Floor -Tub Access s -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 6W.,gedroorn Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date - ai Card -131 Date Card -131 Date s Fireplace Stove; Clearances �✓t . or -Hearth Date ELE RICAL (Permit) OK except #'s . Olec. Outlets at Wood Panel; Int. & Ext. Al sUCP xture & Transformer Clearance -Ins. Protection W.A. Fixt. & Appliance; Grnd. -Air Gap -Coo ing Clearance c. Receptacles Spacing -Lights & Switches at Doors 7 • lec: Outlets &Receptacles at Kit. Cou er e Boxes & No. of Conductors -Stapled . Garage F' r; Swing -Landing Duct in Garage -Damper 26.'Romex Installed Close to Edge of Studs & C 2 uip. Ground made up w/Mech. Fasteners and G & Wete tr. Htr.; Vents -Clearance -Comb. Air-Connecto -. - arage; Above Floor-Mech. Protection .a''Appliance Circuits in Kitchen &Conductor Si ., Ib. Elec. &Mech. Equip. Listed for Location c. Receptacles in Garage; (G.F.I.)-Romex Protec. Weed Al Wire Size/ / ga. Cu or AI-A.C. Wire Size / /ga. or AI Range / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. l9au[UzdaaI Yes No - '7 • I sulation-Foam-Looked in Attic 11 Yes YZ.Quard Rails & Deck Construction -Post Caps ervicdWiser Conductors & Ground -Main Disconnect. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth learance Looked under Floor ❑ Yes 3 quip. Clearances Panels-Motors-Mech. Equip. V. Clothes Closet Light -Shower Light -Spa Light Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; P &nters ❑ Ye ❑ No St co; Br-Finish,j qgano Card -B1 S{(_ Date ( JU Card -B1 Date a act, Electrical, Plumbing ` Card -B1 Date I Card -131 DateVe is Above Roof; Plbg.-Appliance�Eip-5Clearance to Xenings. Date MECHANICAL (Permit) OK except #'s W. Wdter Well; Disconnect, Electrical, Plumbing & Support 8 . Exterior Elec. Trim; G.F.I. Receptacle -Underground JeVent Fan; Exhaust above insulation —Afry6ptilation throughout House on ensa a rain & Overflow; Size & Grade ass Protection 3 . mace- Access -Comb. Air -Return Air Vent -115 outlet orr tions from Previous Inpections 3?-Iftic Access & Platform if Furnace in Attic Test -Meters Tagged; Gas -Electric V/&/Soyc ,,,Water & Sewer Connected -C/O to Grade -HD Approval"" (9Q�Energy Compliance Certificate -Other Certificates Card -B1 Sj� Date �( Card -B1 Date Card -131 Date Card -131 Date Card -B1 Card -B1 Date Card -81 Date _ Date Card -B1 Date Date FR*MING Plans OK except #'s s, Proper Material & Anchors W. 'IIs Studs -Nailing, Spacing & Bracing—Plates-Sound Card -B1 Date Card -B1 Date Comments at Final: aring Walls over Girders & Floor Nailin aft Stop in Walls (rat proof) ire Stops; Furred Ceilings-Sta s Tub 40 Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE EA PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office #er, correction of work is completed. If you have any question pertaining to this or need additional explanation, please contact this office immediately. Inspector. Date -5h, OWNER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -217 ` (y S PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corr ction of work is completed. If you have any question pertaining to this matter,' need additional explanation, please contact this office immediately. Inspector A- � Date oly, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 2E3 -'� ER NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation please contact this office Immediately. t • � r � 1► I Inspector ��� Date � � —" -j. nbo"'(1 vve Qq1trementa, ou n11 "Ittnom,,t, I tcrrrt nn -All Lbe cc CHI! 'Ir" ,,, tornIn' Enly m1t art ogle ., t�, f CIO!11 i . .. ...... AW win Mon "QU m hick twnn FUrRaw wAtl, The 11lf.at n"C a v lit P I I % 1vtnt!Cr-0( V.ni b',, %1& IVA) richer) 13cmid .3 v L Li ass Zv=. We CO r 1: n j f tr111 per 'hull tile Vt: Luc' -j. nbo"'(1 vve Qq1trementa, ou n11 "Ittnom,,t, I tcrrrt nn -All Lbe cc CHI! 'Ir" ,,, tornIn' Enly m1t art ogle ., t�, f CIO!11 i . .. ...... AW win Mon "QU m ✓.R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL=UAj(/C/CJJB ZON1� BUILDING PERMIT owN ►^ a TE EPHONE _0451 SO. FT. OCC. BUILDING VALUATION — OW R' MAILING/ADDRESS C O CON RACTOR'S NAM kJ 'J TELEPHONEI CONTRACTOR'S MAILING ADDRESS FireplaceFireplace CON5,TRUC ,ION LENDER UNKNOWN Total Valuation $ p/ Flling Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCFjITECT OR ENGINEER -/1�//114,14- LICENSE No. ! Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � Q . Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /,)_00 Dli is Solar or heat pump water heater 20.00 LOT NO. ]SUBDIVISION NAME/ PARCEL MAP C,, wry_*- �i 100-9 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New[ Addition❑ Remodel[:] Utilities Installation❑ Other Describe work: r Permit Fee $ 062 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 f Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- ` sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCc P. 'lzOsgft OR ADDNS. ACC. BLOGS. NEW CONSTR. U TI -OU LE 2,50 ea NON RES .BRA C CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eAL°esao FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESID.1 EJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MEC ICAL PrERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 3, 490 Ventilation Permit Fee $ Q Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a bilities, judgm costs, and expenses which may in any way accrue gain t said C unty, n c nseque a of the granting of this per it. X Date AA Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0 e d emolition or construct- ion of structures over 3 stories in hei ht. L/ Mobile Home Installation Fee $ Energy Inspection Fee $ ,Q TOTAL PERMIT FEE $ J. oc cox c J_sc;o LJ F-0 PARC PD No ISSUE This permit is hereby Issued under sions of the Butte County Code and/or work Indicated above for which 421 D!R CT p OF PUBLIC By L— PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .2—/4 '� s Receipt No. cs O WHITE-o.P.w., rELLow-Asetseoe, PINx-IN9PlCTO o L N O -A AN fV;, fy ,Y 14rii 1� ti 4 � -•Si'v 2! 'u�� a � ...yi -, i'. ..'._ -3'J , Y S�v _ - COUNTY OF BUTTE - DEPARTMENT OF PUBLICJWORKS - BUILDING DIVISION F f 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER a r1G1 _ D,� �A. P. No. S6, Proposed Building Use /t/ D Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. !Plot plans in duplicate/triplicate, signed by preparer of plans, . 3. Complete plans in duplicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 7. a 1.8. !6e19. 20. 21. Letter of signature authoriz tjon. . . . . . . . Sanitation approval from A I c.©_ Health Dept. . . Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data Pre-Inspec. request to (Dote) Pre -Inspection for__..-_ _ _ ..-_ _. _ Required. Building Insp ctor Recorded copy of Agricultural Acknowledgment Statement. �� ; Driveway Permit. ^�— Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check) 22. -- When, you issue the permit, process as follows:Mail to owner: Mail to contractor_ ; !i Telephone and hold for pickup at—off ice, Deliver w/inspector. Other rk LDO_A�4D a -e Z4 6� Applicant Copy of plans sent Health Dept.; Fire Dept., Other Date - - 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 Contractor, designer, owner, was advised c: above required data by—phone —mai I—counter by Plans checked Date Plans approved by Sets of plans on hold in File cabinet AP folder Ga- 0 Copy—DPW �� — date — date Date// 0 O TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance ��z-ri D2i�- �i�i•� to S �� 3FS s T/�-Gc- 20 ASD owner location' -2-�,0 AP # Driveway permit cO U �_ has been issued for the above property. S igotfature date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan 'Approved for: Sewage Disposial''. C.I/ Hold final for., Final clearance O.K. for: Clearance for bedroom mvftb&e home. other NOTE * * * Water Supply Water Supply Water Supply LZ A&AA, 17 - ff Sanitarian Date v COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 9168_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 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 or no) V� 2. I (have/have not) 0E, 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 Contractors 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 Contractors License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: II Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 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. ~ RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner SO NTAS Climate Zone j_ Permit No. Z 8J" Floor Area t4� r�� Compliance path: Package ❑ A ❑ B ❑ C ❑ Point System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling Wall ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas r` shall be fully weatherstripped. 