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056-360-006
�'�+..r`—�.._..o _ VTC'.'{• Jf 1.. �\ ''_ 1,N•`s'yq/ OTIS DODGE an - { E/S._Fo:rest Ra ch Rd. S. of Hwy 32, d am', a k2ym ,. contr. �j 1h Lou Th er, Sufrham i Permit #167-76B(ne �torage bldg.) 56-24-71 & -' 1 �Ia 63-12-5.. cont Lou Tack , er, Durham Perritt ##358-76B (new single family) `-24-71 & i 9-12-05 CONTR: ALKaDIETZ C 'PERMIT #612-76P( PL BG. FOR 358-76) ! SF � ! l 4-71 Contr: Fox Electric Permit ##1006-76E (elect. for 358-76 ' SF-____ �,. �-24-71 Contr.: CamP Heating - Permit }257-76M(mechy r 358-76 SF l na � if � a) y ) " 056-360-006 03- 260 DODGE, OTIS 15986 FOREST RANCH RD, RANCH . Cont: GLENN DOSS j ADD TODINING/UTILITY&D I c - NOTES X ? (� a� J• I - RESIDENTIAi 056-360-006 ' 03-3260 PERMIT NO._DODGE, OTIS t 15986 FOREST RANCH RD, FOREST / RANCH ,v/ Cont: GLENN DOSS ADD TODINING/UTILITY&DECK 1 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINAL ED (Date 1 Signature CHECKED BY C 9 i K ' L Yet 1� 1 1 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINAL ED (Date 1 Signature CHECKED BY COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Or oville, CA • (530) 53877541 CORRECTION NOTICE OWNER PERMIT NO. • 1 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 comp ted. If you have any questions pertaining to this matter, or need additional explanation, ple a contact this office immediately. 0- -1C�V A` r-- DateG ' '� Inspector' REV 10/92 ,( a DateG ' '� Inspector' REV 10/92 ,( a COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • 6oville, CA • (530) 53877541 CORRECTION NOTICE 'W�NR PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the E . above address and should be corrected. _Please notice this office when correction of work is r! If you have any compIKdquestions pertaining to this matter, or need additional explanation, plea contact this office immediately. U 1 1 t �I V- t 1,-4- � �✓ i•. j. �u Y. k ' Date 1 Inspector REV 10/92 ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �1'7f' 7 County Center Drive • Oroville, California 95965 • Telephon:�� ) 538-754,h,� A3` r . (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-360-006 ZONING TMS BUILDING PERMIT OWNER OTI& SHIRLON TELEPHONE 343-7042 SO, FT, OCC. BUILDING VALUATION .OWNER'S MAILING AD SSS PO BOX 57, FOREST RANCH 95942 R 192 0 1344.00 CONTRACTORS � NDOSS 432 293 CONTRACTORS PBO1.1VAIU50 _ , FOREST RANCH 95942 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 10 848.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BLIILD15986SS FOREST RANCH RD FOREST RANCH 95942 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 250.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: ADDITION TO DINING ROOM/UTILITY ROOM & OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 600OR 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.��� %7 License Class 13 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOWA 46,00 NEW CONST. DWELLING OCCUR ADDNS. SO 3.52FT 6.16 NOR EW CONST. MU�O �Fr NON•RESID. 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @':5 Ex. Occup. OFIx�E�DTSA ALNS of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 26,16 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation IN X7 FXTFwTnN 15.0 PERMIT FEE $ — 35.00 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. V Date Q�f e - Q3 Signature of Applicant - ❑ Owner ❑ 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 FEE $ 35,,%/.06 HAZ. D. FE IMP FLOOo DF A- PD SUE 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 r Date PERMIT EXPIRES ON Det Receipt No. 0k;, WHITE-D.D.S.- .D. CANARY ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT 45 EVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ,`'v D-h� ASSESSOR PARCEL NUMBS. V ��� v V D(v /',f / Proposed Building Use: "`•NU i7 41. ..k i% Counter Technician: 't Date: 1 �ZZ 3 Items required in order to apply for a pe mit. All boxes MUST be checked OR marked NA in order to apply. C .. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. �. 1W1. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �}. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By' �p(8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ �❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form Tilled out by the owner ..................................... ❑ 12. Hazardous Material Form....................................................................:.......... _ ❑ 13. Other Remaini g items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4W6.* Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings .................................... .. Sanitation and plot plan approval from the Environmental Health Department in��� ❑ 17.. City of Chico Plumbing permit .................................. 8 California Department of Forestry plan approval aid. Sent by: ��.`Z-3►.�3 W . �. ❑ 19. Planning approval for (A) Use: (> i< (B)Parking:(C) Parcel Check:— ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification)....................... ` ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 3K ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ V, When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicants ��_�---' V`� Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required C,ontracto signer, owner, was advised cf the above data by OYpone, ❑ mail, ❑ counter, by ][Date: // a� D Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building, Division r TO: FROM: Building Department Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Flocs Plan Attach Saint to B.D. - —3---'�G Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Cleararjce for, dwelling. Other Hold final for: Final clearance O.K. for: NOTE: EnVlfonmenta Health Specialist 8/96 i Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER V PROPOSED BUILDING USE d t•11 6 0 '4' � 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ dditional Fees Due ................. $ Revised Plan Checking Fee ..............