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056-350-013
.., _. . r .�+ • ; ` • r �'. � �- � - _... w J4 X35-13� FGee Ingram ne Way, "app, 2,.mi. E. of Sugar _Ping n t ,orest Ranch contr:_David .Hostetler, Chico Permit # 1177 82B,P E. ' „�•a ' r (new single f" m) 056-35-0-013 92-0076 Q _DAV_LwS.,y,DAN- CONTR : LANG, MIKE'' 5214 PINE WAY,' FOREST RCH�'' V� �'ADDITION ,& REMODEL/SF t , 056=350=013 PERMIT#95-0159 INGRAM, GENE 5214 PINE WAY, FOREST .RANCH p h CONV-GARAGE TO .LIVING/SF R 0-'013 PERMIT#95-0973 ING . _ INGRAM, Gene'., 5214 Pine Way,' -Forest Ranch.' ` Gas line for BP#95-0159/SF 056-350-013 PERMIT#95-1507.ji -; CLOUGH, Ed ' 5214 Pine Way, Forest Ranch Conv Garage to Living/SF 056-35-0-013 J CLOUGH, ED O 00-0827 - r �/l�5 /�j=ALF 5214 PINE WAY, FOREST RANCH ATTACHED GARAGE & HOT TUB j AREA / r '�Ilcflil���+ 16U file Count �' : LAND Or NATURAL `HEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 4, 1992 Mike Lang RE: Building Permit #92-0076 13361 Sheep Hollow Creek Rd. A.P. #056-350-013 Chico, CA 95926 Dear Mr. Lang; With reference to the above subject and your request for refund of fees on he Dan Davis job, the plan check fees and filing fees have been. expended and therefore no refund is due. Attached is your copies of the building plans submitted, should you have any questions concerning this matter, please contact this office at (916)538-7541. JFG:hla Attachment Yours very truly; C-4?0124 J.F. Glander Manager, Building Inspection .for � �ar/(S a %'u � 7'0 2al �l� �i�va lS �o� J� r/ 4o be /6a Ilt`ca�� �cc rem!' "56-35 -/)15 Butte eount* at J OROVILLE, CALIFORNIA GENERAL CLAVA CLAIMANT: ADOR ESS: CITY A STATE: IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT � 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 ddJjcorrect as stated. �n/ Dated this ......T ..................... day of .....Q.L:........ 19.�Z•-at..��lli._........«. Calif. ..... ti ... '.... /........................ �• Signature of Claim I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above hav be n performed or de- livered and that there is a Budget Appropriation � or Specific Board Approval r7 (Check one) for the same. Dated this .................................... day of ............................. 19......, at Calif. .............................................. ...... . ................ •Department Head or Authorized Deputy Dept. Esp. Code ............................................ Code ................................................PAYABLE FROM .............................................. FUND .............................................. DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center,,')rive - Oroville, California 95965 - Telephone: 916/538-7541 APPt- 'PION AND PERMIT �G ASSESSOR PARCEL NUMBER 56-35-013 ZONING TM 5 BUILDING PERMIT OWNER DAN DAVIS TELEPHONE SO. FT. OCC. BUILDING VALUATION M 72 ++ 12,096 OWNER'S MAILING ADDRESS 956 MANGROVE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 120.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 60.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 195.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New® Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: DET GARAGE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code n my license is in full force and fect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 DWELLING OCCUP.6\ NEW CONST.OR ADDNS. / ( ACC, BLDGS. // 3.6asq.ft. NEW CONSTR. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 11 (SINGLE OUTLET cIR. Ex. Occup( OUTLETS OR FIXTURES 1120@761 Ex. Occup. OUTLETS ((RESID IFIXED APPLNS.R EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 38.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia judgments, costs, 54expenseswhich may in any way accrue agai st s id Co in conseque ce o the sting of this permi . X �� Date 2 Signature of Applicant — Owner ntra tar N Agent An OSHA permit is required for excavations 0' eep and demolition or construct- ion of structures over 3 stories in height] Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 1) FEES I IMP I FLOOD I COF J_PARCEJ PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ID 5 WHITC-D.P.W., LLOW-ASSESSOR, PINK -INSPECTOR, CO NROD-APPLICANT .,. rr.i>� .. y .. , V int. �+:. • -. w . �e- COUNTY OF BUTTE - DE6RTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO L CALIFORNIA 95965 -TELEPHONE: 916/536-7541 ` t PERI A''PLICATION DATA SHEET t r rr�� Permit No. OWNER Deq-,'V QX V1 A. P Nlo.. Proposed Building Use Building Inspector Date / 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED II items have been submitted . ................:................... Plot plans in duplicate rilicat si ned by preparer of plans ...... —. Complete plans in duplicate/ (plica , signed by preparer of plans . 4. Complete engineered plans an calcs, with wet signature on plans .. 5. Hazardous Material Form .......................... ............ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of,lntent for Non -Heated .and ACjgui�d•I,ngs .............. 8. Engineered truss details and layout in dtlpllcate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .. / / . c7r) .................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ' 13• Shool�istrict�ees paid ..............:.-Sanitaion approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ---L:=--f6. -Fy0QC--- e /= 27. When you issue the permit, process as follows: Mail to owner. Mail to,contractor. Telephone and hold for pickup a<--411.- office. Deliver w/inspector. Other Applicant ge.Date'J9A?1�27 Copy of !-Idz-Mat form sent Health Dept. Fire Dept. A�ution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item -not -checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold. infti File cabinet AP folder Copy—DPW / RESIDENTIAL 056-350-013 PERMIT#95-0159 INGRAM, GENE 1 CLO J 4 5214 PINE WAY, FOREST fANCH f, CONV GARAGE TO.LIVING/SF } �- ii • CpP1 . i � �✓ AFF\CE VPSG y i JOB FINALED (Data) Signature V= OK , O=Not OK Not gppllc = Not Readydb1e , MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch), 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ P'L" ft./ /"LPG 7. Well Clearance & Disconnect J .8. Utility Clearance Date/Initials 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-Clearencesi C S. Drain; MH Test -Fall -Flex Connector' 6. Water; MH Test -Regulator -Connector 7..Water.and, Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a' 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor -Nell Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/Initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING Plana OK except #'s 8 Sils, Proper Material & Anchors 4"alis Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 1,/4"4. Headers & Beam-Siie & Bearing Date/Initials FRAMING (Continued) 45. Hen - ost Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4 is Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51LGarage Fire Protection Framing h1 roperty 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 x`60. Infiltration -Walls- W dows v Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 097 S oke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa pec. Trim & Subpanel; Breaker Sizes & Labels talrs & Rails Fireplace or Stove; Clearances -Hearth �9!t 1ec. Outlets at Wood Panel; Int. & Ext. iTlf KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance eq. Outlets & Receptacles at Kit. Counter erege Fire Door, Swing -Landing -Closer 73_-4rC. Duct in Garage -Damper /74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection Ib., Elec. & Mech. Equip. Listed for Location 76.-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection X77. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps -0.-'Fcn. Vents & Crawl Hole Door-Draina e & Wood -Earth Cle rance Looked under Floor Yes ollowing inatld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.Clearance to Trim; G.F.I. Rea rouahout House 88. Correc 'on from Previous Inspections 89.(36V146 -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Com II erdficate-Other Certificates Comments at nal COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 96965 - Telephone (916) 538-7541 PERM[�I-T� /NO. APPLICATION AND PERMIT 95—"' IL X ASSESSOfl PARCEL NUMBER — — ZONING TM5 BUILDING PERMIT OWNER ENE INGRAMGov TELEPHONE 891-1118 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS RANCHPO BOX 201, FOREST - 3y4L, M- 4 s' CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1146-L IS - LENDER'S MAILING ADDRESS LENDER'S Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 93.6,E 70.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 23.00 Penalty $ BUILDING ADDRESS 5214 PINE WAY FOREST RANCH PERMIT FEE $ 26 0.60 221 .20 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 00 Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ClAdditionX] Remodel CX Utilities ❑ Installation ❑ Other O Describe Work: RF.MC)T)FT,/CONVERSION PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 DWELLING OCCUP. NEW CONST. DW8, ) OR ADONS. ( ACC. BLDS. SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 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 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPWS. OR ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 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 ACertificate of Consent to Self -insure. ll 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 $ 3Z-� 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities,udgments, costs, and expenses which may in any way accrue against said County I consequence of granting of this permit. X Date Signature of Applican -w r ❑ Contractor ❑ Agent it An OSHA permis requ red for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE OTAL FEE $ Z HA2. D. FEE I� F1000/ ! CDF >CEL PD HO c� I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON_ ::X the applicable provisions Resolutions to do work been paid. Datec�4 &j6 /D te) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT av�-rA!'siter.