7/83 Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING• (A) Location Area Glazing %Floor Area. Single Double Triple Total Bldg NO, s ?o % North , �— East"— South ) � ► � West (� Skylights O �' (B) Shading Shading Coefficient Description East — _10 (Jp South jOy r4 L (v, L#4 Z #J ® West o Skylights (C) South Overhang Length of projection _�ft. Description CAVtr— ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. 2 HC= R= MC= Location 7/83 . (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the.building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, V$NTILATING, AIR CONDITIONING SYSTEM (A) Heating 0 Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slopOn Other Y (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capa ty at 95°F) ❑ Electric Heatu EER Btu/hr. (cooling capacity at 95°F) ❑ Other _ (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central -furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature°,rad on ', heating load BTU elevation factor x h 1 maximum outlet capacity gas furnace Cooling: Summer design mperature cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) * Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the C1.1"F rnia Administrate n Code. l 7/83 SIGNATURE OF BUILDING DES 3 r"ORA 1 • (6) DOMESTIC WATER SYSTEM (A) Gt�Q,nly Gallons 9 (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ® * 2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water / heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOWRESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature°,rad on ', heating load BTU elevation factor x h 1 maximum outlet capacity gas furnace Cooling: Summer design mperature cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) * Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the C1.1"F rnia Administrate n Code. l 7/83 SIGNATURE OF BUILDING DES 3 NE OWNER POINTS ASSIGNED ACTUAL PERMIT NO. - Z $ e-- 1. SLAB - INSULATION ^ 5 10. SHADING (Exclude Overhang) v EAST - .66 SOUTH - .19-.42 16TEST - .13-.36 - 3 SKYLIGHT - .37-.57 11. HORIZOINTAL SOUTH OVERHANG 2' Z 12. MOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12) 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PU21P (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE `' -I' 253 t -?t? WATER -HEATER Z> ATTIC % OTHER •• w h/ TOTAL POINTS j'(I /VIS Table 3-1. Slab Floor Points I Tn=ula- I R -Value of Insulstion I I Derth, I !.thea 10-2 13-4 ! 5-6 I 7+ I I I I ! 1 I 1 0- 11 I -5 I -5 I -5 I -5 I i 12 - 15 I -5 1 -3 I -2 I -1 1 i 16't- 19 1 -5 1 -2 I -1 1 0 1 I 20 + I -5 I -1 I' 0 I +1 I I I 1 I 1 I 7/7/83 Table 3-2. Raised Floor Points 1 R -Value of I I 1 Insulation I I I Points 1 I I below 3 I 2. P.AISED FLOOR - R-19 -8 1 I 5- 7 1 -6 I I 8 - 12 I -4 I I 13 - 18 I T2 I ? 3. CEILING - R-30 1 0 1 +1 I +3 I +6 I +7 .13-.36 _,�>-o 4. WALL -.R-19 r `-1 5. NORTH GLAZING - 2.4-3.6% ' 6. EAST GLAZING - 2.5-3.6% 7. SOUTH GLAZING - 1.6-3.6% 1 8. W` ST GLAZING - 2.9-3.6% 5 9. SKYLIGHT - 0-1.3% D 10. SHADING (Exclude Overhang) v EAST - .66 SOUTH - .19-.42 16TEST - .13-.36 - 3 SKYLIGHT - .37-.57 11. HORIZOINTAL SOUTH OVERHANG 2' Z 12. MOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12) 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PU21P (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE `' -I' 253 t -?t? WATER -HEATER Z> ATTIC % OTHER •• w h/ TOTAL POINTS j'(I /VIS Table 3-1. Slab Floor Points I Tn=ula- I R -Value of Insulstion I I Derth, I !.thea 10-2 13-4 ! 5-6 I 7+ I I I I ! 