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HomeMy WebLinkAbout063-040-035_ ` --—'—�--�—�r----' -----' 00-04-0-035 ,' ^,""9� oAnzLox oeo, w�^= r1' ' zaooy Doe Mazz Road, xoce t Ranch (nem oimsze family), 063-0*0-05 04-0236 HENRY ^',.' DOE MILL RD, FO CoPLUMBING REPLACE n2.0HEATER . ` ' .y/.,;�..,.� .r.�-... .«,,... V gra _--.i,xrV v1.-- «.� ..�.-.ova «..� .P_. . .{siQi'r..li�......�s,;--Y1,.•.w.�v.{i+v 063-040.035 `^ , r, .404-0236. GANZLER, HENRY 13089 DOE MILL RD, FOREST RANCH. Cont: WATTS PLUMBING' ' t ' REPLACE H2O HEATER q i� COUNTY OF B�1TTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone)538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT t, � - Ul,Slo ASSESSOR PARCEL NUMBER V ()(3 . �� 1 � _ h `1 V ZONING BUILDING PERMIT - OWNER r ti t! ' TEE SO. FT. OCC. BUILDING VALUATION OWN S MAIUF--ADr ` G'S 6c4) � �-- t u�ELEPMONE NT C R'$ _ Lt i Z ADDRESS CONS C MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDINGADDRESS h 1 f )� in� 1 1 rP S J V a r t Ener Plan CheckingFee $ Energy FTC. $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater, 23.00 Water piping ";+t' 15.00 Each as water heater or vent 15.00 _ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: V( C L `r r iu r 1 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in,full force and effect. /'Y ) 3Y Z License Class �' .J(� Lic. No. �✓AT ��N �/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for"the performance of work for which this permit is issued. My workers' compensation insurance carne and.policy number are: Carrier >//I 11C r��✓ L) Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING occUP. so OR ADDNS. ( a ACC. BLD S. 3.5QFT: NST NON.NEW pESID. MULTI -OUTLET 97.50 POWER APPARATUS 8 SWGLE OUILEr CIR. Ex, Occup. OUTLET OR FWURES BAS @':50 Ex. Occup. ovrLEEDTSA AFU.S�1D.) A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number OGc, 1 �?/_ -'--4 (The above sections need not be comple{ed d the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3706 of the Labor Code, I shall forthwith, comply with those provisions - X /..-�-�T T. % Dae 19) U - Signature of Applicant - O'Owner 13-Ciintractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demo on or construction of structures over 3 stories in height. Mobile Home Installation Free $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ '3cj ,o HAZ. D. FEES IMP FL000 1 CDF 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. By / 't Date f� <_ " PERMIT EXPIRES ON `� Date Receipt No. 7-7 l r) 7 -5 77 7 ' UJ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ... _ �. ,� � a r r. _� � .. _ _ �. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ( 0) 538-754 T NO. (Rev. 12/96) APPLICATION AND PERMIT r - UL4 - 6n� ASSESSOR PARCEL NUMBER 2 U -®q® ,c," J ZONING BUILDINGPERMIT OWNER TE SO FT OCC. BUILDING VALUATION OWNElf�I1.AD R St) L Cl C NT ,B T NONE O TO MAILING ADDRESS ((� (� CONS CT EFFirce LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENS E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 2 '^n rpt' J 'DOC „` I Y I - rCC Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other O Describe Work: n j� � 1 CAIN ��� """ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 1100V OR LE Main Service 200."OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fQQ��c and effect. ,(/ 2� i/7 License Class G' J Lic. No. L .JZ/ `� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. MNO OCCUP. SO OR ADONS. ( 8 ACC. BLDS. 3.5¢FT. NOµHESID. MULTI.OtmFr @7050 a sGirWi E E oPPARAT Ic UTLET A. Ex, QCCu OUTLET OR FaTUREs sq� �':� Ex. Occup. DFlx�LEED�A RES o) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, fo tFerformance of work for which this permit is issued. My workers' comp LV rance cpcPiaJrcf,Policy number are: Carrier �%�C/l (, Policy Number aGr, ,e94�Qz (The above sections need not be comple of d --d the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'. compensation laws of California, and agree that if I IS ould become subject to the wor s' compensation provisions of section 37 of the Labor Code, I shall fort it comply with those provi:�.Opia X _ Gam- Sig ature of lican - caner ontrector ❑ Agent An OSHA p it i required for excavations over 5'0" deep and dem lition or construction of tructur over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ cj D SES IMP I FLOOD I CDP PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate a ve for whit es have been paid. By Date PERMIT EXPIRES ON 1-2,1 — D Date Receipt No. - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL 063-04-0-035 95-2960 BPEM GANZLER, Henry 13089 Doe Mill Road, Forest Ranch i (new single family) cor�d�_ -atu- wmdsoin j corts4-crm f+ a t- OFFICE COPY � Ad ess GAS Meter B' at ELECT4 s Meter By Dat d L OFFICE COPY d: I` Address i GAS Meter By Date D ELECTRIC Meter By Date n ... JOB FINALED (Date) Signature V' OK O = Not OK Not Not Ready 'e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SailsSme-DepthSpaang-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location-Test-Fall-C)O-Concrete 4. Wood Awn.; Posts-Beams-Rltrs.-Connectors _ Shthg.•Rfg.•Brecing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice-0ecat-Enclosures 5. Electricity; Location-ClearancesGmd-/ /Amp -C crete _ 6. Carporta; Windows -Doors 6. Gas; Location -Test -Wrap; / /'L9t / /Nat. or/ tL tL/ /LPG 7. Electric - 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Naffing-VeneerStuxo-Mesh 10. Root; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK accept #'s - - 3. Gas; MH TesyDemarxi-VaheConnector 1. Setbacks -Easements + 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 k.- MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SailsSme-DepthSpaang-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rltrs.-Connectors _ Shthg.•Rfg.•Brecing 5. Alum. Awn.; Columns-ConnectionsSplice-0ecat-Enclosures 6. Carporta; Windows -Doors 7. Electric - 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Naffing-VeneerStuxo-Mesh 10. Root; Shthg-Roofing 11. Ext; Steps -Doors -landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK accept #'s - - 1. Setbacks -Easements + 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboardslns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 � y _ O = Not OK N Readyab'e RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s ing-Setbacks-Easements-Flood-Slope tg., Main;,Soils-Elec. Grnd.?ZJ" Ftg. Depth _-74T9-1Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5 5tomwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 'Eff-Rold Downs and Special Anchors 7. ,Slab; Steel -Wrapped �l. 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 1 Water Pipe; Test -Anchor -Regulator -Service Test 12. F}ectric; Underground 10: Pi nums & Ducts; Clearance -Material -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples 16. Access & Ventilation 16. Insulation Date C.b Card B-1 Date Card B-1 Date C.i Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr. Ve ccess-Combustion Air -Baffle Water Pipe Test Anchor -Nail lection ---- ----- ------ yP �o --------------------------- - 18. -:W.V : T - ittings &A -chrt or -Nail Protection----- - - P 1: Test - irst Floor -Tub Access _ 20. Test Tub &_Shower. Second Floor -Tub Access 21. Gas Pioe Size & Anchors — - ------ ------------------- - - - - Date (g Cafd'B-t Date Card B-1 --------- ---------- ------ - --------- - -- -y`--- ------------------- -- --------- ----- Date /Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixtu ransformer Clearance- Protection --- - - 2 1 . eceptacles Spacing -Lights & Switches at Doors 24 S,z xes & No. of Conductors -Stapled ----- ------- - ----------------- ----- -- --- _-- .. Romex Installed Close to Edge of Studs $ G.J. --------------- ---------------- --------------------------------- - 26. Equip. round made up wyMech. Fastners- nd Gas & ater - 2 Appliance Circuts in Kitchen & Conductor S,ze,GFI 2d Subfeed Wire Size ga. Cu or AI -A.0 Wire Size ga. Cu or At 9. Range Circ. ga. Cu or AI -Oven Circ. ga. Cu 6 Al. - - -- Insulated Neutral ❑ Yes ❑ No - ---- ---- 30. Service -Riser Conductors & Ground -Main Disconnect - — --- ---.. .