+�a-w,i+'wSi `�»�ra...��'Fr.�1.`,'�,�:�^' y�`�.r7f•.�!i�'.-?-s�'�4��1:..s'1w"Ii'*^1�,.`•;,r ,�: y�, ni COUNTY OF BUTTE - DEPARTMENTOF DEVE 0PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, &A FORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION'DATASHEET OWNER A. P. o. Proposedr Building Use e54,i? . eZnA /moi,, .� Building Inspector Date 4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 7'plans, 3/4 sets, signed by preparer of plans . .......................... .Complete plans, 3/4 sets, signed by preparer of plans . ...................... ineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check).' ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ......... ............. . 13. Flood elevation letter (100 year flood) by California Engineer. 1 14. Sanitation and plot plan approval ��:Ci) Health Department. ' F 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage . ............ 19. Driveway permit (construction approval required prior to occupancy).P ..... . reanspection reques�i 20. Pre -inspection for required. .. to Building ;nspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ .- 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... . 33. 34. When yo issue the permit, process as follows: Mail to owner. Mail to contractor. ,,Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation J �^ Acreage Applican " Date /4 ► g Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co liter 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 9&40 -/p « r FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Plan Amched Floor Plan Attached Seat to B.D.• Ge -Ke--' � ►•� ,rY w• cne tee.` � 5�"�5- �� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Vell Clearance for bedroom mobile home. 'Other�. aim-, Hold final for: Final clearance O.K. for: NOTE: Environmental gealth Specialist Date COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Chico: 1469 Humboldt Rd., Chico CA 95928 OWNER -BUILDER VERIFICATION Attention Property Owner: Ph: 916-538-7541 Ph: 916-891-2751 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)ll L signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 MA NOTE: This Owner -Builder Ve? ification 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. BUTTE COUNTY SCHOOLS LMPACT~FEE CERTIFICATION FORM (One,Form Per Building) School District C-/AzBuilding Department'No.y C A.P, Number .15255" '-35 -13 Jurisdiction '0 City ' ' County Property Owner Property Location/Address Subdivison Lot No, Residential Development 0 0 Sq. Footage , No. of Living MHI \ A EditUon (Group R) Units Commercial/Industrial 0 (Floor Plans reviewed by School District Personnel) Sq. Footage )n (Including Exterior Roofed Areas) ./ A:V/� bate District Identification No. UUSchool District certifies that (Applicant) (Street Address) n (Phone Nuumber/) Q (City) (State) (Zip Code) has.complied with the requirements of Resolution No.by payment of $ representing square feet. ❑ Check here if fee received represents "Full Mitigation". Y�)Z 3 111,C' School District RepresentativeDate Paid by Check # A) A Remarks: Bank Number A� j 65 Paid by Cash �' V 4%, t 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 fee,' lo�fully mitigate its impact on the school district's schools_ White (applicant), Yellow (building department), Pink (school district) feeform.wki (4/94) BUTTE I L UUUN I -Y bUHUULW1Mt-Ak41TLL CERTIFICATION FORM (One'Fo'wP6r`BuiIding) SchoolDistrict41i Building Department No Vis- I A.P. Number uisdictiom City CountyCom` t PropertV,.Owner Property 1-8dation/Acl&ess Subdivis6n Lot No. Residential Development, �'Sq. Footage No. of Living' MHl Addition . (Group R) Units Com.mercial/Industrial Sq. Footage New Addition e~"(Including Exterior Roofed Areas) V-4—, Building Department Representative Date (Floor Plans reviewed by School District Personnel) (oireel Aaaress) (Fnone Number) J (City) , "(State) ti (Zip Code) has complied with the requirements of Resolution No, by payment of $ representing 14:1-4:57 square feet.' ❑ Check here if fee received represents "Full Mitigation". School District Representative Date Paid by Check # Remarks: Getz oo Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte. ICounty 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 distric, t's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (094) / � COUNTY OF BUTTE .. .._ BUILDING DIVISION DEPARTMENT OV `DtVtLOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER P RMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above aess a s ddrhould be corrected. Please notify this office when correction of .work. is completed. If have any questions pertaining to this matter, or need additional explanation, please cotta this of ' e immediately. 11 • n e n n — n .. , i - 1T)P T'R_ L_ -t-' (QA Date-^�--s -,75' Inspector �,�?4-gyl^: REV 10/92 Ij ...F(ESIDENTIAL., 056-350-013 PERMIT#95-1507 CLOUGH, Ed 5214 Pine Way, Forest Ranch Conv Garage to'Living/SF, JOB FINALIED (Date (//l Signature J=OK O =Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete - - 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Electric 7. Well Clearance & Disconnect ' 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 8. -Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector % ; 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 rax 1 O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ff's Date 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- Bloc kouts-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 #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test-Fittinas & 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 #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------- ----- ----------------- -- -------- --23.-Elec.-Receptacles Spacing -Lights & Switches at Doors --- ------- --- ------------------------------------------------ -- --- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fasiners-Bond Gas & Water -------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------- ----------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or Al --------------- ----------------------- -------------- ------------------------------ c.. rga. u or rc. / /C o Al. Insulated Neutral ❑Yes- -- ❑ N ----------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------- ---------------------- ------------------------------ -------------- 31. ------------ ---------------------------------------------------------------- 31. Equip. -Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------- - Smoke Detector --------- -- - -- - - --------------------------- ---- ------ ---------- Date �� r Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------- ---------------------------------------------- 3 Vent Fa Exh ust above insulation -------------- -- - - - - - ----- ------------------------------------- 36. Condensate Drain & Overflow: _Size & Grade V. s it -e 5 outlet ----- ----- -- Attic Access & Platform if Furnance in Attic ------------------------------------------ ---- -------------------------------- Card Date-------------- Card B ---------------------------------------------------------Date Date Card B-1 Date Card B-1 Date FRAMI (Plans) OK except #'s 39'75-1 P ?per Material & Anchors ------ ------------- - ---------------------------------------------------- ------ -- - - - -- - -- - -- - - ----------------------- 40. tuds _Nailing. Spacing & Bracing -Plates -Sound ----------------- --------------------------- 41. Be g Walls over Girders & Floor Nailing ------- -- -- --------------------------------------------- ----- --- ---------- 4 raft Stop in Walls (rat proof) - -- -- - - --- - - - -- --- - ----- 3. Fire Stops. Furred eilings-Stairs- hase Tu ------------ -- -- -------------------- 44. He rs & BeamHe &Beam-Size�B�ng & Duplex) FRAMING (Continued 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. nce 48 Attic Access; S e & Romex Protech Draft Stop -Ins. Baffles -----�-- 49. Bdrm., ows or Exiting Doors -Sill Hgt. ensions c ton Framing 51. Property Line Firewall & Openings ------------ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------ 5 room- Ise- un- a rotection ----------------------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. idin ailin 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 -tO- a6� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 4.�_.xl. Steps -Door & Sidelight Protection -Landings ---- -- moke Detector Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------- edroom Exiting 6 I & Bath Fixtures & Tub Access -Spa 6 c. Trim & Subpanel: Breaker Sizes & Labels -- ---------------its Fir place or Stove: Clearances -Hearth Elec tl As at Wood Panel: Int. & Ext. t Fi le & Appliance; Grnd.-Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter -- - _--� - --- -- ----- wing -Landing -Closer ---- _ c in Garage-D_amper Z4 -Wt -r. Htr: vents -Clearance -Comb. Air-Connector-P.R.V. In age: Above Floor -Meth. Protection ---------------- �__ec. let. & Mech. Equip. Listed for Location 7eceptacles in Garage: (G.F.I.)-Romex Protection ----- ----- -_-�' n -Foam -Looked in Attic ❑ Yes ----------------------------- - al s onstruction- Post Caps ------------- ---------------------------- Z rawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor �N -o ---- 8 lowing instld . Drive ❑ Yes o: Walks ❑ Yes No: ------------------- - Planters ❑ Yes ❑ No - ------------ --------------------------- --- - -- ----------------------- A. nit: Disconnect. Electrical, Plumbing 8 ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to ------ ----------- ----- _ 8 ater Well: Disconnect, Electrical, Plumbing @;!Exterior Elec. Trim; G.F.I. Receptacle -Underground -. ------------------ _..