$4 _ 2. SCHOOL DISTRICT FEES l_i11 �( (� (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # `' 5' J 00 - 0 C DATE 10 'Z -Z-03 RECEIPT # DATE REC. M At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ��% DATE U r�Z � 00 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy -. Applicant 3rd Copy - Owner (Rev. 6/00) t School District. A.P. Number Property Owner Property Location/Ac Subdivision J BUTTE. COUNTY SCHOOL9IMPA6T''FEE CERTIFICATION FORM ^' (One fomi'per Building) (✓ , ' GCS UVI ( V R� Building Department No. V + Z14:2 �! Q-2 )p . O D r Jurisdiction: = City County Residential Development �j Commercial/Industrial Building No'of wing MobileeHHome Units Installation .r -11,1r i ....................... ......................................... ........................................ .. �� Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # `(No foundation inspection): Sq. Footage New Addition (Including Exterior Roofed Areas) / o Z Z. , ive Date ' •k (door Plans reviewed by School District Personnel) 't District Identification No. School District certifies tha 7 (Applicant) �, \�V—'—S" �� �� CA ��C\ �� 1�t) '1� d - \ 4.1-\ :�:) - IStreet Address) r ' s (Phone Number) Qkc- (City) (State) (Zip Code) ; h^ has complied with the requirements.of Resolution No. by payment of $ representing square feet. AB 2926 $ FULL MITIGATION $ c`�, Sc ool District Representati e- Date Paid by Check # Remarks: ' - 1 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with-' Government Code Section 66020(a), within 90days from the date fees are paid. Failure to submit a timely written,protest will prohibit you from challenging the imposition of the fees iri,any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact{on the school district's schools. -' White (applicant), Yellow (building department), Pink (school district) ] /feeforri.xls 110/9,81dmm, N / s Feb 01 02 08:13a P. 1'. COUNTY OF BUTTE:- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 - 2� pEat T No. ev.12/96) APPLICATION AND PERMIT J(-4PCJ ASSESSOR PARCEL NUMBER ZONTON BUILDINGPERMIT OWNER N NE '- _E oq-b SO. FT. I OCC. I BU I ING VALUATION- --%i_ .. _ , r _ /1 _•�.. ..-� .--- O . [ • COtATRUCTIONLENDER LENDER'S MAULING ADDRESS ARCNRECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS -TL ILOING ADDRESS _r] n n100-- - — 1 Total Valuation 1$ / U_ X 17 h- Lk I F�-0re , c � LOT NO. SUBDNLSIONSNAME PARCEL MAP USEOFSTRUCTURE SF ge Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK / New ❑ Addition ❑ Reem� od ❑ Utilities s ❑ Installation ❑ C� Describe Work: acrd (- 1 r +D �M,,-.nn C. SCA *PEftArr FEE PAM SRA • SHERIFF OTHER AMOVNT RECE Wb $ &Dfo *Ruwr wmm SY5&6�) ." TO to !VT Wro coi mft ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Filing Fee $ S Permit Fee $ [ 2p Plan Checkin Fee $ Main Service Energy Plan Checking Fee $ NEW CONCT. OR ADDNS. OWELLINO OCCUP. A Arr. ens 9 3.52!O'. / _Ito PERMIT FEE $ PLUMBING PERMIT Filing Fee Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Moblle Home S G W (920.00 20.00 067 20.00 POWER MPARATUS I i I 6 SINGLE OUTLET 010. Ex. OCCLID. i OUTLET OR FwvRES i „20 ®I.!, Ex. Occup, .��, ,r.�.�. VN olrttr=�a Eslo. EA 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 _ Misc. Wiring 23.00 PERMIT FEE i $ MECHANICAL PERMIT Filing Fee 20,00 Heatino I Hood 1 1 6.50 i I 6111.A�s1wl �x PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ acc CONST. TYPE TOT L FEE $ NAZ. D. FEES FLOOD FLOOD CDF FeEL tV I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date PERMIT EXPIRES ON ere - PERMIT FEE S ELECTRICAL PERMIT 20.00 Mein Service, __jFiIingFeej eoov OR LESS 200A OR lEss 23.00 Main Service 200A To 1000A 46.00 NEW CONCT. OR ADDNS. OWELLINO OCCUP. A Arr. ens 9 3.52!O'. / _Ito POWER MPARATUS I i I 6 SINGLE OUTLET 010. Ex. OCCLID. i OUTLET OR FwvRES i „20 ®I.!, Ex. Occup, .��, ,r.�.�. VN olrttr=�a Eslo. EA 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 _ Misc. Wiring 23.00 PERMIT FEE i $ MECHANICAL PERMIT Filing Fee 20,00 Heatino I Hood 1 1 6.50 i I 6111.A�s1wl �x PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ acc CONST. TYPE TOT L FEE $ NAZ. D. FEES FLOOD FLOOD CDF FeEL tV I HD I ISSUE 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. 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BUI ING VALUATIO oWNERs t� -- l! evest ARCHITECT OR ENGINEERS MAIUNG ADDRESS _ - -- Plan Checkin Fee $ -.D ` o �% i ,-2-o -- `7— f -"5 4U_r-1f GDNr ;U I JnZ"""s 5/2, 1 —�v! e 5 G xjj /19)42_ —� —CON§TAUCTIONLEWER LENDER'S MAILING ADDRESS Flre lace Total Valuation $ • ARCHITECT OR ENGINEER UCEF6E NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS _ Permit Fee $ (o . Plan Checkin Fee $ -.D BUILDING ADDRESS /' r Energy Plan Checking Fee $ PERMIT FEE $ / LAT NO. SUBONL410N'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other ePEGIFv Each Tra 7.00 Solar or heat pump water heater 23.00 Water i ing 15.00 Each as water heater or vent 15.00 TYPE OF WORK / New ❑ Addition ❑ Reem�od ❑ 'Utilities 0 Installation ❑ er 9� Describe Work: add (- 1 r �) / �j ��f� Ot�m -h) IN Y vakil "- ® Gas piping system 1 - 5 outlets' 15.00 Buildingsewer 15.00 Mobilo Home S G W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 3o0AOR. M6. 