-- h.'E .. - 31. Equip_ Iearances Panels- otors Mech Equip. 32 C/loth Closet ght- hoover Light Spa Light_ 32!Smoke Detector Date -fO` Cartl B -1.Q Date Card B-1 ------ - �j- p�� Date Car B-1 Date Card B-1 Date ME ANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support 35 ent Fan xhaust above insulation - -_- Condensate Drain & Overflow. Size & Grade A Furnance-V: Access -Comb. Air -Return Air Vent -115 outlet Attic Acces & Platform ,f Furnance ,n Attic Date�tC� Card B-tV Date Date Card B -t DCard B -t - l/ ate Card B -t Date FRAMING (Plans) OK except a s 39;/Sits. Proper. Material & Anchors rFStops, ailing.acing & Braang- Plates Sound 9 al ode & Floor Na,lm,n Wproof) ... ._9Furred Ceilm s -Stairs -Chases -Tub -----. Beam -Size JBear Date AMING (Continued) ger) Po t Caps -Anchors -Connectors rd. Cing. Joi ties- Purlin-roof Brac-Truss hng.-Rfng. 47. ace Ties ue-Fireplace TOfoat clearance --------- ----- - --- X11/ . Attic Acces ; Size Romex Protection -Dr Stop -Ins. B ffles 49. Bdrm. Wind or Exiting Doors -Si gt. & DinQgnsi s ------- ----------------------- 51. Property Line Firewall & Openings _ --------- 5 Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 4j ,ding(& -lin veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------------------ 57. lass Protectio -Sk li fits- lastic �tlear Walls: -Nailing -Bolt — v r bK�sulat,on-Walls-Ceilings -- - --- - -nfiltration-Walls-Windows ------------------------- - -- -------------------------- ---_MN ----------------------------------- Date rl Card B-1 Date T Card B-1 Date and B-1 Date Card B-1 Date L (Plans) OK except ft's Ext. Steps -Door & Sidelight Protection -Landings —_ ' Smoke Detector Furnace Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa V-------------- - 66. lec. Trim & Subpanel: Breaker Sizes & Labels ----- ---- ------ ---- Stairs & Rails eplace or Stove: Clearances -Hearth � E c Outlets at Wood Panel, Int. & Ext. K,t F,xt & Appliance Grnd.-Air Gap -Cooking Clearance ...... . ....... ---------------------------- 71 -------- - --------------71 E 'c. Outlets & Receptacles at Kit. Counter . Garage Fire Door: Swing -Landing -Closer VWDuct to Garage -Damper ._....----------------------tr Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection -------------------------------- 75 --- ---------------- ---------- ------ 75. Plb. Elec. & Mech. Equip. Listed for Location \� c. Receptacles ,n Garage: (G.F.I.)-Rom x Protection - - ------------------ ----------- ---------- ----- ----------------------------------- -- ----- Insulation-Foam-Looked in Attic Yes ....� / - ^� vB. Guard Rails & Deck Construction -Post Caps------- VIFdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor - es_ ... ..... - -- - --------�-,,C Follow,ng inslld, Drive ❑ Yes No: Walks ❑ Yes Planters ❑ Yes ❑ No _ lucco: Brown -Finish — - --- C Unit: Disconnect. Electrical, Plumbing Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings _ _ ater Well: Disconnect. Electrical, Plumbing --- - -- - nor Elec Trim: G F.I.Receptacle_Underground - - -- -- �enl,lat,on Throughout House . _-- ... Protection --------------- ---------------- ."" orrect,ons from Previous Inspections as Test -Meters Tagged: Gas -Electric ------------------------------------ Water Water & Sewer Connected-C'O to Grade -HD Approval--- ---- 1 Energy Compliance Certificate -Other Certificates - - - Date Card B-1 Date - --Card B-1- -------- Date rLI Card B -t Date Card B-1 Date Card B -t Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 CountyCenter Drive - Oroville, California 95965 - Telephone 916 538-7 1 P RMIT o. P ( ) APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER _040-035 ZONING TIVI 10 BUILDING PERMIT OWNER HENRY GANZLER TELEPHONE 895-8101 SQ. FT.; OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 808 GREENWICH DR CHICO 95926 1640 R 88,96n 260 , CONTRACTOR'S NAME OWNER TELEPHONE 46n 0 3,99n 6 660 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 51 ARCHRECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 8 Energy Plan Checking Fee $ 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS mq, MTTI RD, FOREST RANCH PERMITFEE $ 19121.28 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF CJ( 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 Q, Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW 2 BR SF - Mobile Home I S I GI W 1 920.00 PERMITFEE $ 13 .00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service eoov oR LESS 2ooA oR LEs , ) 23.00 23.00 Main Service 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License LawXthe following reason: E 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.SO. OR ADDNS. 8 ACC. BUDS. ) 3.5¢ FT. NEW CONST.MULTI-OUTLET NON-RESID. BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL QZ30 Ex. Occup. OUTLETs RESID.)EA � ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 100.40 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling 15.00 Hood 1 6.50 6.50 Ventilation 1 4.56--1- 4.50 PERMITFEE $ 61.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) D/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if] should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �i X f'/ _ _____ Date i - 21 - SJ Signature Applica - B'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" de o(iti n or c ns ction of structures over 3 stories in height. �(,S.�e �iry� Mobile Home Installation Fee $ Energy Inspection Fee is 46.00 occ R-3 CONST. TYPE VN TOTAL FEE $ 1464.68 HA2. I D.F IMP FLOOfy CDF PARCEJr PD HD ISsu 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. ( Q6 BY ate 9 PERMITEXPIRESON (ate) Receipt No./P 9 3 -741 , ZO f,C r] WHITE-D.D.S.-B.D. CA RY-ASSES OFI2K-INSPECTOR SPECTOR G DEN OD -APPLICANT I r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Y i Plot Pho AUndW Plow Phn Anscbed Scotto B.D. Q am,�I A F Owner VZ Plan Approved for: Sewage Disposal Clearance for Q bedroom home. Other Hold final for: Final clearance O.K. for: NOTE: Water Supply: Public 43 -nY-�.s AP# / Private Well +/ 8/92 Vil-'n czd IT MT -MME Date 0i J. POUNTYOF BUTTE - DEPARTMENTOF D�VELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 14-1 'c� �t �V A. P. No. 6 3-- d q U -- O3 S Proposed Building Use Building Inspector Date // ? At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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. azardous Material Form . ........................... �H-nergy Design Compliance and supporting documentation. ?s�?� .- ......... Cz'7-9 S afement of Intent for Non -Heated and A/C Buildings . ...................... gineered truss details and layout in duplicate (required prior to plan check). .... obileho a data and manufacture 's installation instructions, 2 sets. ......... . 10 eesof$��� �/i�: ............................... pact fees as shown on attached schedule. ......... . alifornia Department of Forestry plan approv/fees. ./l ............ . .13,,,Flood elevation letter (100 year flopoi try Califo ineer.................. 