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HomeMy WebLinkAbout056-360-022' ' ' 56-36-122 92-2155 BPEM AAO 15986 . Forest Ranch' Wa-y/, aZA�skV ch shop & liiv'in'g unit ,056-360-022 92-2632,BPEM new., sf over ^ 159.88 FOREST'kANdH' RD,, 'Fll / 1ST RENEWAL/02-2632 656-360-022 94-0034B,?,E,M ` ° .WERNER, JC. 159881FOREST RANCH RD., FOREST RANCH = ' LPVjNG � ` ^ ! � ` 05 6-360-022- 15988 FOREST RANCH RD.', FOUST RANCH YEW DET..,GARAGE ' . ' 15988 Forest kanc (to complete 94-0034, 93-2632, &- 94-0700) garage & SF ` \ n � \ . / > � � . ' / � � � R SIDENTIAL,,� j-7_93.- 056-360-022 �` „ 92-2632 BPEM WERNER, J.C. 15981 Forest Ranch Rd, FR new sf over garage FICE COPY Address GAS / Meter By Date (' � ELECTRIC Meter By; Datee1�9� -H - 'J OFFICE COPY ,u ( Address GAS Meter By le ELECTRIC Meter By Date s L JOB FINALED (Date) Signature% V r .. r R SIDENTIAL,,� j-7_93.- 056-360-022 �` „ 92-2632 BPEM WERNER, J.C. 15981 Forest Ranch Rd, FR new sf over garage FICE COPY Address GAS / Meter By Date (' � ELECTRIC Meter By; Datee1�9� -H - 'J OFFICE COPY ,u ( Address GAS Meter By le ELECTRIC Meter By Date s L JOB FINALED (Date) Signature% V r R SIDENTIAL,,� j-7_93.- 056-360-022 �` „ 92-2632 BPEM WERNER, J.C. 15981 Forest Ranch Rd, FR new sf over garage FICE COPY Address GAS / Meter By Date (' � ELECTRIC Meter By; Datee1�9� -H - 'J OFFICE COPY ,u ( Address GAS Meter By le ELECTRIC Meter By Date s L JOB FINALED (Date) Signature% V J=OK 0== Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s - 1. Zoning Requirements -Setbacks -Easements 2.4Soils; Special MH Support Sketch ' 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) - 5.`Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. ' / /-Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect i 8. Utility, Clearance t 4 Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 k . ' Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line t 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s` 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts"-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco=Mesh 10%800f; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date • .'I Card B-1 '4 Date J 'Card B-1 Date Card B-1 Date Card B=1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining,; 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Water Supply Test Date Card B-1 Date Card B-.1 Date Card B-1 Date Card B-1 ) MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s` 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts"-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco=Mesh 10%800f; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date • .'I Card B-1 '4 Date J 'Card B-1 Date Card B-1 Date Card B=1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining,; 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Water Supply Test Date Card B-1 Date Card B-.1 Date Card B-1 Date Card B-1 1_17 OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & D = Date UNDE OOR (Plans K except ti's f- R• d Date - oning-Setb s Ease me n ts-fj_dodSIope t A-ffq_main; Soils- ec Gr d -/ /" Ft th (plex) w FRAMING (Continued) g' P 46. Cing. Joi t Ga , -K-- Soils-Steel-Elec G 1/ /" Ft D th -- ----- Cap Anchors -Connectors ties -Pu n-ro f Brac-Truss-Sht g.-Rfng. g.. g. ep 4. Ftg., Pefe4es--&Decks; Soils -St / /Ftg. Depth - 4�7.>Fi ace Ties or Type �1 e -Fireplace Throat clearance 5($ mwalls, Main; Steel -Bloc kouts-Wrapped --- -4� emwalls, Garage; Steel-Blockouts-Wrapped ---- 6a. -------- 51. 7. Slab; Steel -Wrapped ------------ 8. Piers- ----------- - 9. D.MK; Fall-Fitti 10. UF. Gas Pipe; Size -Anchors - yard gas piping: W.. st���Jl 11. Water Pipe; Test -Anchor -Regulator -Service Test l-zn 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Gird -Sills-Anc olts-Joi Vents ri le 1 ccess & Ventilation Insulation Date •31`9a• Card B -1U :: Date Card B-1 Datcq,16-qZ Card B-1 U6 Date Card B-1 Date PLUMBING (Permit),O cept ti's 16. Water Htr.: VRan mb Air -Baffle ----------- 1T Pipe: TN Protection �1 D.W. ; Test-or-NeM'Proteclion -- -- 1r Pan: Test. First Floor -Tub Access ----- --- ------ 20. Test Tub & Shower, Second Floor -Tub Access - --- 21. Gas Pipe: Size & Anchors Date �/. - 3 --Card -B 1 %w----- --Date----------Card B -1 --------- Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except ft's Fix & Transformer Clearance - Ins. Protection - - -- ---- - - - — - 2 eceptacles Spacing_L ghts & Switches at Doors 2- a Boxes & No. of Conductors -Stapled 2 omex Installed Close to Edge of to & C.J. _ ------ -- - Equip. Ground -made "u -- -ch. Fastner--B d Gas &Water ---- 37/2 Appliance Cir in Kitchen & Conductor Size!GFI ------ - -- --- - - - ------------------ --- - ----------9---------- 28. y ize i a. Cu or AI-A.C. Wire Size a. G"-er i"-- ----- -- --- - -- ----- - ---- -- - ---------------------------- 20 . geirc. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. _ J/ocylaleeFiQeRif�i� ❑ Yes- -----❑ No --------- `- ---- 3 e -Riser Conductors & Ground -Main Disconnect --------- -- ------------------------------------------------------ 3 q p. Clearances Panels -Motors -Meth. Equip. - - - - - - - - ----------------------------- lothes Clgse -Shower Light -Spa Light --------- - ----------------------------------- Smoke Detector ------------------------------------------------------------------------------- Date - Card B-1 Date Card B-1 ----y x-=13 -- --- - U�---------------------------------------------- Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except h's A.C. ucts Insulation & Support ------------------- --- 3 an: Exhaust above insulation 3 . Condensate Drain & Overflow: Size & Grade - Cr- ccess-Comb Air -Return Air Vent -115 outlet 3'. c Access & Platform if Furnance in Attic -- ------ - Date 417473 Card B_t V---,-Date-------------Card B-1 ---------------------- Date Card B-1 Date Card B-1 Date FRAMI G (Plans) OK except h's 3 Sits. Pro er Malenal & Anc ors ----------------------------------------------------------- - -------------- i9s: ds _N g. Spacing &-_ra -Plates-Sound Walls over Girder Floor Nailing p in Walls (rat proof) - -----�Q Furred Ceilings -Stairs -Chases -Tub -- -- -------------- ---- ------------------------------------ 44 ceders & Beam-Sizc�Bearino Access; Size & Romex Protection-Dra Stop -Ins. Baffles m. Windows or Exi ' g Doors -Sill Hgf & DiawAsions �afag—e Fire Protection Framing o` perty Line Firewall & Openings _ J. Doors -One 3' -Check Garage -3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing Fire Protectio y d on Roof Overhang -Attic Vents -Rafter Outriggers ng -Nailing Veneer uccco Mesh -Drip Screed -Fd. Vents-Underflr. Access ezing Area -Glass Protection -Skylights -Plastic (ear Walls: Nailing -Bolts Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FI L (Plans) OK except ti's Ext. Steps -Door & Sidelight Protection -Landings moke Detector Furnace: Vents -Clearance -Comb. Air-Connector- arage: Above Floor -Ducts -Meeh. Protection 4. _edroom Exiting -------------- - -r------- GIF.I. & Bath Fixtures & Tub Access -Spa -- lec. Trim & Subpanel; Breaker Sizes & Labels -- --- Stairs & Rails - - eplace or Stove Clearances -Hearth I c. Outlets at -Wood Panel; Int. &Ext. 0. it.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - _ Elec. Outlets & Receptacles at Kit. Counter7.-- arage Fire Door: Swing -Landing -Closer -- .C. Duct in Garage -Damper QWtr. Htr_Vents-Clearance-Comb Air-Connector-P.R.V. n Garage: Above Floor -Meeh. Protection ----- --P Elec. & Mech._Equip. Listed for Location 6Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------- - Insulation -Foam -Looked in Attic ❑ Yes — uard Rails & Deck Construction -Post Caps ---- - --------- -- -------- -- ------------- - - --------- ---------- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth, ClearanceLooked under �Flo r ❑ Yes Following instld.: Drive �� Yes ❑ No; Walks Yes ❑ No: P ters ❑ Yes No ---- ---- --- Stucco: Brown -Finish - — - - '82. C. Unit: Disconnect. Electrical, Plumbing Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to - - /A.; Openings ater Well: Disconnect, Electrical, Plumbing --_ terior Elec. Trim; G.F.I. Receptacle -Underground --------------- V r`ttilation Throughout House -- ------------- �J Glass Protection ...... ..... -�`-- -------------------------- 88. Co ctions from Previous Inspections - est -Meters Tagged: Gas -Electric ater-& Sewer Connected _C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates ---- --------------------------------- Date L- Card B-1 Date Card B-1 ------------------------------------------ -- ---- Date Card B-1 _ _Date Card B-1 ------------------------------ Date Card B-1 Date Card B-1 Comments at Final: s ;:l i COUNTY OF BUTTS DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER �r � _fj - � f PERMIT NO. A routine inspection indicates that ttheelfolMwing violations of Butte County Ordinances exist at the abo a address and should be corrected. Please notify this office when correction of work is co ted. If you have any questions pertaining to this matter, or need additional explanation, plea contact this office immediately. Ir O 4- 'Z�7 /w ' z i 4-4i Date Inspector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIOI i 7 County Center Drive - Oroville, California 959(k5 - Telephone (916) 538-754 PERMIT o, APPLICATION AND PERMIT �- ASSESSOR PARCELMUMBER056-360-022 'TR -25 BUILDING PERMIT OWNER J.C. Werner TELEPHONE 899-8515 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 189, Forest Ranch 95942 107 1ST RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee @1 Fee $ 211.00 ARCHITECT OR ENGINEER Don Pike 345-6079 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 231.00 15988 Forest Ranch Rd., Forest Ranch PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE S/F Over to Shop SF E) Duplex O Mobilehome O Other p 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther IX Describe Work: 1St Renewal of B.P. #92-2632 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OVOR LESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC Ug P. OR ADONS. ( & ACC. BLOS. ) 3.50 FT.p_ CONTRACTORS LICENSE LAW I declare under pe I y of perjur (check one) ❑ I am a licensed underprovper on isions o 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis a so NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR I OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 —V<—WORKER'S COMPENSATION INSURANCE 1 declare under enalty of perjury check one : ❑ This permit is for $100.00 (valuationY (valuationor less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. �I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment , costs, and expenses which may in any way accrue against said County i c sence of the granting of this permit. f� X Date v I ature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is requi ed for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 231.00 HA2• D. FEES IMP FLOOD COF PARCEL PD HD 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. DIRECTQR QF PUBLIC WORKS ? BY Date J �� V PERMIT EXPIRES ON 8/28/94 (Da tel / Receipt No. (�fp Z0 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY pr surrE . BUILDING DEPT SEP -o 1.1993 COUNTY OF BUTTE - Depart4m0ht'of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) HA _ 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 O lvtGi Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate,pervise, and provide the major work: Name �� /�iG✓ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work a Signed: Property Owner Social Security Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. INSULATION CERTIFICATE PETE. wERNER 15988. FOREST RANCH ROAD_ : FOREST. NCH BUTTE NUMBER AND STREET CITY. ,� COUNTY SUBDIVISION LOT NUMBER PLAN NUMBER DESCRIPTION OF INSULATION .ROOF Material Brand Name ._ . Thickness (inches) Thermal Resistance (R-Vatue) . CEILING Batt or Blanket Type 'FIBERGLASS Brand Name. GERTAINT Fly Thickness (inches) Thermal Resistence (R-Value)_ 30 Loose Fin Type1NSULSAFE III Brand Name CERTAI Fn Contractor's minimum installed.weighUR lb Minimum thickness Manufacturees installed weightper square foot to achieve Thermal Resistance (R-Value) EXTERIOR WALL Material FIBERGLASS Brand Name CERTAINT Fn /y Thickrmss ( ) Thermal Resisbuice (R Value) RAISED FLOOR Material FIBERGLASS Brand Name CERTAINTEED Thickness. (inches) Thermal Resistance (R-Value) SLAB FLOOR Material Brand Name Thickness.