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056-320-031
3 56-3 t 31. F,F_ place Loo 056-sa9 '631/�OT . P, app 325' E of Hwy t Ranch lot #4 Pi n -E. 'tzgerald, Forest_Ranch6-83B_ P ___ '--- _._ _ ._ (). , new single fa'mil ) wm 56-32-25 P) wF tzgerald, Forest Ranch rit /,8'47-83B E conv carport to g. ge/sf) 056-320-031 PERMIT#94-1683 ;. LAURSEN, LEO T.` tv.pA. to �t�. L � 16753 HOMEPLACE LOOP, FOREST RANCH ADD DECK &MOVE NON-BEARING WALL/SF I 056-320-031 ERMI 9 `1644 a 16753 _Stefan 4� $1 $ 9 - 16753 Homeplace Loop, For!It. arch ` ' Misc'Ele for'Hot Tub/SF • �. 056=320=031 99=0787 PLYLEY, PLYLEY, Stefan 16753 Home Place Loop, Forest Rrch Contr:Owner 1�� detached garage 26 X 34 r i�F __111 I 77 056-320-031 O1-]299 PLYLEY, STEPHAN 16753 HOMEPLACE LOOP F CONT: OWNER IN ® I GARAGE CONVERSION i I FA MA MOM, NOTES ' a _ RESIDENTIAL 056-320-031 S j�6j 511 01-1299 v `l'LYLEY, r�. f #16753 HOMEPLACE LOOP FR RNCH ,CONT: OWNER. }•` GARAGE CONVERSION t� I 1/61-- SPECIAL /'lSPECIAL CONDITIONS SRA .^ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB STANDARD HOUSING LETTER JOB FINALED (Date) Signature f''� CHECKED BY A I 1/61-- SPECIAL /'lSPECIAL CONDITIONS SRA .^ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB STANDARD HOUSING LETTER JOB FINALED (Date) Signature f''� CHECKED BY A /=OK, 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Electricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete , 6. 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG Exits; Insp.-Sketch 7. Well Clearance &•Disconnect 12. 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. Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEO$- C. o H v erSI 0 a^ Date DECKS, COV S, CARPORTS GARA (Plans) OK except #'s U VAning Requirements -Setbacks -Easements t t . F tings; Soils- ze-Depth-S Ging-Connectors-Steel , Decks; Gi ers and/or J s -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric r 8. Frrrg.; Sills-Anchors-Studs-Rhrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date 10. Roof; Shthg-Roofing Card B-1 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date f'-� r♦ Card B-1 Date Card B-1 Date % ` ' ' Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -.Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche . r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r , a V= OK 0 = Not OK - = Not Applicable = Not Ready Card B-1 Date Card B-1 RESIDENTIAL (: Date Date Underfloor (Plans) OK except #'s 40. 1. Zoning -Setbacks -Easements -Flood -Slope Walls Studs -Nailing Spacing & Braces -Plates -Sound 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 43. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Sfeel- 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. 14. Plenums & Ducts; Clearance -Material -Support -Ins Girders -Sills -Anchor Bolts -Jot ents-Crippies 15. Access & Ventilation - - _Qhd d CK 16. Insulation -7-9-7-61 Date Card B-1 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 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture &Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B -t Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing r jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47.- Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Tru ss- Shting. -Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 1 r u align -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FJNAL (Plans) OK except #'s Steps Door & Sidelight Protection -Landings Smoke Detector 65 -Furnace Vents -clearance -Comb. Air -Connector; In Garage; Above Floor-Ducts-Mech. Protection -6t3�Beiiroom Exiting & Bath Fixtures & Tub Access -Spa 6 Elec. Trim & Subpanel, Breaker Sizes & Labels rs & Rails -AG.-Fireplace or Stove, Clearance -Hearth ,�;4Elar- Outlets at Wood Panel, Int. & Ext. -72A.Wr Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure --17Duct in Garage -Damper `76'-Wrr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in arage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location \Z8�E1i3c. Receptacles in Garage (F.F.I.)-Romex Protection _-29-Insulation-Foam-Looked in Attic e--O&--Guard Rails & Deck Construction -Post Caps --8i--Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes Following Instld./Drive J Yes J No/Walks J Yes ] No/Planters J Yes J No __,$a-9tucco Brown -Finish --18_77Z. Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground -997 -Ventilation Throughout House ss Protection 90. Corrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric ge Water & Sewer Connected -C/O to Grade -HD Approval 93,�' Ene gy Compliance Certificate -Other Certificates 944,Kdd,ess Posted Date Id `:Z) 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: r .. ._. - .y ... Ys"i^-- M17r^.r--.fir ..'�. �. a.,.•--✓.�.�...._.�..-/-..'"`.'1..•.t+..s- �`t. 1 COUNTY OF BUTTE BUILDING DIVISION 2-6 DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538f 7541 CORRECTION NOTICE OWNER I PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date CJ Inspector ' REV 10/92 rd�►1c111,'I=i�1:+=1ain'�'/.®101 �it�'�`�`9���'�t�'� APA Certificate of manc e Certificate 0'54069- THIS '54069- THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products - Structural Glued Laminated Timber NER-486. Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 —Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA'EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the'Enginee?ed Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. V W 00 0 ggl<<,1J'����, SEAL,C,3� �0* ':% SHIN n by Thomas G. Williamson ; Executive Vice President ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 191h Street • P.O. Box 11700 • Tacoma, WA 98411-0700 Telephone: (253).565.6600 • Fax Number: (253) 565-7265 n "COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION I County Center Drive o Orovillle, California 95965 9 Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT / J a9l / ASSESSOR PARCEL NUMBER 056-320-031 ZONING TMS - BUILDING PERMIT OWNER PLYLEYSTEPHAN TELEPHONE 345-2 75 SO. FT. OCC. BUILDING VALUATION 520- 10,400.00 . OWNERS MAILING ADDRESS 3T40 120 R 6,480.00 CONTRACTOR'S NAME Qum TELEPHONE 18 C 23 /, • QQ l� �+ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER EFireplace A 1,500.00 LENDER'S MAILING ADDRESS Total Valuation $ 18 614.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 198.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 128.70 BUILDING ADDRESSEnergy 16753 HOMPLACE LOOP FOREST RANCH CA 95942 Plan Checking Fee $ 23.00 $ PERMIT FEE $ 369.70 LOT NO. SUBDLSIONS NAME N PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pum water heater 23.00 Water piping 115.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition IR Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARA -E C-CIDAMSION 10 FAMILY IR Gas piping stem 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 920.00 1 1 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Feel 20.00 V OR LESS Main Service . ' OR LESSE3.05 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 for the following reason: 01 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. UDS.FT-24.10 ,mµaE°S,pT. MULTI.OUTLET POWER APPARATUS h SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES Ex. Occu . DFIxLITe AM oR�Law Tem orar Service Mobile Home Facilities Misc. Wirin . PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to -self-insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 54.50 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.) 10 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit omply th those provis' Fts— -s 2 X �) Date S 3 — ®1 Signature of Applicant - ® Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep andAemolition or construction of structures over 3 stories i Q Mobile Home Installation Fee $ Energy Inspection Fee $4 -6—.00 -- occ 11 oNST.VNE TOTAL FEE $ 569.3 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indica o for w icla-fees have been paid. By Date PERMIT EXPIRES ON 7 liv DeT Receipt No. 121A,657-5 WHITE-D.D.S.-B.D. C NARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: t- S rE %lid/ ASSESSOR PARCEL Proposed Building Use: Ve d2v Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted ----------------------------------------------------------------------- --------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------ — ---- ❑ ❑1 .. ees of $ ------------------------------------------------------------------------------------- 1. pact fees as shown on the attached schedule.---------------------------�---/------------------- - - California Department of Forestry plan approval/fees.�----- -- — ❑ 13 Flood elevation certificate. ---------------------------------------------------------------------------------------- anitation � 15. City of Chico plumbing permit. ----------------------------------------------------------------------------=------ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ------- I 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy), --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------= =-------------------------------------• ❑26. Letter of intent on building use. ------- 027. Manufactured Home utility clearance. 2Existing V1expiredpermits.. r -=------------------------------------------------ ❑M,r u. . , M.H. .ite, ❑Check to H.C:D $ _ . --------------- 0. Other: 1-____-- Wh you issue the ermitjprocess. as follows MaiL.to=owner,:OMail to contractor. 'Telephone 3 KJ X 7� and hold for,pickup at C#160 office. ❑ D'ver with inspe Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire ep t 0 utio�� Copy of plans sent ❑ Health Department, ❑ Fire -Dep -0 - Index permit application for the above items 2. Additional items required: l/ (Date) Date: S` 3 to ( ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ p one, ❑ m ' , uilding Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building ision counter, by ate' Plans reviewed by: Date: Plans approved by: Date: / Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: (Z f3 Data: Z VA11_, 0- -Ile. .