HomeMy WebLinkAbout056-330-008FAILURE TO FINAL SF
2/24/99
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056=33-0-008 .92-29 7 P,E.
KLOSKI`,Theodore
5441 Xleinsdale Ct, Fores :Ranch
:ELEC_
GASZZ
COMPACTION TEST REQ
SUFPORT STRUCT REQ
056=330=008 94-0442B
. KLOSIZI ; TED & ANELLE
5441 KLEINS FOREST RAN U nk
NEW SI', E . FAMILY 111
056' 37J' v
056=33-0-008 .92-29 7 P,E.
KLOSKI`,Theodore
5441 Xleinsdale Ct, Fores :Ranch
:ELEC_
GASZZ
COMPACTION TEST REQ
SUFPORT STRUCT REQ
056=330=008 94-0442B
. KLOSIZI ; TED & ANELLE
5441 KLEINS FOREST RAN U nk
NEW SI', E . FAMILY 111
056' 37J' v
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't.
INSULATION CERTIFICATE TED xLosxiE
5441_KLEINSDALE COURT FOREST RANCH
BUT
NIU0QER'A*N0 STREV. CITY'
COUNTY
SUBDIVISION LOT NUMBER
PLAN NUMBER '
DESCRIPTION OF INSULATION
ROOF
Material
Brand Name
Thickr>ess (inches) .
Thermal Resistance .(R-Vatue)
CEILING
Batt of 8W.* t Type FIBERGLASS
Brand Name CERTAINT n .
Thickness _A2:
Thermal Resistenca (R-Valuel (y..
loosekT7De INSULSAFE III
Brand Name it-EOTAINTEtT
Contractors minimum installed weisht/tt �.
%&*mrrn thidmess _itehes
Manutadurds installed weigh Per square foot to achieve Thermal Resistance (R -Value)
EXTERIOR wnu
Rkdedal FIBERGLASS
Brand Name CERTAINT Fn
Thic7axsa (nchesl /�% ..
Thertrtal Raistanca (1149 e)
RAISED FLOOR
,ASS
Material FIBERGLASS
Brand Name CERTAINTEED.
Thiciviess Inches)
Thermal Reshtance (R -Value)
SLAB. FLOOR
Material
Brand Name
Thickness,(mches)
Thermal Resistance (R -Value)
Width (uithes)
• f
FOUNDATION WALL
htateriai FIBERGt AS.Sz grand Name CERTAINTEED
E
Th!ckriess (niches) Thermal Resistance (R -Value)_
Declaration
I hereby certify that the above insulation was installed in the building at the above location in
conformance with the current Building Energy Efficiency Standards for new residential buildings
contained in Title 24 of the Califomia Administrative Code.
GENERAL CONTRACTOR (BUILDER) LICENSE NUMBER
SIGNATURE S TFTIE DATE
SUBCONTRACTOR (114SUbiiION INSTALLER) LICENSE NUMBER
41 ex� 3 9T
SIGNATURE TITLE DATE
Insulation Certificate
BUILDING OWNER:
'TV T--,- BUILDING PERMIT
BUILDING LOCATION :.5 - 1 eZ`_ 1--5-P IV6-
Description of Installation
ROOF
Material
Thickness (inches)
CEILING --
Batt or Blanket Type
Thickness,(inches) .
Loose Fill Type
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name .
Contractor's minimum installed weighgft lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL.
Material Brand Name
Thickness (inches)- - " Thermal Resistance (R -Value)
)('RAISED FLOOR
)(RAISED
4 � /%aS Brand Name -"T l-r—
Thickness
r-Thickness (inches) TP errnal Resistance (R -Value)
SLAB FLOOR .
Material Brand Name
Thickness (inches) 7Fermal Resistance (R -Value)
Width (inches)
FOUNDATION WALL
Material Brand Name-'
Thickness (inches) Thermal Resistance (R -Value) `
"c
Declaration -
I hereby certify that the above insulation was installed in the buiidin2 at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Califomia A inistrauve Code.,
Genesi Conc actuUderj , License Number
`V4&0DojE L- (qq
Signature andTicle 7 Dace
Sub-Cunaactor (Insulation inscailer) �` License Number
Signature and Tide
Date
THIS CERTIFICATE MUST BE PROVIDED TO TIIE:BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN 1711E BUILDING.
JANUARY 1993
Installation Certificate: Residential CF -6R
BUILDING OWNER: _ BUILDING PERMIT #:
BUILDING LOCATION: ,
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form
may be used to meet these'requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall
responsibility for the appliance installation.
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that
the equipment is equivalent to or more efficient.than the equipment specified on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for, residential buildings.
HVAC SYSTEMS
Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under
Water Heating Systems.
Heating Equip. CEC Certified Actual Distribution Duct or Heating Load Heating
Type (furnace, Manuf. Make & Efficiency Type and Piping Before Over- Equipment
heat pump, etc.) Model Number (AFUE, etc.) Location R -Value Sizing (Btuh) Capacity (Btuh)
CEC Certffied
Cooling Equip. Compressor Unit' . Actual Distribution Duct or
Type (air coed., Manuf. Make & Efficiency Type and Piping
heat pump, etc.) Model Number (SEER) Location R -Value
The building design heat loss and design heat gain rate have besn determined using a method specified in Section 1S0(h) of
the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
Signature
WATER HEATING SYSTEMS
Date HVAC Subontractor (Co. Name) or General Contractor or Owner
Energy' External
Water Heating CEC Certified Rated' Tank Factor or Tank
System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation
(storage gas, etc.) Model Number or Btuh) (gallons) Efficiency Loss (%) R -Value
1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (ratea input >75,000 Stu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
For Instantaneous electric water heaters, list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads,
pursuant to Titie 24, Part 6. Subchapter 2, Section 111.
Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner
TRIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AN—D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY'1993
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 53&7541
FAX: (916) 538-2140
CHICO OFFICE - 1469 HUMBOLDT RD, CHICO 95928
TELEPHONE: 891-2751.
TED & ANELLE KLOSKI -
-- - 2160 HILLVIEW DRIVE RE: Building Permit # 94-442
WALNUT CREEK CA 94596 - Expiration Date: .6-9-95
_ A.P. # 056-330=008
DERA MR & MRS KLOSKI: �.
With reference to the above subject, our records indicate that your -
building permit expires on the above date and your permit falls into the
category marked below: _
[gg] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee) . The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit; within .30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated ', and returned to this office together with the fee
shown. Please return all copies of the application form.
[ ] No inspections have been made.on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit,'no work
may be started until•a new permit has been issued.,
If our records are in error or should you have any questions concerning
this matter, please contact the CHICO office.
Thank you for your prompt attention%concerning this matter.
Yours very•truly, ,
Midhiael C. Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
r
V= OK
O=Not 0%
-NotApplicable
= Not Ready ' MOBILE HOMES MISCELLANEOUS
' =
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements .,j 1. Zoning Requirements -Setbacks -Easements
--2. Soils; Special MH Support Sketch , 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fell -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Teat -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg: Rfg.-Bracing
6. Gas; Location -Test -Wrap: / /" L"ft.5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ -/"Net. or/ P'L"ft./ /"LPG. ~ v 6. Carports; Windows -Doors
7. Well Clearance & Disconnect
& Utility Clearance J
-J
Date/Initials MOBILE NOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements +J
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
it. Ext.; Steps -Doors -Lendings
)`•2`Fo6i9ngs; Ske-Spacing-Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector t -`"y v Date/Initials POOLS (Plans) OK except #'s
4. Electricity; MH Test-Crossovers-Breaker's='Cieaiances - l 1. Setbacks -Easements
5. Drain; MH Teat -Fell -Flex Connector 2. Soils; Compaction -Structure Stability
6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness
7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining
8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI
9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI
10. Cert. of Occupancy 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit "
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
-=Not Applicable
Not Ready RESIDENTIAL
' =
Date/Initials UNDERFLOOR (Plana) OK exceDt #'s
:2"F Main; Soils-Elec. Grnd.-/ P' Ftg. D pth
Ft , Garage; Soils-Steel-Elec. Grnd. /c /" Ftg. Dep
^ f -)Pfta,',"Pprches & Decks; Soils -Steel-/ /Ftp. Depth
0,,Slafiwalls, Main; Steel-Blockouts-Wra
\ ^r.. Smalls, Garage; Steel-Blockouts-Wrapped
X41 Hold Downs and Special Anchors
k,Slab; Steel -Wrapped
¢.,O..W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat
1 ater Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance-Material-Support=Ins.