-. --. -. ----- 86. ntilation Throughout House - --- - - --- - -- - d7 lass- Protection - - ------------ -- - -- -- ---- ----------- ---- 88-26rr ctions from Previous Inspections s Test -Meters Tagged Gas -Electric ------ ------------------ ---- ----- ------- W er &Sewer Connected -C/O to Grade -HD Approval ------------- -- - ----------- ----------------- Energy Compliant rtificate-Other Certificates V --------- -- -- ------DaCard B t Date Card B-1 a/ Card B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELQPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 995--/so7 ASSESSOR PARCEL NUMBER 056-350-013 ZONING TM5 BUILDING PERMIT OWNER Ed Clough TELEPHONE 342-1813 SO. FT. OCC. BUILDING VALUATION 416 M -R 8320. OWNERS MAILING ADDRESS 5214 Pine Way,Forest Ranch CA 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 108.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.20 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 5214 Pine Way,Forest Ranch PERMITFEE $ 221.20 PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 3 7.00 21.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF $:C Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other WX Describe Work: Garage �:(1nVATSi nn Mobile Home I S I GI W 1 920.00 PERMITFEE S 56.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 a Main Service 00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawf�the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR, OR ADDNS. ( & ACC. BLDS. ) sD. 14.55 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) 20 Q I.Oo BAL .00 Ex. Occup. OFIXED (PPLNS .OE0. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 34.55 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation I 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 provisio s of section 3700 of the Labor Code, I shall forthwith comply wi h t pro I ions. X Date Signature of Applicant - Ow er 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 $ 46.00 OCC CONST. TYPE TOTAL FE $ 357.75 HAZ. D. FEES P FL CDF ARC PD D SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated abo for which fees h e been By 1:09 f Date PERMITEXPIRESON (Dae) provisions to do work paid. ZZ. O eceiptNo. O�%��323.20// F HITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "i�^_�.-.,7. (�. .i+.ri:rTn,fA ,.�,vti,ti''�y��`;.�.w`✓'!ri «�.�... 1.:+�.. "�`Pr . ' �a. ,� 5 .�,�r ...-rG(►„�...:...+5�.� �f i'i j� r�r�+•i(.i.wi-a i�.^^ :;r�vk!r.lts.x:.�{n.1rJ�-.�i.7'�'�C'"' j^ A • Ju COUNTYOF BUTTE - DEPARTME TOF DEVE'LDPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE -OR V1 ALI FORN IA5965 -TELEPHONE (916) 538-7541 ®• PERMIT APPLICATIONl;DATA SHEET r A ]: OWNER J v Proposed Building Use s// Co..iV , Building Inspector P. No. 5O - 3s� Date -?/3 b/3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Matorial 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). .... Mobilehome d and m nufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees Ys shown on attached schedule. .. ScI/o.o ( ................... California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . anitation and plot plan approval C !�t f (.• 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). ...PR��eo� �q� esU 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 . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. 9 When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to ermit i suance: (Cir w item not check d above). 1. Index permit for above items No. o G S 2. Additional items required: Contractor, designer, owner, was advised of above required data by phone _ mail Counter by 42VIDate % Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou 6r 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 E.H. Pa QNLY Plot Plan AttwW Floor Plea AffmchM Scotto B.D. / TO: Building Department FROM: Environmental Health ' SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well — Clearance for. bedroom h D Jus k�k OA,, v. Hold final for: Final clearance O.K. for: NOTE:'- 4:0-5 OTE:' ironment�) Health Specialist 8/92 4: -5 ate J'a-5mi'mmp-ij pjbfi4,j9:OT f;jj.�ofl ilww"macnivre . :MOA,;l 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 a'or labor and materials for construction of the proposed property improvement YES ] 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. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, / r Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. N•7 I OK .i 0 BUTTE -COUNTY SCHOOLS IMPACT FEE CERTrF,ICATION�F�ORM' (One Fo m Per�Buil'ding) o� f School District Building Department No. A.P. Number s6 ' 3S`�j- :0 / 3 Jurisdiction: �_ City. County Property Owner ru 1Q''f Property Location/Address ..,e Subdivison Residential Development S.2.y'y �i•�� �i.i t! No. of Living MHI Units _LQ�No,'ll Sq. Footage �ddition (Group R) Sq. Footage Commercial/Industrial 0 New Addition } lRoofed Areas) _ ___ /// ' B i epartment R resentative Date - ; (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that In,� ' l� (p licant) lzl-,;5 (Street Address) (Phone Number) 1117 (City) (State) (Zip Code) 49— has complied with the requirements of Resolution No.�;q '� by payment of $ representing _ square feet. AB 2926 $ FULL MITIGATION $ yJ&,0z, - S I 8 School 07snct Representative Date Paid by Check #�J Remarks:I (� U 1 t Gib S, f Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEOA), 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.wkt (11/94)dmm a i ' f *, PERMIT NO. 1177-82B,P,E PERMIT EXPIRES OWNER Gone F. Ingram CONTR. David Hostetler, Chico SESSOR PARCEL 56-35-13 7 LOCATIONWAS Pine Way, app ' mi. E. Sugar. Pine Pl,,Forest Ranch . v �t \ 1 , s' -Cl 7 .Y, Temp. Power Pole (( C11e PG&E emp. lec. Service Called PG&E Temp. Gas Service Cal led PG&E " JOB FINAL ED (Da te) N d. � Signature 4` V = OK , 0 = Not OK + Not Applicable MOBILEHOMES MISCELLANEOI°'C� ~+'' = Not Ready „ Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) G., except a' 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 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; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1:, Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—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/O 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. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI f Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date I /t V = JrfK, A. , O = Not OK Not Applicable rroot Ready RESIDENTIAL (Single and Duplex) % � = Date UNDERFLOOR Plans OK excepWs Date FRAMING (Continued) Z?ping requirements-Setbacks-EasementstpLine Firewall & Openings tg., Main; SoiIs-Steel-E rnd.- / /' &' 40, -'Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- /" Ftg. Depth dth-Headroom-Rise-Run-Landing-Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 11lyweod on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer 6. Sternyi4alls, Garage; Steel-Blockouts-Wrapped-SlabMush-Drip Screed-Fdn. Vents-Underflr. Access -L rs-F - I Glazing Area -Glass Protection -Skylights -Plastic ,f9',, D.W.V.: FA44-Fits- t-2 w y C/0 w es SS, ear -Walls; Nailing -Bolts rs CWater Pipe; Test -Anchors -Regulator e /SF Electric; Underground Material -Support -Ins. 1 olts-Joists-Vents-Cripples Card -BI nzn2ate Card -BI Date Card -BI &V Date / Card -BI Date Card -BI Date Card -BI Date Card -BI Date .� and -BI Date ,� Date FIND Tans) OK except #'s Card -BI 5� Date L7,,pZ-Card-BI Date Date PLUNJ"G (Permit) OK except p's Steps -Do t = Smoke Detector 1 . Water Ht.; Vent -Access -Combustion Air So. Fufnauu, V019---Marance-Comb. Air - In 9erege-itbove-Floor-Ducts-Mech. Protection Connector -1 Dater Pipe; Test & Anchors -Nail Protection V D. .; Test-Fttngs & Anchors -Nail Prot cion 99r��jCeorri Exiting 1 hower�'aa�est-First Floor -Tub A ss I. & Bath Fixtures &-Trob-Azcess dab^& Shower, 2nd Floor -Tub Access -1 Elec T Subpanel; Breaker Sizes +9 -Gas -Rope -Size & Anchors 62r Stere-8rf Is 68,r'_Fi eplace or Stovb;,Cle s-HeaU4T� Card -BI at0gOC Card -BI Date - 1,y QMe3fflec. Outlets at Wood Panel 65t�1(i . Fixt. & Appliance; Grnd._Aif-� Cooking Clearance Card -BI Date rd -BI Date 6M. Outlets & Receptacles at Kit. Counted Date ELE ICAL Permit OK except q's r F' ure & Transformer Clearance -Ins. Protection tr Vents-Cle ce-Comb--F4ir-Con P. Protection c. Receptacles Spacing -Lights & Switches at Doors S' a Boxes & No. of Conductors -Stapled 7 Plb., Elec. &Mech. Equip. Lieted for ion Location I.Protec. inex Installed Close to Edge of Studs & C. ' 2 . E Ground made up w/Mech. Fasteners o as & at 7 Insul�i.on-Feem-6acke'it-in Attic ❑Yes TiaWirnce Circuits in Kitchen &Conductor a 73� on -Pr _aeerps u t:d Wire Saes-F� or AI-A.C. Wire-�'��� or AI 74. ole Door -Drainage & Wood -Earth Clearance Lem,"^a ..^a^, r�^^, Yes 2 ange Circ. / / ga. u r AI -O n Cirer�-Cu or Al, In ted Neutral ❑ Gfl(�p _E] 7 Following instld.: Drive es �; Walks ❑Yes G+LPIe- Planters ❑Yes 9146- sh 2 er ' 'e -Riser Conductors & Ground -Main Disconnect 2 quip. Clearances; Panels-Motors-Mech. Equip. -115V et 36--set-Cfo'set Light -Shower Light ents Above Roof; g.-Artce-Fir .-Cleara pngs. Q_,&4*;� Water Well; sconnerD lectr' I, mbin Ext ec. Tnm, Reot tater ndergroun Card B -I Date j and BI Date 8L, --Ventilation throughout House Card B -I 6yDate 7 Card -BI Daterotection Date MECHANI(kAL (Permit) OK except k's (Cplr sci.icas-from Previous Inspectionss` - - .T eters Taqqeif, Gee-Ele 31. A.C. D ts: Insulation & Support 7,� / Water & Sewer Connected O a HD Approval 32._ Vent Fan Exhaust above Insulation jv nergy Compliance Certificate -Other Certificates _ _33. Condensat Drain & Overflow; Size & Grade _S�-/ _ 34. Furnace -V t; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ----- Card -BI Date 2 Card -BI Date Card -BI _ Date - - Card -BI Date Card -BI Date., Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA G Plans) OK except q's _S' Proper Material & Anchors 7, f Q c_d � Is; Studs -Nailing, Spacing & Bracing -Plates -Sound -7 Bqaring_Walls over Girders & Floor Nailing I Stop in Walls (rat proof) _ Firg Stops; Furred Ceilings -Stairs -Chases -Tub - ZO Vader & Beam -Size & B_earing_ _ gers-Post Caps -Anchors -Connectors - - C . Joist-Rfir. Ties-Purli Roof Brac. r hihn g 4 Fireplace Ties or lue-Fireplace Throat �pe� ess: Size�ft'ahfex Protection -Draft Stop -Ins. `Bat s _ Bdr indows or Exiting Doors -Sill Hgt. & imensio s n,, 7 arae Fire Protection Framin (NOTE: Anentry must be made each time you visit job site) I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS + / y` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Gail wa �r 7, %z r:71 1WSk 4,,6 I -r -W IF14 // G Z LU o f Inspector Date /7—,��'�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 .