23.00 • -� OPEPAIT FEE PAIS SRA �� SHERIFF # arm A u 0VW RECEMb / t rte] * " ��� �S (� A TO a r4r =NTIO COMPIU � w Main Service 200A TO 1000A 46.00 • -- NEW GONG . DWELLING OGCUP. 90 , OR ADDNS. 6 ACC. Bu)S. 74( 3.5QFT, (a NtW VQN5 1. MULTI.OUTLET NON•RESID. 7.501 POWER APPARATUS �- 6 SINGLE OVTLET 010. Ex. Occup. OVrXr OR FDTTURES 20 ® 1.00 , SAL Q .50 FIXED APPLNS. OR E X. OCCU OUR.ET9 E010. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 I Ve tilatic PERMIT FEE S i _ Mobile Home Installation Fee $ Energy Inspection Fee $ . occ CONST. TYPE TOTAL FEE $ ,�� Qj . L)o "Al- I D. FEES I IMP I FLOOD I CDF PARCEL PO I ND I ISSUE This permit is hereby issued under the applicable pTovrsiGris of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. - By Date PERMIT EXPIRES ON - (Dater-' ReceiptNo. WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APP LICANT CDF FIRE SAFE REQUIREMENTS 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. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet., turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [14 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 3 03 AN PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves �DeD6ir- [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials ID-�7-D3 Date Page ., .,• ., CDF FIRE SAFE REQUIREMENTS AP# PERNIIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or • shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 3 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ 1276.02 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 •! AP# 03-3240 PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves NAME [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [ - - Date Page Robert D. McGhie Structural Engineer nI)nc n'—, n. tcv✓ r-Mjvu Vl. Chico, CA 95973 (530) 891-0903 Job% / DoD S CY Sheet �_ of / ami uta. _ o m. w FLS.. 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I I I 1 I 1 I 1 I I I I I 1 I I I 1 I I 1 1 I 1 I I I I 1 I I I 1 1 I I 1 1 I 1 I 1 I I I I I I I I -- y---t---h----t---i----1----+---+--- -1--- y --- i-- --!--- t--- i---1---+--- F----!-- -+---1----1----i�---i----i- - -+- - -!-- - 1 I I 1 I I 1 I I I I I I I I I I I I I I I I 1 I I 1 I 1 I 1 I I I I I I I I I I I I 1 I I I I 1 I I I I I I I I I I I I 1 I I I I _T ,�4 o___i __i____ 1___r ---i ___ i --- i r-- 4 1_-_L__J_-_1___L__ I I I I I 1 I I 1 I I I I I I 1 I I I I I I I 1 I I 1 I 1 I I I 1 I I I I I I I 1 I I 1 I I I I I I I I I I I I I 1 I I I I I I 1 I I I I I I I I I I I I 1 m Xq paxoauD --Wer-7 f E[ ® v __mss ®� � q°r £060-168 i0£S) £L696 VO `001uD •,I� nnfiiv rn-7L moutSug iu.mjoru1S oitjooW 'Q lj:DgoX ENERGY INSTALLATION CERTIFICATE Building Owner I�Y/s f ����- �>�i ���� Building Permit Building Location J_yx �rcS� ��KG� V1 fr�SX � DESCFZ_n10N OF INSULATION R00F Material Thickness(-nches) Z"ZRIOR WALL *Material /O/e� 57 Thickness(inches) ' CEILING /s�1c•, 5/mss Batt or Blanket Type Thickness(inches) /d Loose Fill Type M;r;:mnm Thickness(Inches) Area covered(ft.2), ; FLOOR, ELEVATE Material 13 /A 5,5 4'a Thickness(inches) z FLOOR, SLAB - Material Thickness(inches) Width (inches ) FOUNDATION WALL Material Thickness(inches) 63 •-3 zi� 0 y Brand Name Thermal Resistance (R Value)__ Brand Name 0 /_* The --=al Resistance (P. Value) 4 -I Brand Name G Coe- n /A' . Thermal Resistance(R Value3 38 Brand Name . Number of Bags__ Wt. per bag Ib. Thermal Resistance(R Value)__ Brand Name e�; fa rs 4sy h h 9 Thermal Resistance(R Value)iq Brand Name The=al Resistance(R Value)__ Brand Name Thermal Resistance(R Value)__ I hereby certify that the above insula tion was installed in the above building, • - • • •1s consistent with. approved building department -plans --and attachments •and con- forms with requirements of Chapter 2=53 of State of California Energy Requiremi - /; . , D 05 4o.j j -7-7 2-S32) FIRMS/= STATE CONTRACTOR'S LICENSE N0. SIGNATURE OF 71s•reT tA=ON AP:'I.1=01L DATE I hereby certify the required features, devices, and equipment, a.-$ shown on the approved Building Department plans and attachments have been installed and .conform to the appli- ance standards and Chapter 2-53 of the State of California Energy •equirements. ,���e.i+.. .Gass �oj•tS7`ru�.T/dh - 77,�s�d BUILDING CONTRACTOR/OWNER-(Please Print) STATE CONTRACTOR'S LICENSE NO. (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/ OWNER . DATE ' STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. 2. e� Certificate 'Of C'O � k. fona, Certificate _ :052736 ' THIS IS TO CERTIFY that the glued laminated timber products identified with a colla.., ve mark of Eng.ineered Wood Systems. (EWS) were manufactured in accordance with the applica * standards and associated specifications indicated below - ANSI Standard A -1g0,1-1992, For Wood.Products—Structural Glued IPminated Tmber rr►btnations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 —Manufacturing - Standard Spec ications For S.tructural Glued Laminated Timber Of Softwood Species IT IS HERESY CERTIFIED that the APA. EWS trademarked structural .gluied lam- inat.ed tir!.i;er member, were produced in a manufacturing'facility. subject to regular audits in accordance with the g;,,r Wood Systems .