(inches) Thermal Resistance (R-Value) Width (inches) FOUNDATION WALL Material FIBERGLASS Brand Name CERTAiNTEED Thickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards, for new residential buildings Contained in Title 24 of the California Administrative Code. GENERAL CONTRACTOR (BUILDER) LICENSE NUMBER SIGNATURE R TITLE. PATE SHASTA INSULATION SUB-CONTRACTOR (INSULATION INSTALLER) 272941 LICENSE NUMBER SIGNATURE b TITLE DATE �3zs,zv 3D V' l `�1 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 056-360-022 ZONING TM 5 BUIL RMIT / OWNER J.C. WERNER TELEPHONE CQT/7�.�V.f7YG) 7 SO. FT. OCC. BUILDING VALUATION 720 R 38,880 OWNER'S MAILING ADDRESS P.O. BOX 189 FOREST RANCH 95942 112020,160 CONTRACTOR'SNAME OWNER TELEPHONE 240 OPEN 1,680 CONTRACTOR'S MAILING ADDRESS Fireplace "Al CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6n 547) LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER DON PIKE 345-6079 LICENSE NO. e e Plan Checking F $ Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS15988 FOREST RANCH ROAD FOREST RANCH 95942 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 4 5.00 20.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 94-9 Water piping 7.Oo 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5-001 5.00 Building sewer 15.001 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New Ll Addition ❑ Remodel ❑ Utilitiee ❑ Installation❑ Other ❑ Describe work: SF OVER E .S/7,e Permit Fee $ 69.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200A TO 1000A) CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. _37.50 3.64 sq.ft. 25.00 NEW CONSTR ULT' -OUTLET NO N•RESI BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@761 Ex. OCCup. OUTLETS P(RESID.)FIXED APL.NS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 58.50 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate eCoolin f Consent to Self -Insure. 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 1 15.00 Heating 9 Hood 6.50 6.90 Ventilation permit Fee $ Contractor -30-90 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'd County in consequence of the granting of this permit. X Date Sign ure of Applicant - Owner,[V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st ries in height. Mobile Home Installation Fee S Ener Ins ection Fee $ 40.00 9Y P OCC CONST TYPE TOTAL FEE $ 866.00 HAz OFEE IMP -- FLOG CDF PARCEy PD H� Iss This permit is hereby issued under the sions of the Butte Count de and/or Work indicate ab o hich fees F PUBLIC By !nom P EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date y ; Receipt No. 117637 WNITE-D.P.W., YELLOW-ASSC930R, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Callfornla 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R 0 - 360- LZ ZONING BUILDING PERMIT OWNER �ms -5 C Pr�-e TELEPHONE f37?� ��? S0. FT. OCC. BUILDING VALUATION 7O no OWNER'S MAILING ADDRESS O. '9>© K 1 Lo O 60 CONT ACTOR'S NAME TELEPHONE DDRESS- CONTRACTOR'S MAILING ADDRESS- Fireplace Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ do B- Filing Fee $ 15.00 LENDER'S MAILING ADDRESS / Permit Fee $ G Z ou AR ITECT OR ENGI L� Er. ILPJ v /' -b0? LICENSE NO. Plan Checking Fee $ c� 2 Energy Plan Checking Fee $ 2 p 00 ARCHITECT OR ENGINEER'S MAILI G ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 66 PLUMBING PERMIT Filing Fee 1!5.00 p 131916 �( Each Trap 1 5.001 C Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP L Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFU4_Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S'— Building sewer 15.00 - ^- Mobile Home S I G I W @ 15.00 TYPE OF WORK New(4­-�Addition t_j RemodelF_' Utilities ❑ Installation ❑ Other ❑ Describe work: _ it n 6`iQ to n cr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 600V OR LESS Main service 200A OR LESS 18.50 Main service 200A TO IOOOA1 NEW CONST. ( DWELLING O P.&� OR ADDNS. ACC. BLDGS. 37.50 3.66 sq.ft./( CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ 1 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 .Jo. 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 CONSTR ULTI-QUTL NON.RESID% BRANCH CIRCUITS 5•�� POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES RAL_ 20 @ 76d FIXE Ex. Occup. OUTLETS (RESID )REAT 1 3.00 Temporary service 1 15.00 Mobile Home Facilities15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating - Cooling -- Hood 6.50 a Ventilation Permit Fee $ Contractor 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this perlmit p X Date ` 2 ( % Si nature of Applicant - Owner 9 PP ❑ Cs o Contractor 5* ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c� c2J oy�r,aPE OTAL EE $ Vit/ = OFE IMP I— FLo CDF PARCEL D I$ U 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 i/.7( 7 17 Receipt No..7-A WHITE-O.P.W.. YELLOW- ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ";^E.F�'+'f�f'�''+'4i�?'�';'�R`�r�'=._�e��+��•��`'� �7�4SAa+i'r+''�.�,�3ri'.7 n�M'irf •TTi r��y '.�`�ISrr�'*1•-�i'r..1� ..-. e.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER -s"o- t` r'h �C�r" A. P. No. OSCE -36 0 ' ZZ - Proposed Building Use `s Building Inspector Date 2-7 7 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 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. - 7-q 7� California Department of Forestry plan approval/fees. ........................ tx�� Flood elevation letter (100 year floo ) by California Engineer. ..... r� Sanitation and plot plan approval C « `' Health Department. ....... 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). .. ... . uest 20. Pre -inspection for t. Building ins rect 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. P . .. a chec li t. ... . ..... ... ... ....... , .. .. ......... 4 34. When you issue theermit, process as follows: Mail Mail to contractor. D2 _ Telephone �7%"i%r% and hold for pickup at caner. office. Deliver with inspector. Other Parcel Creation 71-2- ���9 Acreage Applicant Date -G� IV 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: (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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter y Date Plans checked by Date Plans approved by J� Date �07 -99/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO ,Puildinct Department FROM: Environmental Health SUBJECT: Sanitation Clearance -• ..IAilZ�Msc� - - 1�iio owner Location AP# Plan Approved for: Sewaqe Disposal `� Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for �_ bedroom me home. Other _,. % �•t�� NOTE * * * 2-7 Date Sanitarian j• K,Tc-h APP'FtO Bine County Envirc S-- 7--7 1,2 / m e DOCk/R - 75. R 200,0'0 Lj • ' �s L--62.41* � 1 S 80. ?5 49 %/8• L -61.' — 7- _ 93 ^' : /� ��6p' E ! 556.8►LO _�. @ °47 3 ,� P �� Rood Curve .Dot RAD... _ . 30, R = 70. O 0. i 69° 32, X16" _ R) R: 230.00s.LS� L = 84.97'; Q - 17°52*42** r -�'•�� I' / R'-`0 Par •A C. 1 ti '; 4 ,� , • s e Otis Dodge et of Book 2039 Pg 387 31 32 250.7 w N87. 48'.. 16 W 6 5 Fd '3S7 P 1. P. LS 2 843 G1 Fd. q'�x 4.� / M 72 in concrtto 07 ROE 11120 ��-k Butte County Environmental heal 1 f r� COUNTY OF BUTTE - Deoariment of Public Works 7 County Canter Drive, Oroville, Cd 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to'avoid 'unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ,d Vz—_ signed an application for a building permit for the proposed work. e - -�-.— I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. -- I will provide some -of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owner, Social Security Date i NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL PLAN GHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) p I r , Bldg. Permit # OWNER A.P. # Z'Z Plan Checker g_/ GENERAL 4 ping requirements: (sideyards and number of permitted living units). FIr-oper �iation. signed by designer. description of work on application. Existing violations on property. 6." tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ded notice of violation. PLOT PLAN 64, l��omplete parcel size and dimensions. a/ Setbacks, sideyards, easements, etc. er buildings or structures. 4�Grading, fills, drainage. ;+'_ iood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN . 1. om lete to scale plan with dimensions., 2. fired windows'for light and ventilation (Sec. 1205). q euiredd windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). 7— an impact glass (Sec. 5406). *. auired room sizes, ceiling :heights (Sec. 1207). 7 G�F;I-s in baths, garage, kitchen, and exterior outlets (Article 210-8). 84-'Ligh ixtures, switches, receptacles, and exterior receptacles for main- ance of mechanical equipment. Locations of water heater, heating and cooling equipment, other, electrical or gas equipment.' - h6—Gag firewall, door size, and closer (Sec. 503(d)(3)). 11.�Y -'0" exterior exit door (sec.'3304 M. 1 lace and wood stove location, alcoves, and clearance. 1 oke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS . 1✓Standard bracing or engineered design. (Table 25V) 2 ---Un s al shape, size, or split level house requiring lateral design. 3. trer�ry requiring balloon framing and/or engineering. re story building requiring engineered calculations and plans. Fo ation plan complete enough to construct building. 6 1,�gor construction details complete enough to construct building. 7 ---El tions and wall construction details complete enough to construct building 8 oof construction details complete enough to construct building. lace construction details and calcs if necessary. 1 .air ties or bearing ridge beam. 12--G rage door or porch header sizes. 1YStud heights. 1 Adobe soils - special foundation design. 1 Retaining walls requiring design. 1 Special Inspection required. W67P, 1 v 8/91 RESIDENTIAL PLAN CHECKING.GUIDE MISCELLA US -ITEMS TO LOOK OUT FOR 1 Stairway details: landings, rise and run, head clearance, handrails (Sec. 306). guardrail details (Sec. 1711 & 3306(j). 3, Br _k or stone veneer (Chapter 30). li .--fade r plaster - weep screeds (Sec. 4706) . doper roof pitch for roof convering (Chapter 32). 64--loof covering type - (fire hazard). T: Fg= insulation.- protection. 8�6" halls and stairways. ' rea over garage - complete 1 -hour separation required on garage side including -supporting walls and posts, etc. wo e -M on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 access and ventilation (Sec. 3205). 12. nderfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. quirements on duplexes. rgy design. 1 Flashing at all exterior openings. responsible area requirements. g -1 ` _C? Z c1 fl>A'rA S REET Or_M �� n on q - fly -17 z 2 �L.