1 I 1 0- 11 I -5 I -5 I -5 I -5 I i 12 - 15 I -5 1 -3 I -2 I -1 1 i 16't- 19 1 -5 1 -2 I -1 1 0 1 I 20 + I -5 I -1 I' 0 I +1 I I I 1 I 1 I 7/7/83 Table 3-2. Raised Floor Points 1 R -Value of I I 1 Insulation I I I Points 1 I I below 3 I -12 1 I 3-4 1 -8 1 I 5- 7 1 -6 I I 8 - 12 I -4 I I 13 - 18 I T2 I I 19+ I I I 0 I I Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points I I 1 I I 19 I -4 I I 22 I -2 I I 30 I 0 I I 49 I +4 i I I I Table 3-4a. Wall Insulation Points R -Value of Insulation I I I Points I I I 11 I -7 I I 19 I 0 I 1 24 I +2 I 30 i +3 j Table 3-5. North-Factn¢ Glazing Pts I I Glazing Type I I Total I I I of ST, Db1, Trpl, I Floor l u- l U- I U- I Azea 10.66 10.42- ( 0.41 I I 11.10 i 0.65 I down ! O +4 +4 +4 1 0.1- 1.2 1 +4 ! +4 I +4 I I 1.3- 2.3 I +1 I +2 I +2 I I 2.4- 3.6 I -2 1 0 1 +1 I I 3.7- 4.8 1 -4 I -2 i -1 I I 4.9- 6.1 I -7 I -4 I -3 i I 6.2- 7.3 i -9 I -6 1 -5 I 1 7.4- 8.2 I -12 I--8 -7 1 I 8.3- 9.7 1 -14 -8 I I 9.8-10.8 I -17 I -l2 I -10 I 110.9-12.0 I -19 I -14 I -12 I 112.1-13.2 I -22 1 -16 1 -13 1 113.3-14.5 I -24 I -18 I -15 I 14.6-15.3 1 -27 I -20 I -17 I Table 3-6. East -Facing Glazing Pts. I I Glazing Type I --I Total I I I Z of I7ng1, Dbl, I Trpl, I Floor I (U - 1 (11 - I (U - I I Area 1 1.10) 1 0.65).1 0.41)1 1ilp�ints Ipoints 1 Lints! 1 a I+ 4 + 4 t! I up to 1.3 1 +3 ( +4 1 +4 I 1 1.4- 2.4 1 +1 i +2 1 +2 I 1 2.5- 3.6 I -2 I 0 1 0 1 I 3.7- 4.6 1 -5 i -2 I -1 I I 4.7- 5.5 I -8 I -4 I -3 I I 5.7- 6.7 I -10 1 -6 I -5 1 I 6.8- 7.7 I -13 I -8 i -7 i 7.8- 8.7 I -15 I -10 I -8 I 1 8.8- 9.7 I -17 1 -12 1 -10 I 9.8-11.2 I -21 I -15 I -13 ; 111.3-12.7 i -25 1 -18 -15 I 112.8-14.0 1 -23 I -21 I -18 1 114.1-15.3 1 -32 1 -24 I -20 I Table 3-7. Sou•-A-'rzcl n¢ Clazlne Pts I • Glazing pe Total I I of I 5mg1, I Dbl, Tr;, Floor ( (T - I (U - I ('1 i I Area 1 1-10) 10.65) 1 0.41)1 I I �r.ta I oinca I mints) o I up to 1.5 I +2 I +2 1 +2 I I 1.6- 3.6 1 -1 I 0 I 0 1 I 3.7- 5.2 I -4 i -2 I -2 1 I 5.3- 6.5 I -6 I -4 i -3 1 1 6.6- 7.7 I -9 I -6 1 -5 1 1 1.8- 8.9 I' -11 i -8 I -7 1 I 9.0-10.0 I -13 I -10 .I -9 I 1 10.1-11.5 I -17 I -13 1 -11 I 111.6-13.0 I -Z1 i -16 I -14 1 113.1-14.5 I -:5 i -19 1 -16 I 114.6-16.0 1-:3 I -22 I -!9 I I I I I I Table 3-8. West -facing Glazing Pts. I blazing Type 1 I Total I I 1 Z of 1 Sn:51, I Dbl, I Trpl, I Floor I (,1 - 1. (U - I (U - I Area 1 l. --D) 1 0.65) 1 0.41)1 1 o +i I LLr.a I mis I min+6ts! +6nt I up to 1.3 I -5 I +6 I +6 I I 1.4- 2.2 I -3 I +4 I +5 I 1 2.J- 2.8 i 0 1 +2 I +3 i I 2.9- 3.6 I -3 1---I +1 I 1 3.7- 4.2 I -5. I -2 I 0 1 I 4.3- 5.0 I -B I -4 I -2 I I 5.1- 5.6 1 -:D I -6 I -4 1 5.7- 6.2 I -:3 I -8 I -6 i I 6.3- 6.9 I -5 I -10 I -7 I I 7.0- 7.6I ---B I -12 I -9 I I 7.7- 8.2 I -:.0 I -14 1 -11 I I 8.3- 8.8 i 1 -16 1 -13 I I 8.9- 9.5 1 -Z5 1 -18 I -15 I I 9.6-10.: 1 -20 I -16 ! 110.2-11.0 I -Z'9 I -23 i -17 I 111.1-11.8 I -15 1 -26 I -21 I 111.9-12.7 I -''B I -29 I -24' I 112.8-13.5 I -a2 ! -32 1 -27 I 113.5-14.3 I -46 I -35 I -29 I 1 14.4-15.2 I 1 -38 I -32 I I I I I I Table 3-9. Skyli-+t Points Gazing Type 1 I Total I I I Z of T s ,&: DDbl, I Trpl, I Floor I U- l U- I U- i Area 10.66- 1 0.42- 10.41 I I 11 -IC 10.65 I down I I up to 1.3 I I 0 1 0 1 I 1.4- 2.2 I -Z- I -2 I -1 I I 2.3- 2.8 I -6 I -4 I -3 i I 2.9- 3.6 I - I -6 1 -5 I I 3.7- 4.2 I -1t i -8 I -6 I I 4.3- 5.0 I -ls I -10 1 -8 I I 5.l- 5.6 I -ti I -12 I -10 1 1 5.7- 6.2 I -1? I -14 I -12 I I 6.3- 6.9 I -Z: I -16 I -13 I 7.0- 7.6 I -2+ I -1B I -15 I I 7.7- 8.2 I -Zi I -20 I -17 I I 8.3- 8.8 1 -:8 I -22 i -19 I I 8.9- 9.5 i -31 -24 i -21 I 1 9.6-10.1 I -33 1 -26 I -22 I Yable 3 -LO. Shading Coefficient Pot --is I SC by 1 I Orten- 1 + Floor Area I tation I I I I East I 1 3.2 I I 1 0-3.1 I to i 6.4 op I I I 6.3 I 1- I I I 0 -.19 1 0 ! +1 I +2 I .20-.36 I 0 1 0 I Itt i .37-.66 1 0 I 0 I 0 I .67-.82 1 0 I 0 -1 I .83 up I 0 I -1 I -2 I I I I South 1 0 1 3.2 16.4 1 8.0 1 I I to I to I' to I to I up I I 3.1 I 6.3 I 7.9 I 9.5 1 I �- I 0 -.18 1 0 1 +1 1 +2 I +2 1 +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 I .43-.66 1 0 L -1 I -2 I -2 ! -3 I .67 up 1 0- I -2 i -4 I -4 I -6 West I .1 ( 1.6 13.2 16.4 1 3.0 I to I to I to I to 1 p 1.5 i 3.1 i 6.3 i 7.9 0-.12 I 0 1 +1 1 +3 1 +6 +7 .13-.36 I 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 1- .58- 0.2 ( -1 I 3 1 -6 I -12 1 -1 5 .83 up 1 -2 1-74-1 -8 1 -16 1 -10 Skylight I .1 1 .8 1 1.6 13.2 I to I to I to I to I t -j I .7 11.5 ! 3.1 13.9 I ` 1�- 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -5 ! .58-.82 I -1 1 -3 I -6 1 -12 1- .83 up 1 -2 1 -4 I -8 1 -16 ! Table 3-11. Horizontal South Overhane Potnts South Glazing Length Dut I Area, I of Floor I I from Gall I I I f t T- I 1 0-6.3 I 6.4 up I I I I I 0 - 0.5 -2 - 10.6 - 1.0 I -2 1 -3 1 1.1 - 1.9 I -1 I -2 I 2.0 up I 0 I 0 I I I I I Table 3-12. Movable Insulation Points I Foveable Insulation 1 Area, Z of Floor I Points I I I I I 0- 5.5 I 0 I i 5.6 - 11.5 I +2 I 1 11.6 - 17.5 I +4 i I 17.6 - 23.5 I +6 I I X23.6+ I +8 ! 