(Ews) Quality Assurance Program', Routine audits include insp coon of the manufacturing process and evaluation of the in -plant QA grogram with adeguafe sampling to f t he conformance to industry. standards ify foriumber grade and giueline bond quality. N�,,�a; 2 C, .� = b Thomas G. Williamsc1: •'e-- Q Executive Vice Presici(: :)t EniC'"EERED `00D SYS7EMS a a reraleo 601pniaupn 01 Aq _ 7 70i iBoum i91h Saee1 - P.V. $ ox 'YE E'46hWEERED WOOD.Assocbk7%on. 11700 -'JZCORID- VWA QLu 11-o7D0 »)echorx: (253) S65-seoo • Far ruumber. (253) 563-726 J=OK 0 = Not OK . Not Readyable �r Braced Wall Panels MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 r Date Card B-1 Card B-1 i Date Card B-1 1. Zoning Requirements -Setbacks -Easements Setbacks -Easements 2. Soils; Special MH Support Sketch 3. 3. Sewer; Location -Test -Fall -C/O -Concrete Elec.; Receptacles and Lighting, Distance-GFI 4. Water; Location -Test -Easement Needed (Sketch) Elec.; Pool Lighting; 15 Volts-GFI 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 8. 7. Well Clearance & Disconnect Health Department Approval 8. Utility Clearance 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector . 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date -Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS ' Date DEC!$t, COVERS, CARPORTS, GARAGES (Plans) OK except #'s ing Requirements -Setbacks -Easements 21�Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails NA/Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Windows -Doors L, F jLr44ectnc L rmg.; Sills-Anchors-Studs-Rftrs-Trusses Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .I 1 �.-� � L' � Pmt :� : ,®.•�, vel �r Braced Wall Panels Date[t Dat Card B-1 r Date Card B-1 Card B-1 i Date Card B-1 DatePOOLS (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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .I 1 �.-� � L' � Pmt :� : ,®.•�, vel J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Plenums & Ducts; Clearance -Material -Support -Ins. 56. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Siding -Nailing Veneer 16. Insulation 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Brace Interior/Exterior Wall Panels 18. Water Pipe; Test & Anchor -Nail Protection 62. Insulation -Walls -Ceilings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 63. Infiltration -Walls -Windows 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 24. Fixture & Transformer Clearance -Ins. Protection 67. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled G.F.I. & Bath Fixtures & Tub Access -$Da 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes O No " 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 11-5 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) _ 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46.. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -$Da 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: TITLE 24 REPORT Title 24 Report for: OTTIC DODGE 15686 FOREST RANCH RD FOREST RANCH, CA 95942 Project Designer: SCOTT JACKSON 2530 ZANELLA WY CHICO, CA 95928 530-894-5590 Report Prepared By: SCOTT JACKSON Evergreen Development 2530 Zanella Way Suite B Chico, CA 95928 (530) 894-5590 Job Number: DODGE Date: 10/20/2003 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 ey EnergySoft Job Number. DODGE User Number. 5712 TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Checklist Form C -2R Computer Method Summary HVAC System Heating and Cooling Loads Summary 2 3 5 7 10 EnergyPro 3.1 By EnergySoft Job Number: DODGE User Number: 5712 Certificate of Compliance: Residential (Part 1 of 2) CF -IR OTTIC DODGE 10/20/2003 Project Title Date 15986 FOREST RANCH RD FOREST RANCH Project Address Building Permit # Evergreen Development (530) 894-5590 Plan Check! Date Documentation Author Telephone Computer Performance 11 Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 1,766 f? Average Ceiling Height: 8.0 ft Total Conditioned Slab Area: 0 ft2 Building Type: (check one or more) © Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ® Existing Plus Addition Front Orientation: (North) 0 deg Number of Dwelling Units: 1.10 Number of Stories: 1 Component Floor Construction Type: ❑ Slab Floor ® Raised Floor Const. Frame Assembly Location/Comments R-19 Wall (W.19.2x6.16) Wood 0.065 Exterior Wall R-15 Wall (W.15.N4.16) Wood 0.081 Exterior Wall R-19 Floor (F.1 926.16) Wood 0.036 Exterior Floor / Over Crawlspace (w/R-6 Credit) Solid Wood Door None 0.387 Exterior Door R-38 Roof (R.38.2x4.24) Wood 0.024 Exterior Roof FENESTRATION Shadina Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U -Factor S GC Shadina Yes / No Yes / No Left (East) 40.0 0.35 0.65 Bug Screen ❑ X❑ ❑ X❑ Rear (South) 46.0 0.71 0.63 Bug.Screen X❑ ❑ ❑ X❑ Right (West) 27.0 0.71 0.63 Bug Screen ❑ X❑ ❑ X❑ Front (North) 90.0 0.71 0.63 Bug Screen X❑ ❑ ❑ X❑ Rear (South) 21.5 0.71 0.63 Bug Screen ❑ X❑ ❑ X❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Run Initiation Time: 10/20103 17:12:27 Run ode: 1066695147 Ener Pro 3.1 By EnergySoft User Number: 5712 Job Number: DODGE Pa e:3 of 10 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R OTTIC DODGE 10/20/2003 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location/ pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments Central Fumacw 80% AFUE Ducts in Attic 42 Setback HVAC System Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location heat pump, evap. cooling) (SEER) (attic, etc.) Duct Thermostat Location/ R -Value Tvae Comments Split Air Conditioner 10.2 SEER Ducts in Attic 49 Setback HVAC Stem WATER HEATING SYSTEMS Rated 1 Tank Energy Facts 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value RHEEM 44V50 Small Gas Standard I 40,000 so 0.61 n/a n/a 1 For small gas storage (rated inputs of less than or equal to 75,00 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,100 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS GVMFLIANGt 5 I A 1 tMtN 1 This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Name: SCOTT JACKSON Title/Firm: SCOTT JACKSON Title/Firm: Evergreen Development Address: 2530 ZANELLA WY Address: 2530 Zanella Way Suite B CHICO, CA 95928 Chico, CA 95928 Telephone: 53o-894-ss90 Telepho e: (530) 894s590 Lic. #: v �o 10�2o a3 (signature) V (date) (signature) V (date) Enforcement Agency Name: Title/Firm: _ Address: Telephone_ lEnergyPro 3.1 By EnergySoft User Number: 5712 Job Number. DODGE PaneA of 10 1 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is Incorporated Into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter WA if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures F 1150(a): Minimum R-19 ceiling insulation. ® §150(b): Loose fill insulation manufacturer's labeled R -Value. ❑§150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does %� not apply to exterior mass walls). X' §150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. §1500): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no ❑ greater than 2.0 punch. ❑X §118: Insulation specked or installed meets insulation quality standards. Indicate type and form. ® §116-17: Fenestration Products, Exterior Doors and Infiltration/ExIlltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only_ ❑ §150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. ❑§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures ❑ §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. © §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. ❑ §150(1): Setback thermostat on all applicable heating and/or cooling systems. ❑ §1500: Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 extemal insulation or R-16 combined internal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. S. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number. 5712 Job Number. DODGE Page:5 of 10 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (7 may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) FX] §150(m): Ducts and Fans 1. All ducts and plenums Installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 801, / 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181 A, or UL181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such a tape is used in combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems serving conditioned space have eitherautomatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. ❑ §114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between fitter and heater for future solar, cover for outdoor pools or spas. a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. ❑ §115: Gas fired central fumaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) ❑ §118 (f): Cool Roof material meet specified criteria Lighting Measures ❑ §150(k)l : Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. ❑ §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the aftemative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3.1 By EnergySoft User Number: 5712 Job Number. DODGE Page:6 of 10 Computer Method Summary (Part 1 of 3) C -2R OZLIC DODGE Project Title /:1 10/20/2003 Date 15980 FOREST RANCH R.D FOREST RANCH Project Address ■ M. Building Permit # nevelnpmPnt (530) 894-5590 ■ _Fvprqrtzen Docuntation Author `— m Telephone Plan Check/Date _Camps itpr Perf rmmr-A Compliance Method (Package or Computer) 11 Climate Zone Field Check/Date Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 13.95 13.26 0.69 Space Cooling 12.67 15.47 -2.80 Domestic Hot water 15.05 12.47 2.58 Totals 41.67 41.20 0.47 Percent better than Standard: 1.1% Total Conditioned Floor Area: 1,766 ft 2 Budding Type: Single Fam Detached Building Front Orientation: (North) 0 deg Number of Dwelling Units: 1.10 Number of Stories: 1 BUILDING ZONE INFORMATION Floor Construction Type: X❑ Raised Floor Ej Slab Floor Total Fenestration Area: 12.7% Total Conditioned Volume: 14,128 ft 3 Total Conditioned Slab Area: 0 ft 2 # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area HVAC System 1766 14128 1 1n Conditioned R hark OPAQUE SURFACES Act. Type Area U -Fac. Azm. Tilt Wall 24 0-065 90 go Wall 112 n nalAn _g0- Wall 210 anal i$]Z _ n Wall 309 n_Oa1 _ 270 _90 FleerCS —1,766 0 -am 0X80 Wall 266 0065 —n _90- noor 20 0-387 a go Wall 32 OA65 _90 Wall 9R 0065 Ian AQ Wall 32 n n65 77Q An Rnnf 1,766 0-024 _0 _ 0 Solar Gains Y / N Form 3 Reference —2 n/a Location / Comments EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: DODGE Page:7 of 10 1 /:1 ■ 1. a ..• ... ►�/ ■ M. ►:1 ■ , .•i a ..