- 7 7 County Center Drive, OroviIle— Phone: 534-4541 Gyp Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ����� ../cam• %�� `�//» � / BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector Date Id ccf�. �o x�� x a �� A MESSAGE FROM THE The Community Action Agency o6 Butte Cc m,zzion ob making the entiAe community mane the poatc. In thin County, we have azo mad( among s enim citizens 6oh wo,%k, education, � the tight to t i.ve .in decency with dignity." to .incAeaze cootcdinat on activities with otb ouA own 6en.v.ice detiveAy opeAati,ons. we hat b" is puApose statement .in an e66otut to impt e66ectivenez6. While we ane not conceAned c ass a po6.i live voice 6otc seniotc citizens and County. We cannot be succe&s6ut atone, how( ouA BoaAd, and the adv.usony group membetus, c who donate vat iouz goods and z etw.ices . We P Let ws know what pnogtcams wotck bust 6otc you may senve you betteA. Thank. you. 0 0 W mU) -P >- o °' v o U 4(n - us b 0 A U O v 3 '—' 4-) 44 En 4-4 iil RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION_REGULATIONS V (location)' ' BUILDING PERMIT NO. //�,�--�; L 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 Fdn. Walls 42/4;_ Floors T - ;.Walls /Ceiling/Roof Ducts '44,44--a- Circulating /;� Circulating Pipe s APPROVED HEATER APPROVED WTR.HTR./� GLAZING:' Single Glazed Special (Insulated) ivy CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS 4442 INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 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 _ Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/ wn/r Name ./j` • )C-- zy"b-Z 9�YI Signature of A1A1'A--)1'RXX---Date ease print) General Contractor/e r7 tate Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION W ITH IM. THE DWELL ING . I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT I. ASSESSOR PACE-r.luMSER /3 zON _ S ILDING PERMIT OW G/UC //\/ � TELEPHONE SQ. FT. OCC. BUILDING VA TION O ``r� a,)v OWNER'S MAILING ADDRESS /000 ��©0 t 00 C O,J�S NAM V/D�5TE_� T L- L3 —06 Z C2/�CTOR'AI N�/DWE• /`VI& //s;�rZY' Fireplace p O CONSTRUCTION LEND UNKNOWN Total Valuation is 50 oo. Q--(7 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ l7 ARCHITECT OR ENGINE R LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG( EER'S MAILING ADDRESS Permit fee $ 23 g,Z� BUILDING ADDRESS v n G(/ 5 PIAIF- All- /APP, v PLUMBING PERMIT Filing Fee ;-10:00 /A r 0 / �� ` D& A � Each Trap 2.00 /,dQ ca Repair drainage or vent piping 5.00 ro 7— �/� – Water piping S ®p LOT N# SUBDIVISION NAME PARCEL MAP- -� .6y/ Each pas water heater or vent 5.00 ' Gas piping system 1 - 5 outlets �/ USE OF STRUCTURE SF ISI Duplex❑ Mobilehome❑ n Other SPECIFY Building sewer �,,00 Lawn sprinkler system 5.00 �O/ 4-,er.o � TYPE OF WORK ,�, New � Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ t90 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS ��, Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING ,la� OR ADDNS. l ACC. BLDG r 2 sgft • /r �V CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [ 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.�7� 5"�3 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R BRANCH CIRCTITS 2.50 ea NEWCONSTR. (POWER APPARATUS 8J NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BA�0j IxED APP LNS, OR Ex. Occup.(ouTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , 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. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia l I s, judgments, costs, and expenses which may in any way accrue agai t.said�County in conse c he. ranting of this permit. X _� v�� * Date Sig e of Applicant — Owner ❑ Contractor gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMfT FEE occoP. CROUP K�7Z/, I TY �F �,oNST. PARC PD /ISSUE_ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY PIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date `S!¢�� J —19 Receipt No. ASO WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT I FOR RESIDENTIAL DEVELOPMENT MAY Section 26-8.1 of the Butte County Code requires this acknowledgement s 45 be recorded prior to issuance of a building permit. ELEA14ORM LERK - RE'CUR06'm/l The property described herein is adjacent to land or included FEE within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pest :icides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Iffy 41 A AI PAX65d YVA-P 0A) '5�11-17,6 Date: PROPER OWNERS: 7x7' State of California On this the 11th day of May _, 19 82 31 SS. before me, the undersigned Notary Public, personally County of Butte appeared Gene F. Ingram J;U known to me to be the person(s) whose name(s) is Lt. 1? 7 subscribed to the within instrument and acknowledged d, that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, - I hereunto set my hand and official seal. 0'. Present A.P. N Notary Public COUNTY OF BUTTE-B"EPARTMENT' OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PGSL NUMBER AA� 7 —aS -- J ZOh / / - BUILDING. PERMIT Ow N AK/ 1-M TELEPHONE SO. FT. OCC. BUILDING VALUATION G �- Z -5s00. act OWNER'S MAILING ADDRESS nn^^ 00 E C rou D S NAM/ l VJ 7 &I L 6i(2 TEL ON IERE HGO l CO TR Cl'O'R'S�� ""}�AIL�I ��� �VC/`J/,�' Fireplace CONSTRUCTION LEND r W UNKNOWN Total Valuation $ G G , 0 •u Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ C7 ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ 23 , ZSR BUILDING ADDRESS S P/IVE All -7.y v PLUMBING PERMIT Filing Fee 10:00 !' 6/ fnG Each Trap 2.00 W., CIO Repair drainage or vent piping 5.00 t'C/rr_5 JeA C� Water piping 5. pp LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,�USE OF STRUCTURE SF LJ/ Duplex❑ Mobiishome❑ Other A41�8 n ,c�Lawn SPECIFY Building sewer sprinkler system 5.00 5V` -n-4 0&--1A15P' 1 i Q V TYPE OF WORK NewER Addition ❑ Remodel ❑ tilities ❑ Installation[] Other ❑ Describe work: J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee L10.00 lain service 800V OR LESS 100 AMP OR LESS /n, Y1 .(/ t.i Main service EA. ADD'L 100 AMP 2.50 NF_:Y CONST. /DWELLINGd� OR ADDNS. l ACC. BLDG Z sq ft % Q� CONTRACTORS LICEN. LAW �f I declare under penalty of perjury (check one): �4 I' am licensed under provisions of Chap*, f t e iness and Professions Code and m license is 1 I f, and effect y License No- >'���� 3 Classificatio / ❑ I, as the owner, or my employees with wages as their ' le com -1 sation, will do the work,and the structure is not inten d or fie for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with lice co ct- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U _ I.OUTLET ITS 2.50 ea BP.ANCH CIRCU, -NON NEW CONSTR. (POWER APPARATUS 61 NON RESID. SiNGLE OUTLET CIR. J 50 @ Zea E Occup(o LETe OR FIXTURES BAL@T FiXXED APPLNS. OR . OCCUPJOUTLETS (RESI DJ EA.) 2.00 T mporary service 10.00 M ife Flome Facilities 15.00 c. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT FilirgFee 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 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 forthwitn comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia'Iles, judgments, costs, and expenses which may in any way accrue agai t. said County in copse nc the ranting of this permit. ^�� ,G `� X Date Si ore of Applicant - Owner g pp ❑ Contractor ��gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.. Mobile Home Installation Fee $ TOTAL PERMIT FEE. $ 313,75 oCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date Receipt No. /iff o . ...... ,.......,...P, i -T O G v{t�0 n to O. p OC'. • -__ - _._. _ \ Alp Op D O V W c.n • rn w N � V�.•6 \ n ��>� ��0� '�8 � v :98.00 00 j A / O c n � D 717.09 -- - 622.00 of - v A W �D v n 1 I I Ao� C.. U O nO�� 1i co � o _f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,-California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARC MBER �- 3sa ZONING BUILDING PERMIT OWNER (1 % D TyEPM E S FT. OCC. BUIL ING VALID TION OW E'S MAILING ADDRESS Q V �- CO TRACTOR'S NA /C� HONE T�0 2V CONTRACTOR'S MAILING ADDRESS 3 / S �4t(z) Cl2/C Fireplace 11 D CONSTRUCTION LENDER .�/'� / / UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ =33 ARCHITECT OR ENGINEER Term iNa(iL. 169 •-7-W LICENSE NO. Plan Checking Fee $ Ener Plan Checking F 9Y g ee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE S a Permit fee $ a _5 PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 ,Q� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 , Q Each qas water heater or vent 7.00 USE OF STRUCTURE SF.i'\I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Others Describe work: 7T ��/����\ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee15.00 Main service 60ovORLESS 200A OR LESS 18.50 CONTRACTO S LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ , as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.'—, Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( OR ADONS. ACC. BLDGS. // DWELLING OCCUP.&) 3.6asq.ft. r 3 NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCU ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ' Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED Ex. Occup. OUTLETS (RESID IREA.I I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating '027 L Cooling �jT /- Hood 6.50 ,. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep nd demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ O�.