7ab:e 3-:3. t!%V!ttatloo Control Fe!otvres Points � I ! Co=trol Features I Points I i Standard I 0 I I I ' 1.9 sir changes per hr I 1 1 I I IiT ght I +12 I I I I 10.6 air changes per hr I I I i Table 3-15. Cas Furnate Without Rei:!aer�t!un Cool'.^. Points _ 1 i Seasonal Efflcfency I Points I I (SE), > 1 I I I I ! 71 - 76 I 0 1 I 77 - 82 I +2 I 83 - 38 I +4 I I 89 - 94 ! +6 1 I 95 up I +8 I I 9.7 - 10.2 I +18 I Table 3-I6, Y.eat P•i_D Points r I Energy Effic!eney I Ports I i Ratio (EER) ! I 1 1 1 7.5 - 7.9 I +3 I I S.0 - 8.3 I +6 I I 3.4 - 3.7 I +9 I 1 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +15 I I 9.7 - 10.2 I +18 I I -10,3 - 10.8 I +21 I I 10.9 - 11.5 I +24 ! ! 11.5 - 12.3 I +27 I I 12.4 - 13.2 � I +30 I I I Tible 3-17. Cas Furnace With Refriveratlon Coollne Points .Refvleeraclonl Cas Furnace I Cooling I Sr_ 7 1 I 1- 17- is 3-1 a9- 95 I I lel 8:1 891 9:1 u I i ! 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +4! +51 +31+10 1 ! 8.8 - 9.2 I +41 +:I +e1+101+12 1 I 9.: - '9.7 I +61 +°_1-101.12!+14 1 9.8 - 10.3 1 +al+t':I+121+141+16 1 i 11;.4 - 10.9 j+lG;+L2i-l:l+lbi+!9 1 i 11.0 - 11.5 1+121+1-'1.161+•191420 1 7i7/ 83 !A!LE 3-14 (ADA/TED) !USS AREA I 1,000 Sn. FT. ,r A 6 C AR -1, 2, D 1 A 8 500 C D i A 6 CC00 LUNE 11 INTERIOR THERMAL MASS MATS 2,500 3,000 I 3,S00 i 4,000 I 4.S00 S,OCO -' B C 0 A B C D I A 4 t D A 8 C D I A 6 g C C j A) 1. 3.4' Concrete Slab: HC -a.97; P.-.29; Factor -7.3 2. 3 7/4- Thick Common Brick: IIC=7.125; R -.I;; Factor -7.3 8) 1. S§' Concrete Slab: HC -14.106: d-.458; Factor -7.1 C) 1. 8" Solid Filled Block: HC -26.63; R-1.93; Factor -6.1 2. 8" Solid Filled Bloc: With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal Nass Area: HC=i3.164; R-.96;; Factor -6.1 D) 1' Thick Concrete/Tile: HC -2.55; R-.083; Factor -3.7 Table 3-19. Zonslly Controlled Electric Resl:tance Space Heating Points r Points for this eteasurc will 1 'able 3-271. Snlar Hazer Heatin With Cas Bsck;l Points be completed after the CEC I 1 has approved an Alternative 1 Component PackaEe for Re515rance 'I I neat. Table 3-15. Active Solar Space Feating with Cas Points I Net Solar Fraction I Points i I (NSF), : 1 1 I I I I 0-6 i 0 1 I 7-14 I +2 I I 15 - 23 j +4 i 24 - 10 I +6 I I 31 - 39 I +8 I I 40 - 47 I +10 I I 48 - 55 I +12 I I 56 - 63 I +14 I I 64 - 71 I +18 I I 72 up I +20 I I I I wood stove x)33 points'(no back up) casablanca fan + 1 point Multifamily (per unitpoints) Floor Area 2 2 2 2 2 2 0 I 2 2 2 o I 0 0 0 0 0 0 0 o I 0 a 0 00 0 0 0 0 0 C 0 c 0 0 6 a !0G. iso 14 6 4 6 4 6 2 2 4 4 1 2 4 2 4 2 2 2 2 2 •2 2 2 2 2 I 2 i 2 2 2 2 2 0 2 2 2 2 I 2 2 0 1 2 2 1 2 0 2 0 2 2 2 2 2 C 2 0 2 0 2 2 ? 0 2 0� 0 OI 2 a 2 0 2 0 1 D 1 200 253 309 88 10 12 10 12 6 8 10 1 6 6 I 6 6' 8 6 6 8 4 6 6 2 4 4 4 6 6 4 6 6 4 4 6 2 2 4 4 4 6 4 4 6 2 4 4 2 2 2 2 4 4 2 4 4 2 2 4 2 2 2 2 2 4 2 2 4 2 2 I 2 2 2 2 2 2 2 2 2 ? 2 I 2 I I 2 2 1 2 2 2 II 2 7 1 Z 2 2 2 i 353 407 507 603 700 230 403 1,0:0 1,;00 1, zoo 1, J.D 1,400 134 1 .5c0 i 2,003 I 2,500 J,:GJ 3,500 •1,900 14 14 18 22 ; 24 I :6 28 1 30 12 34 34 36 14 14 18 20 24 24 28 30 32 32 34 34 34 12 )2 16 18 20 22 74 26 28 30 32 32 34 8 10 8 10 10 12 12 14 14 18 16 70 16 I:2 18 ?2 :0 114 22 .26 22 I28 24 28 24 30 34 I IG 10 1.2 14 16 16 20 20 24 26 26 28 30 34 8 8 10 12 lii 16 18 20 22 22 24 26 26 32 6 6 6 8 10 114 10 12 14 14 16 16 18 18 22 6 8 10 12 14 16 18 20 22 22 24 24 30 34 6 8 10 12 14 14 15 16 20 20 22 24 24 30 34 6 6 8 10 12 12 14 16 18 18 20 20 22 26 30 4 4 6 6 8 8 10 10 10 12 12 14 14 122 16 22 I30 6 6 R 10 10 12 14 14 16 18 18 20 26 34 6 6 8 10 10 10 14 14 16 18 13 20 20 26 30 32 6 4 6 8 10 10 12 12 14 14 It 18 18 22 26 30 2 4 4 6 6 6 8 8 8 10 10 11;, 12 12 16 IS 22 6 6 6 8 10 10 12 12 14 14 18 18 22 26 30 32 4 6 6 8 108 10 12 12 14 14 14 16 18 22 26 30 32 4 4 6 6 8 10 10 12 12 14 14 16 20 24 26 30 2 4 2 4 4 6 4 8 6 8 E 10 6 10 6 12 8 12 8 14 8 14 10 14 10 1 16 14 120 16 24 IS 28 :0 30 32 4 : 6 L 8 A 10 10 12 12 12 14 16 20 24 :6 30 72 4 4 6 6 6 8 7 10 10 12 12 12 14 18 22. 24 26 30 2 4 2 4 2 6 4 6 4 8 4 I e 6 I a 6 10 6 I10 8 I.12 6 12 8 X14 8 14 12 IS 14 22 16 I24 ld 2d 20 130 4 4 5 6 6. 