? L
1.4. -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
(� 1 ccess & Ventilation
16: Insulation
OK except #'s
"iter Htr.; Vent -Access -Combustion Air -Baffle
17. er Pipe; Test & Anchor -Nail Protection
j & D.W.V.; Test -Fittings & Anchor -Nail Protection
-'19. Shower Pan; Test, First Floor -Tub Access
✓20. T_ptlub & Shower, Second Floor -Tub Access
L,217 Gas Pipe; Size & Anchors
AL (Permit) OK except #'a
,tTransformer Clearance -Ins. Protection
aceptacles Spacing -Lights & Switches at Doors
mes-&-No. of Conductors -Stapled
Installed Close to Edge of Studs & C.J.
Ground made up w/Mach. Fastners- d (--PQ—JL We
6ce Circuts in Kitchen & Conductor Size/GFI '
Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Ar -
Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
ed (Neutral O Yes ❑ No
-RiiVr Conductors & Ground -Main Disconnect
69prances Panels -Motors -Mach. Equip.
`32. 91ptWs Closet Light -Shower Light -Spa Light
Detector
Date/Initials MECHANICAL Permit OK except #'a
4. A Ducts Insulation & Support
Vent Fan; Exhaust above insulation
densate Drain & Overflow; Size & Grade
Fur nce-Vent; Access -Comb. Air -Return Air Vent -115 outlet
. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39'Sq.5eProper Material & Anchors
. Wall Studs -Nailing, Spacing & Bracing -Plates -Sound
11,15-eaLoj Walls over Girders & Floor Nailing
raft Stop in Walla (ret proof)
43. Fi ops; Furred Ceilings -Stairs -Chases -Tub
. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials / FRAMING (Continued)
�lan�ers-Post Caps -Anchors -Connectors
fing. Joist-Rftr. ties-Purlin=roof Brac-Trues-Shthng -Rfng
I --V- JLeplace Ties or Type A Flue -Fireplace Throat clearance
Atli cress; Size & Romex Protection -Draft Stop -Ina. Baffles
I�f Windows or Exiting Doors -Sill Hgt. & Dimensions
iSO. Garage Fire Protection Framing
operty Line Firewall & Openings
5 t. Doors -One 3' -Check Garage -3rd Story2 Exits
03-8t§(rs' Width -Headroom -Rise -Run -Landing -Fire Protection
pod on Roof Overhang -Attic Vents -Rafter Outriggers
ceding -Nailing Veneer
— sa cru .co=Mesh-Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
ear Walls; Nailing -Bolts
59. Insulat' =Wells -Ceilings 3 _
n lit tion -Walls- indows
Date/Initials Plana OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
6 . ke Detector
68 -furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
65_ G F'I. & Bath Fixtures & Tub Access-SDa
Bfr lec. Trim & Subpanel; Breaker Sizes & Labels
'16V Stairs & Rails
tl. acel'Stove; Clearances -Hearth
. Outlets at Wood Panel; Int. & Ext.
X' Ki ' ,& Appliance; Grnd.-Air Gap -Cooking Clearance
EI . Outlets & Receptacles at Kit. Counter
I
G rage Fire Door; Swing -Landing -Closer
7
A's. Duct in Garage -Damper
74!`iYtr.
Htr.;,Vents-Clearance-Comb. Air-Connector-P.R.V.
In ar `ge; Above Floor -Meth. Protection
Z
Elec. & Mach. Equip. Listed for Location
Ele eceptacles in Garage; (G.F.I.)-Romex otection
7
nsulation-Foam-Looked in Attic es
6 Gu%"ails & Deck Construction -Post Caps
7
-dn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
wing instld.; Drive ❑ Yes ; Walks Yea o;
Planters ❑ Yes ❑ No
rown-Finish
Ct; Disconnect, Electrical, Plumbing
9T'Vents
Above Roof; Plbg.-Appliance-Fireplace: Clearance to
O lugs
r Well; Disconnect, Electrical, Plumbing
rior Elec. Trim; G.F.I. Receptacle -Underground
8&I'Ve5wifion
Throughout House
87
-*'G -lass Protection
from Previous
90oof as est -Meters Tagged; Gas -Electric
W-wa-1014-Sewer Connected -C/O to Grade -HD Approval
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES u:
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 t
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
- %0T- r -c. -
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please coni ct this office immediately. -'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916),872-6307
CORRECTION NOTICE
OWNER ` PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation;
please contact this office immediately.
Date �p „ ® Inspector
REV 11/91 ..
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
jL'Z b S � � 4q7 --
OWNER PERMIT'NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the aboveaddress a d should be corrected. Please notify this office when correction of work
is completed. If have any questions pertaining to this matter, or need additional explanation,
Please co t this office immediately.
Gviit ►,1s UIQ i d 8 FT"
Date Inspector
REV 10/92
COUNTY OF BUTT
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
NOTIM',--
Post this job card in a safe conspicuous place. Do not remove
until all required Inspections are made and building Is
approved for occupancy. Plans must be available on job site.
! 056 ry330 008 ' *`? F , 94 0442B,P.,E,M _
! KLOSKI,'TED'& ANELLE.',Sr
5441 KLEINSDAL t� �I —1,10 tST�RANCH, —
NEtdj S1�GLE aFAMIL air ;s; i -- —
.
PEF�MIIT T. MUST CALL
1-vir10OR INSPECTIONS••
INSPECTION;~; ATE INSPECTOR
Piers
Underaround Conduit <
Do Not GOver unu' .+..�•� .. -
Fireplace FooIn
Fire lace Throat
tDo Not Continue Fire lace Until Above SI ned
co Lathtch and Brown
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED
AND THE BUILDING OR MOBILEHOME
IS APPROVED FOR OCCUPANCY
Info ( 24 -Hr Insp )
Oroville 7 County Center Dr. 538-7541 (538-7636)
Chico 1469 Humbolt Rd. 891-2751 ( 891 - 2751-)
Paradise 747 Elliott Rd. 872-6307 (872-6307)
Revised 12/93
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT NO.
• APPLICATION AND PERMIT � y— 0
ASSESSOR PARCEL NUMBER
056-330-008
ZONING
TM5
BUILDING PERMIT
OWNER
TED & ANELLE KLOSKI (510)
TELEPHONE
947—IRIX137
"'Fl - OCC. BUILDING VALUATION
1648 R 84,377.00
OWNER'S MAILING ADDRESS
2160 HILLVIEW DR., WALNUT CREEK CA 94596
990 M 9,360-00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace i"All
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 691-50
ARCHITECT OR ENGINEER
uCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
5441 KLEINSDALE CT., FOREST RANCHPLUMBING
PERMIT FEE $
PERMIT Filing Fee 20.00
Each Trap 7.00
-
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
4
SUBDIVISION'S NAME
PARCEL MAP
37-82
Each gas water heater or vent 15.00 15 On
USE OF STRUCTURE
SF CXYDuplex ❑ Mobilehome O Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00 15 00
Mobile Home S G W @20.00
TYPE OF WORK
Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Newts' Addition El Remodel
Describe Work: 3 BEDROOM
FEE $ c;n nn
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( BOOV OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW OCCUP.