��aR' ''/r •moo er+'.",.r{7�-N�.y�,-+A�'�L.R.vi+t�^�.i��r..w� ,:j �a hM-�"^1T7�'^"fl`is7-«.�•ar^Ar"r'rye•sr^�•'^�...�'i4�...,<i%GLr..v„yv h,. • CHICO UNIFIED SCHOOL DISTRICT 1163 EAST SEVENTH STREET COUNTY OFBUTTE CHICO, CALIFORNIA 95928 BUILDING DEPT (916) 891-3006 J 9 '9 9 2, C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT Terms and Conditions for obtaining, a SCHOOL DEVELOPMENT REFUND pursuant to C.U.S.D. Resolution No. 'V%/ I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor Parcel No. represented by C.U.S.D. ID No. for one of the following reasons: I will not be building a residential unit on this parcel and I have cancelled my building permit. Credit for demolition of an existing residence.(copy of permit & County Appraisal Report attached) _ Other 180./;L" Development fee paid $ /3/17,912- Less 3/7.712:Less administrative fee $ ($2.50 per residential unit) Total refund $ 1 - / Applicant Signature Date .J :d We.r nr(z. Printed Name n !'� 7 P�. 13 ox, 18 % O % Address Phone No. City/Zip a-7 c/ a_ SchoolDistrict Representative Date White -applicant, pink -building -department, yellow -school district REFUND.APP B.S. 43 (2/91) N BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District C -u S _ Building Department No. A.P. NumberJurisdiction... [—] City County Property Owner Property Location/Address � _ 1':..g� Cu' Subdivison _ _ Lot No. Residential Development ' [ 0 Sq. Footage No. of Living MHI Addition - (G r,& p R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) z r,2 Building Departme0f Representat a Date (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that <� (Applicant) CIL-)------- (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. �_- /� by payment of $� representing square feet. School District Representative Date Paid by Check Number _/lkJOa _ Remarks: 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 (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) feeformmkf (4/92) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, Califotnia 95965 - Telephone (916) 538-754 PER T N . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 56-360-022 ZONING TM5 BUILDING PERMIT OWNER J.C. WERNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 15988 FOREST RANCH RD, FOREST RANCH PO BOX 189, E -R - EST. 9000 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 15988 FOREST RANCH RD, FOREST RANCH PERMITFEE $ 137.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Ji 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 ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: PERMIT TO COMPETE 94-0034 , 93-2632, 94-0700 Mobile Home I S I GI W @20.00 PERMITFEE Contractor ELECTRICAL PERMIT Filina Fee 20:00 00V OR LES Main Service 0 S ) ( 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,(aPsWER and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( &ACC. BLDS. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 APPARATUS NGLE PPR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SOFIXED APPLNS. OR EX. Occup. ( OUTLETS (RESID.) FA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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 �f 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' coraensation provisions of section 3700 of the Labor Code, I shall fc th com ly with those provisions. /�/� X Date �L��Z Sig ture of Applicant - &-,Owner ❑ Contractor ❑ Agent An SHA 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 $ 137 .00 HA2. D. FEES IMP 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 PERMITEXPIRESON 11 i y (pate) ReceiptNo. �,���6.6 WHITE•D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R . O.B.-1 c.:«::r,5i�::^;..::+.::.;�::::a..<.;:<S&isf:aei:%.aga�S't%iSk?co»iaabi::S:%^i%.�';:::wb2:+':a:w:y':;:.•::;+>:<.,..:<tc.:>::•..a:x..;,,; .�r.,.�....:.,.: K..a:.ti.;;. :..:; .. � .,.. .,....:.....yr•.c.. ..:;`: ..5.. ..•>.x, F, �52:: �CC:C:.,,�,.,,a>r..:i:iSY22%?e�i:%�.Q34%:h`:.:i:M Attention Property Owner: , An "owner -builder",: building permit has been applied for in your name and bearing your signature. :"1 .._ `::..1_ j L • "t ! , 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 -uritil this verification is received. 1. I personally -plan to provide •the major, labor and materials for construction of the proposed pro e. improvement : YESK -NO[ ]. 4 2. I -HAVE[ HAVE NOT[ J signed an application for a building permit for the proposed work 3, I have- contracted -.with. • the following person`'(fnfi) to provide 'the proposed construction: .• .. - .a� -':. NAME. __ . . - . .. ," , .. _. a�.r:: ; • ..... .. � .*. � _ ADDRESS: C : 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 SECU] i DATE: �l , ER: ,�/ � 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 binder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 yourseM you may protect yourself from possible liability ifthatperson applies for the props 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 youi 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 Siac'brel • • - - Michail C. Vierra, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Certificate. of Compliance: Residential Climate Zone 11 Project Title S'9 glo �o�s'7" i2gN C�!-4 Bu Pit r Project Address !�-' l3 t 8-9?, Checked By/ Due Documentation Author Telephone Enfortxment Agency Use Only BUILDING DATA ' ' -1 . Glass Area. % Glass ' North O- . Q Conditioned Floor Area �� ZD Number of Stories_ East 2 e S t b/Raised Floor SSD Number of.Units South Z .3.3 Single Family Detached (SFD) [ ] Addition -Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight O [ ] Multi -Family (MF) [ l Existing -Plus -Addition Total • S BUII,DING SHELL INSULATION Component Insulation Locatiion/Commera Type R -Value (attic, to Garage, t-ai:.al, ami �jl NT ToTk.. Wall .............. Wall. ..........� .i.. 14 - Roof 4 - Roof ............. 11?- 30 Roof ............: Floor ............. , Floor ............. Slab Fdge..... GLAZING Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind. etc.) (shadescreen. etc.) (yeaJtto) (tnetallwood) North North East ( ) ' 1$_ L A14 - East South ( ) South ( ) West ( ) West Skylight....... THERMAL MASS Type/Covering Area Thickness (stab/exposed, tile. etc.) ($0 (inches) Location/Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency : Location Duct Output Manufacturer / Model # conditioner, heat puenp) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh), (or apprgYg*Vg%Gt IN12 vp �j•EAtT- - 0 WILDING DEEPARIM A nnnnVr-n Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I Mandatory Measures Checklist: Residential MF -1R NOTE: Lowri.se residential buildings subject to the Standards must contain these messtres regardim W the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent eompIW= "quirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit doeunwus. 4t%s features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DFSCUPfION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed waits R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permfmch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zoites 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spies designed to Limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed 62.5352(e): Special infiltration barrier installed to comply with 12.5351 meets CEC quality standards. 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fueptaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations 12.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems have damper controls. 62-5314(c): Gas-fired space heating equipment has intermittent ignition device. §2.5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R.16 or greater): fust 5 feel of pipes closest to tank insulated (R-3 or greater). §2.5312(Exccption 1): Pipe insulation on steam and steam condensate return dt recirculating piping. §2-531R(d): Swimming Pool Heating 1. System has: a. ONoff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inleL - Lighting and Appliance Measures ' 12.5352(j): Lighting - 25 lumcns/watt or greater f6r general fighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. - COMPLIANCE STATEMENT = _. This certificate of compliance lists the bolding features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Qmpttx2. Subc apter4. Article 1 of the California Administrative code- This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to my subsequent purchaser of the building. Designer Name: rttwi=,::tt: Address: Telephone: tic. 8: (sitnatum) (date) Documentation Author Name: Title/Furn Address: Building Owner- Nttmc ritkJFums Address: Telephone (sit nae) (date) Enforcement Agency Nance: Agency: Tekphonc. 1. Ceiling insulation 2. Wall Insulation Single- Number of stories -46 R -value One Two Three R-0 -103 -49 32 R-19 -8 •4 -2 R-30 -2 .1 .1 R38 0 0 0 U -value 8 6 4 0.50 -176 84 -54 0.30 -102 -49 32 0.10 -26 -13 8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - -46 R -value Family Family Multi - R -value Detached Attached Family R-0 88 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 8 -3 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor 0.60 -144 Numbiar of stories -46 R -value One Two Three R-0 -17 8 -5 R-11 -3 -2 -1 F-19 0 0 0 R-30 3 1 1 U -value -11 -6 -4 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 •46 30 0.30 89 -34 -22 0.20 -13 -21 -14 0.10 -17 8 -5 0.08 -11 -6 -4 0.06 8 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 8 3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2-2 Double .2 R-19 .1.-2 less .2 �. Slab Edge Insulation -53 -39 -24 Number of Stories 4 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 8 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 -. _ 9 - 6 3 0 a0 12 8 4 S. Infiltration (Air Leakage) Spedfication Points Standard .. 0 6. Glass Heat loss -14 -12 -10 -48 -42 -35 -69 -59 -50 Total %Glass North East South West U -value 18 5 Percent 4 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -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 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 .8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 8 7 10 13 16 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) Effective Pei catt Glass (Pemnt Slags x SC) Effective -14 -12 -10 -48 -42 -35 -69 -59 -50 84 -55 -46 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 no 11 3 3 5 2 no 10 2 3 5 2 1 9 2 3 5 2 2_ 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 -3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 4 1 3 2 0 ,9 -.2_ 1 0 3 1 .1 -1 -1 -1 2 0 _�1 -2 -4 -2 0 na = not allowed 5 7 7 8 IB. Shading (Shade Closed) FNective ft cmt Glass Qw,cmt 61an x SC) %Ginn NoM Eed South West Slq*t 18 16 14 -14 -12 -10 -48 -42 -35 -69 -59 -50 84 -55 -46 na na no 12 11 10 8 -7 -6 -29 -26 -23 -40 -36 -31 -37 -33 -29 no na -74 9 8 7 -5 -5 8 -20 -17 -14 -27 -23 -19 -25 -21.. -18 -65 -56 -47 6 5 - 4 3 -2 .1 -11 -9 -6 - -15 -11 - 8 -14 -10 -7 -38 -30 -23 3 2 1 0 1 1 -4 1 -5 -2 1 -4 ,. 