6 8 10 1D 12 12 14 14 18 22 :4 28 30 2 4 4 6 6 6 8 8 10 10 13 12 12 16 13 22 24 26 2 I 4 2 I 4 4 4 I 6 e l 6 < I 8 4 I 8 6 8 6 110 E 110 6 i 12 8 '': v I 17 10 ,16 '1 i 20 14 22 16 126 10 "8 4 1 4 6 6 6 8 a 10 10 !0 12 12 IE 20 <'2 24 :8 2 Z 4 < 5 6 S C s 8 IO .G 10 is 18 20 22 Z4 7I 2 2 I 2 4 2 16 41 6 4 I 6 4� S 41 2 1 !0 6! 10 LI 10 t. 10 6 I ; 7 L� 14 !: 1 IN 14� :. 14 .= 1E ( :'.5 2 t 4 6 6 5 8 a e in `C 10 17 14 .3 :4 2i 1 1 t 4 c 6 6 e e 8 r. I; 1: 12 It '• 70 2: I i 2 1 2 ; t i 4 i ; ! 6 ; n 5 , o i _ I "� 1 It i I4 it 4,500 +a In I32 32 28 :0 30 30 26 1E'; I 32 17 2r 'l0 1 13 A) 1. 3.4' Concrete Slab: HC -a.97; P.-.29; Factor -7.3 2. 3 7/4- Thick Common Brick: IIC=7.125; R -.I;; Factor -7.3 8) 1. S§' Concrete Slab: HC -14.106: d-.458; Factor -7.1 C) 1. 8" Solid Filled Block: HC -26.63; R-1.93; Factor -6.1 2. 8" Solid Filled Bloc: With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal Nass Area: HC=i3.164; R-.96;; Factor -6.1 D) 1' Thick Concrete/Tile: HC -2.55; R-.083; Factor -3.7 Table 3-19. Zonslly Controlled Electric Resl:tance Space Heating Points r Points for this eteasurc will 1 'able 3-271. Snlar Hazer Heatin With Cas Bsck;l Points be completed after the CEC I 1 has approved an Alternative 1 Component PackaEe for Re515rance 'I I neat. Table 3-15. Active Solar Space Feating with Cas Points I Net Solar Fraction I Points i I (NSF), : 1 1 I I I I 0-6 i 0 1 I 7-14 I +2 I I 15 - 23 j +4 i 24 - 10 I +6 I I 31 - 39 I +8 I I 40 - 47 I +10 I I 48 - 55 I +12 I I 56 - 63 I +14 I I 64 - 71 I +18 I I 72 up I +20 I I I I wood stove x)33 points'(no back up) casablanca fan + 1 point Multifamily (per unitpoints) Floor Area Net Solar Fraction (NSF), Z perunSc, C'ear!ng Pts. ft2 System Type I I Points I 1 I 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70•-79 I I Solar with Electric i I I I Re+tsEanc! Backup I t 1 Meecing the Require- I i 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +l +4 +b +7 +8 +1 (1 2 rr,,O and u 0 +1 +2 +G +5 +6 +7 +9 All others (per building points) 8v0 -E9° 0 +5 T +10 +14 +19 +24 +_9 1 +34 900-999 0 +4 +9 +13 +17 +11 +26 I +30 1,000.1,199 0 +4 +7 +11 +15 +49 +22 +26 1,20(-!,499 0 +3 +6 +9 +12 +15 I +18 +2t 1,500-1,999 0 +? +5 +7 +9 +! - +14 I +16 +2 I +3 +5 i7 +8 +10 +11 I 3,rr:0 w.d aro 0 +;J .1.3 +4 j +5 1.7- +a In 1 Table 3-21. Other Water C'ear!ng Pts. System Type I I Points I I I I Gas Only I I 0 i I I Beat P.,mp I I 0 i I I I Solar with Electric i I I I Re+tsEanc! Backup I t 1 Meecing the Require- I i I menti 1a Part 2 I I I 0 1 Electric Resistance i -40 ! ' RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S'.F.; DUPLEX & MI3C: ONLY) ,A �1�,n Bldg Permit # 29348 OWNER C!54ft c,� S A. P . it -5-6 - 2 S- OoO GENERAL ' 1 k,/�,o ing requirements: (sideyards and number of permieted living units). 2.as uation. Tans Y signed b designer. g g Energy Design and Compliance. scing violations on property. PLOT PLAN u/ Complete parcel size and dimensions. 2✓Setbacks, sideyards, easements, etc. 3T—tither buildings or structures.. ding, fills, drainage. 5AOOrFlood hazard. 6ial conditions on creation map or compliance document. FLOOR PLAN. KRequ ete to scaleplan with dimensions.R)�rTred windows for light and ventilation (Sec. 1205). —welered windows for second exit (Sec. 1204). 5 � }�l-ights (Chapter 34 & Sec. 5207). uman impact glass (Sec. 5406). 6� Aequired room sizes, ceiling heights (Sec. 1207). 7f G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). 8 1,.--�ight`fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 94,-' cations of water heater, heating and cooling equipment, other electrical or gas 101 equipment, and plumbing fixtures. Ol g age firewall, door size, and closer (Sec. 503(d).(3)). 3'0" exterior exit door (Sec. 3304(e)). 12�. - eplace and wood stove location. M 13r moke detectors (Sec. 1210). STRUCTURAL DETAILS 1.a/Foundation plan complete enough:to construct building. �� construction details complete enough:to construct building. 3. E1 ions and wall construction details complete enough to construct building. 4.oof construction details complete enough to construct building. 5. fireplace construction details and calcs.if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR -k--ftrposure I plywood on exposed locations and overhangs. 2&/Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3.P%Guardrail. details (Sec. 1711 & 3306(j)). or stone veneer (Chapter 30). 