OR ADDNS.T ( D ELLIN& ACCGBLDS. ) 3.50sO 75.85
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
XI, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEw CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B20@'.000
Ex. Occup.FIXED APPWS. OR
( OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
Cl This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $ 95,85
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating ATTIC 15.00
Cooling FUR
Hood 6.50 6.50
Ventilation 2 4.50 19.00
PERMIT FEE $ 50.50
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
ounty ' onsequence of th granting of this permit.
X Date^ZZ-Q Y
Signa re of Applicant - Owner' ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
Occ
CONST. TYPE
TOTAL FEE $
.80
HAZ•
I D. FEES
IMP
I FIOOD
I CDF
PARCEL I PD
__
I HD
}(
I ISSUE
X
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 0 Qate I:� 410V
PERMIT EXPIRES ON
(Datil'
Receipt No. $�
WHITE-D.D.S.-B.D.�a AriY-kM1bW lS����
GOLD ENROD•APPLICANT
J k.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �-- —`
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y?4/ P IT NO.
> ' APPLICATION AND PERMIT - /
AS �ccO+PARCELNUMBER /�% `� _ rJ �7 �' DO �/
t///�.f/' J —/S CJS`
ZONING
BUILDING PERMIT
f.,.. N,.R
TELE ON[ +
SO FT. OC . BUILD G VALUATION
OWNEPtS AILING ADDRESS
-17
CONTRA TO _ - �
TELEPHONE
CONTRACTOR'S MAI ING ADDRESS
•
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
S 20.00
Permit Fee
$ 6
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 15/ ` yS Q L�
ii/
PERMIT FEE $ Q
%-
PLUMBING PERMIT
Filing Fee -I 20.00
Each Trap
ro 1 7.00 QQ
Solar or heat pump water heater
23.00
LOT NO SUBDIVISION'S NAME
PARF{L AP p�� `
piping
Water p•00
1 5ip Q
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex U Mobilehome U Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 o d
Building sewer
15.00 (%�
Mobile Home S G W
@20.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
1
!i. Describe Work: �7D�/{�/
I'
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
OR LESS ) 23,00
Main Service ( 200
200A OR LESS
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
so.
3.50 FT. /
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
El am exempt under Sec. , Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $ 100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
ou"ding Division a Certificate of ''Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ I shall not employ any person in any manner so as to become subject to the Worker's
Cv�Tipci155ii"vii idWS of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling i
Hood 6.50
Ventilation Q
PERMIT FEE $ r
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
Count In consequence of the
Y � q granting of this permit.
X Date ��
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excad'ations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $/
Energy Inspection Fee e 0
P1
co" T.
TOTAL F $
HAZ. "D. FEES
—
IMP F D
CDF
�'
PARCEL PD Ho UE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
DateReceiptNo.
'^--
(J &&323K14?63,T5BY
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP R GOLDEN OD -APPLICANT
COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUIL DAd
7 COUNTYC,ENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMITAP'PLICATION DATA'SHEET
OWNER li!/ S A. P. o.S�-7- 3 3 o-�U
Proposed Building Use �� Building Inspector Date 94/
At time of permit application, I was advised the following dataJmust be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets,,signed by�preparer of plans : ..................... .
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ...................
IZ 6. Energy Design Compliance and supporting documentation. ..r..
7 Statement of Intent for Non -Heated and C Buildings.'- ................ .
8. Engineered truss details and layout in dupllcate (required.prior to plan -check). ... .
9 Mobilehome data a m�,na mfacturer's installation instructio s, 2 seise./. .......
. .
_ees of $ 03, �......... ..............
t -fees as shown on attached schedule. . " .... .'.. .
California Department of Forestry plan approval ie& S�1e! ...... Z1-
12.
Alood elevation letter (100 year flood by California Englneee�r . i..�............ .
: Sanitation and plot plan approv /G� HealthtDepartment. ............
15. City of Chico plumbing permit. ................. !"tC . � �............. .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for. (A) Use: (B) Parking . ........
1 .+Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for \� to Building
Ins request—
jegUlred. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance. ... /"
Owner -Builder Verification (Given to owner , Mail to owner').......... .
4. Recorded copy of Agricultural Acknowledgement Statement. I .................
Letter of signature authorization . ...................... is ................. .'
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... r
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..................: .
......................
29. Documentation of legal access . .....................:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ........:...... .
31. Existing violations/expired permits . ......................................
/32. Plan check list. ... .............................................. .
33.
When y,, u issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 41 and hold for pickup at ��T%� office. Deliver with inspector.
Other 1
Parcel Creation
Acreage %?�1640icant K&'t' Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
new item not checked above).
Contractor, designs , ow r, was advised of above required data by _ phone _ mail Counter by�' Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail C unter by_ Date
Plans checked by Date Plans approved by _I'll �)-- Date
Sets of plans on hold in File cabinet AP fold
Copy Department of Public Works A./OrIV `c
yz. E.H. USE, ONLY
Y +: Plot Ilan nu:,ch.,i`-
_ Plooi Plan Attached �� )
Sent to IS. U.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private We'll
Clearance for 2 bedroom home. Other
Hold final for:
Final clearance O.K. for:
NOTF
" 4 �/• ! _/
Environmental Health Specialist
8/92
Date
COUNTY OF BUTTE - Department of Public Works
7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 or no) '-�P5_.
NOTE:
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone 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. I will provide some of the work but I have contracted '(hired) the following .
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
1��Property Owner
Date 2--)-7--q
(�
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.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT : SERVICES
. - BUILDING DIVISION
7 COUNTY_CENTER DRIVE, OROVILLE CA 95965 -' TELEPHONE (9.16) 538-7541
OWNER
/OCC
A.P. #_�S�
PROPOSED
BUILDING USE �>�
DATE
REC. # DATE REC
SCHOOL
DISTRICT FEES
(paid at District Office) ..........................
SHERIFF FEES
(paid at Building Department)
Residential..... �x _$�
�init amt:
-Commercial (sgft) x _$
sq.ft. amt.
IVA 3
URBAN AREA FEES r
(paid at Building Department)
Residential (per unit) x _$
,
#. -units amt.
Commercial (per'sq.ft) x =$
4.
sq.ft. amt.
RECREATION DISTRICT FEES '
(paid"at District.Office). ..........
L_1__C 5.
DRAINAGE DISTRICT FEES
(Contact Land Development Division)..............
_
6.
a _
SRA FIRE INSPECTION AND PLAN CHECK = $89.00.......
(paid at. Building. Department)
7.'
OTHER
8 :
OTHER
At time of
permit application, 'I was advised the above fees are
required to be.paid
prior�to issuance
of the permit.
APPLICANT
DATE
t+,) 'Y
t
akloski@netcom.com
2160 Hillview Dr.
Walnut Creek CA 94596
June 5, 1994
County of Butte
Dept. of Development Services
Building Division
7 County Center Dr.
Oroville, CA 95965
Dear Sirs:
Enclosed are my final fees for a residence I intend to build at
5441 Kleinsdale Ct. Forest Ranch, CA. A. P. # 056-330-008
Final fees of $903.85
Sheriff fees $360.00
$1263.85
Linda Sexton said that all plans submitted to her are now Ok, and
that her department would now issue me my building permit.
Pleased mail my building permit to:
Theodore L. Kloski
2160'Hillview Dr. '
Walnut Creek, CA 94596
Thank you,
Theodore L. Kloski
C5(6) 6M-7 —(37
C oEK il
UILWOJUN.JON u-7,41994
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUELDING DIVISION
7 County -Center Drive,. oroville CA 95965
Phone: 916-538-7541
RE:KLOSKI
A.P. # 056-330=008
With reference to the above subject:
Attached is:
Application for permit.
Building Plans
Engineered Calculations
Owner -Builder Verification Fm
DATE: 5/16/94
Mobilehome'Utilities Installation Sheet
Mobilehome Installation Information -Sheet
Typical Plan Sheet
List of•Codes.Enforced
We need the -following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated with all copies returned.