+. e . , CT_% -1---- "-- ' - ^ , , )Is4 E.H. ONLY Plot Plan Attaehad Floor Plan AtWched� Sant to B.D. I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /Ownerf Location AP# Plan Approved for: Sewage Disposal i Water Supply: Public Private Well Clearance for dwelling. Other NGIG Tlnal Tor: Final clearance O.K. for: (VOTE: 4 Environmental Health Specialist Date OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE A.P. # a 5167_ DATE �^ > f RECEIPT # DATE REC. PROPOSED UILDING USE 1. BUILDING PERMIT FEES t --Balance Due ....................................................:... $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ............... :................. $ 2. SCHOOL DISTRICT FEES I(�co (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ......................:............. x $360.00 = $ Units Commercial' (sq. ft.) ....................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$' # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES 510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK Psi% $89.00 (paid at Building Division) a� �3�• �l 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.. These fees maybe changed during the plan checking process. ' APPLICANT DATE t- U11 Pursuant to Government Code Section 666 0, 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 - Building Div. 2nd Copy - Applicant 3rd Copy - Owner s ' (Rev. 6/00) L T 1 'f COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE 1ii0 PROPOSED `UILDING USE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ - --Additional Fees Due ........................................ w .; .... $. --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES�GQ r (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ...................................... Units K Commercial (sq. ft.) ...................... /J Sq. ft. 4. URBAN AREA FEES Residential ............................ x # Units Commercial (Sq. ft.) ............. x Sq. ft. 5. RECREATION DISTRICT FEES A.P. # 042 3;20 -OV DATE 3 RECEIPT # 4 x $360.00 = $4 x $0.03 = $ Amt. Amt. 6. THERMALITO DRAINAGE DISTRICT FEES 40$510-00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK i $89.00 (paid at Building Division) 1XV 8. WATER TENDER FEES (Battalion # `{ $200.00 (paid at Building Di -vision) ^' 9. CSA 87 TRAFFIC FEE, $2500.00 (paid at Building Divi n)� 10. OTHER 1 • i� 'ld i r DATE REC. 3/. At time of permit applicatibn, I as advised the above fees ate required to be paid prior to issuance,of the building permit. These fees may be changed during'the pl•anYcheck'ing process r` ? ► +. +'' APPLICANT DATE 3 G� r. r•r�/ Pursuant to Government Code Section 66010, 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 - Building Div. 2nd Copy - Applicant t. 3rd Copy - Owner (Rev. 6/00) 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 M. NO O '2. I HAVE 01 HAVE NOT O signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (firm) to.pmvic�tie, proposed const uct on: NAME. - - - ,.,� • -u. ADDRESS: CTTY:_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work,, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: - - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK yfr,:.T.:, . SIGNED: PROPER SOCIAL SECURITY NUMBER: DATE: —a f NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit. OVER OWNER BUILDER INFORMATION 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 yod pieta to �j+oiir own works, with the excepdon of various trades that you plan to subcontrack you should be swan of the following information for your benefit and protection: ' ♦ If you employ or o&wwise engage any persons other than your immediate family, and the work (mchrding-materials and other costs) is $300 or mon 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 several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, \ 16(x_, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19330 of the CaWornla Health and Safety Coda OVER f"n„F...y�y'""'�`t,{TJX^'�.n'ii.,-[t`�►`�`l'�'�i1: 3i...�iF:���-.1.m":.+t�l't�,:::5'w=•.:Cwik�`3;'�iiYv+i's'�r`''l;�.itl'1Stiii,sriM'ib`Ma71+r�,lri,.r-a,.r.v'xtT".'.Y"^'.yr•-r.4r.�...:....... .....-......-.—...,.•-� BUTTE COUNTY SCHOOLS.IMPACT FEE CERTIFICATION FORM `'(One fofm per Building) School District 4 "' Building Department No. 05(0-320.- 031 A.P. Number Jurisdiction: City e]county Property Owner S- toc `t t Property Location/Address ( -✓ �����2G� "— -0 Subdivision `- Lot No. ................................................................................................................. . �^- Residential Development i Sq. Footage J No of Living Mobile Home Addition/ *Supplemental to (Group R) Units ' Installation Conversion Permit # *(No foundation inspection): ................................................................................................................... Commercial/Industrial New AddRion Building rians revieweD Dy acnooi uisinci rersonneu District Identification No. 01 o-1 School District certifies that r (Street (City) has complied with the requirements of Resolution No. representing V square feet. Sq. Footage (Including Exterior Roofed Areas) /2e/ -o/ Date I I (Applicant) (Phone (State) (Zip Code) / q 9—e) by payment of $ M6-190 6- D School District Representative Paid by Check # - Remarks: AB 2926 S FULL MITIGATION $ Ell or fn Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: STEPHAN PLYLEY ADDRESS: 16753 HOWEPLACE LOOP CITY & STATE: FOREST RANCH, CA 95942 DATE OF CLAIM: 8/14/01 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING Gnnn-R nP SFRV1cF4z DATE VIV KCvr_mz= DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA OVER CHARGE. AP 056-320-031, RECEIPT# 324314, DATED: 5/31/01 , BP# 01-1299. SIDE AMOUNT TOTS UNT D: 907.55 TOTAL AMOUNT RETAINED: TO BE REFUNDED: 658.30 249.25 rN TOTAL - I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim Is true and correct ae stated. Dated this j_ day of u 204, at 1LxditA—, t, , Calif; , re Yglkma I, the undersigned, hereby ceitify that, to the best of my knowledge, the services les specified a n performed or delivered and that there Is a Budget Appropriation I I or Specific Board Approval I I (Check one) for the sa e. Dated this 15day of AUG , 20 Ojat OROVILLE Calif. rt t Head or Authorized De Dept. Code 440-002 Exp. code 4210500 PAYABLE FROM BUILDING PERMITS Dept. Code Exp. Code PAYABLE FROM De Code . Code PAYABLE FROM FUN[ FUN[ FUN DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION, ASSESSOR PARCEL: RECEIPT NUMBERS, t nqml�er(s) for the following Request �.(e4jnd of fees oaid on tn,�ibov -re( owing reasons: bS Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ., ' ' ' I Building Permit Fees Sheriff Fees SRA Fees (CDF R4 Planning) Urban Area, Fee Disposition of Plans - Plans returned to me at counter Please mail plans to me at above -address. Please dispose of plans. SIGNATURE 511-k.DATE 4-D � 7 3 /-07 PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. 'N . FOR BUILDING DIVISION USE.- Receipt SE:Receipt Information: Number: Date: Issued To: Amount: • 5 Fees Retained:. Processing Fee: $ Bldg Filing Fee: $ _l Plbg Filing Feer; $ ` Elec Filing Fee: $ `\ Mech Filing Fee: Energy P/C Fee: i Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ Total Amount Retained $ _ J TOTAL REFUND DUE $ i + E.H. USE ONLY Plot Plan Attached Floor Plan Attached �S ' Sent to S.D. e TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /075.3 L, Ow'nei Location AP# Plan Approved for: Sewage Disposal � Water Supply: Public Private Well Clearance for dvft4KW. O/therl' Tam%LA/ 1W, &1)� P /'m, ,71,7,7 Ce Hold final for: Final clearance O.K. for: NOTE: 2 ��•� /Ick Environmental Health Specialist 8/96 Date �1 f CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Plyley Addition Date..05/,24/01 15:.01:15 Address•.:. ,_. ..< ;._...r,.. .... ....... _.._.. ..... Forest Ranch *v5.10* Documentation Author... Marty Runnells ******* 'Bui in ermit Energy Calculation Services.. 1907 Mangrove Avenue, Suite E Pian Check-/ Date Chico, CA 95926 — 530-894-8466 Field Check/ Date Climate Zone........... 11 "Compliance Method. MICROPASS v5-.10 for 1958 'Standards by Enercomp, Inc. LL"" MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition Component Type Wall GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction'Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... 683 sf Single Family Detached Addition Alone Front Facing 180.deg (S) 1 1 Slab On Grade 11.9 0 of floor area 0.55 Btu/hr-sf-F 0.65 9 ft BUILDING SHELL INSULATION Frame Cavity Sheathing Total Type R-value'R-value R -value n/a R-13 R-n/a R-13 Assembly U -value Location/Comments Door n/a R-0 R-n/a R-0 0.330 Roof n/a R-30 R-n/a R-30 0.031 Floor n/a R-19 R-n/a R-19 0.037 SlabEdge n/a R-0 R-n/a F2=0.760 FENESTRATION Area U- Interior Orientation (sf) Value. SHGC Shading FRONT, LEFT, BACK RIGHT LEFT, BACK TO ATTIC RAISED FLOOR to exterior Over - Exterior hang/ Shading Fins Window Front (S) 12.0 0.550 0.L;6,50 Standard Standard None Window Front (S) 24.0 0.550. 9-&650 Standard Standard None Window Left (W) 12.0 0.550 0. �0 Standard Standard None Window Left (W) 24.0 0.5 50 StandardRo,11Iown None Door Back (N) 9.0 0 S,*Standard Standard None "CEIVED MAY'31 2001 BUTTE COUNTY BUILDING DIVISION CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Projeqt Title The Plyley.,_Addition Date OS /01 15..:01.:15 MICROPAS5 v5.1`0 File-01193ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition SLAB SURFACES Area S l ab 'Type Standard Slab- 641 HVAC SYSTEMS Minimum' Duct Duct Tested Duct ACCA Thermostat Equipment Type Efficiency Location R -value Leakage Manual D Type. Gas ` 0.780 AFUE Attic R-4.2 No No Setback ACSplit 10.00 SEER Attic R-4.2 No No Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater,.Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC.specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard. Fenestration Shading. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R T]v.n.4 i.4- T:4--1 T1__1- wJJ_• J .. . . . . . . . . 111C r.Ly1Cy HUC11L1CJil .r_ _ Date..U5/24/U1.._15,:01-:1 MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance sped-f-i�cations needed to- comply` 'with `Title=2"4; 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 Modeling Assumptions section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Name.... Marty Runnells Company. Company. Energy Calculation Services Address. Address. 1907 Mangrove Avenue, Suite E Chico, CA 95926 Phone... Phone... 530-894-8466 License. Signed.. Signed.. ! P52�f D/ ate (clams ENFORCEMENT AGENCY Name... Title... Agency.. Phone... Signed. date MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The. P.lyley_Addition Date..05/24./01 15:01:15 Prod ect_. Address ...' Forest Ranch *v5.10* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite E Plan Check Date Chico, CA 95926 — 530-894-8466 Field Check/ Date Climate Zone...... ... 11 Compliance Method...... MICROPAS5 v5.10 for"1998 Standards by Enercomp, Inc.*- MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition Note.: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in'the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -value, certified solar heat gain coefficient, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. N IA v' MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title . The rlyley Addition nate ...Y5124/.Q1 15 :.01.: l! MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- „ ,- . .. •_ er Ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h) Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. 150(1): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor of less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums constructed, installed, in- - sulated, fastened, and sealed to comply with the ICBG 1997 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181A, or UL181B and other applicable 'specified tests for longevity given in Sec. 150(m). 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning, pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). MANDATORY MEASURES CHECKLIST: RESIDENTIAL' Page 3 MF -1R Pro3ect Title.. .. The Plvley Addition.1 5/, 4./01 15 ... _. MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -.Energy Calculation Servic Run -683 SF Addition LIGHTING MEASURES: 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Deis gn-��,�Enforce .,.a . er ment COMPUTER'METHOD SUMMARY Page 1 C -2R Project Title.......... The Plyley Addition Date..05/24/01 15:01:15 - ." f . . Forest Ranch *v5.10* Documentation Author... Marty Runnells ******* Energy Calculation.Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 Climate Zone........... 11 f Compl ance--Met•hod., :' MICROPAS5't v5 . 10--�Lfor"-,10.9'98 2Standards ,.by Enercomp;" In*c : MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition Zone Type HOUSE Residence N MICROPAS5 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Proposed Building Permit Plan - Check Date Field e Check/ Date f Compl ance--Met•hod., :' MICROPAS5't v5 . 10--�Lfor"-,10.9'98 2Standards ,.by Enercomp;" In*c : MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition Zone Type HOUSE Residence N MICROPAS5 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Proposed Compliance Design Design Margin 16.79 16.07 0.72 17.78' 18.45 -0.67 28.82 `28.82 0.00 63.39 63.34 0.05 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... 683 sf Building Type .............. Single Family Detached, Construction.Type ......... Addition Alone Building Front'Or-ientation. Front Facing 180 deg (S) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Slab On Grade Number of Building Zones... 1 Conditioned Volume......... 6147 cf Slab -On -Grade Area.......... 641 sf Glazing Percentage......... 11.9 — of floor area Average Glazing U -value.... 0.55 Btu/hr-sf-F Average Glazing SHGC....... 0..65 Average Ceiling Height..... 9 ft BUILDING ZONE INFORMATION - Floor # of Vent Area Volume Dwell Cond- Thermostat Height (sf) (cf) Units itioned Type (ft) 683. 6147 1.00 Yes Setback Vent Air Area Leakage (sf) Credit 2.0 Standard No COMPUTER METHOD SUMMARY Page 2 C -2R _uY Pr.o.j ect,.Ttle,,k .rThe Plyley „Pddition K. Date 05/x24./,01,15 Ol: 15 MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition OPAQUE SURFACES ,,..:Ar.ea .. U- Insul Act Solar Form �3z,_Location/._., :. ,. Surface .(sf) value R-val Azm Tilt Gains Reference Comments HOUSE - New 1 Wall 203 0.088 13 180 90 Yes None FRONT 2 Wall 280 0.088 13 270 90 Yes None LEFT 3 Door 20 0.330 0 270 90 Yes None LEFT 4 Wall 162 0.088 13 0 90 Yes None BACK 5 Door 9 0.330 0 0 90 Yes None BACK 6 Wall 75 0.088 13 90 90 Yes None RIGHT 7 Roof 683 0.031 30 n/a 0 Yes None TO ATTIC 8 Floor 42 0.037 19 n/a 0 No None RAISED FLOOR PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE - New 9 S1abEdge 75 0.760 R-0 No to exterior FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade Orientation (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC HOUSE - New 1 Window Front (S) 12.0 0.550 0.650 180 90 Standard/0.76 Standard/0.68 2 Window Front (S) 24.0 0.550 0.650 180 90 Standard/0.76 Standard/0.68 3 Window Left (W) 12.0 0.550 0.650 270 90 Standard/0.76 Standard/0.68 4 Window Left (W) 24.0 0.550 0.650 270 90 RollDown/0.13 Standard/0.68 5 Door Back (N) 9.0 0.550 0.650 0 90 Standard/0.76. Standard/0.68 SLAB SURFACES Area Slab Type (sf) HOUSE Standard Slab 641 HVAC SYSTEMS Minimum Duct Duct Tested Duct ACOA Duct System Type Efficiency Location R -value Leakage Manual D Eff HOUSE Gas 0.780 AFUE Attic R-4.2 No No 0.737 ACSplit 10.00 SEER Attic R-4.2 No No 0.645 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title. .... The Plyley Addition . . Date,. .0-5/24/0 1. ,.._. _ 15,01,15_:.. MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation.Servic Run -683 SF Addition WATER HEATING SYSTEMS Number Tank External ., in-- '-EnergySize Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to.inanufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building' incorporates non-standard Fenestration Shading. REMARKS HVAC SIZING Page 1 HVAC Project Title.......... The Plyley Addition Date..05/24/01 15:01.:15 „__.�..Pro�3ec�t.=.>A.r-.•es-s..._.�s:.:._....,._,..:...,_�.._...:_��....���.E:-.�,.�:..�....._�>a,.�..:.��...:�..�:.,,�y-,:r- __.�_._.*s�,��_:� .-- Forest Ranch *v5.10* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite E Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 �,>-YaComp.l-fiance Method-,.-.;. MICROPAS5 �v-5 :•1-0-- for- 1-9-19,8-YS•tandards by Enercomp, Inc-. MICROPAS5 v5.10 File-01193ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -683 SF Addition GENERAL INFORMATION Floor Area ................. Volume.. ................. Front Orientation........... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... !_'L-erior Shading Used...... Exterior Shading -Used ...... Overhang Shading Used...... Latent Load Fraction....... 683 sf 6147 cf Front Facing PARADISE 39.8 degrees 30 F 70 F 99 F 78 F 34 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY 180 deg (S) Heating Cooling Description Dtuh) Opaque Conduction and Solar...... 6106 2276 Glazing Conduction ............... 1782 936 Glazing Solar.................... n/a 1722 Infiltration ..................... 3496 1055 Internal Gain .................... n/a 0 Ducts ............................ 1138 599 Sensible Load .................... 12523 6588 Latent Load ...................... n/a 1318 Minimum Total Load 12523 7906 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility, to consider all factors when selecting the HVAC equipment. closet clearances.(Uniform Plumbing Code 408:5). er compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). lBeiaing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels 'must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not '.r exceed 34feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall 'lines must be continuous throughout the structure. A California licensed architect or registered engineer must prepare a lateral analysis for the areasof,the building that do not comply with the Uniform Building Code. This must include the designer's "v✓et" stamp„signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. _ Clerestory. requiring balloon framing and/or engineering .- _Foundation plans complete 'eriough to construct building. (Uniform Building Code Table 18 -I -C). Floor construction details complete enough to construct building. Elevations and wall` construction details complete.enough to construct building. 'Roof construction details complete enough to construct building. Fireplace construction details and calculations if necessary: Garage door header size(s). ouch header size(s). ypical header size(s). Stud heights. High expansive soil — special foundation design required. Retaining walls requiring design: Gypsum wallboard nailing inspection required. If the area below the lowest floor is fully enclosed; than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certificationmay be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. T. SElectric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be . designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: Staiiway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). uardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). xterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15=D-1 & 2). _ Foam insulation -protection. 6” halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). nderfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). c access and ventilation (Uniform Building Code section 1505). bund requirements. Energy design compliance and supporting documentation. F responsible area requirements. BUILDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. i 3. ❑ Fire Sprinklers required. . 