5`jExterior plaster - weep screeds (Sec. 4706). 6 'roper roof pitch for roof covering (Chapter 32). 71;;*O'Rafter ties or bearing ridge. beam. -reVSS 13 RESIDENTIAL,PLAN CHECKING.GUIDE (CONT'D) 7/85• e NEOUS•ITEMS TO LOOK OUT FOR (CONT'D) ge door or porch header sizesuate bracing. Living area over garage - complete 1 -hour separation required on garage side inc ding supporting walls and posts., etc. 16—Mo—exits on three-story dwellings (Sec..3303 & see Mezannines 1716). 12&/Attic access and ventilation (Sec. 3205). 1erfloor access and ventilation (Sec. 2516). 14 od stoves, clearances, alcoves & 1 -;-hour shafts. 15.I� Combustion air for fuel burning appliances. 16=- 41aise requirements on duplexes. 11A Abbe soils - special foundation design. 18aining walls requiring design. 19.—4Musual shana, siizzee► oir�split �level house requiring lateral design. Keturn to UPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVLI.OPMI:NT Section 26-8.1 of the Butte. County Code RECORDED BUTTE COUNTY OFFICIAL. RECOR DS -`BY req_ui.res this acknowledgement b'e recorded' . prior to :issuance of a building permit. PARTE S;,OWN The.: property described herein 'is adjacent1988 JAN 29 AN 10: 14, Lo .land or included within an area zoned �for agricultural purposes, and residents CAPdUACE J. GRUSBS � of Lhis properly may be Subject to incon- veniences or discomfort arising from the CLERK-RECOROER FEE use of agricultural chemicals, including, but not limited to herbicides, pesticides, and ferLili.zers; and from the pursuit LR8- 2949 of agricultural operations including, but not limited to cultivation, plowing, E/spray.i.ng, pruning, and harvesting which occasionally genera Le dust, smoke, noise, and odor. Butte Lural. County has esLab.l.ished zones which have as a priority use for productive agricultural. w�i.thin said zones purposes, and residcIul� and on adjacent property shopld be prepared to accept such i.ciconvCrn i rnC0 or disconform from normal, necessary :farm operations. All that real property situate in the County bf Butte, State of California, described ;is follows: Lot 2 as shown on the Map entitled "Little Chico Creek filed for Estates" which map was record in the Butte County Recorder's office Book 100 Maps on April 18,1986 in of at pages 91 and 92 and 93. Da t e : /-02 C,_ 409L PROPERTY OWN State of: � On this the, c_ 2� day of 1.9�, before Inc•, ). SS... the un . �,��,�--��dersigned.Notar.y Public, personally appeared County of�k -`) : - 4 // <�_ / — ersonally known to me.0 Proved to me on the basis CAROL L. BIRDV\P of. s LisfacIor ev:i ( ence. NOTARYPUBLIC-CALIFORNIA L4) be the person(s) whose name(s) Butte County 0 i� a /7 A-) 'I'iP.-�My Commission Expires Sept. 16.1988 41bscribed to the within instrument and acknowledged that �c�mtaoom®mmats®®oma•®®oa®m ecuted the same for the purposes therein contained. .I.N W_rr' _ I?�S WHEREOF, I hereunto set my hand and official seal.. Present A.P. No. Notary Public. BALANCE OF FEES SFTF',FT DATE: _ 7—< � PERMIT: _ 5�-? n ASSESSOR PARCEL #:. so OWNER'S NAME: FEES: (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: REVISED PLAN CHECK $ SHERIFF FEE: $ SRA $ URBAN AREA FEES $ CSA 87 (North Chico Sperm) $ WATER TENDER FEE $ BATTALION # THERM _ _ AGE FEE $ OTHER G2 $ L() / OTHER $ VALUATION.- IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDITIONAL VAL: $ (Check one) COUNTY V (Check one) CTI'Y OF BIGGS RESIDENTIAL COMMERCL�, pow U� NOTES RESIDENTIAL PERMIT NO. - - _ --_- �-- 056-250-060 03-2870 t LONGNECKER, THOMAS j 16385 STAGE RD, FOREST RANCH ADUN TO EX GARAGE SPECIAL CONDITIONS CHECKED BY SRA 4 FLOOD_ CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION, ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i , 1 ` JOB FINALED (Date) 1 2. Signature J=OK 0 = Not OK' . = NotNadyable &-Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sb T 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/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 12. Braced Wall Panels Date , 9 - 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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 &-Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sb T 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Qdrports; Windows -Doors V'Ejectric rmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date i2 , 9 - Card B-1 t Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Vs: 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UND LOOR (Plans) OK except #'s Hing -Setbacks -Easements -Flood -Slope tg. Main; Soils-Elec. Grnd.