�1 tt✓ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP I FLOOD CDF PA CEL PIJ HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 6r, 7�_ 3 'NNITC-D.P.W.. YELLOW-ASSC730R, PINK -INSPECTOR, GOLD ROD -APPLICANT ��-�'v`.'"r'i ty'rf""',rn�.{c°,rt'K'�- ,�r°�ai..,r:arti��:rrr(i_ �, �r'J ."�' v-•�j.r-'�`'�'��iJ�l�'ti"lir%'r"�,�... `fi��` t+3.`:�- :c.r kt:I'%-� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET - �1 / ' / Permit No. OWNER [ ,4 Z),4 !� � A. P. No. S�� �� AI ` Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. (�" Plot plans in duplicate/triplicate, signed by preparer of plans 3 Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data i cluding manufacturer's installation / instructions . . Fees of $ 11. Chico Urban Area fees paid ....................................... 1_2.—.Park fees paid ................................. �'14�L2 School District fees paid .............. Sanitation approval from C'6/6_0 Health Department 1- 27- 15. 15. City of Chico plumbing permit ............................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25 Lett r fI at re authorizatio�1 - When you issue the permit, process as follows: Mail to owner. Mail to contractor. lephone 319%and hold for pickup atoffice-. Deliver w/inspector. Other ccam;'' Applicant Date/! Copy of !.az-Mat form sent Health Dept. Fire Dept. Air �Iution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must -be submitted prior to permit issuance: (Circle new item -not -checked above). 1. Index permit for above items No. 2. Additional items required: Contractor,esi n� r, owner, was advised of above required data by ✓ p one__rnaiI—counter by .date Contractor, signe , owner, was advised of above required data by ZpiMr)—L— maII—counter by 66L date 3130L Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 056-35--013 ZONING TM -5 BUILDING PERMIT OWNER Dan Davis TELEPHONE 894-1961 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 956 Mangrove Ave. Chico 95926 CONTRACTOR'S NAME Mike Lang Construction TELEPHONE 342-2010 CONTRACTOR'S MAILING ADDRESS 13361 Sheep Hallow Creek Rd., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 5214 Pine Way, Forest Ranch Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF X❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: Add Area to Bath, Crpatp 2nd Bedroom _ & Total R mod 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S and Professions Code and my license is in full force and effect. License No. ����� ClassificationJ�, J 1 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 OCCUP.&\ 3.6Q sq.ft. NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. // NEW CONSTR ULTI-OUTLET NO N•R ESID BRANCH CIRCITS @ 5•�� POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 EX. OCCUp. OUTLETS FIXED PREA.1 3.00 (RESID ) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, anfLexpenses which may in any way accrue against s t in consequen a of he anting of this permit X�jThis Date //9h Signature of Applicant — Owner El C ntractor Agent An OSHA ion of structures toverr3gstoriesoineheight ions over 5' deep and demolit'on or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I DFEES I IMP FLOOD I CDF I PARCEL PD HD ISSUE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. �( / WHITE-D.P.W., YELLOW-ASS(SSOR, P�—,INK-INSPECTOR, GOLDEN ROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # q2-00-76 OWNER (�Aty �iS.V l s' J A. P. # Plan Checker_ /jrd GENERAL OC 1. Zoning requirements: (sideyards and number of permitted living units). ,-2. Valuation. -3: Plans signed by designer. ,4 Proper description of work on application. r--5:Existing violations on property. . 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7— Recorded notice of violation. PLOT PLAN -1: Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. --3: Other buildings or structures. --4: Grading, fills, drainage. --5". Flood hazard. fir. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb- -8- Building or utilities across lot lines (Record form). FLOOR PLAN -1. Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). r Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). -6: Required room sizes, ceiling.heights (Sec. 1207). -7. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). L8-- Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. ' -19: Locations of water heater, heating and cooling equipment, other electrical or gas equipment. -10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). ,-K. Fireplace and wood stove location, alcoves, and clearance. -r3. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) —2: Unusual shape, size, or split level house requiring lateral design. �. Clerystory requiring balloon framing and/or engineering. 4.._Th.r-ee story building requiring engineered calculations and plans. "5- Foundation plan complete enough to construct building. -61 Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building 8. Roof construction details complete enough to construct building. 9. Fireplace construction details and calcs if necessary. 10. Rafter ties or bearing ridge beam. 11. Garage door or porch header sizes. 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection required. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR —n --stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). --2':--Guardrail details (Sec.. 1711 & 3306(j). _,,3--- Brick or stone veneer (Chapter 30). .4. Exterior plaster - weep screeds (Sec. 4706). ,-5-. Proper roof pitch for roof convering (Chapter 32). ,6. ' Roof covering type - (fire hazard). _--7�------- Foam insulation - protection. 36" halls and stairways. - 9-.-�Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. ,0. Two exits on three-story dwellings (sec. 3303 & see Mezannines 11-1. Attic access and ventilation (Sec. 3205). -17Z:iJnderfloor access and ventilation (Sec. 2516). X1"3 Co on garage side - 1716). _ mbustion air for fuel burning appliances - L.P.G. requirements. --M-.Noise requirements on duplexes. 15_Energy design. Lab. Flashing at all exterior openings. responsible area requirements. N-�5 QO?- I IF- aq,-- ?Z -5'l — c - 1/ 17192 ti cot -Ocyy 1 '7 Wi{ � � P!� Ek l ST . '1iLU4 5(-S . t.� O R_= I , u �►,,� r ��� C T k U �Sno — 1cor �u c�u3�- NO F� v Uuoet(CC�� w�c� - C ftALr o F 114U S E l Ax ��l'YtGUFL7 -- S PML SWuO"U' AL 5YSTLM 2C7YAWJ1Ua )YDS u��r� � ►J !(LUSS � S �� — '�d� l� C � �.E �( (' �i�� � f-I-� �2 (D�v� �°'�t`'j G %1 � ESS W c�J YJ ✓r'� Uc- L'i (Z Y1 - c��ue � " 1160� 5 '("AC I- 07 w�tL UVCI� �� � ,��CfJ 5�C11 olJ i is tooZ ('(5 �t� u►rnt ale- Ur 16 of-ff — P. IM `z'pchi a v IC�2. CAS tin (uta e wtl�ip ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE"'. (Additions) J Owner Permit # Floor Area FORM 7 Climate Zone The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room .additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned. space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 ZONE 16 R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient R-38 R-19 R-19 R-7' U-.65 (Dual) WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip_:doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING,,VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER \ 12/85 *1 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating �. - ❑ Central Gas Furnace i (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating, capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other. (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ■ DOMESTIC WATER SYSTEM • (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual 1, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart"or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements o Title 24, Part 2, Chapter 2-53 of the 9,-ifoinia A inAstration Cod 056-350-013 PERMIT#95-0973 INGRAM, Gene 5214 Pine Way, Forest Ranch ?"A Gas line for BP#95-0159/SF .. �o�,-S,:_ _ .,-. .`i : �. ;.s,,.^"�•"�!S'R7L"��'-'�n`s�-.Y,w%t%:'y,.`.. '�AfiRaP�„"w's_ .s iF v t� COUNTY O�BUTTE- DEPARTMENT OFDEVELOPMENT SERVICES -BUILDINGDIV ION 7 -County Center Drive - Oroville, CaCifwnia 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 05 6-350-013 eZZOONIINNG lt'i.7 ' BUI ING PERMIT OWNER TE NE iL1 i 8 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BC EST RANCH 95942-0201 CONTRACTOR'S NAME ONINER TEL ONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN!OWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS • 5214 PINE WAY, FOREST RANCH PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFjp Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: AS LINE. #� G Mobile Home S G W1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.00 9!r. O /� / R Main Service ao0v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with license contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason - NEW CONST. DWELLING OCCUP. s0. OR ( 8 ACC. BLDS. ) 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( b POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO EX. Occup. (OUFIXED TLETS (R ISE ISE . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Cgde, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 4. 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 p visions. X Date �+ Signature of Applicant - wne ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3 Q:r HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date / r PERMITEXPIRESON I (Date) Receipt No. 1ti!rLgi 9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN/1� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53PERMIT NO. APPLICk„TI-ON AND PERMIT ASSESSOR PARCEL NUMBER 056-350-013 ZONING TM5 BUI ING PERMIT OWNER GENE TNGRA�/CLQUGH TELEPHONE 891-1118 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS PO 201, EDREST RANCH 95942-0201 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 5214 PINE WAY FOREST RANCH PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SFP Duplex ❑ Mobilehome ❑ Other SPECIFY` Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer,) 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: HA2 LINE Mobile HomeS G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.'00 �L E 9F O10 „ ¢ AE ice eoov OR LESS Main Service z ( ooA OR LEss ) - 23.00 Main Service ( 200A TO I000A ) 46.