1 -16 -9 -4 0 __2 3 4 3 �0 no - not anewm 1 1 0.5 -6 9. Interior Thermal Mass Interior Exterior Wall Slab Floor Single - Raised Floor Macs less Stories -25 or -24 to -14 to 4 to Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 .5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1_ 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 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 5.5 5 8 9 11 12 12 6.0 5 8 10 12 '13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Wall Single- Family Single - Multi SEER less Family -25 or -24 to -14 to 4 to Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 0.80 8 10 6 8 4 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 11. Heating System SE or 13SPF (assumes duets to attle) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst• m SEER (assume, ducts In attic) Stm of 7-10 -25 or .24 b .14 to 8 to Sum of 1.6 16 or SEER less -15 •6 -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 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 0.90 8.25 17 15 13 11 9 7 0.95 8.71 . 20 18. 15 13 11 8 17 14 12 Effective SE or HSPF 6 -1 (SE or HSPF x duct eMcieney) 0 30% Effective -25 or -24 to -14 b 41o, +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 84 -56 -47 -38 -30 no 3.41- -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 .18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 3 0.60 5.50 5 5 4 3 3 22 0.70 6.42 17 15 13 11 9 15 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst• m SEER (assume, ducts In attic) Stm of 7-10 Zonal Coatrol Adjustment 10 8 7 6 4 3 No Cooling; System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or .24 b .14 to 8 to +6 to 16 or SEER less -15 •6 +5 +15 more 8.0 -14 -12 -10 -8 -b -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 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 5 13.0 20 17 14 12 9 6 -1 -1 Efresttve SEER 0 30% HWR (SEER xAud efficiency) -12 -9 -7 Sam of 7-10 70% WS8 Effective -25 or ,24 to .141D -4b +6b 16 or SEER less -15 -6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 8 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 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 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Coatrol Adjustment 10 8 7 6 4 3 No Cooling; System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation or R -value [381 U -value j0.0301 or r R -value [ 11 ] U -value 10.0981 or R -value (191 U -value 0371 Point Scores 7/ 4. Slab Edge Insulation or R -value [OJ FZ factor 10.771 S. Infiltration Standard 0 6. Glass Heat Loss_--�- Type [double] U -value [0.65] % Total Glass [ 161 Sum 16 7.. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d.. West 7T'. ' ,eD Skylight 9.,Interior.,Thermal Mass, 10. Exterior Wall Mass 11.4 Heating System f Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating - - % Glass Sc Eff. % Glass C? X -- = O 2t S" X 3• x= Z1S� L7 X C7 % Glass Sc _ Eff. % Glass X 3t3 ' x- Zr k X = C:) X = TYPE 1 MASS AREA a 8 �tenior!W.VSSVCF�l COND. FLOOR AREA TYPE 2 MASS AREA.�Z Z�rMss ND. L OR AREA Sum? -1C 60 SE or HSPF+��®�DyEt Efficiency 10.781 Effective SE or [0.72/6.6 (ry ! HSPF 10.5615.151 G = SEER t9.51 Duct Efficiency 10.74] Effective SEER [7.031 'Ij (SGJ ' Credit [none] - - Point Total. Unit size (sQ Water 0*99 120 1700 2200 2700 Heater Credit or to to to . or Type Type less 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WS8 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 Solar -1 . -1 -1 0 0 30% HWR -18 -12 -9 -7 -6 70% WS8 -25 -16 12 A 8 0% Pall AB -12 -9 -7 -6 IG None -5 -3 -.2 .-2 -2 29 Solar T. 5 .4 3 2 4.4 POU 3 2 53 10% 0.2 IE None -28. -19 -14 -11 -9 1.9 Solar 8 5 4- 3 3 3.3 POU -10 8 -5 -4 -3 4.8 Multi-Faml17 (individual units) 54 20% 0.3 0.6 Unit Size (sQ 1 1.2 Water 1.6 699 700 1200 1700 2200 Heater Credt or In to b W Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.7 WS8 9 4 3 2 2 0.7 POU 9 5 3 2- 2 SE None -45 -23 -15 -11 -9 3.6 Solar 2 1 1 0 0 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 WSB -25 -13 8 -6 -5 25 PQU 33 -122 -8 8 -5 IG None. .8 -4 -8 -2 -2 5.5 Solar ' 6 3 21 0.9 1 1.4 POU 1. - 0 0 -_0 0 IE None 30 -15 -10 -8 4.1 4.3 Solar 18 9 6 4 4 S.6 POU 8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation or R -value [381 U -value j0.0301 or r R -value [ 11 ] U -value 10.0981 or R -value (191 U -value 0371 Point Scores 7/ 4. Slab Edge Insulation or R -value [OJ FZ factor 10.771 S. Infiltration Standard 0 6. Glass Heat Loss_--�- Type [double] U -value [0.65] % Total Glass [ 161 Sum 16 7.. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d.. West 7T'. ' ,eD Skylight 9.,Interior.,Thermal Mass, 10. Exterior Wall Mass 11.4 Heating System f Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating - - % Glass Sc Eff. % Glass C? X -- = O 2t S" X 3• x= Z1S� L7 X C7 % Glass Sc _ Eff. % Glass X 3t3 ' x- Zr k X = C:) X = TYPE 1 MASS AREA a 8 �tenior!W.VSSVCF�l COND. FLOOR AREA TYPE 2 MASS AREA.�Z Z�rMss ND. L OR AREA Sum? -1C 60 SE or HSPF+��®�DyEt Efficiency 10.781 Effective SE or [0.72/6.6 (ry ! HSPF 10.5615.151 G = SEER t9.51 Duct Efficiency 10.74] Effective SEER [7.031 'Ij (SGJ ' Credit [none] - - Point Total. Interior Mass/CFA . TTPZ I owls 11.7.e111C•4.71 S TYPE• 1 PASS WIMC 6 4.2, lel exposed slab) , (cam [WtW 0I.0 • - 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 6944 70% 75% 80% 851/. 90% 95% 1001/. 105% 110y. 115% 120% 125' 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23� 25 . 2.7 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2.5 2.7 ?9 3.1 3.3 3.5 3.1 4 4.2 4.4 4.6 4.8 5 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 54 s6 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 26 28 3 3.2 3.5 3.7 39 4.1 49 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 21 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 S.6 6 6.1 60% 1 1.2 1.4 1.7 1.9 21 2.9 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 SA 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.S 5.7 5.9 6.1 6.3 6.5 801/. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85%1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4' 4.6 4.8 S 5.2 54 5.6 5.9 6.1 6.3 65 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 22 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 1o0Y. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 S.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 26 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6a 7 1101/. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.6 4 4.2 4.4 4.5 4.8 S 5.2 S.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 8.2 6.4 6.6 6.8 7 7.2 120% 2 13 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 S.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 S.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation or R -value [381 U -value j0.0301 or r R -value [ 11 ] U -value 10.0981 or R -value (191 U -value 0371 Point Scores 7/ 4. Slab Edge Insulation or R -value [OJ FZ factor 10.771 S. Infiltration Standard 0 6. Glass Heat Loss_--�- Type [double] U -value [0.65] % Total Glass [ 161 Sum 16 7.. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d.. West 7T'. ' ,eD Skylight 9.,Interior.,Thermal Mass, 10. Exterior Wall Mass 11.4 Heating System f Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating - - % Glass Sc Eff. % Glass C? X -- = O 2t S" X 3• x= Z1S� L7 X C7 % Glass Sc _ Eff. % Glass X 3t3 ' x- Zr k X = C:) X = TYPE 1 MASS AREA a 8 �tenior!W.VSSVCF�l COND. FLOOR AREA TYPE 2 MASS AREA.�Z Z�rMss ND. L OR AREA Sum? -1C 60 SE or HSPF+��®�DyEt Efficiency 10.781 Effective SE or [0.72/6.6 (ry ! HSPF 10.5615.151 G = SEER t9.51 Duct Efficiency 10.74] Effective SEER [7.031 'Ij (SGJ ' Credit [none] - - Point Total. RESIDENTIAL X056-360-022 - 94-0700B WERNER, J.C. 15988 FOREST RANCH RD. NEW DET. GARAGE FOREST RANCH r V=OK O = Not OK Not = Not Readyable 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 -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete - 6. Gas; Location -Teat -Wrap: / P L" ft. / /"Nat. or/ PV ft./ /"LPG 7. Well Clearance & Disconnect 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 -Clearances. 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLA #'s wings; Soils -Size -Depth -Spate 3. Decks; Griders and/or Joists -Deck) (f 4. Wood Awn.; Posts-Beams-Rftrs:Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 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- Enclosu res -Pane lboards- 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 ' = Date/Initials UNDE OOR Plans OK except M's 4etonin acks-Easements-Flood-Slope 2. Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrepped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -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 M's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nall 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 #'a 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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or 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 M'a 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 (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells 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 44. Headers & Beam -Size & Bearing ('Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wel Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except M's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: 1, COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �;o 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO/ APPLICATION AND PERMIT �� 025b ASS SS 6 PARCEL NUMBER �56-360-022 ZONING TM5 BUILDING PERMIT owN� R J.C. WERNER TELEPHONE 898-9992 SQ, FT- OCC. BUILDING VALUATION 480 M 8640 OWNER'S MAILING ADDRESS PO BOX 189, FOREST RANCH 95942-0189 CONTRACTO R'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15988 FOREST RANCH RD, VOREST RANCH PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DETACHED GARAGE 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 XX Addition ❑ Remodel ❑ Utilities O Installation ❑ Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I '200'OR"I I 2OOA OR LESS 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I 8 ACC. BLDS. ) S0, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification 1� 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) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPWS. OR p' I OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a XCertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme ts, costs, and expenses which may in any way accrue against said County nse uence of the granting of this permit. X Date riature of Applicant - Owner El Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL $ HAZ. D. FEES IMP '� OOD PARCEL HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for7h h fees have been By 1 -0-Date EXPIRES ON krs (Date) provisions to do work paid. q Receipt No. 156368 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTPERMIT i ... �...:.�..., f -i �.. ...i '_<�,� � ..+... / ..;.. ., '"v.i�'.T1?..r�.�,.,�•7`T ;e`sF"...�g., oa:i�`a"Sq"`p"v�.•.�.'v:�.:+..�....r�rY�.nv «i. .`r'n •mow .. ,rfh..-..:v. : ..'rr^"., ., , ,, COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV,II LE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use G A. P. No. 0S7& - Building Inspector ?�� Date _ rJ At time of permit application, I was advised the following ata 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 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 $ ............... .....: ........... . ��#mpact fees as shown on attached schedule. .. . . California Department of Forestry` plan approval fees.�-- 136.F elevation letter (100 year flood) by Californi gineer................. . Sanitation and plot plan approval Health Department . ........... . 5. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. r 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19 Drivewa ermit (construction aPP q roval re uired prior to occu anc ) 20. Y P P y - •- •P�nspection requea� Pre -inspection for - required. .. W Buid n9Inspector (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 . ........................................ A 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 you issue the permit, process as follows: Mail to owner. Mail to contractor. / Telephone $qQ-492 and hold for pickup at e:� office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ ]mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _phone _a' Counter by _Date Plans checked by Date Plans approved by Date Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F_11. USE ONLY Plot Plan Anachod Floor Plan Attached ✓ Seat to B.D. Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Hold final for: Sewage Disposal Final clearance O.K. for: Clearance for bedroom mobile home. Other NOTE: Water Supply Water Supply Water Supply Environmental Health Specialist Date rt COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER C / A )e CA%yz- A. P. # QSE - s66 -- k-11 �2 Z PROPOSED BUILDING USE Dpi r7zA rALfTg DATE 3. ) 11 REC. # DATE REC �% ISTRI (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt.. Commercial (sgft) x -$ ,sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. • 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES �/0/j - (Contact Land Development Division) .............. (V '6 . SRA FIRE INSPECTION AND PLAN CHECK = $89.00 ...... 156 36 C9 '3 Ir. Lj (paid at Building Department] 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION: Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or no) 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: Mame Address City Phone Contractors License No. : I plan to provide' portions of this work,.but-I have hired: the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors' License No: ' 5. .I will provide some of the work -but I have contracted (hired) the following persons to provide .the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security N ber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ,rte COUNTY OF BUTTE BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road„Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541. 747 Elliott Road, Paradise, CA - (916) 872-6307 . CORRECTION NOTICE s1. hn 0S=QA q 3— 2936 OWN PERMIT NO. .'.; A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office.when correction of work is completed. If you have any questions pertaining to this matter, or need'additional explanation, , please contact this office immediately. .'” _1 , t0/i Date REV 1 Inspector RESIDENTIAL 056-360-022. 94-0034B,P,E,M: • WERNER, JC 15988 FOREST RANCH RD., FOREST RANCH .CONV SHOP TO LIVING AREA i A 'JOB FINALED (Date) Signature V=OK Q =•Not OK -=Not Applicable Not Ready 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 -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain;. MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector ,7.. ,Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and.Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmo: 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 #*a 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 #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Cond uctors-Sts pled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or 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 -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 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 (Plans) OK except k's 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings-Stairs-Chasee-Tub 44. Headers & Beam -Size. & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -W al Is -Ceilings 60. Inf filtration -Walls -Windows Date/Initials FINAL (Plans) OK except M's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg :Appliance -Fireplace :Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTF`- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. • APPLICATION AND PERMIT f I ASSESSOR PARCEL NUMBER 056-360-022 ZONING TM BUILDING PERMIT OWNER C WE NE TELEPHONE SO. FT. OCC. BUILDING VALUATION .898-9992 OWNER'S MAILING ADDRESS P BOX 189, FOREST RANCH CA 95942-OIRQ 1120 M TO 22,400 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $- 52 • 10 Energy Plan Checking Fee$ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS 15988 FOREST RANCH RD, FOREST RANCH PERMIT FEE PLUMBING PERMIT Filing Fee' 20.00 Each Trap 4 1 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE S�Kl Duplex ❑ Mobilehome El Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15 •00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel (XX Utilities ❑ Installation 1:1Other ❑ Describework: CONVERT SHOP AREA (LOWER FLOOR) TO LIVING ARI PERMrT FEE $ 93.00 Contractor A ELECTRICAL PERMIT Filing Fee 20.00 Ci I Main Service ( 2100111 LESS ) 2001DAOR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SQ. OR ADDNS. ( & ACC. OLDS. I 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P rofessions Code and my license is in full force and effect. ,,/Professions License No. Classification the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup. FIXEDAPPLNS.OR ( OUTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating DUCT 6.00 Cooling Hood 6.50 6.50 Ventilation PERMIT FEE $ 32.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to .. ave, indemnify and keep harmless the County of Butte against all liabilities, judgme ts, costs, and expenses which may in any way accrue against said CounJ.yJn conse uence of the granting of this permit. X Date�r ,f-�^ 9� SAature Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 ocC CONST. TYPE TOTAL FEE HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD 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. EARE TOR F PUBLIC WORKSaj� p BY � Date 2 2yi- PERMIT EXPIRES ON 2 7Lf --,j3 (Dete) t No. 1 91694 E D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.r.1.y��y,r,•�..:+'",�..,.i�-.!'`�,Iq +s-,$)�lra ��«•i-^L'y,.'..V;{--.. .... f�; E e��.�, gtit*-:�4..��a.�n-^..`•'��'it"�"'�"`..-� •-^--,r• i-�. r Ir COUNTY OF BUTTE - DEPARTMENTO:FDEVELOPMENT_SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLd G F NX91 5965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER A. P. No. V Y6 QJ Z Proposed Building Use 4 Building Inspector Date / %9 y lo w 1i 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 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 nd a facturer's installation instructions, 2 sets. ........... 11. Impact fees as shown on attached schedule. ,iC��p.�.06s i /.............. . California Department of Forestry plan approval/fees. . . Flood elevation letter (100 year floo/o) by California Engineer. ....0 ............. A. Sanitation and plot plan approvalr-Ill140 Health Department . ........... . ity of Chico plumbing permit. ...................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: I . ........ 18. Contact Land Development,a bout (A) Improvements '(B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). / Preansp*action requei 20. Pre -inspection for required. .. to Building lnepector (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 . ................... k .................... 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 you issue the permit, process as follows: Mail to owner. Mail to contractor. 1� TelephoneA-959 Z and hold for pickup / 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. Oiher Date By The following data must be submitted 1. Index permit for above items No. ` 2. Additional items required: 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 Counter by _ Date Plans checked by Date Plans approved by Date Z�" Sets of plans on hold in File:cabinet AP folder Copy - Department of Public Works E.H.-USE ONLY Hot 1'1, nu:,chcd ✓ 1:1„,,r I'L , Allachcd 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 .mobile home. /Other j?mjA ,ej— n6/m4-az;zf C&,t4 �`1 ✓ f N r ✓i i/h- Mw /mac! / j I- 4C /6 / " /l/f4f �t I LiM..•s L�FOV1� Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date A 8/92 COUNTY OF BUTTE - Departmept of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION' Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to.provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone :Contractors License No. 4: I plan to provide* portions of this work,.but I have hired- the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors*License NO'. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide -the work indicated Name Address Phone Type of Work Signed: Property Owner Social Securityer - Date I/ — :,,,W NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to.issue the permit. �'� �s�+issrs�^�`�'�"�'�c r�'671��°pgiFj�•,�' • 9c",�s]ys�r+yv.�� s~ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District t° Building Department No. A.P. Number/f S�p - cpD. OZZ- Jurisdiction City Property OwnerG' �eCA) PiZ Property Location/Address Subdivison Residential Development Commercial/Industrial Building Department Rep � 0 No. of Living MHI Units New [20"' County No. Sq. Footage ,7— C> * difion . (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) District Identification No. ' . ?Y6 a 3 Schoolr District certifies that (Street (City) has complied with the requirements of Resolution No. representing square feet. 0 - School District Represent (State) 9/- 72 Paid by Check Number Remarks: Bank Number Paid by Cash Date J. C. �Ve r n e- r (Applicant) (Phone Number) /1 (Zip Code) ' by payment of $ - I i d 9 Date If, subsequent to the School District Rep resentati'0,signirig 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) teeform.wkt (4/92) CERTIFICATE OF COMPLIANCE: RESIDENTIAL' Page l CF -1R ----------------------------------,-------------------- --------------- Project Title.......... Werner House- Date........ 02/23/94 Project Address ........ 15988 Forest Ranch Road --------------------- Forest Ranch, CA 95942 Documentation Author... Donna Wallace Building Permit Company................ Donna Wallace Telephone .............. (916)893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. I Field Check/ Date Climate Zone.. ....... 11 --------------------- MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -FORM CF -1R 11 User#-MP0995. User -Donna Wallace Run -Werner House ------------------------------------------------------------------------------- GENERAL INFORMATION Conditioned Floor Area..... 1840 sf Building Type.............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 0 deg (N) Number of Dwelling Units... 1 Number of Stories.......... 