4: Sanitation and plot plan approval cu 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: /�./—'— tact Land Development about (A) Improvements (B) Drainage. (J/� �f "Driveway permit (construction approval required prior to occupancy). J7� Pre4nspection request - 20. 20. Pre -inspection for required. . to Building Inspector (Date) 21'. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. wner-Builder Verification (Given to owner , Mail to owner ............ W.Recorded copy of Agricultural Acknowledgement Statement . ..................4Z'i!z=26 re 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 . ...................................... Plan check list. ........................................ Q Wxth, . 34. 9� WV you issue the permit process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at C A t LO office. Deliver with inspector. Other Parcel Creation '44 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 1. Index permit for above items No. _ 2. Additional items required: above). Contractor, designer, owner, was advised of above required data by1-7- phone _ mail r Counter bX�n Date 0/ Contractor, designer, owner, rwas advised of above required data by _ phone _ mail Counter by _ Date Plans checked by �( C'a'- Date /�- / V Plans approved by 42&-!�� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works a ,o G COUNTY OF BUTTE . DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER � P, — A P It I -'Z -- pL' p-? PROPOSED BUILDING USE REC. SCHOOL DISTRICT FEES (paid at District Office) .7 . SHERIFF FEES (paid at Building Division) Residential....... x unit amt. Commercial (sq. ft. ). 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq. ft. amt. DATE-� _ DATE REC 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 7 SRA FIRE INSPECTION AND PLAN CHECK' $89.00 (paid at Building Division) t 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. 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 2-- N 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 1 bor and materials for construction of the proposed pro rty improvement: YES[] NO[ ]. 2. I HAVE HAVE NOT signed an application for a building permit for the [ ] [ ] � PP g proposed work. 3. I have contracted with the following person (firm) to provide the proposed. construction: NAME: ADDRESS:' CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: S c o TT q Ac rf o V, arc ADDRESS: Vy f3 a) 4r 3 ". CITY: tapS ► 2&X,' c n C_ PIC', PHONE: a q y _ 5-_r5;6 CONTRACTOR'S LICENSE NO. �_t N Kj,✓ 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE:)�- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations. under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin1crel ; Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER a� OWNER: BUILDING PERMIT NUMBER: RESIDENTIAL (PLAN CHECIQNG GUIDE SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS ONLY 95 _ PLAN CHECKER: r7 �� ASSESSOR PARCEL NUMBER oning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. F�LCOT Items on data sheet, (Impact fees, Health, Developer fees, License law, etc.). Recorded notice of violation. PLAN: -AT-Complete parcel size and dimensions. etbacks, sideyards, easements, etc. f.FAU ther buildings or structures. A rading, fills, and drainage. lood hazard. pecial conditions on creation map, (noise, C.D.F., fire sprinklers, non-combustible, and foundations). & FAS road setback. uilding or utilities across lot lines (Record form). 1. Complete to scale plan with dimensions. P,,.G--F.C.I. quired windows for light and ventilation (Section 1205). quired windows for second exit (Section 1204). ylights (Chapter 34 & Section 5207). man impact glass (Section 5406). i quired room sizes, ceiling heights (Section 1207). in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. tmPl rage firewall, door size, and closer (Section 503(d)(3) ). 3'0" exterior exit door (Section 3304 (f). replace and wood stove location, alcoves and clearance.oke detectors (Section 1210). umbing fixtures, water closet clearances and shower size. Standard bracing or engineered design (Table 25V). Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and cals if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. May 1995 3.2 RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY DWELLING, DUPLEX AND MISCELLANEOUS MISCELLANEOUS ITEMS TO LOOK OUT FOR: t rway details: landings, rise and run, head clearance, handrails (Section 3306). rdrail details (Section 1711 and 33060). k or stone veneer (Chapter 30). erior plaster - weep screeds (Section 4706). per roof pitch for roof covering (Chapter 32). f covering type - (fire hazard). m insulation - protection. halls and stairways. ng area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. exits on three-story dwellings (Section 3303 and see Mezzanines - 1716). c access and ventilation (Section 3205). erfloor access and ventilation (Section 2516). 43�Combustion air for fuel burning appliances - L.P.G. requirements. eoise requirements on duplexes. ergy design. ashing at all exterior openings. 4&'�-E.D.F. responsible area requirements. 1 `4� BUILDING DIVISION � COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES ' 14G9Humboldt Road, Chico(916) 891-2751 , 7County Center Drive, OmvUke,CA-(S1G)538-,541 \ ' 747Elliott Road, Paradise, CA'(S`1G)O72-63O7 ' ' /. ` � / OWNER ' , `~ PERMIT~~. ` A routine inspection indicates that the following violations of Butte nnances exist at the abo e address and should be corrected. Please otify this office County correction of work - ' ="" "�questions �mmatter, plev*mwmmceimmwmateh. ^� � A - ~ Dote ' � -- REV 1myo � 'COUNTY OF BUTTE BUILDING DIVISION n 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 5 -ac( (,o > J OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, lease contact this office immediately. 4" 06ULkv tip 5�1 —�ep— §Ocp . . . . . . . . . U1. .00 yg 4-L t -p i ks Date 9// 0 [r4 (o_ Inspector REV 10/9 1 1 W� 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If y ave any questions pertaining to this matter, or need additional explanation, please ntacjlAhis office immediately. LOERKE INSULATION., 8918560 P.01 'INSULATION CERTIFICATE IC -1 +"muni a a►ii�Stroet Ity Countyu wision ofumber Description of Installation 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type Fiber lass 'Batts Brand Name Schuller Int. Thickness (inches) 13 "J 10 � '' Thermal Resistance (R -Value) -8 C. Contractor/s min installed weight/ft' lb Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance- (R -Value) 3. EXTERIOR WALL Frame Type A. Cavity Insulation Material Fiberglass Batts Brand Name Schuller Int. Thickness (inches) �," Thermal Resistance (R -Value) - 1 B . Exterior Foam Sheathing Material Brand Name Thickness (inches) Thermal Resistance (,R -Value) 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) b S. SLAB FLOOR/PERIMETER Material Thickness (inches) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) _ Declaration Brand Name Schuller Int. Thermal Resistance (R -Value) 12-(9 Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on tho Certificate of Compliance, where app licable. LOER�CE TNSULATTON CO,, INC. Box 7927 _CL_.e499150 Chico CA. 95Q27 Item #s Signature Date Installing Subcontractor o,Name) ll ) General Contractor (Co. Nari,E RgnG,ONSTRUCTION 1� l � k' �17��.c�g� C��� 102�MUaNngrove ke. #109 Items sllhttorei Date Installing bubcontractor [C6. Natn'br.QWA 95925 Civ General Contractor (Co, Name) OR Owner Item Is ignature. Date Installing Subcontractor jCo.Name) General Contractor (Co. Name) OR Owner fS__A--J L`L. 4/1nr, CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Barnet/Ganzler Date......... 03/05/96 Project Address........ --------------------- Forest ------ --------Forest Ranch, Ca.. ",,Documentation' Author... Jim Peterson Building Permit # Company................ Telephone .............. (916) 343-7250 Plan Check / Date 'Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date Climate Zone........... 11 --------------------- ----------------------------=-------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File -BARNET Wth-CTZ11S92 'Program -FORM CF -1R User#-MP0400 User- Run-HOUSE ------------------------------------------------------------------------------- GENERAL INFORMATION ----------------- Conditioned Floor Area..... 1669 sf Building Type .............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 80 deg (E) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor (Package E) BUILDING SHELL INSULATION Component Insulation Assembly Duct Equipment Type --------------- Efficiency ------------ Location ---------- Type 0.780 AFUE Basement R -value U -Value Location/Comments ------------- ---------- -------- ---------------------------------------- Wall R-21 0.059 Roof R-38 0.029 COUNTY OF sUreg Floor R-19- 0.035 BUILDING nF!DT MAR 1 FENESTRATION ------------ Over- Area U- # of Interior Exterior hang/ Framing Orientation ------------------- (sf) ----- Value Panes ----- ----- Shading ---------- Shading -------------- Fins ------ Type -------- Window Front (E) 70.0 0.600' 2 Roller.Lt None Yes Metal Window Left (S) 46.0 0.600, 2 Roller.Lt None None Metal' Door Back (W) 80.0 0.770 2 Roller.Lt None Yes Metal Window 'Back (W) 8.0 0.600 2 Roller.Lt None Yes Metal Window. Back (W) 110.0 0.600 2 Roller.Lt None None Metal Window Right (N) 16.0 0.600 2 Roller.Lt None None Metal Skylight Front (E) 4.0 0.800 2 None None None Metal HVAC SYSTEMS A te&Ack . etback Minimum Duct Equipment Type --------------- Efficiency ------------ Location ---------- Furnace 0.780 AFUE Basement ACSplit 10.00 SEER Basement A te&Ack . etback CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Barnet/Ganzler Date........ 03/05/96 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File -BARNET Wth-CTZ11S92 Program -FORM CF -1R User#-MP0400 User- Run-HOUSE ------------------------------------------------------------------------------- WATER HEATING SYSTEMS --------------------- Number in Tank Type Heater Type Distribution Type System ------------ ----------- ------------------- ------ Instantaneou Electric Recirc/Temp 1 SPECIAL FEATURES/REMARKS ------------------------ COMPLIANCE STATEMENT Tank External Energy Size Insulation Factor (gal) R -value -------- ------ 0.544 EF n/a ---------- R-n/a This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. Name.... Company. Address. Phone... License. Signed.. Name.... Title... Agency.. Phone... DESIGNER or OWNER Scott Jackson Evergreen Development P.O. Box 453 Forest Ranch, Ca -.95942 (916) 895-5590 DOCUMENTATION AUTHOR Name.... Jim Peterson Company. Address. 2044 Palm Ave. Chico, California 95926 Phone... (916) 343-7250 Signed.. (date) (date) ENFORCEMENT AGENCY Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL ----------------------------------------- ----------------------------------------- Project Title.......... Barnet/Ganzler Project Address........ Forest Ranch, Ca. Documentation Author... Jim Peterson Company ................ Telephone.............. (916).343-7250 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Page 1 MF -1R Date ......... 03/05/96 Building Permit # Plan Check / Date Field Check/ Date MICROPAS4 v4.01 File -BARNET Wth-CTZ11S92 Program -FORM MF -1R User#-MP0400 User- Run -HOUSE 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- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(i): 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. 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. i^ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. f 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 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R ---------=--------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Barnet/Ganzler Date........ 03/05/96 --------=---------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File -BARNET Wth-CTZ11S92 Program -FORM MF -1R User#-MP0400 User- Run -HOUSE ------------------------------------------------------------------------------- SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC._ 150(i): Setback thermostat on all applicable heating systems. 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 hot water tank. *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 operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified -with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System 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. 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.). LIGHTING MEASURES ----------------- 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Design- Enforce- erment .l 2. No continuous burning gas pilots allowed. J COMPUTER METHOD SUMMARY Project Title.......... Project Address........ Documentation Author... Company... ........... Telephone.............. Page 1 C -2R ------------------------------------------------------- ------------------------------------------------------- Barnet/Ganzler Date........ 03/05/96 --------------------- Forest Ranch, Ca. Jim Peterson (916) 343-7250 Building Permit # Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. I Field Check/ Date Climate Zone...:...-.... 11 --------------------- -----------------------------------=------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File -BARNET Wth-CTZ11S92 Program -FORM C -2R User#-MP0400 User- Run-HOUSE ------------------------------------------------------------------------------- ----------------------------------------------------------------- ----------------------------------------------------------------- = MICROPAS4 -------------------------- ENERGY USE SUMMARY = = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _--------------------------------- Design Design ---------- Margin = ---------- _ = Space Heating.......... 13.72 12.96 0.76 = = Space Cooling.......... 13.26 19.68 -6.42 = = Water Heating.......... 13.24 4.64 8.60 = = Total 40.22 37.28 2.94 = _ *** 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...... 