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, / will do the work, and the structure is not intended or offered for sale. in I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BUDS. ) s0. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) zo @ 1.00 BAL 50 Ex. Occup. (ouFIXED TLETSPREsIo.Oea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / d,�✓ X �____ Date � Signature of Applica Own ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction P q P of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ �= HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SU This permit is hereby issued under tfie applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. p S By �� ,/r�"� Date / PERMITEXPIRESON I I (Date) Receipt No.1�l1' 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FROM: 'Buildina Department Environmental Health SUBJECT: Sanitation Clearance -' Owner Location ate Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K., for: Water Supply Clearance for bedroom mobile home. other NOTE ._-r / % t � Da Sanitarian T rM -ja rM ST NOTES RESIDENTIAL PERMIT 9'056-35-0-013 t 00=0827 CLOUGH,ED' 5214 PINE WAY- FOREST RANCH ATTACHED GARAGE & HOT TUB AREA It SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature U V= OK 0- Not GK. = Not Applicable = Not Ready I MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Utility Clearance 2. Soils; Special MH Support Sketch 9. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Roof; Shthg-Roofing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance 8 Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 47. 1. Zoning -Setbacks -Easements -Flood -Slope Fireplace Ties or Type A Flue -Fireplace Throat Clearance 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Garage Fire Protection Framing 4. Fig., Porches & Decks; Soils -Steel-/ r Ftg. Depth 53. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 59. 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 62. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test A.C. Unit Disconnect, Electrical -Plumbing 11. Water Pipe; Test -Anchors -Regulator -Service Test Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 12. Electric Underground Water Well, Disconnect, Electrical, Plumbing 13. Plenums & Ducts; Clearance -Material -Support -Ins. Exterior Elec. Trim, G.F.I. Receptacle -Underground 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Ventilation Throughout House 15. Access & Ventilation Glass Protection 16. Insulation Corrections from Previous Inspections 91. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Address Posted 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Card B- Date Card B-1 19. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 20. Shower Pan; Test, First Floor -Tub Access Card B-1 Date Card B-1 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/Meth 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 ❑ 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-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42.NBearing 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 1. jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff 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. Infiltration -Walls -Windows 84. A.C. Unit Disconnect, Electrical -Plumbing 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 -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & pbpanel, Breaker Sizes & Labels 69. Stairs & FFiN 70. Fireplace o ve, Clearance -Hearth 71. E c. Out at Wood Panel, Int. & Ext. 7 Kit. ix Appliance; Ground -Air Gap -Cooking Clearance 73. utleis & Receptacles at Kit. Counter 74. rage Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper 6. Wir. Htr.; Vents.Clearance-Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex 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 O Yes 82. Following Instid./Drive:1 Yes ] No/Walks ] Yes 0 No/Planters Yes 7 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 Dale5 Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _ COUNTY OF BUTTE : r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 L 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER U 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 thisofdimmediately. \1 A Mn 1/ n i nn. Mi n w ,n w ^ ` Date Ff " y Inspector REV 10/92 ::. ti COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 �ERMIT NO. (Rev. 12,/96) APPLICATION AND PERMIT . ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 9914 WAY, EOREST RANCE, CA 9594-2 576 U 10,368 168 U 3,024 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total valuation $ 13 392 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ -00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 99.45 BUILDING ADDRESS 5214 PINE WAY, Energy Plan Checking Fee $ FOREST RANCE $ PERMIT FEE $ 272.45 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 13 Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD ATTACHED GARAGE & HOT TUB AREA Gas i in system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceEOOV oR LESS 2o0A OR IESS 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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La:fpethe following reason: lfr as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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. ❑ I 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 Main Service 200A TO ,000A 46.00NEW CONST. DWEwG OCUP. NC OR ADDNS. ( 8 ACC. S. SG 3.50FT. 20 00 rNjp R.ID MULTI. ' OUT U, (G 7.50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ounETOR FOTTURES BAS p I:sD Ex. Occup. OUX7LEEDTSA pE�SIp.OEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 40.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation /6{ one hundred dollars ($100) or less.) V/1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c mply withse rovisions. X _ Date Y/windicated Signature of Applicant - O [3 Contractor [3Ag nt An OSHA permit is required fo exca "ations over 60" deep and demolition or construction of structures over 3stories; in hei ht. go Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3 5 HAz. D FEES IM _O.cDF pqR H U This permit is hereby issued under of the Butte County Code and/or above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / at p r l o ale ReceiptNo. 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _76OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541 NO. v.12/96p APPLICATIONANDPERMIT - �� SESSOR PARCEL NUMMO_S mrow BUILDINGPERMIT ,Q�f Em;, „ESB.! 3 SO. FT. OCC. BUILDING VALUATION Awe Sof o ��• YIWNO ADDRo. � U G o CO-Wrm OR7 fo W I TELEPHONE CONSTRL-GMK LL-- LENDEA'S YNL O ADDRESS AACNRECT OR ENWNEEA ARCH"CT OR 04OWEEA1 YAA1NO ADDRESS SULDM ADDRESS LOT NO. I SUSONS10N9 NAME ,,// USEOFSTRUCTURE SFA Duplex ❑ Mobilehome O Other YAP TYPE OF WORK New ❑ AdditionxRemodel ❑ UdG,,ties-- ❑ Installation ❑ Other /❑ Describe Work: 4- C/r�--& F � I n — v a17 44 row Fireplace PERMIT FEE f Ex. Occu p. o71O *PP. lmEA ELECTRICAL PERMIT Total Valuation is Main Service =oo,u�s s 23.00 Filing Fee $ 46.00 20.00 Permit Fee E OR ADONS. d Plan Checking Fee $ ." ".5TMO1 1 @7.50 Energy Plan Checking Fee S S PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping1 Each gas water heater or vent 15.00 Gas piping system 1 - nets 15.00 Building sew 15.00 Mobi ome I S I G I W 020.00 Ex. OCCU . OUTU=T OR FWTWRES PERMIT FEE f Ex. Occu p. o71O *PP. lmEA ELECTRICAL PERMIT Filing Fee 20.00 Main Service =oo,u�s s 23.00 Main Service 200A TO ,DODA 46.00 NEW CONST. DwELLNO OCCUP. 3.SCF°, OR ADONS. •ACC. SU)S. NEW u[�N.00sm CONST. ." ".5TMO1 1 @7.50 Ex. OCCU . OUTU=T OR FWTWRES Wy 4 .50 Ex. Occu p. o71O *PP. lmEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ PERMIT FEE _ MECHANICAL PERMIT Filing -1796 20.00 Heating Cooling Hood 6.50 PERMIT FEI: $ Moble Home Installation Fee $ Energy Inspection Fee is 1;Z, "[ Occ DD -T' Tri TOT L FEE $ 0 /IAZ 0. FEES W► RO00 I COF I P FO 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. r3,,t ( By PERMIT EXPIRES ON Date ' xr ,� .i' 1M�t•;;xw.�Y�' v. `"�&.'� aS,+M"�' ,id J.ji � a�;. � .-ii ,�i��.. A r r_' ,_ .,�r� •'�� � � '++t ',•C C A 1s. ✓Y iif y. r.;i w•'r"' �r,,t�•yl�:-rWJ.e�.n .�.:t..-.,i�, . , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER:ASSESSOR PARCEL ER: 0 156 �•.... Ql i Proposed Building Us . Building Inspector: Date:-" - At time of permit app cation,�was advised the following data must be submitted prior to per�mrt processing and/or issuance: Date Received By ❑ 1. All items have been submitted. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ L ! Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------'---------- ❑4. 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 ------------------- El 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. --------------------------------- -------- m, �California Department of Fore lan approval/fees. �T--d �S --------- --- ❑ 3. Flood elevation certificate. -------------- --- ^------------------------------------------------------------------- 4. Sanitation and plot plan approv C L#Realth Department. ------------------------------------------- ❑ 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- El B)Parking:❑ 18. Contact Land Development about ❑ Improvement's`; ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 0 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) ;no ou issuW a ye . 