-/ /" Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-jam" Ftg. Depth .4--Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 6-Stemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped old Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-10 , Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace Ties or Type A Flue -Fireplace Throat Clearance 18. Water Pipe; Test & Anchor -Nail Protection 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 19. D.W.V.; Test Fittings & Anchor -Nail Protection 51. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Garage Fire Protection Framing -RC Channel 22. Gas Pipe; Sixe & Anchors 53. 23. Fire Sprinkler; Test 54. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Siding -Nailing Veneer 25. Elec. Receptacles Spacing -Lights & Switches at Doors 58. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Glazing Area -Glass Protection -Skylights -Plastic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 60. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 10,\ 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al race Interior/Exterior Wall Panels 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes 0 No 62. 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Infiltration -Walls -Windows 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Smoke Detector 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 10,\ race Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes O No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: S -'i • I R 8O V� Fi nr%SH 9D ROOR (3 I I c I -Fo be I oCo�, azk CZ MAX TYP i• I . II o j X -6Ta 1� �j/Af /�(� lm� So uj - �7+z�� �'- "T � -i - ! -� - -1.- � - { ( -1 -�-t * -�- ! - I _ �.. k } � { ' ' - � �. � f •� . 1 ' � J � � � � � � . � :; � I i � � � i t ! � { , { 1 � t f ! ' r 1 - t 1 '4 Zb-r . ! • a . � - . }. � } - �_ +- �- . � � i .� + .� � �_ . _ � � � •_ _ _ � ! r t 1- i t � �. !.. � - i i ! �, t, I 1 ; ' i - f l .+ i f , w�dfh'� f 1 1`x72 AD R. #2 oR ' F OAT/Rv- 51DRAbE v .. ; 171. X .3Zi . F I- Cfes-rhe 6 ct y jam{ I s }t-'i�► �� 7 �j� I! AJ ! 9! j t r + 1 t T44-1,4t iJ�i t 1`l .14 l;� - tL> f F i - 1 ',/ 1:55 �!G}-M! +_ \k �� + - K�,tt.0 l v� OF go{Tt+ -'_ �P�#� 1-LO!'t pL% �.\ JILr . V�l1 t,,L{ '. ; !_ ► t , ' FX.IST►.?Ill (7 VU(1�1_I�UTA/ ' ; ' x �` t .1+ BUTTE C®U N 1 v+ gUILDING DEPARTMEN REVIEWED BY. ' BUTTE CO. FIRE DEPT. NOTE: CALIF. DEPT. of FORESTRY IK/l ❑ approved as submitted See the attached SIC9�1 $ISI Construction approved with conditions Requirementser_ a;htheel, Signature �aie 3 Pages t ALL STRUCTURES AND EQUIPMENT ItCWDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF FT. FROM THE SIDE AND 310 FT. FROM THE REAR PROPERTY LINES AND FROM THE ROAD CENTERLINE SHALL BE CZ6-ALO-tr, ELECTRICAL, MECHANICAL. AOND PLt.lMBI gt�LE I OF STRUCTURES AND EQUIP -WENT EXCM CONSTRUCTION ( NOT F':_.`: •.; CI-;r:CKF )!=OR A 2 FT- SAVE OVERHAND m PRO P06 SHALLCOMPLY WITH CURRENT EDIT;A t3 V la 01: NM LIMC AND UPC. SOT _ Al � M l 5 coo xe -,q.3P P R 0 V 14230.5 - 1 AW— KID PLANNING DIVISION - BUILDING PLAN APPROVAL ,> Y_ �, - - FD2�5�' ��a�ICH •- Use:�)<_ Date: -- Parking: Landscaping:Other i�rvM R i3uht,1�K I a v>` I�NLzN�kE /Z Signature i 05 250 06 O s q,-( ir 4-.-. t 4 ! I T/ R • • i� I r w ti E 1-1, X 12 H r#,2 aR t�R(7pDS� GA Y. STU�1� E 137iia. ` OVER i 2' r ' RO4L IJP tvoqp ' . ' - 17 ` X .32.; t . 0+55 A/kiLZI) W ' 'NAI ;. L 1.14 Co'Ri`t P T Al 1'A5/�' �. ' t \ .. iJ�� � + 1. � ! r � y � rG' �� t, \�r� �i_U !v ' .USF . goTt+ - _`; , JJ + , :Tv }` pL4c� t \jj�j I L f' i F XI ST I'ilL =nvironmental Fiealtic j 1- -� ! .t_ • - + �Ar. APPROVE I r t t r ovEn . SEP .1 7 2003 Butte County i , Envir m tal He �, Chico, Califomia ,. Signature r laag- 'Rw. w PC)55I6Lr OPTION FbR (cEPc.14CEMF_NT SWULCA PRO P06M LPA N FtLD FALf,: PP,OPR. F,..T PIR r) Wr 574RA6f, 17 X 3 APPROVED environmental Health SEP 17 2003 Chico, Caiifomia NO. 285AG-6-1!X14 St�O P pRv€ WAY PARKINO- t r" 't r i a Go D. pa)te5 ArVK •