1669 sf Single Family Detached New Front Facing 80 deg (E) 1 1 FullYear Raised Floor 1 17245 cf 1669 sf 1669 sf 0 sf 20 % of FA 10.3 ft (Package E) COMPUTER METHOD SUMMARY Page 2 C -2R ----------=-------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Barnet/Ganzler Date........ 03/05/96 -----------------------------------------------=------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File -BARNET Wth-CTZ11S92 Program -FORM C -2R User#-MP0400 User- Run=HOUSE -----=------------------------------------------------------------------------- Zone Type HOUSE Residence BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area (sf) (cf) Units itioned Type (ft) (sf) --------------- ------------------------ ------ --------- 1669 17245 1.00 Yes Setback, 2.0 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 398 0.059 R-21 80 90 Yes W.21.2X6.16 2 Wall 202 0.059 R-21 170 90 Yes W.21.2X6.16 3 Wall 274 0.059 R-21 260 90 Yes W.21.2X6.16 4 Wall 232 0.059 R-21 350 90 Yes W.21.2X6.16 ,5 Roof 1669 0.029 R-38 0 0 Yes R.38.2X12.16 6 Floor 1669 0.035 R-19 0 0 Yes FC.19.2X8.16 FENESTRATION SURFACES --------------------- SC SC Interior Area # of Frame Open U- Act Glass Int Shade Surface ----------- (sf) Panes ----- ----- Type -------- Type ------ value Azm Tilt Only. Shade Description HOUSE ----- --- ---- ----- ----- ------------ 1 Window 16.0 2 Metal Slider 0.60 80 90 0.88 0.44 Roller.Lt 2 Window 8.0 2 Metal Slider 0.60 80 90 0.88 0.44 Roller.Lt 3 Window 9.0 2 Metal Fixed 0..60 80 90 0.88 0.44 Roller.Lt 4 Window 9.0 2 Metal Fixed 0.60 80 90 0.88 0.44 Roller.Lt 5 Window 4.0 2 Metal Fixed 0.60 80 90 0.88 0.44"Roller.Lt 6 Window 20.0 2 Metal Slider 0.60 80 90 0.88 0.44 Roller.Lt 7 Window 4.0 2 Metal Fixed 0.60 80 90 0.88 0.44 Roller.Lt 8 Window 20.0 2 Metal Slider 0.60 170 90 0.88 0.44 Roller.Lt 9 Window 20.0, 2 Metal Slider 0.60 170 90 0.88 0.44 Roller.Lt 10 Window- 6.0 2 Metal Fixed 0:60 170 90 0.88 0.44 Roller.Lt 11 Door 40.0 2 Metal Slider 0.77 260 90 0.88 0.44 Roller.Lt 12 Window 8.0 2 Metal Slider 0'.60 260 90 0.88 0.44 Roller.Lt 13'Window 10.0 2 Metal Slider 0.60 260 90 0.88 0.44 Roller.Lt 14 Window 30.0 2 Metal Slider 0.60 260 90 0.88 0.44 Roller.Lt 15 Window 30.0 2 Metal Slider 0.60 260 90 0.88 0.44 Roller.Lt .16 Window 10.0 e2 Metal Slider 0.60 260 90 0.88 0.44 Roller.Lt 17 Window 2.0 2 Metal Fixed 0.60 260 90 0.88 0.44 Roller.Lt 18 Window 13.0 2 Metal Fixed 0.60 260 90 0.88 0.44 Roller.Lt 19 Window 13.0 2 Metal Fixed 0.60 260 90 0.88 0.44 Roller.Lt 20 Window 2.0 2 Metal Fixed 0.60 260 90 0.88 0.44 Roller.Lt 21 Door 40.0 2 Metal Slider 0.77 260 90 0.88 0.44 Roller.Lt .22 Window 16.0- 2 Metal Slider 0.60 350 90 0.88 0.44 Roller.Lt 23 Skylight 4.0 2 Metal Fixed 0.80 80 90 0.88 0.88..None r i COMPUTER METHOD SUMMARY Page 3 C -2R -------------=----------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... Barnet/Ganzler Date........ 03/05/96 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.01 File -BARNET Wth-CTZ11S92 Program -FORM C -2R User#-MP0400 User- Run -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 ----------- ----- ----- ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- HOUSE 1 Window 16.0 4.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 8.0 2.0 4.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 9.0 6.0 1.5 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 9.0 6.0 1.5 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 4.0 4.0 .1.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 20.0 4.0 5.0 2.0 1.5. n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 4.0 4.0 1.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 11 Door 40.0 6.8 '6.0 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 12 Window 8.0 2.0 4.0* 2.0 1.5 n/a n/a n/a n/a n/a n/a n/a n/a 21 Door 40.0 6.8 6.0 2.0 1.5 n/a n/a n/a n/a n/a n/a. n/a n/a HVAC SYSTEMS ------------ Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency ---------------- ------------ ------------- ------ ---------- HOUSE Furnace 0.780 AFUE Basement R-5.6 0.837 ACSplit 10.00 SEER Basement R-5.6 0.867 WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------------------ ------------------- -------------- ------ ---------- 1 Instantan Electric Recirc/Temp 1 0.544 n/a R-n/a WATER HEATING SYSTEMS DETAIL ---------------------------- Standby Internal Tank Recovery Rated Loss Insulation Pilot System Efficiency Input Fraction R -value Light -------------------------------------------------------------------- 1 Instantan n/a 50000 kW n/a R- n/a n/a SPECIAL FEATURES/REMARKS ------------------------ s K FbGgO)NZLER, -035 h. PERMIT#96= 0519 Henry oe Ml`Rd-.,4Forest Ranch tor Temp Travel Trailer s COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�/ _�PERMIT NO. APPLICATION AND PERMIT (o ASSESSOR PARCEL, NUMBER 063-040-035 ZONING T110 BUILDING PERMIT OWNER HENRY G NZLER TELEPHONE 895-8101 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 808 GREEiVWICH DR CHICO 95926 CONTRACTOR'S NAME OWNER TELEPFIONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER rloraE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 13089 DOE MILL RD PERMITFEE $ FOREST RANCH PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ff Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation ❑ Other ❑ Describe Work: TRAVEL T?ATT.ER (W.ISPECTAL USE PE IRMIT) Mobile Home G ',XT 920.00 0.00 PERMITFEE g 60.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 OR LESS Main Service ( E00V OR LESS ) 200A 23.00 3.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, III do the work, and the structure is not intended or offered for sale. fia" I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ACC. BLCS. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 Ex. Occup. ( OUITLETS(RESD.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 0.00 Misc. Wiring 23.00 PERMITFEE g Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) V I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date— t t —� Signature o Appli nt Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 146. nn HAZ. D FEES ,� IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 194653 WHITE•D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11 z 'v A COUNTY ORBUTTE- DEPARtMENT& DEVELOPMENT SERVICES- BUILDING DIVISION 7 CoUnV;qenter Drive.- -Or*bville, California 95965 - Telephone (916) (— 538-75419 PER NO. � 1 92 1 li� APPLICATION AND PERMIT,. osz ASSESSOR PARCEL NUMBER. 063-040-035 ZONING TM10 BUILDING PERMIT OWNER HENRY Z R TELEPHONE .8954101 SQ. Fr. OCC.'i BUILDING VALUATION OWNERS MAILING ADDRESS ! <j �r hy 5 1# -, 808�GI�EMCH DR - CHICO; 95926 , 11 CONTRACTORS NAME, F1 '11 OWNER J TELEPHONE CONTRACTORS,MAIUNG ADDRESS Ni. Fireplace CONSTRUCTION LENDER NONE'% UNM40WN Total Valuation $ Filing Fee $ 20.00 LENDERS MAKING ADDRESS Permit Fee ARCHITECT OR ENGINEER NON E NO. Plan Checking Fee $ 23.0 0 Energy Plan Checking Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING,'ADDRESS 13089 DOE MILL RD FOREST RANCH PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00- Each Trap 7.00 LOT NO. SUBDIVISIONS NAME 1PARCEL MAP Solar or heat pump water heater'. 23.00 "'Water piping 15.00 USEOFSTRUCTURE SF 0 'Duplex. 0 Mobilehome EX Other SPECIFY Each gas water heater or vent "1S.00 Gas piping system 1 - 5 outlets 15.00 Building sewer. 15.00 TYPE OF WORK New 0 Addd':n 0 Remodel 0 Utilities 0 Installation 0 'Other 0 Describe Work: TR AVET. TRATTER (W/SPECIAL USE PERMIT,) Mobile Home_[!FqJ7yxT @20.0040.00" PERMITFEE $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee. 20.'00 L a v OR LESS ( \ Main Service 00 200A OR LESS 23.00 23.00 Main Service 200A TO 1000A 46.00 • LICENSED CONTRACTOR'S DECLARATION I f�efeby affirm 'urider. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division, 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty c�f perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, I do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR AD & ACC. BUDS. so. FT. CNS. NEW CONST. MULTI -OUTLET NO -RESID. BRANCH CIRCUITS — —3.5(! @7.50 POWER APPARATUS ( SINGLE OUTLET CIR Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 . BAIL (a) .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 26.*00, 0.00 Misc. Wiring 23.00 PERMITFEE $ 100 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following. declarations: 0 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. , 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe 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 ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, avid agree that,if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ate I Signature of)I,4PIidhnt'- ORrOwner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$ 7— Energy Inspection Fee I $ Occ CONST. TYPE TOTAL FEE 146.00 HAZ. D. FEES I I IMP FLOOD I 7'ZI CDF PARCEL I PD 1,;�ISSUE' This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 194653 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ?ei.N!'