2 Floor Construction Type.... Raised Floor (Package E) BUILDING.SHELL INSULATION ------------------------- Component Insulation Assembly Type R -value U -Value Location/Comments Wall-----------UR-19 ---- -0.065 typical--------------------------------- Roof 0.031 flat clg., 2nd Flr. vault, living room Floor 0.037 typical FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type ------------------- ----- ----- ------------------------------ ---- --------- Window , Front (N) 12.0 0.650 2 Drapes Std None None Metal Door Front (N) 40.0 0.550 2 DrapesiStd None None Glz<50% Window Left (E) 36.0 0.650 2 DrapesiStd None Yes Metal Window Left (E) 30.0 0.650 2 Drapes!Std None None Metal Door Left (E) 20.0 0.550 2 Drapes.Std None None Glz<50% Window Back (S) 36.0 0.650 2 Drapes!Std None Yes Metal Window Back (S) 24.0 0.650 2 Drapes!Std None None Metal Door Back (S) 20.0 0.550 2 Drapes.Std None Yes Glz<50% Window Right (W) 36.0 0.650 2 Drapes!Std None Yes Metal Window Right (W) 46.0 0.650 2 Drapes+Std None None Metal HVAC SYSTEMS ------------ Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Furnace 0.811 AFUE Crawlspace R-4,.2 S ACSplit 10.00 SEER Crawlspace R-4.2, Sk7�' CERTIFICATE OF COMPLIANCE: RESIDENTIAL' Page 2 CF -1R Project Title.......... Werner House. Date........ 02/23/94 ------------------------------------------------------------------------------- I MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Donna Wallace Run -Werner House ------------------------------------------------------------------------------- WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS Selected L.P. gas furnace has been certified to the CEC. Model number: Ruud UGVG-07NAUER Heating output 60,839 Btu/Hour and 81.1 AFUE No cooling is being installed. ti ~ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... Werner House- Date........ 02/23/94 MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -FORM CF -1R I User#-MP0995 User -Donna Wallace Run -Werner House ------------------------------------------------------------------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts l and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. Name.... Company. Address. Phone... License. Signed.. Name.... Title... Agency.. Phone... DESIGNER or OWNER Pete Werner Name.... Company. Address. (916) 898-9992 Phone.... DOCUMENTATION AUTHOR Donna Wallace Donna Wallace 399 E. 9th Avenue Chico, California 95926 (916) 893-4982 Signed.. oe0U-YL�%-� 2-/2-3/9+ (date) -/23/99 - (date) (date) ENFORCEMENT AGENCY Signed.. (date) z MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... Werner House- Date........ 02/23/94 Project Address ........ 15988 Forest Ranch Road --------------------- Forest Ranch, CA 95942 Documentation Author... Donna Wallace Building Permit Company ................ Donna Wallace Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date Climate Zone........... 11 --------------------- MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -FORM MF -1R I User#-MP0995 User -Donna Wallace Run -Werner House I ------------------------------------------------------------------------------- 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 binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce- minimum R-8 in concrete raised floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. FIBERC LASS 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. N/A B ATT -5 B`( Co NTR , N AN N A N/A er ment *150(a): Minimum R-19 ceiling insulation. R-30 150(b): Loose fill insulation manufacturers labeled R -Value. N/111111 *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). R -I *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. FIBERC LASS 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. N/A B ATT -5 B`( Co NTR , N AN N A N/A MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... Werner House. Date........ 02/23/94 MICROPAS4 x4.02 File-WERNER Wth-CTZ11S92 Program -FORM MF -1R I User#-MP0995 User -Donna Wallace Run -Werner House ------------------------------------------------------------------------------- SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES C F- I P, PAG E Z Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets BY certified by the CEC. CoNTP, 150(i): Setback thermostat on all applicable heating systems. Ct!TR, 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non- recirculating.systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect B-( hot water tank. Co N TF-. *150(m): Ducts and Fans 1. Ducts constructed, installed,and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually 61f operated dampers. CoNTR , 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. N/A 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) . L. P. G AS NSA LIGHTING MEASURES ----------------- Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in BY kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. CorITR. COMPUTER METHOD SUMMARY Pagel C -2R Project Title.......... Werner House. Date........ 02/23/94 Project Address .••••• .. 15988 Forest Ranch Road --------------------- Forest Ranch, CA 95942 Documentation Author... Donna Wallace Building Permit Company ................ Donna Wallace Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date Climate Zone........... 11 --------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Donna Wallace Run -Werner House ------------------------------------------------------------------------------- MICROPAS4 ENERGY USE SUMMARY = _---------------------------- - Energy Use _ (kBtu/sf-yr) ----------------------- Space Heating.......... = Space Cooling.......... Water Heating.......... Total Standard Proposed Compliance = Design ---------- Design ---------- Margin = ---------- _ 12.97 11.91 1.06 = 12.83 13.18 -0.35 = 12.46 12.46 0.00 = 38.26 37.55 0.71 = *** Building complies with Computer Performance GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 1840 sf Single Family New Front Facing 0 1 2 ReducedYear Detached deg (N) Raised Floor (Package E) 1 17916 cf 1120 sf 1120 sf 0 sf 16.3 % of FA 9.7 ft COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Werner House- Date........ 02/23/94 I MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -FORM C -2R ------------------------------------------------------------------------------- User#-MP0995 User -Donna Wallace Run -Werner House BUILDING ZONE INFORMATION Floor ------------------------- # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type -------------- (sf) --------- (cf) Units --------- ----- itioned Type (ft) (sf) ------------------- ------ --------- HOUSE Residence 1840 17916 1.00 Yes Setback 8.0 n/a OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 Location/ Surface -------------- (sf) ------ value R-val Azm Tilt ----- ----- -=- Gains Reference Comments HOUSE ---- ----------------- ---------------- 1 Wall 397 0.065 R-19 0 90 Yes W.19.2X6.16 typical 2 Wall 465 0.065 R-19 90 90 Yes W.19.2X6.16 3 Wall 460 0.065 R-19 180 90 Yes W.19.2X6.16 4 Wall 469 0.065 R-19 270 90 Yes W.19.2X6.16 5 Roof 504 0.031 R-30 0 0 Yes R.30.2X4.24 flat clg. 6 Roof 153 0.031 R-30 0 45 Yes R.30.2X4.24 2nd Flr. vault 7 Roof 153 0.031 R-30 180 45 Yes R.30.2X4.24 2nd Flr. vault 8 Roof 283 0.031 R-30 90 45 Yes R.30.2X4.24 living room 9 Roof 283 0.031 R-30 270 45 Yes R.30.2X4.24 living room 10 Floor 1120 0.037 R-19 0 0 No FC.19.2X8.16 typical FENESTRATION SURFACES # of --------------------- Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface ----------- (sf) es Type Type value Azm Tlt Only Shade Description ----- HOUSE ---- --------- ------ ----- --- --- ---- ---- --------------- 1 Window 12.0 2 Metal Slider 0.650 0 90 0.88 0.78 Drapes.Std 2 Door 40.0 2 Glz<50% Hinged 0.550 0 90 0.88 0.78 Drapes.Std 3 Window 36.0 2 Metal Slider 0.650 90 90 0.88 0.78 Drapes.Std 4 Window 30.0 2 Metal Slider 0.650 90 90 0.88 0.78 Drapes.Std 5 Door 20.0 2 Glz<50% Hinged 0.550 90 90 0.88 0.78 Drapes.Std 6 Window 24.0 2 Metal Slider 0.650 180 90 0.88 0.78 Drapes.Std 7 Window 12.0 2 Metal Slider 0.650 180 90 0.88 0.78 Drapes.Std 8 Window 24.0 2 Metal Slider 0.650 180 90 0.88 0.78 Drapes.Std 9 Door 20.0 2 Glz<50% Hinged 0.550 180 90 0.88 0.78 Drapes.Std 10 Window 36.0 2 Metal Slider 0.650 270 90 0.88 0.78 Drapes.Std 11 Window 46.0 2 Metal Slider 0.650 270 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS ---Window-- ----------------------- ------Overhang----- ---Left Fin--- ---Right Fin -- Area Left Rght Surface ----------- ----- (sf) Hght ----- Wdth Dpth Hght ----- ---- ---- Ext Ext Ext Dpth Hght Ext Dpth Hght ---- ---- ---- ---- HOUSE ---- ---- ---- ---- 3 Window 36.0 4.0 n/a 2.0 1.3 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 24.0 4.0 n/a 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 12.0 4.0 n/a 8.0 1.3 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Werner House. Date........ 02/23/94 ----------------------------------------------------------------- MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Donna Wallace Run -Werner House ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ----------------------- ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext. Dpth Hght ----------- ----- ----- ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- 9 Door 20.0 3.0 n/a 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 10 Window 36.0 4.0 n/a 2.0 1.3 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS Selected L.P. gas furnace has been certified to the CEC. Model number: Ruud UGVG-07NAUER Heating output 60,839 Btu/Hour and 81.1 AFUE No cooling is being installed. Minimum Duct Duct Duct System Type ---------------- Efficiency ------------ Location R -value Efficiency HOUSE ------------- ------- ---------- Furnace 0.811 AFUE Crawlspace R-4.2 0.880 ACSplit 10.00 SEER Crawlspace R-4.2 0.910 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS Selected L.P. gas furnace has been certified to the CEC. Model number: Ruud UGVG-07NAUER Heating output 60,839 Btu/Hour and 81.1 AFUE No cooling is being installed. o HVAC SIZING Page 1 HVAC Project Title.......... Werner House. Date....... 02/23/94 Project Address ........ 15988 Forest Ranch Road --------------------- Forest Ranch, CA 95942 Documentation Author... Donna Wallace Building Permit Company ................ Donna Wallace Telephone .............. (916) 893-4982 Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date Climate Zone........... 11--------------------- MICROPAS4 v4.02 File-WERNER Wth-CTZ11S92 Program -HVAC SIZING User#-MP0995 User -Donna Wallace Run -Werner House --------------------------------------------------------------- GENERAL INFORMATION Floor Area ................. 1840 sf Volume.. ... ............ 17916 cf Front Orientation.......... Front Facing 0 deg (N) Sizing Location............ CHICO EXP STA Latitude ... ...... ........ 39.7 degrees Winter Outside Design...... 27 F Winter Inside Design....... 70 F Summer Outside Design...... 102 F Summer Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... No Exterior Shading Used...... No Overhang Shading Used...... No Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors -when selecting the HVAC equipment. Heating Cooling Description --------------------------------- (Btuh) ----------- (Btuh) ----------- Opaque Conduction and Solar...... 8641 4471 Glazing Conduction ............... 8041 4488 Glazing Solar .................... n/a 11037 Infiltration ..................... 11329 3723 Internal Gain .................... n/a 2100 Ducts..... ..................... 2801 1291 Sensible Load .................... 30813 27110 Latent Load ...................... n/a 5422 Minimum Total Load ----------- 30813 ----------- 32532 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors -when selecting the HVAC equipment. .a eaunt* of jl' u t4C- OROVILLE; CALIFORNIA GENERAL CLAIM CLAIMANT: Com/ �2/t"l ADDRESS: CITY & STATE: DATE OF CLAIM: % SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS r"IMPORTAN T: SEE INSTRUCTIONS ON REVERSE SIDE OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Refund due to change of plans & new application, Permit #92-2155B,P, AP#056-360-022, Receipt #116939, dated 6/22/92. ,M, I - Total Permit Fees Paid ---------------------------------- $960.40 Retain Plan Checking Fees------------------- $226.75 Retain Energy Plan Checking Fee------------- 20.00 Retain Building Permit Filing Fee----------- 15.00 - Retain Plumbing Permit Filing Fee---------- 15.00 Retain Electrical Permit Filing Fee--------- 15.00 Retain Mechanical Permit Filing Fee--------- 15.00 Total Permit Fees Retained ------------------- ====-=------ 306.75 -- TOTAL REFUND DUE---------------------------- V ✓ 5 f %/z %- TOTAL i $653165 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed/or delivered, and that this claim is true and correct as stated. 