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer•of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
Energy Design Compliance and supporting -documentation,.
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
XX Fees of $ 903.85 payable to.Butte County Treasurer.
XX Impact fees paid. (SHERIFF)
California Department of Forestry plan approval/fees.
Flood elevation letter (100 year flood) by California Engineer.
Sanitation and plot plan approval' Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Development (a) Improvements (b)- Drainage.
Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Style, Class) or exemption statement.
Certificate of Workmans Compensation Insurance.
Owner -Builder Verification Form.
Recorded copy of Agricultural Acknowledgement Statement.
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 50% subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.•
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
Other:
GARAGE TRUSS DETAIL. THE PORTION THAT I
Should you have any questions concerning the above, please contact
of this office.
MCV:ahb
LINDA SEXTON
Y rs very tr ly,
AL
MiCael C. ieira, C.B.O.
Man ger, Building•Inspection
ATTIC 36' Oc
' CHORD 2x6 FL SS
CHORD 2x1O FL 01 -8a 2x4 FL #I:
NESS 2x4 FL.Standard :W1. N2. W8, 119 2x4 FL 01:
ECIAL LOADS (BY TRUSS MANUFACTURER)
------------------------------
- From 150 PLF at -2.00 to 150 PLF at 28.00
[LING LOAD- From 15 PLF at 12.03 to 15 PLF at 17.96
- From 15 PLF at 0.00 to 15 PLF at 10.29
- From 165 PLF at 10.29 to 165 PLF at 19.71
- From 15 PLF at 19.71 to 15 PLF at 26.00
- 469 LB Concentrated Load at 10.29
469 LS Concentrated Load at 19.71
NECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE
.3.
CONTRA
RS
5 TRUSS IS DESIGNED
ATO BEAR ANO/OR SUPPORT ADDITIONAL LOADS
SPECIFIC LOCATIONS. PARTICULAR CARE IS ADVISED DURING
TALLATION TO ENSURE THAT THIS TRUSS IS ERECTED PROPERLY.
5X4
3X6 2X6
s p
-B3
ZD 4X4
o V 7-8-12
8X8
-y— _ 9-5-0
W2
in ..
- t .......... ... _._�.�..� ..
111IS OWG. PREPARED FAOR COMPUTER INPUT (LOADS 9 -DIMENSIONS) SUBMITTED BY TRUSS MFR,
RECOMENDED CAMBER 1/4" AT MIDSPAN BETNEEN BEARINGS. y
THIS DESIGN TO BE USED WITH DRYWALL OR OTHER FLEXIBLE CEILING rn
ONLY. 00 NOT USE WITH PLASTER CEILING. �o
s
F 0�,WBETTER;i�CONTINUOUSrL-AYF,RAL�9BAC�
ACNW{21l6aNAiLSBRAt*. "0'!
I TERII�I TW}. BE�S�IPA4IE0- AN §TICCHEd'�'AT 'BOTH='ENOS`''TO A ,o
SUITABLE SUPPORT BY -ERECTION CONTRACTOR, �,
QROwI�8pQAaY,TCHED.�'URLrINSne24.OQ.m
,TRUSSES TO BE SPACED AT 36.00" O.C.-MAXIMUM. [n
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE 'WITH THE o
REQUIREMENTS OF I -C-8.0. RESEARCH REPORT 02949.
10 PSF BOTTOM CHORD LIVE LOAD CHECKED PER UBC CRITERIA.
REFER TO DRAWINGS A103 AND A104R FOR OVERHANG DETAILS.
THIS TRUSS HAS BEEN DESIGNED IN ACCORDANCE WITH UBC 91,
SECTION 2344 (b? FOR UNBALANCED SNOu narFt 6ANSI6ERAT6lf---�
R -294B# W-5"8
=3 0 0 0 E=
C= O
C= 0
0 0
�ALPINE� o
TRUSS o
7 O C7 C= CM
- R-5061` 'i-3°8
S-3272# W -5"B
*ifIMPORTANTIHOLP" ffftAEmtp w+ar.Is. 119.
IIARt\JN 7��[ tfi9ulai E'/.tgE�F U•1E
!MILL 1131 It gifrpGIBLE rtg AMY
CEY1AiIOt1 fiON if [f DtsliN Ot IMH IFICIFItATIM C11 A"
ID 11AI q;01- Ef zmz1 N AtID
EAIeIYO. IEE Mg -I1 Of IPI. TEE INI$ DC/ICU
rAtEA1= it MIO 11E "m U mwo "wlt o3 in Ism 141 w.
ALPIP; Owmi"O" Avg PAI[ Or [DOA GAIY. StiCt ItEilia
FOP ACOII11ADL SMUL PinwEfl lAidilAT pE
Asia
A44 09 O E7COAT As N0t[0- bolt C61R IM Tt r3cm rAcI
Op A[ADOtS. ltkzn OfKaIllst INDICJ itf. or
or
IRM XW 111.tds ftIV0lfll La"D OA iNNI 911HIR. 00011041
Mob PULL BE 1.41IM"Ll IPA= film AaMM
Ll 111ACWD RTN010 Pfitifll►A afilc" ell"
CWltnV7 Pf" U%&SN10s 01- 170 It 161&-f. OES19V STAUNWO
COrOM WA►PLICIttt Fool IfCN! d NITS t IPI. A"
fila o"rACALT AYTACKO "ICID CCILISC -- "C
[POIJIM's
RK ON flus OPARIOW APKItf TD TTE CCO'OAEmT /LrIC1ED AEg[
UPIRAE MINIM VIDATE U/1/911 reg 1110Ftn
III
.DIY. M 1N¢L lot I[ FKI[0 tt01 t0 Ant 01N[g YAY-
/01194tl APiLICATIOII. FUN11611 A GOfY Or TIDY
W23GO t0 INC f WnT PECU/N COIt1ACton_
Z1101- -/F
Rev 17
Sek 18
Q S7C�/
TC LL
40.0
W?SFREF R427 --W
W. Cy ��y
TC DL
10.0
PSF DATE 03 i
`
s
C DL
5.0
PSF 0 SAvsR42r
NO. 0049345
C LL
0.0
PSF C& -ENG E.D.
EIv. 6]047 *
OT . L0.
55.0PSF
CIV,
bUR . FAC .
1.00
O�yp!
SPACING36.0
iii
r
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS. ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
11-12. Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
Exterior plaster — weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter. 32).
Roof covering type — (fire hazard).
Foam insulation — protection.
L6" halls and stairways.
iving area over garage — complete 1—hour separation required on garage side
including supporting walls and posts, etc.
. Two exits on three—story dwellings (sec. 3303 & see Mezannines — 1716).
Attic access and ventilation (Sec.,',3.205).
1 Underfloor access and ventilation (Sec. 25.16).
. Combustion air for fuel burning appliances — L•.P.G. requirements.
Z�oise requirements on duplexes.
�Energy design.
+( Flashing at all exterior openings.
-17_CDF responsible.area requirements.
a
a.0
0�
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER A' A. P. # �S /o ,-
7,-T
Plan Checker
GENERAL
Zoning requirements: (sideyards and number of permitted living units).
Valuation.
Plans signed by designer.
Proper description of work on application.
Existing violations on property.
Items on data sheet..(W.C., fees, Health,
Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
3 Other buildings or structures. -r-.7
G►� Grading, fills, drainage:.
t� Flood hazard.
pecial conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
?
Developer Fees, License law, etc).
(noise, CDF, fire sprinklers,
E. Building or utilities across lot lines (Record form).
RT.nnp PT.AN
Complete to scale plan with dimensions.
_Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
'GFCIs in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacles
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other
or gas equipment.
-Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
'Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
nonFf iIcomb-
210-8).
for main -
electrical
Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
E�: Rafter ties or bearing ridge beam.
r--Carage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
�:, Special Inspection required.
building
lq�o 2--
r�
L G's FT
Fv�
�O +s g� 2�I IBS-
.
o f5 g4 L13S
46q gas t
/ DL
267-�g�
12 /S�u D
t6 t3 sF
17 P)F
I.Sh11xI?2
St
46q, 4
d.3x1Zo
rc
q75 045 a
=-
Point System Summary: Climate Zone 11 P -2R
Prof , t Title ' Date '
BUILDING DATA `
Conditioned Floor Area 1 Number of Stories
Slatgjaised Floor
Check all applicable Unit Type condition(s):
Single Family Detached (SFD) [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ j Existing -Plus -Addition
SCORE CARD
Measures
Fenestration
Area %
North 414_ �.
East 4ff 41 4'
South v
West
Skylight
Total
I. Ceiling Insulation or 11 OOa
R value 1381 U -value [0.028]
2 Wall Insulation or ,OGS
R-vWue 1191 U -value [o.Ml
3. Raised Floor Insulation or , p
Xvali 1191 U -value 10.0371
4. _ Slab Edge Insulation or�
R -value [0JF2 (acmr (0,751
5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Yj
6. Fenestration Heat Loss aW� .Go ,Z
T pe U -value (0.65] Total Fenes.1161
7. Fenestration Heat Gain
% Fenestration SCshade open Eff. % Fenes. Shade Eff. Rata
NorthZT x
East x - Z
South - x = Z
West"x
Skylight x =
Overhangs? ( Y / N ) --
S. Interior Thermal Mass or
% Exp. Stab 1201 Int mass/CFA-
9. Exterior Wall Mass
Ext Wall Mass
10. Heating System I O' Ir, I x 2/
APUE or HSPFDuct tfic.11 story: E AFUE
178% or 6.81 0.83; 2+ story: 0.88] or HSPF
11. Cooling System A11A x
12. Water Heating
System 1
eater Type
ISG501
System 2
Heater Type[None]
SEER [10.0] Duct Effic. [1 story: Effective SEER
0.81-.2+ story: 0.871
_����R_S_C
Energy Factor E'� R-u—euxiliary In
(0.531 01'I
21[No�
Energy Factor 3qxt. In liary Input
Point Scores
0
Sum 1-6
Zonal Control
Adjustment 101
Zonal Control
Adjustment (0)
enbA46 On X
ISTD]
Distribution
Point Total:
Form Revised January 1992
Point Goal:
-.0-
f w
ii Mandatory Measures Checklist: Residential
MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
r noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
,Building Envelope Measures
Minimum R-19 ceiling insulation.
tt V §150(b): Loose fill insulation manufacturer's labeled R -Value.
§150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
* §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§1500: Slab edge insulation - water absorption rate no greater than 0.3°x, water vapor transmission rate no
greater than 2.0 punch.
t§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
4
§1116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltrafion Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
; b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(9): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(Q: Special infiltration barrier installed to comply with §151 meets Commission quality startdards.
t§t 50(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Dogs
1. Masonry and factory -built firepWes have:
a Closeable metal or glass door
b. Outside au intake with damper and control
c. Flue damper and control
-2"No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(): Setback thermostat on all applicable heating systems.
§1500: Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined interiodexteriorinsuDation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
3: All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
S. Piping insulated between heating source and indirect hot water tank.
* §150(m): Ducts and Fans
I` 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
Wto a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
Exhaust fan systems have badkdraft or automatic dampers
I 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
i" manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36' pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
:continuously buring pilot light (Exception: Non -electrical cooking appliance withpilot < 150 Btu/hr.)
Ughting Measures
§150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover) approved. �p
Revised January 1992
.r�.
Certificate of Compliance: Residential (Page 1 of 2) CF -1 R
Project Address
ne
-
Date
Budding Permit #
Plan Check/ Date
I Field Check / Date
Uonipllance'Meth d_( ackage, Pant System or Computer) Cllmate Zone Enforcement Agency g ncy Use Only
GENERAL INFORMATION !/fid
Total Conditioned Floor Area: n2
Building Type: -.� Single Family Addition
(check one or more) Mufti -Family Existing -Plus -Addition
Front Orientation: North / East / South / West / All Orientations
(Input orientation in degrees and circle one.)
Number of Dwelling Units:
Floor Construction Type: Slab / Is oo (circle one or both)
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly Location/Comments
Tempe R -
Value U -Value (attic, to naragetytilcal. etc.
Wall ..............
Wall ..............
Roof .............
Roof .............
Floor .............
Floor...
Slab Edge ....
FENESTRATION
Fenestration Area Fenestration
_Orientation
(so U -Value
Front.....
W)
Front.....
( )
Left .......
W)
Left .......
( )
Rear.....
(E)
41:C , 4,0
Rear.....
( )
Right.....
Right.....
( )
Skylight
.......
Skylight
.......
THERMAL MASS
Revised January 1992
Shading Devices
Interior Exterior Overhang Framing Type
(roller blind, etc.) (shadescreen, etc.) (yes/no) (metaUwoodNinyl,
Area Thickness
toil pncnes) t_ocailONUescnption/(kitchen bath etc.)
r y =B7) frpve
Certificate of Compliance: Residential
(Page 2 of 2) CF -1 R
l
Date
HVAC SYSTEMS
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load.
Heating Equipment
Minimum
Distribution
Type and
Duct or
Type (furnace, heat
Efficiency
Location
Piping Thermostat .
pump, etc.)
IAFUU�E�MSPF
ducts/attic, etc.
R -Value Type
Cooling Equipment Minimum Duct
Type (air conditioner, Efficiency Location Duct Thermostat
heat pump, evap. cooling) (SEER) (attic etc) R Value Type
WATER HEATING SYSTEMS
Water Heater Distribution
Type Tvoe -
Rated' Tank
Number Input (kW Capacity
in System or Btu/hr) (ciallons)
Configuration
(split or Dack�
Energy'
Factor or
Recovery Standby'
Efficiency Loss (%)
---L_ - _ o
External
Tank
Insulation
R -Value
For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input a 75,000 8tu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business 6 Professions Code)
Name:T� %L4
Title/Firm: dlt/iJ/e�'J
Address:
Telephone:/�
Lic. it: '
x,22- iF
(signature) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stamp) (date)
Revised January 1992
Documentation Author
Name:yyl�/
Tide/Firm:
Address:
Telephone: / z ri
G /,-
ignature) date)
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
C
par 6-t)
School District t/ S D Building Department No.
A.P. Number0�j 6 33o"UUO Jurisdiction 0 City ®County
Property Owner
Property Location/Address --5-
z'``1/ 7�G 4EIX8Z: / LE G X7 --
r 0l e—
Subdivison
Residential Development
Commercial/Industrial
y,
No. of Living MHI
Units
New
Lot No.
0 Sq. Footage I�Q
Addition (Group R)
Sq. Footage
Addition
(Floor Plans reviewed by School District Personnel)
District Identification No. 9' CQ $9
(Including Exterior
Roofed Areas)
a a�
Dat
i C! D U A 1,1 D <s-.% School District certifies that
(Applicant)
(Street Address) (Phone Number)
04
(State)
(Zip
has complied with the requirements of Resolution No. q9f %? by payment of $ 5�Ul9 a 0
r
representing square feet.
School District Representative
Paid by Check Number
Bank Number
Paid by Cash
/,<
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CECQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
REtI6-3
TIAL
-0-008 92-2907 P,E
E k, Theodore
5441 Kleinsdale Ct, Forest Ranch
util/temp travel trailer
F
s�---:s3-0V
KLD
S
I
TED & ANNELLE 2160
HILLVIEW DRIVE
WALNUT CREEK, -CA. 94596
Butte County Building Dept. attn: Vernell.