%i� '�? �:�' v +y.,n»..(+TM.r.--.,..r...�-,,. „ . r `M ^„✓;..L .fp -..F�-.AFI 1 V:47, , 1' l .�Yy i .:. kJ t • 1 COUNTY 61R,, -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count] Center Drive. Oroville,"California 95965 -Telephone (916) 538-7541 PERMIT No. p" ''y APPLICATION AND PERMIT J'k , ASSESSOR PARCEL NUMBER, 063-040--035 ZONING 11110 BUILDINGPERMIT OWNER-'• w HENRY GO Z'M TELEPHONE 895--8101 SO. FT. OCC.' BUILDING VALUATION OWNER'S MAILING ADDRESS'r., 808'°.GREET W'ICH DR CHICO 9592.6 CONTRACTOR'S NAME •.—rot' OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS -` Fireplace CONSTRUCTION LENDER ' NONE ', UNKNOWN ' Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS ,s Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13089. DOE MIIZ RD PERMITFEE $ FOREST RANCH PLUMBINGPERMIT Filing Fee 20.00• Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome I] Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other ❑ Describe Work: TRTRAVELTRAZI,FR (W/SPECTAT, 11.9,E PERMIT) Mobile Home 7FWFd[W @20.00 140.00 PERMITFEE $ 60.00 Contractor ELECTRICAL PERMIT Fili 6q Fee 20.'00 Main Service000v OR LESS 200A OR LESS ) 23.00 3.00 Main Service ( 200A TO 1000A ) 46.00 ` LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, -and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, I do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Coda for this reason NEW CONST. DWELLING OCCUP. OR ADONS: ( 8 ) SO. 3.5Q FT. NEW CONST. MULTI. TIw TLE OUTLET NON-RESIO. ( BRANCH CIRCUITS ). 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CTR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. ( OUTLEERES. DTs ID)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ O 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 t (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. % X _____Date `?,— t -L -_� -- Signature of Appli nt `- O'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee isf occ CONST. TYPE TOTAL FEE $ 146.00 HAZ. D. FEES IMP FLOOD CDF, ` PARCEL PD Ho SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which'fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 194653 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OW, BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 .County Center Drive .- Oroville, California 95965 -Telephone (916) 538-7541 PERMIT NO. }' APPLICATION AND PERMIT �C/moi` ASSESSOR PARCEL NUMBER /� /�a 063-040-035 -0 5 ZONINGS 710 BUILDING PERMIT OWNER HAIRY NZLBR TELEPHONE 895-8101 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 808 MMal DR CHICO, 95926 CONTRACTOR'S NAME OW�7�p��� NER R -.-• � TELEPHONE CONTRACTORS MAILING ADDRESS " Fireplace CONSTRUCTION LENDERUNI(NOWM PIONS Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS i Permit Fee $ ARCHITECT OR ENGINEER}�7ry�(( f NONZ LICENSE NO. Plan Checking Fee $ 2`' 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 13089 DOE MILL RO r PERMITFEE S FOUZT RANCH PLUMBINGPERMIT Filing Fee 20.00- Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USSEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome & Other SPECIFY Water piping •+ 15.00 Each gas water heater or vent 1'5.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities M Installation ❑ Other ❑ Describe Work:. `i'IiAILER (WISPELIAL USE FEMI j') Mobile Home G V,ij 920.00•00 PERMITFEE g 60�w Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service000V OR LESS 200A OR LESS ) h (�(j 23.00 J • 00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, �11 do the work, and the structure is not intended.or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BUDS. ) SO. 3.5¢ FT. NEW CNS. CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 8 SINGLE Ol1TLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL @ .SO Ex. Occup. ( OUTELETS(R S D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 _70.00 Misc. Wiring 2�O0. PERMITFEE $ � Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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' C ompensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. fJ X 1124" a %bate__ ' i- I 'L •� Signature of Applicant - Owner ❑__Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 146♦00 HAZ. I D. FEES I IMP I FLOOD CDF� PARCEL PD HD „// SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 194653 WHITE-D.D.S.-B.D. CANARY -ASSESSOR .'PINK -INSPECTOR GOLDENROD -APPLICANT J"�.,fr',%'6n';r�„"xi„�1i �'"i"'P'2�TFr3.Mt`,yPj�-�'�1!���''4��"+y`�''3bi'i"�`r.^y�"'t►i^'rrr.;+.+wri:F:�. ,..f� 'l:i. « n.., : '-._ .. ! �e COUNTYOF, BUTTE - DEPARTMENTOF DEVELOPMENT,SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 `. PERMIT OWNER . //C n P V Proposed Building Use APPLICATION DATA SHEET / r° P No. Building Inspector Date off. &�hZloC At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: v--�-� DATE RECENED 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. ........... ;z 10. Fees of $.......................................... 11. Impact fees as shown on attached schedule . ..................... ......... . 12. California Department of Forestry plan approval/fees. ....... ... ....... . 13. Flood elevation letter (100 year flood(..1/1 California 'Engineer. .. �S.G��. o-ra 14. Sanitation and plot plan approval �l/1 �'Gf C.© Health Department. 'dor.. X193:_0 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license pprov I from City of Biggs/Gridley. . 17. Planning approval for (A) UsNocf4 U! Q,(�,�artking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... 20. Pre -inspection for Pre-rnspectim requestrequired. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........... . 29. Documentation of legal access. ...... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi kup at office. Deliver with inspector. Other Parcel Creation 3-- I Z -1 G 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,,, caner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designei, 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARC NUMB & ZONING. `[ BUILDINGPERMIT OWNER. r �1� r (� TELEPHONE /O/ SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ORE CONT CTO R'S NAME TELEPHONE CONTRACTORS /AILING ADDRESS Fireplace C0=;N LENDER n UNKNOWN Total Valuation $ Fling Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITE OR ENGINEER TO P1 Q LICENSE NO.. Plan Checking Fee $ a3 - Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS / ry/S PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 l—® r Each Trap 7.00 LOT NO. SUSDNIS IONS NAME PARCEL MAP Solar or heat pump water heater . 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0�' Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities k Installation ❑ Other ❑ /� � Describe Work: V l S0& ICS >^!11 44 4zn, Mobile Home U G @20.00 190',00 PERMITFEE S Q� Contractor ELECTRICAL PERMIT Filin Fee 20.00 Main Service / 000v OR LESS 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, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a BTLE ) S0. 3.5¢ Fr. LTI. NEW CONST. MULTI�OUTLET NON-RES10. ( BRANCHCIRCUITS ) @7.50 POWER APPARAT SINGLE OUTLET US (8 C1R. ) Ex. Occup. (OUTLET OR FIXTURES ) 00 20 0 1.00 BA@d .50 Ex. Occup. t OUTLETS APPLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S / Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor 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 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ ��� lo HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE •D.D.S.