77 /� Dated this ....... �...1................ day of ..... .:/....�..:�.... 19 / at .....�� �"Y........ Calif. ......... ......................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above livered and that there is a Budget Appropriation or Specific Board Approval (Check one) for s , Dated this 30th.,, day of July 19 92 at Orovillle Ceuf. ............... ......... ........... .... .... s .......... ........ t Head or Authori een performed or de- Dept. C de 4,�}Q,-4Q Code 4210500 PAYABLE FROM COrPermits .................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. IMPORTANT MESSAGE FQR DATE - 7 - z 7:j2— -TIME P.M. M n!; --G —I z (o 0.- OF PHONEJ AREA CODE NUMBER EXTENSION TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL SPECIALATTENTION MESSAGE 'PG .N.R' SIGNED— UTHO IN U.S.A. TOPS JW FORM 3002S NOTES . 7J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Caltifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT L ASSESSOR PARCEL NUMBER 056-360-022 ZONING 1 TM -5 BUILDING PERMIT OWNER J. C. Werner TELEPHONE 877-6927 SO- FT. OCC. BUILDING VALUATION 834 R 45,036.00 OWNER'S MAILING ADDRESS P.O. Box 189 Forest Ranch 95942 1056 M 19,008.00 CONTRACTOR'SNAME Owner TELEPHONE 216 O 1 512.00 CONTRACTOR'S MAILING ADDRESS Fireplace I "A" 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $67.056.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 453.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 226.75 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 715.25 PLUMBING PERMIT Filing Fee 15.00 15986 Forest Ranch R Forst Ranch Each Trap 5-00135.00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 1 1 7.00 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Shop W. 40I F Gas piping system 1 - 5 outlets 1 1 5.00 5.00 Building sewer 1 15.00 15.00 Mob le Home S I G I W 615.00 TYPE OF WORK New dl' Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ w Describe work: Shop .' v; ng Unit _ Permit Fee $ 84.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 1e•50 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. DWELLING OCCUP.al V 3.64 sq.ft. 66.15 OR ADDNS. ACC. BLDGS. / A NEW CONSTR ULT' -OUTLET ^ 5.00 NON-RESID BRANCH CIRC ITS l: POWER APPARATUS tr SINGLE OUTLET CIR. Ex.00cu zo �6d p OUTLETS OR FIXTURES Ex. Occup. OUTLETS (RESID )REAJ I 3.00 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 dof 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 Ahovp 2000 Fle. w02 Cooling g Hood 1 6.50 6.50 Ventilation Permit Fee $ 21.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id Co my in consequence of the granting of this perms X Date ��.7, 2 signcture of Applicant - Owner Contractor ❑ Agent ❑ An OSHA ion of structures tover 3Qstoriesoinaheigvfattions over 5'0" deep and demolition or construct. Mobile Home Installation Fee S Energy Inspection Fee $40.00 OCC CONST TYPE TOTAL FEE 969e. 40 HAz I DFEES I IMP/ 'Y/ FLOOD CDF PAR PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. 1 1 6AIQ Ahn_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 IJ '! -.COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION, 7 COUNTY CENTER DRIVE - Oi OIIILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER G �G�� e; -5-& 3�i�0 22.1 Proposed Buildin Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. �, 7. Statement of Intent for Non -Heated and A/C Buildings. . 6:(,�/ 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10-Feesof$ .......................................... 4—e i. Impact,fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ ���A- Flood elevation letter (100 year flo�,d by California Engineer. . 14. Sanitation and plot plan approva C G� Health Department . ............. 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). .. ... ... . 20. Pre -inspection for to Building Ins ecue�— 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 ecorded copy of Agricultural Acknowledgement Statement. .... �. ?.'i2 ®✓v� �_ 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 . ............... Existing violations/expired permits . ...................................... Plancheck list . .................................................... . 33. 34. When you issue the permit, pyo_ ess as follows: Mail to owner. Mail to contractor. Telephon�and hold for pickup at office. Deliver with inspector. Other D D V .Parcel Creation E- V &Ill /�� Acre e �,�/ ,f - Applican ,. � D,a.te� � . ', Copylof Haz-Mat form sent Health Dept. Fire Dept. Air Pollution/Date Copy of plans sent Health Dept. Fire Dept. Other VDate By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer,caner as advised of above required data by _ phone _ mail Counter by _ ate %�?� Contractor, designer, owner, was advised of above required data by _phone _mail Counter 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 7 7& COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R_ zONIN BUILDING PERMIT OWN • �'`f� TELE HONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE O, /.SOX / RES AeK,45 T��v �59 Z O!�l a a CONTRACTOR'S NAME G - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ e_1 5- 3• I ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2,P-6-7 Energy Plan Checking Fee $ 02 prO ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR S Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Q�Z4,VC,17 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EDDuplex❑ Mobilehome❑ Other S O�GJrT APf SPECIFY Gas piping system 1 - 5 outlets 5.00Q Building sewer 15.00 Q Mobile Home S I G I W @ 15.00 TYPE OF WORK New U Addition 0y Remode[E] Utilities ❑ Installation ❑ Other ❑ Describe work: O /Ili(/ & 6141 r Permit Fee Contractor $UD ELECTRICAL PERMIT Filing Fee 15.00. Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& DR ACDNS. \ACC. BLDGS. II 3.60sq.tt. NEW CONSTR. MCIL LOUT LET NON.RESID BRANCH CIRCUITS 5.00 /POWER APPARATUS e (SINGLE OUTLET CIR. I EX. OCCU p ourLETs OR FIXTURES 20 76 Ex. Occup. OUTLETS IIRESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith.comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.Oq Heating A y Cooling g Hood 6.50 r Ventilation Permit Fee S f E, Z-7-2 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, j dgments, costs, and expenses which may in any way ac rue agains 'd Co my in consequence of the granting of this permit. X Date $i nature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ i HAz DFEEs IMP FLOOD CDF PA CEL 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. WNITE-O.P.W.• YELLOW-ASSESSOK. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Denartment of Public Works 7 County Center .Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDg VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 15._5 '2. I (have/have not) 11,4114 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following.person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DMSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER J" L/' A.P. NO . —5'V —36 —0 2 -- PROPOSED PROPOSED BUILDING USE -5�Jneq u) 41 DATE o� �- ��� - REC. -DATE REC C/ School Distric Fees (paid at District Office) ;-��2. Sheriff Fees- - (paid. at Building Department) f / Residential . ... .....�_X unit amt. �3. Commercial(per sq.ft.) R =$ sq.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) X =$ units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. ly/4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above to issuance of the permit. APPLICANT ��sa fees are required to be paid prior DATE / .. :., ... -�. .. „� ,� . „��.r,.*,rih.:,:r =.ww • �,,.y,,,,,,��,; . y. w.v .y S.. ;,'. -y��. wY w,,,,"�v / ry '�" jtl.• � K� '4yte'-`iyWw+t�,"� s`Y.s,��' :i'+`+iF+ps inn i'tW^•..-:�.-vii..."r4.iyr..�"a �'".`r:J '�/7 �Y��-V r�:u•,.15.�.�:.' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District S __ _ _ _ _ ___ _ Building Department No. A.P. Number Jurisdictiop ,hI J City ,County Property Owner I r lL:./I,- Property Location/Address Subdivison Residential Development Commercial/Industrial F: Lot No. -�----------�—.--- � � Sq. Footage f-1 No. of Living IVIHI, Addition (Group R) Units ri New B ildi g.Departm t Represe h ative 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) /.2, 9 . Date District Identification No. School District District certifies that J., (�(J (Applicant) Po� .--/. ----------- --------- (Street Address) (Phone Number) (City) ` t: (State) (Zip Code) has complied with the requirements of Resolution No. _ �� - %1 by payment of $ i 3, 12, representing square feet. School District Representative Paid by Check Number �% _ _ _ Remarks: Bank Number Paid by Cash Date If,,,subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project isibeing reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkf (4/92) RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER GEN 1. Zoning requirements: (sideyards and number 2. Valuation. 3&--V-lans signed by designer. 4----P-roper description of work on application. xi sting violations on property. 8/91 Bldg. Permit # 9112- A. P. 2 A.P. # 5�- 346-- 2 Plan Checker_ P)< --7-Z-4Z of permitted living units). 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ;=recorded notice of violation. PLOT PLAN lComplete parcel size and dimensions. 2A -'--Setbacks, sideyards, easements, etc. Other buildings or structures. ing, fills, drainage. 5. Flood hazard. Special conditions on.creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF,.fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit,(Sec. 1204). 4. 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). 8. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. ` 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (sec. 3304 (f). 12. Fireplace and wood stove location, alcoves, 'and clearance. 13. Smoke detectors (Sec. 1210). 14. Plumbing,fixtures, water closet clearances' and shower -size., STRUCTURAL'DETAILS 1. Standard bracing or engineered design (Table,25V) 2. Unusual shape, size, or split level house requiring"lateral design.. 3. Clerestory requiring balloon framing and/or engineering. 4. Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. 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 const ruction,details and talcs 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. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR I. 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. 8. 36" halls and stairways. 9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 10. Two exits on three-story dwellings (sec. 3303 & see Mezannines --1716). 11. Attic access and ventilation (Sec. 3205). 12. Underfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. 14. Noise requirements on duplexes. 15. Energy design. 16. Flashing at all exterior openings. 