�. .:. long 0111111,141; m— IFIESM-- ■ ■ EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: DODGE Page:7 of 10 1 Computer_ Method Summary (Part 2 of 3) C -2R OTTIC DODGE 10/20/2003 Project Title Date FENESTRATION SURFACES U- Act. Glazing Type Location/ # Type Area Factor SHGC Azm. Tilt Comments 1_ Window Left (Fast) �s 0 0 350 n 65 _90 QQ PATIO DOOR 1 at Flnnr 2 Window Rear (South) 46.0 0.710 0.63 180 90 CLR ALUM -DUAL 1st Floor 3 Window Right (West 27.0 0.710 0.63 270 90 CLR ALUM -DUAL 1st Floor 4 Window Front (North) 90.0 0.710 0.63 0 90 CLR ALUWDUAL 1st Floor 5 Window Rear (South) 21.5 0.710 0.63 180 90 CLR ALUM -DUAL 1st Floor INTERIOR AND EXTERIOR SHADING Window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEA REA. Dist. Len. Hgt. Dist. Len. Hgt, 1 Bug Screen 0.76 2 Bug Screen 0.76 4.0 13.0 2.0 0.1 2.0 2.0 3 Bug Screen 0.76 4 Bug Screen 0.76 4.0 20.0 2.0 0.1 2.0 2.0 5 Bug Screen 0.76 EnergyPro 3.1 By EnergySoft User Number: 5712 Job Number: DODGE Paae:8 of 10 1 Computer Method Summary (Part 3 of 3) C -2R OTTIC DODGE 10/20/2003 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (so (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location/ pump, etc.) (AFUE/HSPFXductstattic, etc.) R -Value Type Comments Central Furnace SO%AFUE Ducts in Attic 4.2 Setback HVAC System Hydronic Piping pipe Pipe Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location/ heat pump, evap. cooling) (SEER) (attic, etc) R -Value Type Comments Split Air Conditioner 10 9 SFFR Ducts in Attic 4.2 Setback HVAQ SWem WATER HEATING SYSTEMS Ratedl Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Svst. (Btu/hr) (qal) Efficiencv Loss (%) Ext. RHEEM 44V50 . Small Gas Standard 1 40,000 50 0.61 n/a n/a 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. 1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE OTTIC DODGE 10/20/2003 SYSTEM NAME FLOOR AREA HVAC System 1,766 NGINEERING CHECKS 11SYSTEM LOAD Number of Systems 1 Heating System Output per System 89,000 Total Output (Btuh) 89,000 Output (Btuh/sgft) 50.4 Cooling System Output per System 34,000 Total Output (Btuh) 34,000 Total Output (Tons) 2.8 Total Output (Btuh/sgft) 19.3 Total Output (sgft/ron) 623.3 Air System CFM per System 1,210 Airflow (cfm) 1,210 Airflow (cfm/sgft) 0.69 Airflow (cfm/Ton) 427.1 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions 22.0 OF �10� Outside Air 0 cfm 68.9 of 00.9/70.4OF — *---I Outside Air 0 cfm 79.0 / 63.1 ° F 3.1 68.9 OF 68.90F Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK COIL HTG. PEAK CFM I Sensiblel Latent CFM I Sensible 27,343-587 32 465 BDP CO.561AJ03V* 26,530 4,472 89,000 Total Adjusted System Output530 4,472 89,000 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK Aug 2 m Jan 12 am 137.5 of Supply Fan Heating Coil 1210 cfm 79.0 / 63.1 of 79.0163.1 of 58.5/55.90 Supply Fan Cooling Coil 1210 cfm User Number: 5712 Retum Air Ducts Job Number: DODGE Supply Air Ducts 136.30F ROOMS 70.0 of I Supply Air Ducts 19 59.5/56.3OF 42.8% R.H. ROOMS 78.0/62.8OF I 10 of 10 .. � � ; � 'r ,fir\A/`''�J ♦ 't� '.� 'PERMIT NO.` 358=%6B E MH UTIL. Q PERMIT NO. c PERMIT EXPIRES DOWNER Otis Dodge CONTR. LOU Thacker, Durham �4LOCATION (A.P. 56-24-71 & 63-12-5 ) Wo E/S Forest Ranch Rd., app, i mi. S of lVt Hwy 32, Forest Ranch �y LdA .LO tl I r n Temp.% er Pole Caled PG&E La { Temp Elea Serv. 7 ra f ailed PG&E j9Bep.Gas Serv. Called PG&E j FINALED O (Date) . t. (Signatu i �. COUNTY OF BUTTE — DEPARTMENT OF- PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Water Htr. J PLUMBING Setback Firewall Soil Piping MECHANICAL Forms Parapets .1st Floor Service Main Bldg. Restroom Finish 2nd Floor Finish Footings:,-2Windows Underground 3rd Floor Ventilation Stemwall Sidina To out - Slab Roof Sheathing Water Pi i.n -� Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall ��' �'�% Slab .�/G �`7 Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation `--- Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final '� Fixtures Bond Beam _ — FIRE SPRINK1HJ3S- Motors Framing,,�- Test r Water Htr. J Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final REMARKS OR CORRECTIONS Iifd� THIS IS:TO,CERTIFY TIU11 INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF;CALIFORNIA. IN THE UIPNG OCATED AT: b ree Lot Number fracr EXTERIOR WALLS Manufacturer O - C Thickness/Type 3 , � � f ieYlg�lat8ue 1.1 CEILINGS. Batts:-- Manufacturer Thickness R Value Blown: Manufacturer J— M Thickness 8 iNo. Bags 3 1 Wt./Beg 2 5 c- Sq. Ft. Covered 1527 R Value 19 FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches .FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER �AY TITLE DATE���� INSU ION CONTRA QA Nicholson Insulation LICENSE NUMBER 212461 B 6 l TITLE OWIl@T DATE 3/76 COUNTY OF BUTTE — PEPABTMENT OF PUBLIC WORKS 7 County Center Drive – Oroville, California 95965'7'/ Telephone: 534-4541 95965'7 Telephone: APPLICATION AND PERMIT "'Y """'•'•`^-•�� • vvull.y VI I.Ju lac lV U11-1 UPWII lilt: above-mentioned prope for ' spection purposes. 1�1c G / X Y Date 1 �'�� nature of Permitek or Agent Receipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF LIC WORKS ?Uildi�ngper�mitexpires Date /— -1.2-7 6, Date BUILDING Owner '""– (0- 1P SQ. FT. OCC. BUILDING YALUATION .. 00 -DO Mailing AddressJ51 (a f Telephone No. J�--^ & &d Ing d Fireplace IS -01- 00 Contractor (� 2 Total Valuation d C9- 13 _- Mailing Address Ok S Permit Fee Fee ng Fee&/or Penalty PlanitTelFC l%g 3epbe t)Iq / Permit Fee $ Building Address ��� .