196 Memorial Way
Chico, Ca. 95976
November 9 ,' 199.2'
RE: PERMIT 92-2907PE ON KLEINSDALE COURT, FOREST RANCH
This letter is in response to the Code deficiencies you noted on
the referenced permit. These items have been corrected and I am
now requesting that you reinspect these items and approved the
electric panel for service. I will schedule a final inspection
once the pump and wiring in the well -house have been completed.
You also requested.a letter of intent as the purpose of this
electric service. ` The main purpose bf this service at this time is
for the well pump. At a later date this service will supply the
main house.. There seems to be some confusion as to the use ofa
travel trailer on the property. This'.trailer will not be used as
a residence on the property and will only be there occasionally.
Hopefully this answers your questions in regards to the trailer.
Sincerely.,
O/V -t't.�- Sa.. �t,e —f!1 �� C• � LCs o% T � y/oK.
Sec y 6lew,.f '��..�✓ cu.a�at- 4S.
o cc -F o 4c+j
o � (.
T� �� Ue
3 � ��
cam-- �.�- �
� ► ,T ,
I ansa C�
,' ���
__
.1 OK
O = Not OK
Not = Not Ready' MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch •.
i
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'it./ /"LPG
7.
Well Clearance & Disconnect i
8. Utility Clearance
` r _
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 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal, w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
= OK`s
O -Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except ff'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 ft's
-16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- ------ ---------------------------
17. Water Pipe: Test & Anchor -Nail Protection
--- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------ - ----------------
- - --19. Shower Pan; Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
------------------------------------------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
----------- ----------- -------- ----------------------------------
Date Card B-1 Date Card 6-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture &.Transformer Clearance -Ins. Protection
--------------------------------------------------- ----------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------ ----------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
--------------------------------------------------------------
25. Romex -Installed Close to Edge of Studs & C.J.
------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
--------- - ------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------- --------------------------------------------
28. Subfeed Wire Sizer 'ga. Cu or AI-A.C. Wire Size/ / ga.
Cu or Al
-------------------------------------- ----------- --------------------------- ----
29. Range Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------- ------- ----------------------------
30.
------- -- ------
30. Service -Riser Conductors & Ground -Main Disconnect
--------------------------------------------------- --
31. Equip Clearances Panels-Motors-Mech. Equip.
----- ---- -----------------------------
32.
- - -----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 N's
34. -A. -C. -Ducts Insulation & Support
35. Vent Fan Exhaust above insulation
-------------------------------- - -- - --- - -----------------------------
36.
----------------------
36. Condensate Drain & Overflow: Size & Grade
----------- -------------------------- -- --- - - --- ----------
37.
----37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-------- ---------------------------------------------------------------
38 Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
Date Card -B-1 Date Card -B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h's
39. Sils. Proper Material & Anchors
----------- ------ -----------------------------------------------------
40. Walls Studs -Nailing. Spacing -& Bracing-Ptates-Sound
41. Bearing Walls over Girders & Floor Nailing
------ -------------------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
- ---
------------------------------------ ___ ------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
►ingle & Duplex)
Date FRAMING (Continued). • "
_ 45. Hangers -Post Caps -Anchors -Connectors
4G. 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 Exiling Doors -Sill Hgt. & Dimensions
50._G a Prote do Fra ng
-- -- 51. P -erty _ne FiII Ope ' gs
52. Ext. Doors -One 3' -Check Gara_e-3rd StPfLIAW
53. --- Stairs; Width -Headroom -Rise -Run -Landing -Fire Pr ction
---------------------
t
,54 -.,plywood on Roof Pverhang-Attic Vents-Raf er .triggers
--------- - i n N i
T5 Stu_co Mesh r' Screed -Fd. Vents-Underflr. cess
. Glazing_ GI s P of ction-Skylights-Plastic
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date- �Q - ---------
p_q,Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
---------------------- -
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
64. Bedroom Exiting
65. G F.I & Bath Fixtures & Tub Access -Spa
------------- -------------------
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
----------------------
_ ____ _ 67. Stairs -&-Rails
68. Fireplace or Stove: Clearances -Hearth
-----------------------
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
-7 1. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
--------------------------------
_____73._
------------------------------73. A.C. Duct in Garage -Damper
74. Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. .
In Garage: Above Floor-Mech. Protection
75. Plb., Elec. & Mech. _Equip. Listed for Location
--------------------------------
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
---------------
7-,.
--------------7,. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters _❑ Yes ❑ No ----------------------
81. Stucco; Brown -Finish
--- ----------------------------------- --- -
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - --- - -- ----------------------
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
- -------------------- ---
86. Ventilation Throughout House
- -- -- - - -------------------
87.
-- ------------- ------ ----
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
------------------------------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:
'--��.•`a'- � -,.., -<a-..— �..-r,-y.. .i.,.'n.�.......,;,r.....=-a:-.�.w.:•...:y:-..i .-v::rya'-r--+::dt-=�._�,n";;�"y�"„`
s ;
=�- - COUNTY OF BUTTE
DEPARTMENT OF PUBLIC -WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
-7 County Center Drive, Oroville, CA - (916). 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter; or need additiona(explanation,
please contact this office immediately.
n
Date — • rl� Inspector
REV 11/81
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,.-PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 O
• APPLICATIbN AND PERMIT ,m
ASSESSOR PARCEL NUMBER
056-330-008
ZONING
TM 5
BUILDING ATMIT
OWNER
THEODORE KLOSKI '(510)
TELEPHONE
947-1371
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2160 HILLVIE1 DRIVE WALNUT CREEK 94596
CONTRACTOR'SNAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5441 KLEINSDALE CT FOREST RANCH 95942
Permit fee
$ 20.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT O.
SUBDIVISION NAMEPARCEt�
g.e
(�/_
Water piping
7.00
Each ctas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeU Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home G
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities [n Installation❑ Other ❑
Describe work: TE1f1P T.T NO GAS
Permit Fee
$
;!!5
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO I000AI
_
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
/X 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.&\
OR ACDNS. l ACC. BLDGS. //
3.64 sq.ft.
NEW
NO N•RESID CONSTR. BRANCH CIRCTI TS
@ 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(ouTLETS OR FIXTURES
76d
20 464
FIXED APPLN S. OR
Ex. Occup. OUTLETS (RE51D.) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
g
'15.00
Permit Fee
$ 48.50
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
y 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
$
LContractor
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, dgments, costs, an expenses which may in any way accrue
again said in c nse nce th r nt'ng of this permit.
X (7
- Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit i5 required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Ener Inspection Fee
Energy P
$
occ
CONST TYPE
TOTAL FEE $113.5
HAz DFEES IMP
FLOOD
CDF
--
PARCI
(//
PD H
Is u
This permit is hereby issued under the
sions of the B e Coun ode and/or
01
Work 'ndic e o r which fees
I OF PUBLIC
BY _
RM T EXPIR S Date Q 3d
applicable provi
resolutions to do
have been paid.
WORKS Q
Date 6 3�
–gam_
Receipt No. 1.22558
WHITE•D.P.W.. YELLOW -ASSESSOR, PINK-INSPEC TOR, GOLDENROD -APPLICANT
�,a .. ...'e-. �1its.'n., � �:.,,„ 'i.79'r}r �;x•ar+- `� �eii'.t3• ..,.'v ? .i.f L'� 7. ..,: Wit.«,.... ..Y3:...-..
.s lit-1''Tti ,' i r. !r.^ a.--�/"!�1-n'.'r!' � t� 1n�+ h' 'li R:.iv4•�'Iti...i%C�`°`a^tb�
..•✓
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVF121E, CALIFORNIA 95965 - TELEPHONE (916 38-7541
PERMIT APPLICATION DATA SHEET
OWNER e I\ CO k- ( A. P. NoJ6-
Proposed Building Use /�( (� / - Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED "J BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. .......... 1. * * ....... ......
6. Energy Design Compliance and supportigdocume..... �N
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elev ion letter (100 year flood) bW California Engineer . ............ .