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. . ❑ Sub -Standard Housing letter. Page 2 of 2 Owner: RESIDENTIAL PIAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Building Permit Number: Plans Examiner: Linda Simpson A. P. Number: GENERAL: Zoning requirements — (number of permitted living units). Plans signed by the designer. Proper description of work on the application. xisting violations on the property. Recorded notice of violation. Building permit valuation. PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills and/or drainage. 5. Flood hazard. 5. Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ 7. Federal Aid Route and/or Federal Aid Secondary Route setback requirement S. Building or utilities across lot lines (Lotmerger approval by Butte County land Development) LOOR PLAN: oe Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). t. 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet The minimum net clear operable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in - any dimension (Uniform Building Code section 310.6.2 & 310.6.3). . GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space'opening into a bath.'> or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom; or in a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). , Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). Wood stove location - Alcove — UMC section 205 confined space & 223 unconfined space & 304.2). :, Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 NOTES` h RESIDENTIAL 056-320-031 99-0787 P RMIT NO. �_PLYLEY, Stefan -»- J , 16753 Home Place LooP, Forest Ranch Contr: dwner '.' detached garage 26 X 34 i� Jr I i 11 1 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 1,0A 117 Signature CHECKED BY I z r 11 1 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 1,0A 117 Signature CHECKED BY I COUNTY OF BUTTEr BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICES J 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 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 notice 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. _ 'Q /t`ff�f ��sf j►IF)��L �i.a �i.De�/i� /.I n.. /1. ULA 4 r 64�.. .7� lor Date /1 �/ l / Inspector REV 10/92 / V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ' Braced Wall Panels 1. Zoning Requirements -Setbacks -Easements MOBILE HOME INSTALLATION (Plans) OK except #'s 2. • Soils; Special MH Support Sketch Zoning Requirements -Setbacks -Easements 3. Sewer; Location -Test -Fall -C/O -Concrete Footings; Size -Spacing -Marriage Line 4. Water; Location -Test -Easement Needed (Sketch) Gas; MH Test -Demand -Valve -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Electricity; MH Test -Crossovers -Breakers -Clearances 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Drain; MH Test -Fall -Flex Connector 7. Well Clearance & Disconnect Water; MH Test -Regulator -Connector 8. Utility Clearance Date V' Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS U F 2- Uk Date DECKS COVER PORTS GARAGES (Plans) OK except #'s Zo equirements-Setbacks-Easements Q Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. De Girders and/or Joists -Decking -Bracing -Stairs -Rails �^ood Awn.; Posts-Beams-Rftrs.-Connectors 5. Alum Awn.; Colum s -Connections -Splice -Decal -Enclosures 6. Ca Arts; Windows- oors 8: S V' Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date ,Y/7�� •Card B Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. i Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope - Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation _ I nfi Itratio n- Walls -Windows 16. Insulation Date Date Date Card B -i Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral I] Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56.' Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfi Itratio n- Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes 0 No/Walks 0 Yes 0 No/Planters ❑ Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: X t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 CountyCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 o P R��NO• (Rev.12/96) i APPLICATION AND PERMIT ,/�( ASSESSOR PARCEL NUMBER 056-320-031 ZONING TM 5 BUILDINGPERMIT OWNER PLYLEY, STEFAN TELE34�- 2675 SO. FT. OCC. BUILDING VALUATION 884 U 15,912.00 OWNER'S MAILING ADDRESS 16753 HOME PLACE LOOP, FOREST RANCH CONTRACTOR'S NAME OWNERTELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 15.912.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2(0.00 Permit Fee $ 171 .00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 16753 HOME PLACE LOOP FOREST RANCH Energy Plan Checking Fee $ $ PERMIT FEE $ 302.15 LOT NO. SUBDIVISION'S NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Ck Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New a Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACHED GARAGE 26 X 34 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '%oAoass 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property,,am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONs. ( a ACC. BLOS. 3.5¢H. NEW CONST. M NON -RES D. SCI "RC I 97.50 OIOWER APPARATUS PSINGLE OUTLETR. 20 �' 00 Ex. Occu OUTLET OR FOcruREs BAL @ .50 Ex. Occup. OUTEitTS RES D.GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring !!23.00 EE: PERMIT FEE = 73 , 95 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 omuJv with Be prov'sions. X __ Date _ ` ! G _ an Signature of A plict - wn r Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CCPE TOT FEE $ 7J6.10 HA o. F IMP FLO CD P C ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich fees have been paid. By Date PERMIT EXPIRES ON 2q Dale Receipt No. AT9449 1 976, 10 WHITE.D.D.S.-B.D. CANARNIASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IN (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��" cl 77 ASSESSOR PARCEL NUMBER 5-. —03/ Q3/ zO M 6- J BUILDING PERMIT OWNER TELErP�ONE SO. FT. OCC. BUILDING VALUATION OWNERS MAI 0 CONTRACTOR'S NAME ELEPMONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MARINO ADDRESS Plan Checking Fee $ SUILDINO ADDRESS � � Energy Plan Checking FeeRa $ $ PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT (ling Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome O 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 AdditionRemodel ❑ Utilities E3Installation ❑ Other ❑ Re Describe Work: 11�/' tap—" � a� I� -3 T Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service 200„ 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. elDs. 3.5dFT: NON-A°ESID T. MULTI -OUTLET GD7.50 PowER APVARArus a sINGLE ourLEr CIR. Ex. Occup. OUTLET OR FD(TURES 20 t'00 Ex. Occup. X EEDT3 nt�sID.oE,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation I41PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz D FEES IMP FLOOD I CDF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date flute) Receipt No. WHITE-D.D.S.-8.0. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 C6UNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION. DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: _ 0% r 30.0 — 03 Proposed Buildin se: Building Inspector: � Date: Y -,16 ' Q157 At time of permit applicati , I w dvised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- 11. act fees as shown on the attached schedule. - ------------------�-} -- y-- California Department of Forestry plan approval/fce-C�--'�`�---- - �-------------------------- 13 Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. --------------; -------------------------------------------------------------------- ❑ 16. Plot plan and business license approvalfrog the City of Biggs. ---------------------------------------------- i17. Planning approval for (A) Use: j� ►� (B) Parking: -------------- ----------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the permit, process as follows Mail to owner, []Mail to contractor. J� ❑Telephone and hold for pickup at office. .0 Deliver with inspector. Az� L- Applicant: ADate: ` Zo- Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air Pollutio Date: By: Copy of plans sent`o Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuilWDi counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Builcounter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil counter, bye: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Vnllnm (`nnv _ Tln..o.+...o..t ..FTle..el,...-...,._a o_--:--- r --[u•_ _ .�. . E.H. USE ONLY Plot Plan Attached r—y Floor PlanAttac d Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation, Clearance 75.3 32- D — 63 Own6r Location AP# Plan Approved for: Sewage Disposal >e Water Supply: Public Private Well Clearance for-dwa'18 Other G w o Hold final for:. Final clearance O.K. for: . NOTE: 1-/5- a }-- Z -19'7 Environmental Health Specialist Date • ., OV►TNER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your sigoatum Please complete and return this information at your earliest opportunity to avoiduaneoessaty dW* in processing and issuing your building permit. No building permit will be issued until thls verification is received. I. I personally plan to provide th�jorlabor and materials for construction of the proposed property im vement :YES NO 2. I HAVE HAY; NOT o signed an application for a building permit for the proposed wo& 3. I have contracted with tate following person (fn=) to provide the proposed co®sauctim, NAME: 3 ADDRESS: CITY: PHONE: , 06l•1TRACTOR'S LICENSE NO. 4. I plan to. provide portions of this arurk, but I have hired the following person to coo ; sirperirrse, snd providethe major work: .. NAME: . ADDRESS: C.]TY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to- the o the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: K PROPERTYOWNER: SOCIAL SECURITY NUMBER: v DATE:_ _ NOTE: This Owner -Builder Veryleatlon Is required by Section 198.31 ' and 19832 of tis CaWornla Health and Safety Code. This verification must be completed acrd returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder' you am 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 Brom 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. . . Ifyou plan to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the feilowing information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including nweaials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contrsct io or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations inchtding state and federal income tax withholdin& federal social security fazes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ~.. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. ...,A frequent practice of unlicensed persons professing to be contractors, is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits.are bot required to be signed by property owners unless they am performing their own work personally. Information about licensed conww!p s may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please etimpkte-the-"Owner Builder Verification" on the reverse side of this form so that we an confirm that you are aware of these matters. The building permit will not be issued until the verification is returned t W Mi.B.O. M ,nspection NOTE. This Owner -Builder Information is required by Section 19930 ojthe Callfornla Nealth and Safety Code OVER ' % 4 M•I- '?IT-Tt'..'eSM1 :I'`".rTI$MV,Yxsrw.:y-urv� ��:.y. Y:='N:"c.`",.'iv^`i!'a"`77d �".':rrr r.•4x`ti•..v{1 �. ,, :��e r. rr+s;: rv-Y y-..- , 056-320-031 PERMIT#97=1644. r PLYLEY, Stefan 16753Homeplac,e Loop, Forest Ranch '£ ~Misch le"for-Hot Tub/SF • 1 a A " r. Mme• ... , 21 k COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN � rNiMSION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 88-7541 PERMIT NO. (Rev. 12/96) APPLICATION AI4DPERMIT / g7- I 2W ASSESSOR PARCEL NUIr�EVJ1 =GNING�- �... B.UILDING PERMIT OWNER TELEPHO-flE (15 — �1/ w SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING �iE�S'S� 0 , � 9!M/47 `Ij:•�J )`•(�^♦'�`'+ CONTRACTOR'S NAM/E.Y��f� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOF9TRUCTURE SF V, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx Describe Work: _yrv Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home, S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (co"mmencing 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: L ❑ I, as owner of the property, or my employees with wages as their sole compensation, W, do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCURSO OR ADDNS. ( 6 ACC. BUDS. 3.50FT. NEW T @7.50 NON•RESrID. MULTI -OUTLET CIRCUITS PowER APPARATUS 8 SINGLE. r. CIR. 20 Q 1'00 Ex. Occup. OUTLET OR FD(TURES BAL p .50 Ex. Occup. ouTiTS REo.Den 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S1-4 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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. X r° Date` / _ Signature of pplicant Ow% r ❑ Contractor ❑ Agent An OSHA permit is required for e�Ccavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ /Z -3 _eeN51.WyPE TOTAL FEE $ Ll l HAZ. D. FEE IMP FLOOD CDF PARCEL I PD I HO ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated Bove for which fees have been paid. Q ,['�3... By(.�C.3�©ate a :J ! _ PERMIT EXPIRES ON T-5-- Date Receipt No. Z; Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT k COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN ISION 7 County Center Drive - Oroville-, CgWornia 95965 - Telephone (916) -7541q17 PERMIT NO. `A (Rev. 12/96) APPLICATIONNDPERMIT ASSESSOR PARCEL NUo �� 03 ZO, ILJNG ILDING PERMIT OWNER TELEPH��e SO. FT. OCC. BUILDING VALUATION V /f� ` 6 k 6-fmob OWNERS MAILING A10EP CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � �V1 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFO( 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 ❑ Othery Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service "0A .A oRR LELESSss 20 O 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so NEW CONST. DWELLING OCCUP. W:o Or-0000AUP. OR ADDNS. ( a ACC. B.S. SO 3.5¢FT: NEW CONS. NON -RES DT ANLC I CIRCLET VITS @7.50 POWER APPARATUS '.LE OUTLET CIR. Ex. Occup. OUTLET OR FO(TURES 20 @ I.00 BAL p .50 Ex. Occup. ouiLEEOTs RESID.CEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 ,13,66 PERMIT FEE $ L4 3# 60 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 mply with those provisions. —7 X _ Date Signature of pplic nt - Ow r ❑ Contractor ❑ Agent An OSHA permit is II quir d for e4cavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 61 35.A TOTAL FEE $ 3, O ES IMP I FLOOD I COF I PARCEL Po I HD I xs This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. p��rL By �C�`tQo dam% PERMIT EXPIRES ON /v Dale Receipt No. JZ=PS Qq 66 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. ' Please complete and return this information at your earliest • opportunity to avoid unnecessary delay in processing and'issuing your building permit. No building permit will be issued until this verification is received. 1.' I personally plan -to provide ' the major labor and materials for construction of the proposed property improvement : YES[5f NO ]. 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: • ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE' TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1 Mav 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious -with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Z- Sincerely, `Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2 17 RESIDENTIAL j -056-320-031 PERMIT#94-1683 LAURSEN , ,- LEO T. C 16753 HOMEPLACE LOOP, FOREST RANCH ADD DECK & MOVE NON=BEARING WALL/SF 1' } a 1 . r ! y. S t e i JOB FINALE D (Dat _ i Signature ,/=OK' O =-Ndt OK Not Readyable MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except it's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utilitv 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 1• 9. Exits; Insp.-Sketch ' 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f { MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-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 J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL,(; = Date UNDERFLOOR (Plans) OK except k'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 h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ------ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection- ---- ----- - ---------------- - - -- --19. Shower Pan; Test. First Floor -Tub Access 20. Test -Tub & Shower,--Second--Floor-Tub Access - --------------------------- 21. Gas Pipe: Size & Anchors ---------- --------------------- ------------------------------- Date Card B-1 --- Date - Card B_1 -- ------------------------------ - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------ ----------------------------------- - Elec. Receptacles Spacing -Lights & Switches at Doors ------------ E-lec. Recept.acles Size Boxes & No. of Conductors -Stapled ---------- -------------- ---------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ----------- ------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- --------------------------------------------- ---------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI - - - ------------------------ 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 Panets-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 4'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 ----------------------------------- Date Card B-1 Date Card -B- 1 ------------------------------------------------------------------------------ -- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------------------------------------------------- 40. Walls Studs -Nailing Spacing&Bracing- Plates_Sound - - ----- - - 41. Bearing Walls over Girders & Floor Nailing ------------ ----------------------------------------- ------------------------ 42. Draft Stop m Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------------------------ 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ ___51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection _54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer ------------- 56.. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------ --- _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- ----------------------------------- - Date Card -B-1- Date Card B-1 ------------------------- -- Date Car -1 Date Card B-1 Date FIN (Plans)OK except ti's 1. Ext -Steps -Door & Sidelight Protection -Landings -------- ----- -- - = Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------- ------------ --------________ 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. T ',cw-&'Subpanel: Breaker Sizes &Labels taus &Rails 68. Fireplace or Stove:_CIearances-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 -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ---------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------- 7 Insulation -Foam -Looked in Attic ❑ Yes ---78.-Guard-Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81 Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - --- - -------------------------- 83. -----------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle- Uncle rround 86. Ventilation Throughout House .. -. -- ------------------------------------------ d7 Glass Protection ---------------------------------- ------------ 8a. Corrections from Previous Inspections ------ -------------------------------------- 89 Gas Test -Meters Tagged: Gas -Electric ............ -------------------------------------------- 90. Water & Sewer. Connected -C/O to Grade -HD Approval 91. Energy ompliance Certificate -Other Certificates �'I Date Date Card B-1DateC Date Card B-1 Date Ca -1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DLVELOPMENT SERVICES - BUILDING DI S[ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 PERMIT NO. APPLICATION AND PERMIT 94-1683 TTR 320NO ER ZONING —5 BADING PERMIT OWNER LEO\T. LAURSEN TELEPHONE 343-9684 SQ. FT. OCC. BUILDING VALUATION 44 0 308- OWNER'S MAILING D RESS PO BOXTM, 2, FOREST RANCH, CA 95954 FST 875, CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1183. Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16753 HOMEPLACE LOOP, FOREST RANCH PERMIT FEE $ 72,00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 15 oo LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFX Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition XK Remodel ❑ Utilities ❑ Installation ❑ Other EIContractor Describe Work: DECK MOVE NON—BEARING WALL PERMIT FEE $ 42.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C SO. FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00 50 Ex. Occu FIXED APPLNS. OR p- ( OUTLETS IflES1D.1 EA. ) 5.0� 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. ❑ 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. IQ. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabilities, dgments, costs, and expenses which may in any way accrue against said C my ' conseque of the granting of this permit. X Date ^ \� SiXnure of p icant - Owner ❑ Contractor O Agent AA ermit is required for excavations over 5"0" deep and demolition or construction of structures over 3 toriies in he' h . Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOA E $ 114.00 HA IM FLOO PARC 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. Of B Dat PERMIT EXPIRES ON !Da el Receip'N / / �4� ✓�, S� �' 6�°I 1 WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDEN OD -APPLICANT I r`+�f'iCt!'r+Y�' '+r.{'��'t�re..,..•,;.gy i.N+i6+w�.'i'yy+r•tsYa �j;c.X1+�`M�M'{^``v'°"��r,"''"v''p"""'``i{{''"a"'l,�,y,,o.• "v"r-W,,-x...y,� .�,,:.•F,�...:�.,.•�,.. � I � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENTSERVICES-BUIL GDIVISION 7COUNTY CENTER DRIVE -OROVILLE,"IFORNIA959'65'•TELEPHONE(p6)538-7541 PERMIT APPLICATION DATASHEET OWNER Leo T ZiBv4SkN - A. P. No. ,S9 - ?✓Z o .D7 t Proposed Building Use // ; C l -r 40 Building Inspector C- Date:��v iy:2Z/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY .4All items have been submitted . ......................................... of plans, 3/4 sets, signed by preparer of plans. .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... . Engineered plans and caics; 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . IdL9. Mobilehomy data and manufacturer's installation instructions, 2 sets. . 10. Fees of $ 5-1 -......................................... Gy �• 11. Impact fees as shokarn on attached schedule . ............................. . 12. alifornia Department of Forestry plan approval/fees. ....................... . AFlood elevation letter (100 year flood) by California Engineer. .... . ( . C.. Sanitation and plot plan approval 1 G 1 ' Health Department. .� -.�- ..... . City of Chico plumbing permit. ........................................ . 16. Plot plan and business license,approval from City of Biggs/Gridley.............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...F;,�a;spe�11o; r646est 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 _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization.........................................� 26. Copy of recorded deed of parcel creation and 60 right of way to a public road...... . 27. Letter of intent on building use. .........,ti .............................. . 28. Mobilehome utility clearance . ......................................... . 429. Documentation of legal access . ..................... :................... '30. Documentation of 50% subdivision developed or (A) Road improvements completed - and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When yo t issue the permit, process as follows: Mail to owner. Mail to contractor. elephone 11 7. and hold for pickup at Cdt U office. Deliver with inspector. Other Parcel Creation y Acreage Applicant�"'� Date Copy of Haz-Mat form sent Health Dept. Fire Deptl Air Pollution Date Copy of plans sent Health Dept. Fire Dept. O h r Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: issuance: -(Circle new item not checked above). Contractor, designer, owner, was advised of above required data by ! phone _ mail Count r byj&// Date / Z"�77 Contractor, designer, owner, was advised of above required data by _ phone _ mail ou er by _Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Irl w,, TO: building Departmernt FROM: Environmental Health SUBJECT: Sanitation Clearance /0/� , L ," r-Sel7 fiat, I ISIi n.l.l• ' I'lul I'lun Aatu�hcd ___ 1/ _ Hoof flim Aluieltvd ��-320-03 / Owner Location /���7 A Pa Plan: Approved for: Sewage Disposal Water Supply: Public �,/Private/Well Clearance for bedroom mobile home. Other. k aai�/7`/4%7 t h d/rzri'. Hold final for: Final clearance O.K. for: NOTE: Environme a] Health Acialist 8192 Date COUNTY OF BUTTE Department of Development Services Building Division OroviIle: 7 County Center Dr.,. Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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)_. 2. I (have/have not) H Ah6 (_ signed an application for a building permit for the'proposed work. 3. I have contracted -with the following person (firm) to.provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I. have hired the following person to coordinate, supervise,' and provide the major work: Name Address City . Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Date 6,— NOTE: ,— 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 permitted to issue the permit. .l . APPROVED P BU to County Environmentai vigair;l ' Lc -I- ca�as�� "AP 56r3Z - 03 N � ENWRONMENTAL MULTH JUN 2 7 9994 C111co, CALI*IA's DECK/LANn%u6r eMava A skis sot of plans and specifications MUST be: kept on the job at all times and it is unlawful to make any changes or alterations on same with. _ out written permission from the. Department of_,_ Public Works, County of Butte. t ; NOTE—AH Materials & Workmanship Shall Be it, 7`.. Accordance with $ecoanized Good Practices and s r of a quality prescribed for the Specified use in the Uniform Building, Hurnbing C*X Mechanical Codes and , fhe National Electrical Code. BUTTE COUNTY BUILDIP1a DEPARTMENT 4PPROVED O`er 7�i�g¢ 4 o ST'oRQ+b-� W - op ®w /00 mC mom. wIr to " 1%" T4 G PLYWOOD CC EXT. A; M,, r - r ; 40)(V OF -42 /-2°x G" DECKING (ALT) GIRDERS y:y IYs" T1 PLYWOOD CC EYT �— GrUARVVAIL 34 MAX. ,-= DECKI M G iMai . ,jj xx 14" MIN. Foo I / NG n: FRMN G. CLIP _ 2' x12" STAIR STRINGER. Wo.c.. MAX. `S -TDP VIEW H AUPIZAIL NOT SHOWN FOR CLARITY. AN r IW' BOLT 4.,x V I`= _ - _ _ _ _ Oc IF -h — — r/1 Q 2„X4" MOBILE HOME OR DEC.k 4" k�- 48" MTL. FRMUMAX.CLIP(EA. OTE CO BUILDING DEP T _ -- -- (2) 3/g" J GIRDER e MIN. DOLTS 4'x9" POST AVE04TE" DIAL ONA L BRACING. . —1 . L . wmia. 9'%X 14W �o ?'k4" PRESSURE - TREATED e R ,,-'RFDWOOD PLATE TYPICAL RES! PF-IM1,9l Sr�Ps ANo/.eD cX COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. California 95965 x r'. 12"x12" PIE' r ; 40)(V OF -42 /-2°x G" DECKING (ALT) GIRDERS y:y IYs" T1 PLYWOOD CC EYT �— GrUARVVAIL 34 MAX. ,-= DECKI M G iMai . ,jj xx 14" MIN. Foo I / NG n: FRMN G. CLIP _ 2' x12" STAIR STRINGER. Wo.c.. MAX. `S -TDP VIEW H AUPIZAIL NOT SHOWN FOR CLARITY. AN r IW' BOLT 4.,x V I`= _ - _ _ _ _ Oc IF -h — — r/1 Q 2„X4" MOBILE HOME OR DEC.k 4" k�- 48" MTL. FRMUMAX.CLIP(EA. OTE CO BUILDING DEP T _ -- -- (2) 3/g" J GIRDER e MIN. DOLTS 4'x9" POST AVE04TE" DIAL ONA L BRACING. . —1 . L . wmia. 9'%X 14W �o ?'k4" PRESSURE - TREATED e R ,,-'RFDWOOD PLATE TYPICAL RES! PF-IM1,9l Sr�Ps ANo/.eD cX COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. California 95965 _zQ Temp. Power Pole r _fir, Called PG&E Temp. Elec. Service S3 -Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) r t Signatur i PERMIT NO. 486-83B n PERMIT EXPIRES OWNER i D. ELLER CONTR. Wm E. Fitzgerald, Forest Ranch - a ASSESSOR PARCEL 56-32-25port ' LOCATION N18 Homeplace Loop, app 325'E of Hwy 32, Forest Ranch lot #4 8 i _zQ Temp. Power Pole r _fir, Called PG&E Temp. Elec. Service S3 -Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) r t Signatur i ENERGY CONSERVATION STANDARDS. CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INS E -WITH CURRENT ENERGY CONSERVATION REGULATIONS' AT ForPst Ranch (location) BUILDING PERMIT NO. X14 A.P NO. ` .THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge n/a Fdn. Walls n/a Floors n/a Walls R-11 Ceiling/Roof R-22 Ducts n/a Circulating Pipes n/ a.. APPROVED HEATER n/a APPROVED WATER HEATER n/CL GLAZING: Single Glazed .. n/a . Special (Insulated) n/a CERT. & LABELED WDS. & SLIDING DRS. n/a WEATHERSTRIPPED DRS. n/a BACK DAMPERED FANS n/a INTERMITTENT IGNITION DEVICES n/a CERT. APPPLIANCES n/a I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NICHOLSON INSULATION, INC „(please print) Signature :of ✓J/l Insulation Applicator State Contractors License No. 398551 General Contractor/Owner Name " .:(please print) Signature of General Contractor/Owner X, j Date eo St to Contractors License No.-- THIS o.- THIS CERTIFICATE MUST BE ON FILE WITH T.HE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. :w s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` �4 �.' 196 Memorial Way, Chico — Phone: 891-275,1 ✓ 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDAG OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date �' 2 ,7 jj a, • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751. ' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961., Ext. 57 CORRECTION NOTICE — — a9-- 4?:W1,"a4� BUILDING OFT PROPERTY ADDRESS U 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 eed addit1 nal explanation, please contact this office immediately. o� atz-1- 7' _� P,y - � � GGA � £� .Z 14,1Z �_ n it/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 �f 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BALDING OR PR r PERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mater, or need additional explanation, please contact this office immediately. D C�/C r1. I'AlTai Yl- r6`�r /�j U Inspector 1/�/o"� Date V ;7 A. {. pA V = OK 0 = Not OK - ='Not Applicable MO B I LEHOM ES * = Not Ready .h, MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's ° 1. Zoning Requirements -Setbacks -Easements ' Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete r _ 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 _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"fL/ /"Nat. or/ /"L"ft./ /",LPG 6. Carports; Windows -Doors 7. Utility Clearance , - 7. _Elec. Card -BI Date Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s ' Card -Bl- Date _ Date Card -BI Date " POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 11. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability r r 3. Gas; MH Test -Demand -Valve -Connector' 3. Pool Structure; Sieel= Connect ions- Thickness=Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5, Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. . Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card _131 Date Card -BI Date Card B-1 Date Card -BI Date' Card -BI Date Card -BI Date 2 e r 'r r . i r r 2 e r t.. r . r Y .e Y 2-1 J = rJ Kr QV �G 76 et 4Qfi 0 - No'z�OK 7 - = Not Applicable RESIDENTIAL (Single and Duplex) � } ` 'Not Ready ) Date UNDERFLOOR Pfgn's) OKexcept #'s Date FRA NG Continued oning requirements -Se s -E nts r', C A' P perty Line Firewall &Openings g., Main; - -Ele rnd.- / ,% /" Ftg. Depth 4 I Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., age; s- el- / /" Ftg. Depth rs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 Food on Roof Overhang -Attic Vents -Rafter Outriggers SiSfe walls, S - I -Rapped -9t b 524('Siding-Nailing-Veneer emwaHs, Garage; S el -B kouts-Wrappetl SMesh-Drip Screed-Fdn. Vents-Underflr. Access s- I 5 -lazing Area -Glass Protection -Skylights -Plastic D.W.V.: t eserWalls; Nailing -Bolts 9. Pipe; Size -A hors Water Pipe; T -A ors-Regef:Tto y 11. Electric; derground 22,-'F4ft6v%Ia4�,D tote' Cle ce-M ial-S rt- - -Anc olts-J d/L Card -BI Date j Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date a .7 FINAL (P s) OK except q's Card -BI Dat -7-8 Card -BI Date _IDate Date PLUMBING (Permit) OK except N's --W- _ iter Ht.: Vent -Access -Combustion Air *--Ext. Steps -Door & Sidelight Protection -Landings moke Detector Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor -Ducts -Meth. Protection 12{r Pipe; Test & Anchors -Nail Protection 1YP'-D.W.V.; Test-Fttngs & Anchors -Nail Protection ' Bedroom Exiting wer Pan; Test, First Floor -Tub Access . G.F.I. & Bath Fixtures & Tub Access 1&7-Trs-Tub & Shower, 2nd Floor -Tub Access Size & Anchors 6+--Elec. Trim & Subpanel; Breaker Sizes -Labels 6 Sta' _& Rails _ _19.-eat•Pipe; — Fireplaye or Stove; Clearances -Hearth 6tlets at Wood Panel; Int. & Ext. Card-BI4- Date,,�T_ t4q_Card-BI Date 6 it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's Garage Fire Door; Swing -Landing -Closer in Garage -Damper 2 ixture & Transformer Clearance -Ins. Protection tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In G age; Above Floor -Meth. Protection Ib., Elec. & Mech. Equip. Listed for Location ---��� 21. �le�. Receptacles Spacing -Lights &Switches at Doors _ 22. ize Boxes & Nn. of Conductors -Stapled __ jec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23.mex Installed Close to Edge of Studs & C.J. 24e-,rqip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic [¢K_ - 2 Appliance Circuits in Kitchen & Conductor Size 7 uard Rails & Deck Construction -Post Caps — _2e-6"b4eed Wire S�al i / ga. C or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole D Drainage & Wood -Earth Clearance Looked under Floor es 27. Range Circ. /ga. Cu or Oven Circ. / / ga. Cu o II sulated Neut Yes ❑No 75. Following inst�ld.' Drive � ❑ No; Walks es ❑ No; Planters EJ No 26,-S rvice-Riser Conductors & Ground -Main Disconnect -- 2uip. Clearances: Panels-Motors-Mech. Equip. - 76. Stucco; Brown -Finish &7.7- A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Closet Light -Shower Light ---- - — -d$lVents Above Root; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------ --- --- 79--%;Te-r Well; Disconnect, Electrical, Plumbing Card B -I Dates �Card-BI Date � _. N Exterior Elec. Trim; G.F.I. Receptacle -Underground 81--7entilation throughout House Card B -I Date Card -BI Date 8PiGlass Protection Date MECHANICAL (Perrr,it) OK except N's _ orrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric . W r & Sewer Connected -C/O to Grade -HD Approval - : A. . Ducts: Insulation & Support 3 Vent Fan_Exhaust above Insulation _ -33. Condensate Drain _& Overilow; Size & Grade Energy Compliance Certificate -Other Certificates _ 34. urnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. A tic Access & Platform if Furnace in Attic Card -BI /-Date�:�g3 Card -BI Date Card -BI Date Card -BI Date DateFRA ING(Plans) OK except q's d -BI Date r and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Commen at Final: _3 Sills; Proper Material &Anchors _ _=J'j' 37� Walls;_Stu_ds-Nailing, Spacing & Bracing -Plates -Sound 381�Bearing Its over Girders & Floor Nailing _ 3 j _T_ Draft Stop in Walls (rat proof) iG pc/.49 (G' /Lor/o1� 4 Stops; Furred Ceilings -Stairs -Chases -Tub �>Fire 414teader & Beam -Size & Bearing gers-Post Caps-Anchors-_Connectors� Joist-Rfir. Ties -Pur -Roof Bra .-T -ShthrfQ-Rfng. -- 44. F' eplace Ties or Type. Flue -Fireplace Throat 4 Ajt Access Size & Rom ex Protection -Draft Stop -Ins. Baffles 4ffBdr 'indows_or_Exiting Doors -Sill Hgt. & Dimensions_ 47 arrage Fire otectiPron Framing (NOTE: Anentrymust be made each time youvisit jobsile) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965'- Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER, -- _ —' ZONING r ' BUILDING PERM OWNER TELEPHONE f SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C NTRACTOR'S NAME EL PH IVE ' C TRAC IR'STAAIFLIN ADD ES � � 9 .` l� - Fireplace , CONSTRUCTION LENDER UNKNOWN - TOtaI Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - ' Permit Fee $ ARCHITECT OR ENGINEER - - LICENSE'NO. Plan Checking Fee r $ Penalty . $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Permit fee $ a BUIL I AD Ess PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ,Water piping 5.00 LOT NO.SUBDIVISION NAME t r JPARCEL MAP ,Each gas -water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE ,' SF Duplex ❑ Mobi lehome ❑ - ,Other - SPECIFY Building sewer 5.00 Mobile Home S G W ` - 10.00 e - ,TYPE OF WORK New❑ Additeeml Utilities Lqs.allationEl ,Other Descri e wrk: V i 1 ,�,.•I� 0,,Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee '10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ' est Main service EA. ADD'L 100 AMP i 2.50 NEW CONST. OWELLIN & OR ADDNS. ( ACC. B S. i t —'1 2 0sg it �J CON ACTORS LICENSE LAW • I declare under penalty of perjury (check One): [L� 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. 30g 23 Classification 13 F1 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) - r ❑ 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 CONSTR MULTI -OUTLET NON-RESID. (BRANCH CIRC ITS 2.50 ea NEW CONSTR (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, / Ex. Occup(OUTLETS OR FIXTURES- DA Q6 pQ FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 ,Mobile Home Facilities •15.00 Misc..Wiring 15.00 Permit Fee $ 31b� Contractor„ ..MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION.INSURANCE I declare under penalty of perjury (check one):. ' ❑ The permit is for $100.00 (valuation) or less., I have, placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1.F]. 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. Heating Cooling ' Hood 3.00 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. �s�, -3 X ' Date 2!/ x0 � Signature of Applica Owner Contractor ❑ Agent 211 An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct= ion of structures over 3 stories in height. Mobile Home Installation Fee $ . TOTAL PERMIT FEEL $ OCCUP. GROUP I TYPE OF CONST. P,%RCEL PD HD ISSUE This permit is hereby issued under.the : sions of the Butte County Code and/or work, indicated above for which DIRECTOR OF PUBLIC By PWT EXPIRES Date applicable. provi- resolutions to do fees have been paid. WORKS i Date-• c%= Receipt No. 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i FITZGERALD ENTERPRISES P.O. BOX 309 ,/ FOREST RANCH. CALIFORNIA ;95942 7/41-9 91 �-� y0a I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone 916/534-4541 1: f J. APPLICATION AND PERMIT ' PERMIT O. . ASSESSO PARCEL NUMBER (o �31 • S ar ZONING j -- . BUILDING PERMI OWNE r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - . J t� CONTRACTOR'S NAME TELEPHONE j, - TRACTOR'S M,AILI G ADDR - �� r- Fireplace "IDD [Total CONSTRUCTION LENDER - UNKNOw, LENDER'S MAILING ADDRESS f� Valuation $ Filing Fee Permit Fee $ 10.00 $ 01010 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty $ 2p, OD $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ( Permit fee $ BUILDIN ADDR s _ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME -- PARCEL MA g -% Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets, 5.00 ,/ USE OF STRUCTURE SFU Duplex ❑ Mobi lehome ❑ Other - SPECIFY Building sewer 5.00 Mobile Home S G W 1 110-00 e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑• Other ❑ Describe work: — • Permit Fee t$ Contractor ' ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESSV\6/V 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONSDWELLING OR ADONST ( ACC. BLDG 2'/20sgft J12W,6S CONTRACTORS LICENSE LAWNEW • I declar under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co e aid my license is in full fo a and effect. License No.10 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 CONSTR MULTI -OUTLET 2,50 ea • NON.RESID, BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES BALI 0C FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 19�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. Heating 4S& kAA B 1 Qd Cooling— Hood 3.00 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 relatingr- 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 again said County i onsequence of the granting of this per it. Dat:a �.