� L,-- '� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /LOX Z /l Each Trap 1.50 .3 Repair drainage or vent piping 1.50 Ire- Water piping 1.50 Each gas water heater or vent 1.50 A. P. No _ (p �^ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Sa t' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plu�rBldg. Declaration Parcel p 60' R/W Improvem nts Lawn sprinkler system 2.00 Plans Recd Parcel Approval Plans j4proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service Io00 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 rs2rMain Single Family, Duplex ❑ Mobil Home ❑ Others ❑ OVER V service 1100 AMPS OR LESS 25,00 Main service EA. ADD'L too AMP 1.00 ' NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8,) ACC. BLDGS. 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON_RESIR. D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provi ions of Chapter 9, Div. 3, of the State of Califor is Busine & rofes ions Code under the name style of: C / "IlLu Ex. Occup(OUTLETS OR FIXTURES)@L�4 BAL�1 Ex. Occup. FIXED APP LNS, OR p•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 V Mobile Home Facilities 15.00 License No. OClassification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El Iermit is issued certify that in the performance of the work for which this I shall not em an p employ y person in any manner so as to become subject to bject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ "'Y """'•'•`^-•�� • vvull.y VI I.Ju lac lV U11-1 UPWII lilt: above-mentioned prope for ' spection purposes. 1�1c G / X Y Date 1 �'�� nature of Permitek or Agent Receipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF LIC WORKS ?Uildi�ngper�mitexpires Date /— -1.2-7 6, Date All COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Orovi lie, California 95965 / Telephone: 634-4541 APPLICATION AND PERMIT ((� - Fac iaaai— V M6 wurliy 01 Dune IU enter upon the above-mentioned property for inspection purposes. XL �+�� r� Date (� Signature of Permitee or Agent — Receipt No. _;�`� en White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D ECTOR PUBLIC WORKS By Date S ELS Building permit ems Date zz C -15,17L BUILDING Owner �— SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor I C- Total Valuation f Mailing Address / Tk /O i Permit Fee Plan Checking Fee&/or Penalty Telephone No. V /e /-iF X,1 yy. �Q �cj 3 Q Permit Fee Building Address S m S -- �, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .5"(90 /f / /-D /7 /2 f�k X '2._ .�C C p Each Trap 1.6 1.50 O CS / Repair drainage or vent piping 1.50 - j Water piping 1.50 Q Each gas water heater or vent 1.50 s�O—Z A. P. No �— .� 3— Z-� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FtMs W. t.J�Sa&MM—nf FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parkn g PlaBldgIons Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Recd Parcel Approval Plans Approval Permit Fee $ �`() =n NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3,00 N ,_,J ` © Main 600V OR LESS n service 100 AMP OR LESS 5.00 �3 S-8- �t Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ ER Main service 10 0 AMP oR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 NEW OR ADDNST ( DWEACCLBLDGS,LING CCup,&) 2¢Sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of• style _ -� P BAL@25T1 Ex. Occup(OUTLETS OR FIXTURES)@ Ex. Occup. (04 PEA) 2.00 OUTLETS(RESID)R Temporary service 10.00 (� Mobile Home Facilities 15.00 License No. 2 ln% � � Classification 4-2Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑e-1'1`ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2,00 Permit Fee $ $ 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 *L TOTAL PERMIT FEE $l - Fac iaaai— V M6 wurliy 01 Dune IU enter upon the above-mentioned property for inspection purposes. XL �+�� r� Date (� Signature of Permitee or Agent — Receipt No. _;�`� en White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D ECTOR PUBLIC WORKS By Date S ELS Building permit ems Date zz C -15,17L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: „534-4541 APPLICATION AND PERMIT " •� Y�coci��oiivaa U� U I,UUlIty UI DUlle to enter upon the above -me oned property or 'n on purposes. Date Signature of Permit.. or Aq.pf Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RECTOR PUBLIC WORKS / B� Date S� Building permit ems Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor E �/ Total Valuation Mailing Address ���' (o Permit Fee Plan Checking Fee &/orPenalty G Telephone No. Permit Fee Building Addressp� �T� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 f� /C 0 120X / Z46r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s.C. Saffi4a4ien Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA arkin PPlans Declaration I Parcel Map 1 60' R/W Improvements Lawn sprinkler system 2.00 Bld ons Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .may G 3 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EARMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 ' NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 2�sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) *2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:. _ Ex. Occup(OUTLETS OR FIXTURES)@L%aC BAL@�1 EX. OCCU FIXED APP LNS. OR P• (2.00 OUT•LETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification��_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of ' Workmen's Compensation Insurance. Iermit is issued certify that in the performance of the work for which this I shall not employ an P p y y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.00 . Q Heating Cooling / Ventilation