-Ei.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE ' t -,,_ DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy. Plana must be available on the job site. JLP 1 1 1. 01637040-035- 'PERM-IT#96-=05`19 otjGONZLER, Henry 13089 Col Doe Mill Rd., Forest Ranch Te-',,)rfor—Temp—T-rave-1--Trai-ler. PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Frarninq Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan Insulation ace Footing ace Throat btUCCO Lath I I Scratch and Brown I I Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME . IS APPROVED FOR OCCUPANCY ........... ...... .. .... A'dd' . ........... ......... ................ . ...... �q .... P..:: .................. X ... .... .... ... . .... ... .. Infofma on... . . ... Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 872-6307 Revised 7/94 FROM COUNTY OF BUTTE DEVELOPMENT SERVICES DEPT OROVILLE CA 95965-3397 TO...Henr,y.Gonzler....w„,.r,.�.� r,..., .......-« ...�.., _. 808 Greenwich Dr-. I .�Chico,.,.Ca -95926,.x.,. _�,.�,,, .......� ......�.I tYr w.��.rr nr r.A�.MA.+ �.�.�1'^ .wlr.r r � w - � ��� . ••.' r Count utte BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 RE: Attached Mobilehome Permit Dear Permittee: Attached is.your_mobile_home permit along with -the approved set of plot plans and-a.job card. Please post the -job card on the job -site in a conspicuous location for the inspector to sign during the various phases, _ ..and also have the, approved set of plans --on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the Iapproved set of plans before you start work and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office -- do.not proceed with the work without making the correction. -The job card must be signed by the inspector before proceeding with each ,item listed. Should the inspector not sign the card, a white correction notice will list the corrections to be made and a call back inspect_on must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy the'mobilehome for which this permit is issued without approval from this office. Please do not confuse gas or electrical service to the mobile as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector. Your permit expires one year from date of issuance. If the work has not commenced, a new permit application and fees will be required. Upon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to the installation of the mobilehome or utilities, please do not hesitate to contact this office. per,^ Mi hael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL --u.. 063-040„ 035 PERMIT#96-0519 �GONZLERHenry 13089 Doe Mill Rd., Forest Ranch Util for Temp Travel Trailer 1 V=OK O = Not OK , •=Nott ReadApply MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PL'ft. / /Nat. or/ f'L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval - 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 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/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main: Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -t Date PLUMBING (Permit),OK except 1r's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ----------------------------------------- ------ 18. D.W.V : Test -Fittings & Anchor -Nail Protection ----------------------------------------------------- --- --- 19. Shower Pan; Test, First Floor -Tub Access --------------------------------------------- - - - - - - -- -- - - 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe Size & Anchors ----------- ------ -------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------------------------- 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. ---------------I------------- --------------------------------------- 26. Equip. Ground made up w/Mech. Fasiners-Bond Gas & Water ------------- 27. ------ 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------------------....................... 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ---------------------------------`-------------------------- ----- - .... .. 29. Range Circ. r , ga. Cu or AI -Oven Circ. / r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------- ...... .. 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------............ .. ... _... .1 ...... 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------ ___ - - - - --- -------------------- ....... 32. Clothes Closet Light -Shower Light -Spa Light ----------------------- ........ .................. 33. Smoke Detector -------------------------------- -- ...................... ........ .. Date Card B-1 Date Card B-1 ------------- .......................... . ............... ......... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL,(Permit) OK except a's 34. A.C. Ducts Insulation & Support ----------------_...-- ---------... .................... __......... ... .. _... .. 35. Vent Fan: Exhaust above insulation ----------- ----- - - ........ ... ... ...... .............. 36. ..Condensate .Drain. & Overflow: Size & Grade ................................... ........ . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - --- -- ---- .. .. 38 Attic Access & Platform if Furnance in Attic ------ ------- -----_-----.._. .. ... ......... .. Date Card B-1 Date Card B-1 - - ...... ....... ............_. ... ... ... ... . . .. Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Slls. Proper Material & Anchors - ... -... ............ ... ... ... .. 40. Walls 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 -Slags -Chases -Tub ..... .. .. ... ... .. 44. Headers & Beam -Sze & Bearing jingle & Duplex) Date FRAMING (Continued) 45. -Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----------------- -- - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------------------------- - 50. Garage Fire Protection Framing ----------------------------------- 51. Property Line Firewall & Openings ------------- 52. -Ext.- Doors -One -Check Garage -3rd Story, 2 Exits ------- ----------3'---------=- 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 Sia. Shear Walls: Nailing -Bolts -------------- 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------- ------------------------- -- -- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ✓r's - 61: Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector -------------- ------------------ ------------ -- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------------------------------------------- 64. Bedroom Exiting ---------------------------- 65. -- ----------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. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----------------------------------------- -------------------------- ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location ..............------- ------------------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------ ------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes .....-------- ------------------------ --------- -------- 78. Guard Rails & Deck Construction -Post Caps ---------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - -- 80. Following instld�i. 