� Si nature -of Applicant – OWner g pp ❑ • Contractor ❑ Agent � An OSHA permit is required fore ovations over 5'0 ' deep and demolition or construct- ion of structures over 3 stories in eight. r1l A 41 t r+a Mobile Home Installation Fee $ TOTAL PE MIT FEE $ aCCUP. GROUP TYPE OF CONST. PARCEL PD ND SSUE rhis permit is hereby issued under >ions of the Butte Count Code and/or work indicated above for which DIRECTOR OF BLIC 3Y ` PERMIT EXPIRES Date the a Iiobl�,-prcjv' ri q� of fees haJle been aid. p WORKS a ate 3-10 — Receipt No. t� �. WRITE -D. P. W.: W{Ayy�E, SO PINK -I C+I' LD N OD -APPLICANT :turn to DPW AGRICULTURAL STATEMENT OF ACKNOWIMGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement )T r;_ ��,,�,;, •: be recorded prior to issuance of a building permit. ,,tr-.,i� The property described herein is adjacent to land or included (Q 2 r2i;�oaa within an area zoned for agricultural purposes, and residents of '� this property may be subject to inconveniences or discomfort arisin4r,FpN!3 L; from tt�e use of agricultural chemicals, including, but not limited ttl�Eli�z�je pesticides, and fertilizers; and from the pursuit of agricultural operations inclu, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- rural zones which have as a priority use for productive agricultural purposes, and residents wiehin 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: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of t4ie North one,half of the Northwest quarter of Section 28, Township 24 North, Range 3 East, M.D.O. & M., and more particularly described as follows: Parcel 4, as shown on that certain Parcel Map recorded in the Office of the Recorder of the County of Butte, State of California, on June 24, 1982, in Book 88 of Parcel Maps, at Page 77. TOGETHER WITH AND RESERVING THEREFROM a 60 foot non-exclusive public easement for ingress and egress and for public utilities as shown on said Map. ALSO TOGETHER WITH a 60 foot non-exclusive public easement for ingress and egress and for public utilities over Parcel 1, as shown on that certain Parcel Map recorded July 7, 1980, in Book 77 of Parcel Maps, at Page 33. ALSO TOGETHER WITH an 80 foot non-exclusive easement for road and public utilities over Parcel 10, as shown on that certain Parcel Map recorded April 21, 1971, in Book 37 of Parcel Maps, at Pages 82, 83, and 84. drc/) PROPERTY OWNERS: % Date :ff — r the day of ��v►-� SS. On this before mc, the undersigned Notary Public personally OL l �- ) appeared 110,11111''1110 11104111 /C'111, � be the whose name (s) OFFICIAL SEAL MARY E. FREEMAN known to me to person(s) subscribed to the within instrument and acknowledged NOTARY PUBLIC — CALIFORNIA 4:6 that _ executed the same for the purposes Butte County y Commission Expires Dec• 3. 1983 therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. tary Public Present A.Y. NO. FITZGERALD ENTERPRISES P.O. BOX 309 FOREST RANCH, CALIFORNIA 95942 m 9 6 C' OY • ,lyse s o/ � - �iV ,w - �/�r.�,�-� �,•r� 111 1 y � /jOY0,035 - lb�l � � Y� ✓ /V 0 r.. -x - - OWNER A. GENERAL oning requirements Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. A.P. (sideyards and parking). or Architect (if required). B:: PLO -Te PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Permit eke C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows'for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law) �! Human impact glass (Sec. 5406).' Required room sizes, ceiling heights (Sec. 1407). .Y G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9 --. 'Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. . Garage firewall, door size, and closer (Sec.'503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. ].Z: Smoke detectors (Sec. 1413). `D, i STRUCTURAL DETAILS foundation plan complete enough to construct building. .'o.- —Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct.build.ing. Fireplace construction details and calcs if over one-story in height. sSufficient data and details to satisfy energy insulation requirements (State law). E. MI,,GELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and'overhangs. Stairway details (Sec. 3305). guardrail details (Sec. 1716). $rick or stone veneer (Chapter 30). ._ Exterior plaster - weep screeds (Sec%. 4706 &'4708). oper roof pitch for roof. covering KChapter 32). Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. �4dequate bracing. '. Diving area over garage,- complete IL -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). Al -F Ni'IC` AU BCEA MEMBERS The positions of Director representing the follwi.ng areas are open for vlecti.bn- GROUP N DEPARTMENT(S) REPRESMED I Building Inspector Building Maintenance;/Halls Planning Public Works I1I Civil Defense/Purchasing County Counsel Courts Court Report.er!> U.A./Family Sul.►port Division Sheriff IV Administration Assessor AUditur-Control ler, C:.E.T.A. County Clerk lilc;ctio,is & Negistrution Personnel $ecorder Treasurer t, Tax. Col I ector V1 Publ.ic Health VIl Agricultur/Aar Pollution Control Servi.c-ec, Farm F, Home Advisor L. i 1, ra r;, The ter►r► of office for Directors is two #re:ars; Anyone inter- ested in •uniting for one of these positions should call office at. s33-13003 to obtain a nomination :"orm which :mist be reiurncd to. the BCEA office no later than ()etubcrr 7, 1982. cv-10/1 /8? 4 , , " 1, " �,� I p � M -Y, �. ,QQ �-,,;� .", - � F�� ��-.,:� �.,,�. � ", ,'-.�,,, Ohl , . �, �,�,. ;� ,'!,� I,,, , - - ,� � "'i, "-t:��, ;,,'-,-" �� �'!,�';" . 1, � " , - , z-, .�. - � ., � 9 , A ,- � po QV_ , , " '� " ", , "", _ ,I � " , " -,'� , , �' � 0, 10 � � 4 M I '�!,�._ . " `�",! �,; � �:, � l BY z t i" TA -1 �i .� !,I ; " �,:. ; 1 0 , ; 1 40 n . -, 0 0 , , . _,� : ��, � � - QT . n. , 2 I f"'... wo � , ",., , I Y�" - 1. -� TAS 103'. MW I A PLO& �� , 14, �1_�; ` - 1,1111 , ` , �110�� , , I.-, � " �'*,, VAwl — � An" S "s � 2 THT Q jx%?n � � "'. I - oilI 1, , _�- "I N", MRS. __., - .;-11.11 . 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Q� ........ ... 61" Vj— to Low 01 zoo + NMI, 1wo g- T� V�Zr� ,.::� . ,.- .�. - � �c�»v-�-...� r2�yr.•3.. �; �-."�"""''�*'��R"Y�il:"'�"...d+€2i>�",�yY'J;.<• _ _ � _ .. :awr1^,RK-'"= .. .. _._.,su_,._;--•.- -� to d 0 N ry M�1 I ,.::� . ,.- .�. - � �c�»v-�-...� r2�yr.•3.. �; �-."�"""''�*'��R"Y�il:"'�"...d+€2i>�",�yY'J;.<• _ _ � _ .. :awr1^,RK-'"= .. .. _._.,su_,._;--•.- 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. [k 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�3 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�! 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 f feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 oaf -1. CDF FIRE SAFE REQUIREMENTS AP# PERMIT # N 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. [k 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�3 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�! 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 f feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 oaf -1. 49 '1229F AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�l 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane // provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�]I. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. l�1 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT # 14A E Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0V 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 Date Signature Page 3 of 3 Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apF•;.,.rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�L 1273.03 Grade. Not to exceed 16 percent unless paved. / CDF FIRE SAFE REQUIREMENTSS [� s� -3 2-3 - 11-/--/L-�11� / LYS EY C AP# PERMIT # NAME face width of 4 feet shall be added to curves of 50- Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apF•;.,.rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�L 1273.03 Grade. Not to exceed 16 percent unless paved. / 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside rad ius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-20 0 feet. [ 2. The length of vert :cal curves in roadways exclusive of gutters, ditches and drainage structures de signed to hold or divert water shall be not less th an 100 feet. [�J 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. 1,11 driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -3-, S� '3Z-3/ 6 1 1_1yyc�y AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. v 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [y�] 3. Where a one-way road with a single traffic lane // provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [ j 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�y 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 'Z, -3Z,3 1 e/ -- LL- Y AP # PERMIT # 14AME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0% 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- o/ Date Page 3 of 3 gnature t U4 9 TAT 7 Iitilk� �16 lift r g&1N, tj N FT TY 10- I. *4 7`0 P WITTOM tgig= - - - I17 c t tnt 0 t2x c, ifIIft T' ittf TT IItItIt---------- ttolp itIiIttIfe It1i Ii4r. tI- 91M tf4 A% 10 It. ;rk 'm 7v p 14 +1 7 j, IIAND n .tti IittALL- w Tflulu I UrIL LEAR OF ALL EAS SHALL BE�G ov T14E -SIDE ILINES AND ppoPE THE Ia.,L*v r 1 o vALIME SHALL Irl :F110M THE "'D -pmENT 09F -PT CEN _QUj Ic EAVe--UV Le FOIA" A 9 FT ill , $L& 4V -1 X,, 46- el 1p, -'k -S pit 1w .9 It L 4.6.Tf- w o r Lj iIt&A L L - I1.4, j,j iA 0 'At y 1 LLL REViEWED 1-3 tTb E FIRE DEPT. "U7DECPOT. Of FORESTRY, CALIF 10 C) PPrO' U a Ved as submiff e— ith c ditions r I4Q� er f7 -.i' VJ Acoo ;'T -pp 7, 'LL II1, f I iIre tIitFit t-41 tNIT" f 4 ittttt r 4', 'i" ?h 1 4' i I 0" C�i URI A �fmjpi,� , Ij 0#1 , , �,, ��i �I 16, IV IIIAP All lk ''.-Y 1,014, ji oj; IP I�j pjj 9i jt�,, L *00"I vFl, i5 V, i;:: ell, MTKA"'I 01 i,