't, process as follows ❑ Mail to owner, ❑Iv a' Ao'contractor. Telephone and hold for pickup at� , C a ce. ❑ �j 'v wi inspector. U r, Applican Date: Copy of Haz-Maf form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Dife: By:` Copy of plans sent ❑ 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, ❑ 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 Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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,*.M .:. be issued until this verification is received. .._.. 1. I personally plan to provide the major labor and materials for construction of: the -. proposed. property#provement : YES[ J NO[ Z. I HAVE[j-'HAVE NOT[ ]signed an'applicatiori for a budding permit_ or,the proposed work.-::... ; 3. I have contracted with the .-following "person (firm) to provide. -the proposed construction: NAME: ADDRESS:'--.: :::::.:.: .. _ - :. CITY: PHONE::" _:.: -:- - CON'TRACTOR'S. LICENSE NO. 4.- I plan'to provide-Jportions of this work :-but I have hired the following person to coordinatesupervise, 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 folio*& -persons to provide the work indicated: ~-°= NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCUL SECIJRITY 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. 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 hivea 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 subcoiifract 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,Yand 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 contnbutions. 0 There may be financial risks for you if you do not carry out these obligations,"and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. . If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, IlMichael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This &N-ner-Builder Information is required by Section 19830 of the California Health and Safety Code. titan• 1995 2.27 It 1�1, ROW Phu --Aka to LAIL 7-- FROM Env*mnwntal Health SUBJECT: Sanitation Clearamm Owner Locatidn AP# Plan Approved for: Sewage Disposal f Water Supply: Public Private Well Clearance for Avnfftff—gOther Hold final for: Final clearance O.K. for: NOTE: Environmental Health -Specialist 8/96 Dates- 'ProjectTlu. ' i•�a4i Project Address L Documentation Author Teiepnono BUILDING DATA Conditioned Floor Area Number of Stories Slabfi wised Floor Number of UniCt (J Single Family Detached ( (] Addition Alone (J Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (NIF) t ] Existing -Pius -Addition B ua.D LNG SHELL INSLMATTON Component Insulation L =tion/C:.mmcr_-us Type R -Value (atdca a garage, rmi=L etc.) Wa11.............. Wall .............. Roof............. Roof ............. Floor ............. Floor ............. Slab E:ge..... _ GLALIN'G Shmefing Deyi= Building NrmiL r melted By l.Daw Enforcement Aitency Use Ottiy Glass Area ..°b North Fast South West Skylight Total Gia= n g Area Glass Type Ince for Exterior Overt=g Framing Type Orie-'station (sI) (singir- double) (Jolles blind etc.) (shadt=am em.) (yesino) (meul/atood) No r-,, Nor"§ East ( ) East ( ) Sou _h ( ) Sou '`t ( ) West ( ) West ( ) Skylight..._ THERMAL MASS Type; Coveting Aria Thicicless (slab/exxsed, cite, etc.) (Sf) (inches) Loeadon/Deseriction (kitchen, bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, her( puma) (SE SEERMPF) (atdc, etc.) R -Value (Btuh) (or aloQroved equal) Maximum Furnace Hearing Output: Btuh HOT WATER SYSTEMS TankManufacture-/Model # Svstem Tvoe (storage gu, etc.) Capacity (or acoroved equal) Soecial Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) ri i ;vlandatory pleasures Checklist: Residential MF -1R NOTE: La- m=cm rdamaal es bwL&nsubx= mo umc Smrauds mua cants'. Uma' •••-•••.C• rem of Ne ®disc¢ mptnacn true, ltomms maraos wN an asmuut (•) may tae suoesroW by ace mtngemt eammpamnoc recur voo fired on ume Coulaeae of Comotunat Whort uua r4c m u arcom med�ino um vormle doewne„e,,be (ow,a mored Mail be co6tac ed by LI pan acs as btnding mummum evmvotmetn,sviotamrmee rows( Vmau (or Ube awwwory m0a�a .-emaber Umey are Lbown eLs wnQe N the OCCln bMU a oo"e/Q CnaCXU= only. D SCIUM)re DESICWU 04FORCEMENr s.ildint En -tope Measure • 12.5352(a). Minrmun cohng msulaLwo A.19 v V mrd ow -rage. 12.5352fbt l Dose rill imauauors manu(actww's fabrJnd R -Value • 12.5352(ct Minimum -%a insuLuban is tamed want R- I l wertnu Art average (does not apply a elmnor mass ra11sL 12-5352(kt Stab edgc insuWwn - -.atter absorvoon rae no g,eaAff Um OJ%. ere ToW I UWumuaeon rate no gtota ttsan 2.0 prJmrinmei 12.5311: lammfaude spacsracd ee irtsnflm meets California Engin Camm union (C= quality I sar4aacts. (vacate type Asti form. 42.5352(f): Vaom boners maralamory in Climate Zama la and 16 cuy. §2.5317: 1nrmluata n&zfmlaaoonControls a. Doors aha wumoo..s coween conmuonrd And unconditioned spaea d=Vw d to limit AN leakagt b. Doors and weaom.s ecrufsm. L Doors aral ww%omn wuw_rmppcte 311 joints and permeasums oo(kod aM sealed. i2-5352(er. Speaaf ierduaaon ba mer usa'Iea soeomply w4b i2-5351 aeras CEC qua'ity 12.5352(d): imsdlation of Fireomees I. Maso- and factory -baa fucoiac s ho -c L & igns rmnng, closable meta' or Vass door 0. OuLssoe au unam mnus damper aha gonad C. Fltw Comae Aral enemeo' 2. No todvmamts otamnt gas petits aliomed. HVACaad P,umbietSystem Memmm 12-5352( aM 2-5303: Space eondiuonmt tauipnrmeat tis v anaeb ealeulatiortL � 12.5332(b) aM 2.5315: Sc,aaet amaaaou=cn aft apOkmb'e ecatint rrncw.'L •_ 12.5316(a): Dmtri men-- insnlled NW isea+Lated per Chapter 10.1976 UMC 12.5316(b): --- sysu=s nave damper eooao(t t 12.53 We): Gas.rdm space hcaLamg eauipmeru mos isimmsiaemt ignition device � 12-531.: HVAC egttipm=a rata he...-.. sbo- cnccWs aM (auens c crdred by Md MC 12.53520 Wale (mote ituuiation bL nta (R• 12 or p=w) or combined inarsioaesatmor insuutaon (R-16 or vca=r rues 5 (ea of pipes closest td tonic itto-We d (R-3 or state). m 12.5312(Fsecpram It Pipe insulation as stem and sworn conaenate =urn alt srCMULating prong_ j 12.531AM 5+irnman Pool Heating 1. System nos a. oni-off swnen an nater. b. Wotnervrod irRmactaont pLawan nate. e Plumoed to alio_ for sour. 175 poo= tnermnaf,Jrwcacy. ' 3. Pool co-cr. a. Timc elves. 5. Duveuoroi rate ibfat. a l.itntint and Appfo.cc Alezwres i m 12.53520 4gnoet. u ttrnctsstw=or vcucr for general tithsint in titelrn><and badvooteL i §2-5314(e.1 Gas rum appoaMet eantppW With intesroimu ignition devtee 12.5314(a): Rdri1crmors, ndrigcrattr-(reerer 1rcczes and Ouonsau lamp baflans cerd6od by the CIC lndic= mate aw modes mtunaer. COMMLIANCE STATEMFM This C-aficem of cotnp&ance lis= the budding f=== and p=fbrm= - spedfi=ons needed to comply with Title 24, (.2sap(cr 2-53 and Title 20. C' -=p r 2. SubchzFer 4. Article 1 of the Califoran Administrative code. This =r ficate has been signed by the individual with overall, design =ponsibility and dx banding owner. who shall main a copy of it and transmit the =rdfieate m say subsequc= ptudtaser of the hnldiag. Designer Building Owner Nacre L Name TitlefFsns TitkJE'unc Addre= Addn= Teiepiwne Te e lac. s- (s'es,aaaee) (date) (sic...) (dale) Documentation Author Enforcement Agency N,M,: Name TiL1c,F", ACcwr_ S.Infiltradoo (Air Leakage) Specrtcaw" 1 na 16 _-.4,2. . Numoer of ssnes 1 .• . na R•vawe One Two Three R-0 .103 -49 32 R-ig -8 -t .2 R30 -2 •1 •1 R38 0 0 0 U-raiue Loss d 2 3 0.So -176 -84 •S4 0.20 -102 -49 32 0.10 46 •13 -8 Us -18 .3 -6 US -11 .5 -t O.C4 -t .2 .1 O.C2 4 2 1 O.CO 11 5 3 -14 3 8 Z W21I InsvlatiOn -75 •29 •19 Single- Single. 10 30 Famiry Family Mull;• R -value Detacted Attac ed Famof R-0 -68 •51 .14 R-;1 0 0 0 R-"3 2 2 1 5 13 27 - U -value .. .. •9 . __ -•0.60 •-_---i53 _-0.-°0 ...-.--114 ---76 25 -t9 31 -68 46 =.a =- 36 -24 0.10 J 3 0 0.08 4 3 2 Us 9 7 5 0.04 14 -11 7 0.02 3 - 10 a.Co :1 .3 12 9 15 21 3. Raised Floor Insulation .2 d Inmiaxion In now _ 20 31 Number of smries a R-vaiue One Two Three R-0 . •17 -a •5 R-11 3 .2 -1 •• . A•t9 0 0 0 R-30 3 1 - 1 U -value 8 12 17 -_0.60 -20 0 4 O.So -; 20 -52 38 0.40 -95 -16 vw 0.M -69 34 .a a.20 _-:3 •21 -14 0.10 -17 -8 •S 0.08 -11 -6 .4 US -o^ • 3 .2 O.C4 .1 0 O 0.02 d 2 1 0.00 10 5 3 Controlled Ventilation Crav"aee 11 14 Number of stories 19 R-vaiue One Two Three R-0 •11 -7 -S R-5 1 .4 3 FM 1 -2 .2 •2 R-19 .-t .2 -2 4. SIab Edge Insulation a9a 8.25 17 15 13 11 Ntrmber of Stones 7 R -value One Two Three • R-0 0 0 0 R-5 a 5 2 R-7 8 6 3 F2 `==r a= 2.75 -73 •64 -56 -47 0.90 -1 -3 •t 0.80 •1 •1 0 0.70 2 2 1 0.60 6 4 2 0.So 9 6 3 0.:0 12 8 4 S.Infiltradoo (Air Leakage) 7..Shading (Shade Open) ••-Etfeal.e Ptremt cies (Percent Zia= x SC) E3ec+e :Glass Nitrol East South :West Sxyftght t8 5 1 Specrtcaw" 1 na 16 _-.4,2. . Poing 1 .• . na 14 4 2 Standard 1 na 12 3 3 5 0 11 3 3 5 2 . na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 .^y s 6. Glass Heat Loss d 2 3 -t8 Total 1 3 4 0 2 3 1 3 U-r41us 2 Percent 2 0 0 t .5113 .41 to S1 to 0.30 or Glass Single Double .So SO .40 lass 50 -121 43 39 •24 -tis d 10 -90 -37 •26 -14 3 8 35 -75 •29 •19 •9 1 10 30 -61 •21 -13 .4 4 12 29 •58 -20 -12 3 5 12 23 -55 •18 -10 .2 5 13 27 •52 -17 •9 .2 6 13 25 -t9 -15 -a .1 7 14 25 .6 .14 •7 0 7 14 24 -4 •12 5 1 8 id 23 -W -11 -t 2 8 15 22 47 -9 3 3 9 15 21 34 -7 .2 d 10 15 20 31 -6 a 5 to 16 19 -29 -d 1 6 it 16 _19._46 -3 2 - 7 12 16 17 -23 •1 3 8 12 17 16 -20 0 4 9 13 17 7•15 -;7 1 6 10 14 17 14 -t4 3 7 10 14 18 13 -12 4 8 11 15 18 12 a 6 9 12 is is 11 -6 7 10 13 i6 19 10 -3 9 11 14 17 19 9 •1 10 13 15 17 20 8 2 12 14 16 _18 20 7..Shading (Shade Open) ••-Etfeal.e Ptremt cies (Percent Zia= x SC) E3ec+e :Glass Nitrol East South :West Sxyftght t8 5 1 . 4 1 na 16 _-.4,2. . 5 ._. 1 .