1 Sanit n and plot plan approval C HI 60 Health Department. 2 a . �
6. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. . _
19. Driveway permit (construction approval required prior to occupancy). .. ... ....
Pre -Inspection request
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
Recorded copy of Agricultural Acknowledgement Statement . .................. °
25. Letter of signature authorization . ........................................
6��eeCopy of recorded deed of parcel �cre'on and 60 right of way to a public road. .....
Letter of intent on ./../ .....................................
28. Mobilehome utility clearance . ........................................... t
29. Documentation of legal access . ............................. r ..........
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows:(
Telephone and hold for pickup
Other
Parcel Creation
Acreage
Mail to owner
Applicant
Mail to contractor.
_ office. Deliver with inspector.
Date r1 (7) �aoq(Z`
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other I Date By
a
The following data must be submitted prior tq permit issuancr,�,(Circle newAtem not checked above).
1. Index permit for above items No. AAff
/
2:4Additional items required:
Contractor, designer, ovIoder, was advised of above required data by one _ mail Counter bX!k9 Date
Contractor, designer, o n/e,r�,�was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Date Plans approved by Date 11j ZZ,
Sets of plans on hold in File cabinet AP folder 5-�Ar-r e -0v of ,%9
Copy - Department of Public Works y„kyL S� y� �ff� *1,./- !- �?, aR Aj /7l07, Aoloxo Aa
TO: Building Department
FROM: Encroachment Permit Section,
RE: Driveway Clearance
�/) +COdvC �r5 yr rr1 AP #
owner location
Driveway permit Ala t_4117"/ has been issued for the above property.
b
ZYA I-
sign re
-..`^ date
a
TO'' ... Buildina' Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Fold final for:
Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
MOTS :*
Sanitarian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviller California 95965 - Telephone: 918.'538-7541
APPLICATION AND PERMIT
—ASSESSOR PARCEL NUMSIKR
= ANO
BUILDING PERMIT
OWNER
W 6Gb T1s E �r0
9YF �37�
So. FT. OCC. BUILDING VALUATION
ESS
�60 ffc UlL—W �R, w LAJO CReCK 9 76
CONTRACTOR'SNAME
vl e
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
No.
Plan Checking Fee _
$ Q010
Energy Plan -Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AD RESS , I� y� _
Permit fee -
$ Q 0090 -
PLUMBING PERMIT
FilingFee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
0
SF ❑ Duplex[]. Mobilehom Other
SPECIFY
Gas piping system 1 -5 outlets
5.00
Building sewer
15.00
Mobile Home S
@ 15.00
TYPE OF WORKIgo
New❑ Addition❑ Remodel❑ Utilities kInstallation❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
I
Filing Fee 15.00
r S
��M P T. r _ G� "`
Main service 600V OR LESS
OR LESS
18.50
Main service 200A TO I OOOA1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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
El 1. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
DWELLING OCCUP. e}
NEW OR AODNS. CONST. ( ACC. SLOGS. /
3.6C sq.ft.
NEw CON5TR r ULTI.OUTLET
NON-RESID, BRANCH CIRC •ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OIJTLETS OR FIXTURES
RAO @ 76d
FIXED APPLNS.
EX. Occup. OUT LE
Ex. (RESIO )REA.)
I 3.00
Temporary service
1 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 permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
—
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $113
MAL
I D FEEJ IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 122�s,
WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works -
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 .._
unnecessar.y.delay in processing and 'issuing your building permit. No building permit
will e.'ssued,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)
I .(have/have-not)- /l 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 V
Address City -
Ph.one ... -: :.Contracto.rs= Lic:edse- -No - - -
5. I will provide some of the work but I have contracted (hired) the following
persons' to 'provide ,the .work indicated:
Name Address Phone° Type of Work
Signed:
Property Owner
Social Security Number — —
Date
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.
R 20.00' 3.55 Ac.
L 15.50
NOTE—All W,--- & Workmanship Shali Be in
Accord ::ogmized Go Wractices and
ccl
of a quality p;---''
0 Uniform Buildinc, and
the ectrica
8 268 49'50"
R 50. 00'
Q)
L 234. 60
3.92 Ac.
0'71
41V0 WE'
5 7' CENTER LINE OF SEC. 28 N 88 39' 0/ W
Location of structures &
equipment sW be as shown
& clear of eJ easoraft
�N'
This set of plans d speclftcaUons MUST
STbe
kept on the job at all es and it unlawfui to
or aratior
make any changes,,\. -Q on sauie 'Mithout
written permission from Dapartment of Public
Works, County of Buff a.
1,375.07
S. E. COR. PARCEL 8,
APMOVl�'
Butte County Environmental Health
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
RECORDER'S CERTIFICATE f
Filed M5, of Vo
in. BooA f P4RCf"L MAPS of page a . I the request
of
•Returi�to DPW AGRICULTURAL STATEMENT OF ,ACKNOWLEDGEN NT 92-3677:-9
FOR RESIDENTIAL DEVELOP`'IENT
'-'Section 26-8.1 of the Butte County ;Code 'r
requires this acknowledgement be recorded
prior to issuance of a building permit. .
All that real property:'•situate in the County of Butte, ,State of California, described as
follows:
Date: 4o G i2,LLL-
State of California)
Butte ) SS.'
County of -
OFFICIAL
L*NOTARY
FFICIAL SEAL
eda L. Chango
NQ PUBLIC • CALIFORNIABUTTE COUNTY
mm. Expires Jan, 13, 1995
Present A.P. No.
PROPERTY OWNERS:
•► ■Mw1
On this the 17th day of August , 1992 before.me, the
undersigned Notary Public, personally.appeared
-THEODORE L. KLOSKI
Personally known to me. ® Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Notary Publi
• b
_ I -
The property described herein is adjacent
��� I Rec Fee 8.00
to land or included within an area zoned_
I Cash 8.00
for agricultural purposes, and residents
Recorded I
of -this property may 'besubject to incon-
Official Records I
veniences or discomfort arising from the
County of I
use of agricultural chemicals, including,
Butte I
but not limited to herbicides, pesticides,
Candace J. Grubbs I
and fertilizers; and from the pursuit
of agricultural operations including,
Recorder
corder I
but not limited to cultivation, plowing,
1O:5517-Aug-92 I PUBL XX 2
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to accept such' inconvenience
or discomfort from normal,.necessary farm operations.
All that real property:'•situate in the County of Butte, ,State of California, described as
follows:
Date: 4o G i2,LLL-
State of California)
Butte ) SS.'
County of -
OFFICIAL
L*NOTARY
FFICIAL SEAL
eda L. Chango
NQ PUBLIC • CALIFORNIABUTTE COUNTY
mm. Expires Jan, 13, 1995
Present A.P. No.
PROPERTY OWNERS:
•► ■Mw1
On this the 17th day of August , 1992 before.me, the
undersigned Notary Public, personally.appeared
-THEODORE L. KLOSKI
Personally known to me. ® Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Notary Publi
• b
11
1 � .
9'-2_367.79
RECORUING REOUE5TEO BY -
BUTTE COUNTY TITLE COMPANY • may )7Z
AND WNLN aeCOaO[D MAIL TO corTIJ SEP I9 IO s2 4H Mr. Theodore L. KloskilOUI$E°`""'712 Sea View Dr.,."LE1Cerrito, Calif. 94530J FTidy Order No. 93066 Escrow No.p.i2798SPACE ABOVE TT FOR RECORDER'S USE 1
F..,.,,..,.nrrN,.,o Documentary rf"enefer tax i.... 3.30 ................
Same as above ❑ Computed on full value of'
property conveyed, or
nn.... Computed on full value lees liens and encumbrances
a remaining thereon at time of sale. I1
.,.r. L J ��� `,� ' `BuseCounty-Title..Company...... I
alanat— of d. lar.nt or ...nt d,errminin0 tax — firm n.m.