Hood 2.00 Permit Fee $ $/ Z 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 s^State ,aLaws ^:elating �toL building construction, and hereby TOTAL PERMIT FEE fir,/� $ " •� Y�coci��oiivaa U� U I,UUlIty UI DUlle to enter upon the above -me oned property or 'n on purposes. Date Signature of Permit.. or Aq.pf Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RECTOR PUBLIC WORKS / B� Date S� Building permit ems Date J COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORK"' 7 County Center Drive — Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT _76 6 r / I X l Date C Signature of Permi a or Ag t Receipt No. �` / �Qd White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant if Ju outte uounly uoae anaior resolutions to do work indicated above for wh'ch fees have been paid. I CTOR 0 PUBLIC WORKS 01 permit expires Date o �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ' Total Valuation Mailing Address �I Permit Fee Plan Checking Fee&/or Penalty Tel hone `, D Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 / Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. J-01 2 --) Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Ala^ PI"".. 0- Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION,0 UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP ORLESS5.00 Main service EA. ADD -1- 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST DWELLINI OR ADDNS. ( ACC. BLDGP 20sgft NEW CONSTR MULTI-OULET NON-RESID. ( T BRANCH CIRCUITS) 2.50ea NEW CON5TR POWER APPARATUS & NON-RESID. (SINGLE OUTLET C1R. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y Ex. Occup(OUTLETS OR FIXTURES) BALM FIXED APPLNS, OR Ex. Occup. ( OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3053G� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ T-27 "- WORKMEN'S WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEE PERMIT FILING FEE $3.00Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned Drnnerty fnr inBn Prtinn—imnene TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of r / I X l Date C Signature of Permi a or Ag t Receipt No. �` / �Qd White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant if Ju outte uounly uoae anaior resolutions to do work indicated above for wh'ch fees have been paid. I CTOR 0 PUBLIC WORKS 01 permit expires Date o �� MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Otis Dodge '�CONTR. Lou Thacker, Durham -'LOCATION (A.P 56-24-71 and 63-12-5 -'I,E/S Forest Ranch Rd., app -i.mi. S. of Hwy )-32, Forest Ranch Temp. Power ol e Called G&E Temp. E ec. Serv. Called PG&E Te p. Gas Serv. Called PG&E JOB OB FINALEDK!� (Date) 'e t t_ J C { . i 'e t t_ C { COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUM NG Setback -� `r Firewall ----- -------- Soil Piping Forms Parapets 1st Floor Main B dg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents ��' Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final = -- Sanitation Patio REPLACE Final Footings Footing ELECTRICA Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE LERS Motors Framing "' Test Water Htr. Stucco Final Subpanels Mesh E ANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTION E COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dri0e — 40roville, Celifornia_95965 Telephone: 534-4541 167-76 %(..�i / — 76 APPLICATION AND PERMIT C� of of BUILDING I "^ISQ. Owner FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. Fireplace Contractor O U E Total Valuation C- d CD Mailing Address — Permit Fee Plan Checking Fee &/or Penalty U TeonN lep e e� �— Permit Fee $_2 Q Buil 'ng Address S/�� ®ec- ziEe PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 C O �L Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ./� 0 63 /z—s A. P. No. -� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe SaffMron FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking P ns Parcel Declaration parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd ��77 Parcel �Toval �P Plans pp7�roval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR011 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others K Main service OVER 100 AMR OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 _ /C J�T NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2�sgft NEW CONSR. -OUTLET 'NEW ESI D, (MULTIBRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@SSC BAL�1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. uhave placed on file with the County of Butte a certificate of \ Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE ©C u •i,v..�c �cNlcociliail VCJ UI UIIty UI pUllC lU CIIICI UIJUII lnE.' above -men " ned pro or ins on purposes. Date Signature Per itee or Agent Receipt No��/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS BY Date- / �� s 7f,wilding permit expires Date _ �—�"i' 7z ; - . " 11 , �, . ,� � � I I , � _!., � ------- , , , � :,,17 T��, _1711,7, -c - -::T,--T - .-1 `7 -` 7 `�,,�T I 7 , ';, , � , , 'i �' " � � , � , � � � :�� � 1; �� ��'_ 11 "I I . ., � , , , I , , I � , � � - , , � I , , � , le , " I �, , I ', 01 � , - ,� , �1�1 -11 I I I - I I A - — , - ,�� "'W, I : � ,., � � —,, I : ,-:, �, , " , , I , 11 , . , , � - �� , I ,': I . , , , , I , , e, , , I , ��; " ; t� �' , I I , , , � l, '.� , � , I � � :, ,� "' ", , , " ,, � " , " , , , , , _ � — , �, ,) 11 , ,,, ;� ,4", � �!,�,� � :,' , I-', �:, , " " - t 1, �, ., - �. 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