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 ------------------------- --------- ----- d5 Exterior Elec. Trim: G.F.I. Receptacle -Underground . ... ....... ..... - ------------------------------------ - ----- 86 ---- --------------------------------- 86 Ventilation Throughout House -- ------------------------------------- 87 Glass Protection -- -- ---------------------- 86. Corrections from Previous Inspections --- --------------------------------------- 89 Gas Test -Meters Tagged: Gas -Electric . . . .. . . ....... .. ...._ _ .....----------------------------------- 90. Water & Sewer Connected-CrO to Grade -HD Approval . --- .---.._..---------------------------------- 91. Energy Compliance Certificate -Other Certificates --------------------------- ----------- -- -- -- ------------------------ Date Card B-1 Date Card B-1 . .. ..,. ..._.... -------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building PermitNo._ NAME: RS Z �l� . ITC,vC Jam' NUMBER: D �> PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: T/� �� FLOOD ZONE: X FLOOD MAP: /Z!57 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL, CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: �a�Z�� 3 DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES . NO COMMENTS/CONDITIONS: 2 0-rewarT MAP INFORMATION: NO DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED?, (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO ..IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO. MAP: ALL FEES TO BEPA/D TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. _.1. . Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. 8: Connect to a public sewer system. 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National tkrc r.t..- Fire Protection Association Standard for the installation of sprinkler systems in one and`twojfamily;dwellingsi and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be nmde to the Plawdag Division. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _`.15.' Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County- Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet,the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21 22 23 24 25. �?nq :10111.NO 5661 6 Z AON (13M303H LD 9/95 - CAWP51 TORMS. K\BLDGPERM.CLR 85--43534 .} z i 95-0435341 Rec Fee 9.00 And when recorded mail to: } I Check 9.00 Building Division Recorded I #7 County Center Drive • ; I Official Records I Oroville, Ca. 95965 I County of I i Butte Candace J. Grubbs I Recorder ` 1:14pm 13 -Dec -95 I PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described, herein is adjacent to land or included within an area zoned for agricultural purposes. and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the Count' of Butte. State of California. described as follows: J u Cvtj 11 Date: X)cu 30 I et 91- PROPERTY OWNERS: State of California ) County of Bultia_-, ) On' t I -')Q - q before me, _�J� .I I PA 62 U personally appeared E.4 el:yl r �/ C� A Z I e_r personalh known to me (or proved to me on the osis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal. DEBBIE 9iE Dl PASQUA `^ °: COMMISSION #1026597 .D . , ' NOTARY PUBLIC -CALIFORNIA vim, Signature Seal: a BUTTE COUNTY N cy ... MY COMM. EXPIRES MAY 15, 1998 A.P.# 6'3-C>40 _ 03� t NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. - I ARIU.TURA, STATEItET 4 ACUWLTGMEN'T' Instructions for recording Agricultural Statement of Acknowledgement: Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). Property owners must sign in the presence of a Notary Public and have the form notarized. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday -Thursday). OVER iir4Vra0 vo:ia 16WD10 oa4 oris VX=V vnxvv • 95-435 H&Att A10 92-2832 Ord _,r_Nor -156702 SCHEDULE C The land referred to herein is dercri.ned as follows: All that certain real property Situate in the County of Butte, State of California, described ._s follows: PARCEL 1: The South half of the West half of the Northeast quarter Of Section 8, Township 23 North, Range 3 East, MDB & M. Excepting therefrom the South 239.QO deet and the Dfo=th 209.00 fest of the South 709.00 feet of said parcel. ALSO EXCEPTING THEREFROM the North ?.61 fest of the South 500 feet of the. South half of t" West half of the Norhaast quarter of Section 8, T 23N, R3E, MDS & M. ALSO EXCEPTING THEREFROM a strip of land 50 feet wide for road purposes, as ed by F•'R• �rrett et al to County of Butee, by deed dated December convex 16, 1023 ed nd recorded January 16, 1924 in Volume 195 of Deeds, at page 177, records of Butte County, California. AP No. 063-040-035 i' PARCEL II: A non-exclusive easement to be used in common with others for road and public utility purposes over Stripa of land described as follows: A strip of land 60 feet in width lying 30 feet on each side of the North Section line of the South 709 feet of said.Weet half of the NE 1/4 of Section 8, and a strip of land cver the West 60 feet of th(. 23 H, R 3 E, MDB & M; South half of the West half of the Northeast 1/4 of said Section 8. 1 . J Excepting, however, those portions lying within the boundaries of the parcels described in Parcel I. f ri0rt�. Dc. ' END OF DOCUMENT END OF DOCUMENT t mental yaaith '' .JAN /1���('t1�,d 1. .�lQC4rto� Chico,_Califo --..-_.-.--- 1'V10111444' r ,'t�L'�*:+. W�iP7' Y Y •'P'- 'v lr�p'a('�`l' xrv';/✓+r�ij-+ , (``f 5. •L . Int. . a. n a� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. ^ A.P. Number Jurisdiction: City County' 't Property Owner %r .,t' Property Location/Address _ SGbdivison Residential D v lopment Building J ~Ft No. of Living Units t ) MHI New Lot No,s $-- Sq. Footage' C( Addition (Group R) Y 4 0 %q. Footage Addition (Including Exterior Roofed Areas). %/ 2 Da District Identification No. School District certifies.that f (Applicant), (Street Address) (Phone Number) (City)Co (State) (Z7p e) has complied with the requirements of Resolution No. by payment of $ 0?J 0 042 t?L representing square feet: AB 2926 �$� : • ' FULL'IkITIGATIOJI $ f School District Representative Date Paid by Check # 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) reeformmk, (1 t/94)dmm 1. T)Iis set of plans acid spscM-ations MUST be ke-it on the job at all times and it is unUwft to make any changes or alterationa_ on same without k written permission from the Deptrt mmMt of Public WOrks, County of butte. f. mOTE. All Msteriaa trl Workmanship Shall Be to Amrdance 'With p4cognized Good Practices and of a QuLuty Prescribed for the Speemed use in the 'terra l3„alai^�.- �m d l[echeanica. t odes d the liationsl Electrical a. 0150E r►N° . 19 - This set of plans and speciffCationa Muwr be kept on tha job at all times and it is unlswft to make any changes or alterations on same withnut Written permission from the Deparhm=t of Public Works, Count, of Butts. All Msterials & Worknianship Shall Be t A00ordsa0e with Rrcognized Rood Practices and Of a Quality Prescribed for the Specinad use „Udtnt Plumb t MechanicmI In the ��fer�-13 -_ �.__.. _..._.1.._ Codes d the 1'iationsl 1Sleetrioal Code• t v �• i P`'' of ��-,` ovE �,c o�,•cN Row .FRoM�v�$i go of of o . �f i COS f I SOU TITB L E U SOUTH EL EV This set of plans and speciflcationaJduSTbe kept on tha job at all times and it is unlawful to make any chines or alterations on sama without " itten permission from the Department of Public Works, Caunty of Butte. NOTE: All Mat MMU 6- Workmanship Shall Be Tri AoCordance with d Good practices and Y % . 2 !✓. 3 r'l, d • M of a Quality Prescribed for the apeciiied use In the Lj „_. u„�� int Plumbing& Mechanics: _ /O 410 ' Codes a: id the lrational Electrical Code• `, ---- __..__. _ _r ----- __ _ i CJS” ""�.... PNS �l,e- �v�s�.� �• pAOp� 1��S�FxG�� RoM op -ID p E S ouREs� Na' . O 01; � � l - Qitn liar Ili