17. OF responsible area requirements. BGG S FeIrO Jd IST C#N7�L - D G DG�9LGrs 4, - A L'S�U2 e ��V7 G • DoeM��- PE -rn I LS FOE! Sh4 t -AR -7-04A75 • F /Z d M 2� @ 2 -'SID , 99 -C, W ►4- L, (.S © tlb P- 940 6' lz►A-CZ, E vz>©o SZ 7 Co Ncte� T� 5 {-4e IAS©0 D �T� VI;__ ©� P� c.0 -T7 r `'C?0 Nm k�%(I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �• 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 7-6-92 J.C.'WERNER RE: B.P. APP. -#'92-2155 P.O. BOX 189 FOREST RANCH CA 95942 A.P. # 56-36-22 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER , We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans :and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development. Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department.at: 1469 Humboldt Road, Chico 7 County Center -Dr., Orov'ille Skyway & Elliott Rd., Paradise Planning approval from Butte County -Planning Department-, 7 County -Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Prior to proceedinp-.with elan -check .we need the attached information and/or ' nl nnR _ Al i nl'anc nnr1 rjatai 1 c 'miict he All related details must be stamped and signed by California Registered Engineer or Architect. Should you have any questions concerning the above, please contact BOB KEITH of this office. BETWEEN 3 & 5 P.M. Yours very truly, William Cheff Director of Public Works �/J.F. Glander JFG/aj J.C. WERNER 7-6-92 P.O. BOX 189 FOREST RANCH CA 95942 A.P. # 056-360-022 1. What is "Tank RM" usage? 2. Calc's for deck joist cantalevering 6 feet. 3. Calc's and details for cantalevered dormer. 4. Calc's and details for shear transfer from roof to foundation at second floor bearing walls over beams and floor joist over shop. 5. Has garage door been changed to sliding glass door? 6. Is garage, shop area heated or cooled? 7. Provide required light and ventilation in bed room equal to minimum of 10% of floor area, half openable. 8. Shop girders over -spanned. 9. Indicate wood stove location. 10. Indicate water heater location. Wo 9.2_27612 a DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT v' y ode Section 26-8.1 of the Butte CCermit. ` requires this acknowledgement becorded prior. to issuance of a building 1/1 92-0276121 The pr. operL v described her. e_i.n is adjacent Ree Fee 8.00 to land or included within an area zoned I Cash 8.00 for agrJ.(u l.t.ur,91 purposes, and residents Recorded I of this pn.)perty m:ay he sub_.ject to incon_ Official Records ven:i.ences or di.scomfort ar:i.si.ng from the I County of I use of agr:icul.t:ura.l chemicals, -including, Butte I but not l.imiLed to herbicides, pesti.cides,. Candace J. Grubbs and ferl:il.irers; and from the pursuit Recorder I of agr.i.c:u.1tural ope:raLions including,\ 8:01am 23 -Jun -92 I PUBL CD but not. l.im:i.l_ed to cultivation, plowing, 2 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agric.u.l- Lural zones which have as a priority use for productive agricultural. purposes, sand r.es.i.deuts wi_th:in said zones and on adjacent property should be prepared to accept such inconvenience or, discomfort from normal, necessary farm operations. Al.l that real property situate in the CounLy of Butte, State of California, dc:,cri..bed cis follows: SEE ATTACHED LEGAL DESCRIPTION Date: / -! PROPS Y OWNERS. State of m"?a� County of John C. Werner �- On this the lid of 19 fZ—, before me, the undersigned Notary %Public, personally appeared E] Personally known to me. Proved to me on the biosis of satisfact ory ev:idenc.:e. to be the person( whose oio subscribed to the within instrument and acknowledged Lha[ executed the same for the purposes therein contained . TN W.r..rNP,SS WHEREOF,.I hereunto set my hand and official seal. �..yN^ Boni D. Mrozinski O Comm. #953336 b Present A.P. No. r}` .o NOTARY PUBLIC CALIFORNIA N ar Pub]. BUTTE COUNTY (� - 'a; _ ��;rxMy�Comm. ,Expires Jam.:2D, A I 'a 92.-27612 ORDER NO. BU -126753 LP DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN .THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 23, 1983, IN BOOK 94 OF MAPS, AT PAGE(S) 9. RESERVING THEREFROM AN EASEMENT FOR WELL AND WATERLINE PURPOSES TOGETHER WITH THE RIGHT TO ENTER UPON SAID LANDS TO MAINTAIN SAID EASEMENT, OVER THE SOUTHERLY 25 FEET. ALSO RESERVING THEREFROM A NON—EXCLUSIVE EASEMENT FOR ENCROACHMENT OF AN EXISTING CARPORT OVER A PORTION OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 23, 1983, IN BOOK 94 OF MAPS, AT PAGE(S) 9,- BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHEAST CORNER OF SECTION 31, TOWNSHIP 24 NORTH, RANGE .3 EAST, M.D.B. & M., SAID POINT ALSO BEING ON THE SOUTHERLY LINE OF PARCEL 1,'AS SHOWN ON THE AFORESAID PARCEL MAP; THENCE ALONG THE SOUTHWESTERLY LINE OF SAID PARCEL 1, -NORTH 49 DEG. 37' 01" WEST, A DISTANCE OF 245.50 FEET; THENCE SOUTH 28 DEG. 37' 26" EAST, 213.04 FEET, MORE OR LESS, TO A POINT THAT BEARS NORTH 57.00 FEET FROM THE POINT OF BEGINNING; THENCE SOUTH 57.00 FEET, MORE OR LESS, TO THE POINT OF BEGINNING. SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO ASSESSOR'S PARCEL NO. 056-36-0-006-0. PAGE 4 END OF DOCUMENT 0 5-6 C' ALL 5 TU DS* Z X b 116'" 0. C. 2- A L L 14 EADE RS (o X lj2 2- X 10 RA-F--ne:Rs V, --------- ------------- -to P 92 v I C") 2 . ...... ..... This alit of Osuil and ,spawns UWT bs kept on the job at all banes and It to U'Cagwful to M93W any was or altqrstlow an am@ without 7.75 t, 0 written pmisgon from tW DepartmOAt Of Publio ,17 1/ works, Count/ Of Butte. 040a3 6" 4 0 YJtA ,2xglJ-OIST c 104 TE 'Cl mT.T G AMG 4c/ (000 s L C06 r,--- I? S'rV Vg Top rail to be 36 In. high with intermediate rails to be p6t over *in. ape 's , � zz, F1-0 0 O. 2'� 6" "X � J o (s, T-5 14" O.G. ON 14AAIGERS �— M►41NTRtN M i N S' FFOM SEPTIC TOW V– CT -i P) 4'x 4 9OLTri) To JOISTS 13 E A M BUTTE COUNTY WILDING DEPARTMENT PRO'VED AP PAIR . ..... .... ...... . fit `x 14 XW* -F F0 I N6.5 IN UmDj57-VPBC0-501L Or �i _I�i�l l�.i XMINiN Top rail to be 36 In. high with intermediate rails to be p6t over *in. ape 's , � zz, F1-0 0 O. 2'� 6" "X � J o (s, T-5 14" O.G. ON 14AAIGERS �— M►41NTRtN M i N S' FFOM SEPTIC TOW V– CT -i P) 4'x 4 9OLTri) To JOISTS 13 E A M BUTTE COUNTY WILDING DEPARTMENT PRO'VED AP PAIR . ..... .... ...... . fit `x 14 XW* -F F0 I N6.5 IN UmDj57-VPBC0-501L „���+I�.!” � ^'i* ri.. r. �✓�' qJ < r. *..w� , r-�•+r••'+y, T'i, f"i'=.. � _t .. • Y Y x a. ,+h ']a•r. 'cy.,, • . < •! ` ' ti,"C^ t`` .c. f u . r` J . 1 ._ .y�.,,,. y, ty ° : cy , t O 4 ..{ y' 1•r� ti 1w.7�' r A"i.,a'"•'} ,•}ti ,h _ • .. +` tzr� y,rr,r r, M. Q��' i . Al,i+ �„ ,,� #, •h`` u � f� •,. +�,. y'4 + . a '.ver � v t � , 7 h•'�iS+�r � t,. � s� � �:» - ... f - .f m '' - � [ �'. f _ 5 ! � ..,c xi r •i . t r f (( X+ Y / ~a lF < � '1:., rt �•� f.• i•=L''♦ k 'L�'�n �1 ±�yz,�� 4,q 7 • .rte}� {Ft•� -f - � • .Y �" •" �'♦- •1•�lJ� * r <tr;y �� :�' . G ..... � {;, r,- �' tics. +•. _ w,, °t ;, � a yr Fr ♦ , i,. % ry f �J F{r• >T t Yi �, �x ��. YF:.. .+ /`}_'�,?C' fA.�o,. '; - w ' , I •,yi . � f;�T �'� t{�i�l./ ?EPEE:. �f .. + VK 4.M `fF,�� �..�'* y •0.+i'`"'+ *'"• `\Vh'\``1\ Y • kA Lli *' x► .ter / ` �, }�'{ ♦�.. ,��, 1. + �. + \\V! Y4: Pt � <<"j�' � y} -r+' 1 � ��T � •'fid" ..�" ..icy • 1 + q rJ {. 'r*fk 'YTr. �°aL'wn�•y,. .�� �,�f��•.d rH,s' R ,+;,,• 4> - ,t:". F. . IU r� pooryqy� a- �_. //S -C> � `o�ia9 7 �O H11d3H7VIN3VJMOUTAN3 1 l� f ` G aa sono£ o 7s'aho£ I 7sQf,0JC 7SOAOE This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. NOTE:---AII Materials & Workmanship. Shad Be Fn Accordance with Recognized Good Practices and of a quality prescribed for the Specified use -in the Uniform Building, Plumbing & Mechanical Codes end the National Electrical Code. Z O� L�. � u I t� =- s I JXEYI �r cat dF4 I I I I \ I W 0 0 Ib G aa sono£ o 7s'aho£ I 7sQf,0JC 7SOAOE This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. NOTE:---AII Materials & Workmanship. Shad Be Fn Accordance with Recognized Good Practices and of a quality prescribed for the Specified use -in the Uniform Building, Plumbing & Mechanical Codes end the National Electrical Code. Z O� L�. x- 44* 4i X'v f.'j k�Q4 tta 44c, CC a ,Me 1. mu 4'7, 74 *5 43=tft WV "17 )An 17 L I '4z LL_ 1. mu 4'7, 74 *5 43=tft WV "17 )An 17 L I '4z Ij I lit, ca to LU J46 • I tc A A i Xt 1 1. mu 4'7, 74 *5 43=tft WV "17 )An 17 L I '4z �-I .......... .... _.� t o 7SOCO . 7S- Oyi oE' Vj- m4 wt gain A, Lim 1. tip, r Yr Vj- q 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 apart 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 maintenancepro of properties in conformance with these P standards and measures and to assure continued avail- ability, access and atilization ofthedefensible space provided for in these standards, annual maintenance must be provided for by the land owner. w. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed ructed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ ] 1273.03 Grade. Not to"exceed '16 percent unless paved. 1273.04 Driveway Rad'us. [ ] 1 No roadway shall have a horizontal inside radius of . curvature ure 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. [ ] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed j to hold or divert watershallbe not less than 100 feet [ ] 1273.05 Turnarounds. If required, will have -a minimum turning radius of 40 feet from center of the road. [ ] 1273.06 Turnouts. a 'minimum of 10 feet wide and 30 feet long with a miri..num 25 foot taper on each end. L ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance C e of 15 feet along its entire length. Page 1 of 3 UE COUNT ILUI G DEPARTMENT AP .� L L 3 G AP # PERMIT # NAME [ ] _1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than800 feet length, shall provide a turnout in leng 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 1. Gate entrances anc e s shall be at least two feet wider than `►� the roadway it serves. 2. The gates must be located at least 30 feet from the , roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification Space. 1276.01 Setback for Structure DefensibleP ] 1. All parcels l 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 same practical effect. See other Requirements below. Fuels. Disposal, including X] 1276.02 Disposal of Vegetation and Fu P 1 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 i or to completion o modification. shalom be completed pr a building inspection n of ._1 a l' i road construction.�r f P -' permit. .Page 2 of 3oUTTE 1 y BuituING EPAXO i► V F. 1) 1 AP # PERMIT # NAM Other Requirements [ ] If Buildincr,Setback is 15 to 30 Feet: - Class A or B roof Enclosed eaves [ ] if Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property ` line with insufficient setback Siding from the following list: Stucco - 3 coat Hardt-Boa rd or Plank Masonry Masonry veneer Metal I Other Butte County Fire Department approved materials Signature Page 3 of 3 ,1 r% Q PARTMENT SUIuNJ a a JF ! k fiz�� s � - � r f �., r {$� " d u il'.Ma1,g 4"�+ `y^S `M`' �y,3�rwjl s Amon , gee �' .• a s � ....Ntr� —x '"'"3 F sr x z �+,�, �' q S`_ ��`y3 ��.3i'�ir� � j;��'c�,^�'� ^�°� 4s � i '.,� u v�xl� � .e'"�z`�-r�"'',`,✓�"� `� c�r'•''Fs�'�- v.:'*i�'� 5k7 OK M z ,t k jrwk, 1 ,�, R .,,.,wr.• "°'. °4;� -✓4 ,,.r - I ON w a?vt x '7'40;-#—" }.'. t `rias` tsu'n Ya Lg "" t'*G. r- 'e%% sk" *.s "wt*r�..4�;'�' F '�`r"`t` '3t, x ,` `gM�'`"'� s r,&. �'T�'`:tzT^r`7eF'. ��a &'4 :fin "S,�2sk.�'k �, �q�..• � '�+`��,,.�`� '. -^ #<� ' �` r'�+'n ;. �� a.' � t �`�: +3a`natR'�.�� �. ° o * a �,'; •r x �'l $:f',� sT g Als � e�'�"� a `� +�'��e`�„' •�'� Y�^ a r• s v,,,.• �, 1y _ .�,p ',.. 7- # ^i i'.: "' 'd' � ,p,"��roe'} =+.r.+r i'�..'.jw .r :..::!' xx". n^rtis^^��t „�,a dN fi"'�^' "i1+ i+ .by'"` rias t '-7,�?'" ,ic s` * .��k+' Att 'S t� �1 .e. w ' «' �, OVER94A At,,. 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