�lttbibibual
1 -int Tenanq lt!leeb TAX PAID
WaaTCRN TITLt FORM NO 100
FOR VALUE RECEIVED. EVERD A.,McCAIN AND IONA I, MCCAIN, his' wife
r
'GRANT -to THEODORE L. KLOSKI AND ANELLE M. KLOSKI9 husband and wife
as JOINT TENANTS all that real property situate in the unincorporated area
County of Butte State of California, described as follows:
All that certain real property situate in the County of Butte, State of Calif-
ornia, described as follows:
Parcel 4, as shown on,the Parcel Map of a portion of the Northeast quarter of
Section.28, Township 24 North, Range 3 East, M.D.E. S M., which Parcel Map was '
filed in the office of the Recorder of the County of Butte, State of California
on March 6, 1972 in Book 41 of Parcel Maps, at page 48. i
TOGETHER WITH AND RESERVING THEREFRO`1 a non-exclusive easement for road and pub-
lic utility purposes, being described as follows:
y Beginning at a 3/4 inch iron pipe, tagged R.C.E. 14203 and marking the Northwest
corner of Parcel 8, as shown on that certain Parcel Hap of a portion of Section
28, Township 24 North, Range 3 East, M.D.B. 6 M., which Parcel Dlap was filed it
the office of the Recorder of the County,of Butte, State of California on April
21, 1971 in Book 37 of Parcel Maps, at. pages 82, 83 and 84; thence from said
point of beginning, North 68°07'31" East, along the Northerly line of said Parcel
8, a distance of 22.0 feet to the beginning of a 180.0 foot radius tangent curve
to the right; thence leaving said Northerly line of Parcel 8, along :aid 180.0
foot radius curve, through a central. angle of 64°33'14", a distance of 202.80
feet; thence South 47°19'15" East, a distance of 356.91 feet to the beginning of
a 20.0 foot radius tangent curve to the left; thence along said 20 foot radius
curve, through a central angle of 44024'55", a distance of 15.50 feet to a point
of reverse curvature; thence along a 50 foot radius curve to the right, through
a central angle of 268°49'50", a 2istance of 234.60 feet to a point of reverse
curvature; thence alcng a 20.0 foot radius curve to the left, through a central
angle of 44°24'55", a distance of 15.50 feet; thence North 47019'15" West, a
distance of 356.91 feet to the beginning of a 120.0 foot radius tangent curve io
the left; thence along said 120.0 foot radius curve, through a central angle of
64°33'14", a distance of 128.16 fent; thence South 68007'31" West, a distance of
28.52 feet to the Westerly line of said Parcel 8; thence North 15°39'42" West,
along said Westerly line of Parcel 8, a distance of 60.36 feet to the point of
.beginning.
m
o
ALSO TOGETHER WITH AND RESERVING THEREFROM a right.of way for road and public
N
utility purposes over thn roads shown in the Parcel Map filed April 21, 1971 in
Book 37 of Parcel Maps, at pages 82, 83 and 84, that lies within th" boundaries
Ul
of Section 28, Township 24 North, Range 3 East, M.D.B. b M., as described in
Patent recorded July 29, 1896 in Book "E" of Patents, at page 393, records of
:•
Butte County, California.
Can
END ®F DOCUMENT
First V ge'o GhristopH,er colKLOSKI
2160 H I LLV I EW DR.
rrs e
WALNUT CREEK, CA 94596
am
AAS-
0/0 c,ouccl( TvAw,)(v3(2
'7 coU l Mg�pC.w�>R_
0"\ILAIE CA- 0(5-9 �9--"
KLOSKI COUN o O DBUM
M
2160 HILLVIEW DR.
WALNUT CREEK, CA 94596 U2 1992
August 30, 1992
Dear Tom:
As per our phone conversation today regarding a temporary travel
trailer on my property, #A. P. 56-33-008, 5441 Kleinsdale Ct.,
Forest Ranch, I intend to remove the trailer from the property
after the permanent house is built.
Sincerely,
Theodore L. Kloski
Planning Department
COUNTY OF BUTTE AUG 19 1992
BUILDING DEPT
AUG 19 1992 Oroville, California
2160 Hillview Dr.
Walnut Creek CA 94596
August 18, 1992
Butte County Dept. of Public Works
Building Division
Sirs:
Yesterday, August 17, I applied for a Utilities Permit for A. P.
#56-33-008 in your office. I completed all the items on the data
worksheet (the Chico Health Dept. will mail you my approved
Sanitation Plot Plan).
Please add the following to my request for an electrical panel
inspection: The key to the pump house is behinq1 the dead front in
the electrical panel.
The new address I received in your office yesterday is 5441
Kleinsdale Ct., Forest Ranch, CA.
Thank you,
Theodore L. Kloski
L %4 "e'S/ J:✓
R 20.00' 3.55 Ac.
L 15.50'
717.27
0#42##E
of �A N 820 0
1 '
to '
\ \ , 6 26804-9 50"
R 50.00
N O L 23 4. 60
\ h 3.92 Ac.
O .
Q7' -
4
'4N0 WES.i CENTER LINE OF -SEC. 28 N 88° 39' O/ 14! 375Y07
I
S. E. COR. PARCEL 8
E
S
RECORDER'S CERTI FI CA TE
_ Filed M/a�_day of 9'!t oI � �__S7o QPM.
in BooAPARCEIL MAPS of poge of »e request
of,
L
O S
F
S. E. COR. PARCEL 8
E
S
RECORDER'S CERTI FI CA TE
_ Filed M/a�_day of 9'!t oI � �__S7o QPM.
in BooAPARCEIL MAPS of poge of »e request
of,
� al'�.i1� �a�/11 tf � aft � s-�'�a•�c� 0-� jre� •�dLa� i.,�
:31Va
jo � �F� i1 O� `)''`E'� ita �7 a' ,�� Sro� 1 7I4 :173rans
:woaq
:01
wnPuDaowaW (ijnauaw" adaa-aa�u�
��„- 1 i e
,u
M!�=
F
ow
;13
U.1
<rl
M!�=
F
ow
;13
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Plot 1'I:m Attached
floor IT,n Attachid ( �
• k los k S -`l41 Ki e61,e-
,, Owner Location AP//
Plat Approved for: Sewage Disposal !/ Water Supply: Public Private Well
Clearanc�for_Lbedroom mobile home. Other oA.._au
Hold final for: ,dzdj,
Final clearance O.K. for:
NOTE:
L411,GY l 9-ZY-�iL
Environmental Health Specialist Date
8/92 `
Theodore L. aIN
P.O. Box 808
Forest Ranch, CA
Anella M. Kloski
Fa
Ratte countil
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530)538-2140
February 24, 1999
RE: Building Code Nolation A.P. #: 056-33-0-008.
5441 Kleinsdale Qbqrt, Forest Ranch
Dear Mr. and Mrs. Kloski:
This is a courtesy notice to�otify you that you are in violation of the
Butte County Code, as follows, a the above referenced location:
Failure to obtain approval of p �vious corrections and failure to obtain
final inspection prior to oNlkpancy and permit expiration for
construction of single family resi e.
Since permits and, inspections are require or the above work, apply for
the required permits to make corrections an omplete project and pay the
appropriate fees.
All work must stop until these permits are issue nd you are authorized
by our field inspector to proceed. This field author' ation cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with he Butte County
Code. However, you should be advised that Butte County has\een
Code
Enforcement Program which provides an effective means of t if
voluntary compliance is not obtained. Enforcement may be poughthe issuance of citations, fines and the recordingof a Notictionincluding a description of the action necessary to abate the vYou have thirty 30) days to voluntarily comply with the abnsor to present an acceptable plan for abatement or corrects
be taken by you.
Should you have questions concerning this matter, please contact Mi
Vieira or Scott Rutherford in this office at the address or telephone n
listed above.
Yours very truly,
MCV:dms Mic ael C. Vieira, C.B.O.
Manager, Building Inspection
cc: Assessor