• . na 14 4 2 5 1 na 12 3 3 5 1 na 11 3 3 5 2 . na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 s 2 2 6 1 3 d 2 3 -t8 4 1 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 t 0 3 t -t .t •i -1 2 na 12 a na not allowed North b. Inlww c. $. Shading (Shade Closed) dais $EER Sbnes Sbness EiTacl.e Peic 9 Class r -FA Orw Two Three One Two Three • (Peremt ttas xSC) -a Effacm -1 .1 a.t -a .5 -3 0 Gm& Ntr61 East South Wen 0k00 18 .14 -t8 b9 •64 na i6 •12 -12 -59 S5 na 14 •10 35 •50 :6 na 12 a •3 -40 -37 na 11 -7 426 -36 3 na 10 •5 .23 31 -29 •74 .9 •5 •20 •27 -25 a5 8 .5 -17 •M -21 •56 7 4 .14 •19 .18 17 6 -3 -11 •;5 -i4 _U 5 .2 .9 . .11 .;0 •M d t a 4 .7 .23 ' 6.0 5 8 10 12 13 13 .19 2 1 13 13 i 6 9 11 13 13 t4 • t 1 a 3 1' t 3 0 rM . not a15c-ad 9. Interior Thermal Miss North b. Inlww c. Slab Floc Raised Floor dais $EER Sbnes Sbness 8. Shading (Shade Closed) r -FA Orw Two Three One Two Three 0.0 -a S .4 .2 _ -1 .1 a.t -a .5 -3 0 0 0 0.3 .7 -4 .2 0 1 . .1 OS -6 -3 .1 1 1 2 0.7 -5 •2 •1 1 2 2 a -4 0 2 3 3 1.1 -d •1 1 3 4 4 1.3 3 0 Z 3 4 S 1.5 3 1 2 4 5 5 2.0 •1 2 d 5 6 7 2S a 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 55 5 a 9 11 12 12 6.0 5 8 10 12 13 13 U 6 9 10 12 13 13 7.0 6 9 11 13 13 t4 7.5 6 10 11 13 14 14 8.0 7 10 it 13 14 14 85 7 10 12 13 14 15 IO..Exterior Wall Thermal Mass mere Emnor Single.wan F •25 -21 ltass -13 t)emd �ad A31ed Louhi Far* 0.00 .11, 0 0 0 -6 am 6.6 ' 3 2 1 .4 0.40 -2 5 d 3 a 0.60 0 8 6 4 0 0.80 9 10 8 5 5 1.00 3 13 10 7 14 1M 9 13 12 a' 10.0 1.40 19 12 13 9 10 1.60 11.0 10 13 11.. 19 1.80 12 10 12 12 M ZSo 22 10 11 _ 13 9 IL Heating System 29 Z4 20 15 SE ar HSPF 3 Zonal Caotrol Adjustment _ (asuatea duos In aClt) . 36 10 8 Sum of 1-6 6 4 3 S.3 •25 or -24 b •t4 t0 -4to 413 16 or SE HSPF less -15 •5 +b +15 mots 0.72 6.60 0 0 0 0 0 O 0.75 6.88 3 3 3 2 2 1 0.80 7.33• 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 .. a9a 8.25 17 15 13 11 9 7 095 8.71 20 18 15 13 11 a 2200 2700 Wective SE or HSPF t;retrd or - (SE or HS?F x dud V71denq) to EDocive -25 or -24 to -14 b .4 to +6 b 16 or SE HSPF lets -15 -5 +5 .15 more less a= 2.75 -73 •64 -56 -47 48 -M na 3.41 -4 •39 -31 -29 -24 •18 0.40 3.67 -34 -W -26 -22 .18 .14 030 4.58 -10 -9 a -7 -5 .4 0.56 S.13 0 0 0 0 0 a 0.60 5.:o 5 5 4 3 3 •2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 ZS 22 19 X16 13 10 0.90 8.75 32 28 24 c0 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resismnce 10 9 7 6 4 3 Other 6 5 • d 3 2 2 L. Coaling Syscm North b. East c. South d. $EER e. Skyllgilt 8. Shading (Shade Closed) U -value (0.tsrrl (assassins duds In attic) R -value (01 bZ factor (0.771 Standard Stmd7--10 ' •25 or -24 b P-140 -Ata +6 to i6'ar SEER .lets -15 1 -6 +5 "+15 mors B.0 -14 -12 -10 -3 a -4 8.5 .9 -7 -6 -5 .4 3 8.9 S .4 -d 3 •2 •2 9.0 1 J 3 -2 •2 •1 95 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 S 13.0 1.7 17 14 12 9 6 Z1 12 Eifad.e SEER t6 16 4 (SEER xdua effldette7) 44 .4.6 S .a of 7-10 02 Q4 06 Elfecwe-25 or .24 to •14 b -4 to . +6 b i6 or SEER las .15 S +5 +15 mere 5.0 .30 •25 -21 -17 -13 -9 6.0 .12 .11, -3 •7 -6 -4 6.6 .5 -4 .4 3 -2 •2 . 7.0 a a 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 M 26 22 18 14 9 13.0 33 29 Z4 20 15 10 3 Zonal Caotrol Adjustment 3.4 16 36 10 8 7 6 4 3 S.3 ilo.Coodaq System Installed 50% -Stories 11 U 13 1.7 1.1 21 One .5 1 a 3 -2 .2 Two + 3 3 ., 2 2' 2 1 Singl042=4y Detached and Anached S5% 0.9 1.1 ! Urrt Size (sl) 1.5 Water 2 :139 12M 17M 2200 2700 Heater t;retrd or - b to to . or Type Type less 11699 2199 2699 mise SG None 0' t 0 0. 0 a or Solar 12 ' I 8 6 5 4 - HP HYrR 8 5 4 3 3 5.4 WSa 5 3 3 2 2 11 POU 8 5 4 3 3 SE None 37 -24 -t8 -15 •12 ' Solar •t .1 -t 0 0 707 HWR -18 -t2 .9 .7 -6 25 WS3 -25 -16 .12 -;0' a 11 PQM -18 --*,2 •9 •7 -6 IG None -5 .3 .2 .2 .2 1J Solar 7 5 d 3 2 ZZ POU 3 2 1 1 1 IE None -28 a9 •ts -11 4 6.1 a.: Solar 8 5 4 3 3 24 POU -la .6 .5 i 3 19 Muttl-Fatmlly (t1ldt.ldnal amts) 43 4.7 l9 5.1 Unit Sea (34 Water Heater Oretfit 699 700 12M 1700 2200 TYPO TYPO or less b 1199 to 1699 b 2190 or mon SG Nww 0 0 0 0 0 or Solar 14 7 5 i 3 Kp HWR 9 5 3 2 2 Z1 Ma 9 4 3 2 2 43 POU 9 5 3 2 2 SE None -is -23 •t5 -11 •9 2 Solar 2 1 1 a 0 25 WS8-`23 19 -12 a a •5 S -P-QU 3 .23 .13 _12 •8 d 0 d •5 5 IG None a 1 2 2 2 26 Saar 6 3 2 1 t 42 PCU t 0 0 0 0 IF None -30 ;5 _:a d -o 2 ala'•8 24 9 5 s 4 25 FOU a 1 -3 _ •2 Interior Mass1CFA Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor insulation 4. SIab Edge Insulation S. Iellltration 6. GIass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. west e. Skyllgilt 8. Shading (Shade Closed) U -value (0.tsrrl or R -value (01 bZ factor (0.771 Standard �e. r-.rs•..Jt t TTtre t AAw IurrC b 1.2. to. --card et_nl 0% 5% 1CR %!m 3571. a% 4Sl. 5076 M M " 71rx 7SZ 6ttx 13Z: 90x. IS% 1001: tos'n Ila% 115% �.T%,,r2SeX% 1? 0% 0 02 0.4 0.6 0.6 1.i 13 13 1.7 1.9 i1 Z3 ZS 22 Z1 12 14 t6 16 4 4L2 44 .4.6 S 101. 02 Q4 06 0.6 1 1.2 1.4 1.6 1.1 21 V ZS Z7 29 11 13 13 11 4 4.2 4.4 45 -4.6. .4.8 S S tax 0.3 as 0.6 1 1.2 1.4 U t.t 2 Z2 Z4 17 29 11 13 33 17 a1 4.1 43 43 4.8 5 52 5.4 M% OS V 0.9 1.1 1.4 1.6 1.6 2 22 24 Z5 26 3 32 333.7 39 11 43 l5 l7 49 S.1 5.3 5e 107. 0.7 03 1.1 13 1.5 1.7 13 Z2 14 Z6 21 3 12 3.4 16 36 4 41 4.5 4.7 4.9 5.1 S.3 5.5 50% a9 11 U 13 1.7 1.1 21 Z3 25 21 3 12 14 2A 11 4 42 4.4 4.6 4,6 11 s.3 SS S.7 i4 S5% 0.9 1.1 1.4 1.5 1.8 2 Z2 Z4 Z6 Z8 3 12 15 17 1A 4.1 43 43 4.7 4.9 5.1 53 S6 S.l 6 box 1 12 1.4 11 1.9 21 23 Z5 17 29 11 13 15 3.8 4 42 4A 4.6 4.1 5 12 5.4 5.6 59 61 65% 1.1 U 1.5 11 1.9 Z2 Z4 Z3 Z6 3 12 34 36 U 4 43 lS 4.7 4.9 11 S3 55 S.7 5.9 6 1 707 12 1.4 1.6 1.1 2 Z2 25 Z7 Z1 11 13 35 17 11 ll 4.3 It 4.1 S 5.2 14 5.5 58 6 6 ; 75% 1.3 13 1J i.2 it 2.3 25 Z7 3 ZZ 3A 16 11 4 42 l4 as l6 5.1 U ss �54 6.7 19 6.1 a.: W. 1.4 1.5 1.1 2 Z2 24 16 21 1 11 13 17 19 It 11,1 43 4.7 l9 5.1 54 5.8 6 62 64 65% 1.4 1.7 19 Z1 Z3 Z5 Z7 21 11 13 35 11 4 4.2 l4 l6 l6 3 32 S4 56 39 R1 63 65 201:- 1.5 V 2 22 Z4 Z6 Z1 3 12 14 34 11 4.1 43 4-5 4.7 V it 33 . 55 17 3.9 62 64 66 957 1.6 . U 2 22 25 Z7 29 11 33 25 S7 19 ll 43 4.6 It S 12 5.4 16 16 6 6.2 6.4 6.7 1007. 11 1! 21 v 2.5 26 3 32 2A 16 31 4 42 I4 It U 11 S3 SS S.7 S9 6.1 43 63 6.7 105% 1.1 2 22 24 Z6 ZS 3 11 25 17 19 4.1 4.1 13 I7 4.9 It 3.4 36 5.6 6 6.2 64 66 6 a 1101: 1.9 21 U u 2.7 29 3.1 13 16 3.1 4 42 4.4 4.6 I1 S S2 14 5.7 12 Si 6.3 45 6.7 S9 115% 2 U Z4 Is Z6 3 12 34 36 16 4.1 4.3 43 4.7 4.9 U 13 S3 5.7 S9 1.2 6.4 66 6.1 7 127% 2 Z3 ZS 17 Z9 11 13 15 17 19 4.1 4.4 4.6 4.8 S S2 $A 16 54 6 62 6.5 6.7 6.9 7.1 125% 21 Z2 25 Z1 3 32 1A 16 It 4 42 d4 l6 V 11 13 S.S U 5.9 Rt 63 6S' 6.7 7 72 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor insulation 4. SIab Edge Insulation S. Iellltration 6. GIass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. west e. Skyllgilt 8. Shading (Shade Closed) a. North b. Fast C. South CL • West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Nl= Tpe ice,( 4o Gl= SIC % Total Glaze (161 i C. X = X = X X = X m0 Glass SC Eff. S Glass Point Scores Surr. X X X X X = TYPE 1 MASS AREA � ! IrttutorNvuCFA CONO. FLOOR AREA TYPE 2 `4A55 AREA ! �« SYall:Mus .NO. c L OR dRF.+1 Su; 11. Heating System X = Zonal Conaol? ( Y / N) Ian afu� F AtE cy (0.781 EffccuveSEor 12. Cooling System X = Zonal Control? (Y / N) YE (9-51 Chia Efftciciliey (0.741 Effe=va � (( 1 13. Nater Heating Type ISI Cma (acne:( Pnrnt rntaf- or R -value (381 U-vaiuc (0.0301 or R-vaiue(111 U-vuue (aml or R -nine (19) U -value (0.tsrrl or R -value (01 bZ factor (0.771 Standard Tpe ice,( 4o Gl= SIC % Total Glaze (161 i C. X = X = X X = X m0 Glass SC Eff. S Glass Point Scores Surr. X X X X X = TYPE 1 MASS AREA � ! IrttutorNvuCFA CONO. FLOOR AREA TYPE 2 `4A55 AREA ! �« SYall:Mus .NO. c L OR dRF.+1 Su; 11. Heating System X = Zonal Conaol? ( Y / N) Ian afu� F AtE cy (0.781 EffccuveSEor 12. Cooling System X = Zonal Control? (Y / N) YE (9-51 Chia Efftciciliey (0.741 Effe=va � (( 1 13. Nater Heating Type ISI Cma (acne:( Pnrnt rntaf- elk. 4j of Z i __.._.� r CDF'FIRE SAFE REQUIREMENTS M _-0E, Z% � AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. and will be superseded b h e e irements are. minimums p Y Butte County. These requirements 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''conformancewith 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 Sbridges, 1273.07 culverts and other app 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. [ 1273.03Grade. 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 SO - 100 feet -radius; 2 feet to 'those from"100-200 feet. t4} 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. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. j (�] 1273.05 Turnouts. Shall be a minimum.of,10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ly 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 o,f e AP # PERMIT # AME' [ 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 [j- 1. Gate entrances shall be at least two feet wider than f the roadway it serves. f�f l 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 i 1276.01 Setback for Structure Defensible Space. mh 1. All parcels 1 acre and 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 l acre, local jurisdiction "shall provide for the `samepractical effect. See { Other Requirements below. j] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by thelocal jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway_ construction and fuel modification shall ba completed prior to completion of road construction �r f__ial inspection of a building permit. d Page 2 of 3 o T-T 1 AP # PERMIT # NAME i t i other Recruirements f P [ ] If Building Setback is 15 to 30 Feet: Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet. e following: se an 3 of th. Choose _ Y. - 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 a to a -'Glass area not, to exceed 0% of wall area toward rd 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 C4I-J,a Date Signature Page 3 of 3 a l r �5 a a t s �J a 'k �J O 1 r tIc q ALL r+ r+ YN0IT 11-4 W _ FH.., Y � �. .,fin ri LIN7.AND CLEARs ,, .,,., S..., a EAOt._ O1darr p � - �.... cwt Will 1 _ il c , 4 9 , r L , ... . ,..: O ,s sublOvE-,, i. Co" IJ 18, AP r P. �¢. $ 1 PIN e Vfly rw-t�vfC 1 p 9 G 1 00 09- )( 7.3 roted RqNCh APP OVED BY. SCALE.. /` � + ' DRAWN BY DATE: REVISED 00�I �3 DRAWING NUMBER -- - - - - - T : ,,re �, � ' n,yf r � � "g z m. iyt..7` �� t.2F'� �� �. ;ice .�., �v.. i., ��...�.i.